DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201046

Performance of accredited social health activists for maternal health component of their job responsibility in a rural block of Sonipat district of Haryana: a cross-sectional study

Parul Singhal, J. P. Majra, S. K. Jha

Abstract


Background: Accredited social health activists (ASHAs) play an inevitable role in universal healthcare provision. Improving maternal health has been essential element for achieving health for all. ASHAs and their activity are considered as the one of the key components of national health mission. This study was conducted to assess the performance of ASHAs for maternal health component of their job responsibility in rural block of juan, Sonipat district of Haryana.

Methods: This descriptive cross-sectional study was conducted among all ASHAs in rural block of juan, Sonepat district of Haryana between April 2018 to March 2019. Pretested semi-structured interview schedule was used to collect the data. The activity wise as well as cumulative incentive received by the ASHAs for the previous six months was used for study purpose. Data was analyzed by using SPSS version 22.

Results: All the ASHAs prepared the monthly list of pregnant women. Almost all (97.9%) ASHAs registered the pregnant women up to 12 weeks and all of three antenatal check-ups within concerned trimester and 95.9% ASHAs involved in HBPNC cases. Total incentive earned by ASHAs in maternal health components was ranging from Rs. 950-12150, average incentive earned was Rs. 4982 during the period of six month.

Conclusions: There is a huge variation in the incentive earned by in maternal health component by the ASHAs. Further more than half of the ASHAs have not accompanied the pregnant women to the institutional delivery.


Keywords


ASHA performance, Maternal health, Universal healthcare

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References


Geneva: World Health Report; 2010. World Health Organization. Health Systems Financing - The Path to Universal Coverage.

Kohli C, Kishore J, Sharma S, Nayak H. Knowledge and practice of Accredited Social Health Activists for maternal healthcare delivery in Delhi. J Family Med Primary Care. 2015;4(3):359.

Park K. Parks Textbook of Preventive and Social Medicine. 24 editions. Jabalpur: M/S Banarsidas Bhanot; 2017: 936.

Gopalan SS, Varatharajan D. Addressing maternal healthcare through demand side financial incentives: experience of Janani Suraksha Yojana program in India. BMC Health Services Res. 2012;12(1):319.

Wang H, Juyal RK, Miner SA, Fischer E. Performance-based payment system for ASHAs in India: Bethesda, MD: The Vistaar Project, Intra Health International Inc., Abt Associates Inc.; 2012.

Census of India. Directorate of Census Operations. Haryana; 2011: series-07 part XII-B.

National health mission. ASHA karyakaram margdarshan and kriyanavyan, Haryana. 2015-16.

Fathima FN, Raju M, Varadharajan KS, Krishnamurthy A, Ananthkumar SR, Mony PK. Assessment of accredited social health activists - a National Community Health Volunteer Scheme in Karnataka state, India. J Health Population Nutrition. 2015;33(1):137.

Waskel B, Dixit S, Singodia R, Pal DK, Toppo M, Tiwari SC et al. Evaluation of ASHA Programme in selected block of Raisen district of Madhya Pradesh under the National Rural Health Mission. J Evol Med Dental Sci. 2014;3(3):689-94.

Saxena S, Singh AK, Maheshwari S, Gupta SB. Appraisal of knowledge of ASHA regarding child health services provided under NHM in Bhojipura block, district Bareilly. Int J Community Med Public Health. 2017;4:3705-11.

Desai PB, Frankel S. Community health work: India's experience, in The Community Health Worker: Effective Programmes for Developing Countries, ed. Oxford, England: Oxford University Press; 1992:125-155.

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.

Panda M, Nanda S, Giri RC. A study on the work profile of ASHA workers in a district of Odisha in eastern India. Int J Community Med Public Health. 2019;6:675-81.

Kansal S, Kumar S, Kumar A. A cross-sectional study in Eastern Uttar Pradesh. Indian J Comm Health. 2012;24(1):41-4.

Gupta SK, Pal DK, Tiwari R, Garg R, Shrivastava AK, Sarawagi R et al. Impact of Janani Suraksha Yojana on institutional delivery rate and maternal morbidity and mortality: an observational study in India. J Health Popul Nut. 2012;30(4):464.

Gosavi SV, Raut AV, Deshmukh PR, Mehendale AM, Garg BS. ASHAs awareness and perceptions about their roles and responsibilities: A study from rural Wardha. J Mahatma Gandhi Inst Med Sci. 2011;16:1‑8.

Makwana NR, Shah VR, Yadav S. An evaluation of skill and knowledge in delivery of reproductive and child health services by female health workers in Jamnagar District and corporation area, Gujarat state, India. Int J Health Allied Sci. 2012;1:79-84.

Bajpai N, Dholakia R. Improving the Performance of Accredited Social Health Activists (ASHAs) in India. New Delhi: International Advisory Panel of the National Rural Health Mission, Ministry of Health and Family Welfare, Government of India, 2011.

Swain B, Kumaran M. Who do ICDS and PDS exclude and what can be done to change this, IDS. Bull. 2012;43(1):32-9.