2. Current scenario
• A woman hired by Women & Child deptt
but works for Medical & health also
• Fixed Rs. 1600 from WCD and M&H pays
incentives
• Currently around 48000 ASHA Sahyogini are
working in the State.
• They are given a small village or a cluster of
houses for ensuring better awareness about
health, RCH activities and family welfare
services in the village.
3. Why ASHA Soft?
• To ensure timely and transparent
online payment to ASHAs
• To improve the system for
effective monitoring their
performance on 26 parameters
4. ASHA Soft REQUIRES
• Circular authorizing ASHA Soft
• ASHA claim forms for ASHAs
• ASHA Soft Program (NIC)
• ASHA Soft Manual for guidance
• Mechanism for data entry and verification
• Digital Signature Certificates for release of
payments
• SMS Gateway
• Payment arrangements with Bank
• Reliable PCTS/MCTS database
5. Strengths of ASHA Soft
• No capital investment in any manner and at
any level (Existing PC is used)
• Existing information Assistants/Computer
operators used –No new HR hired
• Existing SMS Gateway is used…better used
• Existing banker can be made partner
• Utility of PCTS/MCTS, which in turn
strengthens entry regime
• No need to compile information manually
• informed decisions are encouraged
6. What information has been collected
and fed in the default?
• Name
• Location/posting details
• Qualification
• Training status
• Mobile number
• Bank account details
7. THE SOLUTION CAME IN FORM OF
MODULE CALLED –
ASHA SOFT
Challenge was to devise a system
• To capture the work done by them
• To record it on a program without new
investment
• To pay the same incentives in a
transparent and easy manner
• To remain connected with existing
PCTS
8. ASHA Soft is integrated with PCTS
For name based reporting and verification of beneficiary
9. PCTS - some facts
• Pregnancy & Child Tracking System
• Rajasthan has been pioneer in starting this
• Started since October, 2008
• For 7 main RCH activities
• Progress has been not very encouraging
• GoI places a lot of reliance on this system
• Based on ANM/SDR for reporting and computer
operators for feeding the data
ASHA Soft was decided to be converged with existing PCTS
rather then creating a parallel system for monitoring the RCH
activities
10. What is ASHA Soft?
• It is a web-based software for online
payment to their bank account and
monitoring the performance.
– It will capture beneficiary wise details of services
given by ASHA to the community.
– It will generate various reports to monitor the
progress of the program
• It is developed by the NIC-Rajasthan State
Unit and for online payment, Bank of
Baroda has been selected.
11. Verification of
ASHA Claim
Form by ANM
Online data
entry of ASHA
Claim Form and
verification on
ASHA Soft by IA/
PHC Health
Supervisor/ Data
Entry Operator
Release of
Sanction or
Fund Transfer
Order (FTO) by
MOIC with
assistance of
LHV/
Accountant
Release of
payment using
Digital
Signature
Certificate by
CMHO
Payment will
be transferred
directly to the
Bank A/C of
ASHA
SMS will be
sent to ASHA
for information
of online
payment
Flow diagram of Payment process in ASHA-Soft
12. Important Timelines
SNo. Activity Responsibility Date
1. Verification of ASHA
Claim Form
ANM Between 26th
– 30th of the
month2. Online data entry of
ASHA Claim Form and its
verification on ASHA Soft
IA/ PHC Health
Supervisor/ Data
Entry Operator
3. Release of sanction or
fund transfer order
MOIC with
assistance of
LHV/ Accountant
By 4th of the
next month
4. Release of payment
(using DSC)
CMHO Between 5th
to 7th of the
next month
16. Menu options
(based on the user’s access rights options would be visible)
• Home
• Master Entry
• Line List
• Verification
• Sanction
• Release Payment
• Reports
• Logout Continue…
17. Master Entry
• Verify Accounts Details
• Define User Permissions for
– Administrator
– Data Entry & Verification of Records
– Generating Sanction
– Release Payment
Continue…
Admin Users at State Level (State Demographer)
and District Levels (CM&HOs) are authorized to
perform the Master Entries
18. Verify Account Details screen:
For verification of ASHA’s bank account information (Bank
Name, Account No., IFSC Code, Mobile No.)
19. Define User Permission screen:
For defining and authorization of access rights to USER-IDs as
Administrator, Data Entry & Verifier, for Sanction generation,
for Release of payment.
20. Line List Menu
(Major category of services)
1. Maternal Health Services
2. Child Health Services
3. Immunization Services
4. Family Planning Services
5. National Health Programmes
6. Meetings
Continue…
Between 26th to 30th of the month
IA/ PHC Health Supervisor/ Data Entry Operator will perform
the online data entry of certified ASHA Claim Forms
21. 1. Maternal Health Services
•3 ANC Checkups
•Institutional Delivery
Promotions
•Maternal Death Reporting
2. Child Health Services
•HBNC
•Infant Death Reporting
•Referral of SAM Child
•Follow up of SAM Child
•SNCU Follow ups
3. Immunization Services
•Social Mobilization
•Full Immunization
•DPT Booster
4. Family Planning Services
•Sterilization
•Delay of Child Birth after
marriage
•3 Year spacing between
two children
•PPIUCD
5. National Health Programme
•Treatment of TB Cases
•Cataract Operations
•Treatment of Leprosy Cases
•Preparation of Blood Slides
•Treatment of Malaria Cases
6. Meetings
•Monthly Meeting Payments
•Routine Monthly Activities
Line List
22. Line List Menu:
Showing the major service category “Maternal Health Services”
and sub-menu items (3 ANC Check-ups, Institutional Delivery
Promotions, Woman Death Reporting) and similarly for the other
services
23. Verification Menu
(Major category of services)
1. Maternal Health Services
2. Child Health Services
3. Immunization Services
4. Family Planning Services
5. National Health Programmes
6. Meetings
Continue…
Between 26th to 30th of the month
IA/ PHC Health Supervisor/ Data Entry Operator will perform
the online verification of information
25. Sanction Menu
(Major category of services)
1. Maternal Health Services
2. Child Health Services
3. Immunization Services
4. Family Planning Services
5. National Health Programmes
6. Meetings
Continue…
By 4th of the next month
MOIC with assistance of LHV/ Accountant will ensure to
Release of Sanction or Generate Fund Transfer Order
26. Sanction Menu:
MOIC will generate one-by-one sanctions for Maternal Health
Services, Child Health Services, Immunization Services, Family
Planning Services, National Health Programmes and Meetings.
27. Release Payment using DSC
Between 5th to 7th of the next month
CMHO will ensure to release the payment (using DSC)
28. For payment information to ASHA
SMS will be sent to the ASHA’s registered mobile no.
Proposed SMS
Aapke bank account mein July, 2015 mahine ki
protsahan rashi Rs. 3500/- jama kara di gayi hai.
Swasthya sewaye pradan karne ke liye dhanyawad.
ASHA Soft NHM Rajasthan
29. Reports Menu
(Various analytical reports )
1. Details of ASHAs
2. Account Verification Status
3. Age wise Summary
4. Qualification of ASHAs
5. Training Status of ASHAs
6. Activity & Incentive wise
7. ASHA worked in all activity
8. Top 10 Best Performing
ASHAs – In State/ District/
Block/ PHC
Continue…
9. Zero Performing ASHAs
10. District wise Status of
Incentive Amounts
11. Average Payments of ASHAs
12. Highest & Lowest Incentives
13. More many reports… by
Advanced Search Option
30. Reporting
The most powerful tool
• After we have completed the entries for a
given month after due verification, it is the
time to get the reports for our needs.
• The program would generate the reports
based on the fixed parameters in master and
data entries done under various heads.
• The people in ASHA-Cell in Blocks/ Districts/
State will get so many useful information on
the basis of which they can decide their plan
of action.
31. What Reports can be generated?
• Non-functional ASHAs
• Cases where payments are extraordinarily high
• ASHAs who are doing good work
• Supervisors with ASHAs with low performance
• PHC/CHC with lowest performing ASHAs
• Blocks with ASHAs who are not performing as
per need in RCH activities
• Districts with lower ASHA performance indices
• Which programs are not generally taken up by
the ASHAs
34. Reports Menu: Top 10 Best Performing ASHAs
Showing list of top 10 best performing ASHAs who have earned
the maximum incentive amount.
35. Reports Menu: Zero Performing ASHAs
Showing list of ASHAs who have earned the zero incentive
amount during the period.
36. Reports Menu: Average Payment
Showing the average incentive amount paid to ASHAs during the
month.
37. Reports Menu: District-wise Highest & Lowest Incentive
Showing the summary of ASHA who have earned the highest &
lowest incentive amount during the July, 2015.
38. Reports Menu: Highest Incentive (In Ajmer)
Showing the details of ASHA who have earned the highest
incentive amount during the month.
Rs.
16500/-
(Feb-Mar, 15)
39. Decisions based on reports-Example
• Post graduate/ Graduate ASHAs doing
excellent work may be preferred in
Supervisory job after following a process.
• Can we reserve seats in ANM course?????
• Training need assessment would be based on
actual evidences rather than guess work.
• BHS/PHS cadre would also be exposed as
ASHAs with good/bad performance will be
directly linked to their supervision quality.
40. Advantages expected
• Better monitoring and transparent payments
• A very big boost to PCTS Entry system
• Line listing needs would lead to better health
indicators
• Repeat transactions wont be possible, hence
quality of data would be of excellent standard.
• Transactions would be transparent and at the
same time, no payment without verification
will be possible.
41.
42. Advanced Search:
It allows searching of ASHA based on the various parameters e.g.
ASHA ID, Name, Incentive Amount, No. of Activities etc.
43. Contact details
Email: ashasoft-rj@nic.in
Phone no. 0141-2225685
Mob no. 9829930053, 9414254324, 9413417399
ASHA Helpline
Mobile no. 8290266668, 8290266669
(ASHA can inform payment related grievances on ASHA Helpline)
44. Way Forward
• Time lag in payment to ASHAs would be
further reduced
• Urban ASHAs would also be covered once the
concerned PHC/ CHC get PC with internet.
• ASHAs with tablets/ some other tool like
mobiles feeding their data directly on the
system provided system is also strengthened
enough to respond to those entries
• 104 helpline to be used for ASHA related
queries
45. The entire health system is put on a dashboard
where we are getting information on health
incidents continuously and we are in a position
to intervene from the control room settings.
Just think that we are getting continuous feed
on points like------
-maternal death
-accidents and ambulances
-FRUs and Delivery points status
-Attendance of staff
THE BIGGER PICTURE FOR
TOMORROW CAN BE LIKE THIS
47. Payment Status of ASHA
Month Amount Sanctioned
(In Crores)
Amount Payment
Realization
(In Crores)
Dec, 2014 4.34 4.15
April, 2015 7.80 7.77
July, 2015 7.40 7.25
48. Performance of ASHAs in the State
under various services
Maternal
Health
21%
Child
Health
10%
Immunizat
ion
Services
16%
Family
Planning
Dervices
16%
National
Programm
e
1%
Monthly
Meetings
36%
During Dec, 2014 During July, 2015
Maternal
Health
28%
Child
Health
19%Immunizati
on
17%
Family
Planning
7%
National
Programme
2%
Monthly
Meetings
27%
49. Performance of District under various
services (in July, 2015)
Ajmer
Alwar
Banswara
Baran
Barmer
Bharatpur
Bhilwara
Bikaner
Bundi
Chittorgarh
Churu
Dausa
Dholpur
Dungarpur
Ganganagar
Hanumangarh
JaipurI
JaipurII
Jaisalmer
Jalore
Jhalawar
Jhunjhunu
Jodhpur
Karauli
Kota
Nagaur
Pali
Pratapgarh
Rajsamand
SawaiMadhopur
Sikar
Sirohi
Tonk
Udaipur
Rajasthan
Maternal Health % Child Health %
Routine Immunisation % Family Welfare %
National Programme % Monthly Meetings & Routine Activities %
62. IMPACT of ASHA Soft
Improvement in line list data of MCTS/PCTS
Mother Count (+ 31% )
Child Count (+19%)
One ASHA @ One Aganwadi + Charge of One
Additional Aganwadi (1+1)
Performance of Block/ PHC Health Supervisors
has been improved
Follow-up visits of HBNC has improved care of
infants and referral of sick neo-nates.
Audit of ASHAs performance, based on analysis
63. IMPACT of ASHA Soft
250 Best performing ASHAs has been identified
as ‘Head ASHA’. These ASHAs will get additional
incentive of Rs. 1000/- per month.
More than 800 Best performing ASHA, have been
selected for higher education through open
board for 10th and 12th Std. Course fees will be
borne by Government.
Government has agreed to provide Tablet PC to
ASHAs on pilot basis, to improve their skills.
64. ASHA Soft backed by Whatsapp
• There is a Whatsapp group of all the state
level and district level officers/ employees,
connected with ASHA Soft
• Continuous mentoring and monitoring
• Technical and managerial issues are
resolved
• Exchange of ideas and best practices
• Moral boost and motivation
• Sense of competition
65. In just one year of implementation
• It has attracted the attention of GoI
• It has been included as one of the best
replicable practices in 2015-16
• 3 states have already visited us- Karnataka,
Maharashtra, Punjab
• 4 states are coming - Himachal Pradesh,
Tripura, Gujarat and Uttaranchal
• It has been presented on many platforms-
workshops and seminars
66. ASHA Soft Raises Hopes in Healthcare
http://ehealth.eletsonline.com/2015/06/ashasoft-raises-hopes-healthcare/