Abstract
Introduction: In Bangladesh maternal morbidity and mortality, child mortality morbidity is a burning problem. This is a national and international issue that is to achieve the goals and objectives of- MDG-4 & 5, SDG-3.Major causes of maternal morbidity and mortality, neo natal mortality and morbidity are due to complications in antenatal and postnatal period. Identifying these groups of mothers by Health Assistant, Family Welfare Assistant, Assistant Health Inspector and Health inspector, Family Welfare Visitor, Nurses, Midwives, Sacmo and Doctors. All this Community Health care provider can reduce MMR, IMR, NMR application of knowledge and practice of the PHC workers (mentioned above) can ensure save mother and save child. Professional knowledge, skill, capacity building and practice of primary health care workers is very much essential for promotion and development of maternal and child health at community level. Child bearing mother are 22.3% of total population. Improvement of maternal health reflects the major part of national health.
Objective: To Assesses the level of knowledge of Primary Health Care workers on antenatal care at selected Upazila Health Centers in Sunamgonj District.
Methodology: A cross sectional study was carried out to assess the knowledge of primary health care workers on ANC of Upazilla level. About 80 respondents were selected with eligibility criteria they were interviewed with a specific pre-designed and pre-tested questionnaire. Collected data were cleaned, edited, analyzed with the help of software SPSS window version 11.5.
Results: Among the respondents Medical officer-5(6.25%), senior staff nurse 14(17.5%), SAC MO-3(3.75%), FWV-4(5%), FWA-4 (5%), Health assistant 26(32.5%), CHCP-24(30.0%). Among them Male are 50% female are-50%. Among them religion was Islam-50(62.5%), Hindu-30(37.5%). All the respondents are employed and in govt. service .The are doctors, nurse, midwifery FWV, FWA, health assistants and CHCP. They are well qualified with secondary education and above, some with higher education. Among them 21.25% got professional training (MCH based), 78.25% have got no professional training. Among the respondents 31(38.75) got poor marks (5-10), 13 (16.25) got average marks (11-15), 17 (21.25) got Good marks (16-20), 19 (23.75) got Excellent marks (21-25).
Conclusion: This study revealed that most of the primary health care workers have poor and average knowledge on ANC. Most of them have got no professional training on MCH service. They require adequate training and skills development to ensure safe motherhood and safe child so that goals and target of MDG and SDG-3.1 can be achieved.