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Comparative Study to Find Out Gap in the Knowledge (Regarding Neonatal and Childhood Illnesses) of ANMs and AWWs Working in Urban Areas of Junagadh who are not Trained in IMNCI and ANMs and AWWs Working in Visavadar Block who are Trained in IMNCI


  • Shubhangi Shinde
  • Agency : IMNCI, Knowledge, Health Workers, ANMs, AWWs
  • Objective : Not Available
  • Background : IMNCI implementation has not been started in urban area of Junagadh. To start its implementation, training need to be conducted. In order to start the implementation IMNCI in urban area & to conduct the training, current knowledge (regarding management of neonatal & childhood illnesses) of ANMs & AWWs in urban area needs to be assessed Objective: To find out knowledge gap (regarding management of neonatal & childhood illnesses) of ANMs & AWWs working in urban slum areas and ANMs & AWWs in Visavadar block.
  • Methodology : The study was analytical cross sectional. The comparison was done about knowledge regarding identifying & reporting neonatal & childhood illnesses & deaths of infants & children. The comparison was done in between the health workers working in urban area where IMNCI training was not given & health workers working in rural area (IMNCI trained block). All ANMs in urban area were included in the study and AWWs in urban area were selected by simple random method. ANMs & AWWs in urban area were selected by multistage sampling. Schedules were prepared for interviews of workers. Data source used was primary as well as secondary
  • Findings : Underreporting of illnesses & absolute no reporting on infant & children deaths. Knowledge regarding various components of IMNCI is very less in urban workers. Urban workers donít even have basic knowledge about immunization, exclusive breastfeeding etc. Knowledge about grading children for malnutrition & vitamin A supplementation is quite good in both rural & urban workers.
  • Recommendations : IMNCI training is need of the hour. Urgent training should be given to all the workers, so that reporting of all the illnesses and deaths will start in urban area also. After this training, refresher training on periodic basis should be given. Regular supervision by supervisors for regular home visits should be there. Medical officers should arrange regular meetings with health workers in which ANMs should be told their responsibilities like about home visits. He should guide workers to plan IEC/BCC activities. For rural workers refresher training should be given to workers about basic things like classification, danger signs in a sick child etc. Medical officers should arrange regular meetings with health workers to guide them to plan IEC/BCC activities. Proper conveyance should be arranged, so that tendency of referrals will increase.
IMNCI implementation has not been started in urban area of Junagadh