Published: 2017-01-17

Problems faced by ASHA workers for malarial services under NVBDCP: a cross sectional study

Aniruddha Gohel, Naresh Makwana, Mittal Rathod, Amrita Sarkar, Dipesh Parmar


Background: About 95% of the country’s population resides in malaria endemic areas. The NVBDCP is multi-faceted public health programme in the country. The NVBDCP became an integral part of the NRHM launched in 2005. In NRHM, ASHA worker should be placed at grass root level. So role of ASHA is critical at grass root level. Problems faced by ASHA, it will affect the performance. So, ASHA workers positioned at village, Population catered by them, education, work experience, problems related to incentive and any other problems should be considered. The primary objective was to know the problems faced by ASHA workers for malarial services under NVBDCP in Jamnagar district.

Methods: A cross-sectional study was conducted in rural areas of the district by using multistage sampling.

Results: There was vacant post of ASHA in one village of low performing sub-centre. ASHA having work experience of less than one year was concentrated in poor performing sub-centre villages. More than one third ASHA served > 2000 population and more than half of them belonged to low performing sub centres. Around one sixth ASHA workers had difficulty in getting incentive or any problems. Majority of them belonged to low performing sub centres-villages.

Conclusions: Main identified problems were some areas were far to reach by them, getting incentive for work and populations catered by them were too high. Most of them belonged to low performing sub centre-villages. All of above findings had affected the performance of ASHA workers.




Full Text:



National vector borne disease control programme, Ministry of Health and Family Welfare, GOI.

Sunderlal. Textbook of community medicine, third edition.

Kishore J. National Health Programs of India tenth edition page no.328.

Malaria treatment policy. National Vector borne disease Control Programme, Ministry of Health and Family Welfare, GOI, 2010.

National Rural Health Mission MOHFW, GOI.

Choudhary M. evaluation of functioning of asha workers under NRHM, A dissertation submitted to Saurashtra University, 2014.

Rao US. Role of ASHA in Promoting Safe Delivery in Rajasthan. Population Research Centre, Mohan Lal Sukhadia University, Udaipur, 2007-2008.

Mohapatra B. An Assessment to Understand the Functioning and Impact of JSY in Orissa. Cuttack Orissa: Department of Community Medicine, SCB Medial College, 2008.