Category Archives: Public health

The Man Who Died at Gate Number Three: Avantika Tewari

This is a guest post by AVANTIKA TEWARI

It was night when the man died.

In the thick, humming night of a city that never truly sleeps — only flickers. Flickers between traffic signals and app pings, between delivery promises and the quiet violence of exhaustion.

He collapsed just beyond Gate Number Three in a residential colony in Delhi, somewhere between the parked dumpers and the weary under-construction site of the Metro.

He fell softly, without spectacle. The kind of death a city absorbs without noticing, like rain into dust.

In a few days, the Resident Welfare Association had drafted a statement — not out of grief, but out of inconvenience: “What if it had been one of us?”

The question hung in the air like a perfume of moral panic. A swift and bloodless message was delivered — the dumpers, it was agreed, would no longer be stationed near Gate Number Three. Continue reading The Man Who Died at Gate Number Three: Avantika Tewari

The Denigration of Women Workers Fuels State Neglect: Complaint Against the CITU (Kerala) to the WFTU

Attention:
General Secretary, WFTU secretariat@wftucentral.org
Women’s Committee women@wftucentral.org
Asia Pacific Regional Office wftuasiapacific@gmail.com; c.srikumaraidef@gmail.com


Subject:
Complaint against CITU and AITUC (Kerala, India) for their sexist remarks and non-cooperation with
KAHWA women workers in violation of WFTU Constitution


Reference (WFTU Constitution):

Continue reading The Denigration of Women Workers Fuels State Neglect: Complaint Against the CITU (Kerala) to the WFTU

Open Letter to the Members of the Indian Association of Women’s Studies

Dear Colleagues

I am writing to you about the dire situation in Kerala with reference to the strike of the Kerala ASHA Health Workers’ Association for minimum wages and a five-lakh one-time retirement benefits, which has been continuing since the past two months.

Continue reading Open Letter to the Members of the Indian Association of Women’s Studies

An Open Letter to the Delegates of the CPI (M) 24th Party Congress, Madurai

Comrades,


We wish all success to the party congress!

On the occasion of this meet to analyze the political situation of India and the world and to formulate action plans, this letter is to invite your attention to the struggle of ASHA workers in Kerala which has been going on for the past 52 days.

Continue reading An Open Letter to the Delegates of the CPI (M) 24th Party Congress, Madurai

ആശയറ്റ് പോകരുത് ആശമാരുടെയും : ഡോ. അഷ്ടമൂർത്തി എറയൂർ, ഡോ. ലക്ഷ്മി ആനന്ദ്

സമൂഹത്തിനും ആരോഗ്യ സംവിധാനത്തിനും ഇടക്കുള്ള മുഖ്യ കണ്ണിയായി പ്രവർത്തിക്കുന്ന ആശ വർക്കർമാരിൽ ഒരു വിഭാഗം  45 ദിവസത്തിലേറെയായി, കേരള സെക്രട്ടേറിയറ്റിന് മുന്നിൽ പ്രതിഷേധിക്കുകയാണ്. കഴിഞ്ഞ ഏതാനും ദിവസങ്ങളായി ഇവർ നിരാഹാര സമരവും നടത്തുകയാണ്. സംസ്ഥാന സർക്കാർ ആശമാർക്ക് നല്കുന്ന ഹോണറേറിയം വർദ്ധിപ്പിച്ച്, മിനിമം കൂലി പ്രതിദിനം 700 രൂപ എന്ന നിലയിൽ മാസം 21000 രൂപ വേതനം നല്കുക, വിരമിക്കൽ ആനുകൂല്ല്യങ്ങളും ഇൻഷുറൻസ് അടക്കമുള്ള പരിരക്ഷകളും അനുവദിക്കുക തുടങ്ങിയവയാണ് ഇവർ മുന്നോട്ട് വയ്ക്കുന്ന ആവശ്യങ്ങൾ. പൊതുജനാരോഗ്യ വിഭാഗം വിദ്യാർത്ഥികൾ എന്ന നിലയിൽ പല അവസരങ്ങളിലും ആശാ പ്രവർത്തകരുമായി നേരിട്ട് ഇടപെടുകയും, അവരുടെ പ്രയാസങ്ങൾ അടുത്ത് നിന്ന് മനസ്സിലാക്കുകയും ചെയ്തവരാണ് ലേഖകർ.

Continue reading ആശയറ്റ് പോകരുത് ആശമാരുടെയും : ഡോ. അഷ്ടമൂർത്തി എറയൂർ, ഡോ. ലക്ഷ്മി ആനന്ദ്

Settle the ASHA workers’ strike through Centre-State government talks: Kerala Sastra Sahitya Parishat

[This is my translation of the statement issued by Kerala’s People’s science /development movement, the Kerala Sastra Sahitya Parishat, about the ASHA workers’ strike, which is now in its forty-fourth day.]

The ASHA workers of Kerala have been on strike since forty-two day now, engaged in seeking an increase in honoraria and other benefits. The issue continues to remain unresolved. The ASHA workers comprise a sector in which 26,000 workers currently work. They are all women, attached to a Central scheme, and receive merely Rs 7000 per month as honorarium. For this reason, it is the duty of both Central and State governments to consider their demands in a democratic fashion and respond with sympathy. The very many struggles unfolding among Accredited Social Health Activists now must be developed into a people’s struggle against globalized economic policies, and the issue of their wage must be settled with Central and State governments working together. What we see in the ASHA workers’ struggle in Kerala is the crisis and tension emerging from the one-sided and top-down imposition of globalizing tendencies upon a society that had grown and developed within the framework of a welfarist state.

Kerala’s public health sector was well-coordinated and accessible to all since a very long time. It is marked by a pro-poor orientation. A large network of health experts and professionals, from doctors to public health nurses, work in it. They are all appointed officially and formally, and are regarded as workers and employees. Therefore, their remuneration and conditions of work are well-defined according to existing rules and laws.

Continue reading Settle the ASHA workers’ strike through Centre-State government talks: Kerala Sastra Sahitya Parishat

Kerala’s Disgrace: ASHA workers to begin indefinite fast in Kerala

Yesterday, the summer rain struck Thiruvananthapuram city with the fury of thunder and lightning and wind. Those of us whose hearts are in that small protest-space in front of the State Secretariat open to the skies, where the police forbid even a temporary tarpaulin shelter, trembled as lightning tore through the skies and the skies poured, each drop a bucket. The striking workers continued to sit under the branches of old trees by the roadside. What if one of those ageing branches collapsed? What if lightning struck? The roads filled up with rainwater rapidly. The workers sat with their feet in the rushing rivulets of rainwater on the ground under the branches of great old trees, with the lightning swishing above.

Continue reading Kerala’s Disgrace: ASHA workers to begin indefinite fast in Kerala

ASHA workers lay siege to the State Secretariat in Kerala

On the thirty sixth day of their strike, ASHA workers surround the State Secretariat in Thiruvananthapuram, determined to make the government hear them. Thousands have gathered there. The NHM made a last minute announcement of a palliative care training for today to deter workers from participating, but it doesn’t seem to have worked well enough. Meanwhile, news reporters have been speaking with some ASHAs who are attending the training, and they openly declare that they are with the striking workers.

The striking workers are determined to lay siege the whole day, blocking the M G Road in front of the Secretariat.

Gomati, the leader of the Pomblai Otrumai, addresses the strike, below:

Neither Angels not Devis: Pongala at the ASHA Workers’ Strike in Kerala

The scorching sun in Thiruvananthapuram has been unrelenting. Usually, the festival day of Attukal Pongala, on which thousands of women set up temporary hearths outside their homes and on the roads of the city to cook sweet payasam for the goddess of the Attukal temple, ends with cooling showers. This time the skies were cloudless.

Continue reading Neither Angels not Devis: Pongala at the ASHA Workers’ Strike in Kerala

A Fairy Tale with No Magic: the ASHA workers’ strike in Kerala

Veena George, the Kerala Health  Minister, and her supporters keep demanding incontrovertible proof for the claim that the Sikkim government is paying the ASHAs higher sums. In the spirit of extraordinary cruelty towards the poor and the powerless that has been characteristic of the present government in Kerala, the CPM minions online demand that the striking workers find the proof.

Continue reading A Fairy Tale with No Magic: the ASHA workers’ strike in Kerala

Women’s Day Celebration at the ASHA workers’ Strike in Thiruvananthapuram and B Team Scheming

Yesterday was a day of great strength, solidarity, and remembrance of women workers’ historic struggles for rights and against tyrants. Support for the striking ASHA workers poured in from civil society — cine artists Kani Kusruti, Divya Prabha, Rima Kallingal, and Jolly Chirayath, writers Arundhati Roy, Sara Joseph, and Rosemary, feminist academic researchers Nivedita Menon and Janaki Nair, filmmakers Leena Manimekalai and Paromita Vohra expressed solidarity with the workers. Paromita Vohra inaugurated the morning’s meeting. A cross-section of Kerala ‘s civil and political society, spoke in solidarity. Representatives of feminist groups spoke. The Dalit Human Rights Movement conducted a solidarity march led by their leader Reshma K. Gomathi, of Pomblai Otrumai, spoke about what lay ahead for the striking workers, based on her experience of confronting the CITU during the Munnar tea garden workers’ strike. Representatives of the United Nurses Association took out a solidarity march and their leader spoke in the meeting. Hundreds of ASHA workers and representatives of ASHA worker unions from Tamil Nadu and Karnataka were present.

The workers welcomed all , but also spoke their mind. When the Siva Sena — a group of men — arrived, they were politely asked to vacate centre stage and make space for a woman from their ranks. The representative of the national federation that the KAHWA is affiliated to declared in completely non-ambiguous words that the fight was against the Union government; she welcomed support from members of the NDA but told them that their support was crucial not in Kerala but in Delhi. We expect you to offer the same support when we approach the union government, she said. And also noted: no political party, including the Congress, will take up the issues of the ASHAs wherever they are in power .

Meanwhile, the voice of the national CITU, A R Sindhu, continued to repeat the Kerala CITU male leadership’s ‘silly little sheep’ hypothesis about the striking women workers, and the much-flogged conspiracy theory against the SUCI, using the same bunch of fallacies deployed by the CPM’s fallacy-peddlers’ union workers ( a union that is still a future possibility, but a real one) led by the likes of K K Shahina. Sindhu speaks like the Kerala CITU’s B Team, even though she calls for talks to end the strike. B team because outright strike denigration seems to be the privilege of the Alpha males in the CITU.

What is truly appalling about her long essay in the Malayalam online magazine Truecopy is its chilling lack of empathy.  V T Bhattatirippad , the social reformer, once remarked about the CPM leader EMS Namboothirippad that he was the kind of person who, when faced an urgent call for help with a woman in labour desperately thrashing about in pain, will respond with long analyses about the terrible lack of health care facilities, the bad roads in the country, the need for more doctors etc. He was right about these of course, but that cannot replace an empathetic response.

A R Sindhu and Veena George respond in this way — without empathy. The ASHA workers are striking because the CPM’s election manifesto promise of Rs 700 a day for scheme workers is expiring soon. They are desperate with delays and the sheer impossibility of surviving in Kerala where the cost of living is relatively high. The workers’ strike is actually out of desperation, but the CPM last leaders meet it with a bunch of cold bureaucratic reasons that are all already well known:  central funds are insufficient, they are delayed, you are merely scheme workers, we pay you more than x,y, z… And when they persist and continue to talk about their crisis-ridden lives, Veena George loses her cool, and dons a true kochamma tone — what a load of bother, she stomps her little foot in impatience. Go away, go ask the Union government! Her Royal Highness’  guard rush to her aid at once, trying to shoo the beggars away, while the CITU male leadership aim poison tipped arrows of misogynist insults at them.

However, whatever the monarchical imagination of our rulers, we still think ourselves as the citizens of a democratic country. Sindhu is miffed that certain academics and intellectuals are on the side of the striking workers. C’mon, Sindhu! Your government in Kerala has a whole menagerie which has an entire collection of cosseted intellectuals.

I ask you, send them out against these’ untamed’ intellectuals! We untamed creatures deserve some fun too, I tell you.

Photos: Santhi Rajasekhar

Early morning on Women’s Day in Thiruvananthapuram, 2025

Photo: K B Jayachandran

Today is International Women’s Day.

ASHA workers on strike for the twenty eighth day, sleeping in front of the State Secretariat in Thiruvananthapuram.

Happy Women’s Day from Kerala, the Land of Women’s Empowerment!!

On this day, true to the fighting spirit of the women workers who fought valiantly for their rights and who faced the tyrant’s bullets fearlessly, Kerala’s COVID-warriors, our ASHA workers, sleep on the rain-soaked pavement in front of the State Secretariat in the capital city of Kerala.

Happy Women’s Day, Pinarayi Vijayan and Veena George. You must getting ready for the day refreshed by sleep in your soft beds, in the mansions that we the citizens of Kerala have funded for the comfort of our rulers.

Happy Women’s Day, Com. Thomas Isaac. Yes, you wouldn’t have been so famous the world over, if not for ‘women’s empowerment’ and the whole local-level development jingbang! See how empowered they are now. I am sure you must be happy now.

Happy Women’s Day, all of you in the CPM who have fattened on the achievements of women development workers — T N Seema and others — and the CPM hanger-ons who have managed a ‘feminist look’. Those women have learned to resist power, what a shame! I can imagine you rolling your kohl-lined eyes, frown-lines creasing those big red bindis on your foreheads . Those who set out to empower Kerala’s poorest women are now truly EM-powered. What an interesting and convenient twist!

Happy Women’s Day to Kerala’s ‘development movement’, the Kerala Sastra Sahitya Parishat! But I did not know that a people’s science movement went into mauna vratas, en masse. There can be no other explanations for their stunning silence, for all their concern about Kerala’s local-level development and public health.

Happy Women’s Day, feminist development experts who have all got nice shares of glory, along with other resources, from the Kerala government’s propaganda upholding its commitment to women’s empowerment … you who have not bothered to utter a single word despite seeing this rank injustice unfold … Private expressions of shock are useless, you know?

Any Chance for Aasha? Poem by Desamangalam Ramakrishnan

The Kerala government’s mulish refusal to negotiate with the striking ASHA workers is  baffling no matter what angle you may think of it. The promise of raising the ASHA workers’ daily pay to Rs 700 was an LDF election promise, part of the election manifesto — how can they call it unreasonable now? Raising the pay of ASHA workers would bring back to the well-feeling of twenty six thousand grassroots workers who are well-respected in their communities, but the CPM leadership does not bother, and the CITU studs seem determined to piss them off. In the legislative assembly, Veena George reels off breathtakingly false information, when anyone with access to the official website of the Sikkim government can read government orders that expose her.

But civil society now sees the hubris and expressions of support and anguish at the government’s apparent lack of grace and respect for life -saving labour are pouring in. I am posting here a particularly striking one, a poem by the well-known poet in Malayalam, Desamangalam Ramakrishnan. Aasha in Malayalam means a fervent wish; it also means hope. In this short poem, the poet uses the word to evoke a feeling for the crisis we Malayalis face — of hope in a system, that once swore by the values of care and social justice, intertwining it with the government’s deliberate cruelty to the striking workers. The poem is titled Aashaikku vakayundo?

Any chance of aasha?

Desamangalam Ramakrishnan

Any aasha?
– is there any hope left,
ask the mothers who wait with handfuls
to line the pockets
outside the hospital’s operation theatre.

Harassed travellers, waiting endlessly
till the middle of the night ask:
Any aasha left? Any hope
that a bus, any bus, might come?

Any aasha, hope?

Caring-women,
bringers of food,
water, comfort, tell
those who wait in terror,
locked down at home:
do not abandon hope, do not give up your aasha
even if an elephant pins you on its tusk…

Any hope?
Through steep and narrow paths
the caring-women run,
to knock on the door of a piteous scream
and drive away the sickness with love.
They say: abandon not your aasha; be not bereft of aasha,
let the humble shoots of hope sprout.

Is there hope, is there aasha?
Though it’s just a few
paltry coins,
when will it fill the waist-folds
of one’s dignity and pride?

When it writhes its last writhing
on the door step of the king of the land
who tied its tongue and left it to beg,
our pottan theyyams,
oracles, leveller-spirits,
will break their chains,
swarm out of cellars,
surely.

Or, has Power
turned the one who once
sprinted through these paths
holding aloft the flag woven from
the threads of our blood,
into a mad brute?

Kerala Must Lead the Way : Kameshwari Jandhyala writes to the Kerala CM on the ASHA Workers’ Struggle

To

Shri Pinarayi Vijayan

Honourable Chief Minister

State of Kerala

Sir

Subj: Kerala Asha workers struggle for justice

I am writing to appeal to your sense of justice and support for workers’ rights especially with regard to the Kerala Asha workers struggle for timely payments, commensurate incentives and remuneration on par with other development workers.

The participation, unstinting labour and commitment of women has been central to several development initiatives in the country, including Kerala. The sad and ironic part is that these women workers are labelled as volunteers and their labour not given its due recognition, respect and remuneration commensurate with the ever-expanding portfolio of responsibilities they shoulder. To remind ourselves, during the Covid pandemic Asha workers across the country bravely, and at considerable personal risk, reached out support to their communities.

Many of us look to Kerala to take the lead to determine and protect the rights of all workers even those labelled as “volunteer workers”. And I am sure Sir, your government is all too aware that “volunteer” is a misnomer, as Ashas are doing full time work.

Once again, I appeal to you and your government to take a positive  to meet the demands of the Asha workers.

Kameshwari Jandhyala

Hyderabad, Telangana

Women’s Work is the Central Issue in Kerala today, from Cine-workers to ASHA workers

The nauseatingly patriarchal attack by the CITU State Secretary K N Gopinath on the striking ASHA workers sets a new low, but it is not unexpected. K N Gopinath’s ugly, sexually-coloured remark was about the BJP MP Suresh Gopi’s visit to the protest site. After the police pulled down the did not allow the tarpaulin shelters, the striking workers continued the strike in the pouring rain. The MP distributed umbrellas to the workers. Gopinath said that he knew that the MP distributed umbrellas, but he did not know if “he distributed kisses” there. When questioned, he admitted that the reference was to a sexual harassment complaint against the MP. The man kept defending his offensive remark, in his own admittance a sexually-coloured one, even when questioned strongly by journalists.

Continue reading Women’s Work is the Central Issue in Kerala today, from Cine-workers to ASHA workers

To the CM of Kerala: In solidarity with ASHA workers: Panchali Ray

The COVID-19 pandemic brought home that everything of value, beginning from the very regeneration of life, is entirely dependent upon human labour in all its diverse, productive and reproductive forms. Yet, this life-making regenerative labour is pegged at the lowest level when it comes to recognition, rights, entitlements, and status in the labour market. While this is a no-brainer when it comes to governments committed to capitalism that rely on women’s unpaid/partially paid labour to drive development schemes, one wonders how the government of Kerala, committed to a more egalitarian political economy, unleashes violence of such magnitude on grassroot women workers.

Continue reading To the CM of Kerala: In solidarity with ASHA workers: Panchali Ray

Who’s Lying? Condemn the Brazen Attack on S Mini: Althea

As the ASHA workers’ resolve continues to remain unbroken in the third week of their struggle, the CITU leadership in general and the CPM cyber spokesmen in particular are losing their cool completely. S Mini is a familiar figure to people in Thiruvananthapuram in the many battles for justice that we have witnesses over the past twenty years . She is among the few women in Kerala who have embraced a full public life without desire for power, status, or visibility. The organisation she is part of, the SUCI, has long suffered ridicule. The big bully of left politics in Kerala, the CPM, has long tried to pick on them. Like all bullies, the latter keeps talking of how small they are.

Continue reading Who’s Lying? Condemn the Brazen Attack on S Mini: Althea

ICAN stands in solidarity with Kerala ASHA Health Workers Association (KAHWA)

The Indian Community Activists Network (ICAN) extends it unwavering
support to the striking ASHA workers led by the Kerala ASHA Health
Workers Association (KAHWA).


ASHA workers, at the grassroots level, are the main workforce of the public health sector. However, the succeeding governments at the Centre and states have always refused to recognise their immense value to the poor and needy in the rural India. They serve village folk and carry the health messages to the doorsteps of every household.


Despite their great service they are the lowest paid employees who are
euphemistically known as volunteer-workers. Using this title, the
government has abandoned its responsibility to pay them a decent salary. We are dismayed to note that the situation is no better in a state like Kerala ruled by LDF which boasts of speaking for the poor.


Friends, your demand to raise your remuneration up to Rs. 21,000 is just in view of the minimum wage Rs. 18,000 of an unskilled industrial worker approved by the government. ICAN hopes that the LDF government sees merit in all five demands raised by you and act in a reasonable manner by accepting them. We are confident
of your success.


In solidarity
Arvind Murti

Medical Professionals in solidarity with the striking ASHA workers of Kerala

28th Feb 2025

Kerala’s public health system, the pride of the state, stands on the labours of many groups of people who are neither paid well nor recognized enough. The ASHA workers form one such important group who reach out to Kerala’ those sections of the lower middle class and the poor sections who cannot afford expensive private care. They are our vital health support structure in the event of pandemics and natural disasters, too. In Kerala, in the past decade we have known at least in two moments of crisis – the floods of 2018 and the pandemic – how crucial this force is in containing disease and keeping up the morale of people even in the remotest locations. As Kerala’s public health system gears up for further challenges, the workloads of these workers will only increase; the current workloads they carry, of carrying out numerous health surveys is already huge indeed.

Continue reading Medical Professionals in solidarity with the striking ASHA workers of Kerala

Open Letter to the Kerala Chief Minister about the Ongoing ASHA workers’ strike: Cynthia Stephen

Respected sir,

As a long-time advocate for the rights of women and their empowerment, we are used to comparing the situation of women in Kerala as a good model for women’s empowerment in all fields of life. The history of workers’ struggles and the fact that even women in the informal sector receive government benefits after retirement is a shining example to the rest of the world. 

Continue reading Open Letter to the Kerala Chief Minister about the Ongoing ASHA workers’ strike: Cynthia Stephen

‘Anarchists’? ‘Tin-pan fund collectors’ Movement’? What is the Kerala Asha Health Workers’ Association?

In the past few weeks, the CPM ministers, CITU leaders like Ilamaram Kareem and CPM cyber propagandists have been relentless in their attack against the SUCI, heaping on them insult after insult. The preferred insults have been ‘anarchists’ and ‘tin-pan fund collectors’. The SUCI is a small group of committed people who have however produced significant political impact. They have indeed been a thorn in the flesh of the local CPM for quite some time — from at least the anti-waste dumping struggle at the panchayat of Vilappilsala in 2012 to the K-Rail protests, the SUCI’s intrepid persistence was important in forcing the government to back off. These insults are not new either; we have been hearing them since back in 2012 or earlier. But the Kerala Asha Health Workers’ Association has been especially targeted for slander, as though they were just a tool of the SUCI.

Continue reading ‘Anarchists’? ‘Tin-pan fund collectors’ Movement’? What is the Kerala Asha Health Workers’ Association?