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Table 4 Practice of health care services delivery to the community by ASHAs

From: A comparative assessment of the community frontline health workers for their knowledge and practices of malaria diagnosis and treatment in three contiguous districts Mandla, Balaghat, and Dindori of Madhya Pradesh, India

Variables

Mandla

Balaghat (N = 230)

Dindori (N = 184)

Baseline (N = 220)

End line§ (N = 261)

No. of years working as ASHA

8.14 ± 3.40***

10.28 ± 4.28

8.37 ± 4.72***

10.99 ± 3.53

Received training for anyone health program

211 (95.91)**

260 (99.62)

230 (100.00)***

183 (99.46)

Received training in malaria diagnosis and treatment

196 (89.09)***

260 (99.62)

217 (94.35)**

180 (97.83)

People sought health care from you

210 (95.45)**

259 (99.23)

226 (98.26)

182 (98.91)

No. of patients visited you during last week

2.95 ± 4.24

3.09 ± 3.17

4.82 ± 4.71***

3.69 ± 3.19*

No. of patients visited you during last month

7.21 ± 8.54**

9.19 ± 7.81

13.02 ± 10.00***

9.35 ± 6.45

Promote institutional delivery

218 (99.09)

261 (100)

230(100)

184 (100.00)

No. of pregnant women take for institutional delivery during last week

0.53 ± 1.06***

0.21 ± 0.59

0.53 ± 0.85***

0.33 ± 0.64*

No. of pregnant women take for institutional delivery during last month

1.27 ± 1.61**

0.77 ± 1.65

1.56 ± 1.95***

0.92 ± 1.32

Motivate community to seek health care

218 (99.09)

261 (100)

230 (100.00)

184 (100.00)

By door to door visit

208 (94.55)

253 (96.93)

230 (100.00)**

184 (100.00)*

Inter person communication

139 (63.18)***

80 (30.65)

19 (8.26)***

21 (11.41)***

Govt. campaign program

73 (33.18)***

28 (10.73)

23 (10.00)

7 (3.80)**

Have guide for malaria diagnosis and treatment

122 (55.45)***

261 (100)

158 (68.70)***

128 (69.57)***

Top Priority of work given to

 Maternal health care

194 (88.18)***

192 (73.56)

183 (79.57)

135 (73.37)

 Child health care and feeding

149 (67.73)*

150 (57.47)

133 (57.83)

122 (66.30)

 Family planning

70 (31.82)

63 (24.14)

70 (30.43)

39 (21.20)

 Immunization

87 (39.55)

123 (47.13)

64 (27.83)***

68 (36.96)*

 Vector borne disease including malaria

52 (23.64)***

25 (9.58)

11 (4.78)*

6 (3.26)**

 TB and other communicable disease

55 (25.00)

60 (22.99)

11 (4.78)***

4 (2.17)***

Malaria diagnosis provided by

 RDT

213 (96.82)*

260 (99.62)

223 (96.96)*

179 (97.28)*

 Blood smear

183 (83.18)***

96 (36.78)

78 (33.91)

107 (58.15)***

 Symptomatic

17 (7.73)***

0 (0.00)

0 (0.00)

4 (2.17)*

 Timely receive incentives for health service promotion

99 (45.00)***

248 (95.01)

217 (94.35)

182 (98.91)*

 Amount of incentive received during last 1 year

28246 ± 11,932

28654 ± 12,403

28885 ± 13,148

28212 ± 12,279

 Amount of incentive received during last 3 month

1582 ± 791

1627 ± 831

1509 ± 828

1654 ± 804

  1. §Reference category; *p < 0.05; **p < 0.01; ***p < 0.001