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| ASHA workers fail to enlist anemia cases during pregnancies across state | | Wrong implementation, communication gap to be main reasons | | Mudasir Tariq
Early Times Report
SRINAGAR, Feb 10: The state government's plan to engage Accredited Social Health Activists (ASHA) workers to list and follow up the anemia cases during pregnancies has fallen flat owing to the improper implementation and poor response.
The state government in its recently prepared State Programme Implementation Plan 2014-15 had asked (ASHA) workers to line list and follow up anemia cases and high risk pregnancies under the National Rural Health Mission (NRHM), but lackadaisical approach on part of the workers and high ups is hindering the process.
Sources in the health department reveal said even after proposed incentives for ASHA workers to carry on the task, only a small proportion of the anemia related cases have been taken up and that too have been left halfway owing to poor follow-up strategy.
"Among thousands of cases reported just a few hundreds have been enlisted. There is communication gap between the high ups and ASHA workers that isn't working well on the ground. The capturing of data is also not up to the mark," said sources adding that there were many hurdles in proper follow up of the anemic and high risk pregnancy cases.
While the activity had been proposed to reduce severe anemia during pregnancy and ASHA workers would help in line listing of severe anaemic women at sub-centre and primary health centre level. Owing to the poor health care facilities at these centers the expecting women are reportedly showing a reduced response.
"Everyone is fully aware about the health care facilities at Pubic Health centers and Sub centers. They lack basic amenities; nobody wants to compromise when it comes to health. Even though these workers toil hard to convince patients still they don't follow," said Sumaya Khan, an expectant mother.
Pertinently, the plan has proposed an incentive of Rs. 100 for an ASHA worker for tracking a severe anemia and high risk pregnancy case. The state government had also approved two skill labs under the performance improvement plan to upgrade the skills of healthcare providers and enhance their capacity to provide quality reproductive, maternal, neonatal and child health services, leading to the improved health outcomes.
Meanwhile, heath experts believe that such kind of plans will continue to show a poor response until the overall health care sector is not developed. "The government run hospitals in the state even fails to provide free folic acid tablets to those women, what health care they are talking about. Unless and until the health facilities do not get up to date in the state these programmes will continue prove to be a failure," said Dr Suhail Raza, a Physician. |
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