Qualitative Assessment of Accredited Social Health Activists (ASHA) Regarding their roles and responsibilities and factors influencing their performance in selected villages of Wardha

Guha, Ishita; Raut, Abhishek; Maliye, Chetna; Mehendale, Ashok M; Bs, Garg

doi:10.4103/ijamr.ijamr_55_17

Cited by 21 publications

(15 citation statements)

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“…The present study revealed that issues related to supervision, job security, incentives, poor transport were major challenges in field; similar was reported by sharma et al 10 study and by various other studies. [11][12][13][14][15] Our study revealed that over burden of work assigned by multiple department triggers conflicts between authorities especially of DWCD and medical and health department. Another common obstacle was transport related issues (distance from residence, from health facility and uneven distribution of population).…”

Section: (23%) Almost All Ashasmentioning

confidence: 99%

Challenges Faced by ASHAs during their Field Works: A Cross Sectional Observational Study in Rural Area of Jaipur, Rajasthan

Meena¹,

Rathore²,

Kumawat³

et al. 2020

IJMEDPH

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Introduction: ASHA, the grass root level worker is a bridge between population and health system. Objectives: To determine the challenges and hurdles faced by ASHA during their field work in rural area of district Jaipur, Rajasthan. Methods and Materials: A field based descriptive, observational study was conducted among 135 ASHA's of ten PHC's of two blocks of Jaipur, Rajasthan from September 2018 to April 2019 by using a pretested, semi structured questionnaire for socioeconomic profile of ASHA and in-depth interview to find out challenges faced by ASHAs during their field work. Results: Majority of ASHA's (67%) were in the age group of 25-35 yrs, there were six (4%) young ASHAs who were 25 yrs of age. Majorities ASHA were studied up to secondary (32%) and higher secondary (28%), around 20% were only eighth passed (i.e. minimum education criteria) and (few) seven percentages were graduated. Majorities (84%) of ASHA were satisfied with their work but experience few challenges in field work however 15% ASHA are totally satisfied with their job and found none challenges in field work. Conclusion: Multiple inter related factors affects work performance of ASHAs in field. Financial incentives, self-identity and working for society were motivation for joining this profession. However, delayed and inadequate payment, overburden of work, poor transport and conflict between ICDS and Health staff were common challenges.

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Section: (23%) Almost All Ashasmentioning

confidence: 99%

Challenges Faced by ASHAs during their Field Works: A Cross Sectional Observational Study in Rural Area of Jaipur, Rajasthan

Meena¹,

Rathore²,

Kumawat³

et al. 2020

IJMEDPH

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“…A study done by Guha et al in Wardha, Maharashtra showed that work load, inadequate and delayed incentives negatively influenced their performance. 19 Another study carried out by Baghel et al also found that hurdles in receiving incentives influence the performance of ASHAs. 17…”

Section: Individual Factors Influencing the Performance Of Ashasmentioning

confidence: 97%

Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Debbarma

Kaur

2021

Int J Community Med Public Health

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Background: Accredited Social Health Activist (ASHAs) is a female community health worker who provides care at grass-root level to her community people. The current study was conducted to assess the factors influencing the performance of ASHAs in district Sirmour, Himachal Pradesh with the objectives to assess the level of performance of ASHAs, to assess the individual factors influencing the performance of ASHAs and to assess the work environment factors influencing the performance of ASHAs.Methods: The researchers used non-experimental exploratory design and 228 ASHAs were selected from different blocks of district Sirmour through multistage sampling technique. Data was collected through structured interview and the tool used was structured interview schedule.Results: The study revealed that 61.4% ASHAs had average performance and 38.60% had good performance. The individual factors influencing the performance of ASHAs were family support, good relationship with family members, job satisfaction, increase in dignity etc. Work environment factors influencing the performance were supervisor’s guidance and support, in-service education, performance evaluation, flexibility in working hours, unavailability of resources, unequal work distribution, distance and transport, weather etc. Other factors influencing the performance were also explored through this study such as lack of safety, inadequate provision of incentives, irregular availability of resources and difficulty in motivating people.Conclusions: This study concluded that the level of performance was influenced by individual, work environment factors and many other factors. Hence, the study recommended that initiatives should be taken at administrative levels to improve the performance of ASHAs and the factors creating issues in their performance should be solved out.

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“…Within culturally diverse regions of India, other studies have highlighted that the voluntary status of ASHA workers brought a sense of honour and motivation [ 12 , 13 ]. In contrast, a study in a tribal area of Maharashtra reported that community did not always appreciate the voluntary status of ASHA, leading to some mistrust about their incentives which adversely affected the community response [ 38 ]. Our findings echo the changing and expanding role of CHWs (ASHAs) describing some of the issues related to their voluntary status.…”

Section: Evolution Of the Asha Rolementioning

confidence: 99%

Interplaying role of healthcare activist and homemaker: a mixed-methods exploration of the workload of community health workers (Accredited Social Health Activists) in India

et al. 2021

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Background Globally, community health workers (CHWs) are integral contributors to many health systems. In India, Accredited Social Health Activists (ASHAs) have been deployed since 2005. Engaged in multiple health care activities, they are a key link between the health system and population. ASHAs are expected to participate in new health programmes prompting interest in their current workload from the perspective of the health system, community and their family. Methods This mixed-methods design study was conducted in rural and tribal Primary Health Centers (PHCs), in Pune district, Western Maharashtra, India. All ASHAs affiliated with these PHCs were invited to participate in the quantitative study, those agreeing to contribute in-depth interviews (IDI) were enrolled in an additional qualitative study. Key informants’ interviews were conducted with the Auxiliary Nurse Midwife (ANM), Block Facilitators (BFF) and Medical Officers (MO) of the same PHCs. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed thematically. Results We recruited 67 ASHAs from the two PHCs. ASHAs worked up to 20 h/week in their village of residence, serving populations of approximately 800–1200, embracing an increasing range of activities, despite a workload that contributed to feelings of being rushed and tiredness. They juggled household work, other paid jobs and their ASHA activities. Practical problems with travel added to time involved, especially in tribal areas where transport is lacking. Their sense of benefiting the community coupled with respect and recognition gained in village brought happiness and job satisfaction. They were willing to take on new tasks. ASHAs perceived themselves as ‘voluntary community health workers’ rather than as ‘health activists”. Conclusions ASHAs were struggling to balance their significant ASHA work and domestic tasks. They were proud of their role as CHWs and willing to take on new activities. Strategies to recruit, train, skills enhancement, incentivise, and retain ASHAs, need to be prioritised. Evolving attitudes to the advantages/disadvantages of current voluntary status and role of ASHAs need to be understood and addressed if ASHAs are to be remain a key component in achieving universal health coverage in India.

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Qualitative Assessment of Accredited Social Health Activists (ASHA) Regarding their roles and responsibilities and factors influencing their performance in selected villages of Wardha

Cited by 21 publications

References 1 publication

Challenges Faced by ASHAs during their Field Works: A Cross Sectional Observational Study in Rural Area of Jaipur, Rajasthan

Challenges Faced by ASHAs during their Field Works: A Cross Sectional Observational Study in Rural Area of Jaipur, Rajasthan

Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Interplaying role of healthcare activist and homemaker: a mixed-methods exploration of the workload of community health workers (Accredited Social Health Activists) in India

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