Assess retention of knowledge, attitude and practices of community health workerregarding childhood pneumonia and diarrhoea. (allahabad, gonda, and bareilly uttarpradesh)

Author: 
Dr. Ayushibhatnagar and Ratikapoor

Reduction of children death due to Pneumonia and Diarrhoea is a critical process to endeavor as it accounts for 29% of the children death globally. Where India accounts for pneumonia12.9 % and Diarrhoea 8.9 % and Uttar Pradesh accounts for pneumonia 14.0% and Diarrhoea 10.9% which is highest among all the states in 2015
ASHA are considered as the link between the community and health facility. Community based case management is required to manage diseases. The current training on Module-6 and 7 orient ASHA for managing both the disease, but the community still missing quality service delivery hence this study aims to access knowledge retention of frontline workers who have given intervention regarding pneumonia and Diarrhoea in Uttar Pradesh.
A study to access retention of knowledge of public frontline workers after orientation on pneumonia and Diarrhoea in Uttar Pradesh.
The data indicated that though the knowledge level is good for Diarrhoea but they become less efficient when it comes to practicing the services. The assessment of Diarrhoea patient and assessment of dehydration are the area where ASHA is lacking. On the other hand knowledge of ASHA regarding childhood pneumonia is much lower than Diarrhoea like some ASHA never heard the term Pneumonia. Even many ASHA don’t know what is the cause of Diarrhoea.
While we discuss about the practice, more than sixty percent of ASHA said they didn’t know any medicine to treat Pneumonia. Assessment of childhood pneumonia is also not up to the mark as looking for alertness of child is the main criteria with 41 percentage response.
ASHA express medicine unavailability is a biggest challenge to address for them for Diarrhoea management and lack of knowledge for pneumonia management. Another data reveals that availability of essential drugs like Tab. Zinc, cotimoxazole, Amoxicillin and paracetamol were also not sufficient with below 50 percentage statuses.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2020.21546.4236
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