Vila-Guilera, JuliaDasgupta, RajibParikh, PritiCiric, LenaLakhanpaul, Monica2023-08-252023-08-252022-01Vila-Guilera Julia, Dasgupta Rajib, Parikh Priti, Ciric Lena, Lakhanpaul Monica. Barriers to the Delivery and Uptake of Water Sanitation and Hygiene (WASH) Promotion and Infant Diarrhea Prevention Services: A Case Study in Rural Tribal Banswara, Rajasthan. Indian Pediatrics. 2022 Jan; 59(1): 38-420079-60610974-7559http://imsear.searo.who.int/handle/123456789/225348Objective: We aimed to identify key barriers to Water Sanitation and Hygiene (WASH) promotion and infant diarrhea prevention services delivered by Accredited Social Health Activists (ASHAs) in rural India. Methods: A case-study was conducted across nine tribal villages in Banswara district (Rajasthan), where in-depth observational and qualitative data was collected from frontline health workers and infant caregivers. Results: ASHAs’ prioritization of their incentive-based link-worker tasks over their health activist roles, limited community mobilization, and lack of monitoring of such activities hindered the delivery of WASH promotion and infant diarrhea prevention services. Caregivers’ lack of trust in ASHA’s health knowledge and preference for private providers and traditional healers also hindered the uptake of ASHA’s health promotion services. Conclusions: Strengthening ASHAs’ health activism roles and building trust on frontline health workers’ knowledge among tribal communities will be the key to address the determinants of child malnutrition and stunting and accelerate progress towards the national development agenda.Accredited Social Health Activist (ASHA)Frontline health workerMalnutritionJournal ArticleIndiaPopulation, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UKCentre of Social Medicine and Community Health, Jawaharlal Nehru University, New DelhiEngineering for International Development Centre, The Bartlett, UCL Faculty of the Built Environment, London WC1H 0QB, UKHealthy Infrastructure Research Centre, UCL Department Civil, Environmental and Geomatic Engineering, London WC1E 6BT, UKThe Whittington Health NHS Trust, The Whittington Hospital, Magdala Avenue, London N19 5NF, UK.