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... et al. (2013) also found from his study that majority of ASHA workers were in the age-group of 20-29 year (39.05), while Srivastava and Sri- vastava (2012) found from their study that 47.9 percent of ASHA workers were under the age 25 year. As far as caste wise distributions of ASHAs are concerned, it is found from the Table-2 that 34, 26, 25 and 15 percent belonging to Gen- eral Caste, Scheduled Tribes, Other Backward Castes and Scheduled Castes respectively. The spatial selection of ASHAs shows inclusiveness, which cover all the caste com- position available in the rural community. ...
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Prescribing medicine, providing contraception, delivering babies – although we may turn to physicians, rural Rajasthani women turn to Barefoot Doctors out of necessity. Such care is available courtesy of the Barefoot College, a pioneering NGO that transforms the skills of the illiterate poor into local infrastructure. Barefoot Doctors are innovative because of their origins as dais (traditional midwives); once abundant across South Asia, dais are mostly extinct due to government/NGO interventions emphasizing “modernity”, like the Accredited Social Health Activist program. Why, then, have dais survived as Barefoot Doctors when they are extinct elsewhere? Ecological niche differentiation refers to when competing species successfully coexist; one species adapts to fulfill another role. Using over fifty interviews with stakeholders, I explain the persistence of Barefoot Doctors as health resources using “professional niche differentiation”. Barefoot Doctors exemplify how health infrastructure can be sustainable in resource-poor settings when created according to local needs and ideologies.
