ArticleHuman resources for health2017
How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework.
Article in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Community health workers for pandemic response: a rapid evidence synthesis.BMJ global health · 2020Pooled it
- Trial
- Reframing preventive health communication: from individual compliance to collective action.Frontiers in public health · 2026Article
- The experiences of female community health workers during COVID-19 and the influence of gender norms and values in Nepal: A qualitative study.PLOS global public health · 2026Article
- Lived experiences in action: Relations between community health workers' and clients' perinatal health behaviours in India.Global public health · 2025Article
- Desa SIAGA, a community participation model for maternal and neonatal health in Indonesia, barriers and facilitators to implementation: findings from a comparative case study design.BMC pregnancy and childbirth · 2025Article
- In depth exploration of drivers of community health workers' performance in maternal and child health services: a multistakeholder perspective from rural Indian setting.BMC primary care · 2025Article
- Development and evaluation of a training program on non-communicable diseases to empower community health workers in rural India.PEC innovation · 2024Article
- Applying a Power and Gender Lens to Understanding Health Care Provider Experience and Behavior: A Multicountry Qualitative Study.Global health, science and practice · 2023Article
- "Helping Mentally Ill, a Reward Both in this Life and After": A Qualitative Study Among Community Health Professionals in Somaliland.Community mental health journal · 2023Article
- Stakeholder perspectives on a door-to-door intervention to increase community engagement for malaria elimination in Zanzibar.Malaria journal · 2023Article
- Female community health volunteers' experience in navigating social context while providing basic diabetes services in western Nepal: Social capital and beyond from systems thinking.PLOS global public health · 2023Article
- Review
- Disparities in the implementation of the Health Extension Program in Ethiopia: Doing more and better towards universal health coverage.Dialogues in health · 2022Article
- Cultural Adaptation and Validation of the General Self-Efficacy Scale in Ugandan Community Health Workers.Global implementation research and applications · 2022Article
- Review
- Operational challenges in the pre-intervention phase of a mental health trial in rural India: reflections from SMART Mental Health.International journal of mental health systems · 2022Article
- Improving Community Health Worker Compensation: A Case Study From India Using Quantitative Projection Modeling and Incentive Design Principles.Global health, science and practice · 2022Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccredited Social Health Activists (ASHAs) are community health workers tasked to deliver health prevention in communities and link them with the health care sector. This paper examines the social, cultural, and institutional influences that either facilitate or impede ASHAs' abilities to deliver services effectively through the lens of the reciprocal determinism framework of social cognitive theory.
methodsWe conducted 98 semi-structured, in-depth interviews with ASHAs (n = 49) and their family members (n = 49) in Gurdaspur and Mewat districts. Data were analyzed by comparing and contrasting codes leading to the identification of patterns which were explained with the help of a theoretical framework.
resultsWe found that while the work of ASHAs led to some positive health changes in the community, thus providing them with a sense of self-worth and motivation, community norms and beliefs as well as health system attitudes and practices limited their capacity as community health workers.
conclusionWe outline potential mechanisms for improving ASHA capacity such as improved sensitization about religious, cultural, and gender norms; enhanced communication skills; and sensitization and advocating their work with health and state officials.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.