Performance of accredited social health activists to provide home-based newborn care: a situational analysis

Indian Pediatr. 2014 Feb;51(2):142-4. doi: 10.1007/s13312-014-0349-4.


Objective: To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months.

Methods: Investigators observed 25 ASHAs conducting 47 visits.

Results: ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home-based newborn care formats and skipped critical signs. Overall ASHA-investigator agreement on diagnosis was poor (kappa=0.23, P=0.01).

Conclusion: There is a need for improved training, tools, and supportive supervision.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Community Health Workers*
  • Female
  • Home Care Services*
  • House Calls
  • Humans
  • Infant Care*
  • Infant, Newborn
  • Quality Assurance, Health Care