Socio-Economic Profile And Background Of Ashas In Uttar Pradesh, India

Tridibesh Tripathy and Anjali Tripathy
Page No: 
1195-1199

There The state of UP has witnessed the CHW engagement through a long history since the 70s and currently it is the key strategy to percolate primary health care to the masses. The current lot of CHWs in UP are the ASHAs who are the daughters-in-law of a family that resides in the same community that they serve as the grassroots health worker since 2005 when the NRHM was introduced in the EAG states. Up is one such state. The current study explores some of the crucial variables of the socio-economic profile of the ASHAs in four districts of UP. Through this profile, the selection criteria of ASHAs, education profile of ASHAs, religion of ASHAs and the number of population that they cover in their catchment and their work hours are reflected upon to give a picture that represents the entire state of UP. The relevance of the study assumes significance as data on the details of socio-economic profile of ASHAs are not available even in large scale surveys like National Family Health Survey 4 done in 2015-16. A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions. In addition, in-depth interviews were also conducted amongst the ASHAs and a total 250 respondents had participated in the study. The average age of ASHAs in the 4 districts was in the range of 34-37 years. ASHAs were with more working experience in Banda and Saharanpur in comparison to the other 2 districts. About 1/5th of the ASHAs in 2 districts did not meet the criteria of Government Of India that they should have studied up to 8th standard. There was an illiterate ASHA in one of the district. Here it was found that about 7% of ASHAs in Gonda district and about 3% of ASHAs in Banda district did not reside in the village that they work as ASHAs. Analysis of the average monthly income of the household of ASHAs showed that Saharanpur had the highest income among the four but Banda in spite of being the lowest developed district among the four, had the second highest income. Analysis of the social category of ASHAs showed that among the four districts, most of the scheduled castes ASHAs were in Saharanpur district. Aost of the ASHAs were from Hindu religion. Banda district had about 7% of ASHAs from Muslim religion followed by about 3% in both Barabanki and Saharanpur districts. Gonda district had only one Muslim ASHA and the lone Christian ASHA was from Banda district. Across the four districts it was seen that all the ASHAs covered more than 1000 population that means they are overloaded with the population that they cover or cater to. The average working hours per week across the four districts showed less than the prescribed 25 hours a week by NHM. All the ASHAs across the four districts had an average of 7 family members in their family suggesting their large household size.

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