Objective : To
assess the role of the Yashoda within followingparameters:
Creating a comfortable environment for the
pregnant women and
recently delivered mothers
initiation of breastfeeding within one hour and stay at health facility for 48
hours. Present as a support to the pregnant women
Ensuring immunization of the newborns
danger signs in mothers and newborns and their referral
To understand the linkage of Yashoda with ASHA
Background : With
an inspiration from Yashoda in the Mahabharata,Norway India Partnership
Initiative (NIPI), launched “Yashoda Scheme” in order to enable India to attain
the Millennium Development Goal 4. NIPI's objective through this approach is to
provide up-front, catalytic and strategic support to improve child health and
related maternal health service delivery quality and access.
main roles include providing congenial environment to the mother, newborn and
mother care, post delivery care, counseling and motivation to the mothers.
Yashoda serves as a complementary support to both clinical staff and woman at
Methodology : To
evaluate the effectiveness of Yashodas the studyobjectives were broadly
divided into four crosscutting components of Maternal and Neonatal care viz.
Service component, Counseling component, Support component and Reduction of
Workload of ASHA.
study was carried out in 16 districts of Orissa with a sample of 404
respondents (81 ASHAs, 162 beneficiaries, 81 Yashodas and
health care providers) for functional role analysis of Yashodas. A total of 24
respondents were selected for finding qualitative and outcome related findings
for the same. The study methodology consisted of a progressive mix of
qualitative and quantitative data collection. For quantitative component of
study the respondent groups were Yashodas, recently delivered mother
(beneficiaries), service providers and ASHAs. For qualitative part the
respondents identified were district and block child health managers and key
community members (AWW, PRI leader, VHSC member).
Findings : Socio-demographic
profile of Yashoda: In order to analyse the socio-cultural determinants of
Yashoda's work, a basic profile was prepared. According to which majority of
Yashodas belonged to general category with a minor representation from SC, ST
& OBC. At the time of the study, It was found that most of the Yashodas
were in the age group of 25–35 years and so were the newly recruited ones.
Marital status query reflected that almost all of the Yashodas were married
some were divorced/widowed also. With regard to the distance travelled by a
Yashoda from her home to the facility, an average distance of 1.5 Kms. was
Recommendations : The study findings
show that thourgh Yashodaswere providing services along the lines of
their designated roles & responsibilities to a large extent yet an
effective capacity building framework to deliver quality services is required
to achieve long term goals of maternal & newborn health care.
Counseling for initiation of breastfeeding within one hour and stay at health facility for 48 hours. Present as a support to the pregnant women during delivery