The current system of incentives for ASHAs somewhat works, but fails at many levels, especially when it comes to the value and perception of welfare of beneficiaries. The incentives are driving them to do very specific tasks – immunization, sterilization and getting beneficiaries to aÂ governmentÂ facility. This automatically sidelines all other parts of the process. So, while the importance lies in babies being delivered safely, or delivered in an institution perhaps, the focus ends up in leading them to a government facility because that is where ASHAs are given their incentives.
It makes us think what alternate ways of job satisfaction can be provided to inspire ASHAs to do their part well. Here’s a leaf that talks about this, from our Design Diaries from field.