Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Faculty Publications Article Faculty Publications -Articles Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Creator An entity primarily responsible for making the resource Shilpa, R.; Patrick, Harold Andrew; Sathyanarayana, N.; Kareem, Jacqueline Title A name given to the resource Examining the Effectiveness of ASHA Workers in Providing Healthcare Services in Rural and Urban Areas of Bengaluru Date A point or period of time associated with an event in the lifecycle of the resource 01-01-2025 Source A related resource from which the described resource is derived WSEAS Transactions on Environment and Development;Volume;21;pp.629-647 Identifier An unambiguous reference to the resource within a given context <a href="https://doi.org/10.37394/232015.2025.21.52" target="_blank" rel="noreferrer noopener">https://doi.org/10.37394/232015.2025.21.52</a> <br /><br /><a href="https://www.scopus.com/pages/publications/105007636409?origin=resultslist" target="_blank" rel="noreferrer noopener">https://www.scopus.com/pages/publications/105007636409?origin=resultslist</a> Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Shilpa R., Jain (Deemed-to-be-University), Karnataka, Bengaluru, India, RJS Institute of Management Studies, Karnataka, Bangalore, India; Patrick H.A., CMS Business School, Jain (Deemed-to-be-University), Karnataka, Bengaluru, India; Sathyanarayana N., SOC, JAIN (Deemed-to-be University), Karnataka, Bangalore, India; Kareem J., School of Education, Christ (Deemed-to-be University), Karnataka, Bengaluru, India Description An account of the resource Purpose: This study aims to evaluate the effectiveness of Accredited Social Health Activists (ASHAs) in providing healthcare services in rural and urban areas of Bengaluru. It explores their role efficacy, role clarity, job satisfaction, and social relations while identifying challenges such as workload, financial insecurity, and training deficits that impact their performance. The study provides insights into systemic improvements needed to enhance the efficiency and satisfaction of ASHAs in public healthcare. Study Design/Methodology/Approach: A mixed-method approach was employed, integrating primary and secondary data. Primary data was collected from 400 respondents (ASHAs and community members), and 286 valid responses were analyzed (122 rural, 164 urban). Structured questionnaires and focus group discussions captured qualitative and quantitative insights. Secondary data from the National Rural Health Mission (NRHM) and government reports provided contextual understanding. Data analysis utilized SPSS 27 for quantitative techniques (ANOVA, t-tests) and NVIVO for qualitative analysis. Cronbachs Alpha assessed reliability, ensuring internal consistency in role efficacy, clarity, stress, satisfaction, and social relations constructs. Findings: ASHAs serve as a crucial link between healthcare systems and communities, with rural ASHAs demonstrating strong interpersonal trust but facing infrastructure deficits. Urban ASHAs confront population density, distrust, and increased workload. Role efficacy remains stable across locations, but urban ASHAs show greater autonomy. Training deficits, workload stress, and financial insecurity significantly impact role satisfaction. Rural ASHAs exhibit greater job role confusion, while urban ASHAs report social constraints. Significant differences in stress arise from knowledge gaps and disrupted work-life balance, affecting mental health and efficiency. Enhanced training, financial incentives, and psychosocial support are critical for sustaining ASHAs' contributions. Originality/Value: This study uniquely contrasts urban and rural ASHA experiences, providing policy insights for optimizing ASHA programs in diverse settings. By identifying key stressors and systemic challenges, it offers targeted recommendations to improve training, compensation, and work conditions, ultimately strengthening Indias public health framework. Research Implications: The findings emphasize the need for structured training in digital healthcare, mental health, and non-communicable diseases. Policy enhancements should focus on increased monetary incentives, timely payments, and career advancement pathways. Addressing the rural-urban divide through community engagement programs and improved infrastructure will optimize ASHA workers impact on public health outcomes. 2025, World Scientific and Engineering Academy and Society. All rights reserved. Subject The topic of the resource ASHAs; Government; Role; Rural and Urban; Services; Social relations Publisher An entity responsible for making the resource available World Scientific and Engineering Academy and Society Relation A related resource ISSN: 17905079; Language A language of the resource English Type The nature or genre of the resource Article Rights Information about rights held in and over the resource All Open Access; Gold Open Access Format The file format, physical medium, or dimensions of the resource online