In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up?

by

Accredited Social Health Activitist (ASHA) is a trained female community health activist, a concept introduced by the National Rural Health Mission, Government of India, in 2005, to improve the public health system at the rural level. ASHA is selected from the village itself and works as an interface between the community and the public health system.
All major Indian states have accepted the concept of ASHA and started recruitment and training of these activists. But the state of Goa hasn’t trained even a single Accredited Social Health Activist!

Changing lives in the rural sector How ASHAs are trained..

Recent health data from Goa is not impressive. The Health Ministry at the Centre is trying its best to convince the the State health ministry to take up this issue. The Goa health ministry, on the other hand, feels that Anganwadi Workers are equipped and qualified enough to do the job. The State Anganwadi Workers Association says they are overburdened with community work and would appreciate ASHAs sharing some work-load. Surprisingly, the Goa Medical Association feels that it is a wastage of resources and is against the concept. But, the Local panchayat can see that the loopholes in the current system and are pressing for ASHA recruitment and training.

Decreasing maternal and infant mortality rate, promoting vaccination, sanitation, personal hygiene, control of infectious diseases and achievement of millennium development goals requires ASHA. Media advocacy, convincing by central health minister, protests by the anganwadi workers should be promoted. In vernacular language, ASHA means a ray of hope and Goa badly needs it.

Advertisements

6 Responses to “In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up?”

  1. gpalamaners Says:

    Rural Health care is known to be grossly inadequate in India. An estimated 600000 patients go untreated every day in the rural parts of Andrapradesh (a state in South India). Nearly 5 million deliveries are conducted by untrained local people every year in rural India. This will explain the prevailing high infant and maternal mortality in India. With such a huge population this problem of scarcity of Health Care workers in rural India has no easy solution.

    However measures like Accredited Social Health Activists (ASHA) is a good effort in the right direction. Since local people are trained to take care of local health they will definitely do a good job because they know the local health care problems better. Health awareness programs will have a better reach in the community if these local people conduct them. These local people will be better accepted in the community than an outsider. I am happy to know that such a system is being followed in 27 states in India. I wish that Goa too follows this policy because it is only too obvious that this system will be helpful to the community. The central Government should work with the Health authorities in Goa to understand why they are resisting the inception of ASHA in Goa. If problems like scanty resources or trained man power are the issues then Central Government should help to solve these issues as ASHA will benefit a lot of Goa people.

    The health ministry has recently proposed short 2 year degree courses to train “Rural Physicians”. This differs from the M.B.B.S. curriculum for these rural physicians will be trained exclusively for the rural health care needs. This new proposal if combined with ASHA will have a better impact on rural health care if implemented in the future.

  2. Rose Says:

    The ASHA workers are part of the National Rural Health Mission’s efforts to close serious gaps in the health system outside cities. While the mission of ASHA, to refer patients to appropriate health providers is important, it actually does overlap with Angawadi workers a bit. NRHM officers need to clarify how their jobs differ and what the added benefit is for hiring and training ASHA. In fact, their health promotion role is very important in encouraging women to give births in hospital settings and also refer children with ARI symptoms to local health providers.
    However if not adequately trained and monitored they will like the AWW be of little use to many families not already accessing health care.

    To create adequate training, sometimes it helps to partner with private NGOs. A good example of an NGO partnership with government workers is at this link: http://healthmarketinnovations.org/program/karuna-trust

  3. beano Says:

    beano side effects…

    […]In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up? « SBFPHC Policy Advocacy[…]…

  4. healthcare reform time line Says:

    healthcare reform time line…

    […]In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up? « SBFPHC Policy Advocacy[…]…

  5. yeastrol review Says:

    yeastrol review…

    […]In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up? « SBFPHC Policy Advocacy[…]…

  6. polycystic ovary syndrome Says:

    polycystic ovary syndrome…

    […]In 27 Indian states, Accredited Social Health Activists uplifts the health system. When will Goa wake up? « SBFPHC Policy Advocacy[…]…

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s


%d bloggers like this: