As the focal point for the Mamata/IGMSY schemes in the villages, the AWWs shoulder massive responsibility and are accountable for the precise collection of data with regard to the population of pregnant/lactating mothers in their own village. The guidelines of both the schemes have posited crucial responsibilities with the AWW, who is to be assisted with the AWH for the same, and these include: ensuring that pregnant mothers register in time and fulfil the various conditionalities; in assisting the potential beneficiaries in opening bank accounts; in ensuring that there is no shortage in the availability of services and supplies that are essential …show more content…
Particularly in the case of Sunabeda village in Nuapada district, which is largely tribal in population composition and is located remotely in a mountainous terrain that cuts off access from services and basic facilities like proper roads, the problems to the AWC are many. Some of these pertain to cases of exclusion of potential beneficiaries, as the nearest bank is nothing less than 40-50 kms away and it is difficult to physically visit the bank to complete procedures due to monetary or transportational constraints, or sometimes even due to the low levels of education. Apart from this, there is a problem of the THR supplies reaching the AWC in a village like Sunabeda, or even of the ANM or ICDS supervisor making erratic visits due to the harsh terrain. As a result, there is a lot of strain on the AWW to balance the unavailability of resources with the demands of the population she is expected to serve. The AWH mentioned slight delays in payments, as well as another cultural issue of the the tribal women refusing to opt for institutional deliveries (which would have ideally provided them with an additional ₹1500 under the JSY), and preferring, instead, to give birth at home because of taboos associated with the birthing process. In light of the various cultural, religious, and geographical dilemmas, the Mamata scheme was affected in its usually smooth