IGNOU PB Bsc Entrance-2023
Community Health Nursing
Easy
All the following are job responsibilities of ASHA worker under NRHM, EXCEPT:
Appeared in: IGNOU PB Bsc Entrance-2023
Explanation
- Conducting a delivery is a skilled clinical procedure that requires specific training to manage the birth process and handle potential complications.
- ASHA workers are community health activists and facilitators; they are not trained or certified as Skilled Birth Attendants (SBAs).
- The responsibility for conducting deliveries lies with clinically trained personnel such as Auxiliary Nurse Midwives (ANMs), Staff Nurses, or Medical Officers.
- While ASHAs play a crucial role in encouraging institutional deliveries and escorting women to facilities, they do not perform the delivery itself.
Why Other Options Were Wrong
- Option A: This is a core responsibility of an ASHA worker. Accompanying pregnant women to health facilities for ANC and delivery is a key part of their role to promote institutional deliveries and ensure women receive timely care.
- Option B: This is a defined task for ASHA workers. They are provided with pregnancy test kits to confirm pregnancies at the community level, which helps in early registration for antenatal care.
- Option C: This is a fundamental role of an ASHA worker. They act as health activists who create awareness and provide information to the community on nutrition, immunization, hygiene, and family planning.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Roles and Responsibilities of ASHA (Accredited Social Health Activist) worker as background academic context rather than a clinical decision trigger.
- Understanding the specific scope of practice for each healthcare worker is critical for patient safety and effective team functioning. Assigning tasks beyond a worker's training, like asking an ASHA to conduct a delivery, can lead to severe adverse outcomes for both mother and baby.
- In the Indian public health system, role clarity between ASHA, Anganwadi Worker (AWW), and Auxiliary Nurse Midwife (ANM) is essential for the successful implementation of maternal and child health programs.
- What if? If an ASHA worker were to conduct a delivery, they would lack the skills to recognize and manage life-threatening complications like postpartum hemorrhage (PPH), birth asphyxia, or eclampsia, leading to increased maternal and neonatal mortality.
How to Approach the Question
- First, identify the keyword 'EXCEPT' in the question stem. This means you need to find the option that is NOT a true responsibility of an ASHA worker.
- Recall the primary role of an ASHA worker. They are community-based 'activists' or 'facilitators,' not clinical practitioners.
- Evaluate each option based on this role. Does the task involve community mobilization, education, and linking to services, or does it require advanced clinical skills?
- Options A, B, and C (accompanying women, using test kits, giving education) are all facilitation and basic health promotion tasks.
- Option D (conducting delivery) is a complex, high-risk clinical procedure requiring specialized training. This is the clear outlier and does not fit the ASHA's role.
- Therefore, 'Conducting delivery' is the correct answer as it is the exception.
Concept Tested & Keywords
- Concept Tested: Roles and Responsibilities of ASHA (Accredited Social Health Activist) worker
- Stem keywords: ASHA worker, NRHM, job responsibilities
- Lead-in keywords: EXCEPT
- Negative lead-in flag: This question uses negative framing ('EXCEPT'), asking you to identify the one option that is NOT a responsibility of an ASHA worker.
Question ID
Q7a_ipAzqwsVegzBc23rJY
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 121-123
E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) pp. 257-259, 259-261
Practise the full IGNOU PB Bsc Entrance-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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