Community health workers (CHWs), and the barriers they face in providing services, have been studied extensively. Less examined is how CHWs respond to these barriers. The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project conducted a qualitative study of the challenges and opportunities Accredited Social Health Activists (ASHAs) in India encounter and how they respond.
Avahan means “a call to action” in Sanskrit. It is a fitting name for one of the largest and most promising HIV prevention programs in the world. Launched in 2003 with funding from the Bill & Melinda Gates Foundation, this major HIV prevention program stretches over six of the Indian states most affected by HIV, as well as key trucking routes.