ROLE OF ASHA IN UTILIZING MATERNAL HEALTH CARE SERVICES IN INDIA, EVIDENCES FROM NATIONAL RURAL HEALTH MISSION (NRHM)
Abstract
Maternal mortality is high in India and in some states it is observe much higher than the national average. Government of India pour lots of fund and initiate National Rural Health Mission (NRHM) in 2005 to improve maternal... [ view full abstract ]
Maternal mortality is high in India and in some states it is observe much higher than the national average. Government of India pour lots of fund and initiate National Rural Health Mission (NRHM) in 2005 to improve maternal and new born health in country by providing affordable and accessible health care services. Accredited Social Heath Activist (ASHA) is one of the key components of the NRHM. Mainly ASHAs are selected female aged 25-45 years from village itself and accountable for the monitoring of maternal health care for the same village. ASHA are trained to works as an interface between the community and public health system. This study tries to assess the role of ASHA in utilizing maternal health care services and to see the level of awareness about benefits given under JSY scheme and utilization of those benefits by eligible women. Concurrent evaluation data from NRHM was used. This study is based on 78205 currently married women from 70 different districts of India. Descriptive statistics, chi2 test and binary logistic regression have been used for analysis. The probability of institutional delivery increases by 2.03 times (p<0.001) if ASHA arranged or helped in arranging transport facility. The probability of institutional delivery is increased by 1.67 times (p<0.01) than if she is not arranging transport facility. However if ASHA discuses about institutional delivery and approaches to get register than probability of getting TT injection is 1.88 and 1.64 times (p<0.01) higher than the reference category. Results conclude that work done by ASHA has great influence on maternal health care utilization in India. But results also show that still substantial numbers of needed population are far from utilization of these services. Place of delivery is significantly influenced by referral and transport facility arranged by ASHA.
Authors
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Dolly Kumari
(International Institute for Population Sciences,)
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Hemkhothang Lhungdim
(International Institute for Population Sciences,)
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Anita Pal
(International Institute for Population Sciences,)
Topic Area
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He
Session
UH-HS-O-04 » Urban Health - Healthcare Service - 04 (14:00 - Saturday, 2nd April, TBA)
Paper
paper_2.docx
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