Student Dissertation

Agency : ASHA, HBNC, Knowledge of ASHA and Beneficiaries

Objective : • To study the level of knowledge and skill among ASHA to provide Home based new born care • To understand the mother’s knowledge on ASHA’s performance in providing Home based New Born Care.

Background : Tapi district is a tribal district of Gujarat state. About 91% of people residing in rural area. Tribal people residing in the interiors also lacks health seeking behaviours. The IMR of Tapi district is 26. (According to RDD report march 2015).Being a tribal district of the state, is having more number of delivery take place at home .So, to provide neonatal care is a crucial part for baby survival. These services are provided under HBNC packages by ASHA worker. The aim of the study was to assess knowledge and skills of trained ASHAs in providing HBNC and to understand the mother’s knowledge on ASHA’s performance in providing HBNC.

Methodology : Cross sectional, Descriptive study was conducted. Based on the simple random sampling method there were 6 PHCs selected out of 30 PHCs. The random number generated through lottery method. Pretesting was done in Chapawadi PHC. The 6 PHCs were Kalamkui, Buhari, Agaswan, Panchol, Ukai and Maypur of Tapi district. So, 130 ASHAs were covered from 6 PHCs who were available at the time of monthly review meeting of PHCs.Beneficiaries were selected for this study based on who had delivered within 6 months. So, total 40 beneficiaries covered. For data collection self-administered questionnaire for ASHAs and Skill Check list was used for ASHAs and in depth interview was conducted for beneficiary.

Findings : Only 78 % and 45 % of ASHAs knew that 7 times home visits and 6 times home visit should be done in case of deliveries 35% of ASHAs knew all the signs that baby not getting enough milk.35% of knew about tetracycline ointment used for swollen or pus filled eyes and 65 % of knew about Gentian violet ointment used for pus on umbilicus. In part of skill 17 ASHAs were observed during field visit. None of the ASHAs were washing their hand prior to touching new born. They did not performed correct steps of how to take temperature and weighing of new born baby. 42% of the beneficiaries responded that ASHAs visited their home less than six times after institutional delivery. 72% of the beneficiaries said that ASHAs did not wash their hands before touching the baby. Only 30% of the beneficiaries responded that temperature of their baby was taken.43% of beneficiaries responded that weight of their baby was taken. There was gap in knowledge among ASHAs. They were lacking in other sign and symptoms of Asphyxia, sepsis, hypothermia, and baby not getting enough milk. They did not perform correct steps of taking temperature and weighing of new born baby. None of the ASHAs were washing their hand prior to touching baby. Majority of ASHAs lack resources with them to provide services.