'Our findings imply that there should be more involvement of community in recruiting and discussing responsibilities of the Accredited Social Health Activists. This will enable ASHAs to effectively act as a bridge between the community and the formal healthcare services.
Strengthening the healthcare institutions, by better equipping health sub-centres and primary health centres for safe childbirth services, can enhance ASHAs’ contribution. This is because referrals from healthcare services to long distance hospitals act as a major deterrent for institutional deliveries. Also there should be more scope for discussion and feedback among the frontline health workers and the supervisory staff.'