Knowledge, skills of female health workers regarding selected non communicable diseases risk reduction and client satisfaction: a pilot study from western part of Rajasthan, India

Mamta Nebhinani, Sushma K. Saini


Background: The increasing burden of Non communicable diseases calls for added role on the part of health professionals. The female Health workers being the closest to population play an important role in alleviating the problem to great extent. Objective of this study was to assess the Knowledge, and skills of female health workers (FHWs) regarding selected non communicable diseases risk reduction and the client satisfaction with NCD skill services performed by FHWs.

Methods: This study was undertaken at selected health centres of Jodhpur. FHWs working at these centres and women receiving health services from FHWs were recruited for the study. Data were collected using predesigned NCD knowledge questionnaire, skill checklist and client satisfaction scale. Method of data collection were paper pencil questionnaire, observation and interview. Descriptive and inferential statistics were calculated to summarize demographics and key variables.

Results: Nearly 24% and 35% of FHWs had average knowledge regarding HTN/ diabetes, breast and cervical cancer respectively. 47% of subjects had good level of knowledge regarding mental health. Most of FHWs (77%) had adequate BP measurement and RBS testing skills. Majority had inadequate breast examination and waist circumference measurement skills. Level of knowledge related to hypertension and diabetes were found to be significantly associated with NCD training of health workers in past (p level=0.03). Nearly 67% of the women were satisfied with the NCD health services provided by FHWs.

Conclusions: Overall FHWs had average level of awareness regarding different NCDs’ prevention and control. Routine skills pertaining to NCDs screening methods such as BP and blood glucose measurement were adequate among FHWs. Overall women were satisfied with the NCD related health services provided by FHWs. Being an important concern there is need to plan refresher training programs for these health workers so that their services can be effectively utilized for prevention and control of NCDs.


Female health workers, Knowledge, Non communicable diseases, Skills

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Park K. Park’s Textbook of Preventive and social medicine 23rd Ed, Epidemiology of chronic non communicable diseases and conditions. Banarasidas Bhanot publishers, Jabalpur India; 2005:41.

World Health Organization. Global status report on Non- communicable diseases, 2014. Available at: Accessed on 22nd April 2020.

World health statistic report, 2015. Available at: Accessed on 17th December 2019.

Non-communicable diseases progress monitor, 2015. Available at: Accessed on 20th February 2020.

Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, Patel AA. Task shifting for non-communicable disease management in low- and middle-income countries-a systematic review. PLoS One. 2014;9(8):e103754.

Ministry of Health and Family welfare Government of India, NPCDCS: Operational guidelines, Directorate General of Health Services Ministry of Health and Family welfare Government of India. Available at: Accessed on 17th December 2019.

Ministry of Health and Family Welfare, NHP, Ministry of Health and Family Welfare December, 2014. Available at: Accessed on 20th February 2020.

Leena KC, Shakuntala BS. Non-communicable disease (NCDs) control activities by female health workers (FHWs) and availability of related facilities at selected sub centres of DK District, Karnataka, India. IJHSR. 2014;4(3):167-73.

Why is 2018 a strategically important year for NCDs? - World Health. Available at: Accessed on 20th February 2020.

Semarya BL, Worknish S, Mignote H, Mesfin A, Alemseged A. Assessment of knowledge of breast cancer and screening methods among nurses in University Hospitals in Addis Ababa, Ethiopia. 2011. Int Scholar Res Not. 2013:1-8.

Tsolekile LP, Puoane T, Schneider H, Levitt NS, Steyn K. The roles of community health workers in management of noncommunicable diseases in an urban township. Afr J Prm Health Care Fam Med. 2014;6(1):8.

Menon J, Joseph J, Thachil A, Attacheril TV, Banerjee A. Surveillance of non-communicable diseases by community health workers in Kerala: the epidemiology of non-communicable diseases in rural areas (ENDIRA) study. Glob Heart. 2014;9(4):409-17.

Kisokanth G, Prathapan S, Indra KJ, Joseph J. Does nurse case management improve the health care outcomes of patients with non-communicable diseases (NCDs): a narrative review. Int J Endocr Metab Disord. 2015;1(2).

Patel S, Vyas S. Program about awareness of gestational diabetes mellitus (GDM) among health care workers of Ahmedabad Municipal Corporation. Natl J Com Med. 2018;9(2):114-9.

Mali N R, Mali R. Effect of structured education on knowledge regarding prevention of cervical cancer among A.N.M. students. Inter J Sci Res. 2014;3(3):610-6.

AI-Dharrab SA, Mangoud AM, Mohammad F, Mohsen M. Knowledge, attitude and practice (KAP) of primary health care physicians and nurses towards hypertension: a study from Dammam, Saudi Arabia. J Family Community Med. 1996;3(2):57-63.

Kim K, Choi JS, Choi F, Hae-Ra H. Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: a systematic review. Am J Public Health. 2016;106(4):e1-e26.

Chauhan G, Thakur JS. Assessing health workers' capacity for the prevention and control of noncommunicable diseases in Haroli health block of district Una in Himachal Pradesh, India: a mixed methods approach. Int J Non-Commun Dis. 2016;1:26-9.

Shastri SS, MittraI I, Mishra GA, Gupta S, Dikshit R, Singh S, et al. Effect of VIA screening by primary health workers: randomized controlled study in Mumbai, India. J Natl Cancer Inst. 2014;106(3):dju009.

Budosan B, Jones L. Evaluation of effectiveness of mental health training program for primary health care staff in Hambantota District, Sri Lanka post-tsunami. J Humanitarian Assis. 2009:509.

Alebiosu OC, Familoni OB, Ogunsemi OO, Adeleye JO, Balogun WO, Kolawole BA, et al. Knowledge of diabetes and hypertension care among health care workers in southwest Nigeria. Postgrad Med. 2009;121(1):173-7.

Agosta LJ. Patient satisfaction with nurse practitioner‐delivered primary healthcare services. J Am Acad Nurs Pract. 2009;21(11):610-7.