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Capacity Building/Training :
 
Workshop on “Attitude, Knowledge, Skills and Community Practices in Newborn Care and Gender Bias Amongst Traditional Birth Attendants (TBA) and Anganwadi Workers”
 

The workshop on “Attitude, Knowledge, Skills and Community Practices in Newborn Care and Gender Bias Amongst Traditional Birth Attendants (TBA) and Anganwadi Workers” was organized on February 15-16, 2005 at Sunderlal Jain Hospital, Ashok Vihar, New Delhi. The workshop was a collaborative effort of the National Neonatology Forum, the Population Foundation of India, Sunderlal Jain Charitable Eye Hospital Trust by the Center for Newborn Care, Department of Paediatrics, S L Jain Hospital Delhi and the National Neonatalogy Forum. The workshop discussed issues like –

   
Gender bias and deteriorating sex ratio
Traditional practices of the community during pregnancy, delivery and neonatal care at birth and subsequently
Pregnancy care, identification of at risk pregnancy, and
Essential Newborn care.
 
Hundred TBAs and 100 AWWs participated at the workshop each day.
 

Four social workers of SL Jain Hospital visited the TBAs who are actively practising the profession in the slums of Jahangipuri, Wazirabad, Ashok Vihar and neighbouring areas. Each TBA was explained the purpose of the workshop and asked about their interest to undergo the training. A written acceptance to attend the workshop was obtained from the TBAs. The social worker had administered the test verbally on preset written questions and recorded the answers from the TBAs. 79.5% of TBAs had misconceptions on MTP as a cause of decreasing female ratio and 87.2% were aware that pre-natal sex determination was an offence. Majority of the TBAs were aware of the need for keeping the room and baby warm and used traditional practices. Only 16% used tactile stimulus for feeble or delayed cry. Others used unacceptable methods for resuscitation and reviving the infants. 87.8% recommended breast feeding within the first 2 hours of birth.

 

Ninety two percent of AWWs considered MTP as a reason for deteriorating sex ratio and 91% considered pre-natal sex determination as criminal offence. They had no knowledge about resuscitation or harmful practices. Sixteen percent advised prelactal feed while 97% advised bathing on the first day. The knowledge on keeping the infant warm was limited.

 

The workshop laid emphasis on demonstrating neonatal care in addition to discussion on safe motherhood and gender imbalance and inequities. It was felt that more such workshops need to be conducted for TBAs and AWWs who are the frontline healthcare providers in communities.

 
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