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.

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Citation

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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Scholars@Duke

Carlough

Martha Carlough

Visiting Professor in the Divinity School

Martha Carlough, MD MPH is family physician and Ignatian trained spiritual director and is the Director of Spiritual Formation for the Theology, Medicine and Culture Initiative. Dr. Carlough is also affiliate faculty in the Duke Global Health Initiative (DGHI) and has more than 30 years of experience in clinical and public aspects of maternal and child health, including a decade of work in Nepal. She is Professor Emeritus at UNC-Chapel Hill where she was on clinical faculty for many years and founded and directed the Office of Global Health Education. Dr. Carlough continues to care for patients and work in community health through Samaritan Health Center in Durham.


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