Accredited Social Health Activists (ASHAs) are key to healthcare in rural India but face significant challenges, as seen in a study of 150 workers in Aligarh, Uttar Pradesh. Major issues include delayed payments (70%), heavy workloads (92%), poor training (71%), and inadequate facilities (97%). Many report harassment (95%), high stress (89%), and tough working conditions (73%). … [Read more...] about Assessing Challenges and Sources of Dissatisfaction among Accredited Social Health Activists Employees
CHW Challenges
Factors related to the collaboration of cadres in stunting prevention
This study examined factors influencing collaboration among stunting cadres—community health workers trained to monitor and prevent stunting at the village level. Poor coordination and lack of proper communication tools have led to repeated and inaccurate data collection. The study, involving 63 cadres, found that trust, communication, agreement, and creating public value … [Read more...] about Factors related to the collaboration of cadres in stunting prevention
‘Our hands are bound’:Pathways to Community Health labor in Kenya
The traditional model for selecting Community Health Workers (CHWs) involves electing a willing, trusted, educated community member. However, this ideal is rarely practiced. Through life history interviews with CHWs in Isiolo, Kenya, five predominant pathways to community health work were identified: model, handpicked, shadow, outsider, and dispossession. Each pathway, … [Read more...] about ‘Our hands are bound’:Pathways to Community Health labor in Kenya
Prospects for the development of community-based care in remote rural areas: a stakeholder analysis in Laos
Despite progress towards universal health coverage, many rural communities lack access to healthcare. In Laos, community-based health programs aim to address this issue by involving lay health workers (LHWs) as CHWs. This study explored the challenges and opportunities for expanding these programs. Interviews with stakeholders revealed barriers such as geographic … [Read more...] about Prospects for the development of community-based care in remote rural areas: a stakeholder analysis in Laos
“Too Many Jobs and Not Enough Hands”: Immigrant and Refugee Community Health Workers at the Frontlines of the COVID-19 Pandemic
This study investigated the challenges faced by refugee and immigrant community health workers (riCHWs), who play a crucial role in supporting community health. The findings revealed that riCHWs are at risk of burnout due to limited recognition and heavy workloads. The study used a narrative approach to explore the stressors, coping mechanisms, and resources of riCHWs, along … [Read more...] about “Too Many Jobs and Not Enough Hands”: Immigrant and Refugee Community Health Workers at the Frontlines of the COVID-19 Pandemic