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A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City

BACKGROUND: Urban Social Health Activists (USHAs) are the grass root health care workers of urban areas. There are 290 USHAs distributed in various Urban Health Centers (UHCs) of Rajkot city. OBJECTIVES: To compare the (i) effectiveness of the training received by the USHAs on their knowledge and co...

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Autores principales: Sheth, Ankit M., Banerjee, Anupam, Kadri, Amiruddin M., Rangoonwala, Matib, Zalavadiya, Dipeshkumar D., Joshi, Niravkumar B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427870/
https://www.ncbi.nlm.nih.gov/pubmed/28553026
http://dx.doi.org/10.4103/0970-0218.205219
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author Sheth, Ankit M.
Banerjee, Anupam
Kadri, Amiruddin M.
Rangoonwala, Matib
Zalavadiya, Dipeshkumar D.
Joshi, Niravkumar B.
author_facet Sheth, Ankit M.
Banerjee, Anupam
Kadri, Amiruddin M.
Rangoonwala, Matib
Zalavadiya, Dipeshkumar D.
Joshi, Niravkumar B.
author_sort Sheth, Ankit M.
collection PubMed
description BACKGROUND: Urban Social Health Activists (USHAs) are the grass root health care workers of urban areas. There are 290 USHAs distributed in various Urban Health Centers (UHCs) of Rajkot city. OBJECTIVES: To compare the (i) effectiveness of the training received by the USHAs on their knowledge and counseling skills (ii) knowledge and counseling skills of USHAs on the awareness and utilization of Maternal and Child Health (MCH) care services by their beneficiaries. METHODS: This cross-sectional study involved 32 USHAs and 416 beneficiaries served by the same USHAs. 32 USHAs serving in the same field practice area for more than two years were randomly selected. The beneficiaries were those mothers who had a child between 1-2 years age, and who had availed their antenatal and postnatal services in the same area. A scoring system was used to assess the knowledge and counseling skills of the USHAs and the knowledge and utilization of services by their beneficiaries. RESULTS: The utilization of health services was significantly more in the beneficiaries who were serviced by USHAs having comparatively better knowledge (72.7% vs. 35.3%) and counseling skills (62.2% vs. 30.6%). The median score for knowledge (41 vs. 30) and counseling skills (20 vs. 16) of the USHAs was found to be more (P < 0.05) in those who had undertaken induction training. CONCLUSIONS: Induction training helped the USHAs to improve their knowledge and counseling skills. Utilization of MCH services was more in those areas served by USHAs having better knowledge and counseling skills.
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spelling pubmed-54278702017-05-26 A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City Sheth, Ankit M. Banerjee, Anupam Kadri, Amiruddin M. Rangoonwala, Matib Zalavadiya, Dipeshkumar D. Joshi, Niravkumar B. Indian J Community Med Original Article BACKGROUND: Urban Social Health Activists (USHAs) are the grass root health care workers of urban areas. There are 290 USHAs distributed in various Urban Health Centers (UHCs) of Rajkot city. OBJECTIVES: To compare the (i) effectiveness of the training received by the USHAs on their knowledge and counseling skills (ii) knowledge and counseling skills of USHAs on the awareness and utilization of Maternal and Child Health (MCH) care services by their beneficiaries. METHODS: This cross-sectional study involved 32 USHAs and 416 beneficiaries served by the same USHAs. 32 USHAs serving in the same field practice area for more than two years were randomly selected. The beneficiaries were those mothers who had a child between 1-2 years age, and who had availed their antenatal and postnatal services in the same area. A scoring system was used to assess the knowledge and counseling skills of the USHAs and the knowledge and utilization of services by their beneficiaries. RESULTS: The utilization of health services was significantly more in the beneficiaries who were serviced by USHAs having comparatively better knowledge (72.7% vs. 35.3%) and counseling skills (62.2% vs. 30.6%). The median score for knowledge (41 vs. 30) and counseling skills (20 vs. 16) of the USHAs was found to be more (P < 0.05) in those who had undertaken induction training. CONCLUSIONS: Induction training helped the USHAs to improve their knowledge and counseling skills. Utilization of MCH services was more in those areas served by USHAs having better knowledge and counseling skills. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5427870/ /pubmed/28553026 http://dx.doi.org/10.4103/0970-0218.205219 Text en Copyright: © 2017 Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sheth, Ankit M.
Banerjee, Anupam
Kadri, Amiruddin M.
Rangoonwala, Matib
Zalavadiya, Dipeshkumar D.
Joshi, Niravkumar B.
A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title_full A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title_fullStr A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title_full_unstemmed A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title_short A Score-based Performance Assessment of Maternal and Child Health Services Provided by USHA of Rajkot City
title_sort score-based performance assessment of maternal and child health services provided by usha of rajkot city
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427870/
https://www.ncbi.nlm.nih.gov/pubmed/28553026
http://dx.doi.org/10.4103/0970-0218.205219
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