HI 4003 Research Proposal Assignment Sample

Introduction

Mental health management is directly involved with improving the living quality of the country. This is important to develop effective mental health services within the rural areas for improving the quality of living. The main purpose of this study is to evaluate the impact of training programs for ASHA workers on enhancing the mental health of rural people.

Background of the research

The mental health management system needs to be improved by implementing the intervention, and awareness programs for enhancing the quality of living across the people. According to Bansal et al. (2018), awareness programs for managing mental health are beneficial for handling stress, anxiety, and other mental health issues. ASHA is an organization that is linked with providing service to rural people for increasing awareness and improving the overall living style. Accredited Social Health Activist is one of the important parts of the National Rural Health Mission and this is beneficial for increasing knowledge and accurate practice in life in the village and rural communities (Nhm.gov.in, 2022). The workers of ASHA  trained and provide information to rural people to follow accurate practices for maintaining their mental health status.

In this study, the importance of training programs for ASHA workers for enhancing the capability to convince rural people and ensuring accurate practices among them. Through arranging the training program, the workers become more effective and efficient in terms of providing information to rural people and improving the condition of mental health (Nhm.gov.in, 2022). Some skills are required for ASHA works to provide information and manage the mental condition of people in India. According to the report of the National Mental Health Survey (NMHS) in India, around 150 million people suffer from mental illness. 10% of rural people in India suffer from mental issues such as depression, anxiety, emotional instability, and suicidal risk (Ncbi.nlm.nih.gov, 2022).

The rationale of the research

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Mental health is highly associated with the physical health of humans and this is important to control the issue of mental health to gain a quality lifestyle. This research has focused on the impact and importance of training programs for ASHA workers for increasing the potentiality in terms of enhancing awareness among rural people. The lack of knowledge among rural people regarding mental health and issue-related mental health is a major factor for higher rates of mental illness in rural areas. According to Rahul et al. (2021), the topic is effective for improving the quality of living of rural people and enhancing their mental state of people. This has highlighted the accurate training program that is required for ASHA workers for providing information to rural people in India.

This will help to find a beneficial training program to teach the ASHA workers that will enhance the practices within the rural areas. Mental illness is one of the most common diseases in recent times and this is important to focus on the mental health of people. Rural people have a lower rate of knowledge regarding the symptoms of mental illness and there is a higher tendency for them to sugar from mental illness.

Significance of the research

Emotional stability is an important factor for every human to handle the issue for improving the quality of living. This topic of the study is significant, as this has described the importance of improving the mental health status of people in rural areas. This is important to control the emotional stress and anxiety and these are the major reasons behind the higher rate of suicide incidents. This research will help to find out the accurate training program for ASHA workers who are directly involved with providing information to rural people in India for improving the mental condition of the rural population.

Summary

The study focused on the effectiveness of training programs for the ASHA workers who are working in the rural areas of India and developing awareness among the rural people regarding different mental health issues. Besides that, the study evaluates the importance of trying to ASHA workers to make them do their work more authentically in the village areas of India.

2. Literature review

Introduction

Mental illness is one of the major reasons behind an unsatisfactory population and this causes a higher rate of suicide within the world. This is important to train ASHA workers to increase their knowledge and capability for enhancing the quality of people in rural areas.

Importance of mental health service in rural areas

Mental illness is directly associated with developing different chronic diseases among the population such as diabetes, cardiovascular disorder, nerve disease, and kidney disorder. According to the statement of Srinivasan et al. (2021), this is essential for the organisation to develop different training programs and awareness campaigns for enhancing the quality of the living style of people. The organisations such as ASHA will need to focus on training their workers to increase their capability. This will enhance the quality of performance and reduce the rate of mental illness among rural people. There is a higher tendency for rural people to suffer from mental illnesses such as depression, anxiety, and stress (Nhm.gov.in, 2022). The tendency is higher to be not treated properly for rural people as there are lower opportunities and the knowledge of rural people is lower. Maintaining mental health within a country is directly associated with increasing the quality of financial stability and improving the performance of the population.

Skill required for ASHA workers to improve mental health services in rural areas

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This is important to train ASHA workers in terms of making them more potentially efficient for providing information to rural people. According to the opinion of Harikrishnan et al. (2021), there are different skills, which are required for these workers for providing higher quality of service for maintaining mental health status of rural people. The major role of ASHA workers is to deliver service and awareness among rural people to control the quality of the living style of the rural population. This is essential for workers of ASHA to gain accurate skills and potentiality and the major required skills are such as communication capability to develop good relationships with people of community in rural areas. As per the view of Srinivasan et al. (2021), this is important for workers to communicate with rural people according to their potential as their knowledge is lower regarding mental illness and this is the role of ASHA workers to improve their knowledge and practices (Nhm.gov.in, 2022). Empathy is another important skill, which is required to become an effective worker and influence the rural people to follow up the accurate pasta and maintain mental health.

Impact of training program for ASHA workers

Training programs for ASHA workers will be beneficial for them to know further about the accurate medication and supplements that can be provided to people for maintaining mental health. As per the view of Harikrishnan et al. (2021), the workers will be able to know more about symptoms regarding different mental illnesses  and the reason for depression, anxiety and stress and this will help them  to improve the entire performance of rural people regarding quality living. According to Rahul et al. (2021), the training program will help them to gain effective communication skills that will be beneficial for growing strong relationships with rural people to convince them to follow the accurate practice through gaining effective knowledge. The ability of workers to improve through gaining information through different training programs in ASHA is effective for improving the quality of living of rural people.  As per the view of Srinivasan et al. (2021), the tendency of suicide case can be maintained and reduce through training the ASHA workers and this is essential for controlling the emotional stress, anxiety  and breakdown of rural people and reduce the rate of hospitalisation.

Role of ASHA workers in the rural areas

The workers of the ASHA group are very important contributors to the rural areas in the health and safety services. ASHA group is the group of people who provide these essential services to the people who cannot afford to go to the regular check-up in rural areas. As per the views of Niyati and Nelson Mandela (2020), the workers of this group facilitate the people of the rural areas with several health benefits such as “immunisation”, “AnteNatal Check-up (ANC)” and “Post Natal Check-up supplementary nutrition”. Apart from that, they keep a record of the health issue4s and the health conditions of the household people during a certain period of the gap.

One of the major issues in the rural areas related to the well-being of the people is the awareness of the people and it is the major driver of health-related issues. It has been seen that the people in the different places of the rural areas are not very aware of the health issues and hence, they are very prone to physical illness. Hence, the self-awareness of these people must be erased and this is the prime duty of the ASHA workers. As per the research of Paul and Pandey (2020), they spread awareness of the different diseases and the ways of preventing them. Apart from that, the healthy living essentials are provided by the workers to the different members of the families in the rural areas. It has been seen that one of the most important aspects related to the different components of health, safety is the essentials, and the medications related to the well-being of the people in rural places. There are several roles of the ASHA workers and it is one of the major contributions of the people to the community and the welfare of the society.

One of the major roles of the ASHA workers is giving birth to babies (Memon et al. 2019). The workers work in the baby wards of the hospitals and they give birth to the babies. It is one of the most important aspects of the contributions of the workers to the community. It has been one of the most important issues in the rural areas as there is a lack of trained people for giving birth. Apart from that, the workers look at the health conditions of the people after birth and it is one of the most important aspects of the workers.

In addition, the role of the ASHA workers includes the after birth nutrition of the babies. They bring the children to the immunisation centre and the essential vaccination and the other aspects of the post-birth immunisations are provided by the health workers. This is one of the basic steps of the baby’s nutrition.

First aid and the primary treatment of the injury have been one of the most important aspects of the rural areas of India. As per the views of Upadhyaya (2022), the most important aspects of the workers in the different segments have been the first and the primary checkups. It has been beneficial in different situations as the first, the primary medications were not available in these areas in India, and this caused several issues for the people. One of the most important aspects related to the several treatments of the people is the free cost of treatment, The workers visit the houses in the Indian rural areas and treat the people with the necessary treatments free of cost, apart from that, the camps are organised where the free check-up happens (Kapil et al. 2019). It’s one of the most effective stages for the welfare of the people in rural areas.

One of the major factors of the ASHA workers is the keeping of the records and the demographics of the people. As opined by Shah et al. (2019), it is one of the most important aspects of the rural areas and it has been important for the different segments of the knowledge and awareness of the progress of the strategies. It has been one of the most important aspects as it helps the workers to get the information about the requirements and the exact condition of the issues. Hence, it can be said that one of the most responsible parts related to the different aspects of the health and safety of the rural people is taken care of well by the ASHA workers and it has been one of the most important parts of the welfare of the rural community of India.

Theoretical framework

There are different theories that are important and effective for understanding the mental health condition of rural people such as the Social cognitive theory. According to the opinion of Berg et al. (2018), through implementing this theory the personal experience and modifying the impact of training of ASHA workers in the rural places of India.

Literature Gap

In this paper, all the different aspects of the role of the ASHA workers have been one of the most important concerns and the effective strategies of the worker to improve the mental health of the people in the rural areas have been one of the prime focuses of this paper (Bansal et al. 2021). All of the issues faced by the people in the rural areas and the strategies of the workers in the different cases have been discussed. Apart from that, the role of the health workers in the requirements of the people issues has been discussed. On the other hand, in the first article, the exact condition of the mental health of the people of rural areas has been mentioned whereas other articles do not provide this exact information (Rahul et al. 2018). In the second article, the mental health treatment strategies have not been mentioned properly. It is the major gap of this study.

Summary 

In this paper, the importance of mental health treatments has been mentioned. In addition, the primary skill set requirement of the ASHA workers in mental health treatments has been mentioned. The roles of the workers in the development of the rural areas have been discussed. Moreover, the impact of the strategies taken by the workers in the well-being of the people has been taken care of. The people will get the proper supplement and the medication. It can be said that the proper strategy implementation influences the mental health of the people in the rural areas in India.

3. Research proposal

Reason for proposing the topic

The topic related to training program of ASHA workers and the way they take care the mental health of rural people of India. In the identified article, no proper justification is provided for the impact of mental health issues in the people of rural places of India. The current research report will therefore investigate all aspects of adopting preventive measures for controlling mental health problem among the rural people of India.

Research aim

The study aims to make a critical analysis of the impact of training programs for the ASHA workers who are working in the rural areas of India.

Research question

  1. 1. What is the effectiveness of training program of ASHA workers to improve mental health awareness of rural area people?

Research objectives

  • To investigate different training program for the ASHA workers of India.
  • To analyse the strategies to improve the training program for the ASHA workers
  • To evaluate the role of ASHA workers in the mental health of Rural people
  • To investigate social care practices to help the people of rural areas

Research approach

A research approach refers to a set of plans and procedures that contain detailed methods of collecting data, its analysis, and interpretation. Deductive research approach will be used in the present research work. It will help to involve application of critical thinking skills through evaluation of facts (Cottrell, 2017). This approach would help to make proper interpretation along with evidence for the cessation of smoking. Substantive analysis of this topic can do with the approach to make the research project more relevant.

Research philosophy

Research philosophy is referred to as the belief in which data regarding phenomena should be collected, analysed and used. Interpretivism research philosophy will be used to carry out the study. This research philosophy helps in drawing proper conclusions about the chosen topic which increases the validity of the work (Oates et al. 2022). Subjective views and opinions regarding developing preventive awareness of mental health issues use can be effectively articulated throughout the study with the help of this philosophy.

Research design

Research design refers to the framework of methods and techniques selected while conducting research work. Descriptive research design will be chosen for this study. It is one of the effective methods as it helps in analysing facts, which further helps in the development of an in-depth understanding of the main research problem (Atmowardoyo, 2018). Main reason behind training program of ASHA workers in the rural places and the way they work for the people. Information can be obtained systematically which would further help in effectively addressing the established research objectives.

Research strategy

Research strategy is an appropriate plan of action, which gives proper direction to the research report. Secondary qualitative research will be conducted for continuing the study. This research method has been chosen as it is cost-efficient and information can be found easily which would lead to the completion of the research work within the estimated time frame. Sometimes it becomes difficult to reach participants and is also a time-consuming process. This is one  of the reasons why primary research will not be chosen in this regard. Secondary qualitative methods can also provide broader results thereby offering more detailed and specific data in relation to the research objectives.

Data collection

Data will be collected from secondary sources, which would include textbooks, online articles, journal articles, government publications, websites, and magazines and so on. Data collection is the method of gathering and measuring information on the relevant topic of interest in a systematic way that answers research questions through outcome evaluation (Johnston, 2017). Databases such as Google Scholar and ProQuest will be used to collect relevant articles by using appropriate searching strategies along with advanced search if required. Some subscription-based journals will be accessed from the State Library for using information from the most relevant sources.

Data analysis

Data analysing is the method of using the right kind of logical techniques for bringing sense to raw data. Analysing data makes the study more accurate and simple. Secondary thematic data analysis will be used to conduct the study. It is the most effective method for qualitative data analysis (Kiger and Varpio, 2020). Some codes will be selected from the most relevant secondary sources based on which themes will be generated thereby ensuring that the themes effectively address research objectives. Discussion in the analysis section will be made based on the findings.

Sampling

Sampling is referred to a smaller set of data that is usually chosen from a larger population by applying a predefined selection technique. PRISMA and Boolean sampling techniques will be used as it is the most suitable method in qualitative research. Evidence-based research can be conducted systematically using this research sampling method.

Ethical consideration

The entire research will be conducted by maintaining ethical considerations. Proper acknowledgement will be given to the authors whose articles will be used while conducting the study. Consent of the librarian will be taken before accessing library resources. Confidentiality of research data will be maintained throughout the research tenure. Proper preventive measures will be adopted to safeguard data. This would be done by adopting the Data Privacy Act.

Research gap

Research methodology is always associated with gaps in terms of collecting information and gathering outcomes on particular research topics. The major research gap that is faced by researchers while collecting information is associated with a certain research gap for gathering relevant information regarding the specific research topic. In this research, the major research gap will be faced in terms of finding relevant and valid data about ASHA workers and their training program within the rural places. The secondary qualitative data collection method is highly involved with a lack of relevancy and difficult to find accurate data for the research topic.

Reference List

Bansal, S., Srinivasan, K. and Ekstrand, M., 2021. Perceptions of ASHA workers in the HOPE collaborative care mental health intervention in rural South India: a qualitative analysis. BMJ open, 11(11), p.e047365.

Esmaeelzadeh, S., Moraros, J., Thorpe, L. and Bird, Y., 2018. Examining the association and directionality between mental health disorders and substance use among adolescents and young adults in the US and Canada—a systematic review and meta-analysis. Journal of clinical medicine, 7(12), p.543.

Harikrishnan, U., Kavitha, P., Rajamanikandan, S., Sekar, K. and Marykutty, E.P., 2020. Psychosocial skill development among community level workers working with children in difficult circumstances. Hindu, 25, pp.12-1.

Ncbi.nlm.nih.gov, 2022 asha available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7811346/#:~:text=ASHA%20programme%20provides%20an%20opportunity,participation%20in%20the%20health%20programmes. [accessed on 06.06.2022]

Nhm.gov.in, 2022 asha available at: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=150&lid=226 [accesd on 06.06.2022]

Niyati, S. and Nelson Mandela, S., 2020. Impact of the pandemic on accredited social health activists (ASHA) in India. Review of Agrarian Studies, 10(2369-2020-1851).
Paul, P.L. and Pandey, S., 2020. Factors influencing institutional delivery and the role of accredited social health activist (ASHA): a secondary analysis of India human development survey 2012. BMC Pregnancy and Childbirth, 20(1), pp.1-9. Available at: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-03127-z
Memon, F., Saxena, D., Puwar, T. and Raithatha, S., 2019. Can urban accredited social health activist (ASHA) be change agent for breast cancer awareness in urban area: experience from Ahmedabad India. Journal of Family Medicine and Primary Care, 8(12), p.3881. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6924211/
Upadhyaya, M., 2022. Invisible Frontline Warriors of COVID-19: An Intersectional Feminist Study of ASHA Workers in India. In Systemic Inequality, Sustainability and COVID-19 (Vol. 29, pp. 61-74). Emerald Publishing Limited.
Shah, Q.N., Dave, P.A., Loh, D.A., Appasani, R.K. and Katz, C.L., 2019. Knowledge of and attitudes towards mental illness among ASHA and Anganwadi workers in Vadodara district, Gujarat state, India. Psychiatric Quarterly, 90(2), pp.303-309.
Kapil, U., Kapil, R. and Gupta, A., 2019. Prevention and control of anemia amongst children and adolescents: theory and practice in India. The Indian Journal of Pediatrics, 86(6), pp.523-531.

Rahul, P., Chander, K.R., Murugesan, M., Anjappa, A.A., Parthasarathy, R., Manjunatha, N., Kumar, C.N. and Math, S.B., 2021. Accredited social health activist (ASHA) and her role in district mental health program: learnings from the COVID 19 pandemic. Community Mental Health Journal, 57(3), pp.442-445.

Srinivasan, K., Mazur, A., Mony, P.K., Whooley, M. and Ekstrand, M.L., 2018. Improving mental health through integration with primary care in rural Karnataka: study protocol of a cluster randomized control trial. BMC family practice, 19(1), pp.1-12.

Bibliography

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Cottrell, S., 2017. Critical thinking skills: Effective analysis, argument and reflection. Bloomsbury Publishing.

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Johnston, M.P., 2017. Secondary data analysis: A method of which the time has come. Qualitative and quantitative methods in libraries, 3(3), pp.619-626.

Kiger, M.E. and Varpio, L., 2020. Thematic analysis of qualitative data: AMEE Guide No. 131. Medical teacher, 42(8), pp.846-854.

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Oates, B.J., Griffiths, M. and McLean, R., 2022. Researching information systems and computing. Sage.

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