Engagement and Preparedness of Urban Accredited Social Health Activists (U-ASHAs) for Delivery of Tuberculosis (TB) Care: Findings From two Cities in Maharashtra, India.
Finding missing tuberculosis (TB) cases from the "under-reached" population of urban slums and connecting them with TB services is a priority and ongoing challenge for India. It requires the effective engagement of community health workers including urban Accredited Social Health Activists (U-ASHAs)...
| Publicado en: | Indian Journal of Community Medicine Vol. 50; no. 1; pp. 225 - 230 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jan/Feb2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182412131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182412131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09700218 1CQJ jtl: Indian Journal of Community Medicine issn: 09700218 maglogo: N pubinfo: dt: Jan/Feb2025 vid: 50 iid: 1 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 182412131 182412131 182412131 10.4103/ijcm.ijcm_744_23 182412131 ppf: 225 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Engagement and Preparedness of Urban Accredited Social Health Activists (U-ASHAs) for Delivery of Tuberculosis (TB) Care: Findings From two Cities in Maharashtra, India. aug: au: Purohit, Vidula S. Karvande, Shilpa Santosh Shah, Daksha Y. Vallepawar, Omprakash B. Yadav, Omprakash J. Mistry, Nerges F. affil: Community Health Division, Foundation for Medical Research, Mumbai, Maharashtra, India sug: subj: Tuberculosis Urban Areas India Health Care Delivery Accreditation Political Participation Health Knowledge Human Adult Middle Age India Exploratory Research Multimethod Studies Funding Source Semi-Structured Interview Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years ab: Finding missing tuberculosis (TB) cases from the "under-reached" population of urban slums and connecting them with TB services is a priority and ongoing challenge for India. It requires the effective engagement of community health workers including urban Accredited Social Health Activists (U-ASHAs). The study aimed to understand the current engagement of U-ASHAs in TB care and their commensurate preparedness in terms of TB knowledge and training. An exploratory study was conducted in Mumbai and Pune cities of Maharashtra during 2022–23. The study used a mixed-methods approach, including a semi-structured survey of U-ASHAs (n = 222) and in-depth interviews with relevant stakeholders (n = 33). The statistical analysis used was descriptive statistics using MS Excel. The average age and work experience of U-ASHAs were 35.4 (21–50) years and 2.7 (0.5–6) years, respectively. They considered maternal child health services as their main portfolio and TB as an ancillary program. They were mainly involved in a biannual active case finding (ACF) and were recently envisioned as TB treatment supporters with poor clarity about other roles in TB care. Just half-day training for TB as part of 8-day general induction training, brief updates before ACFs, and the absence of an on-the-job supervisory structure resulted in TB knowledge gaps particularly for the latest diagnostic tests, adverse drug reactions, government schemes for TB patients, and contact tracing. Conclusions: Intermittent TB activities coupled with insufficient training impede U-ASHAs' functionality in TB care. Clarity of TB-related roles, integration of TB activities in daily tasks, comprehensive training, and on-the-job supervisory structures have merit in strengthening U-ASHAs' engagement in urban TB care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|