The twentieth century has witnessed rapid transformations in labour market structures in both developed and developing countries. The changes have been so dramatic that the work place in these countries is no longer a man’s preserve.

Demographic literature is replete with observations of an inverse relation between certain attributes of modernity and family size (Thompson 1929; Notestein 1945; Coale and Hoover 1958; Leiberman 1980, Srinivasan 1986).

The Maternity Benefit Act, 1961, is a significant piece of legislation in India designed to protect the health and welfare of women during maternity.

This study explores how women are engaged as CHWs for health related work at the community level in the five South Asian countries (India, Nepal, Bangladesh, Pakistan and Sri Lanka).