Since the inception of NRHM (National Rural Health Missions) one of their missions has been to reduce the Infant mortality rate (IMR) and Maternal Mortality Rate (MMR) in the State. This initiative of NRHM has been strongly supported by ANMs (Auxiliary Nurse and Midwives) who have been playing a very critical interface between the community and the public health system along with participating in the other activities run by NRHM. They present a huge potential to improve the reach and utilization of Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) services in the State.
ANM is a sub center-level female health service provider/worker in India who is known as the first contact person between the community and the health services. ANMs are the front line health care providers closest to the community who make home visits and provide complete health services in their allotted villages. In addition ANMs are multi-purpose health workers and their work includes maternal and child health, family planning services, health, sanitation, nutrition, education and immunization for the control of communicable diseases, treatment of minor injuries etc. along with conducting deliveries.
With a role in multiple national programs and activities, routine record-keeping and reporting expected of ANMs is also increasing. They have been provided with multiple formats and job aids (22 Registers and 18 Reports) during the course of their work the same data is been entered in multiple systems, multiple application which takes lot of time and maintaining these registers could be more studious.Lack of frequent refresher trainings, field supervision and support, keeping skills updated, completing reports and planning their work effectively can be daunting for ANM and leading to poor quality of health services.