PMID- 36994002 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230331 IS - 2249-4863 (Print) IS - 2278-7135 (Electronic) IS - 2249-4863 (Linking) VI - 11 IP - 12 DP - 2022 Dec TI - Assessment of knowledge of ASHA workers regarding MCH services and practices followed by mothers - A field study. PG - 7863-7869 LID - 10.4103/jfmpc.jfmpc_812_22 [doi] AB - BACKGROUND: Accredited social health activist (ASHA) workers act as a "bridge" between rural people and health service outlets and play a central role in achieving national health and population policy goals. According to the National Family Health Survey (NFHS) V (2019-2021) data, infant mortality rate (IMR) is still high in rural areas (32.4 per 1000 live births) in Punjab, compared to urban areas (20.1). Maternal mortality ratio (MMR) is also high (129 per lakh), according to sample registration system (SRS) 2016-2018 data. MATERIALS AND METHODS: In this descriptive, cross-sectional study conducted at RHTC, Bhadson, we assessed the knowledge of ASHA workers regarding maternal and child health (MCH) services and their provision by them to their beneficiaries (mothers with children aged 0-6 months). Out of the total 196 ASHA workers, 72 were selected randomly to assess their knowledge, while 100 beneficiary mothers were interviewed face to face to assess the services provided by the ASHA workers. RESULTS: Almost 65.2% of ASHA workers were above 35 years of age. Majority of the ASHA workers (40/72) replied that average weight gain in pregnancy is 10 kg. Very few, that is, 17 (23.6%), ASHA workers knew that breastfeeding should be started within the first hour after delivery of the baby. Counseling regarding nutrition, birth preparedness, institutional delivery, and birth registration was given by ASHA workers to 75%-85% of mothers. There was statistically significant improvement in the practices by mothers with the counseling given by ASHA workers regarding pre-lacteal feed, utilization of family planning methods, and delaying early bathing. CONCLUSIONS: The study concludes that ASHA workers have good knowledge regarding various aspects of antenatal period, but when it comes to postnatal period and care of the newborn, there are some lacunae. These aspects of newborn care need to be reinforced into the refresher trainings of the ASHA workers. CI - Copyright: (c) 2023 Journal of Family Medicine and Primary Care. FAU - Kaur, Manhardeep AU - Kaur M AD - Department of Health and Family Welfare, Punjab, India. FAU - Oberoi, Simmi AU - Oberoi S AD - Department of Community Medicine, GMC Patiala, Punjab, India. FAU - Singh, Jatinder AU - Singh J AD - Drug Safety, Apcer Lifesciences, Pharmacology, New Delhi, India. FAU - Kaler, Neha AU - Kaler N AD - Department of Community Medicine, GMC Patiala, Punjab, India. FAU - Balgir, Rajinder Singh AU - Balgir RS AD - Department of Community Medicine, GMC Patiala, Punjab, India. LA - eng PT - Journal Article DEP - 20230117 PL - India TA - J Family Med Prim Care JT - Journal of family medicine and primary care JID - 101610082 PMC - PMC10041030 OTO - NOTNLM OT - ASHA workers OT - MCH services OT - rural health training center COIS- There are no conflicts of interest. EDAT- 2023/03/31 06:00 MHDA- 2023/03/31 06:01 PMCR- 2022/12/01 CRDT- 2023/03/30 02:59 PHST- 2022/04/07 00:00 [received] PHST- 2022/08/25 00:00 [revised] PHST- 2022/09/01 00:00 [accepted] PHST- 2023/03/31 06:01 [medline] PHST- 2023/03/30 02:59 [entrez] PHST- 2023/03/31 06:00 [pubmed] PHST- 2022/12/01 00:00 [pmc-release] AID - JFMPC-11-7863 [pii] AID - 10.4103/jfmpc.jfmpc_812_22 [doi] PST - ppublish SO - J Family Med Prim Care. 2022 Dec;11(12):7863-7869. doi: 10.4103/jfmpc.jfmpc_812_22. Epub 2023 Jan 17.