Performance of accredited social health activists to provide home-based newborn care: a situational analysis.

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Date

2014-02

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Abstract

Objective

To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months.

Methods

Investigators observed 25 ASHAs conducting 47 visits.

Results

ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home-based newborn care formats and skipped critical signs. Overall ASHA-investigator agreement on diagnosis was poor (kappa=0.23, P=0.01).

Conclusion

There is a need for improved training, tools, and supportive supervision.

Type

Journal article

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Provenance

Subjects

Humans, Infant, Newborn, Infant Care, Home Care Services, House Calls, Quality Assurance, Health Care, Female, Community Health Workers

Citation

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https://hdl.handle.net/10161/31255

Rights

https://creativecommons.org/licenses/by-nc/4.0

Published Version (Please cite this version)

10.1007/s13312-014-0349-4

Publication Info

Das, Emily, Dharmendra Singh Panwar, Elizabeth A Fischer, Girdhari Bora and Martha C Carlough (2014). Performance of accredited social health activists to provide home-based newborn care: a situational analysis. Indian pediatrics, 51(2). pp. 142–144. 10.1007/s13312-014-0349-4 Retrieved from https://hdl.handle.net/10161/31255.

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