Capacity Building of ASHA at the Monthly Meeting Platforms IN PHC and CHC in Uttar Pradesh, India

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Capacity Building of ASHA at the Monthly Meeting Platforms IN PHC and CHC in Uttar Pradesh, India

June 29, 2021 Social Science 0

Introduction: Women community health workers have been identified as a key strategy for addressing the emerging shortage of health workers in developing countries. The ASHAs are established by the state as part of the Government of India’s National Rural Health Mission to provide health care at the grassroots level. Capacity-building initiatives and the empowerment of local women are critical for the effective delivery of health care to a large portion of the rural population. The current study investigates some of the critical variables of capacity building initiatives at monthly meeting platforms at CHC/PHC in the state of Uttar Pradesh. Research methodology: A total of four districts in Uttar Pradesh were purposefully chosen for the study, and data collection was carried out in the villages of the respective districts using a pre-tested structured interview schedule that included both closed-ended and open-ended questions. In addition, in-depth interviews with ASHAs were conducted, and a total of 250 respondents took part in the study. The monthly meetings at various PHCs in their respective districts were attended and benefited by a large majority (90 percent) of the ASHAs. The total duration of these meetings varied from 2-3 hours in each district, with the main agenda items being a review of daily work, training, and problem solving. Various other topics, such as cord care and new-born care, were also covered in the meetings; however, certain topics, such as interpersonal skills, gender, and equity, were not adequately addressed. Due to inaccessibility, Banda District in the Bundelkhand region reported difficulty and low attendance at meetings. Travel difficulties and frequent rescheduling of meetings The Health Education Officers were primarily in charge of facilitating these meetings in the four districts. The ASHAs cited the benefits of these meetings as increasing their confidence while working in the community, and the inputs also increased the required level of knowledge on various health issues. Simultaneously, they reported that their counseling skills and the quality of their home visits had improved. Conclusions: The process of ASHA capacity building in monthly meeting platforms could be viewed as an important strategy in developing the community health workforce. These meetings and training platforms are used to maximize their motivation, confidence, work skills, and the quality and quantity of their home visits. Meetings are more effective when topics such as regular guidance, work-related problem solving, record keeping, and activity documentation are discussed frequently.

Author(s) Details

Dr. Tridibesh Tripathy
Lucknow University, Lucknow, UP, India

Prof. Shankar Das
School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.

Anjali Tripathy
Water Aid, UP Office, Lucknow, India.

Dr. Rakesh Dwivedi
Centre for Advanced Studies in Social Work, Lucknow University, India.

Dr. Mohini Gautam
Centre for Advanced Studies in Social Work, Lucknow University, India.
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