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Community health workers’ counseling is based on a deficit model of behavior change

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Authors: Micah B Goldwater, Faiz A Hashmi, Sudipta Monda, Cristine H Legare

India’s ASHA program has improved access to healthcare in rural areas, but many people still reject medical advice. This study asked ASHAs and their clients why. The main reasons were lack of understanding about health benefits and family or social pressures. However, ASHAs mostly tried to persuade people by giving more health information, rarely addressing social influences. This gap shows that training should go beyond sharing facts and focus on how to change beliefs and behaviors by considering people’s real concerns and social situations.

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Resource Topic: Behavior Change and Communication, Behavioral health, CHW Services

Resource Type: Mixed Methods

Year: 2025

Region: Asia

Country: India

Publisher May Restrict Access: No

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