Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 May 9;2(3):518-524.
doi: 10.1002/rth2.12103. eCollection 2018 Jul.

Effectiveness of a training program for bleeding disorders among accredited social health activists in Udupi District, Karnataka, India

Sulochana Badagabettu  1 , Dinesh M Nayak  2 , Annamma Kurien  3 , Veena G Kamath  4 , Asha Kamath  5 , Baby S Nayak  1 , Linu S George  1
Affiliations

Effectiveness of a training program for bleeding disorders among accredited social health activists in Udupi District, Karnataka, India

Sulochana Badagabettu et al. Res Pract Thromb Haemost. .

Abstract

Introduction: Hemophilia and other bleeding disorders are underreported and cause significant morbidity and mortality in resource-constrained countries. Training and the creation of awareness among accredited social heath activists (ASHAs) will aid in the early detection of bleeding disorders at the community level.

Objective: To develop awareness and skills for the screening and identification of cases with bleeding symptoms among ASHAs in Udupi District, Karnataka, India.

Methods: An interventional study was undertaken in Udupi District, which has three taluks and approximately 233 villages. All ASHAs with a current role (586) from rural Udupi were provided a competency-based training program at the community health center using a specifically designed training manual for the identification of cases with bleeding disorders. A pre-test/post-test evaluation was performed to discover the training outcomes.

Results: Sixteen (2.7%) participants had average knowledge in the first post-test, and 570 (92.2%) participants had good knowledge. Thirty-nine (6.6%) participants had average knowledge in second post-test, and 547 (94.3%) participants had good knowledge. The effectiveness of the training program was assessed using Friedman's two-way test. A significant difference in knowledge scores (χ2 = 955.1) was found at baseline evaluation and end of the training test 1 and at 30 days of training test 2 among the ASHAs.

Conclusion: Accredited social heath activists health care workers, who are the most important link between the community and health services, successfully created public awareness concerning the early detection of bleeding disorders.

Keywords: India; accredited social health activists; bleeding disorders; effectiveness; training program.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Box and whisker plot showing the median and IQR of the baseline, post‐test 1, and post‐test 2 knowledge scores
See this image and copyright information in PMC

References

    1. Skinner MW. WFH: closing the global gap – achieving optimal care. Haemophilia. 2012;18(suppl 4):1–12. - PubMed
    1. Kar A, Potnis‐Lele M. Descriptive epidemiology of haemophilia in Maharashtra, India. Haemophilia. 2001;7:561–7. - PubMed
    1. Kar A, Phadnis S, Dharmarajan S, Nakade J. Epidemiology & social costs of haemophilia in India. Indian J Med Res. 2014;140:19–31. - PMC - PubMed
    1. Phadke S. Hemophilia care in India: a review and experience from a tertiary care centre in Uttar Pradesh. Indian J Hematol Blood Transfus. 2011;27:121–6. - PMC - PubMed
    1. Chandy M. Treatment options in the management of hemophilia in developing countries. World Federation of Hemophilia; 2005. [accessed 2017 Nov 01]. Available at: https://www.wfh.org/en/resources/publications-list

LinkOut - more resources