KNOWLEDGE AND ATTITUDE ABOUT SUSTAINABLE DEVELOPMENT GOALS FOR ATTAINMENT OF HEALTH RELATED GOALS AMONG PERIPHERAL HEALTH WORKERS: SYSTEMATIC REVIEW.

Background: Peripheral health workers (PHWs) can play vital roles in increasing cover- age of basic health services. Objectives: To assess the Knowledge and attitude of the PHWs on SDGs for attainment of health related goals. Design: Systematic review and Meta-analysis Methods: The literature review was systematically searched (pubMed, Medline).from studies were included this give quantitative data about knowledge and attitude for attainment of Health related goals. Results: Average sample size was 982.A pooled analysis of all studies indicated a Pooled estimate of mean age 30.42± 5 years.90% of PHWs have knowledge on general health care;>40 year age have perfect knowledge; average score of PHWs 86.71%; prevention and management (percentage agreement: 34,


ISSN: 2320-5407
Int. J. Adv. Res. 6(7), 1179-1186 1180 Aim: To systematically assessed the data related to knowledge and attitude SDGs for attainment of Health related goals among peripheral health workers Method and materials:-Eligibility criteria, information sources and search strategy A systematic literature search was performed in the following electronic reference databases: PubMed/ MEDLINE, IFLA Library, Proquest and IJSR all publications up to March 2018. I had searched term composed of: 'Knowledge 'Attitude', 'Sustainable development goal', 'Peripheral health workers' for combined text for the complete search strategy the online supplementary data searched. Filters were applied to exclude articles regarding they did not report (or provide) sufficient information about Health related goals and geographical locations other than Asian region. All duplicates were removed using criteria like not relevant to SDGs or MDGs. Restriction based on year of publication (i.e. last 10 year). (3)

Selection criteria
Titles and abstracts of 87 sources identified in the various databases were reviewed & identified potentially relevant papers.Study included type of paper that described about role of PHWs in all different disease condition their roles, and ways of working; included studies from any study design and methods, literature that described PHWs working in any aspect of primary or community healthcare and any disease or health `issue. Overall included published and unpublished papers reported in English. In contrast, excluded papers not focused on PHWs or papers that focused on PHWs but lacked a definition or description of PHWs. Furthermore, excluded papers that are not reported about SDGs or MDGs (4,5,6,7,8) (9,10,11,12,13,14) These themes were adjusted where necessary in the writing process to assure that all determinants fitted within the framework. After review of the full paper, investigators then met to reach consensus on which articles met all inclusion criteria. Initially identified 87 articles that appeared to potentially meet selection criteria based on title and abstract but 69 of these articles were excluded after full review. The most common reasons for exclusion were study samples that included both SDGs and MDGs related information in general; lack of quantitative data on health-related goals and no sample was available ; and absence of an analysis. (4,5,6,7,8) Inclusion and exclusion criteria:-Inclusion criteria: The studies included are related to the knowledge and attitude about the various aspects of primary health care and particularly Maternal and Child Health Care; various packages of practices: different disease conditions; overall studies on SDGs for attainment of health related goals among PHWsExclusion criteria: A studies that did not report (or provide) sufficient information about SDGs or MDGs; not focus on health related goals.

Results:-
A total of 87 articles were Identified through the systematic literature search (See Flow diagram in figure 1); Identified 18 studies were duplicates; remaining 69 titles and abstracts, screened the record and divided in to two categories i.e., SDGs and MDGs health related goals; after screened 20 studies were excluded because not fulfil the criteria of health related goal finally 63 studies were excluded; including duplicate studies, as they did not provide description of PHWs. at last six studies were included for systematic review and meta-analysis as it met the inclusion criteria. (15)  The studies were from two district of Rajasthan (n=200) Osun State (n=50),Abak, AkwaIbom State, Nigeria (n=358,), rural areas of Jamnagar district, Gujarat, India (n=218), Chheb, Kangra (n=52) 71 countries (n=5014) (9,10,11,12,13,14) The total number of PHWs were 5892; Average sample size was 982 (50-5014 knew at least 5 of the indications for referral of the mother in labour to higher centre. MDGs dealing with women, poverty and hunger reduction, disease prevention and management (percentage agreement: 34, 20, and 19%, respectively; in countries with better health indicators environmental challenges have received high attention (percentage agreement 20%).

Discussion:-
Illustrates the process of study selection, the database searches identified 87 references; from these, removed 18 duplicates. From the remaining 69 titles and abstracts, screened the record in to two categories Sustainable development goal and Millennium Development Goals, 14 were MDGs related study in general and knowledge and attitude related study six excluded as they were did not focus on PHWs. Of the 69 full text papers reviewed, excluded 63 as they did not provide a definition or description of PHWs, leaving 6 included papers. Of the six included papers This review of quantitative studies reporting views of PHWs on knowledge and attitude about SDGs for attainment of health related goals for that included six studies related to reproductive and child health care, MDGs activities, training to health workers, family planning Regular health carers giving attention during follow-up might help improve of community .this is systematic review and meta-analysis to summarize the available data regarding Knowledge and attitude about SDGs for attainment of heath related goals. The average sample size 982; the mean age of participants in the included study was 30.42 ± 5 years on SDGs and MDGs for attainment of health related goals among PHWs. indicated that knowledge and attitude among PHWs in child health care is higher as compared to the maternal health care; showed that not all the health care providers were knowledgeable about family planning methods. Less than half of the respondents knew about all the methods of family planning. Many of them were not aware of the recent methods of family planning like contraceptive patch, vaginal ring, implants and emergency contraceptive. Knowledge and skills grossly lacking in many basic health care components. Negligence in essential health care practices was detected. The MDGs will not be fully achieved due to various reasons such as the limited resources available, lack of services, and trained workforce or lack of coordination. Moreover, a single MDG will most possibly not be achieved in a country where all remaining MDGs have not been reached. (4,5,6,7,8) Conclusion:-This paper concludes that PHWs some health care providers still do not have adequate knowledge on family planning methods especially the emergency contraceptives and newer hormonal contraceptives (vaginal ring and implants). Some PHWs Knowledge and motivation level in child health care is higher as compared to the maternal health care. The MDGs will not be fully achieved due to various reasons such as the limited resources available, lack of services, and trained workforce or lack of coordination. Moreover, a single MDG will most possibly not be achieved in a country where all remaining MDGs have not been reached.

Implications for nursing practice
For many of the included studies the knowledge and attitude about SDGs Although one of the primary responsibilities of PHWs is to meet the needs of women and men in their community, the vast majority of PHWs reported caring for pregnant women, promoting institutional delivery and immunization, and conducting household visits as their main activities. Strong studies tended to focus on well-defined the responsibilities of peripheral health workers. found that appropriate understanding and awareness of different disease are considered essential components before taking any informed action for the prevention and treatment of disease The study also revealed that factors influence with (age, education), distance to access/utilise health services, and perceptions of the healthcare expected from health services have been identified as major determinants that influence people's healthseeking behaviours, as has been clearly documented in other studies (4,5,6,7,8)