Student Dissertation

Agency : Newborn Care; Home-based Care; ASHA; HBNC

Objective : General Objective • To assess the knowledge of ASHA in providing home-based newborn care Specific objective • To assess the knowledge of ASHA on HBNC kit • To assess the knowledge of ASHA on HBNC visit • To assess the knowledge of ASHA on kangaroo mother care

Background : India has contributed immensely toward generating evidence on two key domains of newborn care: Home Based Newborn Care (HBNC) and community mobilization. In a model developed in Gadchiroli (Maharashtra) in the 1990s, a package of Interventions delivered by community health workers during home visits led to a marked decline in neonatal deaths. On the basis of this experience, the national HBNC program centered around, Accredited Social Health Activists (ASHAs) was introduced in 2011 and is now the main community-level program in newborn health

Methodology : Shyampur block out of 5 blocks in Sehore district was purposively selected and from all the ASHA in Shyampur block the required ASHA were selected Sample size- 104 Study design- Cross-sectional descriptive study Study Area- Shyampur block of Sehore District Study participants- ASHAs of Sehore district Data analysis- after the collection of data it was crosschecked if there is any partial or unfilled data. Then data was entered in excel and analysis with the help of pivot function

Findings : It is found that 87% of ASHA correctly know about when they should visit in case of home delivery where 11 % of ASHA partially knows and 2% of ASHA don’t know the correct answer. In case of institutional delivery, 83% of ASHA are aware of the correct home visit i.e. when to visit for HBNC, whereas 13 % of ASHA are partially aware and 4% of them do not know about any visit during HBNC. 57 % ASHAs knows about all the things that are to be carried during HBNC visit were 41% aware of few of the things and 2 percent ASHAs don’t know about any of these things that are to be carried during HBNC visit. Three fourth (75%) of the ASHAs have full correct information about the benefits of KMC while 18% ASHA are Partially aware, and 7% ASHA does not know anything about the benefit of KMC

Recommendations : > Ensuring training to all ASHA > Provision of refresher training in a year > Regular supportive supervision > Systematic assessment of ASHAs