Dr Archisman
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Situational analysis of ASHAs with respect to
Comprehensive Child Survival Programme :A study from rural Varanasi
Institute of Medical Sciences,Banaras Hindu University
Varanasi
Archisman Mohapatra, S Sh iva l l i , MK Gupta , SC Mohapatra
Objecti veTo analyse the ASHAs’ practice with respect to CCSP in related situations
Study area : Chiraigaon block, Varanasi(CCSP training of ASHAs completed in 08-09)
Study duration : ~ 4 months (June-Sept ‘10)
Sample size : 126 out of total 240 ASHAs (~53%) from randomly selected villages
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Material and Method Interview + Pretested structured
questionnaireOnly the first response was recordedAv. time per ASHA : 40-45 mins
Limitations• Responses recorded as per the ASHA’s
claim
• Not recorded by simulation technique
• Not done through non-participatory observation 3
Home visit for a neonate with > 2.5kg birth weight
VisitsSchedul ing
Total1,3,7 Non-specific
Minimum no. of
visits in 1st
month
> 3 82 70.1%
35 29.9%
79.5% 117 92.9%
< 39
20.5%9 7.1%
Total82
65.1%
44
34.9%126
65% ASHAs follow the prescribed number of and schedule for home visits for normal neonates 4
Home visit for a LBW neonate
VisitsSchedul ing
Total1,3,7,14,21,28 Non-specific
Minimum no. of
visits in 1st
month
> 6 55 57.3%
41 42.7%
57.7%96 76.2%
< 630
42.3% 30 23.8%
Total55
43.7%
71
56.3%126
About 44% ASHAs follow the prescribed number of and schedule for home visits for LBW neonates 5
Average amount of time spent
per visit
? Time concept accuracy
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7
ASHAs Advised
8
n = 126
9
10
49%
DO NOT KNOW
REVISIT
NOT REQ.REVISIT REQ.
“If a child is suffering from diarrhoea…”
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