Evidence map›Paper›PMID 39799364›Full record

SynthesisBMC health services research2025

Knowledge of Accredited Social Health Activists in India: a systematic review and meta analysis of evidence drawn from primary studies published between 2005 and 2022.

Shambhavi Singh, Bhaskar Tiwary, Manish Barik, Hemlata Arora, Sruthi Susan Abraham, Piyusha Majumdar, Daliya Sebastian, Svea Closser

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shambhavi SinghPiramal Swasthya Management and Research Institute, Patna, 801506, India.
Bhaskar TiwaryMonitoring, Evaluation, and Learning Unit, CARE, New Delhi, 110020, India. tiwaryb97@gmail.com.
Manish BarikMeta Research and Evidence Synthesis Unit, Health System Sciences, The George Institute for Global Health, New Delhi, 110025, India.
Hemlata AroraCommissionerate of Health and Medical Services, National Health Mission, Gandhinagar, 382010, India.
Sruthi Susan AbrahamNational Program Management Unit, Clinton Health Access Initiative, New Delhi, 110020, India.
Piyusha MajumdarS.D Gupta School of Public Health, IIHMR University, Jaipur, 302029, India.
Daliya SebastianMonitoring, Evaluation, and Learning Unit, CARE, New Delhi, 110020, India.
Svea ClosserDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, 21205, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the inception of the ASHAs in the year 2005, their work horizons have increased from Reproductive, Maternal, Newborn, Child, and Adolescent health (RMNCH + A), Communicable and Non-Communicable Diseases (CD & NCD) to oral health, ophthalmologic care, and other supportive community level healthcare services. The present literature lacks comprehensive understanding and synthesis of domain-wise knowledge of ASHAs and the factors affecting their knowledge. Therefore, this study aimed to synthesize and collate the relevant evidence to understand the overall knowledge of ASHAs.

methodsThis systematic review and meta-analysis sourced literature from Google Scholar, PubMed, and Web of Science. Of the 1062 articles identified, 37 articles were selected for narrative synthesis and meta-analysis which focused on knowledge of ASHAs. In meta-analysis, pooled prevalence was estimated using the random effect model. Meta-analysis was performed using the statistical software R version. 3.6.1 for Microsoft Windows.

resultsThe overall pooled prevalence of knowledge regarding maternal, neonatal/child health, communicable, and non-communicable diseases among ASHAs was 62%, 69%, 62%, and 73%, respectively. The level of education, years of experience, inadequate supervision, and training were the factors affecting their knowledge and subsequently its translation into practices within the community. The review also evidenced variation of knowledge among ASHAs across domains and geographical regions of India.

conclusionThe systematic review and meta-analysis highlight that ASHAs have proven to be indispensable assets to India's healthcare system with their strengths lying in maternal and child health programs. To further enhance their impact, it is imperative to invest in areas where they lack knowledge such as disease surveillance, and preventive healthcare. Empowering ASHAs with necessary resources, and training will not only enhance their capabilities but also contribute to the overall improvement of the healthcare system in India.

Indexed as

Community Health WorkersHealth Knowledge, Attitudes, PracticeHumansIndiaASHACommunity Health WorkerFrontline Health WorkerIndiaKnowledgeMitatinsSahiyas

Identifiers

PMID39799364
PMCPMC11724453

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.