A study of Accredited Social Health Activists in Shahapur taluka of Maharashtra, a drought-prone adivasi-inhabited area, shows that the remuneration of ASHAs is a growing concern both for them, as well as their families. Recognising their contribution to public health services, the government should provide fixed payment to them, beyond which task-based incentives should continue to be given, though at a revised rate. The current system of remuneration is making it difficult for ASHAs to meet their family's needs and the community's expectations. Further, payment and reimbursement procedures need to be simplified.