Assessment of knowledge among ASHAs in the delivery of contraceptive information and services in coastal Andhra Pradesh

Jayasree Palla, Ravi Babu Komaram


Background: Government of India (GOI) is providing comprehensive integrated health care to the urban and rural people under the umbrella of National Health Mission. ASHA as an activist, a village level community health worker acts as an interface between the community and the public health care delivery system, and plays a central role in achieving population policy goals. The aim of study was to assess the knowledge component of ASHAs in the delivery of contraceptive information and services in coastal Andhra Pradesh.

Methods: A descriptive cross-sectional study was conducted in East Godavari district of Andhra Pradesh at sub-centres among 170 ASHA workers. The study area was selected by multi stage sampling technique. Data was collected using pre tested, semi-structured interview schedule. Qualitative data was expressed in percentages, and quantitative data was expressed in mean and standard deviation.

Results: The mean age of ASHAs was 28.4 years (SD±3.82). Majority (75.88%) of ASHAs had completed secondary level education, 72.94% had knowledge regarding contraception for newly married couple, and 68.23% were aware of the effective time period for intake of emergency contraceptive pills. 45.88% of ASHAs were unaware of safe period.

Conclusions: Majority of ASHAs had knowledge in certain areas of contraceptive information and services, whereas some are lacking knowledge regarding safe period, emergency contraceptive pills (EC pills), progesterone only pills, missed pills and period of condom use after vasectomy. Hence, it is essential to ensure that they receive quality training on contraceptive information and services from qualified personnel at regular intervals.



ASHA, Contraceptive information, Knowledge, Services

Full Text:



Sunita TH, Desai RM. Knowledge, attitude and practice of contraception among women attending a tertiary care hospital in India. Int J Reprod Contracept Obstet Gynecol. 2013;2(2):172-6.

National programme for family planning. Available at: Accessed on 24 January 2020.

National Health Mission, Ministry of Health and Family Welfare, Government of India. Available at: Accessed on 19 February 2020.

The national health mission. Available at: Accessed on 25 February 2020.

Guidelines on Accredited Social Health Activists (ASHA). Available at: Accessed on 2 March 2020.

Saxena V, Kakkar R, Semwal VD. A study on ASHA a change agent of the society. Indian J Commu Health. 2012;(24)1:22-9.

Ratnam AL, Kumaran JA. Awareness of family planning services among ASHA workers in a municipality of northern Kerala. Int J Community Med Public Health. 2018;5(8):3413-7.

Evaluation of accredited social health activist (ASHA) in Andhra Pradesh. Available at Accessed on 29 April 2020.

Regional Resource Centre for North Eastern States, Ministry of Health and Family Welfare, Government of India. ASHA Evaluation Nagaland; 2012. Available at: http:// www. rrcnes. study_report/ASHA%20Evaluation_Nagaland_Report.pdf. Accessed on 29 April 2020.

Fathima FN. Assessment of ‘accredited social health activists’ a national community health volunteer scheme in Karnataka State, India. J Health Popul Nutr. 2015;33(1):137-45.

Garg PK, Bhardwaj A, Singh A, Ahluwalia SK. An evaluation of ASHA worker’s awareness and practice of their responsibilities in rural Haryana. Natl J Community Med. 2013;4(1):76-80.

Saxena S, Maheshwari S, Saxena A. Evaluation of knowledge of ASHA regarding family planning services provided under NRHM in Bhojipura block, District Bareilly. J Prevent Med Holistic Health. 2017;3(2):56-61.

Chavan GM, Waghachavare VB, Chavan MS, Chavan VM, Gore AD, Dhumale GB. A study of knowledge, attitudes and practices regarding contraceptive services among health workers in Sangli District of Maharashtra, India. Natl J Community Med. 2014:5(4);414-8.

Pal J, Roy S, Nandi S, Satapathy S. Assessment of knowledge and practices of ASHA workers related to maternal-child health and their performance affecting factors: A mixed method study in Deganga block, North 24 Parganas district, West Bengal, India. Int J Res Med Sci. 2019;7(10):3672-8.

Shet S, Sumit K, Phadnis S. A study on assessment of ASHA’s work profile in the context of Udupi Taluk, Karnataka, India. Clin Epidemiol Global Health. 2018;6(3):143-7.

Shashank KJ, Angadi MM, Masali KA, Wajantri P, Bhat S, Jose AP. A study to evaluate working profile of accredited social health activist (ASHA) and to assess their knowledge about infant health care. Int J Cur Res Rev. 2013;5(12):97.

Jayasree R, Gnanaprasuna G. Knowledge of ASHA workers under NRHM on antenatal, postnatal and family planning Services. Indian J Res. 2016;5(12):45-9.