accredited social health activist (asha)

8/14/2019 Accredited Social Health Activist (ASHA)

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Accredited Social Health Activist(ASHA)

State Institute of Health & Family Welfare, Jaipur



SIHFW: an ISO9001: 2008 certified institution 2

ASHA

Accredited Recognized by the community

Social From the community, By the community and For the community

Health Activist Spreading awareness for health concerns Promoting change in health related practices

•




ASHA

ØCommunity based functionaryØ

ØFirst contact level for Community for Health

Ø

ØChange agent on health in a village

•




ASHA-Sahyogini: Convergence broughtin

ØConvergence of ICDS and health Dept.

ØSahyogini as 3rd worker at AWC already existed

before NRHMØ

ØTo avoid Duplication- Sahyogini taken as ASHAØ

ØNomenclature devised as ASHA-Sahyogini

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ASHA-Sahyogini: Selection

ØListing of interested and eligible women byANM and LS

Ø

ØPanel of three namesØ

ØApproval through Gram Sabha- Communityempowerment)




ASHA-Sahyogini: SelectionEligibility

Ø Intensive mobilization to get active ASHA-Sahyogini

Ø

ØAny woman can not be the ASHA-SahyoginiØ

ØCombinations of eligible criteriaØ

ØAge- 21years to 45 yearsØ

ØQualification- 8th

PassMinimum

(relaxation for tribal and desert areas)




ØØStatus-Ø

ØMarried/divorcee/separatedØ

ØMust be ‘BAHU’ of the commuØ

ØResident of the villageØ

ØActive/Vocal/leadership qualities

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ASHA-Sahyogini: Trainings

Phase Days

1st 6 days

2nd 4 days

3rd 4 days

4th 5 days

5th 4 days

GOI norms- 23 days and 5 phases

( + + + )4 ro u n d s o f 2 3 d a y s 1 0 4 5 4 d ay s Pre se n tly 3 rd phase rolled out

DTT for 15 days integrated training for

( . )fresh ASHAs started Oct 2009




ASHA-Sahyogini: Trainings

State Training Team

District Trainer Team(DTT)

Block Trainers Team

(BTT)

NIHFW

SIHFW

DTT

ASHA-Sahyoginis BTT & NGOS




Support Structure

ØASHA mentoring group State LevelØASHA Resource centre Earlier at

SIHFW, nowat SPMU

Ø Joint Strengthening Committee

At State level- ACS/PHS/SecretariesAt District level- CMHO/DD-ICDSAt Block level- BCMO/ CDPOAt PHC level- MO/LHV/LS/ANM




Monitoring

ØPHC level monthly meetingsØReview of ASHAs work

ØCollection and compilation of

reportsØIncentive payments to ASHAs

Ø

ØMCHN monitoring by external

agencyØ

ØMonthly reports from districts

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Monitoring Indicators for ASHAs

Institutionaldeliveries

5 Deliveries per year ( 80%of total deliveries should beescorted by ASHAs)

SocialMobilization

80% beneficiaries (ANC &children) of the due list shouldbe mobilized for MCHN day

Sterilization 1 case per month




Reporting System for ASHA

ØForm no. 6-9:- Deliveries escorted byASHAs

ØNRHM formats:- NO. of ASHAs, training,monthly meetings,performance, integrated packageetc.

Ø CHC monitoring:- Deliveries escorted byASHAs Sterilization

motivated by ASHAs




Integrated Compensation

One time honorarium Amount(Rs.)

Monthly meeting 100

Social mobilization for MCHN day 150

Organizing monthly VHSC meeting 100

Bi-monthly conduction of meeting for adolescent girls

100

Total to be paid by NRHM 450Amount to be paid by WCD after attending monthly meeting at PHC

500

Total 950




Performance Based Compensation

Activity Amount(Rs.)

JSY 400+100+100 600

Sterilization 200,150

DOTS 250

Cataract 175

Toilet construction 60

RT to Malaria cases 50




Work Load for ASHA for 1000 PopBeneficiary category Expected number in an Year

Pregnant women 30-31Out of which 4-5 may havecomplications50% shall have anemia

New Borne 27-28

Children in 0-1 Year 30 ( 3 % of the population)

Children 1-5 years 130, (13 % of Population

Eligible couples 16-17% (15-45 years)

Eligible for Vasectomy/Tubectomy

5-7% of Eligible couples

Eligible for spacing Methods 11-12% of Eligible couples




Palpable Impact: Increase in

ØANC registration in first trimester Ø Institutional DeliveriesØ Immunization – full immunization

ØNo. of SterilizationØPracticesØBreast feeding practicesØHealth seeking behavior

ØReferralØCommunity involvement –VHC/MCHN

1.

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Factors Critical to Success of ASHA

ØSelection of ASHA by prescribed process as per the ASHA guidelines

Ø

Ø Linkage with nearest functional health facility for

referral servicesØ

Ø Identified transport for referral of cases fromvillage to facility

Ø

ØPriority and recognition of cases referred byASHA to MO / ANM




ØSuccessful organization of monthly Health andNutrition Day (in every village with theANM/AWW)

Ø

ØMonthly meeting of ASHA at PHCØ

ØTimely payment of incentives to ASHAØ

ØTimely replenishment of ASHA kit




Role of DACs

ØCreate database of ASHAØLiaise with district level stakeholders for

mobilizing support

ØSupervision and monitoring of the ASHAs, NGOsand Block ASHA facilitators and PHC ASHA

Supervisors

ØAttend ASHA meetings at block and PHC

ØPrepare annual training plan of ASHA for differentrounds




ØCompilation of monthly report with the help of DataAssistant of DPMU.

ØDissemination of guidelines related to ASHA to allfunctionaries at different levels.

ØFollow up with Block ASHA facilitators/ BPMs onthe progress of assigned job

ØMonitor timely payments of ASHAs

ØMonitor physical and financial progress of thecomponent.

ØField visits




Role of DPM

ØDevelop annual plan for selection and trainingfor ASHA

ØDrafting of annual targets for CHC-PHC wiseASHA to achieve the health targets of Districtlike; sterilization, institutional deliveries and

immunization etc.ØEnsure adoption and implementation of plan and

fund flow at local level

ØSupport District ASHA Coordinator in developing

localised implementation plansØMonitor physical and financial progress of the

component

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Collective Role of DACs/ DPMs

ØReporting – timely and properlyØ

ØHand holding support to ASHAsØ

ØTimely payments to ASHA-SahyoginiØ

ØRegular monthly meetings at PHC/CHCØ

Ø Identification of non-performing ASHAs

Ø




Programmatic Check List

ØWhether ASHA monthly meetings at PHC/CHCare being organized or not

Ø

ØDoes every institution is organizing it or notØ

ØHow many ASHAs are regularly attending themeeting?

Ø

ØAre ASHAs getting their incentives as per activities

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Measures of Effectiveness

Ø% of newborns who were visited thrice infirst week including once in first day

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Ø% of ASHAs who received more than 20visits for common illnesses per month

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Ø% of ASHAs who have referred all ( or atleast half ) their pregnant women for

institutional delivery



SHA at her house



ASHA with a mother



How to use ORS



In the

….discussion



ASHA at Work



Convening VHC Meeting

accredited social health activist (asha)

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