Assessment on ASHA Workers' Knowledge and Expressed Practices Regarding Early Childhood Development Screening under HBYC Programme in Barmer, Rajasthan with a View to Conduct a Workshop

Abstract Context: Early childhood is the most critical period for achieving developmental milestones that influence lifelong health, learning, and well-being. Developmental delays, if not identified early, can adversely affect children, families, and communities. The Home-Based Care for Young Child (HBYC) programme emphasizes developmental screening through Accredited Social Health Activists (ASHAs). Their knowledge and practices play a crucial role in ensuring timely identification and referral. Aim: To assess the knowledge and expressed practices regarding early childhood development screening under the HBYC programme among ASHA workers at selected Anganwadi Centres in Barmer. Methods: A community-based descriptive study was conducted among 100 ASHA workers from selected Anganwadi Centres (AWCs) in Barmer block, Rajasthan. Non-probability convenient sampling was adopted. Data were collected using a validated structured knowledge questionnaire and an expressed practice checklist. The data were analyzed using descriptive and inferential statistics, including chi-square test. Results: The findings showed that 64% of ASHA workers had poor knowledge, and 36% had average knowledge regarding early childhood development screening. With respect to expressed practices, 92% demonstrated inadequate practices, while 8% showed adequate practices. Education (χ² = 13.71, p < 0.05) was significantly associated with knowledge scores, while expressed practices were significantly associated with age (χ² = 14.00, p < 0.05) Conclusions: The study revealed significant gaps in knowledge and practices of ASHA workers regarding ECD screening under the HBYC programme. Strengthening their capacity through structured workshops and refresher trainings is essential for early identification of developmental delays and improving child health outcomes