Asha

ASHA

Q. 1

Which of the following is the ‘impact’ indicator forevaluation of ASHA’s performance:

 A

Number of ASHAs trained

 B

Infant mortality rate

 C Number of ASHAs attending meeting
 D Percentage of institutional deliveries
Q. 1

Which of the following is the ‘impact’ indicator forevaluation of ASHA’s performance:

 A

Number of ASHAs trained

 B

Infant mortality rate

 C Number of ASHAs attending meeting
 D Percentage of institutional deliveries
Ans. B

Explanation:

Infant mortality rate Ref: Park 20/e p381

Monitoring and evaluation of ASHA’s work

Governmemt of India has set up following indicators for monitoring ASHA.

1. Process Indicators:

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

2. Outcome Indicactors:

  • % 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 of completely immunized in 12-23 months of age group
  • % of unmet need for spacing contraception among BPL
  • % of fever cases who received chloroquine within first week in a malaria detected area.

3. Impact Indicators:

  • IMR
  • Child malnutrition rates
  • Number of cases of TB /Leprosy detected as compared to previous year.
  • ASHA is an important topic. Read more details from Park or see the following questions:- Q no. 54 of Nov 2006; 58 of May 2007

Q. 2

ASHA workers were trained to deliver under which of the following programmes?

 A

ICDS

 B

NRHM

 C

RNTCP

 D

None of the above

Q. 2

ASHA workers were trained to deliver under which of the following programmes?

 A

ICDS

 B

NRHM

 C

RNTCP

 D

None of the above

Ans. B

Explanation:

NRHM was launched in the year 2005. ASHA workers were trained under the NRHM to help in bridging the gaps in rural health care delivery. 

Ref: Park 21st edition page: 405.


Q. 3

ASHA is posted at:

 A

Village level

 B

Primary Health Centre

 C

Community Health Centre

 D

Subcentre

Q. 3

ASHA is posted at:

 A

Village level

 B

Primary Health Centre

 C

Community Health Centre

 D

Subcentre

Ans. A

Explanation:

ASHA stands for “Accredited Social Health Activist” and is created by the NHRM (National Rural Health Mission) which was formed by the Government of India on 5th April, 2005 for a period of seven years (2005-2012). The ASHA is employed in the rural area at the village level.
 
Ref: Park textbook of Preventive and Social Medicine, 19th Edition, Pages 364-366.

Q. 4

Under Janani suraksha yojana Scheme, amount of financial incentive to ASHA per institutional delivery in low performing state is:

 A

Rs. 200

 B

Rs. 300

 C

Rs. 500

 D

Rs. 550

Q. 4

Under Janani suraksha yojana Scheme, amount of financial incentive to ASHA per institutional delivery in low performing state is:

 A

Rs. 200

 B

Rs. 300

 C

Rs. 500

 D

Rs. 550

Ans. A

Explanation:

Under the scheme, Rs. 200 per cdelivery is given as an incentive for institutional delivery in low performance states.
 
Ref: National Health Programmes in India, J.Kishore, 10th edition pg: 115

Q. 5

True about ASHA are all except –

 A

One per 1000 rural population

 B

Mobiliser of antenatal care

 C

Female voluntary worker

 D

Skilled birth attendant

Q. 5

True about ASHA are all except –

 A

One per 1000 rural population

 B

Mobiliser of antenatal care

 C

Female voluntary worker

 D

Skilled birth attendant

Ans. D

Explanation:

Ans. is ‘d’ i.e., Skilled birth attendant 

Accredited Social Health ActivistiASHA)

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

National Rural Health Mission (NRIIM) was launched to address the health needs of rural population, especially the vulnerable sections of society

o One of the key components of the National Rural Health Mission is to provide every village in the country with a trained female community health activist – `ASHA’ or Accredited Social Health Activist. Selected from the village itself and accountable to it, the ASHA will be trained to work as an interface between the community and the public health system.

Following are the key components of ASHA:

  • ASHA must primarily be a woman resident of the village – married/ widowed/ divorced, preferably in the age group of 25 to 45 years.

o She should be a literate woman with formal education up to class eight. This may be relaxed only if no suitable person with this qualification is available.

o ASHA will be the first port of call for any health related demands of deprived sections of the population, especially women and children, who find it difficult to access health services

o ASHA will be a health activist in the community who will create awareness on health and its social determinants and mobilize the community towards local health planning and increased utilization and accountability of the existing health services. She would be a promoter of good health practices.

  • She will counsel women on birth preparedness, importance of safe delivery, breastfeeding and complementary feeding, immunization, contraception and prevention of common infections including Reproductive Tract Infection/ Sexually Transmitted Infection ( RTIs/STI s) and care of the young child

o She will arrange escort/accompany pregnant women & children requiring treatment/ admission to the nearest pre-identified health facility i.e. Primary Health Centre/ Community Health Centre/ First Referral Unit (PHC/CHC /FRU).

o ASHA will provide primary medical care for minor ailments such as diarrhoea, fevers, and first aid for minor injuries. She will be a provider of Directly Observed Treatment Short-course (DOTS) under Revised National Tuberculosis Control Programme

  • She will also act as a depot holder for essential provisions being made available to every habitation like Oral Rehyd ration Therapy (ORS), Iron Folic Acid Tablet (IFA), chloroquine, Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc. A Drug Kit will be provided to each ASHA.

o The general norm will be ‘One ASHA per 1000 population’. In tribal, hilly, desert areas the norm could be relaxed to one ASHA per habitation, dependant on workload etc.

o ASHA would be an honorary volunteer and would not receive any salary or honorarium. Her work would be so tailored that it does not interfere with her normal livelihood.


Q. 6

Resource person for Training ofASHA are 

 A

AWW and MPW

 B

AWW and ANM

 C

MPW and ANM

 D

ANM and MO

Q. 6

Resource person for Training ofASHA are 

 A

AWW and MPW

 B

AWW and ANM

 C

MPW and ANM

 D

ANM and MO

Ans. B

Explanation:

Ans. is ‘b i.e., AWW and ANM 

o Angan-Wadi Workers (AWW) and Auxiliary Nurse Midwife (ANM) act as resource persons far training of ASHA (Accredited Social Health Activist).


Q. 7

Which is the best indicator to assess the impact of ASHA-

 A

Number of ASHA trained

 B

Infant mortality rate

 C

% of institutional deliveries

 D

Number of ASHA’s attending meeting after one year

Q. 7

Which is the best indicator to assess the impact of ASHA-

 A

Number of ASHA trained

 B

Infant mortality rate

 C

% of institutional deliveries

 D

Number of ASHA’s attending meeting after one year

Ans. B

Explanation:

Ans. is `b’ i.e., Infant mortality rate 

Monitoring and Evaluation of ASII.Vs work

Government of India has set up following indicators for monitoring ASHA (41). 1.Process Indicators

a)   Number of ASHAs selected by due process

b)   Number of ASH As trained; and

c)   % of ASHAs attending review meeting after one year

2. Outcome Indicators

a)   % of newborn who were weighed and families counseled.

b)   % of children with diarrhoea who received ORS.

c)   % of deliveries with skilled assistance.

d)   % of institutional deliveries.

e)   % of JSY claims made to ASHA

f) % of completely immunized in 12 to 23 months age group.

g)   % of unmet need for spacing contraception among BPL.

h)   % of fever cases who received chloroquine with in first week in a malaria endemic area.

3.1mpact Indicators

a)     IMR

b)     Child malnutrition rates

c)     Number of cases of TB/leprosy detected as compared to previous year.


Q. 8

ASHA gets remuneration on all except ‑

 A

Institutional delivery

 B

Zero dose of OPV and BCG

 C

Recording birth weight

 D

Birth registration

Q. 8

ASHA gets remuneration on all except ‑

 A

Institutional delivery

 B

Zero dose of OPV and BCG

 C

Recording birth weight

 D

Birth registration

Ans. B

Explanation:

Ans. is ‘b’ i.e., Zero dose of OPV and BCG 


Q. 9

Asha scheme is associated with –

 A

ICDS

 B

Rural health mission

 C

20 points programme

 D

Minimum needs programme

Q. 9

Asha scheme is associated with –

 A

ICDS

 B

Rural health mission

 C

20 points programme

 D

Minimum needs programme

Ans. B

Explanation:

Ans. is ‘b’ i.e., Rural health mission 


Q. 10

Full form of ASHA –

 A

Associate social health activist

 B

Accredited social health activist

 C

Advanced social health activist

 D

Assistant social health activist

Q. 10

Full form of ASHA –

 A

Associate social health activist

 B

Accredited social health activist

 C

Advanced social health activist

 D

Assistant social health activist

Ans. B

Explanation:

Ans. is ‘b’ i.e., Accredited social health activist 


Q. 11

All are true for ASHA worker EXCEPT:

March 2013

 A

Informs about birth and deaths in her village to PHC

 B

Education atleast till 4th class or higher

 C

Local resident

 D

Works per 1000 people of an area

Q. 11

All are true for ASHA worker EXCEPT:

March 2013

 A

Informs about birth and deaths in her village to PHC

 B

Education atleast till 4th class or higher

 C

Local resident

 D

Works per 1000 people of an area

Ans. B

Explanation:

Ans. B i.e. Education atleast till 4th class or higher

ASHA/Accredited Social Health Activists (ASHAs)

  • ASHAs must primarily be female residents of the village that they have been selected to serve, who are likely to remain in that village for the foreseeable future.
  • Married, widowed or divorced women are preferred over women who have yet to marry since Indian cultural norms dictate that upon marriage a woman leaves her village and migrates to that of her husband.
  • ASHAs must have class eight education or higher, preferably be between the ages of 25 and 45, and are selected by and accountable to the gram panchayat (local government).

Q. 12

Which of the following is incorrect about ASHA:

September 2009, March 2013 (g)

 A

1 ASHA worker per 1000 population

 B

Resident of local community

 C

She must be educated till 4th class

 D

25-45 years of age

Q. 12

Which of the following is incorrect about ASHA:

September 2009, March 2013 (g)

 A

1 ASHA worker per 1000 population

 B

Resident of local community

 C

She must be educated till 4th class

 D

25-45 years of age

Ans. C

Explanation:

Ans. C: She must be educated till 4th class

One of the key components of the National Rural Health Mission is to provide every village in the country with a trained female community health activist – ‘ASHA’ or Accredited Social Health Activist.

Selected from the village itself and accountable to it, the ASHA will be trained to work as an interface between the community and the public health system.

General norm of selection would be one ASHA per 1000 population.

Selection of ASHA:

Should be resident of the same village

Preferably in the age group of 25-45 years

Formal education up to eighth class

Having communications skills and leadership.

Following are the key components of ASHA:

  • The ASHAs will receive performance-based incentives for promoting universal immunization, referral and escort services for Reproductive and Child Health (RCH) and other healthcare programmes, and construction of household toilets.
  • ASHA will be the first port of call for any health related demands of deprived sections of the population, especially women and children, who find it difficult to access health services.

  • ASHA will provide information to the community on determinants of health such as nutrition, basic sanitation and hygienic practices, healthy living and working conditions, information on existing health services and the need for timely utilisation of health and family welfare services.

Q. 13

Outcome indicator for ASHA ‑

 A

IMR

 B

TB/leprosy cases detected

 C

Child malnutrition rate

 D

% of institutional deliveries

Q. 13

Outcome indicator for ASHA ‑

 A

IMR

 B

TB/leprosy cases detected

 C

Child malnutrition rate

 D

% of institutional deliveries

Ans. D

Explanation:

Ans. is ‘d’ i.e., % of institutional deliveries



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