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

dc.contributor.author

Das, Emily

dc.contributor.author

Panwar, Dharmendra Singh

dc.contributor.author

Fischer, Elizabeth A

dc.contributor.author

Bora, Girdhari

dc.contributor.author

Carlough, Martha C

dc.date.accessioned

2024-07-09T13:58:51Z

dc.date.available

2024-07-09T13:58:51Z

dc.date.issued

2014-02

dc.description.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.
dc.identifier.issn

0019-6061

dc.identifier.issn

0974-7559

dc.identifier.uri

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

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Indian pediatrics

dc.relation.isversionof

10.1007/s13312-014-0349-4

dc.rights.uri

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

dc.subject

Humans

dc.subject

Infant, Newborn

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Infant Care

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Home Care Services

dc.subject

House Calls

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Quality Assurance, Health Care

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Female

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Community Health Workers

dc.title

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

dc.type

Journal article

duke.contributor.orcid

Carlough, Martha C|0000-0002-5572-5418

pubs.begin-page

142

pubs.end-page

144

pubs.issue

2

pubs.organisational-group

Duke

pubs.organisational-group

Divinity School

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Duke Global Health Institute

pubs.publication-status

Published

pubs.volume

51

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