{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:46:49Z","timestamp":1762876009449,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T00:00:00Z","timestamp":1534118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004191","name":"Novo Nordisk","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004191","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The awareness and knowledge on bleeding disorders is generally poor among the rural population. Accredited Social Health Activists (ASHAs) serve as the facilitators between the rural community and the health care system. Training of ASHAs in screening of rural population for early identification of bleeding disorders can enable prompt referral, timely detection and management of bleeding disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study was to evaluate the effectiveness of an ASHA training programme for identification of suspected bleeding disorder cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based, cross\u2010sectional survey was implemented by 586 Accredited Social Health Activists (ASHAs) in rural Udupi district, who underwent a structured training programme on identification of bleeding disorders. A survey record book with a screening tool on assessment of bleeding symptoms was given to each ASHA. The screening tool consisted of symptoms related to bleeding disorders and family history of bleeding disorders. Using the screening tool, ASHAs carried out a door\u2010to\u2010door survey. After screening, those who reported with bleeding symptoms were referred by the ASHAs to the investigator, who conducted further assessment. A detailed bleeding history was documented and bleeding symptom assessment was carried out using bleeding assessment tool (BAT) at the haemophilia treatment centre. Further coagulation assessments were carried out as per the treatment centre protocol. This paper highlights the evaluation of an ASHA training programme on identification of individuals with bleeding symptoms in the rural population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 586 trained ASHAs surveyed a population of 318\u00a0214 in rural Udupi district. Out of the 124 cases reported by ASHAs, 29 bleeding disorder cases were identified; haemophilia (A and B) was the most commonly found bleeding disorder 22 (75.8%), followed by von Willebrand disease (vWD) 3 (10.3%) and 4 (13.8%) immune\u2010mediated thrombocytopenic purpura (ITP), with an overall prevalence of 2.2\/10\u00a0000 population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Training ASHA health care workers, who are the most important link between the community and health services, resulted in increased awareness among the public for the early detection of bleeding disorders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.13567","type":"journal-article","created":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T09:28:45Z","timestamp":1534152525000},"page":"741-746","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of a comprehensive educational programme for Accredited Social Health Activists (ASHAs) to identify individuals in the Udupi district with bleeding disorders: A community\u2010based survey"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2242-3413","authenticated-orcid":false,"given":"S.","family":"Badagabettu","sequence":"first","affiliation":[{"name":"Manipal College of Nursing Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. M.","family":"Nayak","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics Dr. TMA Pai Hospital Melaka Manipal Medical College (Manipal Campus) Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kurien","sequence":"additional","affiliation":[{"name":"Departments of Pathology Melaka Manipal Medical College Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. G.","family":"Kamath","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Kasturba Medical College Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kamath","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Kasturba Medical College Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"George","sequence":"additional","affiliation":[{"name":"Manipal College of Nursing Manipal Academy of Higher Education  Manipal India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2012.02822.x"},{"key":"e_1_2_9_3_1","unstructured":"World Federation of Hemophilia (WFH).Report on the annual global survey 2015. WFH Canada;2016. Available athttp:\/\/www1.wfh.org\/publications\/files\/pdf-1488.pdf. Accessed April 9 2017."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8652(199812)59:4<288::AID-AJH4>3.0.CO;2-I"},{"key":"e_1_2_9_5_1","first-page":"19","article-title":"Epidemiology & social costs of haemophilia in India","volume":"140","author":"Kar A","year":"2014","journal-title":"Indian J Med Res"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12288-011-0084-0"},{"key":"e_1_2_9_7_1","unstructured":"World Federation of Hemophilia.Report on treatment options in the management of hemophilia in developing countries 2005. Available athttps:\/\/www.wfh.org\/en\/resources\/publications-list. Accessed November 28 2017."},{"key":"e_1_2_9_8_1","unstructured":"Universal Data Collection (UDC) System.Centers for disease control and prevention. Available athttp:\/\/www.cdc.gov\/ncbddd\/blooddisorders\/udc\/. Accessed May 9 2013."},{"key":"e_1_2_9_9_1","unstructured":"Ministry of Health and Family Welfare.About accredited social health actvist (ASHA). Available athttp:\/\/nrhm.gov.in\/communitisation\/asha\/about-asha.html. Accessed June 9 2015."},{"key":"e_1_2_9_10_1","unstructured":"NHSRC.ASHA which way forward: evaluation of ASHA program 2010\u201311. New Delhi. Available athttp:\/\/nhsrcindia.org\/index.php?option=com_. Accessed June 2 2017."},{"key":"e_1_2_9_11_1","unstructured":"WangH JuyalRK MinerSA FischerE.Performance\u2010based payment system for ASHAs in India: what does international experience tell us? The vistaar project. Intra Health International Inc. Abt Associates Inc. 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