Effectiveness of a comprehensive educational programme for Accredited Social Health Activists (ASHAs) to identify individuals in the Udupi district with bleeding disorders: A community-based survey

Badagabettu, S and Nayak, Dinesh M and Kurien, Annamma and Kamath, Veena G and Kamath, Asha and George, Anice (2018) Effectiveness of a comprehensive educational programme for Accredited Social Health Activists (ASHAs) to identify individuals in the Udupi district with bleeding disorders: A community-based survey. Haemophilia, 24 (4). pp. 1-6. ISSN 1351-8216

[img] PDF
4905 DisplayPdf.pdf - Published Version
Restricted to Registered users only

Download (372kB) | Request a copy

Abstract

Introduction: The awareness and knowledge on bleeding disorders is generally poor among the rural population. Accredited Social Health Activists (ASHAs) serve as the facilitators between the rural community and the health care system. Training of ASHAs in screening of rural population for early identification of bleeding disorders can enable prompt referral, timely detection and management of bleeding disorders.Aim: The aim of the study was to evaluate the effectiveness of an ASHA training programme for identification of suspected bleeding disorder cases.Methods: A population-based,cross-sectional survey was implemented by 586 Accredited Social Health Activists (ASHAs) in rural Udupi district, who underwent a structured training programme on identification of bleeding disorders. A survey record book with a screening tool on assessment of bleeding symptoms was given to each ASHA. The screening tool consisted of symptoms related to bleeding disorders and family history of bleeding disorders. Using the screening tool, ASHAs carried out a door- o-door survey. After screening, those who reported with bleeding symptoms were referred by the ASHAs to the investigator, who conducted further assessment.A detailed bleeding history was documented and bleeding symptom assessment was carried out using bleeding assessment tool (BAT) at the haemophilia treatment centre.Further coagulation assessments were carried out as per the treatment centre protocol. This paper highlights the evaluation of an ASHA training programme on identification of individuals with bleeding symptoms in the rural population.Results: A total of 586 trained ASHAs surveyed a population of 318 214 in rural Udupi district. Out of the 124 cases reported by ASHAs, 29 bleeding disorder cases were identified; haemophilia (A and B) was the most commonly found bleeding disorder 22 (75.8%), followed by von Willebrand disease (vWD) 3 (10.3%) and 4 (13.8%)immune-mediated thrombocytopenic purpura (ITP), with an overall prevalence of 2.2/10 000 populationConclusion: Training ASHA health care workers, who are the most important link between the community and health services, resulted in increased awareness among the public for the early detection of bleeding disorders.

Item Type: Article
Uncontrolled Keywords: Accredited Social Health Activists (ASHAs); Bleeding disorders; Bleeding symptoms; Haemophilia; India; Screening tool
Subjects: Medicine > KMC Manipal > Community Medicine
Departments at MU > Statistics
Medicine > MMMC Manipal > Pathology
Nursing > MCON Manipal > Fundamentals of Nursing
Medicine > KMC Manipal > Paediatrics
Depositing User: KMC Library
Date Deposited: 22 Aug 2018 11:20
Last Modified: 22 Aug 2018 11:20
URI: http://eprints.manipal.edu/id/eprint/151832

Actions (login required)

View Item View Item