Tea garden workers in Assam, India face extreme socioeconomic exclusion. Women workers are routinely denied access to healthcare and nutritional benefits. As a result, Assam has the highest maternal mortality rate in India.

Nazdeek, ICAAD, and PAJHRA combined community trainings, technology, and legal intervention to increase accountability in the delivery of maternal health services in tea gardens. Through SMS technology, 44 participants, many of whom are Adivasi women living in the tea gardens, identified and reported maternal health rights violations in 16 tea gardens' and public health facilities across two blocks in Sonitpur District of Assam from May 2014 through September 2017.

Data collected was used for advocacy to demand better health services and fight maternal and infant mortality. For more information, read our report: "No Time to Lose: Fighting Maternal and Infant Mortality through Community Reporting."

Read our report, "A Matter of Life and Death: Surviving Childbirth on Assam's Tea Plantations," to find more recent research on anemia and maternal health, conducted in 2017 across four districts of Assam.