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| Capacity
Building/Training : |
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| Workshop on “Attitude, Knowledge, Skills and Community Practices in Newborn
Care and Gender Bias Amongst Traditional Birth Attendants (TBA) and Anganwadi
Workers” |
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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 –
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Gender bias and deteriorating sex ratio |
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Traditional practices of the community during pregnancy,
delivery and neonatal care at birth and subsequently |
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Pregnancy care, identification of at risk pregnancy, and |
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Essential Newborn care. |
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| Hundred TBAs and 100 AWWs participated at the
workshop each day. |
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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. |
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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. |
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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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