Publication:

Assessment of the knowledge and perceptions of auxiliary nurse midwives regarding the U-WIN app in urban health and wellness centers in selected areas of Delhi

Background Digital health interventions have become integral to strengthening immunization systems in India. The Universal Immunization WIN (U-WIN) application was introduced to digitize routine immunization services under the Universal Immunization Programme. The successful implementation of U-WIN largely depends on the knowledge, perception, and acceptance of frontline health workers, particularly auxiliary nurse midwives (ANMs), who are directly involved in immunization service delivery. This study aimed to assess the knowledge and perception of ANMs regarding the U-WIN application in urban health and wellness centres (UHWCs) of selected areas of Delhi.

Methods A quantitative, descriptive cross-sectional study was conducted among 110 ANMs working in UHWCs of Central and North-East Delhi. Non-probability purposive sampling was used. Data were collected using a structured knowledge questionnaire, a perception rating scale, and a barrier checklist. Descriptive statistics summarized the findings, while Fisher’s Exact Test and Karl Pearson’s correlation coefficient were applied to assess associations between variables.

Results The mean knowledge score of ANMs was 17.85±2.96, with 74.6% demonstrating good knowledge of the U-WIN application. The mean perception score was 49.38±5.06, indicating an overall favorable perception, with 59.1% of participants showing a favorable attitude. Usability and interface-related issues were the most reported barriers, followed by technical and connectivity challenges. A statistically significant association was observed between years of professional experience and both knowledge (p=0.010) and perception (p=0.019). Knowledge and perception were positively correlated (p<0.001).

Conclusions The study concludes that ANMs possess good knowledge and favorable perceptions regarding the U-WIN application. Addressing usability and technical challenges can further enhance effective utilization and strengthen routine immunization services.