Knowledge and Attitude of ASHA workers in prevention of Early Childhood caries: A cross sectional study
Original Article
DOI:
https://doi.org/10.56501/intjcommunitydent.v11i2.907Keywords:
ECC, ASHA workers, Dental CariesAbstract
Introduction:
Accredited social health activists (ASHAs) are government instituted community health workers as part of the National Rural Health Mission. The purpose of this study was to assess the knowledge and attitude of ASHAs regarding Early Childhood caries.
Methods:
A cross sectional survey was carried out among 190 ASHA workers. A self-constructed, 15 items, close-ended questionnaire based on the dental knowledge and the attitude of dental health was translated into regional language using a standardized translation process. The Questionnaire was distributed at the monthly review meeting held at Primary Health centres and their response was taken. The data was analysed and compared on basis on their educational level. The data were analysed by SPSS Version 24.
Results:
The content validity index of the questionnaire was 0.75 and the face validity was 3.2. The internal consistency was assessed with a Cronbach’s alpha coefficient and was found to be 0.876. Test–retest reliability is 0.8. The correct responses on knowledge of participants is 55.76% and for the attitude towards child oral health is 74.76%. Study also showed ASHA workers have poor knowledge about first dental visit and oral hygiene maintenance in children (p < 0.05). No statistical difference in knowledge and attitude of ASHA based on their educational level was noticed
Conclusion:
The ASHA workers have only satisfactory knowledge about ECC but their attitude toward the Child Oral Health is good. Therefore training and motivation can help in educating them for preventive community programmes for ECC.
References
Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, Listl S, Celeste RK, Guarnizo-Herreño CC, Kearns C, Benzian H, Allison P, Watt RG. Oral diseases: a global public health challenge. Lancet. 2019 Jul 20; 394(10194): 249-260.
Ganesh A, Muthu MS, Mohan A, Kirubakaran R. Prevalence of Early Childhood Caries in India - A Systematic Review. Indian J Pediatr. 2019 Mar; 86(3): 276-286
Colak H, Dülgergil CT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013 Jan; 4(1): 29-38.
Northridge ME, Kumar A, Kaur R. Disparities in Access to Oral Health Care. Annu Rev Public Health. 2020 Apr 2;41:513-535.
Singh O, Pradhan D, Sharma L, Srivastava R. Oral health knowledge, attitudes and practices of primary healthcare workers of Lucknow district: A cross-sectional study. J Family Med Prim Care. 2022 Feb;11(2):520-525.
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. Hum Resour Health. 2019 Dec;17(1):68.
Jeji H, Singh H. A study on the role of asha workers in health communication for cancer awareness among rural women. Asian Journal Of Multidimensional Research. 2021;10(7):7-12.
Miglani S. Burden of Dental Caries in India: Current Scenario and Future Strategies. Int J Clin Pediatr Dent. 2020 Mar-Apr;13(2):155-159
Lahariya C. Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward. Indian J Pediatr. 2020 Nov;87(11):916-929.
Malhotra S, Mohanty V, Balappanavar AY, Gupta V, Kapoor S, Kapoor S. Stakeholder perspectives on the integration of oral health into national health schemes: A mixed-method study research design in Delhi, India. Journal of Family Medicine and Primary Care. 2021 Apr;10(4):1649.
https://nhsrcindia.org/sites/default/files/2021-12/Oral%20Care%20Training%20Manual%20for%20ASHA.pdf Accessed on 18 August 2023
Ayre C, Scally AJ. Critical values for lawshe’s content validity ratio: revisiting the original method calculation. Measurement and Evaluation in Counseling and Development. 2014 Jan;47(1):79–86.
Godhi BS, Kaul S, Shanbhog R. Knowledge, attitude, and practices of grassroot health workers about early childhood caries. Public Health Nurs. 2021 Sep;38(5):913-919.
Vinnakota NR, Sanikommu S, Ahmed Z, Sha SK, Boppana NK, Pachava S. Is accredited social health activists' basic oral health knowledge appropriate in educating rural Indian population?. Indian Journal of Dental Research. 2017 Sep 1;28(5):503.
Klein MI, Flório FM, Pereira AC, Höfling JF, Gonçalves RB. Longitudinal study of transmission, diversity, and stability of Streptococcus mutans and Streptococcus sobrinus genotypes in Brazilian nursery children. J Clin Microbiol. 2004 Oct;42(10):4620-6.
Damle SG, Yadav R, Garg S, Dhindsa A, Beniwal V, Loomba A, Chatterjee S. Transmission of mutans streptococci in mother-child pairs. Indian J Med Res. 2016 Aug;144(2):264-270.
Sreedharan A, Faizal CP, Chandru TP. Feeding practices and prevalence of early childhood caries among preschool children in urban and rural areas of Kannur district. Int J Dent Res. 2016;4:11-5.
Nowak AJ, Casamassimo PS. Using anticipatory guidance to provide early dental intervention. J Am Dent Assoc. 1995 Aug;126(8):1156-63.
Ramos-Gomez F, Jue B, Bonta CY. Implementing an infant oral care program. J Calif Dent Assoc. 2002 Oct;30(10):752-61.
Elidrissi SM, Naidoo S. Prevalence of dental caries and toothbrushing habits among preschool children in Khartoum State, Sudan. International dental journal. 2016 Aug 1;66(4):215-20.
American Academy of Pediatric Dentistry: guideline on infant oral health care. Pediatr Dent. 2014;36(6(1)):1141–1145
Meera R, Muthu MS, Phanibabu M, Rathnaprabhu V. First dental visit of a child. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2008 Oct 1;26(6):68-71
Drummond BK, Meldrum AM, Boyd D. Influence of dental care on children's oral health and wellbeing. British Dental Journal. 2013 Jun 8;214(11):E27.
Peedikayil FC. Role of paediatricians in oral disease prevention. Karnataka Paediatric Journal. 2023 Mar 8;37(3):73-8.
Kotha SB. Lift the lip: a screening guide among the dental professionals. Frontiers in Oral Health. 2023 Aug 3;4:1177251.
Wichterich C. Protection and Protest by “Voluntary” Community Health Workers. Historical Social Research/Historische Sozialforschung. 2021 Jan 1;46(4):163-88.
Medeiros PB, Otero SA, Frencken JE, Bronkhorst EM, Leal SC. Effectiveness of an oral health program for mothers and their infants. Int J Paediatr Dent. 2015 Jan;25(1):29-34.
Khanna SR, Rao D, Panwar S, Ameen S. Impact of oral hygiene training to Anganwadi and Accredited Social Health Activist workers on oral health of young children in tribal regions of Rajasthan State, India. J Indian Soc Pedod Prev Dent. 2021 Oct-Dec;39(4):429-435.
Peedikayil FC, Ansari A. Dental caries prevalence of children in Kerala: A paradigm shift needed toward a Kerala model of health. International Journal of Community Dentistry. 2019 Jul 1;7(2):29.
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Copyright (c) 2023 Ashwini Cheruthottathil, Faizal C Peedikayil, Adarsh Mohan, Tony Varghese, Meenu Sara Manuel
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