A Study to Assess the Effectiveness of Orientation Programme on Knowledge and Practice Regarding Janani Suraksha Yojna (JSY) and Janani Shishu Suraksha Karyakram (JSSK) among Asha Workers in Selected Block of District Kulgam, Kashmir

Abstract

The study was conducted with an aim to improve the knowledge and Practice of ASHA WORKERS regarding JSY and JSSK , to promote maternal and child health and to encourage ASHA Workers to update their knowledge and practice regarding JSY and JSSK.

Introduction

I. OBJECTIVES

1. To assess the pretest knowledge Score regarding Janani SurakshaYojna (JSY) &Janani Shishu Suraksha Kariyakram (JSSK) among Asha workers.
2. To assess the post test  knowledge  Score regarding the janani suraksha yojna[jsy] and janani shishu suraksha karyakram[jssk] among ASHA workers after the implementation of orientation programme.
3. To assess the effectiveness of orientation programme on knowledge regarding Janani Suraksha Yojna (JSY) &Janani Shishu Suraksha Kariyakram (JSSK) among ASHA workers   by comparing pre &post test knowledge score among Asha workers.
4. To assess the pre test  practice scores regarding JSY and JSSK among asha workers
5. To assess the post test practice scores regarding JSY and JSSK among Asha workers after implementation of orientation programme
6. To determine association between pretest knowledge among Asha workers with their selected demographic variables e.g age, educational status,Years of experience , trainings received,family income, etc
7. To determine association between pre test practice scores  regarding JSY and JSSK among Asha workers with there selected demographic variables. E.g. age,parity,educational qualification,inservice training.etc
8. To determine correlation between knowledge and practice regarding JSY and JSSK among Asha workers.

II. HYPOTHESES

1. H1: There is significant increase in   mean post-test knowledge scores as compared to mean pretest knowledge scores of Asha workers regarding Janani Suraksha Yojna (JSY) & Janani Shishu Suraksha Kariyakram (JSSK) at 0.05 levels of significance.
2. H2: There is significant increase in the post test practice score levels as compared to pre test practice score  regarding JSY and JSSK among Asha workers. 
3. H3: There is significant association between the pretest knowledge scores of ASHA workers regarding Janani Shishu Suraksha Kariyakram (JSSK) &Janani Suraksha Yojna (JSY) with their selected demographic variables. e.g age, educational status,Years of experience , trainings received, family income, etc  at 0.05 level of significance
4. H4: There is significant association between the pre test practice scores regardind JSY and JSSK among Asha workers with their selected demographic variables e.g  age, educational status, Years of experience , trainings received, family income etc. at 0.05 level of significance 
5. H5: There is significant correlation  between the knowledge and practice scores regarding JSY and JSSK among Asha workers

III. METHODOLOGY

A pre -experimental one group pre test and post-test design was used for the study in order to evaluate The Effectiveness Of Orientation Programme  On Knowledge And Practice Regarding Janani Suraksha Yojna (JSY) And Janani Shishu Suraksha Karyakram (JSSK)  Among Asha Workers In Selected Block Of District Kulgam  Kashmir”

Simple Random Sampling technique was used for selection of 80 ASHA Workers from accessible population. The prepared tool (structured interview schedule ) and intervention (orientation Programme) was validated by a panel of experts. Pre-testing of the tool and Intervention was done to check them for the clarity and feasibility. Pilot study was conducted on ASHA Workers other than the study sample to assess the feasibility of the study. The main study was conducted from 13th March to 21st April. Pre-test was done on a group of  5/6 subjects per day by administering structured interview schedule  followed by Planned orientation  Programme on the same day and on day 6th/7th post-test was conducted by using same interview schedule. The data collected was analyzed by using descriptive and inferential statistics.

IV. RESULTS

In the present study, out of 80 study subjects the  pre-test knowledge score  showed   most  of the subjects 55(68.8%) had moderate level of knowledge regarding JSY, 25(31.3%) of subjects have adequate level of knowledge, 0(0%) I,e none of study subjects had  inadequate knowledge regarding JSY.

While as out of 80 study subjects most of the study subjects 67(83 .8%) had moderate level of knowledge regarding JSSK, 13(16.3%) of subjects have adequate  level of knowledge,and none of the study subjects have inadequate knowledge regarding JSSK

In the present study, in pre-test out of 80 study subjects , most of study subjects  44(55%)  had good Practice score, 36 (45% ) of them had average Practice and 0%  ie  none had  poor Practice regarding JSY and   JSSK

Where as in post-test score out of 80 study subjects  showed  that maximum of the study subjects 80(100%) had adequate level of knowledge regarding JSY,so none of (0%) of study subjects had inadequate and moderate level of knowledge  regarding JSY While as  post test knowledge score  out of 80  study subjects  maximum ie 80(100%) had adequate knowledge and 0(0%) had Inadequate knowledge  and Moderate knowledge regarding JSSK.

Where as in In the present study, post  test  practice score showed  that majority of subjects 100% had  good Practice, and  none ie 0% of the subjects had average and poor Practice regarding JSY and  JSSK.

The mean post-test knowledge score (20.99.±0.739) of the study subjects on JSY is significantly higher than that of the mean pre-test knowledge level (13.88±1.753) at 0.05 level of significance. while as the mean post-test knowledge level (12±0.764) of the study subjects on JSSK is also significantly higher than that of the mean pre-test knowledge level (7.88±0.786) at 0.05 level of significance

Where as the mean post-test practice scores  (26.50±1.013) of the study subjects on JSY and JSSK is significantly higher than that of the mean pre-test practice scores  (19.59±1.862) at 0.05 level of significance. This indicates the effectiveness of the orientation Programme in increasing the knowledge score  of  ASHA Workers regarding JSY and JSSK.

There was  no  statistically significant association between  pretest knowledge level of  study subjects with their selected demographic variables such as age in years, training received, years of experience as ASHA , whereas significant association was found with the educational status and monthly family income of the  study subjects at level p<0.05.                            

Conclusion

The findings of the study concluded that ASHA Workers were not possessing adequate knowledge regarding JSY and JSSK . The Orientation Programme was found effective in increasing the knowledge level of study subjects, hence there was dire need to educate them regarding JSY and JSSK.

Copyright

Copyright © 2023 Ulfat Gulzar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.