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Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India

BACKGROUND: The 1978 declaration (Alma-Ata declaration) made at the International Conference on Primary Health Care, meeting in Alma-Ata highlighted the critical role played by Community Health Workers (CHWs) to link communities to the health system. The flagship program of Government of India propo...

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Autores principales: Persai, Divya, Panda, Rajmohan, Mathur, Manu Raj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462774/
https://www.ncbi.nlm.nih.gov/pubmed/26124945
http://dx.doi.org/10.4103/2008-7802.158177
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author Persai, Divya
Panda, Rajmohan
Mathur, Manu Raj
author_facet Persai, Divya
Panda, Rajmohan
Mathur, Manu Raj
author_sort Persai, Divya
collection PubMed
description BACKGROUND: The 1978 declaration (Alma-Ata declaration) made at the International Conference on Primary Health Care, meeting in Alma-Ata highlighted the critical role played by Community Health Workers (CHWs) to link communities to the health system. The flagship program of Government of India proposed introduction of CHWs namely Accredited Social Health Activist (ASHA). As a link between community and health system ASHA is in a unique position to generate awareness on tobacco-related issues. However, there is limited evidence on practices of ASHAs in tobacco control in India. The present study explores whether CHWs such as ASHAs can be utilized as a resource for informing and educating community on tobacco and its harmful effects. The study captured perceptions and practices of ASHAs regarding tobacco control. METHODS: The study was a cross-sectional study conducted among 512 ASHAs in six intervention districts each in Gujarat and Andhra Pradesh. The study settings (i.e., health facilities and villages) were selected through systematic random sampling. The study participants were selected through simple random sampling. Responses were captured through self-administered questionnaire. Logistic regression model was applied to measure associations between variables such as knowledge level of ASHAs and information provided on different tobacco-related diseases by them in both the states, with statistical significance based on the Chi-square test. RESULTS: Our findings indicate that ASHAs linked tobacco usage to diseases such as respiratory problems, lung cancer, tuberculosis, and oral disease. Only one-third of ASHAs reported informing all patients about the harmful health effects of tobacco, whereas more than half of them reported providing information only to patients suffering from specific illness. ASHAs who reported having received training in tobacco control were about Two times more likely to give information on effects of tobacco on respiratory diseases (odds ratio [OR]-1.5; confidence interval [CI]: 1.1–2.4) and adverse reproductive outcomes (OR-2.1; CI: 1.1–20.2). CONCLUSIONS: Study findings reflect suboptimal engagement of ASHAs in providing information pertaining to specific tobacco-related diseases. There is an urgent need to sensitize and train ASHAs in appropriate tobacco control practices.
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spelling pubmed-44627742015-06-29 Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India Persai, Divya Panda, Rajmohan Mathur, Manu Raj Int J Prev Med Brief Communication BACKGROUND: The 1978 declaration (Alma-Ata declaration) made at the International Conference on Primary Health Care, meeting in Alma-Ata highlighted the critical role played by Community Health Workers (CHWs) to link communities to the health system. The flagship program of Government of India proposed introduction of CHWs namely Accredited Social Health Activist (ASHA). As a link between community and health system ASHA is in a unique position to generate awareness on tobacco-related issues. However, there is limited evidence on practices of ASHAs in tobacco control in India. The present study explores whether CHWs such as ASHAs can be utilized as a resource for informing and educating community on tobacco and its harmful effects. The study captured perceptions and practices of ASHAs regarding tobacco control. METHODS: The study was a cross-sectional study conducted among 512 ASHAs in six intervention districts each in Gujarat and Andhra Pradesh. The study settings (i.e., health facilities and villages) were selected through systematic random sampling. The study participants were selected through simple random sampling. Responses were captured through self-administered questionnaire. Logistic regression model was applied to measure associations between variables such as knowledge level of ASHAs and information provided on different tobacco-related diseases by them in both the states, with statistical significance based on the Chi-square test. RESULTS: Our findings indicate that ASHAs linked tobacco usage to diseases such as respiratory problems, lung cancer, tuberculosis, and oral disease. Only one-third of ASHAs reported informing all patients about the harmful health effects of tobacco, whereas more than half of them reported providing information only to patients suffering from specific illness. ASHAs who reported having received training in tobacco control were about Two times more likely to give information on effects of tobacco on respiratory diseases (odds ratio [OR]-1.5; confidence interval [CI]: 1.1–2.4) and adverse reproductive outcomes (OR-2.1; CI: 1.1–20.2). CONCLUSIONS: Study findings reflect suboptimal engagement of ASHAs in providing information pertaining to specific tobacco-related diseases. There is an urgent need to sensitize and train ASHAs in appropriate tobacco control practices. Medknow Publications & Media Pvt Ltd 2015-06-04 /pmc/articles/PMC4462774/ /pubmed/26124945 http://dx.doi.org/10.4103/2008-7802.158177 Text en Copyright: © 2015 Persai D. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Brief Communication
Persai, Divya
Panda, Rajmohan
Mathur, Manu Raj
Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title_full Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title_fullStr Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title_full_unstemmed Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title_short Self-reported Practices and Attitudes of Community Health Workers (Accredited Social Health Activist) in Tobacco Control – Findings from two states in India
title_sort self-reported practices and attitudes of community health workers (accredited social health activist) in tobacco control – findings from two states in india
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462774/
https://www.ncbi.nlm.nih.gov/pubmed/26124945
http://dx.doi.org/10.4103/2008-7802.158177
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