An Uphill Struggle: ASHA workers and menstrual health awareness in India
- Anomitra Biswas
- May 1
- 3 min read

In India, tackling the challenges around mestrual health and hygiene is a complex and urgent issue, especially in rural areas and under-resourced urban communities where many people lack access to vital health education and supplies. The work of Accredited Social Health Activists (ASHA workers) has become incredibly important in addressing these challenges. These women—selected from the villages they work in, and trained by the government and collaborating NGOs—serve as the crucial link between healthcare systems and the communities they support, playing a key role in transforming lives.
Menstruation is a natural process that affects nearly half the population, yet cultural taboos and misinformation often lead to feelings of shame and discomfort, turning it into a matter of secrets. ASHA workers’ role in menstrual health education is often centred around these very taboos. They actively work to educate communities about menstrual hygiene management (MHM) through informal workshops and awareness campaigns. By discussing the biological aspects of menstruation and sharing essential hygiene practices, they help everyone understand the importance of using safe and hygienic products. ASHA workers encourage open conversations, breaking down myths and empowering women and girls to embrace their bodies with pride.
Additionally, ASHA workers are fantastic advocates for ensuring that menstrual hygiene products are easily accessible. In many communities, obtaining affordable sanitary supplies can be a struggle. By collaborating with local health committees and NGOs, ASHA workers make it a priority to ensure that these essential products are readily available, pushing forward the cause of menstrual hygiene management in India. Because of them, menstruators can take care of their health without any shame or hesitation, allowing them to fully engage in their daily activities—be it at school, work, or home—without interruptions.
The impact of ASHA workers on women’s health extends beyond menstrual hygiene: they also address a wide array of women’s health topics, including reproductive health, nutrition, and overall wellness. By promoting a broader understanding of health, they help women see how menstrual health connects to nutrition and daily well-being. This is extremely important because good nutrition can have a big effect on menstrual health and reproductive success.Â
The connection of ASHA workers and nutrition education also extends to expectant and new mothers; trained in assessing malnutrition, these women can help infants meet development benchmarks by ensuring a flow of information and resources.
Overall, while ASHA workers are crucial for menstrual hygiene management in India, it must also be remembered that they are dedicated advocates for all aspects of women’s health. They work tirelessly to stress the importance of regular health check-ups and reproductive screenings, which are essential for spotting health issues early enough for successful medico-surgical interventions. Their grassroots efforts create a supportive environment that encourages women to take an active role in caring for their health and well-being, something too-often neglected in this country.
In a society where menstrual health is still often a taboo subject and women’s health overall a matter of indifference, the work of ASHA workers is truly inspiring. Their dedication and warmth help foster a more informed and health-conscious community. It’s essential that we recognize and appreciate their hard work, especially on special days like Labour Day, and contribute in whatever way possible to their underfunded and underappreciated efforts.
ASHA workers are essential in improving women’s health across India, particularly in underserved communities. Through education, advocacy, and making resources accessible, they empower women and girls to take charge of their health journeys. Their efforts not only improve individual health outcomes but also contribute to the overall well-being of communities. As we look ahead, let’s continue to support and celebrate the amazing work of ASHA workers: they are truly the unsung heroes making a meaningful difference and creating a healthier, more equitable future for everyone!