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From policy to practice: feasibility and acceptability of training ASHAs to deliver birth preparedness and complication readiness in North Karnataka, India: a pre–post study

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Pre-post study assesses ASHA training effectiveness for birth preparedness in rural India, indicating strong acceptance and feasibility.

To evaluate the feasibility and acceptability of training ASHAs to deliver birth preparedness and complication readiness (BPCR) interventions.
Quasi-experimental pre–post interventional study among 100 ASHAs from two Primary Health Centres and one Community Health Centre.
Structured BPCR training delivered using a pictorial Birth Planner over three interactive sessions at 3-, 6-, and 12-month intervals.
Pre- and post-intervention knowledge and practice scores were assessed through questionnaires.
Mean baseline knowledge scores increased from 31.55 to 73.45 for pregnancy, 27.11 to 53.22 for labor and childbirth, and 27.27 to 59.27 postpartum.
Self-reported practice scores for birth preparedness improved from 49.33 to 99.67 post-intervention.
Improvements were statistically significant (p < 0.001) with large to very large effect sizes (Cohen’s dz ≥ 1.31).

Kari et al. (2026) studied this question.

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View Full Paper

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Authors

Pre-post study assesses ASHA training effectiveness for birth preparedness in rural India, indicating strong acceptance and feasibility.

To evaluate the feasibility and acceptability of training ASHAs to deliver birth preparedness and complication readiness (BPCR) interventions.
Quasi-experimental pre–post interventional study among 100 ASHAs from two Primary Health Centres and one Community Health Centre.
Structured BPCR training delivered using a pictorial Birth Planner over three interactive sessions at 3-, 6-, and 12-month intervals.
Pre- and post-intervention knowledge and practice scores were assessed through questionnaires.
Mean baseline knowledge scores increased from 31.55 to 73.45 for pregnancy, 27.11 to 53.22 for labor and childbirth, and 27.27 to 59.27 postpartum.
Self-reported practice scores for birth preparedness improved from 49.33 to 99.67 post-intervention.
Improvements were statistically significant (p < 0.001) with large to very large effect sizes (Cohen’s dz ≥ 1.31).

Kari et al. (2026) studied this question.

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