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What the ASHA Workers' Strike in Kerala Tells Us About Primary Healthcare in India

Vikram
V
Vikram · April 25, 2026 · — min read
What the ASHA Workers' Strike in Kerala Tells Us About Primary Healthcare in India

Women’s ‘voluntary’ and uniquely underpaid care work undergirds our economy and underwrites the guarantee of primary healthcare in India, as adopted by the Indian government via the Alma-Ata Declaration. In Kerala, a state with a long history of women’s movements and worker mobilising, ASHA workers — the true functionaries of this healthcare system — organised a 266-day strike to demand recognition and compensation for their work.

In all the years I’ve spent as a journalist, I can think of stories of ASHAs (Accredited Social Health Activist) from almost every state I’ve worked in.