Assessment of Workload of ASHAs: A Multi-stakeholder Perspective Study for Task-sharing and Task-shifting

• DOI: 10.1177/09720634221079084
• Publication Date: 2022-03-07T06:19:51Z
• Authors: Usha Manjunath; R. Sarala; D. Rajendra; M. R. Deepashree; Maulik Chokshi; Tushar Mokashi; Mythri Shree N.
• Keywords: Thematic Analysis

The Accredited Social Health Activist (ASHA) programme has proven to be cost-effective and successful in addressing the growing shortage of health workers reaching vulnerable. ASHA’s contribution towards improvement maternal child other programmes at community level is reported acknowledged widely literature. However, nearly 16 years into introduction ASHA, challenges terms workload, fatigue, poor work–life balance low levels compensation have emerged. Aim: To assess workload on ASHAs, impact their responsibilities quality life potential for structured task sharing/shifting among healthcare workers. Methodology: study used a mixed-method approach with data source triangulation. A multi-stage random sampling method was collect data. Qualitative research carried out explore ASHAs’ stakeholders’ perspectives, thematic analysis undertaken using NVivo-12. also measured World Organization Quality Life (WHO QOL)-BREF. three districts Karnataka: Mysuru, Raichur Koppala. Results: majority ASHAs that they experience work burden population coverage, extended hours additional tasks. Lack access transportation, inadequate support from personnel delayed payment incentives add them often feeling overworked underpaid. elicited perspectives different stakeholders. Findings emphasise necessity selected tasks frontline based complexity capabilities.