Mediation of Personality in the Relationship Between Organizational Roles & Motivation: A Study on ASHA Workers.

Date01 October 2023
AuthorShilpa, R.,Patrick, Harold Andrew,Shilpa, R.^Patrick, Harold Andrew


The Indian government started the National Rural Health Mission (NRHM) in the year 2005 to meet the needs of the rural population in terms of health care, especially of those in the most precarious of situations. The sub-center (SC) is the farthest-reaching community contact point in the public health system. This is for a 5000-person population. The creation of ASHA, a new type of community-based bureaucrat, was meant to fill this need. People from the communities they serve are chosen to work with the health system. These people have less education and training than medical professionals but are highly respected by the populations they serve. ASHA is a group of community-based volunteer health advocates who raise health awareness.

An Accredited Social Health Activist (ASHA) is a qualified community health professional. A healthcare worker who has been officially recognized and licensed is referred to as "accredited." ASHA employees are often known as "grassroots workers." In 2005, the NRHM was established. The year 2012 has been selected as the deadline for complete implementation. Following the implementation, the country now has "one ASHA in each community." ASHA employees totaled 250,000 in ten states, exceeding the goal. As of right now, there are 9,83,032 ASHAs working in the nation, falling short of the 10,34,630 (95% in position) goal set by the National Health Mission (NRHM and NUHM), which adheres to the standards of one ASHA for every 1000 people living in rural areas and one ASHA covering 2500 people living in urban areas (Gowda, 2021). During the course of eleven years, from the first update in 2010 to the current update for FY 2020-21, the overall ASHA target has climbed by around 33% (from 7,79,481 to 10,34,630), while the number of ASHAs in positions has increased by 42%. (6,91,533 to 9,83,032). In 32 states and territories of the Union state-wide, there were 6 lakhs of ASHAs involved in the strike which happened on August 2020, and in previous years strikes happened in the states of Karnataka, Madhya Pradesh, Haryana, Punjab, Gujarat, and Kerala. Essentially, Strike's main goal was to stop paying covid taxes for workers who were already underpaid for their hard work and refixing salaries up to Rs.10,000 at ASHA. ASHAs are professionals who provide medical care for minor illnesses. ASHA will serve as the primary contact point for any health-related requirements of poor groups, with a special focus on assisting women and children who have difficulty gaining access to medical treatment. Every month or two, they will organize a local health day which brings motivation and awareness about their job to people (MoHFW, 2005).

ASHAs should offer a range of services, including spotting pregnant mothers, assisting with ANC exams, encouraging women to have institutional deliveries while there, and planning child immunization. ASHAs are expected to do home visits, support Village Health and Nutrition Day (VHND) and Village Health and Sanitation Committee (VHSC), accompany clients to appointments, and keep records. When making home visits, ASHAs are in charge of educating the local population about health issues, providing medical attention to patients, and giving priority to pregnant women, new parents, children under two, malnourished children, and marginalized households. Escorting should only be done voluntarily when receiving services. She does, however, receive performance-based rewards for promoting a variety of services, such as escorting expectant mothers to hospitals, encouraging people to get immunized, and Directly Observed Treatment, Short-course (DOTs), among other things. In addition to raising awareness, organizing the community, and escorting women to services, she must keep records and a daily diary (Vall d'Hebron Research Institute--VHIR) (Government of India 2018)

Literature Review

An Amnesty India human rights educator examined the women warriors fighting COVID-19 at the frontline: ASHA workers left without hope (Aswati Warrier, 2020). The report details the difficulties faced by ASHA employees. These women have demonstrated their value in the face of an unprecedented pandemic. By satisfying their basic needs, communities will become more robust and their own readiness for such pandemics will increase. Defining performance motivation mechanisms in Bihar's ASHAs Wahid (2020) examined community health workers (CHWs) and their functions in providing primary healthcare services. The currently available research suggests that context-dependent causal processes, such as motivation to perform, may impact how well CHW programs operate in low--and middle-income countries. A nationally representative longitudinal modeling study by Agarwal et. al. (2019) examined the effects of India's ASHA program on the use of maternity care. The program's effect on the rates at which women had skilled birth attendance (SBA), had at least one antenatal care (ANC) visit, four or more ANC visits, and gave birth in a medical facility was determined based on a difference-in-difference analysis using cluster-level fixed effects. This research aimed to...

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