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Performance of Accredited Social Health Activists (ASHA) in Rajasthan

  • Vrinda Mehra
  • Agency : ASHA Sahayogini, Community, Service Providers
  • Objective : The objective of the study is to identify the various drivers and barriers influencing the performance of ASHAs in Rajasthan. The study assesses the motivation level of ASHA sahayoginis on the basis of a model proposed by Joint Learning Initiative in 2003 and Hezerberg’s Theory of Motivation.
  • Background : The World Health Report 2000 quote that human resource is central to the performance of a health system. The Government of India launched NRHM in 2005 and one of its key strategies was to appoint an Accredited Social Health Activist (ASHA). ASHA is a frontline worker and an honorary volunteer who does not receive any fixed salary. Hence, it becomes necessary to understand what motivates her to perform and what are the various barriers faced by her.
  • Methodology : The study is a blend of qualitative and quantitative study techniques. It is a cross sectional study with stratified sampling. The sample size consists of 41 ASHAs, 210 mothers delivered in last 2 years and 10 service providers.
  • Findings : The study reinforces the findings of Hezerberg’s theory of motivation and the model proposed by joint learning initiative. All ASHAs who were interviewed quoted that the job itself and receiving timely training motivates them to work better. A high proportion of 90% of ASHAs reported that having necessary support from supervisors and colleagues help them to perform. It was found that none of the ASHAs were satisfied with the compensation received by them. Among other challenges, unavailability of supplies and a lot of workload was quoted by 44% and 87.8% of ASHAs respectively. The study reveals that both the community and service providers are of the opinion that introduction of ASHA at the village level has contributed to the improvement in the health status of the village.
  • Recommendations : Not Available
the study is to identify the various drivers and barriers influencing the performance of ASHAs in Rajasthan