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I feel that the CCT which is given to the ASHA is also worth evaluating - it remains one of the largest sources of cash payments to the ASHAs resulting in a quasi voluntary workforce. The process has fragmented worker understanding of the value of their work. For example educating a woman to take on a healthy behaviour herself - such as exclusive breastfeeding is awarded less than taking a woman to hospital. Both educating families and helping them access services are important but one is recognized with an incentive and the other is not. The same process of fragmentation of payments (not CCT) has led to a spuriously high use of antibiotics and cesarean sections in our country - because of the kickback system used by private providers. The ethics of the process shoudl also be commented on when dealing with Public goods.

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28/03/2016 22:39:40

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