Editor’s Note: This article originally appeared in Peoples Dispatch.
This October marks the third anniversary of the 2019 popular protests in Iraq. On Tuesday, October 25, a large number of people gathered in the Tahrir square in capital Baghdad and paid homage to the people who were killed in the protests. They raised slogans in support of what has been termed by the protesters as the Tishreen movement.
The countrywide protests in 2019, rooted in the long-term grievances of people against successive governments, went on for months. Before the global COVID-19 outbreak forced them to end, the protests were successful in forcing the then government led by Adil Abdul Mahdi to resign, putting the ruling classes on the defensive and pressing for reforms.
Caretaker prime minister Mustafa al-Kadhimi, who came to power in May 2020 after months of uncertainty, had promised to deliver on some of the major demands raised by the protesters, including rebuilding the economy and punishing those guilty for the deaths of over 600 people including protesters and others.
Three years down the line and with a new government on the horizon, none of these promises have been met. This is likely to lead the vast majority of pro-reformers pushing for their demands in the coming days.
Economic and Political Aspects of the Protests
The 2019 protests were one of the largest in Iraq’s history since the 2003 U.S. invasion. Long-term grievances regarding inefficiency of successive administrations and the widely perceived corruption among the ruling establishment were at the center of the public anger. In their slogans, the protesters repeatedly denounced the failure of the system created under the supervision of the US occupation in tackling the issues faced by the people, such as rising poverty, unemployment, and basic services delivery.
At the time of the protests, the official rate of poverty in the country of approximately 40 million people was rising. Even before the pandemic hit in 2020, the poverty rate had risen to above 31 percent. Oil-rich Iraq witnessed an unprecedented rise in poverty during the COVID-19 outbreak. While the government claimed that the poverty rate was coming down after the pandemic, a large number of Iraqis are still forced to live a life as paupers.
Since oil revenues make up the bulk of Iraq’s federal budget–around 96 percent–the economy remains vulnerable to market fluctuation.
Iraqi youth, who make up the majority of the population, were at the center of the 2019 protests. The unemployment rate among the youth–fresh graduates from the university and others–was above 40 percent at the time of the protests.
The majority of Iraqis were forced to live without the basic amenities such as power, sanitation, and health care. Protesters claimed that these failures on the economic front were the result of inefficiency and corruption of the ruling elite. They also pointed to structural reasons such as the system of Muhasasa or sectarian quota based on distribution of political posts for this inefficiency and corruption.
Failure to Address Demands for Structural Changes
The protests were not limited to Baghdad but spread across all urban centers in the country, particularly in the southern regions. The protesters raised the demands of more jobs, better governance and systemic changes, including ending the sectarian quota system and all kinds of external intervention in Iraqi affairs.
Instead of taking initiatives to address the issues related to structural reforms, the ruling class announced fresh national elections in October 2021, a year before schedule.
Partial changes in the country’s electoral laws and introduction of the first past the poll system to replace the system of proportional representation were sold as fulfilling the demand for reforms in the political structure.
However, none of these addressed, even partially, the demands raised by the protesters. The U.S. troops were forced to end their operational presence but, in complete violation of the parliament’s resolution and popular demand, they still remain in the country.
The national elections of October 2021 saw a historically low participation rate with just about 40 percent of the electorate exercising their right to vote amid a call for boycott. This resulted in a situation where no political coalition or group was in a position to claim majority and form a new government for almost a year after the elections.
Mohammad Shia al-Sudani was finally approved as prime minister this week. He was designated to the post by Abdul Latif Rashid who was newly elected as president earlier this month. Al-Sudani’s appointment is expected to end the political uncertainty in the country for now. However, it may not mean an end to the political turmoil despite his promises to deliver on the economic front and tackle corruption.
A sign of the challenges ahead is the fact that disagreements and disputes over the nature of government as well as al-Sudani’s candidacy led to the killing of dozens of people this year.
More than 15,000 people participated in a November 22, 2021, protest at the White House to express their disappointment with the Biden administration’s coercive diplomatic policy toward the democratically elected government of Ethiopia / credit: Twitter/Gennet Negussie
Editor’s Note: The following is the writer’s opinion and was first published in Black Agenda Report.
Correction: A previous version of this article erroneously connected Lausan Collective to the National Endowment for Democracy (NED). A member of Lausan Collective had served as a fellow at the Taiwan Foundation for Democracy, an organization that has collaborated with the NED.
In the last few months, the left media outlets from various camps, in their sincere attempts to demonstrate solidarity and spotlight conflict in the Horn of Africa and internal developments in Ethiopia, got it wrong. They have been uncritically centering active ideological players on two opposing camps. The significant focus on the Tigray People’s Liberation Front (TPLF) attacks on Eritrea, its invasion of Afar and the Amhara region, and its existence as a willing proxy actor of Washington was correct. They got it wrong, however, in their uncritical framing of neoliberal Ethiopian President Abiy Ahmed. They have chosen to over-amplify the Abiy camp’s reactionary narrative on the long ideological internal struggle concerning the path forward for Ethiopia and the Horn.
In 1915, Lenin gracefully asserted:
“We demand freedom of self-determination, i.e., independence, i.e., freedom of secession for the oppressed nations, not because we have dreamt of splitting up the country economically, or of the ideal of small states, but, on the contrary, because we want large states and the closer unity and even fusion of nations, only on a truly democratic, truly internationalist basis, which is inconceivable without the freedom to secede.”
It is in the same framework that the principled Ethiopian and Eritrean revolutionaries during the 1960 and 70s warmly embraced this materialist line on the National Question. One of the most noted and often quoted Ethiopian Marxist is Wallelign Mekonnen. Mekonnen, who is of Amhara background, is famous for this 1969 article, “On the Question of Nationalities in Ethiopia.” This article is very relevant for today, and offers an effective ideological compass to navigate around the war of narratives taking shape, particularly on social media. Mekonnen specifies the basis of the Ethiopian settler state and its class foundation, which operated to benefit the Abyssinian ruling class in both Amhara and Tigray regions. The oppressed nations were not Amhara or those in the Tigray region, but the other non-Abyssinian nations in the south, who were conquered, colonized, and their names erased for the creation of Ethiopia. Mekonnen writes:
“To anybody who has got a nodding acquaintance with Marxism, culture is nothing more than the superstructure of an economic basis. So cultural domination always presupposes economic subjugation. A clear example of economic subjugation would be the Amhara and to a certain extent Tigray Neftegna system in the South and the Amhara Tigray Coalition in the urban areas. The usual pseudo-refutation of this analysis is the reference to the large Amhara and Tigray masses wallowing in poverty in the countryside.”
Following Mekonnen, I argue that the left must cautiously navigate around the two opposing ideological battlegrounds that have co-opted the language and performativity of “anti-imperialism” or “decolonization.” This language works to impede wider radical investigation of the Horn of Africa and its various contradictions.
As Lenin and the elder Eritrean and Ethiopian revolutionaries from the 1960 and 1970s advocated a dialectical understanding of the National Question, so must the left as they seek to understand Ethiopia and the Horn. What is the national question of Ethiopia? Voices from the revolutionary Ethiopian student movement of the 1960s and 1970s echoed much of V. I. Lenin’s point on the National Question that nation-states should be based on “voluntary ties, never compulsory ties.” Lenin insisted upon the “right of every nation to political self-determination,” which includes the right to secession. Following Lenin, Tilahun Takele (pseudonym name for a member of the Ethiopian People’s Revolutionary Party (EPRP)), argued:
“How could Marx, Engels, Lenin and Stalin, of all people support the right of nations to secession when they were, on the other hand, the most committed advocates of the unity and integration of the world proletariat? The answer is simple. Briefly, it is precisely because they wanted to promote the genuine, equality and fraternal unity of the proletariat of all nations, the general unity of the oppressed toiling masses of all nations.”
What are examples of the two opposing voices on The National Question that are attempting to get leftist legitimacy and credibility online? The first example uses the facade of decolonial positioning to cover for the attempted imperialist intervention against Ethiopia and also absolve TPLF of its violent aims to continue the settler-colonial legacy of Abyssinian king Yohaness of Tigray. The second one gives cover to neoliberal Abiy’s vision, a vision that aims to continue the settler-colonial legacy of Abyssinian king Menelik of Amhara without addressing the grievances of the oppressed nationalities.
We can see an example of the first camp in a popular event that occurred on December 8, 2021. Haymarket hosted a webinar called, “What’s Happening in Ethiopia,” with panelists Ayantu Tibeso and J. Khadijah Abdurahman, and facilitated by an anti-China Hong Kong “leftist,” Promise Li, who is a member of Lausan Collective.
Haymarket attracts pro-TPLF academics, such as Andom Ghebreghiorgis, with similar pro-Amnesty International politics and NED connections. One of the panelists referenced Wallelign Mekonnen by aiming to manipulate the “Nations and Nationalities” discussion toward vilifying the Amharas and the Eritrean state, while simultaneously giving cover to the Washington-backed TPLF as the vanguard of the oppressed nationalities. In other words, the discussion was intellectually dishonest, both in its inability to acknowledge Ethiopia as a settler state that has primarily benefited the Amhara and Tigray ruling classes, and in its echoing the U.S. State Department propaganda that is running interference for the TPLF while demonizing the Eritrean state.
An example of the second ideological camp can be seen at an event that occurred on September 11, 2021. The People’s Forum NYC hosted a webinar on “Imperialism, Ethiopia & Conflict in the Horn of Africa,” with panelists Simon Tesfamariam and Elias Amare, who are part of the People’s Front for Democracy and Justice (PFDJ) camp and co-leading the #NoMore social media campaign. Simon and Elias echoed the usual Abyssinian pejorative slur of “Ethnic Federalism” and discredited the Nations and Nationalities argument by attributing it to “tribalism,” and saying that “tribalism is a problem throughout Africa.” The term “ethnic federalism” is not one of facts to the current Ethiopian constitution as there is no ethnic federalism but mult-national federalism in name, which has not been implemented during the last 28 years under the TPLF regime and now under Abiy as well. They also ridiculed the radical assertion around Nations and Nationalities, equating anyone that supports that line with being a “tribalist.” In the same vein, Tesfamariam attempted to discredit the voices who put critical anti-colonial framing on the formation of Ethiopia, which challenges the mythological narrative of a 3,000-year-old independent Christian African state. Further, on his Twitter account, Tesfamariam deployed Abyssinian slurs “ethnofascist” and “tribalists” to de-legitimize the historical grievances of the oppressed nationalities.
Why are Eritreans like Simon Tesfamariam and Elias Amare, who support the People’s Front for Democracy and Justice (PFDJ), so keen on dismissing the real struggles of oppressed nationalities in Ethiopia, a position that is in contradiction to the spirit of the Eritrean revolution? Under the direction of Isaias Afwerki, the PFDJ has taken a line of concentrating on the primary contradictions, which is imperialism and the management of the region via proxy actors like TPLF. In fact, for the past 18 years, the Eritrean state had been the home of oppressed nationalities’ liberation fronts (OLF, ONLF, etc) struggling against the Washington-backed TPLF regime. However, after the 2018 peace deal, and after the re-igniting of war in the region in 2020 by the TPLF, the rhetoric in support of the oppressed nationalities has been abandoned.
The Good, the Bad and the Ugly with #NoMore
“We have the Marxist-Leninist weapon of criticism and self-criticism. We can get rid of a bad style and keep the good.” -Mao Zedong
How did the #NoMore form online and what is the social, political and class structure behind it? The #NoMore campaign is an online diaspora projection or formalization involving the PFDJ in Eritrea and the Amhara region, plus Abiy Ahmed in Addis Ababa, in political alliance against the TPLF. The sporadic social media campaign came at a time during the violent occupation of the Amhara region as TPLF was making gains militarily and attempting to advance to Addis Ababa. The Twitter accounts that support the campaign are led by the three dominant ethnic and political bases in both Eritrea and Ethiopia, represented by Hermela Aregawi (Tigraya), Simon Tesfamariam (Tigrinya) and Nebiyu Asfaw (Amhara). The #NoMore campaigns and protests have attracted very large crowds in the United States. But the large crowd is primarily Amhara because this is the main group that forms the Ethiopian diaspora in North America. The Amhara population also numbers 20 million in Ethiopia, and are the second largest group after the Oromos, who number over 40 million people.
Despite the claim to represent all of Ethiopia, the Oromos and other historically marginalized groups are hardly part of the social media campaign. The same can be said with all of the Eritreans and Somalis. Both the Amhara and Tigrayans, due to their dominant grip of Ethiopia over the century, enjoy the settler-colonial privilege with scholarships, visas and aid to live in the diaspora. This is the reason why they are the dominant voices of what we call “Ethiopia”—online and offline.
The good aspect of the #NoMore campaign is that it is significant to witness Eritreans and Ethiopians engaging each other and sharing a common struggle. That itself is historic. That the campaign focused on the crimes of the TPLF on Eritrea, Amhara and Afar region is the best thing about it. What is problematic is the shifty co-option of “anti-imperialist” rhetoric. While the leaders of the #NoMore campaign are vehemently critical of Washington’s foreign policy, if at least temporarily, their opposition seem to only demand that the leaders Isaias Afwerki and Abiy Ahmed have a seat at the table—presumably with the imperialists. They should be calling, instead, for the destruction of the table.
The bad aspect of the #NoMore campaign is its deployment of reactionary rhetoric and symbolism: The foregrounding of the imperial Abyssinia flag, the exaltation of feudal Abyssinian monarchs, the romanticization of the “Battle of Adwa” and the pushing of the propaganda that “Ethiopia is 3,000-year-old independent state.” This social media campaign has alienated the Oromos and other marginalized communities.
The ugly is that the National Question—the goal of decolonizing the settler-state of Ethiopia, and the overall need for a wider class struggle of the masses in the Horn of Africa—has taken a back seat in the #NoMore campaign. In fact, the articulated electoral strategy of “Vote Republican” should demonstrate that this is not a sincere anti-imperialist campaign.
How Can the Left Get It Right?
It is important for Western leftists to focus on imperialism and not take a hardline position on the internal politics of Ethiopia by not being sensitive to all the contradictions. The PFDJ is able to recognize the primary contradiction being the imperialist lackey, TPLF, in Ethiopia, but fails to recognize the other internal contradictions (the National Question). This is where the TPLF has a lifeline. For the PFDJ to not acknowledge the secondary contradiction is also to not have the correct analysis on the ways that the Abyssinian ruling class exploits these contradictions to further their settler-colonial agenda. These secondary contradictions are weaponized to exacerbate the primary contradiction. We see, for example, how the TPLF is using the plight of the oppressed nationalities to mask their settler-colonial ambitions. PFDJ representatives dismiss the oppressed nationalities as just “tribalists” and “ethnofascists,” a move that alienates the historically oppressed nationalities.
Failure to actively engage the contradictions of the National Question also gives legitimacy to Abiy, who, in addition to espousing more neoliberal policies than TPLF, has denied the historical grievances of Oromos and others in Ethiopia.
The left should oppose imperialism, but without ignoring the Ethiopian National Question. Tigray was never a part of the oppressed nationalities, but benefited from the fruits of settler colonialism. Tigray region’s political struggle with the Amhara region dates back to the period of Ethiopia’s creation in the late 1800s. The ideological struggle in the present is over who is to be the face of the Ethiopian settler-colonial state.
The left or anti-colonial forces in the past also got it wrong when they gave solidarity to slave-owning Menelik with the “Battle of Adwa,” legitimizing the conquest of the oppressed nationalities; to Selassie during the fascist Italian invasion of Ethiopia by helping to restore his feudal rule; to the pseudo-Marxist Derg regime, which hijacked the revolutionary momentum in Ethiopia; and to Meles Zenawi under the banner of state developmentalism.
The modern left must not make the same historical mistake in not being sensitive to the decolonial question of Ethiopia.
The left must heed to words of the Eritrean and Ethiopian revolutionaries of the 1960s and ’70s. One noted Ethiopian voice from that time is Tilahun Takele, who stated: “We believe that the recognition and support of the right of secession by revolutionary Ethiopians, especially those from the dominant nations, will foster trust and fraternity among the various nationalities.”
Filmon Zerai is an independent blogger who provides leftist commentary on the Horn of Africa. His views have appeared on CapeTalk, Sputnik International, BBC and other outlets. Zerai also is the founder and producer of the Horn of Africa Leftists podcast.
Members of the Bronx Green Party joined the Bronx Anti-War Coalition on March 20 to protest against U.S. Representatives Alexandria Ocasio-Cortes and Adriano Espaillat hosting a “student services fair” that prominently featured U.S. military service branches at the Renaissance High School for Musical Theater and the Arts in the Bronx, NY / credit: Bronx Green Party / Twitter
Editor’s Note: This article originally appeared in Workers World.
Dozens of Bronx public school parents, teachers, students and community activists gathered on March 20, the 20th anniversary of the U.S. invasion of Iraq, to oppose a military recruitment fair, hosted by U.S. House Representatives Alexandria Ocasio-Cortez (AOC) and Adriano Espaillat, at Renaissance High School in the Bronx. The grassroots Bronx Anti-War Coalition organized the demonstration.
The protesters aimed to educate students and parents about the violence and dangers that Black, Brown and Indigenous youth face entering the military. “A third of women in the military experience sexual harassment and assault,” said Richie Merino, a Bronx public school teacher and community organizer. “The rates are even higher for women of color. We demand justice for the families of Vanessa Guillén and Ana Fernanda Basaldua Ruiz,” two 20-year-old Latinas who were sexually assaulted and killed after speaking up at Fort Hood U.S. Army base in Texas.
Outside the AOC-endorsed military recruitment fair, Mohammed Latifu of the Bronx spoke to a group of community members. The group had gathered in memory of Latifu’s 21-year-old brother, Abdul Latifu, who was murdered on Jan. 10 at Fort Rucker, a U.S. Army base in Alabama. Abdul had been in the Army for only five months when he was bludgeoned to death with a shovel by another soldier.
Through tears, Mohammed shared how he and his family have been kept in the dark by military investigators and still await answers. He said their parents can’t sleep at night due to the senseless murder of their son Abdul.
“We really want to hear what happened,” Latifu said. “What took place? What transpired? Until today, no answers. No phone calls. We still don’t have any updates. Anybody who was thinking about enlisting their kid in the military, I think you better think again. Don’t do it. I wouldn’t dare ask my kid’s friends or anybody to join the military.”
Outside the @aoc sponsored U.S. military recruitment event at low-income public high school in the Bronx, we invited Mohammed Latifu to speak, who is seeking justice for his 21yo brother, Abdul Latifu, who was murdered in Jan at Fort Rucker, a US Army base in AL #JusticeForLatifupic.twitter.com/29xA7VZaTY
— U.S./NATO = State Sponsors of Terrorism (@bxcommie) March 21, 2023
‘They’re Killing Their Own’
“They say they ‘protect’ the country,” Latifu continued. “They’re killing their own. They’re molesting these women that go over there. These kids, young men and women that go over there, they’re sexually harassed, and then they kill them and try to cover it up.
“They’ll tell you, ‘sorry for what happened, our condolences.’ No, keep your condolences! We want answers. What we really want is justice — justice for everybody who has had to endure this and their families,” Latifu concluded.
Outside the event, representatives from IFCO (Interreligious Foundation for Community Organization)/Pastors for Peace informed students about alternative ways to “travel and see the world” without the military. They spoke about how to apply to the Latin American School of Medicine (ELAM) in Cuba and receive a free medical degree. Chants of “Cuba Sí, Bloqueo No!” broke out in the crowd.
Claude Copeland Jr., a Bronx teacher and member of About Face: Veterans Against the War, shared his experiences as a victim of the poverty draft. He spoke about how recruiters pitched the military as the only way to advance economically and secure safe, independent housing. They never told him about alternatives or other options. If you have no resources, “you have to sign your life away,” he said.
Community members criticized Ocasio-Cortez for abandoning her antiwar campaign promises to oppose predatory recruitment tactics by U.S. military recruiters, who target young, low-income Black and Latinx children.
“Only three years ago,” Merino said, “AOC introduced an amendment to prohibit military recruiters from targeting kids as young as 12 through online gaming. She understands the U.S. military preys on vulnerable, impressionable kids. For AOC to now use her celebrity status to headline a high school military recruitment event, in the Bronx, signals that she has turned her back on the Black, Brown and migrant working-class community that elected her into office.”
“We don’t want our children to train to kill other poor, Black and Brown people like themselves. The best thing we can do now is to grow the movement to completely remove police and military recruiters from our schools,” Merino concluded.
More than 3,000 Accredited Social Health Activists (ASHAs) protested in the city of Kolhapur in India’s Maharashtra state on October 26 after several of their demands, such as the legal status of full-time workers, better working conditions, adequate pay, medical insurance, and others, weren’t met / credit: Sanket Jain
Prajakta Khade walked into a public health center daily for three months in early 2021, without ever receiving medical care. The healthcare worker’s 26 notebooks—containing more than 3,000 pages of community health records—point to why she couldn’t seek treatment for her ailments. She was simply too busy.
In March 2020, India’s health ministry tasked 1 million Accredited Social Health Activists (ASHAs) like Khade with COVID-19 duty in rural areas. This, in a country where 65 percent of its 1.38 billion people live outside cities. Suddenly, ASHAs’ workload increased exponentially. Yet, they remain underpaid and now suffer stress-related chronic ailments.
“If a positive case was found in the area, we had to visit the patient, contact trace, arrange medical facilities, measure their oxygen and temperature levels daily, and ensure they complete quarantine,” Khade explained about the added duties to treat the infectious respiratory disease. But all Khade was given to do her job in the assigned area in India’s Maharashtra state was a single N95 mask and 200 milliliters of sanitizer.
ASHAs, an all-women healthcare cadre, remain the foot soldiers of India’s rural healthcare. One worker is appointed for every 1,000 citizens under India’s 2005 National Rural Health Mission. ASHAs are responsible for more than 70 tasks, including providing first-contact healthcare, counsel regarding birth preparedness, and pre- and post-natal care. Plus, they help the population access public healthcare and ensure universal immunization, among other things.
The World Health Organization announced a pandemic in March 2020. But in many countries, lack of adequate healthcare and no social safety nets amid lockdowns wrecked the lives of ordinary people. In India, for example, an additional 150 million to 199 million people are expected to enter poverty in 2021 and 2022.
Chronic Illnesses Spike
One day about a year ago, while surveying people in her village of Vhannur in India’s Maharashtra state, 40-year-old Khade felt dizzy. But she couldn’t take a break. “At one point, my face was swollen, and I could barely see anything.” It turned out her blood pressure level had surged to 252/180 mmHg (millimeter of Mercury), much higher than the standard limit of 120/80. That is how she got diagnosed with hypertension.
However, a month’s worth of medications didn’t help because she continued to experience stress as her workload increased. Senior officials at the health center had early on issued an order to submit patient records daily by noon.
ASHAs, who aren’t considered full-time workers, receive performance-based incentives paid on the number of tasks completed. “For COVID duty, the government decided our worth as merely 33 Indian Rupees per day (43 U.S. cents),” she said. “We received this amount only for three months in the past two years.”
Moreover, during the peak of COVID-19 cases in 2021, salaries for Maharashtra’s ASHAs were delayed by five months, according to Khade. Netradipa Patil, an ASHA from Maharashtra’s Kolhapur district and leader of a union that represents more than 3,000 ASHAs, confirmed this.
One day last year, Khade’s supervisor asked for a list of hypertension and diabetes patients from her village of about 1,200 people—at 10 o’clock at night.
“How could I survey the entire community in the night?” she asked.
Often, such orders meant skipping lunch and staying hungry for 11 hours at a stretch. ASHAs worked four hours prior to the pandemic. Now, 12-hour days are normal.
When medications didn’t help, Khade consulted two private doctors. “After six months of hassle, the doctor doubled my dose to 50 milligrams.” Khade lost over 10 kilograms (22 pounds) of weight and was placed on medications to address anxiety. Even today, she suffers from fatigue.
“I was never this weak,” she asserted.
Chronic diseases among ASHAs are rising rapidly because of the workload, says Patil. “We protect the entire community, but there’s no one to look after our health.” ASHAs in Maharashtra, she says, average a monthly income of Rs 3,500 to 5,000 ($45 to $66 USD).
This reporter spoke to ASHAs’ senior officials from Maharashtra’s Kagal block. (In India, a cluster of villages form a block and several blocks form a district. Vhannur village is in the Kagal block of Maharashtra’s Kolhapur district.) Senior officials said they are not responsible for ASHAs’ deteriorating mental and physical health, and pointed to the Indian government’s order to submit data. The officials didn’t want to be named. Instead, they relayed that they also are overworked.
“ASHAs do the majority of the health department’s work, and they are massively underpaid for their duty,” said Dr. Jessica Andrews, a medical officer at Kolhapur’s Shiroli Primary Health Center. She has been handling mental health cases. “Without them, the health system will collapse.”
‘Not Treated As Humans’
Several ASHAs across India have worked for over a year without a break. One of them is Pushpavati Sutar, 46, diagnosed with hypotension (low blood pressure) and diabetes within seven months of COVID-19 duty in November 2020. Like Khade, she experienced constant spells of dizziness.
“Often, there was fake news of community COVID transmission in my area,” she said.
Every day, senior officials at the health center hounded her to find more details about such instances.
An ASHA for 13 years, she’s never made an error in her surveys and was sure of no community transmission. “After investigating, I found that the accused was COVID negative. Instead, two of his relatives were positive.”
She had to clear such misconceptions almost every day, answer senior officials’ questions, collect records and perform her regular duty. “For several days, I couldn’t sleep,” she remembered.
Further, fearing COVID-19 guidelines and quarantine rules, community members began demanding ASHAs hide COVID-19 cases. “People even accused us of spreading COVID as we would survey the entire village,” Sutar recounted. Moreover, she said senior officials asked ASHAs to visit the families of COVID-19 patients—instead of allowing data collection over the phone—putting them at risk of infection.
“At several places, there have been instances of community violence, where ASHAs were beaten up,” said Patil, who has filed legal complaints on behalf of the assaulted workers and is helping them mentally recover.
Kolhapur’s ASHA union has written to several government authorities, including Maharashtra’s chief minister and Indian Prime Minister Narendra Modi, highlighting the mental toll of COVID-19 duty. Still, none of their letters have garnered a helpful response.
“Forget adequate pay,” said Khade, as she continued surveying, juggling between completing her task and trying to keep her mind at ease. “We are not even treated as humans.”
ASHA Rehana Mujawar, of Maharashtra’s Tardal village, shows COVID-19 records she is required to fill out every day by visiting her community of more than 1,000 members / credit: Sanket JainASHA workers Rekha Dorugade and Mandakini Kodak trekking the Dhangarwada hill to complete their survey, a steep patch of 5 kilometers (3.1 miles) in Kolhapur’s Pernoli village / credit: Sanket JainAn ASHA worker took a selfie as part of their protest on July 21 in Maharashtra’s Kolhapur city / credit: Sanket JainASHA workers protest outside the district collector’s office in Kolhapur city with placards mentioning their workload. In the center, wearing a red saree, is ASHA union leader Netradipa Patil, who has been fighting for better working conditions for over a decade / credit: Sanket JainASHAs across India have been protesting for better pay, full-time worker status and proper working conditions / credit: Sanket JainIndia has 810 district hospitals for 833 million rural people. In mountainous regions like Kolhapur’s Masai Pathar, ASHAs often trek, risking their lives to save pregnant women and make healthcare facilities accessible / credit: Sanket JainAn ASHA worker explains breastfeeding and taking care of a newborn to a community woman in Maharashtra’s Khutwad village / credit: Sanket JainIn Kolhapur’s Khutwad village, ASHA Maya Patil informs a migrant sugarcane cutter, whose relative gave birth to a child a month prior, about post-natal care and how they can access public healthcare facilities / credit: Sanket JainTo inspire fellow ASHAs, Netradipa Patil shares a WhatsApp status quoting lyricist and poet Gulzar: “Milta To Bahut Kuch Hai Is Zindagi Me, Bas Ham Ginti Usi Ki Karte Hain, Jo Hasil Na Ho Saka. (We get many things in life, but we only count the things we couldn’t achieve) / credit: Sanket JainASHAs also distribute iron, calcium, and vitamin tablets, among others, to community women and children every month. “For distributing these medicines, we’re merely paid Rs 100 ($1.30 USD),” says ASHA Netradipa Patil / credit: Sanket JainASHA Prajakta Khade collected the sputum of a patient she suspects to be a tuberculosis patient / credit: Sanket Jain“Be it any health record, the health department relies on our surveys and fieldwork,” says Khade, who has been an ASHA since 2009 / credit: Sanket JainWomen often share their health and mental issues with ASHA workers, as they have built a safe bond over the past decade / credit: Sanket JainAs part of the Health Ministry’s program of reducing non-communicable diseases, ASHAs across Maharashtra are tasked with surveying communities by asking them more than 60 questions. “We will merely be paid Rs 5 (6 U.S. cents) per form for collecting and filling in all the details,” says Khade / credit: Sanket JainA significant part of Khade’s time goes into filling out by hand medical records. “If any record is incomplete, our seniors immediately probe an inquiry, and even the pay is deducted,” she says / credit: Sanket JainSo far, Khade has spent over Rs 10000 ($131 USD) on doctors, medical tests, and medications, an equivalent of three months of her salary. “ASHAs don’t receive any health support system from the government, nor any medical insurance,” she says / credit: Sanket JainASHA Jayashree Khade from Kolhapur’s Vhannur village tested positive for COVID-19 in May 2021. “None of my seniors even once asked about my health. It was only the fellow ASHAs who helped me,” she says / credit: Sanket JainPrajakta Khade gives a plastic bottle to a community woman asking her to submit sputum for tuberculosis detection / credit: Sanket JainPushpavati Sutar, as part of postnatal visits, often counsels women on breastfeeding, seeks regular updates on the health of both the mother and the newborn, and provides the required medications / credit: Sanket JainAn ASHA worker filling out health records of a newborn in Kolhapur’s Shirol region, noting important details / credit: Sanket JainSutar distributes iron and folic acid tablets to her community members / credit: Sanket JainTo ensure community members take medications and supplements on a schedule, ASHAs often write instructions in the native language on the box / credit: Sanket JainSutar ignored her hypotension symptoms for several months and continued the survey because of the tremendous workload / credit: Sanket JainASHA workers always counsel community members on proper healthcare. Here, she is talking to a woman in Kolhapur’s Shirol region about early childhood health / credit: Sanket JainAs part of the health ministry’s Anemia Free India program, ASHAs are given a long notebook to maintain the records of 6- to 51-week-old children and 5- to 10-year-old children from their community. ASHAs regularly provide tablets to prevent anemia / credit: Sanket JainASHAs’ role doesn’t end with distributing medications. They answer questions people raise / credit: Sanket JainASHA Rani Koli, from Kolhapur’s flood-affected Bhendavade village, surveying her community after the July floods. “Even my house was ravaged by the 2019 and 2021 floods, but we keep working to make sure everyone remains safe,” she said / credit: Sanket JainASHA Kavita Patil talking to senior citizens in Kolhapur’s Bhendavade village to understand the mental toll of living through two floods / credit: Sanket JainASHA workers Netradipa Patil and Maya Patil surveying a community to learn more about how two floods and lockdowns affected the lives of rural community women / credit: Sanket Jain
Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.
