Effectiveness of Interactive Audiovisual Training on Breastfeeding Knowledge Among Primary Healthcare Workers in...

Background Accredited Social Health Activists (ASHAs) are vital in promoting breastfeeding in rural areas. However, their understanding and misconceptions regarding this vital lifesaving intervention remain largely unexplored. The study sought to measure the effectiveness of a one-day interactive, audiovisual training on breastfeeding knowledge among ASHAs of a rural block of Deoghar, Jharkhand, India. Methods Utilizing a quasi-experimental design featuring a single intervention group, this study engaged 46 ASHAs from a rural block in Deoghar, Jharkhand, India, coinciding with World Breastfeeding Week in August 2023. The evaluation encompassed a broad range of sociodemographic variables along with an in-depth exploration of breastfeeding knowledge, spanning techniques, benefits, and common misconceptions. Results The study participants, with an average age of 39.3 years and a mean service duration of 15.6 years, included a majority (71.7%) who had received prior breastfeeding training. Analysis of pre- and post-intervention data revealed significant knowledge improvements, with an effect size (Cohen's d) of 2.0, ranging between 1.5 and 2.5. Notably, participants with higher educational levels (correlation coefficient, r = 0.360, p = 0.014) and those with previous training (r = 0.535, p < 0.001) experienced substantial gains. In contrast, the improvements were less marked (r = -0.317, p = 0.032) among ASHAs from Scheduled Castes or Scheduled Tribes. Conclusions The effectiveness of interactive, audiovisual training highlights the importance of regular, context-specific education for ASHAs, enabling them to effectively support and advocate for breastfeeding in their communities.