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HP CHO -9 October 2022
Community Health Nursing
Medium

With reference to National Rural Health Mission, which of the following is not the job of ASHA?

Appeared in: HP CHO -9 October 2022

Explanation

  • Conducting a baby's delivery is a skilled medical procedure that requires specific clinical training which ASHAs do not receive.
  • The primary role of an ASHA regarding childbirth is to promote institutional deliveries, meaning delivery at a health facility by a skilled birth attendant (like a doctor or ANM).
  • ASHAs are trained to counsel on birth preparedness and accompany the pregnant woman to the hospital, but not to manage the labor and delivery process themselves.
  • This distinction is a key patient safety measure within the public health system to reduce maternal and infant mortality.

Why Other Options Were Wrong

  • Option A: This is a core responsibility of an ASHA. She acts as a link and escort to ensure pregnant women can access health facilities for their antenatal check-ups.
  • Option B: This is a function of an ASHA. They are provided with simple tools like 'Nischay' pregnancy test kits to identify pregnancies early in the community, allowing for timely antenatal care registration.
  • Option C: This is a fundamental part of an ASHA's job. She is a health activist responsible for creating awareness and providing information on crucial health topics like nutrition, hygiene, and immunization.

Related Visual

Visual explanation — 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 under NRHM 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 in the community.
  • Nurses often work closely with ASHAs and ANMs. Knowing their distinct roles helps in proper delegation, supervision, and collaboration to improve community health outcomes.
  • The ASHA program is a cornerstone of India's strategy to reduce Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) by promoting skilled care at birth.
How to Approach the Question
  • First, identify the keywords in the question: 'ASHA' and 'not the job'. The negative framing is crucial.
  • Recall the primary function of an ASHA. She is a community-based 'activist' or 'link worker', not a clinically trained nurse or doctor.
  • Evaluate each option based on this primary function.
  • Options A, B, and C (accompanying, using test kits, providing information) are all related to facilitation, education, and basic screening, which fit the role of a link worker.
  • Option D (conducting delivery) is a complex clinical procedure requiring specialized skills.
  • Conclude that the clinical procedure is outside the scope of a community activist's role, making it the correct answer for a 'not' question.
Concept Tested & Keywords
  • Concept Tested: Roles and Responsibilities of ASHA under NRHM
  • Stem keywords: National Rural Health Mission, ASHA, job
  • Lead-in keywords: not
  • Negative lead-in flag: Question asks for the task that is NOT a part of the ASHA's job.

Question ID

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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. 259-261, 257-259

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