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‘Why should we believe the government now?’, say ASHA workers

Failed promises, low pay and manifold challenges for one of the first responders to help India fight Covid-19 mean that the 70,000 Accredited Social Health Activists (ASHA) workers of Maharashtra are a disillusioned lot

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Ganga Lande didn’t want to venture out and become the carrier of the virus when lockdown was imposed last year. She didn’t leave her home, until she was promised a PPE kit, mask and gloves to do surveys in Ulhasnagar. Pics/Sameer Markande

Ganga Lande didn’t want to venture out and become the carrier of the virus when lockdown was imposed last year. She didn’t leave her home, until she was promised a PPE kit, mask and gloves to do surveys in Ulhasnagar. Pics/Sameer Markande

Not many residents of the villages in Palghar district know Bhakti Kini’s last name. For them, she is Bhakti tai, the woman who hikes up a hilly neighbourhood in  Kore, Saphale, every day. Her reward? Rs 6,000 a month. Kini, 50, an ASHA worker, walks and climbs 3 km daily to reach the healthcare centre, where she is assigned the duty of monitoring the health of local residents. She starts her shift at 9 am after finishing household chores. Her 30-year-old daughter and 16-year-old son help her around the house. Kini’s husband, who worked at Boisar’s Brinks Arya Company and has been out of a job for three years, is not of much use, she admits, making her the sole breadearner of a four-member family. “I could take an autorickshaw, but that would cost me R50 one way. I can’t afford it,” Kini says in an interview to mid-day on a day when she has been deployed to immunise people for Covid-19.

Called the Independent Panel for Pandemic Preparedness and Responses (IPPPR), a report established by World Health Organization (WHO) in January 2021, highlighted how the deployment of “a cadre of million women social health activists” has helped India’s Covid-19 surveillance. “Community engagement by ASHA workers has been a successful strategy in enhancing India’s national response to Covid-19,” it stated, adding, “Systems for health require substantive community engagement at every step of pandemic preparedness and response, from early detection and alarm to the dissemination of reliable information throughout a community, including effective ways to prevent, care for and treat infection.”

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