ANMs Role in Delivering RMNCH+A Healthcare Services

Auxiliary Nurse Midwifes (ANM) was imbibed into the Indian Health system as a midwife to provide MCH services such as conducting delivery. However, with gradual addition of roles, her role has shifted towards more of outreach services and preventive care and has lost the key clinical and curative skills required to deliver these services. The contemporary ANM is working as multipurpose health worker at the ground level rather than midwife or provider of medical care.

In the light of changing role and responsibilities of the ANMs especially for RMNCH+A program launched recently by the Government of India, a study was commissioned by Norway India Partnership Initiative to the preparedness of ANM for delivering RMNCH+A services under NRHM.

The study was conducted by an external agency Sambodhi Research and Communications across 90 sub-centres in 15 districts of the five NIPI states. Through a mix of structured interviews, sub-centre and VHND observation, home visits with ANMs and in-depth interviews with stakeholders, a total of 90 ANMs, selected through random sampling, were interviewed.

The following objectives were covered in this evaluation study:

  • To map the contextual factors such as ANM’s working environment, sub-centre readiness, and supportive supervision mechanism
  • ANM’s perception of her role, activities performed and observations found.
  • Knowledge and service delivery under each component of RMNCH+A healthcare framework

Please click here for summary of the study findings.

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