OBJECTIVE: To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months. METHODS: Investigators observed 25 ASHAs conducting 47 visits. RESULTS: ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home-based newborn care formats and skipped critical signs. Overall ASHA-investigator agreement on diagnosis was poor (kappa=0.23, P=0.01). CONCLUSION: There is a need for improved training, tools, and supportive supervision.
OBJECTIVE: To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months. METHODS: Investigators observed 25 ASHAs conducting 47 visits. RESULTS: ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home-based newborn care formats and skipped critical signs. Overall ASHA-investigator agreement on diagnosis was poor (kappa=0.23, P=0.01). CONCLUSION: There is a need for improved training, tools, and supportive supervision.
Authors: Victoria C Ward; Hina Raheel; Yingjie Weng; Kala M Mehta; Priyanka Dutt; Radharani Mitra; Padmapriya Sastry; Anna Godfrey; Melissa Shannon; Sara Chamberlain; Rajani Kaimal; Suzan L Carmichael; Jason Bentley; Safa Abdalla; Kevin T Pepper; Tanmay Mahapatra; Sridhar Srikantiah; Evan Borkum; Anu Rangarajan; Swetha Sridharan; Dana Rotz; Priya Nanda; Usha Kiran Tarigopula; Yamini Atmavilas; Debarshi Bhattacharya; Gary L Darmstadt Journal: J Glob Health Date: 2020-12-19 Impact factor: 4.413
Authors: Ajay Gajanan Phatak; Somashekhar M Nimbalkar; Abhijit S Prabhughate; Anagha A Mahajani; Satvik C Bansal Journal: J Family Med Prim Care Date: 2021-08-27
Authors: Victoria Ward; Safa Abdalla; Hina Raheel; Yingjie Weng; Anna Godfrey; Priyanka Dutt; Radharani Mitra; Padmapriya Sastry; Sara Chamberlain; Melissa Shannon; Kala Mehta; Jason Bentley; Gary L Darmstadt Md Journal: BMJ Glob Health Date: 2021-07