Table 2.
ICT-CCS training and usage characteristics reported by front-line workers (FLW) overall and separately for the two cadres – Anganwadi Workers (AWW) and Accredited Social Health Activists (ASHA) – as part of the post-implementation assessment of the ICT-CCS intervention trial in Saharsa, Bihar, 2012-2014
| Overall FLW (n = 316) | AWW (n = 153) | ASHA (n = 163) | |
|---|---|---|---|
| Received training on use of ICT-CCS phone from staff who came to village |
312 (99%) |
151 (99%) |
161 (99%) |
| Used phone before given ICT-CCS phone |
258 (82%) |
131 (86%) |
127 (78%) |
|
How FLW decides which households to visit herself and which to ask opposite-cadre FLW to visit (missing n = 7): | |||
| Talk before starting home visit |
63 (20%) |
29 (19%) |
34 (21%) |
| Inform each other after home visits |
18 (6%) |
7 (5%) |
11 (7%) |
| Use tool on ICT-CCS phone to communicate progress on home visits |
207 (66%) |
101 (66%) |
106 (65%) |
| Conduct joint home visits |
19 (6%) |
11 (7%) |
8 (5%) |
| Other |
2 (1%) |
0 |
2 (1%) |
|
Share of time phone is charged and working: | |||
| All of the time |
180 (57%) |
84 (55%) |
96 (59%) |
| Most of the time |
92 (30%) |
47 (31%) |
45 (28%) |
| Some of the time or less |
38 (12%) |
16 (11%) |
22 (14%) |
| Mostly discharged |
6 (2%) |
6 (4%) |
0 |
|
Phone ever broken or lost: | |||
| ICT-CCS phone has broken |
43 (14%) |
25 (16%) |
18 (11%) |
| ICT-CCS phone had been lost |
26 (8%) |
16 (11%) |
10 (7%) |
|
Problems faced while using ICT-CCS phone: | |||
| No problem |
233 (74%) |
107 (70%) |
126 (77%) |
| Charging battery |
17 (5%) |
9 (6%) |
8 (5%) |
| No signal or bad signal |
53 (17%) |
30 (20%) |
23 (14%) |
| Lost information entered |
5 (2%) |
2 (1%) |
3 (2%) |
| Other |
8 (3%) |
5 (3%) |
3 (2%) |
|
Videos shown most often on ICT-CCS phone (missing n = 23): | |||
| Birth preparedness |
216 (68%) |
104 (68%) |
112 (69%) |
| Newborn care/cord care |
44 (14%) |
25 (16%) |
19 (12%) |
| Family planning |
27 (9%) |
14 (9%) |
13 (8%) |
| Complementary feeding |
6 (2%) |
2 (1%) |
4 (3%) |
|
Forms used most often other than home visit scheduler * (missing n = 2): | |||
| Make a list of beneficiaries |
146 (46%) |
72 (47%) |
74 (45%) |
| Beneficiary management |
47 (15%) |
21 (14%) |
26 (16%) |
| Immunization due list |
62 (20%) |
33 (22%) |
29 (18%) |
| Instrument |
15 (5%) |
9 (6%) |
6 (4%) |
| Growth monitoring |
19 (6%) |
11 (7%) |
8 (5%) |
| My performance | 25 (8%) | 7 (5%) | 18 (11%) |
FLW – Frontline workers, AWW – Anganwadi Workers, ASHA – Accredited Social Health Activists, ICT-CCS – Information Communication Technology-Continuum of Care Service
*The “beneficiary management” form allows FLWs to update beneficiary records. The “growth monitoring” form provides information collected during the last two weighings of all 0-2 y old children in the community. The “my performance” form provides summaries of home visits conducted on time or outstanding, which FLWs could use regularly for planning purposes. The “instrument” form contains a tool to help FLWs determine expected delivery dates, which is needed for registration of pregnant women.