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Utilization of ASHA services under NRHM in relation to maternal health in rural Lucknow, India

机译:在印度拉克瑙农村地区,NRHM规定的ASHA服务与孕产妇保健的关系

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To address poor utilization of maternal and child health services by the rural community, the National Rural Health Mission (NRHM) was launched in 2005 in India. Under NRHM, ASHA (Accredited Social Health Activist) was identified as an effective link between the government and poor pregnant women. The aim of the present study was to examine the utilization of ASHA services under NRHM in relation to maternal health by the Recently Delivered Women (RDW) in the study area. A cross-sectional study was conducted at PHC Sarojini Nagar, Lucknow and its rural field areas. A sample of 350 RDW, chosen by simple random sampling, were interviewed at bedside by a preformed schedule and then were followed up after six weeks. Antenatal registration was reported by 97% RDW of which 73% registered early. About 53% RDW had three or more antenatal care visits. Two dose Tetanus Toxoid coverage was 92.9%. Receipt and consumption of iron and folic acid was low. ASHA was the major facilitator for higher utilization of antenatal care services, except for Iron and Folic Acid receipt/consumption. Low utilization of postnatal care (21.5% RDW had at least one postnatal check-up) is a matter of concern. Knowledge and awareness of ASHA on importance of postnatal care needs to be enhanced via hands on training by specialists and regular orientation programs. Better and intense advocacy in the community regarding importance of availing services of ASHA in relation to maternal health needs to be addressed.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 24-27 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15261
机译:为了解决农村社区对妇幼保健服务利用不佳的问题,2005年在印度启动了国家农村保健任务。根据NRHM,ASHA(获得认可的社会健康活动家)被确定为政府与贫困孕妇之间的有效纽带。本研究的目的是研究区域内新近交付的妇女(RDW)在NRHM下与孕妇健康相关的ASHA服务的利用情况。在勒克瑙的PHC Sarojini Nagar及其郊区进行了横断面研究。通过简单的随机抽样选择的350 RDW样本在床旁按预先制定的时间表进行采访,然后在六周后进行随访。 97%RDW报告了产前注册,其中73%的早期注册。约53%的RDW进行了三次或更多次产前检查。两剂破伤风类毒素覆盖率为92.9%。铁和叶酸的接收和消耗量很低。除铁和叶酸的接收/消费外,ASHA是提高产前护理服务利用率的主要促进者。产后护理利用率低(21.5%RDW至少接受过一次产后检查)是一个值得关注的问题。需要通过专家培训和定期入职培训来增强对ASHA对产后护理重要性的认识和认识。关于在社区中提供ASHA服务对孕产妇健康的重要性的社区中需要进行更好,更广泛的宣传。 2012年1月至6月|第2卷第1期| 24-27 DOI:http://dx.doi.org/10.3329/seajph.v2i1.15261

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