Functioning of ASHAs under National Health Mission in Punjab: An Appraisal

  • Pawan Kumar Sharma Centre for Research in Rural and Industrial Development (CRRID), Chandigarh-160019, India
  • Poonam Sandhir Centre for Research in Rural and Industrial Development (CRRID), Chandigarh-160019, India
Keywords: ASHA, National Health Mission, NHM, Public Health


The present paper ascertains the functional efficacy of ASHAs and suggests measures for the optimization of their functioning in Punjab. For carrying out the study, different phases included random selection of three districts followed by two health blocks from each district and three sub centres from each block and subsequently one village from each sub centre. List of eligible women who had delivered a baby during the last three months prior to the survey was prepared and at last stage, five women from each village were selected at random. The findings revealed that the norms, including the age limit, educational qualification, residence and marital status set for the selection of ASHAs revealed clear adherence of the NHM guidelines. However two-thirds of the ASHAs were covering a population of more than 1,000 persons. About 90 percent of the ASHAs couldn’t specify their job responsibilities promptly on the activities related to spreading health awareness among adolescents, promoting hygiene practices, generating awareness on preventive measures on RTI/STI, HIV/AIDS, tobacco and alcoholism. About 94 percent of ASHA workers had received drug kit. However there were delays in the replenishment of drugs. As per NHM guidelines, no drug kit has AYUSH medications in it. Inter-sectoral collaboration among the ASHAs, ANMs, PRI
members and AWWs was more or less satisfactory even though ASHAs intervention in VHSNC meeting was not encouraging due to non-cooperation of other stakeholders. For strengthening of the ASHA programme, it is essential that the factors discouraging them are addressed properly.


CORT (2007). Assessment of ASHA and Janani Suraksha Yojana in Rajasthan. Sponsored by UNFPA, New Delhi, 1–79.

asha-training-modules.html accessed at different point of time.

Ishita, Guha., Raut, V, Abhishek., Maliye, H, Chetna., Mehendale, M, Ashok., & Garg, S, Bishan. (2018). Qualitative Assessment of Accredited Social Health Activists (ASHA) Regarding Their Roles and Responsibilities and Factors Influencing Their Performance in Selected Villages of Wardha. International Journal of Advanced Medical and Health

Research, 5(1), 21–26.

National Institute of Health & Family Welfare, National Institute of Applied Human Research and Development and UNFPA (2007-08). A Rapid Appraisal of Functioning of ASHA under NRHM in Cuttack, Orissa, 1–37.

National Institute of Health & Family Welfare, State Institute of Health and Family Welfare and UNFPA (2008). Assessment of the Functioning of ASHAs under NRHM in Uttar Pradesh (2007-08), 1–27.

Sangeeta, Kori., Bhatia, Manohar., & Mishra, Ashok. (2015). A Cross-sectional Assessment of Knowledge of ASHA Workers. Journal of Krishna Institute of Medical Science University, 4(4), 57–63.

Shilpa, Karir., Haider, Shamim., Kashyap, Vivek., Sagar, Vidya., & Singh, Bhushan, Shashi. (2015). Assessment of Sahiyya (Accredited Social Health Activist) in relation to antenatal services: Ormanjhi, Ranchi, Jharkhand. International Journal of Community Medicine and Public Health, 2(2), 130–136.

Srinivas, Nagaraj., Achapppa, Santosh., Bettapa, Prashantha., & B, Prakash. (2017). Performance Evaluation of Accredited Social Health Activist under National Rural Health Mission in Mysore District: A Cross-Sectional Study. National Journal of Community Medicine, 8(6), 324–328.

How to Cite
Pawan Kumar Sharma, & Poonam Sandhir. (2018). Functioning of ASHAs under National Health Mission in Punjab: An Appraisal. Journal of Multidisciplinary Research in Healthcare, 5(1), 17–24.

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