Assessment of gaps of knowledge and practices of frontline community workers in Chandragiri Mandal, Chittoor district, Andhra Pradesh: maternal and child health services
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20210817Keywords:
Anganwadi workers, ASHA workers, ANM, ICDS, KAPAbstract
Background: The undernutrition status among the vulnerable groups in rural areas still persists, despite provision of Anganwadi services in villages. Assessment knowledge and practices about maternal and child health services of frontline workers, will identify knowledge and implementation gaps. Objective was to assess the knowledge, attitude and practices of community health workers of maternal and child health services for identifying gaps for designing and implementing intervention.
Methods: In this community based prospective, pre and post intervention-based study, Knowledge, Attitude and Practices (KAP) of the community health workers, in 16 villages and 13 Anganwadi centres of Chandragiri Mandal, Chittoor district, Andhra Pradesh about maternal and child health services were collected. The basic infrastructure of the anganwadis and health centres of Auxiliary nurse midwifes were assessed using a prevalidated survey instrument. Descriptive analysis was used.
Results: The knowledge of antenatal and postnatal care was least among Anganwadi workers. Awareness regarding need of colostrum feeding was high in AWW compared to ASHA. ANM and AWW had lesser knowledge about duration of the exclusive breast feeding to the infant. Only 57.1% of ANM had sufficient knowledge about protein energy malnutrition consequences. AWW, ASHA did not have knowledge of vitamin A deficiency signs and symptoms although providing massive dose of vitamin A to children. ASHAs did not have awareness about anaemia and the knowledge was below 50% in ANMs.
Conclusions: The study emphasizes the need for proper training with interactive sessions to these frontline workers, which will enhance their knowledge and skills for provision of quality services.
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References
Saluja N, Garg S, Chopra H. Prevalence of morbidity and morbidity pattern in school children (5-11 yrs) in urban area of Meerut. Int J Epidemiol. 2011;9(2):1-5.
Bellamy C. The State of the World's Children 1998: Focus on Nutrition. UNICEF, UNICEF House, 3 UN Plaza, New York, NY 10017; World Wide Web. Available at http://www. unicef. Org. Accessed on 30 August 2020.
ICDS. Available at http://www.icds-wcd.nic.in/icdsteam.aspx. Accessed on 20 October 2020.
Meenal TM, Kurll BM, Doibale MK, Naveen GK. Knowledge of Anganwadi workers and their problems in an urban ICDS block. J Med College Chandigarh. 2011;1(1):15-9.
Agrawal PK, Agrawal S, Ahmed S, Darmstadt GL, Williams EK, Rosen HE, et al. Effect of knowledge of community health workers on essential newborn health care: a study from rural India. Health Policy Planning. 2011;27(2):115-26.
Tandon BN, Ramachandran K, Bhatnagar S. Integrated child development service in India: evaluation of the delivery of nutrition and health services and the effect on the nutritional status of the children. Indian J Med Res. 1981;73:385-94.
Nanda P. Female health workers--responsibilities and constraints. Health for the millions. 1993;1(1):25-6.
Avsm YS, Gandhi N, Tandon BN, Krishnamurthy KS. Integrated child development services scheme and nutritional status of Indian children. J Tropical Pediatr. 1995;41(2):123-8.
Government of India. 1995. Integrated Child Development Services. New Delhi: Department of Women and Child Development, Ministry of Human Resources Development:1-24.
Bhattacharyya K, Winch P, Karen LB, Tien M. 2001. Community health worker incentives and disincentives: how they affect motivation, retention, and sustainability. Arlington, VA: Basic Support for Institutionalizing Child Survival Project (BASICS II) for the United States Agency for International Development. October.
Ghosh N, Chakrabarti I. Performance and satisfaction of auxiliary nurse midwives at the sub-centre level in two blocks of Darjeeling District, West Bengal, India. IOSR J Dental Med Sci. 2015;14(4):111-6.
Communicatio with asha. Available at http://nhm.gov.in/communitisation/asha/about-asha.html. Accessed on 12 September 2020.
Karol GS, Pattanaik BK. Community health workers and reproductive and child health care: an evaluative study on knowledge and motivation of ASHA (Accredited Social Health Activist) workers in Rajasthan, India. Int J Humanities Social Sci. 2014;4(9):137-50.
Bajpai N. Accredited social health activist (ASHA) guidelines, National Rural Health Mission. New Delhi: Ministry of Health and Family Welfare, Government of India. 2005.
IFPS Technical Project (2012). Community based Workers Improving Health Outcomes in Uttarkhand, India”, IFPS Technical Assistance Project, USAID.
Bajpai N, Dholakia RH. Improving the performance of accredited social health activists in India. Mumbai: Columbia Global Centres South Asia. 2011.
Joshi SR, George M. Healthcare through community participation: role of ASHAs. Economic Political Weekly. 2012:70-6.
MOHFW. Indian Public Health Standards, Guidelines for Community Health Centre, Ministry of Health and Family Welfare, Government of India, New Delhi. 2006.
SIFPSA: Report on Evaluation of ASHA Scheme under NRHM in Uttar Pradesh, VIMARSH, Uttar Pradesh. 2013.
Parmar M, Patel S, Rathod S, Patel N, Ninama K. Knowledge of anganwadi worker about integrated child development services (ICDS): a study of urban blocks in Ahmedabad district of Gujarat. Int J Multidiscip Res Dev. 2015;2:170-4.
Baliga SS, Walvekar PR. A study on knowledge of anganwadi workers about integrated child development services at three urban health centres. Int J Community Med Public Health. 2017;4(9):3283-7.
Khargekar V, Geethalakshmi RG. A study on the awareness regarding infant and young child feeding (IYCF) practices among anganwadi workers (AWWs) attending anganwadi training centre, davangere. Indian J Public Health Res Development. 2015;6(1):174-8.
Chandorkar S, Miyawala T. Assessing gaps in Infant and Young Child Feeding (IYCF) practices and capacity building of functionaries and beneficiaries of Integrated Child Development Services (ICDS) for improved outcomes. J Nut Res. 2014 Dec 30;2(1):26-31.
Taksande A, Tiwari S, Kuthe A. Knowledge and attitudes of anganwadi supervisor workers about infant (breastfeeding and complementary) feeding in gondia district. Indian J Community Med. 2009;34(3):249-51.
Agrawal PK, Agrawal S, Ahmed S, Darmstadt GL, Williams EK, Rosen HE, et al. Effect of knowledge of community health workers on essential newborn health care: a study from rural India. Health Policy Planning. 2011;27(2):115-26.
Abhay MB, Sanjay KV. Strengthening primary health care through Asha Workers: a novel approach in India. Primary Health Care. 2014;4(149):2167-79.
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