Comparative Study To Determine Role Of ASHA Workers In Reduction Of Anxiety And Increasing Utilization Of Antenatal Services Among Pregnant Women

Introduction: This cross-sectional comparative study aims to investigate the impact of Accredited Social Health Activists (ASHA) on stress levels and Antenatal Care (ANC) service utilization among pregnant women in a rural village of Maharashtra. With a focus on enhancing maternal healthcare, ASHA workers' influence on ANC services and anxiety levels is explored. Methodology: Conducted over 60 days in May-June 2023, the study involves 130 pregnant mothers, divided into two groups: those supported by ASHA workers (Group A) and those accessing healthcare facilities directly (Group B). A pretested questionnaire and the State-Trait Anxiety Inventory (STAI) assess socio-demographics, ANC service utilization, and anxiety levels among participants. Results: Statistical analyses reveal significant associations between ASHA engagement and increased ANC service utilization among pregnant women. While stress levels did not show statistical significance, a trend towards lower stress among ASHA-supported individuals is observed. Conclusion: The findings emphasize the pivotal role of ASHA workers in enhancing ANC service utilization among pregnant women. Although stress levels did not yield significant differences, the trend highlights potential benefits of ASHA support. Further research with larger samples and refined methodologies is advocated to deepen understanding in this domain.