Asha

Asha


ASHA(Accredited Social Health Activist) is the central component of the National Rural Health Mission (NRHM)

Role of ASHA

  • To act as a link between health system and community especially poor sections of society and assist in service utilization.
  • To provide a defined package of village based services within the framework of primary health care.
  • To generate demand on key determinants of health.
  • A Female Health Activist in the community
  • Create awareness on health
  • Mobilize the community for utilization of the existing health services.
  • One ASHA to cover 1000 population.

Eligibility for ASHA

  • Female
  • Resident of the village
  • Married/Widow/Divorced
  • Preferably in the age group of 25 to 45 years
  • Formal education up to eighth class.
ASHA: MY EIGHT TASKS
  1. Village Health Plan (VHP)
  2. Communication For Health Behaviour Change(BCC)
  3. Linkage with other stakeholders
  4. Counselling
  5. Escorting patients to hospital
  6. Primary medical care
  7. Act as depot holder
  8. Records and registration
INCENTIVES TO ASHA: A Honorary Volunteer
  • Training & Meetings Rs 100 per day
  • Registration of Early Pregnancy ANC Checkup Rs 200 per case Rs 25case for 2nd 3rd
  • ANC Institutional Delivery (Govt. or Accredited private Inst.) Rs 200 per case
  • Rs 400 for accompanying pregnant women for delivery
  • Full post natal checkup Rs 50
  • Vaccination DPT/Polio/MeaslesRs 25 for each dose Rs 20 and Rs 10 for boosters Sterilization Rs 150 for female & Rs 200 for male
  • IUD insertion Rs 25
  • Safe MTP(Govt or Accredited private Institution) Rs 100
  •  Catract Operation Rs 150
  •  DOT provider Rs 250 per year per case
  • Birth and Death Registration Rs 15 per case
  • RTI/STI Referral Rs 10 Toilet promotion fee Rs 50 for APL family and Rs 100 for BPL family
  •  Monthly Village Health Nutrition Day (MVHND) Rs. 100 per MVHND

Monitoring and evaluation of ASHA’s work

1. Process Indicators:

  • Number of ASHAs selected by due process
  • Number of ASHAs trained
  • % of ASHAs attending review meeting after one year

2. Outcome Indicators:

  • % of newborn who were weighed and families counselled
  • % of children with diarrhoea who received ORS.
  • % of deliveries with skilled assistance
  • % of institutional deliveries
  • % of JSY (Janani Suraksha Yojna) claims made to ASHA.
  • % of completely immunized in 12-23 months of age group
  • IMR% of unmet need for spacing contraception among BPL
  • % of fever cases who received chloroquine within the first week in malaria detected area.

3. Impact Indicators:

  • Child malnutrition rates
  • Number of cases of TB /Leprosy detected as compared to previous year.
Exam Question
 

ASHA(Accredited Social Health Activist) is the central component of the National Rural Health Mission (NRHM):

  • One per 1000 rural population
  • Mobiliser of antenatal care
  • Female voluntary worker.
  • The ASHA is employed in the rural area at the village level.
  • Under Janani suraksha yojana Scheme, amount of financial incentive to ASHA per institutional delivery in low performing state is 200 Rs.
  • Angan-Wadi Workers (AWW) and Auxiliary Nurse Midwife (ANM) act as resource persons far training of ASHA.
  • Infant Mortality rate is the best indicator to assess the impact of ASHA.
  • ASHA gets remuneration on: Institutional delivery, Recording birth weight, Birth registration.
  • Informs about birth and deaths in her village to PHC.
  • Local resident.
  • Preferably in the age group of 25-45 years.
  • Formal education up to eighth class

Monitoring and evaluation of ASHA’s work

1. Process Indicators:

  • Number of ASHAs selected by due process
  • Number of ASHAs trained
  • % of ASHAs attending review meeting after one year

2. Outcome Indicators:

  • % of newborn who were weighed and families counselled
  • % of children with diarrhoea who received ORS.
  • % of deliveries with skilled assistance
  • % of institutional deliveries
  • % of JSY (Janani Suraksha Yojna) claims made to ASHA.
  • % of completely immunized in 12-23 months of age group
  • IMR% of unmet need for spacing contraception among BPL
  • % of fever cases who received chloroquine within the first week in malaria detected area.

3. Impact Indicators:

  • Child malnutrition rates
  • Number of cases of TB /Leprosy detected as compared to previous year.
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