Student Dissertation

Agency : Post Natal Care; Cross Sectional Study; ASHA; Newborn Care

Objective : To assess the knowledge of ASHA regarding visits delivered under newborn care.

Background : India contributes to one fifth of global live births and more than a quarter of neonatal deaths. About 7.6 lakh infants die within the first four weeks of birth in India, the highest for any country in the world. The impact on neonatal mortality rate will be determined to a large extent by the coverage and quality of essential new-born care delivered by ASHAs and ANMs at community level.

Methodology : Study Design: A descriptive cross-sectional study was conducted in the urban block of District Banaskantha on total 47 ASHA workers after taking written informed consent. Data was collected using a structured questionnaire consisting of items on knowledge of identification of danger signs of maternal and newborn health. Qualitative data was expressed in percentages. Study Area: Urban block of District Banaskantha of state Gujarat. Study Duration: 1 month Study Participants: Total ASHAs of urban Block of district Banaskantha. Sample Size: 47 ASHAs of urban Block of District Banaskantha Sampling Technique: • Method of data collection: Self-administered questionnaire • Tools for Data Collection: Structured questionnaire • Target Population: ASHAs who were trained in module 6 & 7. Data Analysis Method: The data was organized, tabulated and analyzed by using descriptive and inferential statistics. The data were planned to be presented in the form of tables, figures and charts. Data Analysis Procedure: Microsoft Excel and SPSS 16 Tools for Data Collection: The structured self-administered questionnaire was used to collect data from the respondents.

Findings : The analysis of this study provides information of knowledge of ASHA’s in new born care. The study reveals that 40-50% of ASHA knows the correct temperature of the newborn. While 30% of them have incorrect information and rest reported they don’t know about the correct temperature. 50% of ASHAs had the correct knowledge of KMC and the other 50% know the signs of good attachment during breastfeeding of newborn to mother.

Recommendations : Based on the observations made, the following are the recommendations of the present study: • The recruitment of drop out and vacant staff posts to be filled at the earliest. • Refresher training should be held every year for enhancing the knowledge of ASHAs.

The results determines that the knowledge of ASHA is not appropriate in diagnosing newborn diseases which ultimately can reduce morbidity. They even didn’t get refresher trainings frequently. Urban block is deficient in staff, equipments and infrastructure. The physical infrastructure of SC includes loopholes in maintenance of SC i.e. cleanliness, sewerage, water supply etc.