(Weekly Organ of the Communist Party of India (Marxist)
May 16, 2010
We are Health Workers, not ‘Social Activists’!
THE hot sun was beating
mercilessly, but they came pouring in, wave upon wave, some of them
their children, undaunted by the sweltering heat with temperatures of
over 40 degrees,
raising slogans like “We are workers! Pay
us minimum wages!”, “We care for others. Who will care for us?” Parliament Street, in the heart of the
capital city, was flooded with over seven thousand ASHAs from ten
states - from
The ASHAs came on May 4, to march to parliament, under the banner of the All India Coordination Committee of ASHAs, to tell the government that the invaluable work they do of saving the lives of new mothers and infants, creating awareness about health issues in the rural areas, acting as the link between the poor and health services, must be recognised and compensated adequately. They came to protest against the daily humiliation they face from the administrative and medical staff at health centres, from members of the panchayats, and against the meager amounts they receive as incentives for their work, incentives that are paid irregularly and after a lot of harassment. They came to demand their rights as workers – the right to minimum wages, the right to proper working conditions, the right to work with dignity and respect. They spoke passionately and angrily about their desire to help the poor, especially women and children, in their villages and the difficulties they face, in the process.
The ASHAs dharna on Parliament street was addressed by CITU leaders - A K Padmanabhan, president, Tapan Sen, general secretary, M K Pandhe, vice president, and Dev Roye, secretary - all of whom pointed out the importance of the work done by ASHAs and the necessity of their being recognised as workers. They said that it is only through their organisation and struggle that the ASHAs will be able to win their demands. AR Sindhu, working committtee member of CITU pointed out that the government is trying to divide the health and nutrition workers like the ASHAs, ANMs and anganwadis to prevent them from uniting for their common demands.
Brinda Karat, CPI(M) Polit Bureau member, in her rousing speech, spoke about the government plea that the ASHAs work is part time and thus does not merit consideration as full time employment. She said that despite parliamentary committees recommending that ASHAs be paid a monthly remuneration, the UPA government is unwilling to do this. Sudha Sundararaman, general secretary of AIDWA, Noorul Huda, finance secretary, AIKS and other leaders also greeted the demonstrators, assuring their support.
Later a delegation
Ranjana Nirula, VV Presennakumari (Kerala), Suryawati (Andhra Pradesh),
(Orissa) and Manjula (Bihar), led by
CPI(M) MPs Ram Chander Dome, TN Seema and Jharna Das, submitted a
memorandum to the union health minister,
Ghulam Nabi Azad. In January 2009 the
then health minister had assured a monthly remuneration of Rs 500 for
but this has not been implemented. Now, the present health minister
refused to consider a fixed monthly remuneration for ASHAs, even though
pointed out that the states of
The 7.89 lakh ASHAs form a key component of the flagship programme of the government, the National Rural Health Mission (NRHM), which was started in 2005. Their tireless efforts have led to a fall in the Maternal Mortality Rate and Infant Mortality Rate, due primarily to increased institutional deliveries, facilitated by the ASHAs.
Despite this the government perceives ASHAs as volunteers or social activists, who should work for peanuts, because they are doing ‘social service’. Supposedly they have other jobs or income generating activities, and they do this work part time. How untrue this is when there are no job opportunities in the rural areas and in fact ASHAs have to work for at least 5-6 hours a day to complete all the jobs they have to perform, traveling long distances especially in tribal areas, and they are on call 24x7, for pregnant mothers. Still more work is loaded on them during epidemics, for conducting surveys, etc. The lack of recognition of their work is also because it is seen as an extension of housework, the value of which is totally disregarded in society.
Just fifteen months ago,
2009, the CITU had organised a convention of ASHAs in
The All India Coordination
of ASHAs has decided to strengthen the ASHA workers unions and to
struggles in the states on the demands of ASHAs, focussing on the
monthly remuneration on the lines of
1. NRHM be made a permanent programme
2. ASHAs be regularised as permanent rural health workers
3. Monthly honorarium be paid to them, pending payment as per the Minimum
4. All incentives be paid regularly and through individual bank accounts
5. Rooms be provided for ASHAs in PHCs, CHCs and hospitals
6. Medical kits and adequate medicines be provided
7. Two uniforms a year, ID card and badge be given to ASHAs.
8. BPL card be provided to all ASHAs
9. Health insurance and social security benefits be provided
10. Harassment of ASHAs by health and administrative staff be stopped
11. ASHAs to get training and priority in promotion to ANM status