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Table 2 Early instrumentalist considerations: how can the ASHA enable the health system to achieve its goals?

From: How are gender inequalities facing India’s one million ASHAs being addressed? Policy origins and adaptations for the world’s largest all-female community health worker programme

Policy decision

Rationale

All-female cadre [16, 64]

Women best suited to address maternal and child health (KI_04)

Volunteer cadre [16, 64]

Partially remunerated through performance based incentives to ensure high levels of activity and enable programmatic flexibility (KI_02, KI_07, KI_09)

Selected locally [16, 64]

Close to and likely to remain in community [16]

Training close to villages [16, 64]

Reduce travel to increase ASHA attendance of trainings (KI_01)