Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study

Background: Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immuniz...

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Autores principales: Jain, Anoop, Walker, Dilys M., Avula, Rasmi, Diamond-Smith, Nadia, Gopalakrishnan, Lakshmi, Menon, Purnima
Formato: Journal Article
Lenguaje:Inglés
Publicado: BMC 2020
Materias:
Acceso en línea:https://hdl.handle.net/10568/142366
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author Jain, Anoop
Walker, Dilys M.
Avula, Rasmi
Diamond-Smith, Nadia
Gopalakrishnan, Lakshmi
Menon, Purnima
author_browse Avula, Rasmi
Diamond-Smith, Nadia
Gopalakrishnan, Lakshmi
Jain, Anoop
Menon, Purnima
Walker, Dilys M.
author_facet Jain, Anoop
Walker, Dilys M.
Avula, Rasmi
Diamond-Smith, Nadia
Gopalakrishnan, Lakshmi
Menon, Purnima
author_sort Jain, Anoop
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women and children in their catchment area, while maintaining detailed registers that track key beneficiary data, updates on health status, and supply inventory beneficiaries. There is a need to understand how AWWs spend their time on all of these activities given all of their responsibilities, and the factors that are associated with their time use. Methods: This cross-sectional study conducted in Madhya Pradesh, collected time use data from AWWs using a standard approach in which we asked participants how much time they spent on various activities. Additionally, we estimated a logistic regression model to elucidate what AWW characteristics are associated with time use. Results: We found that AWWs spend substantial amounts of time on administrative tasks, such as filling out their paper registers. Additionally, we explored the associations between various AWW characteristics and their likelihood of spending the expected amount of time on preschool work, filling out their registers, feeding children, and conducting home visits. We found a positive significant association between AWW education and their likelihood of filling out their registers. Conclusions: AWWs spend substantial amounts of time on administrative tasks, which could take away from their ability to spend time on providing direct care. Additionally, future research should explore why AWW characteristics matter and how such factors can be addressed to improve AWWs’ performance and should explore the associations between Anganwadi Center characteristics and AWW time use.
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spelling CGSpace1423662024-10-25T07:55:35Z Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study Jain, Anoop Walker, Dilys M. Avula, Rasmi Diamond-Smith, Nadia Gopalakrishnan, Lakshmi Menon, Purnima time study health modelling anganwadi workers (awws) preschool education children working hours feeding workers health care women Background: Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women and children in their catchment area, while maintaining detailed registers that track key beneficiary data, updates on health status, and supply inventory beneficiaries. There is a need to understand how AWWs spend their time on all of these activities given all of their responsibilities, and the factors that are associated with their time use. Methods: This cross-sectional study conducted in Madhya Pradesh, collected time use data from AWWs using a standard approach in which we asked participants how much time they spent on various activities. Additionally, we estimated a logistic regression model to elucidate what AWW characteristics are associated with time use. Results: We found that AWWs spend substantial amounts of time on administrative tasks, such as filling out their paper registers. Additionally, we explored the associations between various AWW characteristics and their likelihood of spending the expected amount of time on preschool work, filling out their registers, feeding children, and conducting home visits. We found a positive significant association between AWW education and their likelihood of filling out their registers. Conclusions: AWWs spend substantial amounts of time on administrative tasks, which could take away from their ability to spend time on providing direct care. Additionally, future research should explore why AWW characteristics matter and how such factors can be addressed to improve AWWs’ performance and should explore the associations between Anganwadi Center characteristics and AWW time use. 2020-12-01 2024-05-22T12:10:23Z 2024-05-22T12:10:23Z Journal Article https://hdl.handle.net/10568/142366 en Open Access BMC Jain, Anoop; Walker, Dilys M.; Avula, Rasmi; Diamond-Smith, Nadia; Gopalakrishnan, Lakshmi; Menon, Purnima; et al. 2020. Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study. BMC Health Services Research 20: 1130. https://doi.org/10.1186/s12913-020-05857-4
spellingShingle time study
health
modelling
anganwadi workers (awws)
preschool education
children
working hours
feeding
workers
health care
women
Jain, Anoop
Walker, Dilys M.
Avula, Rasmi
Diamond-Smith, Nadia
Gopalakrishnan, Lakshmi
Menon, Purnima
Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title_full Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title_fullStr Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title_full_unstemmed Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title_short Anganwadi worker time use in Madhya Pradesh, India: A cross-sectional study
title_sort anganwadi worker time use in madhya pradesh india a cross sectional study
topic time study
health
modelling
anganwadi workers (awws)
preschool education
children
working hours
feeding
workers
health care
women
url https://hdl.handle.net/10568/142366
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