Evaluating the performance of ASHA workers in rural and tribal areas in Kurnool division of Kurnool district, Andhra Pradesh

Renuka Biyyala, Ram Sagar Reddy Moola, Sreedevi Arepalli


Background: ASHA is a health activist in the communities who creates awareness on health and its social determinants and mobilizes the community towards local health planning and increased utilization and accountability of the existing health services. This study was conducted with the aim of evaluating the work performance of ASHAs in tribal and remote rural areas in Kurnool division of Kurnool district.

Methods: This is a community based observational and cross sectional study carried out from July 2014 to July 2015. Six PHCs of Atmakur CHNC namely Kottalcheruvu, Bairluty, Kothapally, Yerramattam, Gokavaram, Pamulapadu were selected for the study by using multistage random sampling technique. 65 ASHAs from 20 SCs of these six PHCs had participated in the study for evaluation of their performance in the field.

Results: Majority of ASHAs had average level of the performance in counselling of antenatal cases, escorting postnatal cases, motivating cases for family planning adoption, escorting family planning cases whereas the performance level was found to be good among majority of ASHAs with regard to escorting antenatal cases, counselling of postnatal cases and getting children immunized. Majority of ASHAs were not performing activities regarding creating awareness on social determinants of health, providing primary medical care for minor ailments, informing births and deaths to SC/PHC, distributing ORS, IFA and chloroquine.

Conclusions: Regular on job training as well as review training for ASHAs every 6 months helps them to increase their participation in various activities with a rejuvenated enthusiasm. The incentives for ASHA must be raised and paid promptly to them to improve their performance. 


ASHA, Performance, Antenatal, Postnatal, Incentive

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Thakur JS Srivastava RK. ASHA case-study: Community Empowerment through Accredited Social Health Activist (ASHA) under National Rural Health Mission (NRHM), Government of India. 7th Global Conference 2009.

Report of the Working Group on National Rural Health Mission for the Twelfth Five Year Plan (2012-2017).

Mahyavanshil DK, Patel MG, Kartha G, Purani SK, Nagar SS. A cross sectional study of the knowledge, attitude and practice of ASHA workers regarding child health (under five years of age) in Surendranagar district. Health line. 2011;2(2):50-3.

Saxena V, Kakkar R, Semwal VD. A study on ASHA-a change agent of the society. Indian J Community Health. 2012;24(1):15-8.

Kansal S, Kumar S, Kumar A. Is educational level of ASHA matters for their effective functioning? A cross-sectional study in eastern Uttar Pradesh. Indian J Community Health. 2012;24(1):41-4.

Jain N, Srivastava NK, Khan AM, Dhar N, Adhish V, Menon S et al. Assessment of functioning of ASHAs under NRHM in Uttar Pradesh. Health and Population: Perspectives and Issues. 2008;31(2):132-40.

Srivastava DK, Prakash S, Adhish V, Nair KS, Gupta S, Nandan D. A study of interface of ASHA with the community and the service providers in Eastern Uttar Pradesh. Indian J Public Health. 2009;53(3):133-6.

Alagarajan M, Sutapalli D, Thirupathi G. Concurrent Evaluation of National Rural Health Mission. Andhra Pradesh International Institute for Population Sciences; 2009.

Swain S, Swain P, Nair KS, Dhar N, Gupta S, Nandan D. A Rapid Appraisal of functioning of ASHA under NRHM in Orissa. Health and Population: Perspectives and Issues. 2008;31(2):73-9.

Kanth V, Cherian A, George J. The contribution of Accredited Social Health Activist (ASHA) under National Rural Health Mission (NRHM) in the implementation of Comprehensive Primary Health Care in East Champaran district, Bihar (State) India.

Joshi SR, George M. Healthcare through Community Participation: Role of ASHAs. Economic & Political Weekly. 2012;47(10):70-6.

Santhosh S, Nair SB, Shylaja L, Sreeranjini A, Sureshkumar S, Anithakumary KR, et al. PRC Study on Rapid Appraisal of National Rural Health Mission Implementation in Kozhikkode District, Kerala, Population Research Centre 2009.