Abstract of Dissertation

Objective : 1. To assess the Knowledge of ASHA regarding services delivered under Post-Natal Care. 2. To assess the Practice of ASHA regarding services delivered under Post Natal Care. 3. To study various factors influencing the effective provision of PNC services by ASHA.

Background : This study was conducted to assess knowledge and practices of ASHAs in provision of Post Natal Care. The Study covered 157 ASHAs of Sidhpura Block of Kasganj District in Uttar Pradesh, India. Data was collected by personal interview through an interview schedule. The data indicated that through the knowledge level is good but they become less efficient when it comes to less practicing the services.

Methodology : This a Descriptive cross sectional study of 3 months with 157 ASHAs as respondents, they were selected from focused block Sidhpura was selected out of 4 TSU Blocks by Simple Random Sampling. And all the ASHAs of the block were interviewed.

Findings : Most of the ASHA carry weighing machine and thermometer during home visit but leave other important items like medicines and dressing material, etc. Just less than half of the ASHAs advice mother regarding vaccination, maintenance of temperature and birth registration of newborn. Just one fifth of the ASHAs talk about feeding of colostrums to the new born. Just one fourth of the advice regarding Kangaroo Mother Care. During home visits, apart from weight and temperature, rest other signs of the new born were examined by half or less than half of the ASHAs only. Lack of the supplies of HBNC checklist and delayed payments of incentives to ASHAs also affected the provision of Post-natal care services. Ensuring Refresher Training, Supply of checklist to all ASHAs, regular monitoring of filled of checklist and on time payment of incentives can make provision of Post-natal care services effective and thus help in achieving the goal of reduction of neo-natal mortality.

The Guidance of Government of India on Post Natal care expect ASHAs to make home visits to promote essential newborn care, identify illness, and refer infants if needed. Thus, the knowledge and practice of ASHA is one of the crucial knowledge aspects of health systems to improve the coverage of community based newborn health care programme as well as adherence to new born care practices at the household level.