ASHAs in rural India, the ray of hope for diabetes care

Abstract

AbstractOut of 1.21 billion population of India, 69% of them live in rural areas. There is a wide disparity in the distribution of health infrastructure and services in rural areas as compared to that of urban areas. The National Rural Health Mission (NRHM) launched in 2005, aimed to bridge this gap has introduced Accredited Social Health Activists (ASHAs), as health activists into the rural health care. ASHA is an acronym for Accredited Social Health Activists and she has been so far instrumental in facilitating institutionalised delivery, child immunisation, ensuring family planning, besides organising village nutrition day. She has been the vital link between the community and the health care. India, as a nation that is progressing is trying to combat communicable diseases significantly but it is also witnessing the surfacing of a different problem. There is an increasing prevalence of non-communicable diseases (NCDs), including diabetes which poses a big economic burden so much so that NCDs have been labelled as ′a health and developmental emergency′. Diabetes competes with other health concerns in a struggle to secure government health funding. In this resource-limited context, innovative methods are required to reach out to people at grass root levels. ASHA, which means hope in Sanskrit, can be true to her name in providing increased access to diabetes care to the rural population, if adequately trained and empowered. A multi-stakeholder approach through a public-private-people partnership (PPPP) is needed to tackle the issue with this kind of magnitude. The current review focuses on providing suggestions on utilising ASHAs′ services in spreading awareness on diabetes and ensuring that people with diabetes (PWD) receive optimal diabetes care.