What motivates an ASHA? Narratives from Ramanagara district, Karnataka

Authors

  • Anissa Mary Thomas Thattil St. John’s Medical College, Bengaluru
  • Avita Rose Johnson St. John’s Medical College, Bengaluru
  • Priyanka Thomas St. John’s Medical College, Bengaluru
  • Jisha Maria St. John’s Medical College, Bengaluru
  • Rosa Dangmei St. John’s Medical College, Bengaluru 560034
  • Sulekha Thimmaiah St. John’s Medical College, Bengaluru

DOI:

https://doi.org/10.47203/IJCH.2019.v31i01.007

Keywords:

ASHA, Motivation, Barriers, Work Performance, Qualitative Research

Abstract

Background: The National Rural Health Mission (NRHM) aimed to bridge the gap in rural health care with the introduction of the Accredited Social Health Activist (ASHA) in 2005. It is essential to identify the motivators and barriers to work performance by the ASHAs in order to facilitate better health care in the community. Objective: To identify the motivators and barriers to the work performance of ASHAs in the Solur PHC area, Ramanagara district, Karnataka. Material & Methods: A qualitative study was conducted in one PHC area of Ramanagara District, Karnataka. Four KIIs with government health functionaries and one FGD with nine ASHAs were conducted. A thematic frame-work approach was used for data analysis. Results: The main personal motivators were altruism and intrinsic satisfaction, while social support and team-work were important environmental motivators. De-motivating factors were financial problems such as insufficient pay and irregular financial incentives, as well as logistic difficulties, including transportation and safety. Conclusion: Personal, cultural, financial considerations and working conditions affect the performance of an ASHA. It is essential to address relevant issues faced by these health workers in order to improve their work satisfaction and efficiency.

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References

World Health Organization. Global Strategy on Human Resources for Health: Workforce 2030.Geneva: WHO; 2010: 1 -64.

World Health Organization, International Conference on Primary Health Care, Declaration of Alma Ata, Sr. No 1. Alma-Ata, USSR:WHO;1978: 6–8.

Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk BE, et al. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database of Systematic Reviews 2010; Issue 3: 1-211. DOI: 0.1002/14651858.CD004015.pub3.

Ministry of Health and Family Welfare, Government of India. Guidelines for Community Processes. India: Government of India;2013: 1–96.

The Hindu. ASHA workers protest in Bengaluru, demand fixed honorarium. Available at: http://www.thehindu.com/news/cities/bangalore/asha-workers-protest-in-bengaluru-demand-fixed-honorarium/article19637272.ece. Accessed on June 27, 2018.

Tripathy, JP, Goel, S, Kumar AMV. Measuring and understanding motivation among community health workers in rural health facilities in India-a mixed method study. BMC Health Services 2016; 16:1-366. DOI: 10.1186/s12913-016-1614-0

Sarin, E, Sooden A, Kole KS, Lunsford S. Identification of challenges and needs to improve community health worker’s performance: Narratives of Accredited Social Health Activists (ASHA) from two Indian districts. Journal of Public Health in Developing Countries 2016;2 (2): 173–82.

Kok MC, Dieleman M, Taegtmeyer M, Broerse J, Kane SS, Ormel H et al. Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review. Health Policy and Planning 2015;3(1): 1207–1227.

Gopalan SS, Mohanty S, Das A. Assessing community health workers’ performance motivation: A mixed-methods approach on India’s Accredited Social Health Activists (ASHA) programme. BMJ Open 2012; 2: 1–11.

Shet S, Sumit K, Phadnis S. A study on assessment of ASHA’s work profile in the context of Udupi Taluk, Karnataka, India. Clinical Epidemiology and Global Health 2017; 1: 1-5. DOI:10.1016/j.cegh.2017.08.004

Saprii L, Richards E, Kokho P, Theobald S. Community health workers in rural India: Analysing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles. Human Resources for Health 2015;13: 1–13. DOI: 10.1186/s12960-015-0094-3

Paul D, Gopalakrishnan S, Singh P. Functioning of Accredited Social Health Activists (ASHAs) in ICDS: An evaluation. Health and Population- Perspectives and Issues 2013; 36(3):78–89.

Nandan D, Malini S, Tripathy RM, Khattar P, Nair KS, Tekhre YI et al. A rapid appraisal on functioning of Janani Suraksha Yojana in south Orissa. Health and Population- Perspectives and Issues 2008; 31(2): 126–131.

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Published

2019-03-31

How to Cite

1.
Thattil AMT, Johnson AR, Thomas P, Maria J, Dangmei R, Thimmaiah S. What motivates an ASHA? Narratives from Ramanagara district, Karnataka. Indian J Community Health [Internet]. 2019 Mar. 31 [cited 2024 Dec. 22];31(1):36-42. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/1007

Issue

Vol. 31 No. 1 (2019)

Section

Original Article

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