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Original Research Article

Year: 2019 | Month: May | Volume: 6 | Issue: 5 | Pages: 214-218

Evaluation of ASHA workers under NHM in Katihar Sadar and Korha Block of Katihar District

Dr Arun Kumar Pandey¹, Dr Soni Rani²

¹Assistant Professor, Department Of Community Medicine, Katihar Medical College, Katihar
²Post Graduate Trainee, Department Of Community Medicine, Katihar Medical College, Katihar

Corresponding Author: Dr Soni Rani

ABSTRACT

Background- In 2005, Government of India launched National rural health mission in hopes to bridge the gap between healthcare delivery system to the needed community. One of the key strategies under the National Rural Health Mission is having a community health worker who is an Accredited Social Health Activist (ASHA) for every village with a population of 1000.
Objectives-

1. To evaluate the work performance of ASHA workers in their field practice area
2. To gather feedback given by the ASHA workers regarding incentives received by them and the challenges they face during their disposal of duties and responsibilities.

Methods and Methodology
The present study is conducted in the Chaapi and Hazipur village of Katihar sadar Block, and kolasi village of Korha Block of Katihar District (Bihar). In this study Purposive Sampling is used for selecting the sample of ASHA. Total 45 villages ASHAs were interviewed using predesigned semi-structured questionnaire from June to October, 2018.
Results: Maximum numbers (68.89%) of ASHA were qualified to 8th Standard and only 2.22% respondents were having qualification of graduate and above. About 71.11 % and 17.78 % of the respondents spent 2-4 hours and 4-6 hours a day respectively for catering to health services in rural areas. Majority of the ASHA belongs to Upper Lower (33.33%), Lower middle (28.89%) and Upper lower (28.89%) socio economic status. 77.78 % of the respondents agreed that the main purpose to join as ASHA was to financially support their family. About 55.56 % joined as ASHA to do social work. Only 64.44 % of the ASHA were able to diagnose dehydration and its reasons. 88.89 % of the respondents were able to test anemia and also ensures treatment for it. About 77.78 % of the respondents were able to screening of pregnant woman for problems and danger signs and referral, and 73.33 % have interpersonal communication skills. Majority of the ASHA workers (88.89%) suggested that the honorarium that they get should be regularised and 77.78 % suggested for improving transportation facilities and 86.67 % opinionated to have periodic retraining and upgrading their knowledge and skill base.

Key words: NHM, ASHA workers, Feedback, Immunization

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