3<strong>ASHA</strong>:My Eight TasksKnowing our village peopleImproving health status of our people is a teamwork. You require participationof everyone—the people, the nurse, the anganwadi, the Dai, the schoolteachersand the village Panchayat. You also need the help of doctor. You will need towork with all of them so that people remain healthy.Village people are not as rich as city people. They have to face many difficulties.They depend on land and farming. Some of them also work as wage labourers innearby towns. In many villages, rearing cattle is a source of income. Most farmersdepend upon rains. Many work as artisans. They work hard to live their life.Some people are too poor. They are grouped as below poverty line (BPL) as perGovernment criteria. Often they come from scheduled castes, tribes and othermarginalized groups. Families belonging to BPL are eligible <strong>for</strong> special benefitsunder government schemes. A village may have different settlements <strong>for</strong>different castes.Everyone needs health care. Yet some groups of people are vulnerable to sickness.The poor people, the women, the children and adolescents and old people needhealth care more often. Their health needs are not adequately met. They havelittle or no money. At times they have to take loans at very high interest rates to
8 READING MATERIAL FOR <strong>ASHA</strong>get admission in hospitals or to buy medicines <strong>for</strong> their kids. Your role is toguide them to get good care in time and that is af<strong>for</strong>dable.Village people have a practical sense of solving problems with simpleresources. Thus they should be involved in village health planning to assesshealth needs and also help in selecting appropriate solutions to address thecommon problems.Schools, fair price shops, water, electricity, seeds, fertilizers, credit, animal care,bus/jeep, roads, employment, <strong>for</strong>est produce, common grazing grounds, postoffice,haat—we need all these services in the village. Health care is just onemore. It is not isolated, but part of the whole life of the village. As <strong>ASHA</strong>, youshall do your best to help your own people in their struggle <strong>for</strong> health and sharejoys of life. People have expectations from you. In following pages, you willlearn about your specific tasks to be undertaken by you as <strong>ASHA</strong>.Village Health PlanYou should participate in Village health planning and help nursedidi, anganwadibehen, and Panchayat members. This will be the foundation of all health workin the village. Village health planning helps us to select important health issuesand make a work plan to solve them. Everybody's participation is necessary.NGO workers, school teachers, representatives of self help groups will also helpin micro planning. You should ensure that marginalized population groups suchas Scheduled castes, tribes, minorities and women are adequately involved inthe planning process. When people participate in planning, they also help inoffering solutions and carrying out the tasks.Most villages will have health and sanitation committee. The committeemembers take initiative <strong>for</strong> development of village health plans. Village healthplanning needs some facilitators They bring people together, activate them tothink and plan with people, map out problems and encourage solutions.Depending on the availability some NGOs workers can provide facilitation.Teachers can also help you. You should work proactively with anganwadi behenand nurse Didi to decide on the venue and timings <strong>for</strong> the planning meeting.Village health plans provide a framework <strong>for</strong> health related actions. Manyactions lead to health. Village planning is a community approach to solveproblems. You will learn more about it in the subsequent exposures of ourlearning programme.