Integrated child development scheme (ICDS) was launched in 1975 in India
[1]. The ICDS services, which include supplementary nutrition, preschool
education, immunization, health check-ups, health education and referral
services, are delivered by Anganwadi worker. In view of the
increased burden on them, the performance of Anganwadi worker has
been under scrutiny. We conducted this cross-sectional exploratory study
to assess the performance of Anganwadi workers in selected
Anganwadi centers of a North Indian city. Permission from Social
Welfare Department and ethical approval from Institute Ethical Committee
were obtained.
Fourteen Anganwadi workers and 100 ICDS
beneficiaries were chosen as a sample of convenience. Tools used for
data collection were performance appraisal checklist to appraise the
performance of Anganwadi workers, and interview schedule to
assess the satisfaction level of ICDS beneficiaries. Observation and
interview were the techniques used for data collection. A total of 24
observations were made from selected Anganwadi centers.
Beneficiaries were interviewed in their houses. The collected data were
analyzed using SPSS 16.0.
TABLE I Performance of Anganwadi Workers in Different Activities of ICDS (N= 14)
Activity |
Poor
|
Average |
Good
|
Rapport building |
- |
- |
14 |
Area
mapping |
14 |
- |
- |
Supplementary nutrition |
- |
13 |
1 |
Growth monitoring |
- |
7 |
07 |
Referral services* |
- |
- |
- |
Immunization |
01 |
1 |
12 |
Health and nutrition education |
03 |
4 |
07 |
Treatment of minor illness* |
- |
- |
- |
Preschool education |
02 |
7 |
05 |
Services for adolescent girls |
03 |
3 |
08 |
Services for pregnant mothers |
05 |
8 |
01 |
Services for postnatal mothers** |
04 |
2 |
- |
Record maintenance |
- |
- |
14 |
Home visit |
10 |
- |
04 |
*No case reported
during the study period; **only 6 Anganwadi centers were having
postnatal mothers in the respective area. |
Performance of the Anganwadi workers is
presented in Table I. They were good in rapport building
and record maintenance. All the Anganwadi workers performed
poorly in area mapping, and ten of them were poor in home visits.
Majority (85) of beneficiaries were satisfied with the services provided
by Anganwadi workers. Satisfaction level was highest with
referral services, preschool education and services for adolescents (Table
II).
TABLE II Satisfaction Level of Beneficiaries with Services Provided by Anganwadi Workers (N= 100)
ICDS services |
Level of satisfaction
|
|
Dissatisfied |
Uncertain |
Satisfied |
General aspects* |
5 |
4 |
91
|
Supplementary nutrition |
7 |
10 |
83 |
Preschool education |
5 |
2 |
93 |
Health education |
26 |
10 |
64 |
Immunization |
9 |
4 |
87 |
Health check up |
19 |
13 |
69 |
Referral services |
- |
- |
100 |
SABLA |
6 |
- |
94 |
Average |
10 |
05 |
85 |
The performance of Anganwadi workers was rated
as poor only in two of the activities: home visiting and area mapping.
This might be due to lack of time available with the workers as more
time was spent in other activities. In Maharashtra, the maximum monthly
time spent by Anganwadi workers was for preschool education (48
hours), followed by record keeping (30 hours) and home visits (29.7
hours) [2]. About half of AWWs were rated as good in growth monitoring
but half of them performed average. Earlier study from Punjab also
showed that Anganwadi workers’ performance was poor in weighing [2].
Another study conducted in Maharashtra showed that majority of
beneficiaries were fairly satisfied with the services provided by
Anganwadi workers [3].
The performance of Anganwadi workers in
field-based activities should be emphasized, and in-service education
activities should be planned to improve their performance in deficient
areas.
References
1. National Institute of Public Cooperation and Child
Development. Handbook for Anganwadi workers; 2006. Available
from: http://nipccd.nic.in/syllabi/eaw.pdf. Accessed
February 10, 2015.
2. National Institute of Public Cooperation and Child
Development. Research on ICDS An Overview Volume 2; 2009. Available
from: http://nipccd.nic.in/reports/icdsvol2.pdf. Accessed
February 11, 2015.
3. Gulabrao JA. A sociological study of Anganwadis
in Sangli city of Maharashtra state 2013. Available from:
http://shodhganga.inflibnet.ac.in:8080/jspui/bitstream/10603/8595/6/15%20topic%207.pdf.
Accessed February 10, 2015.