Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study
Context: Maternal and child health is an important public health issue which indicates the level of socioeconomic development in any country. Urban accredited social health activist (U-ASHA) workers in India are the main front-line urban health workers in primary health care delivery for slum and ur...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_687_24 |
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| author | Santosh Kumar Monika Agarwal H Dinesh Kumar |
| author_facet | Santosh Kumar Monika Agarwal H Dinesh Kumar |
| author_sort | Santosh Kumar |
| collection | DOAJ |
| description | Context:
Maternal and child health is an important public health issue which indicates the level of socioeconomic development in any country. Urban accredited social health activist (U-ASHA) workers in India are the main front-line urban health workers in primary health care delivery for slum and urban poor.
Aims:
To assess the services provided by U-ASHA workers to mothers of urban slums for antenatal and postnatal care.
Settings and Design:
Cross-sectional study in urban slums of Lucknow where recently delivered women (up to 2 years) were selected.
Methods and Material:
To include the desired sample size of 320 recently delivered women (RDW), the U-ASHAs of the selected slums were contacted and a list of RDWs was made for each slum. By simple random sampling, 20 RDWs were selected from each slum. A predesigned and pretested interview schedule was used for data collection.
Statistical Analysis Used:
SPSS-version-26 was used. P <0.05 was considered statistically significant.
Results:
The registered pregnancies were 95%. Only 43.1% of RDW had at least four ANC visits. The institutional delivery was 84.7%. Only 27.7% of RDW visited health facilities for PNC services. About 39.4% received Janani Suraksha Yojana incentives. Contraceptive users were only 41.9%. Counseling by U-ASHA workers regarding all the ANC and PNC services had better utilization among counseled RDW except for child-care counseling.
Conclusions:
Counseling services regarding ANC and PNC services have a significant impact on their utilization. Better results can be achieved if the counseling by U-ASHA is enhanced to reach out more beneficiaries. |
| format | Article |
| id | doaj-art-d0fcc27f3f1544d6a920a02daeeddec7 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-d0fcc27f3f1544d6a920a02daeeddec72025-01-11T10:05:27ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125667567310.4103/jfmpc.jfmpc_687_24Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional studySantosh KumarMonika AgarwalH Dinesh KumarContext: Maternal and child health is an important public health issue which indicates the level of socioeconomic development in any country. Urban accredited social health activist (U-ASHA) workers in India are the main front-line urban health workers in primary health care delivery for slum and urban poor. Aims: To assess the services provided by U-ASHA workers to mothers of urban slums for antenatal and postnatal care. Settings and Design: Cross-sectional study in urban slums of Lucknow where recently delivered women (up to 2 years) were selected. Methods and Material: To include the desired sample size of 320 recently delivered women (RDW), the U-ASHAs of the selected slums were contacted and a list of RDWs was made for each slum. By simple random sampling, 20 RDWs were selected from each slum. A predesigned and pretested interview schedule was used for data collection. Statistical Analysis Used: SPSS-version-26 was used. P <0.05 was considered statistically significant. Results: The registered pregnancies were 95%. Only 43.1% of RDW had at least four ANC visits. The institutional delivery was 84.7%. Only 27.7% of RDW visited health facilities for PNC services. About 39.4% received Janani Suraksha Yojana incentives. Contraceptive users were only 41.9%. Counseling by U-ASHA workers regarding all the ANC and PNC services had better utilization among counseled RDW except for child-care counseling. Conclusions: Counseling services regarding ANC and PNC services have a significant impact on their utilization. Better results can be achieved if the counseling by U-ASHA is enhanced to reach out more beneficiaries.https://journals.lww.com/10.4103/jfmpc.jfmpc_687_24counselingrchrecently delivered womenslumsu-asha |
| spellingShingle | Santosh Kumar Monika Agarwal H Dinesh Kumar Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study Journal of Family Medicine and Primary Care counseling rch recently delivered women slums u-asha |
| title | Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study |
| title_full | Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study |
| title_fullStr | Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study |
| title_full_unstemmed | Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study |
| title_short | Assessment of services provided by urban ASHAs to mothers of urban slums in Lucknow district – A cross-sectional study |
| title_sort | assessment of services provided by urban ashas to mothers of urban slums in lucknow district a cross sectional study |
| topic | counseling rch recently delivered women slums u-asha |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_687_24 |
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