Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project
Abstract Background The role of Accredited Social Health Activist (ASHA) in the health care delivery services at the periphery level is crucial for achieving disease prevention, control and elimination goals. The objective of the study was to assess the knowledge, attitude, practices, priorities and...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Malaria Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12936-021-03610-8 |
| _version_ | 1819179667031064576 |
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| author | Harsh Rajvanshi Kalyan B. Saha Man Mohan Shukla Sekh Nisar Himanshu Jayswar Ashok K. Mishra Ravendra K. Sharma Praveen K. Bharti Nishant Saxena Arvind Verma Aparup Das Harpreet Kaur Suman L. Wattal Altaf A. Lal |
| author_facet | Harsh Rajvanshi Kalyan B. Saha Man Mohan Shukla Sekh Nisar Himanshu Jayswar Ashok K. Mishra Ravendra K. Sharma Praveen K. Bharti Nishant Saxena Arvind Verma Aparup Das Harpreet Kaur Suman L. Wattal Altaf A. Lal |
| author_sort | Harsh Rajvanshi |
| collection | DOAJ |
| description | Abstract Background The role of Accredited Social Health Activist (ASHA) in the health care delivery services at the periphery level is crucial for achieving disease prevention, control and elimination goals. The objective of the study was to assess the knowledge, attitude, practices, priorities and capability of ASHA related to malaria diagnosis and treatment as part of the Malaria Elimination Demonstration Project in 1233 villages of district Mandla, Madhya Pradesh. Methods A cross sectional study was conducted using a fully structured, pre-tested interview schedule during June and July 2017 (before the field operations of MEDP were started). Two hundred twenty (17%) of the total ASHAs were selected for the interview from the 9 developmental blocks of Mandla district. Results Knowledge, Attitude and Practices (KAP) study revealed that most ASHAs knew that mosquitoes are the main agent for spread of malaria (97.7%). They mostly used Rapid Diagnostic Test (RDT) for diagnosis (91.8%). The majority (87.3%) correctly identified negative RDT result while only 15% and 10.5%, respectively, identified Plasmodium vivax and Plasmodium falciparum positive cases correctly. Further analysis showed that 85% ASHAs used chloroquine, 44.5% used artemisinin-based combination therapy (ACT), and 55.5% used primaquine for treatment of malaria. It was also found that only 38.2% ASHA gave PQ for 14 days in cases of P. vivax. At the time of the interview, 19.1% ASHAs did not have any RDTs for diagnosis and 47.7% reported not having ACT for treatment of P. falciparum malaria. Conclusions This study has revealed that ASHAs in the test district were not adequately trained or stocked for malaria parasite species identification and treatment, which are the major components of malaria elimination programme. This study has, therefore, revealed a need for training ASHAs on testing by RDT and proper treatment regimen for P. vivax and P. falciparum. |
| first_indexed | 2024-12-22T22:02:05Z |
| format | Article |
| id | doaj.art-678efbc1c9a34271bb3d56e36bb6dedf |
| institution | Directory Open Access Journal |
| issn | 1475-2875 |
| language | English |
| last_indexed | 2024-12-22T22:02:05Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj.art-678efbc1c9a34271bb3d56e36bb6dedf2022-12-21T18:11:05ZengBMCMalaria Journal1475-28752021-02-012011810.1186/s12936-021-03610-8Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration projectHarsh Rajvanshi0Kalyan B. Saha1Man Mohan Shukla2Sekh Nisar3Himanshu Jayswar4Ashok K. Mishra5Ravendra K. Sharma6Praveen K. Bharti7Nishant Saxena8Arvind Verma9Aparup Das10Harpreet Kaur11Suman L. Wattal12Altaf A. Lal13Malaria Elimination Demonstration ProjectIndian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Malaria Elimination Demonstration ProjectDirectorate of Health Services, Government of Madhya PradeshIndian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research-National Institute of Research in Tribal Health (ICMR-NIRTH)Indian Council of Medical Research, Department of Health Research, Ministry of Health and Family WelfareNational Vector Borne Disease Control Programme, Ministry of Health and Family WelfareMalaria Elimination Demonstration ProjectAbstract Background The role of Accredited Social Health Activist (ASHA) in the health care delivery services at the periphery level is crucial for achieving disease prevention, control and elimination goals. The objective of the study was to assess the knowledge, attitude, practices, priorities and capability of ASHA related to malaria diagnosis and treatment as part of the Malaria Elimination Demonstration Project in 1233 villages of district Mandla, Madhya Pradesh. Methods A cross sectional study was conducted using a fully structured, pre-tested interview schedule during June and July 2017 (before the field operations of MEDP were started). Two hundred twenty (17%) of the total ASHAs were selected for the interview from the 9 developmental blocks of Mandla district. Results Knowledge, Attitude and Practices (KAP) study revealed that most ASHAs knew that mosquitoes are the main agent for spread of malaria (97.7%). They mostly used Rapid Diagnostic Test (RDT) for diagnosis (91.8%). The majority (87.3%) correctly identified negative RDT result while only 15% and 10.5%, respectively, identified Plasmodium vivax and Plasmodium falciparum positive cases correctly. Further analysis showed that 85% ASHAs used chloroquine, 44.5% used artemisinin-based combination therapy (ACT), and 55.5% used primaquine for treatment of malaria. It was also found that only 38.2% ASHA gave PQ for 14 days in cases of P. vivax. At the time of the interview, 19.1% ASHAs did not have any RDTs for diagnosis and 47.7% reported not having ACT for treatment of P. falciparum malaria. Conclusions This study has revealed that ASHAs in the test district were not adequately trained or stocked for malaria parasite species identification and treatment, which are the major components of malaria elimination programme. This study has, therefore, revealed a need for training ASHAs on testing by RDT and proper treatment regimen for P. vivax and P. falciparum.https://doi.org/10.1186/s12936-021-03610-8ASHAKnowledgeDiagnosisTreatmentMalariaTraining |
| spellingShingle | Harsh Rajvanshi Kalyan B. Saha Man Mohan Shukla Sekh Nisar Himanshu Jayswar Ashok K. Mishra Ravendra K. Sharma Praveen K. Bharti Nishant Saxena Arvind Verma Aparup Das Harpreet Kaur Suman L. Wattal Altaf A. Lal Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project Malaria Journal ASHA Knowledge Diagnosis Treatment Malaria Training |
| title | Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project |
| title_full | Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project |
| title_fullStr | Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project |
| title_full_unstemmed | Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project |
| title_short | Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project |
| title_sort | assessment of asha for knowledge diagnosis and treatment on malaria in mandla district of madhya pradesh as part of the malaria elimination demonstration project |
| topic | ASHA Knowledge Diagnosis Treatment Malaria Training |
| url | https://doi.org/10.1186/s12936-021-03610-8 |
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