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ASHA workers

Divya Taneja, Anil Khurana, Anil Vichitra, Sarabjit Sarkar, Arun Kumar Gupta, Renu Mittal, Ramesh Bawaskar, Amulya Ratan Sahoo, Umakanta Prusty, Shweta Singh, Meera Sharma, Richa Pant, Udaiveer Singh, Alok Kumar Upadhyay, Shruti Sehegal, Satyashree Patnaik, Tapan Nath, Raj K Manchanda
BACKGROUND:  During primary teething, children suffer from running nose, mild fever, diarrhoea and other mild irritations and inflammations. A public health programme, 'Homoeopathy for the Healthy Child', was undertaken on a pilot basis focusing on promotion of healthy teething by provision of home-based care through six pre-identified homeopathic medicines for complaints commonly observed during primary teething. This article assesses the feasibility of this programme and reports the impact of this initiative on teething profile in children and episodes of diarrhoea and upper respiratory tract infection (URTI)...
November 20, 2018: Homeopathy: the Journal of the Faculty of Homeopathy
Adeline M Nyamathi, Catherine L Carpenter, Maria L Ekstrand, Kartik Yadav, Dana Rose Garfin, Lisa C Muniz, Mariko Kelley, Sanjeev Sinha
OBJECTIVE: To assess the impact of nurse-led Asha (Accredited Social Health Activist)-support behavioral and nutritional intervention among women living with HIV/AIDS (WLH/A) in rural India. DESIGN: Cluster randomized-controlled trial. METHODS: Sixteen Primary Health Centers serving WLH/A in Andhra Pradesh were grouped into four regional clusters that were randomly allocated into one of four arms. All four groups included Asha-support and consisted of: Asha-support only (control group); nutrition education; nutrition supplementation; and the combination of supplementation and education...
October 4, 2018: AIDS
Shankar Prinja, Aditi Gupta, Pankaj Bahuguna, Ruby Nimesh
BACKGROUND: The main intervention under ReMiND program consisted of a mobile health application which was used by community health volunteers, called ASHAs, for counselling pregnant women and nursing mothers. This program was implemented in two rural blocks in Uttar Pradesh state of India with an overall aim to increase quality of health care, thereby increasing utilization of maternal & child health services. The aim of the study was to assess annual & unit cost of ReMiND program and its scale up in UP state...
October 3, 2018: BMC Pregnancy and Childbirth
Nishi Suryavanshi, Vidya Mave, Abhay Kadam, Savita Kanade, Srilatha Sivalenka, V Sampath Kumar, Pauline Harvey, Radhayshyam Gupta, Asha Hegde, Nikhil Gupte, Amita Gupta, Robert C Bollinger, Anita Shankar
BACKGROUND: The Prevention of Mother-to-Child Transmission of HIV (PMTCT) program in India is one of the largest in the world. It uses outreach workers (ORWs) to facilitate patient uptake of services, however, the challenges faced by the ORWs, and their views about the effectiveness of this program are unknown. METHODS: The COMmunity-Home Based INDia (COMBIND) Prevention of Mother to Child Transmission of HIV study evaluated an integrated mobile health and behavioral intervention to enhance the capacity of ORWs in India...
2018: PloS One
Vandita Pahwa, Suma Nair, Ranjitha S Shetty, Asha Kamath
Objective: Globally oral cancer is one of the ten most common cancers with prevalence being high in Central and South East Asian countries. This survey was conducted to estimate the prevalence of oral pre-malignant lesions (OPML) and to identify their risk factors. Methods: A community based cross-sectional study was carried out among 2033 individuals aged ≥18 years. A questionnaire was administered to collect socio-demographic characteristics, various risk factors for oral cancer and presence of its symptoms...
August 24, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
David Musoke, Charles Ssemugabo, Rawlance Ndejjo, Elizabeth Ekirapa-Kiracho, Asha S George
BACKGROUND: Community health workers (CHWs) are an important human resource in Uganda as they are the first contact of the population with the health system. Understanding gendered roles of CHWs is important in establishing how they influence their performance and relationships in communities. This paper explores the differential roles of male and female CHWs in rural Wakiso district, Uganda, using photovoice, an innovative community-based participatory research approach. METHODS: We trained ten CHWs (five males and five females) on key concepts about gender and photovoice...
August 22, 2018: Human Resources for Health
Shally Awasthi, Tuhina Verma, Monica Agarwal, Chandra Mani Pandey
BACKGROUND: Community Acquired Pneumonia (CAP) is the leading cause of childhood morbidity and mortality worldwide including India. Many of these deaths can be averted by creating awareness in community about early symptoms of CAP and by ensuring availability of round the clock, quality health care. The objective was to assess the effectiveness of an innovative package of orienting doctors and community health workers about community perceptions on CAP barriers to qualified health care seeking, plus infrastructural strengthening by (i) providing "Pneumonia Drug Kit" (PDK) (ii) establishing "Pneumonia Management Corner" (PMC) at additional primary health center (PHCs) and (iii) "Pneumonia Management Unit" (PMU) at Community health center (CHCs) along with one of 4 different behavior change communication interventions: 1...
August 22, 2018: BMC Pediatrics
S Badagabettu, D M Nayak, A Kurien, V G Kamath, A Kamath, A George
INTRODUCTION: The awareness and knowledge on bleeding disorders is generally poor among the rural population. Accredited Social Health Activists (ASHAs) serve as the facilitators between the rural community and the health care system. Training of ASHAs in screening of rural population for early identification of bleeding disorders can enable prompt referral, timely detection and management of bleeding disorders. AIM: The aim of the study was to evaluate the effectiveness of an ASHA training programme for identification of suspected bleeding disorder cases...
September 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
Sulochana Badagabettu, Dinesh M Nayak, Annamma Kurien, Veena G Kamath, Asha Kamath, Baby S Nayak, Linu S George
Introduction: Hemophilia and other bleeding disorders are underreported and cause significant morbidity and mortality in resource-constrained countries. Training and the creation of awareness among accredited social heath activists (ASHAs) will aid in the early detection of bleeding disorders at the community level. Objective: To develop awareness and skills for the screening and identification of cases with bleeding symptoms among ASHAs in Udupi District, Karnataka, India...
July 2018: Research and Practice in Thrombosis and Haemostasis
Samir K Saha, Stephanie J Schrag, Shams El Arifeen, Luke C Mullany, Mohammad Shahidul Islam, Nong Shang, Shamim A Qazi, Anita K M Zaidi, Zulfiqar A Bhutta, Anuradha Bose, Pinaki Panigrahi, Sajid B Soofi, Nicholas E Connor, Dipak K Mitra, Rita Isaac, Jonas M Winchell, Melissa L Arvay, Maksuda Islam, Yasir Shafiq, Imran Nisar, Benazir Baloch, Furqan Kabir, Murtaza Ali, Maureen H Diaz, Radhanath Satpathy, Pritish Nanda, Bijaya K Padhi, Sailajanandan Parida, Aneeta Hotwani, M Hasanuzzaman, Sheraz Ahmed, Mohammad Belal Hossain, Shabina Ariff, Imran Ahmed, Syed Mamun Ibne Moin, Arif Mahmud, Jessica L Waller, Iftekhar Rafiqullah, Mohammad A Quaiyum, Nazma Begum, Veeraraghavan Balaji, Jasmin Halen, A S M Nawshad Uddin Ahmed, Martin W Weber, Davidson H Hamer, Patricia L Hibberd, Qazi Sadeq-Ur Rahman, Venkat Raghava Mogan, Tanvir Hossain, Lesley McGee, Shalini Anandan, Anran Liu, Kalpana Panigrahi, Asha Mary Abraham, Abdullah H Baqui
BACKGROUND: More than 500 000 neonatal deaths per year result from possible serious bacterial infections (pSBIs), but the causes are largely unknown. We investigated the incidence of community-acquired infections caused by specific organisms among neonates in south Asia. METHODS: From 2011 to 2014, we identified babies through population-based pregnancy surveillance at five sites in Bangladesh, India, and Pakistan. Babies were visited at home by community health workers up to ten times from age 0 to 59 days...
July 14, 2018: Lancet
Asha Pari Katwa, Chris Jenner, Karen MacDonald, Nina Barnett
The importance of effective advance care planning is often underestimated by professionals caring for care home residents. Using a simulated scenario, this model aimed to highlight the importance of timely advance care planning for care home residents. An adapted simulation effectiveness tool was used to evaluate a simulated scenario of a resident with advanced dementia. Feedback from this tool, N = 28 (response rate 82%), suggests this model was well received and that simulation training delivered by a multi-professional faculty, effectively demonstrates the benefits of early advance care planning for residents with dementia...
January 1, 2018: Dementia
Samiksha Singh, Sanjeev Upadhyaya, Pradeep Deshmukh, Amol Dongre, Neha Dwivedi, Deepak Dey, Vijay Kumar
BACKGROUND: In India, amidst the increasing number of health programmes, there are concerns about the performance of frontline health workers (FLHW). We assessed the time utilisation and factors affecting the work of frontline health workers from South India. METHODS: This is a mixed methods study using time and motion (TAM) direct observations and qualitative enquiry among frontline/community health workers. These included 43 female and 6 male multipurpose health workers (namely, auxiliary nurse midwives (ANMs) and male-MPHWs), 12 nutrition and health workers (Anganwadi workers, AWWs) and 53 incentive-based community health workers (accredited social health activists, ASHAs)...
April 2, 2018: Human Resources for Health
Aarushi Bhatnagar, Kerry Scott, Veloshnee Govender, Asha George
A country's health workforce plays a vital role not only in serving the health needs of the population but also in supporting economic prosperity. Moreover, a well-funded and well-supported health workforce is vital to achieving universal health coverage and Sustainable Development Goal 3 to ensure healthy lives and promote well-being for all at all ages. This perspective article highlights the potential of underutilized health policy and systems research (HPSR) approaches for developing more effective human resources for health policy...
April 2018: WHO South-East Asia Journal of Public Health
Asha R Dalal, Ameya C Purandare
WHO has recommended use of the partograph, a low-tech paper form that has been hailed as an effective tool for the early detection of maternal and fetal complications during childbirth. Yet despite decades of training and investment, implementation rates and capacity to correctly use the partograph remain low in resource-limited settings. Nevertheless, competent use of the partograph, especially using newer technologies, can save maternal and fetal lives by ensuring that labor is closely monitored and that life-threatening complications such as obstructed labor are identified and treated...
February 2018: Journal of Obstetrics and Gynaecology of India
Adyya Gupta, Jasmine Fledderjohann, Hanimi Reddy, V R Raman, David Stuckler, Sukumar Vellakkal
BACKGROUND: Under the National Health Mission (NHM) of India, Janani Suraksha Yojana (JSY) offers conditional cash transfer and support services to pregnant women to use institutional delivery care facilities. This study aims to understand community health workers' (ASHAs) and program officials' perceptions regarding barriers to and prospects for the uptake of facilities offered under the JSY. METHODS: Fifty in-depth interviews of a purposively selected sample of ASHAs (n = 12), members of Village Health and Sanitation Committees (n = 11), and officials at different tiers of healthcare facilities (n = 27) were conducted in three Indian states...
January 25, 2018: BMC Health Services Research
Rornald Muhumuza Kananura, Elizabeth Ekirapa-Kiracho, Ligia Paina, Ahmed Bumba, Godfrey Mulekwa, Dinah Nakiganda-Busiku, Htet Nay Lin Oo, Suzanne Namusoke Kiwanuka, Asha George, David H Peters
BACKGROUND: The use of participatory monitoring and evaluation (M&E) approaches is important for guiding local decision-making, promoting the implementation of effective interventions and addressing emerging issues in the course of implementation. In this article, we explore how participatory M&E approaches helped to identify key design and implementation issues and how they influenced stakeholders' decision-making in eastern Uganda. METHOD: The data for this paper is drawn from a retrospective reflection of various M&E approaches used in a maternal and newborn health project that was implemented in three districts in eastern Uganda...
December 28, 2017: Health Research Policy and Systems
Abha Tewari, Sudha Kallakuri, Siddhardha Devarapalli, Vivekanand Jha, Anushka Patel, Pallab K Maulik
BACKGROUND: Availability of basic mental health services is limited in rural areas of India. Health system and individual level factors such as lack of mental health professionals and infrastructure, poor awareness about mental health, stigma related to help seeking, are responsible for poor awareness and use of mental health services. We implemented a mental health services delivery model that leveraged technology and task sharing to facilitate identification and treatment of common mental disorders (CMDs) such as stress, depression, anxiety and suicide risk in rural areas of the state of Andhra Pradesh, India...
December 4, 2017: BMC Psychiatry
Akash Ranjan Singh, Abhijit Pakhare, Arun M Kokane, Hemant Deepak Shewade, Ashish Chauhan, Abhishek Singh, Arti Gangwar, Prahlad Singh Thakur
INTRODUCTION: Community-based direct observed treatment (DOT) providers are an important bridge for the national tuberculosis programme in India to reach the unreached. The present study has explored the knowledge, attitude, practice and barriers perceived by the community-based DOT providers. METHODS: Mixed-methods study design was used among 41 community-based DOT providers (Accredited Social Health Activist (ASHAs)) working in 67 villages from a primary health center in Raisen district of Madhya Pradesh, India...
December 2017: Journal of Epidemiology and Global Health
Ashish Kc, Anna Bergström, Dipak Chaulagain, Olivia Brunell, Uwe Ewald, Abhishek Gurung, Leif Eriksson, Helena Litorp, Johan Wrammert, Erik Grönqvist, Per-Anders Edin, Claire Le Grange, Bikash Lamichhane, Parashuram Shrestha, Amrit Pokharel, Asha Pun, Chahana Singh, Mats Målqvist
INTRODUCTION: Nepal Perinatal Quality Improvement Project (NePeriQIP) intends to scale up a quality improvement (QI) intervention for perinatal care according to WHO/National guidelines in hospitals of Nepal using the existing health system structures. The intervention builds on previous research on the implementation of Helping Babies Breathe-quality improvement cycle in a tertiary healthcare setting in Nepal. The objective of this study is to evaluate the effect of this scaled-up intervention on perinatal health outcomes...
2017: BMJ Global Health
Neha Srivastava, Adeline M Nyamathi, Sanjeev Sinha, Catherine Carpenter, Veena Satyanarayana, Padma Ramakrishna, Maria Ekstrand
In this study, focus groups were conducted with 16 rural Women Living with AIDS (WLA) from Andhra Pradesh, India who had previously participated in a clinical trial wherein 68 WLA were randomized into either an Accredited Social Health Activists (ASHA) - Life (AL) intervention or a Usual Care program. Findings are discussed in terms of: a) mental health issues, b) perceived stressors, c) individual resources for coping with mental health issues, and d) role of Asha support in coping with mental health issues...
2017: Journal of HIV/AIDS & Social Services
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