Research question: What proportions of the ASHAs are performing according to the training they have received under the Comprehensive Child Survival Programme (CCSP)? Objective: To analyze the ASHAs’ practice with respect to CCSP in related situations. Study design: Cross-sectional study. Study location: Chiraigaon Community Development Block, Varanasi Material and method: 173 out of the total 240 ASHAs (~72%) in the selected Chiraigaon Community Development Block of Varanasi were randomly selected and interviewed using a pre-designed and pre-tested questionnaire pertinent to CCSP. Only the first response was recorded. Results: All the ASHAs interviewed claimed that the CCSP training has helped them perform better in the community. Ninety-eight percent of the ASHAs knew that a new born weighing >2.5 kgs at birth is considered to be normal. Only ~ 63% (109) of the ASHAs were found to be home-visiting such newborns as per the CCSP recommendation. The percentage was found to be just 43% for the properly scheduled home visits of LBW newborns. The difference was found to be statistically significant (p<0.001). Almost 80% ASHAs estimated that their average home visit spans for at least 30 minutes. Just about a third of the interviewees suggested that a baby should be bathed only after the first 6 days while one-third said that they advise massaging for the newborn only after the first week. ASHAs rarely used a thermometer to assess the baby’s temperature. Around 56% were confident about using a thermometer. Nearly 90% participants claimed of explaining about Kangaroo Mother Care to the parturient and/or family. Majority of the ASHAs (92%) emphasized upon non-discontinuation of breast feeding for the baby during diarrhoeal episodes. However, only 44% revisited such babies. Conclusion: In most cases it is well evident that CCSP training has been taken up well by the ASHAs. The training may be refreshed.
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I.Mumbai: IIPS.
World Health Organization (WHO). 1994. Mother-baby package: Implementing safe motherhood in countries. Geneva: WHO.
CSP Essential Newborn Care Training Book for ASHA/ Health worker (Book No.19). Ministry of Family Welfare, Uttar Pradesh; Pg 86
CSP Essential Newborn Care Training Book for ASHA/ Health worker (Book No.19). Ministry of Family Welfare, Uttar Pradesh; Part 3 Ch 6: 59-71.
Deepthi S. Varma, M.E. Khan and Avishek Hazra. 2010. Increasing postnatal care of mothers and newborns including follow-up cord care and thermal care in rural Uttar Pradesh. The Journal of Family Welfare. Vol 56 special issue: 31-42.
Kumar, V., Shearer, J.C., Kumar, A. and Darmstadt, G.L. 2009. Neonatal hypothermia in low-resource settings: a review. Journal of Perinatology, 29 (6): 401-412.