Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru

Objectives: To assess the performance of “Accredited Social Health Activist (ASHA)” under National Urban Health Mission (NUHM) in Bengaluru. The NUHM renews and deepens the commitment and recognizes that ASHA and Mahila Arogya Samiti (MAS) are critical components towards achieving health outcomes. T...

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Main Authors: Ashwini Lonimath, K S Ravish, I Sushil Kumar, T S Ranganath
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423000866
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author Ashwini Lonimath
K S Ravish
I Sushil Kumar
T S Ranganath
author_facet Ashwini Lonimath
K S Ravish
I Sushil Kumar
T S Ranganath
author_sort Ashwini Lonimath
collection DOAJ
description Objectives: To assess the performance of “Accredited Social Health Activist (ASHA)” under National Urban Health Mission (NUHM) in Bengaluru. The NUHM renews and deepens the commitment and recognizes that ASHA and Mahila Arogya Samiti (MAS) are critical components towards achieving health outcomes. There has not been a systematic approach to assess their performance and this study is the first of its kind in Bengaluru City. Methods: The study was conducted in Bengaluru among 130 ASHAs selected using Stratified Random Sampling. A pretested semi-structured questionnaire was used to interview ASHA regarding her work (involving Antenatal Care (ANC) registrations, institutional delivery, home visits, immunization, sterilization, management of childhood illness, attending monthly meetings, etc.) and tracking the incentives that she had received for work in the past one year from the database. Results: The mean age of 130 study participants was 36.4 ± 6.4 years. 53.8% of the study participants had scored >75% for their performance and categorized as Grade A. Out of 130 study participants, 30 (23%) had maintained the record of their claim sheets of the incentives received and among which 26.7% had received 75–100% of incentive of their work. Conclusion: The present study concluded that majority of study participants had a good performance and had been categorized as Grade A. Very small percentage of study participants maintained their records. Financial incentives and an opportunity for more exposure to health services were the main reasons among the study participants for joining as an ASHA. They received induction training before joining work, but refresher training was inadequate.
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spelling doaj.art-6e0946f57ac945669989c8b78396be442023-06-18T05:01:46ZengElsevierClinical Epidemiology and Global Health2213-39842023-05-0121101299Performance assessment of Accredited Social Health Activists under National Urban Health Mission in BengaluruAshwini Lonimath0K S Ravish1I Sushil Kumar2T S Ranganath3Department of Community Medicine, ESI-MC & PGIMSR, Rajajinagar, Bengaluru, India; Corresponding author.Department of Community Medicine, Bangalore Medical College & Research Institute, BMCRI, Bengaluru, IndiaTechnical Support Unit at Commissionerate - Health & Family Welfare Services, CARE India Solutions for Sustainable Development, IndiaDepartment of Community Medicine, Bangalore Medical College & Research Institute, BMCRI, Bengaluru, IndiaObjectives: To assess the performance of “Accredited Social Health Activist (ASHA)” under National Urban Health Mission (NUHM) in Bengaluru. The NUHM renews and deepens the commitment and recognizes that ASHA and Mahila Arogya Samiti (MAS) are critical components towards achieving health outcomes. There has not been a systematic approach to assess their performance and this study is the first of its kind in Bengaluru City. Methods: The study was conducted in Bengaluru among 130 ASHAs selected using Stratified Random Sampling. A pretested semi-structured questionnaire was used to interview ASHA regarding her work (involving Antenatal Care (ANC) registrations, institutional delivery, home visits, immunization, sterilization, management of childhood illness, attending monthly meetings, etc.) and tracking the incentives that she had received for work in the past one year from the database. Results: The mean age of 130 study participants was 36.4 ± 6.4 years. 53.8% of the study participants had scored >75% for their performance and categorized as Grade A. Out of 130 study participants, 30 (23%) had maintained the record of their claim sheets of the incentives received and among which 26.7% had received 75–100% of incentive of their work. Conclusion: The present study concluded that majority of study participants had a good performance and had been categorized as Grade A. Very small percentage of study participants maintained their records. Financial incentives and an opportunity for more exposure to health services were the main reasons among the study participants for joining as an ASHA. They received induction training before joining work, but refresher training was inadequate.http://www.sciencedirect.com/science/article/pii/S2213398423000866ASHAPerformanceAssessmentBengaluruUrbanIncentive
spellingShingle Ashwini Lonimath
K S Ravish
I Sushil Kumar
T S Ranganath
Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
Clinical Epidemiology and Global Health
ASHA
Performance
Assessment
Bengaluru
Urban
Incentive
title Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
title_full Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
title_fullStr Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
title_full_unstemmed Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
title_short Performance assessment of Accredited Social Health Activists under National Urban Health Mission in Bengaluru
title_sort performance assessment of accredited social health activists under national urban health mission in bengaluru
topic ASHA
Performance
Assessment
Bengaluru
Urban
Incentive
url http://www.sciencedirect.com/science/article/pii/S2213398423000866
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AT isushilkumar performanceassessmentofaccreditedsocialhealthactivistsundernationalurbanhealthmissioninbengaluru
AT tsranganath performanceassessmentofaccreditedsocialhealthactivistsundernationalurbanhealthmissioninbengaluru