International Institute for Population Sciences
Deemed to be University (An Autonomous Organization of Ministry of Health & Family Welfare, Government of India)

Introduction Frontline Health Workers (FLHWs) such as ASHAs and ANMs have long managed extensive manual tasks, including home visits, maternal and child tracking, and record-keeping. The introduction of digital health platforms like Sahiya App, ANMOL, and e-MCH aims to streamline these processes and improve monitoring. While these tools enhance efficiency, they also introduce challenges that affect workload, stress, and overall well-being. This study explores how digital platforms shape FLHWs’ working conditions, mental health, and service delivery, while identifying barriers, facilitators, and policy measures for sustainable digital adoption. Methodology The study was conducted in five villages of Deoghar district, Jharkhand, using a qualitative exploratory design. Twenty-seven participants, including ASHAs, ANMs, beneficiaries, CHOs, MOICs, and NGO representatives, were purposively selected. Data were collected through In-Depth Interviews, Focus Group Discussions, and Key Informant Interviews, transcribed, translated, and analyzed thematically using Excel and ATLAS.ti. Open, axial, and selective coding helped identify key patterns around digital adoption, workflow, and psychosocial effects. Reflexive notes ensured analytical depth and consistency. Findings FLHWs expressed strong professional pride and community trust but faced dual record-keeping, app glitches, and connectivity issues that increased workload and stress. While digital tools improved real-time reporting, lack of training and technical support limited usability. Peer and family support aided learning, yet financial constraints, delayed payments, and personal data expenses added pressure. Community mistrust over digital data further complicated outreach. Workers recommended unified apps, regular training, and higher honoraria (₹10,000–₹15,000) to reflect their workload. Conclusion Digital platforms have improved monitoring but also intensified work demands and mental strain.