Novel approaches to measuring knowledge among frontline health workers in India: Are phone surveys a reliable option?

Neha Shah, Diwakar Mohan, Smisha Agarwal, Kerry Scott, Sara Chamberlain, Aarushi Bhatnagar, Alain Labrique, Meenal Indurkar, Rajani Ved, Amnesty LeFevre and on behalf of the Kilkari Impact Evaluation Team

PLOS ONE, 2020, vol. 15, issue 6, 1-23

Abstract: Background: In 2017, India was home to nearly 20% of maternal and child deaths occurring globally. Accredited social health activists (ASHAs) act as the frontline for health services delivery in India, providing a range of reproductive, maternal, newborn, child health, and nutrition (RMNCH&N) services. Empirical evidence on ASHAs’ knowledge is limited, yet is a critical determinant of the quality of health services provided. We assessed the determinants of RMNCH&N knowledge among ASHAs and examined the reliability of alternative modalities of survey delivery, including face-to-face and caller attended telephone interviews (phone surveys) in 4 districts of Madhya Pradesh, India. Methods: We carried out face-to-face surveys among a random cross-sectional sample of ASHAs (n = 1,552), and administered a follow-up test-retest survey within 2 weeks of the initial survey to a subsample of ASHAs (n = 173). We interviewed a separate sub-sample of ASHAs 2 weeks of the face-to-face interview over the phone (n = 155). Analyses included bivariate analyses, multivariable linear regression, and prevalence and bias adjusted kappa analyses. Findings: The average ASHA knowledge score was 64% and ranged across sub-domains from 71% for essential newborn care, 71% for WASH/ diarrhea, 64% for infant feeding, 61% for family planning, and 60% for maternal health. Leading determinants of knowledge included geographic location, age

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0234241

DOI: 10.1371/journal.pone.0234241

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