ASHA

5,302 views
5,181 views

Published on

Can be viewed at www.sihfwrajasthan.com

Published in: Technology, Business
1 Comment
4 Likes
Statistics
Notes
  • Sir,
    Thanks for your work in preparing an easy understanding and interesting power point presentations that helps me (and many interested in Public health) which I was expecting for a long time nanbansrga4777@hotmail.com.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
No Downloads
Views
Total views
5,302
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
1
Likes
4
Embeds 0
No embeds

No notes for slide

ASHA

  1. 1. Accredited Social Health Activist (ASHA) State Institute of Health & Family Welfare, Jaipur
  2. 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 SIHFW: an ISO 9001:2008 certified Institution 2
  3. 3. ASHA Ø Community based functionary Ø First contact level for Community for Health Ø Change agent on health in a village SIHFW: an ISO 9001:2008 certified Institution 3
  4. 4. ASHA-Sahyogini: Convergence brought in Ø Convergence of ICDS and Health Dept. Ø Sahyogini as 3rd worker at AWC already existed before NRHM Ø To avoid Duplication- Sahyogini taken as ASHA (in Rajasthan) Ø Nomenclature devised as ASHA-Sahyogini SIHFW: an ISO 9001:2008 certified Institution 4
  5. 5. ASHA-Sahyogini: Selection Ø Listing of interested and eligible women by ANM and LS Ø Panel of three names Ø Approval through Gram Sabah- Community empowerment) SIHFW: an ISO 9001:2008 certified Institution 5
  6. 6. ASHA-Sahyogini: selection Eligibility Ø Intensive mobilization to get active ASHA- Sahyogini. Ø Any woman can not be the ASHA-Sahyogini. Ø Age- 21years to 45 years Ø Qualification- 8th Pass Minimum (relaxation for tribal and desert areas) Ø Married/divorcee/separated Ø Must be ‘BAHU’ of the community Ø Resident of the village Ø Active/Vocal/leadership qualities SIHFW: an ISO 9001:2008 certified Institution 6
  7. 7. ASHA-Sahyogini: Trainings GOI norms- 23 days and 5 phases Phase Days 1st 6 days 2nd 4 days 3rd 4 days 4th 5 days 5th 4 days SIHFW: an ISO 9001:2008 certified Institution 7
  8. 8. Ø 4 rounds of 23 days (10+ 4+5+4 days) Ø Presently 3rd phase rolled out Ø DTT for 15 days integrated training for fresh ASHAs started (Oct. 2009) SIHFW: an ISO 9001:2008 certified Institution 8
  9. 9. ASHA-Sahyogini : Trainings State Training Team NIHFW District Trainer Team (DTT) SIHFW Block Trainers Team (BTT) DTT ASHA-Sahyoginis BTT & NGOS SIHFW: an ISO 9001:2008 certified Institution 9
  10. 10. Support structure Ø ASHA mentoring group State Level Ø ASHA Resource centre Earlier at SIHFW, now at SPMU Ø Joint Strengthening Committee ØAt State level- ACS/PHS/Secretaries ØAt District level- CMHO/DD-ICDS ØAt Block level- BCMO/ CDPO ØAt PHC level- MO/LHV/LS/ANM SIHFW: an ISO 9001:2008 certified Institution 10
  11. 11. Monitoring Ø PHC level monthly meetings ØReview of ASHAs work ØCollection and compilation of reports ØIncentive payments to ASHAs Ø MCHN monitoring by external agency Ø Monthly reports from districts SIHFW: an ISO 9001:2008 certified Institution 11
  12. 12. Monitoring indicators for ASHAs Institutional 5 Deliveries per year ( 80% deliveries of total deliveries should be escorted by ASHAs) Social 80% beneficiaries (ANC & Mobilization children) of the due list should be mobilized for MCHN day. Sterilization 1 case per month. SIHFW: an ISO 9001:2008 certified Institution 12
  13. 13. Reporting system for ASHA Ø Form no. 6-9:- Deliveries escorted by ASHAs Ø NRHM formats:- No. of ASHAs, training, monthly meetings, performance, integrated package etc. Ø CHC monitoring:- Deliveries escorted by ASHA,s Sterilization motivated by ASHAs SIHFW: an ISO 9001:2008 certified Institution 13
  14. 14. 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 100 adolescent girls Total to be paid by NRHM 450 Amount to be paid by WCD after 500 attending monthly meeting at PHC Total 950 SIHFW: an ISO 9001:2008 certified Institution 14
  15. 15. 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 SIHFW: an ISO 9001:2008 certified Institution 15
  16. 16. Work load: ASHA (1000 Pop.) Beneficiary category Expected number in an Year Pregnant women 30-31 · Out of which 4-5 may have complications · 50% 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/ 5-7% of Eligible couples Tubectomy Eligible for spacing Methods 11-12% of Eligible couples SIHFW: an ISO 9001:2008 certified Institution 16
  17. 17. Palpable Impact: Increase in Ø ANC registration in first trimester Ø Institutional Deliveries – 80.7% in Govt. hospitals (31.12.09) (45.5%-DLHS 3) Ø Immunization – full immunization (Source: rajmedical) Ø OPV3: 67.73; Ø DPT3:68.08; Ø BCG:71.15; Ø Measles:69.02 Ø No. of Sterilization Ø Practices Ø Breast feeding practices Ø Health seeking behavior Ø Referral Ø Community involvement –VHC/MCHN SIHFW: an ISO 9001:2008 certified Institution 17
  18. 18. Factors critical to success of ASHA Ø Selection of ASHA by prescribed process as per the ASHA guidelines. Ø Linkage with nearest functional health facility for referral services. Ø Identified transport for referral of cases from village to facility . SIHFW: an ISO 9001:2008 certified Institution 18
  19. 19. Ø Successful organization of monthly Health and Nutrition Day (in every village with the ANM / AWW) Ø Monthly meeting of ASHA at PHC. Ø Timely payment of incentives to ASHA. Ø Timely replenishment of ASHA kit Ø Priority and recognition of cases referred by ASHA to MO / ANM SIHFW: an ISO 9001:2008 certified Institution 19
  20. 20. Role of DACs Ø Create database of ASHA. Ø Liaise with district level stakeholders for mobilizing support Ø Supervision and monitoring of the ASHAs, NGOs and Block ASHA facilitators and PHC ASHA Supervisors. Ø Attend ASHA meetings at block and PHC. Ø Prepare annual training plan of ASHA for different rounds. SIHFW: an ISO 9001:2008 certified Institution 20
  21. 21. Ø Compilation of monthly report with the help of Data Assistant of DPMU. Ø Dissemination of guidelines related to ASHA to all functionaries at different levels. Ø Follow up with Block ASHA facilitators/ BPMs on the progress of assigned job. Ø Monitor timely payments of ASHAs Ø Monitor physical and financial progress of the component. Ø Field visits SIHFW: an ISO 9001:2008 certified Institution 21
  22. 22. Role of DPM Ø Develop annual plan for selection and training for ASHA Ø Drafting of annual targets for ASHA, CHC- PHC (sterilization, ID & immunization) SIHFW: an ISO 9001:2008 certified Institution 22
  23. 23. Ø Support District ASHA Coordinator in developing localised implementation plans. Ø Monitor physical and financial progress of the component. Ø Ensure adoption and implementation of plan and fund flow at local level. SIHFW: an ISO 9001:2008 certified Institution 23
  24. 24. Collective Role of DACs/ DPMs Ø Reporting – timely and properly Ø Hand holding support to ASHAs Ø Timely payments to ASHA-Sahyogini Ø Regular monthly meetings at PHC/CHC Ø Identification of non-performing ASHAs SIHFW: an ISO 9001:2008 certified Institution 24
  25. 25. Programmatic Check List Ø Whether ASHA monthly meetings at PHC/CHC are being organized or not Ø Does every institution organizes it Ø No. of ASHAs are regularly attending the meeting Ø Are ASHAs getting their incentives as per activities SIHFW: an ISO 9001:2008 certified Institution 25
  26. 26. Measures of effectiveness Ø % of newborns who were visited thrice in first week including once on first day Ø % of ASHAs who received more than 20 visits for common illnesses per month Ø % of ASHAs who have referred all ( or at least half ) their pregnant women for institutional delivery SIHFW: an ISO 9001:2008 certified Institution 26
  27. 27. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

×