在哈里亚纳邦一个街区的农村和城市地区工作的经认证的社会卫生活动家(ASHA)工作人员关于儿童卫生服务知识的比较研究

Divyae Kansal, Seema Sharma, Amit Kumar, S. Kumari, S. Pandey
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摘要

国家农村卫生特派团(NRHM)创建了一支由训练有素的女性社区卫生活动人士组成的骨干队伍,称为经认证的社会卫生活动人士(ASHA),以加强卫生保健系统,并动员社区更多地利用现有的卫生服务。经认可的社会卫生活动(asha)对实现该国新生儿和儿童保健服务目标的贡献至关重要。本研究计划的目的是评估和比较在哈里亚纳邦一个街区的农村和城市地区工作的ASHA工作人员对儿童保健服务的知识水平。目前的横断面社区研究是在哈里亚纳邦希萨尔区巴尔瓦拉街区进行的。ASHA员工的知识评估以计分法为基础。采用适当的统计学检验,如百分比检验和χ2检验。关于儿童保健服务,大多数ASHA工作人员都有良好的知识,根据他们获得的分数进行评估,他们中没有人对儿童保健服务的知识不足。然而,农村地区的得分高于城市地区,差异有统计学意义。在农村或城市地区工作的大多数ASHA工作人员对识别儿童腹泻和急性呼吸道感染期间的危险迹象以及新生儿的危险迹象缺乏足够的知识。他们对脐带残端护理有足够的了解;母乳喂养方法;常规免疫接种;维生素A补充和家庭产后护理(HBPNC)访问。应考虑到ASHA工作人员对新生儿护理的知识不足。应在他们的工作区域进行支持性监督。
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A comparative study of knowledge of accredited social health activist (ASHA) workers regarding child health services working in rural and urban areas of a block of Haryana
National Rural Health Mission (NRHM) has created a cadre of trained female community health activists called Accredited Social Health Activist (ASHA) to strengthen the health care system and to mobilize community towards increased utilization of existing health services. The contribution of the Accredited Social Health ActivistASHA) to the achievement of the country’s targets for new-born & child health services is critical. The present study was planned with objective to assess & compare the level of knowledge of ASHA workers regarding child health services working in rural and urban areas of a block of Haryana. The present cross-sectional, community-based study was conducted in block Barwala, district Hisar of Haryana. The assessment of knowledge of ASHA workers was done on the basis of scoring. Appropriate statistical tests like percentages and chi-square (χ2) test were applied. Regarding child health services majority of ASHA workers had good knowledge, assessed by score gained by them and none of them was having poor knowledge about child health services. However, in rural area score gained was better than urban area & the observed difference was found to be statistically significant. Majority of ASHA workers either working in rural or urban areas, were having inadequate knowledge about identification of danger signs during diarrhoea & acute respiratory infection in a child and danger signs of new born. They had adequate knowledge regarding cord stump care; breast Feeding practices; routine Immunization; Vitamin A supplement and home based post natal care (HBPNC) visits. Inadequate knowledge of ASHA workers regarding new born care should be taken into consideration. Supportive supervision should be done in their working area.
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