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Study on Quality Assessment of Training of ASHAs & AWWs on Revised Childhood Diarrhea Management in Bihar


  • Anamika Prasad
  • Agency : Training Quality Assessment, Revised Diarrhea Management
  • Objective :
    •   To see the difference between the planned system and actual system, implemented at training venues   
    •  To study the change in awareness level and understanding of service providers on Revised Childhood Diarrhea.
    •    To know the perceptions of health service providers about the quality of training provided to them.


  • Background : The study discusses on the quality assessment of the training conducted by Micronutrient Initiative, in collaboration with Government of Bihar in two districts of Bihar namely Madhepura and Supaul. This training is designed to improve the use of Zinc and ORS as a treatment regime of childhood diarrhea and structured to improve technical and program me management skills to all functionaries in health and ICDS.


  • Methodology :
    • For internal quality assessment monitoring checklist was analyzed which was based on 10 centers visited during training for monitoring. A total of 1219 questionnaires filled by ASHA & AWW were analyzed to see the change in awareness level and understanding, after the training. Also 381 feedback forms were analyzed for the feedback of the participants about quality of training.


  • Findings : During visit to the training centers it was found that all the basic requirements like sitting arrangement, drinking water facility, toilet, lunch etc. were available except for one venue which was just next to the patient ward and toilet. Apart from that the sessions were as per the plan and all the aids designed for the training were used properly.
      After training it was found that the overall change in awareness level among participants was 72.7 percent. 83.2 percent participants opted for right answer. In this training, focus was more on the 3 sections i.e. identification of signs of diarrhea and dehydration, treatment of diarrhea and Interpersonal communication. After analysis the result showed maximum change in the awareness on treatment of diarrhea i.e. 80.6 percent followed by identification of signs of diarrhea and dehydration which was 63.30 percent. 
    Exit feedback forms were filled by 381 participants & these feedback analysis reports was based on the same data. Among the participants 58 percent found the subject of training very good, 36.2 percent found it good while 5.2 percent found the subject average. 58.8 percent of participants told that trainer's knowledge & skill were very good. 24.9 percent rated as it good while 1.3 percent found it average. When asked about the venue, 43.8 percent said very good, 50.4 percent rated as it good while 3.7 percent found it average. About training material, 49.3 percent participants said very good, 36.5 percent found it good while 3.1% marked it average.    
    81.9% of participants liked all the the most liped session No.5 the most followed by session 6 wthich was liped by 65 participants & then session 4, 3, 7, 1, 8, 2 in decreasing interest level. Participants found session 2 (60.6%), session 3 (51.7%) & session 7 (61.9%) difficult. Upon being asked about reasons for difficulty, 69 percent participants told that time for the session was too short & 25.2 percent people told that difficulty was due to new subject/topic.




  • Recommendations : Increase the duration of the training and make it practical. So that retention of the training is more effective


To see the difference between the planned system and actual system, implemented at training venues.