scholarly journals A study on awareness and practices of mitanin (ASHA) in rural areas of Bilaspur district, Chhattisgarh, India

2017 ◽  
Vol 4 (5) ◽  
pp. 1637
Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel
Keyword(s):  
Health Care ◽  
Community Health ◽  
Rural Areas ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Cross Sectional ◽  
Danger Signs ◽  
Breast Feed ◽  
The Government

Background: The mitanin programme is a Community Health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the community health workers could significantly contribute towards the betterment of health outcomes. The objective was tostudy the awareness and practices of mitanins (ASHA) in rural areas of Bilaspur district.Methods: A community based cross sectional study was carried out among 180 mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection. SPSS 21.0 version software was used to analyze the data.Results: Most of the mitanins had good knowledge regarding antenatal visits (62.2%) & HBNC visits (52.2%). About (62.8%) had an average knowledge regarding basic cleans to be followed for safe deliveries & regarding danger signs of pregnancy (46.7%). About (36.1%) had poor knowledge regarding symptoms of diabetes & contraceptive advice for spacing (35.6%). About (82.2%) of mitanins had opinion that fast breathing is an indicator of immediate referral of child followed by child unable to drink or breast feed (61.1%). In case of pregnancy, mitanins considered indicators of immediate referral should be swelling of face/hands (90.6%) followed by vaginal bleeding (74.4%). Major activities that they have conducted in last six months includes; accompanying pregnant women for institutional deliveries (92.2%) & participation in immunization sessions (87.8%).Conclusions: Mitanins play vital role in providing primary health care but still they need to put into practice their knowledge about services. Despite the training given to mitanins, lacunae still exists in their knowledge regarding various aspects of health care. Many of them were not aware about family planning, diabetes, tuberculosis, danger signs for pregnancy & newborn that indicate the need for immediate referral. 

Knowledge of pregnant women on danger signs related to pregnancy and child birth

2021 ◽  
Vol 1 (2) ◽  
pp. 116-122
Author(s):  
Mst. Salma Khatun ◽  
Laskhy Rani Roy ◽  
Mst. Raziatul Humayra ◽  
Ashees Kumar Saha ◽  
Rowshan Ara
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Child Birth ◽  
Danger Signs ◽  
Adequate Knowledge

Adequate knowledge regarding danger signs during pregnancy, child birth and postpartum period plays a vital role in safeguarding mothers as well as child health. This cross sectional study was conducted by purposively selected 262 pregnant women in two hospitals in Bogura district from 1st January to 31st December, 2018 with the aim to assess the knowledge of pregnant women on danger signs related to pregnancy and child birth. Data were collected with a semi-structured questionnaire through face-to-face interview. The mean age of the respondent’s was SD = 23.37 ± 4.47 years. Most of the respondents 61.4%, (n=161) knew about danger signs during pregnancy from health workers and 65.6 % (n=172) had poor knowledge regarding danger signs during pregnancy whereas 34.4% (n=90) respondents had good knowledge. Most of the respondents 61.5%, (n=161) understood danger signs during child birth and 68.7 % (n=180) had poor knowledge regarding danger signs during child birth. Among the respondents 40.5% (n=106) understood dang.er signs after child birth and only 12.2% (n=32) respondents had good knowledge regarding danger signs after child birth. Significant association was found between age of the respondents and level of knowledge regarding danger signs during pregnancy (p=0.0001). Health education on danger signs related to pregnancy and child birth should be imparted to all pregnant women to increase their knowledge regarding this issue.

scholarly journals Factors influencing the work performance of Mitanins (ASHA) in Bilaspur district, Chhattisgarh, India: a cross sectional study

2017 ◽  
Vol 5 (5) ◽  
pp. 1921
Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel
Keyword(s):  
Community Health ◽  
Work Performance ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
The Government ◽  
Major Factors

Background: The Mitanin programme is a community health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The Mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the Community health workers could significantly contribute towards the betterment of health outcomes. The objective of the study was to study the factors influencing the work performance of Mitanins in Bilaspur district, Chhattisgarh, India.Methods: A community based cross sectional study was carried out among 180 Mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection.Results: Regarding counselling to pregnant mother on maternal and child health about (65.6%) Mitanins were having knowledge and out of these prevalence of its practice was found to be (75.4%). Their less knowledge for content of responsibility significantly affected their practices in community. Other major factors influencing their work performance are better training sessions (37.8%), support from health staff (65.6%), drug kit refilling (80%), and fewer hurdles in receiving incentives (85.6%.Conclusions: Less knowledge of the work component, less cooperation from health staff, delay refilling of drug kit, incentive oriented practices, delayed and inadequate payment of incentives for Mitanins influences the work performance.

scholarly journals Knowledge and attitude on prevention of COVID-19 among community health workers in Nepal-a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amul Shrestha ◽  
Tek Bahadur Thapa ◽  
Mahendra Giri ◽  
Sanjiv Kumar ◽  
Sakil Dhobi ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Knowledge Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Attitude

Abstract Background Emerging and reemerging pathogens are global challenges for public health and the pandemic of Coronavirus disease 2019is a reemerging case of an infectious disease caused by Severe Acute Respiratory Syndrome-Corornavirus-2. Health care worker worldwide are at higher risk worldwide and the situation is the same in Nepal. The knowledge and attitude of health workers will certainly mark the outcome towards this pandemic. So, this study aims to assess the knowledge and attitude of community health workers towards the prevention of COVID-19 virus. Methods A descriptive cross-sectional study was carried out among the community health workers of various provinces of Nepal. A semi-structured, self-administered questionnaire was prepared in Google form and circulated to the sampled health workers through various social media platforms like face book, messenger, Instagram and g-mails. A total of 650 invitations were send and among them 420 responded and among them only 399 provided complete response. Responses containing anonymized data was collected analyzed in using SPSS-version-20. The results were interpreted and was checked with various demographic and enabling factors using chi-square test and logistic regression model. Also, ethical approval was taken from NHRC (Nepal Health Research Council (protocol registration number: 360/2020P) prior to the conduction of study. Results Out the total sample size of 450, we took 399 responses taking into consideration all the inclusion criteria. So, from 399 valid response, 230 (47.6%) were males and 169 (42.4%) were females. 380 (95.2%) employed participants thought that wearing PPE will reduce the chances of getting COVID-19, majority of the participants 80.5% (321) responded that COVID-19 will successfully be controlled and staffs receiving excellent support from palika had high knowledge level. Knowledge level was significantly associated with the enabling factor “support from palika” (P = 0.045).45.9% of the respondents had no availability of COVID-19 response medical items for prevention of COVID-19 at their respective health facilities. Also the logistic regression analysis revealed that the odds of knowledge level was 2 times higher (AOR=1.913 at 95% CI: 1.266-2.891) compared to the female participants (Ref- female). Conclusions Proper and adequate knowledge and attitude towards COVID-19 is a paramount in the prevention and control of SARS-COV-2. Health care workers are knowledgeable about COVID-19 and are proactively practicing the preventive measures to minimize the spread of infection but some lack optimistic attitude. Hence, the constantly updated educational programs related to COVID-19 will surely contribute to improving the healthcare workers knowledge and attitude towards COVID-19.

scholarly journals Conflict styles observed in doctors and nurses in health care organization

2011 ◽  
Vol 64 (5-6) ◽  
pp. 262-266 ◽  
Author(s):  
Branislava Brestovacki ◽  
Dragana Milutinovic ◽  
Tomislav Cigic ◽  
Vera Grujic ◽  
Dragana Simin
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Health Care Organization ◽  
Cross Sectional Study ◽  
Care Organization ◽  
Cross Sectional ◽  
Conflict Styles ◽  
Five Dimensions ◽  
Significant Difference ◽  
Doctors And Nurses

Introduction. Health care workers often come into conflict situations while performing their daily activities. People behave differently when they come into conflicts and they are usually not aware of their own reactions. The aim of this paper was to establish the presence of conflict styles among health workers and the differences in relation to demographic characteristics (education, working experience, managerial position). Material and Methods. The research was done as a cross-sectional study and through surveys. The conflict handling questionnaire was used as the research instrument. The questionnaire contained 30 statements arranged in five dimensions of conflict styles. The sample included one hundred nurses and fifty-five doctors. Results. The research showed that accommodating was the most often used conflict style. There was no significant difference in styles of managerial and non-managerial staff, but there was a significant difference in the styles adopted by doctors and nurses. It should be noted that nurses used avoiding and accommodating conflict styles much more often. Conclusion. It is important to increase the awareness of conflict existence and the possibility of solving the problem constructively in order to achieve more efficient duty performance.

The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

scholarly journals A study on the knowledge, attitude & perspectives of final year students of bachelor of pharmacy programme in Malaysian Universities towards the implementation of the separation of drug prescribing & dispensing activity in Malaysia

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Santhanathan S Rajendram ◽  
Muhamad Danial Muhamad Hamdan
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Public And Private ◽  
Institutions Of Higher Learning ◽  
Highly Sensitive ◽  
The Government ◽  
Care System

Dispensing separation in Malaysia has been a widely discussed topic among the medical fraternity. It is a highly sensitive topic as it involves both professional and economic considerations for doctors, pharmacists, and the general public. There has been no decision made thus far but the discussion is ongoing, making a study on this topic very relevant. The subjects of this study, final year students of Bachelor of Pharmacy Programme in Malaysian universities, are chosen to reflect their awareness, preparedness, and knowledge on dispensing separation, which will affect their future in the pharmacy profession. The study was conducted among all 20 Public and Private Institutions of Higher Learning recognized by the Pharmacy Board, Malaysia. This was a cross-sectional study design, and data was collected using a convenience sampling method. The research instrument was an online questionnaire. The first part of the questionnaire covers the demographic information about the respondent, like name, age, gender, and institution. The second part covers the knowledge, awareness and perspectives of respondents towards the implementation of the separation of prescribing and dispensing activities in Malaysia. The final part of the survey focuses on suggestions or problems arising. There were 126 respondents to the survey, way above the 96 respondents needed to make the survey valid. The majority of them are aware of and understand the dispensing separation. Most of them agree that the government should legalize the dispensing separation activities as they believe pharmacists are more knowledgeable and better equipped to dispense drugs. The majority of them believe by implementing dispensing separation, the health care system will be better optimized, and the service will be better. They also believe that patients can accept and adapt to the role of the pharmacist in dispensing medication. The majority of them also agree that the price of medicine will be lowered by the implementation of dispensing separation. Based on the study, these students who are future pharmacists are very knowledgeable on the dispensing separation issue. They believe strongly that the implementation of dispensing separation in Malaysia will bring more beneficial changes to the health care system. The patients will also benefit from this. With such a positive attitude, the implementation of dispensing separation in Malaysia could be imminent  

scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.

scholarly journals Health Care Seeking Behavior of Obstetric Danger Signs and its Associated Factors Among Pregnant and Delivered Mothers in Kewot District, North Shoa Zone, Amara Region, Ethiopia: A Cross-Sectional Study

2021 ◽  
Author(s):  
Daniel Tadesse ◽  
Akine Eshete ◽  
Tadesse Mamo ◽  
Sadat Mohammed
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background: Many mothers died due to preventable causes in developing countries like Ethiopia. so, this study aims to assess the healthcare-seeking behavior of obstetric danger signs among pregnant and delivered mothers in 1 year before the study period in Kewot districts. Method: A community-based descriptive cross-sectional study design supplemented by qualitative technique was conducted from April 20 -April 30, 2019, in the Kewot district. Pregnant and delivered mothers were selected by systematic random sampling technique and interviewed with a response rate of 98.2%, Using purposive sampling 3 key-informants and 5 mothers were selected for in-depth interview of a qualitative study. Data were entered into Epi data version 3.1.1 and analyzed using SPSS version 21 and the logistic regressions model was applied to identify the associated factors. Results: A total of 363 participants were involved in the study. Among participants, 211(58.1 %) at (95% CI; CI: 53.7%-63.1%) were sought appropriate health care action. Women who have ANC follow up (AOR=1.735,95%CI:1.107-2.721), knowledgeable about danger sign, (AOR=2.430,95 % CI:1.360-4.342), the decision for own health care seeking (AOR=2.514,95% CI:1.130-5.501), and women who cannot able to judge graveness of condition (AOR=0.509,95% CI:0.302-0.859) were significantly associated with appropriate healthcare-seeking behavior.Conclusion: Having antenatal care follow up, knowledge about danger signs, inability to judge the graveness of conditions and inability to decide alone for own health care were factors that prevent appropriate health care seeking action. So, there should be health information dissemination about danger signs for every pregnant mother in the catchment area and during their visit to health institutions.

scholarly journals Assessment of relevance and effectiveness of community health workforce (CHW) development system in Bangladesh

2015 ◽  
Vol 5 (2) ◽  
pp. 332-335
Author(s):  
Md Humayun Kabir Talukder ◽  
BH Nazma Yasmeen ◽  
Rumana Nazneen ◽  
Md Zakir Hossain ◽  
Ishrat Jahan Chowdhury
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workforce ◽  
Rural Areas ◽  
Ethical Issues ◽  
Health Workers ◽  
Care Delivery ◽  
Cross Sectional ◽  
Development System ◽  
Audiovisual Aids

Background : Community Health Workforce (CHW) development has a rich history in South East Asian Region (SEAR). The first Community Health Unit was established in Sri Lanka in 1926 and then practiced over many of the regional countries like, Thailand, Mayanmar and India. Community Health Workers are in the fore front workforce to bring about change through community health programmes to national levels. In Bangladesh, there are also different categories of health workforce serving in the health care delivery system.Objectives : To assess relevance and effectiveness of community health workforce (CHW) development system in Bangladesh.Methods : This cross sectional study was conducted from 1st November 2010-30th April 2011 by purposive sampling technique. Study population were directors, administrators, principals, teachers of different institutes/ organizations and community health workers working in different corners of Bangladesh. Study places were different divisional towns of Bangladesh. Previously developed questionnaire & checklist were used for the collection of data from the institutes/ organizations by data collectors. These data were edited, processed and was analysed by using SPSS soft ware and a small portion by manually. No strong ethical issues were involved in this activity.Results : Study revealed that all the respondents (100%) are in favour of production of CHW in Bangladesh through formal academic institutional or pre service education (61.4%) .Most of the respondents (56.8%) viewed that there are scopes of utilisation of produced CHW in rural areas and most of the respondents (63.6%) also viewed that terminal/marginalized/underprivileged peoples of hard to reach areas at least can be served by CHW. Regarding the competency of produced CHW few of the respondents (43.2%) viewed positively. Most of the respondents (86.4%) viewed that both govt. & non govt. sectors should produce CHW with a very good coordination and co-operation. Study revealed the institutional capacities or situations about physical facilities, ongoing course, audiovisual aids, library, manpower and assessment procedure.Conclusion : Study revealed that there is strong & logical relevance present for the production of CHW in Bangladesh. So the existing Human Resource for Health (HRH) policy is to be revised & revisited as a time felt need to develop more competent CHW for Bangladesh to serve the marginalized, terminal, people of remote, rural & hard to reach areas.Northern International Medical College Journal Vol.5(2) 2014: 332-335

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