Authors: Kheya Melo Furtado, PhD, Abha Mehndiratta, MD, MPH, Sebastian Bauhoff, PhD, Swapna Pawar, MPH, Amy Luo, MS, Anushree Jha, MPH, Margaret McConnell, PhD
This study examined how community health workers (CHWs) in India are paid, focusing on the impact of digital tools and challenges in receiving timely wages. Researchers analyzed payment processes for Accredited Social Health Activists (ASHAs) in two states, conducting interviews and focus groups with CHWs, supervisors, and health officials. Findings revealed delays in payment due to complex administrative steps, even with digital tools in place. However, strong local leadership and efficient systems improved processing times. Fully digitized payment methods increased transparency and satisfaction, while opinions on digitizing service records were mixed. The study highlights ways to streamline payment systems for CHWs in low- and middle-income countries.
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Resource Topic: ASHA, CHW Motivation, CHW Payment
Resource Type: Qualitative
Year: 2025
Region: Asia
Country: India
Publisher May Restrict Access: No