Study on Knowledge and Practices of FLWs Regarding COVID-19 in Rajasthan
A post-graduate diploma study conducted in 2019-21 assessed the knowledge and practices of Frontline Workers (FLWs) such as ANM, ASHA, and AWW in Chhabra block, Rajasthan, regarding COVID-19. The study aimed to evaluate their understanding of COVID-19 symptoms, transmission, appropriate behaviors, and preventive measures. Data was collected through questionnaires distributed via Google Form and phone interviews. Results analyzed using Excel highlighted demographic distribution, knowledge levels, and adherence to recommended practices among FLWs.
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Post Graduate Diploma in Hospital and Health Management 2019-21 Presented by Gulshan Kumar(PG/19/032) Under Guidance of- Dr. Vinay Tripathi
Frontline organization, armed forces, home guards and civil defense volunteers including disaster management volunteers and municipal workers HCWs), surveillance activities etc. COVID19 is a respiratory illness that can spread through person to person The first case of COVID-19 was detected in India in January when WHO declared the novel Coronavirus outbreak as a Public Health Emergency of International concern The cornerstone of the Indian public healthcare system largely depends on the as FLWs (ASHA, AWW and ANM) In India, FLWs (ASHA, AWW and ANM) are the primary frontline workers disseminating measures in the community Their knowledge and practices is therefore important to assess Frontline workers workers are the personnel personnel from state and workers (excluding in central police prison staff, revenue officials engaged containment and grassroots level trained female community workers known awareness and ensuring the recommended preventive
To assess knowledge about COVID19 among the FLWs To assess practices with respect to adherence to COVID 19 appropriate behaviors among the FLWs
Study Design A cross sectional study Study Population ANM, ASHA and AWW ANM (20) ASHA (78) AWW (174) Study Location Chhabra block of Baran, Rajasthan. Data Collection A Google from link was distributed to all the FLWs (ANMs, ASHAs and AWWs) on Whatsapp by the help of BCMO and Lady Supervisor (LS) and the participants were requested to fill the form. Data is collected by interviewing ANM, ASHA and AWW over the phone. Study Design Study Population Study Location Data Collection
Study variables The questionnaire covered demographic details of the FLWs (ANM, ASHA and AWW) like name, age, gender and education Knowledge section consisted of questions about COVID-19 symptoms, mode of transmission,Covid19 appropriate behavior, risk factor, six step of hand washing , normal body temperature, incubation period, range level of oxygen, and basic medicine and prevention. The practice section consisted of 8 questions to understand the implementation of the recommended practices in field during the pandemic. Data Analysis The collected data was compiled and analyzed using Microsoft Office Excel. Study variables vaccine availability Data Analysis
DEMOGRAPHIC DISTRUBUTION OF STUDY PARTICIPANTS DEMOGRAPHIC DISTRUBUTION OF STUDY PARTICIPANTS AGE AWW 43(25%) 67(39%) 37(21%) 27(16%) 174 ASHA 19(24%) 40(51%) 17(22%) 2(3%) 78 ANM 5(25%) 10(50%) 2(10%) 3(15%) 20 AGE 20-30 31-40 41-50 51-60 TOTAL(FLWs) QUALIFICATION QUALIFICATION AWW 70(40%) 54(31%) 40(23%) 10(6%) 174 ASHA 37(47%) 29(37%) 9(12%) 3(4%) 78 ANM 2(10%) 8(40%) 8(40%) 2(10%) 20 10TH 12TH UG PG TOTAL(FLWs)
KNOWLEDGE ANM YES NODON T KNOW 100% 0 100% 0 96% 4% 85% 5% 10 % VARIABLE ASHA NO AWW NO 5% 6% 2% DON T KNOW 0 0 0% 20% 1% 3% 0 45% 6% 0 DON T KNOW 2% 6% 0% 40% 0 8% 3% 41% 10% 4% YES 90% 10% 96% 97% 65% 15% 95% 94% 99% 51% 89% 99% YES 93% 88% 98% 45% 15% 95% 90% 95% 56% 76% 14% 93% COVID-19 symptoms Mode of transmission Covid19 Appropriate Behavior Risk factor six step of hand washing 90% Normal body temperature 100% 0 Incubation period Range level of oxygen vaccine Availability basic medicine and prevention 0 0 0 4% 3% 10% 0 0 0 5% 0 0 4% 4% 1% 4% 5% 1% 5% 2% 2% 3% 95% 5% 85% 100% 0 100% 0 10 % 3%
120% 100% KNOWLEDGE ANM YES 80% 60% KNOWLEDGE ANM NO 40% KNOWLEDGE ANM DON T KNOW KNOWLEDGE ASHA YES 20% 0% Covid Appropriate Range level of basic medicine Mode of Normal body COVID-19 six step of hand Risk factor Incubation period vaccine avaliablity KNOWLEDGE ASHA NO
PRACTICES VARIABLE ANM ASHA AWW DON T KNOW DON T KNOW DON T KNOW YES NO YES NO YES NO Wearing mask 100% 0 0 100% 0 0 99% 0 1% Washing hand regularly 100% practices social distance during MCHN DAY you wash your cloth of your filed work separately 100% 0 0 99% 1% 0% 99% 0% 1% 100% 0 0 99% 1% 0% 99% 0% 1% 0 0 99% 1% 0% 98% 1% 1% Install AAROGYA SETU app 75% 25% 0 82% 18% 0% 73% 23% 4%
practices practices 120% 100% Wearing mask 80% Washing hand regularly 60% practices social distance during MCHN DAY you wash your cloth of your filed work separately Install AAROGYA SETU app 40% 20% 0% YES NO DON T KNOW YES NO DON T KNOW YES NO DON T KNOW ANM ASHA AWW
ANMs had better knowledge than ASHAs and AWWs Knowledge about the COVID related risk factors, oxygen range and vaccine availability was low among ASHAs and AWW (in comparison to ANMs) FLWs adhered to all the appropriate COVID related practices Not all the FLWs had Arogya setu app installed
Reinforcing of targeted messages among ASHAs and AWWs on educating them on specific COVID related protocols Motivate FLWs to install Arogaya Setu app
Technical issue: Some of the FLWs(ASHA,AWW and ANM) had network issue in there area. Community issue and pandemic: During the time of the study, the highest COVID-19 cases were reported. Due to communal riots, Chhabra was under curfew. Therefore, decided to take the online survey. Technical issue:- - Community issue and pandemic:- -
1.Internalize the concepts of management such as healthcare delivery system, strategic planning, HR, marketing, finance and operations 1.Internalize the concepts of management such as healthcare delivery system, strategic planning, HR, marketing, finance and operations 2. Apply knowledge of research and management techniques and functions in an integrated manner in healthcare set up 2. Apply knowledge of research and management techniques and functions in an integrated manner in healthcare set up 3. Use appropriate skills to support healthcare organizations to take informed decision in planning, building and managing healthcare Organizations. 3. Use appropriate skills to support healthcare organizations to take informed decision in planning, building and managing healthcare Organizations. 4. Utilize learning acquired from trainings and practical exposures in real time situations. 4. Utilize learning acquired from trainings and practical exposures in real time situations. 2 3 2 3
