| HEALTH PERSONNEL | Auxiliary Nurse-Midwife (ANM) | Anganwadi Worker (AWW) | Accredited Social Health Activist (ASHAs) |
| Historical background | Key functionary at the sub-centre level of care under National Rural Health Mission, Mission Indradhanush.Initially focused on mother and child health. Expanded role to become Multipurpose workers including Preventive and curative work at the village level. Family Planning and immunizationSupport of AWWs and ASHA workers manage birth complications Referral service in cases of birth complications. | Later AWW cadre was designed to implement the ICDS for child development. | The latest addition is under NRHM. |
| TRAINING DURATION | 18 months | 3–4 weeks | 3–4 weeks |
| WORK LEVEL | Mostly at Sub-center levelVisits at village level | Solely village level | Solely village level |
| ROLES AND RESPONSIBILITIES | Key functionary at the sub-centre level of care under National Rural Health Mission, Mission Indradhanush.Initially focused on mother and child health. Expanded role to become Multipurpose workers including Preventive and curative work at the village level.Family Planning and immunizationSupport of AWWs and ASHA workers manage birth complications Referral service in cases of birth complications. | Key functionary under ICDS Main functionary at Anganwadi centres serving as preschools for young children.Nutritional supplementation for children below 6 years of age, adolescent girls, and lactating women under POSHAN Abhiyan. Promotion of healthy behaviorsAwareness activities for safe water sanitation immunization | Key functionary under ICDS Main functionary at Anganwadi centres serving as preschools for young children.Nutritional supplementation for children below 6 years of age, adolescent girls, and lactating women under POSHAN Abhiyan. Promotion of healthy behaviorsAwareness activities for safe watersanitationimmunization |
| CADRE STRENGTH | Around 2 Lakh | 1.2 million | Performance-based incentiveRecently the government announced free insurance coverage under PM Jeevan Jyoti Bima Yojana and Prime Minister Suraksha Bima Yojana. |
| REMUNERATION | Paid a government salary. | Work as volunteers and are paid an “honorarium.” | The primary link between the government and pregnant women under Janani Suraksha Yojana, Facilitating institutional deliveries, immunization, basic medicines, and oral contraceptivesReferral services to sub-centre.Assist the ANM in immunization activities under Mission Indradhanush. The role has been expanded to include home-based newborn care DOTs treatment for TB Promote toilet construction under Swachh Bharat Abhiyan. |
