Comparative Study To Determine Role Of ASHA Workers In Reduction Of Anxiety And Increasing Utilization Of Antenatal Services Among Pregnant Women
DOI:
https://doi.org/10.69980/ajpr.v28i5.492Keywords:
ASHA workers, Antenatal Care, pregnancy, maternal healthcare, anxiety levels, rural healthcare, healthcare utilization, cross-sectional study.Abstract
Introduction: This cross-sectional comparative study aims to investigate the impact of Accredited Social Health Activists (ASHA) on stress levels and Antenatal Care (ANC) service utilization among pregnant women in a rural village of Maharashtra. With a focus on enhancing maternal healthcare, ASHA workers' influence on ANC services and anxiety levels is explored.
Methodology: Conducted over 60 days in May-June 2023, the study involves 130 pregnant mothers, divided into two groups: those supported by ASHA workers (Group A) and those accessing healthcare facilities directly (Group B). A pretested questionnaire and the State-Trait Anxiety Inventory (STAI) assess socio-demographics, ANC service utilization, and anxiety levels among participants.
Results: Statistical analyses reveal significant associations between ASHA engagement and increased ANC service utilization among pregnant women. While stress levels did not show statistical significance, a trend towards lower stress among ASHA-supported individuals is observed.
Conclusion: The findings emphasize the pivotal role of ASHA workers in enhancing ANC service utilization among pregnant women. Although stress levels did not yield significant differences, the trend highlights potential benefits of ASHA support. Further research with larger samples and refined methodologies is advocated to deepen understanding in this domain.
References
1. Downe S, Finlayson K, Tunçalp Ö, Gülmezoglu AM. Provision and uptake of routine antenatal services: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2019 Jun 12;2019(6):CD012392.
2. Ogbo FA, Dhami MV, Ude EM, Senanayake P, Osuagwu UL, Awosemo AO, et al. Enablers and Barriers to the Utilization of Antenatal Care Services in India. Int J Environ Res Public Health. 2019 Sep;16(17):3152.
3. Mishra A. The role of the Accredited Social Health Activists in effective health care delivery: evidence from a study in South Orissa. BMC Proc. 2012 Jan 16;6(Suppl 1):P1.
4. Kalne PS, Kalne PS, Mehendale AM. Acknowledging the Role of Community Health Workers in Providing Essential Healthcare Services in Rural India-A Review. Cureus. 14(9):e29372.
5. Kaur M, Oberoi S, Singh J, Kaler N, Balgir RS. Assessment of knowledge of ASHA workers regarding MCH services and practices followed by mothers – A field study. Journal of Family Medicine and Primary Care. 2022 Dec; 11(12):7863.
6. Agarwal S, Curtis SL, Angeles G, Speizer IS, Singh K, Thomas JC. The impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: a nationally representative longitudinal modelling study. Human Resources for Health. 2019 Aug 19;17(1):68.
7. JULIAN LJ. Measures of Anxiety. Arthritis Care Res (Hoboken). 2011 Nov;63(0 11):10.1002/acr. 20561.
8. Nl B, K, P J, K R, A K, R S, et al. The association between social support through contacts with Accredited Social Health Activists (ASHAs) and antenatal anxiety among women in Mysore, India: a cross-sectional study. Social psychiatry and psychiatric epidemiology [Internet]. 2020 Oct [cited 2023 Nov 18];55(10). Available from: https://pubmed.ncbi.nlm.nih.gov/32146484/
9. Nadella P, Subramanian SV, Roman-Urrestarazu A. The impact of community health workers on antenatal and infant health in India: A cross-sectional study. SSM - Population Health. 2021 Sep 1;15:100872.
10. Paul PL, Pandey S. Factors influencing institutional delivery and the role of accredited social health activist (ASHA): a secondary analysis of India human development survey 2012. BMC Pregnancy Childbirth. 2020 Dec;20(1):1–9.
11. Patil S, Sankhe L, Rajguru C, Hatanapure M. Understanding the factors influencing home deliveries in Malegaon Corporation, Maharashtra: an observational study. Int J Med Public Health. 2024 Dec;14(4):170. doi:10.70034/ijmedph. 2024.4.170.
12. Patil SP, Shetye S, Akhade P, Chavan SS, Pagar V, Kinge A, Hatanapure M, Doibale MK. Incidence and management of adverse events following immunization in a tertiary care hospital in Maharashtra: insights from the Universal Immunization Program. Int J Pharm Clin Res. 2024 Aug;16(8):314–318. doi:10.18203/IJPCR.16.8.2024.314 318.
13. Akhade PN, Chavan SS, Swamy R. A cross-sectional study of the morbidity profile among the geriatric population in a district of Maharashtra. Int J Pharm Clin Res. 2023 Dec;15(11):1252–1255. doi:10.70034/ijmedph.2023.15.11.1252 1255.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.