A study on knowledge and practice in maternal health care by accredited social health activists of Vijyapaura district, Karnataka, India

Rohith Motappa, Mahabaleshwar Angadi


Background: One of the key components of national rural health mission was to create a band of female health volunteers, appropriately named “accredited social health activist” (ASHA) in each village within the identified States to act as a bridge between the rural people and health services outlets. They act as health activists in community who will create awareness on health and its determinants, counsel mothers on key healthy behaviors and mobilize the community towards local health planning and increased utilization and accountability of the existing health services. Objectives of the study was to describe the socio-demographic profile of ASHAs working in Vijayapur district and to evaluate the knowledge, attitude, practice of ASHAs towards the maternal care.

Methods: A cross-sectional study on 617 ASHAs of Vijayapur district. A pre-designed, semi- structured questionnaire was prepared in English and the interview was conducted in Kannada by explaining them questions one by one.

Results: Out of 617 ASHAs interviewed, 427 (69.2%) of them told a pregnant woman should have antenatal care (ANC) visits and 413 (65.3%) ASHAs opined that a minimum of four ANC visits are required. While 542 (87.2%) ASHAs told that they should accompany pregnant woman transport to health centre during labour pains and 570 (92.8%) told that they should stay with the pregnant lady until her delivery is over. Also, it was found that knowledge of ASHAs regarding maternal care was significantly associated with age and duration of service of ASHAs.

Conclusions: On the whole, knowledge of ASHAs about care during pregnancy and care of new-born was considerably good.


Accredited social health activist, National health mission, Maternal health

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Guidelines on Accredited Social Health Activists (ASHA). India: 2009; Available at: Accessed: 10 September 2016.

Park K. Park’s textbook of Preventive and Social Medicine. 22nd ed. Jabalpur: M/s Banarsidas Bhanot; 2011: 405-406.

National Rural Health Mission (2005-2012): Mission documents and monograph 1-6 Ministry of Health and Family Welfare, Nirman Bhawan, New Delhi: 2005. Available at: Accessed 12 May 2015.

Update on the ASHA programme: National Rural Health Mission, Ministry of Health and Family Welfare, Govt of India, New Delhi; Jan-2012.

About ASHA - Government of India 2016. Available at: Accessed 13 July 2016.

Nandan D, Srivastava DK, Prakash S, Adhish V, Nair KS, Gupta S. A study of interface of ASHA with the community and the service providers in Eastern Uttar Pradesh. Ind J Pub Health. 2009;53(3):133-6.

Bir T, Datta U, Sherin TP. Assessment of Performance Based Incentive System for ASHA Sahyogini in Udaipur District, Rajasthan. Available at: Accessed 13 October 2016.

Gopalan SS, Mohanty S, Das A. Assessing community health workers’ performance motivation: a mixed-methods approach on India's Accredited Social Health Activists (ASHA) programme. BMJ Open. 2012;2(5):e001557.

Kumar S, Kaushik A, Kansal S. Factors influencing the work performance of ASHA under NRHM a cross sectional study from eastern Uttar Pradesh. Ind J Commu Health. 2012;24(4):325-31.

Singh MK, Singh JV, Ahmad N, Kumari R, Khanna A. Factors Influencing Utilization of ASHA Services under NRHM in Relation to Maternal Health in Rural Lucknow. Ind J Commu Med. 2010;35(3):414-19.

Swain S, Swain P, Nair KS, Dhar N, Gupta S, Nandan D. A rapid appraisal of functioning of ASHA under NRHM in Orissa. Health Population: Perspect Issues. 2008;31(2):73-9.

Barge S, Khan W, Deshpande Y, Uttekar BP. Assessment of ASHA & Janani Suraksha Yojana in Rajasthan. 2007. Available at: www.cortindia/ RP/RP-2007-0302. Accessed 11 March 2016.

Kori S, Bhatia M, Mishra A. A Cross-sectional Assessment of Knowledge of ASHA Workers. J Krishna Institute Med Sci. 2015;4(4):57-63.

Bhatt H. A Rapid Appraisal of Functioning of ASHA under NRHM in Uttarakhand, India. École polytechnique fédérale de Lausanne. 2012;2(4):19-20.

Dholakia RH, Bajpai N Improving the Performance of Accredited Social Health Activists in India. Mumbai. 2011. Available at: http://globalcenters. columbia.Edu/southasia/working-paper-series. Accessed 12 June 2016.

Sharma R, Webster P, Bhattacharyya S. Factors affecting the performance of community health workers in India: a multi-stakeholder perspective. Global Health Action. 2014;7(1):25352.

Malini S, Tripathi RM, Khattar P, Nair KS, Tekhre YL, Dhar N, et al. A rapid appraisal on functioning of Janani Suraksha Yojana in South Orissa. Health Popul Persp Issues. 2008;31:126-31.