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Why we must provide better support for Pakistan's female frontline health workers.
Get PDFSvea Closser and Rashid Jooma argue that achieving polio eradication and strengthening Pakistan's health system must focus not just on international engagement but also on local partnerships with Lady Health Workers and other ground-level staff. Please see later in the article for the Editors' Summary
Running on Hope: Female Community Health Labor in Rajasthan, India
No full textThroughout India, Accredited Social Health Activists (ASHAs) visit households in their communities to deliver essential health services and link community members with key health benefits. Like many other female Community Health Workers across the world, ASHAs are often portrayed as virtuous, passive volunteers, selflessly providing services to their neighbors.
The reality is more complicated and much more interesting. Drawing on ethnographic work in Rajasthan, Running on Hope follows ASHAs through striking personal transformations. From their positions as rural daughters‑in‑law—a particularly low‑power position in Rajasthan—ASHAs have, over years of work, gained unprecedented autonomy for young rural women. They have also gained a deep understanding of what many argue is the exploitation involved in their low‑ranking position in the health system. ASHAs often earn less than $100 per month for extensive work, well below the legal minimum wage.
To counter this, many ASHAs have joined unions—an endeavor that has ultimately proven disappointing: union leaders’ desires for political advancement are often at odds with ASHAs’ own needs. However, ASHAs do not have connections, money, or social power to organize effectively on their own, without a political patron. In Running on Hope, authors Svea Closser and Surendra Singh Shekhawat interview women who work as ASHAs to learn about their organizing goals, their roles in their community as conduits to health education and resources, and their hopes for a better future
Why We Must Provide Better Support for Pakistan's Female Frontline Health Workers
No full textSummary Points
As the Global Polio Eradication Initiative deploys its endgame strategy, the commitment and effectiveness of field health workers in polio-endemic countries is critical.
Ongoing attacks on Lady Health Workers and other frontline health staff in Pakistan appear to be an unintended consequence of the high political profile of polio eradication.
Achieving polio eradication and strengthening Pakistan's health system now depends on a shift in the center of gravity of international engagement, away from high-profile engagement with federal leaders and towards supportive partnerships with Lady Health Workers and other ground-level staff.
Nearly all women who work on the health frontline in Pakistan do so because poverty and a lack of other opportunities force them to accept a job with pay of under US$5 per day.
Steps to support Lady Health Workers and to engage them as strong partners should include paying a living wage, developing world-class security strategies, and providing opportunities for career development and advancement
Why We Must Provide Better Support for Pakistan's Female Frontline Health Workers
Get PDFSummary Points
As the Global Polio Eradication Initiative deploys its endgame strategy, the commitment and effectiveness of field health workers in polio-endemic countries is critical.
Ongoing attacks on Lady Health Workers and other frontline health staff in Pakistan appear to be an unintended consequence of the high political profile of polio eradication.
Achieving polio eradication and strengthening Pakistan's health system now depends on a shift in the center of gravity of international engagement, away from high-profile engagement with federal leaders and towards supportive partnerships with Lady Health Workers and other ground-level staff.
Nearly all women who work on the health frontline in Pakistan do so because poverty and a lack of other opportunities force them to accept a job with pay of under US$5 per day.
Steps to support Lady Health Workers and to engage them as strong partners should include paying a living wage, developing world-class security strategies, and providing opportunities for career development and advancement
The Corruption Game: Health Systems, International Agencies, and the State in South Asia
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Compound Solutions: Pharmaceutical Alternatives for Global Health. Susan Craddock, Minneapolis: University of Minnesota Press, 2017, 166 pp.
No full textBOOK REVIEWS: Textbook of International Health, Third Edition. by Anne-Emanuelle Birn, Yogan Pilay, and Timothy H. Holtz The Practice of International Health: A Case-Based Orientation. by Daniel Perlman and Ananya Roy
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