Dr Archisman

Situational analysis of ASHAs with respect to

Comprehensive Child Survival Programme :A study from rural Varanasi

Institute of Medical Sciences,Banaras Hindu University

Varanasi

Archisman Mohapatra, S Sh iva l l i , MK Gupta , SC Mohapatra

Objecti veTo analyse the ASHAs’ practice with respect to CCSP in related situations

Study area : Chiraigaon block, Varanasi(CCSP training of ASHAs completed in 08-09)

Study duration : ~ 4 months (June-Sept ‘10)

Sample size : 126 out of total 240 ASHAs (~53%) from randomly selected villages

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Material and Method Interview + Pretested structured

questionnaireOnly the first response was recordedAv. time per ASHA : 40-45 mins

Limitations• Responses recorded as per the ASHA’s

claim

• Not recorded by simulation technique

• Not done through non-participatory observation 3

Home visit for a neonate with > 2.5kg birth weight

VisitsSchedul ing

Total1,3,7 Non-specific

Minimum no. of

visits in 1st

month

> 3 82 70.1%

35 29.9%

79.5% 117 92.9%

< 39

20.5%9 7.1%

Total82

65.1%

44

34.9%126

65% ASHAs follow the prescribed number of and schedule for home visits for normal neonates 4

Home visit for a LBW neonate

VisitsSchedul ing

Total1,3,7,14,21,28 Non-specific

Minimum no. of

visits in 1st

month

> 6 55 57.3%

41 42.7%

57.7%96 76.2%

< 630

42.3% 30 23.8%

Total55

43.7%

71

56.3%126

About 44% ASHAs follow the prescribed number of and schedule for home visits for LBW neonates 5

Average amount of time spent

per visit

? Time concept accuracy

6

7

ASHAs Advised

8

n = 126

9

10

49%

DO NOT KNOW

REVISIT

NOT REQ.REVISIT REQ.

“If a child is suffering from diarrhoea…”

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