Job satisfaction of the accredited social health activists in Amdang community development block of North 24 Parganas district, West Bengal

Background: Job satisfaction is a positive emotional state towards one’s job which influences efficiency in performance. Job satisfaction of accredited social health activist (ASHA) under national health mission, is not documented in many areas of the country. The present study was done to assess job satisfaction of ASHA in Amdanga community development block of North 24 Parganas district, West Bengal.Methods: A cross sectional study was done during August–November 2019 among all the 114 ASHAs in Amdanga block. Interviews were conducted using a questionnaire developed based on measures of job satisfaction (MJS) tool. Questionnaire contained 7 facets and 42 items in individual facets of satisfaction such as personal component, workload, professional support, training, incentive and care providing. Responses were recorded in 3-point Likert’s scale for each item, total score ranging from 42–126. Item median scores are calculated for each subscale. Scores falling at median and above were categorized as satisfied and scores falling below median score were categorized as dissatisfied. Mann-Whitney U test and Kruskal-Wallis test were applied to determine associated factors.Results: Overall 62.3% ASHAs were satisfied with their work. However, 33.3% ASHAs were dissatisfied about their incentive and 37.7% were dissatisfied with their workload. Overall satisfaction was significantly associated with age, socio-economic status, service duration of ASHA (p<0.05).Conclusions: Overall satisfaction level among ASHAs in the area though high, individual aspects like incentives, workload needs to be looked into to take necessary strategies.

A community-based knowledge, attitude and practices study of Accredited Social Health Activist functionaries in active case detection of Leprosy in Sitapur district of Uttar Pradesh

Background: Leprosy was eliminated at the global level in the year 2000. But regional disparities still exist. Some countries have not attained the elimination status and still reporting a good number of cases. The major burden of new cases was from India, Brazil and Indonesia. Early case detection and treatment is the key to achieve elimination. ASHA workers are involved in this campaign to make it successful. The objective of this study was to assess the knowledge of ASHA functionaries regarding leprosy disease and to analyze the field practices of ASHA functionaries during LCDC activity.Methods: The present study was a community based observational study which was conducted at field practice area of RHTC, Hind Institute of Medical Sciences from 6 November to 19 November 2017. All ASHA functionaries were interviewed using preformed semi-structured questionnaire. Data were stored in Microsoft excel XP and analyzed.Results: None (0%) of ASHA functionaries correctly knew the exact cause of leprosy. Only 10.2% knew mode of transmission, 89.8% knew sign and symptoms, 28.6% knew complications, 12.2% knew prevention of complications, only 10.2% knew exact meaning of MDT. Only 63.3% ASHAs had prior information about orientation training. Out of these only 26.5% completed the practical exercises. Local community remained uninformed about LCDC activity as IEC activities were very poor in all of the centers.Conclusions: In India ASHA workers are the main health functionaries for LCDC activity and in this study, we found that quality of orientation training was substandard as compared to GOI guidelines. So, every effort should be given to make orientation training successful.

Protocol - Assessment about Knowledge of Panchakarma in Asha Workers and their Sensitization with Panchakarma Module in Wardha Taluka

Background: A village level community health worker " Accredited Social Health Activist " (ASHA)’acts as a bridge between community & health care facilities. The ASHA workers act as catalysts in promoting various programmes of the foundation and encourage people to avail the available benefits. Aim and objectives: To study the assessment about Knowledge of Panchakarma in ASHA Workers & Sensitization to them with Panchakarma module in Wardha taluka Objectives are 1.To design Panchakarma questionnaire module and then to assess the existing knowledge and awareness in ASHA Workers of Wardha Taluka. 2.To sensitize ASHA Workers about Panchakarma procedures with the help of demonstration videos and lectures ,then post test and compare pre & post assessment score about Knowledge and awareness about Panchakarma. Methodology: The study will be Interventional study. Permission will be taken from the institutional ethical committee. Data will be collected in Wardha taluka by Pre and Post test interview of ASHA. All the subjects will be personally interviewed on the basis of questionnaire .Questionnaires administered by an interviewer are used to survey socio demographic factors, Knowledge, awareness and attitudes regarding Ayurveda (AYUSH Programme) . Before taking the Pre test the verbal consent of the subject will be taken. Results: ASHA will be as a facilitator for promoting awareness in the community about Panchakarma. Conclusion: Conclusion will be on the basis of observation and analyzed data.