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ASHA Soft
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.
Why ASHA Soft?
• To ensure timely and transparent
online payment to ASHAs
• To improve the system for
effective monitoring their
performance on 26 parameters
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
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
What information has been collected
and fed in the default?
• Name
• Location/posting details
• Qualification
• Training status
• Mobile number
• Bank account details
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
ASHA Soft is integrated with PCTS
For name based reporting and verification of beneficiary
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
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.
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
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
Website address
http://ashasoft.raj.nic.in
Only authorized users can login to the website
Home page of ASHA Soft
Welcome screen after login
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…
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
Verify Account Details screen:
For verification of ASHA’s bank account information (Bank
Name, Account No., IFSC Code, Mobile No.)
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.
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
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
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
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
Verification Menu:
“The information entered using Line List Menu would be verified
by the Verification Menu”
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
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.
Release Payment using DSC
Between 5th to 7th of the next month
CMHO will ensure to release the payment (using DSC)
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
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
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.
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
Reports Menu:
System will various analytical reports
Reports Menu: Qualification Wise Summary
Showing Qualification wise summary of ASHAs.
Reports Menu: Top 10 Best Performing ASHAs
Showing list of top 10 best performing ASHAs who have earned
the maximum incentive amount.
Reports Menu: Zero Performing ASHAs
Showing list of ASHAs who have earned the zero incentive
amount during the period.
Reports Menu: Average Payment
Showing the average incentive amount paid to ASHAs during the
month.
Reports Menu: District-wise Highest & Lowest Incentive
Showing the summary of ASHA who have earned the highest &
lowest incentive amount during the July, 2015.
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)
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.
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.
Advanced Search:
It allows searching of ASHA based on the various parameters e.g.
ASHA ID, Name, Incentive Amount, No. of Activities etc.
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)
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
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
Rajasthan State, July 2015
ASHA Soft
Performance Analysis
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
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%
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 %
Maternal Health Services (in %)
36.17
35.85
31.67
30.11
29.55
28.76
28.72
25.55
23.88
22.76
22.49
22.48
22.28
21.57
21.05
21.02
20.94
20.84
20.16
19.16
19.16
18.65
18.61
17.56
16.77
16.74
16.63
14.62
14.01
13.61
11.48
10.71
10.33
5.61
3.29
Churu
Bikaner
Dholpur
Bhilwara
Dungarpur
Sirohi
Jalore
Jhunjhunu
Sikar
Pali
Chittorgarh
Ganganagar
Ajmer
Nagaur
JaipurI
Banswara
Rajasthan
Hanumangarh
Baran
Tonk
Bharatpur
Udaipur
Bundi
Rajsamand
Karauli
Alwar
Kota
Jodhpur
JaipurII
Jhalawar
SawaiMadhopur
Jaisalmer
Dausa
Barmer
Pratapgarh
During Dec, 2014
42.44
36.58
35.73
34.14
33.22
32.42
31.44
31.14
30.99
30.99
30.98
30.80
30.65
30.50
30.24
29.99
29.55
29.53
29.26
29.20
27.59
27.58
27.32
27.19
26.97
26.70
26.62
26.37
25.88
25.23
25.11
25.06
24.45
23.22
22.05
Dholpur
Bhilwara
Bharatpur
Bundi
SawaiMadhopur
Karauli
Baran
Ajmer
Churu
Jhalawar
Dungarpur
Udaipur
Dausa
Tonk
Jalore
Banswara
Kota
Rajasthan
Jodhpur
Alwar
Chittorgarh
Rajsamand
JaipurII
Bikaner
Nagaur
Pratapgarh
Sikar
Hanumangarh
JaipurI
Jhunjhunu
Ganganagar
Sirohi
Barmer
Pali
Jaisalmer
Maternal Health Services (in %)
During July, 2015
Child Health Services (in %)15.69
14.94
14.77
14.42
13.37
13.05
12.56
11.99
11.90
11.52
11.30
10.76
10.26
10.08
10.03
9.80
9.74
8.88
8.73
8.55
8.35
8.17
7.97
7.55
7.50
7.21
7.07
6.52
6.15
6.10
5.87
5.60
4.06
2.36
0.39
Bharatpur
Sirohi
Jalore
JaipurI
Sikar
Jhunjhunu
Dholpur
Churu
Karauli
JaipurII
Ajmer
Tonk
Bikaner
Pali
Bhilwara
Ganganagar
Rajasthan
Chittorgarh
Banswara
Nagaur
Alwar
Rajsamand
Udaipur
Dungarpur
SawaiMadhopur
Bundi
Kota
Jodhpur
Hanumangarh
Baran
Jhalawar
Dausa
Barmer
Pratapgarh
Jaisalmer
During Dec, 2014
Child Health Services (in %)
During July, 2015
18.86
18.86
17.97
16.85
16.80
16.74
16.55
16.31
16.11
15.60
15.52
15.30
15.22
15.14
14.99
14.79
14.74
14.27
14.22
13.50
13.46
13.42
13.22
12.86
12.60
12.45
12.25
11.59
11.50
11.49
11.43
9.87
8.52
7.45
7.23
Bharatpur
Jalore
Dholpur
SawaiMadhopur
Pali
Sirohi
Alwar
Ajmer
Bhilwara
Sikar
Karauli
JaipurII
JaipurI
Churu
Jhunjhunu
Bikaner
Dausa
Rajasthan
Baran
Bundi
Kota
Nagaur
Rajsamand
Banswara
Chittorgarh
Tonk
Udaipur
Dungarpur
Jhalawar
Hanumangarh
Jodhpur
Ganganagar
Pratapgarh
Barmer
Jaisalmer
Immunization Services (in %)24.34
23.83
21.43
20.29
19.10
18.79
18.30
18.06
17.80
17.65
17.43
17.38
17.17
16.77
16.69
16.35
16.35
16.16
15.92
15.57
15.30
15.28
15.25
15.15
14.22
14.12
13.62
13.61
12.97
12.84
12.50
12.43
11.71
10.92
10.77
Barmer
Jaisalmer
Sikar
Jodhpur
Pali
Bhilwara
Dungarpur
Udaipur
Nagaur
Ajmer
Dholpur
Ganganagar
JaipurI
Churu
Bikaner
Chittorgarh
Karauli
Jhunjhunu
Rajasthan
Jalore
Hanumangarh
JaipurII
Banswara
Rajsamand
Bharatpur
SawaiMadhopur
Pratapgarh
Jhalawar
Alwar
Baran
Sirohi
Dausa
Kota
Tonk
Bundi
During Dec, 2014
Immunization Services (in %)
During July, 2015
23.85
22.02
20.63
20.54
20.25
20.14
20.06
20.04
19.91
19.34
19.34
19.03
18.94
18.94
18.76
18.70
18.30
18.15
18.12
17.86
17.69
17.58
17.57
17.25
17.04
17.04
17.01
16.97
16.95
16.76
16.72
16.29
16.25
16.08
15.08
Karauli
Jalore
Sikar
Jodhpur
Udaipur
SawaiMadhopur
Pratapgarh
Jaisalmer
Pali
Dungarpur
Banswara
JaipurI
Barmer
Nagaur
Bhilwara
Ajmer
Rajasthan
Jhunjhunu
Dholpur
Churu
Jhalawar
Tonk
Sirohi
Kota
Bharatpur
Alwar
Rajsamand
JaipurII
Dausa
Chittorgarh
Hanumangarh
Ganganagar
Baran
Bundi
Bikaner
Family Planning Services (in %)39.56
34.82
34.64
31.23
28.93
27.66
24.71
23.72
21.68
21.06
19.61
19.29
19.04
17.17
16.79
16.02
15.50
14.19
13.92
13.14
12.47
9.52
9.43
9.30
7.88
7.16
7.00
6.90
6.80
6.16
5.53
5.48
4.39
1.32
0.53
Kota
Bundi
Pratapgarh
Jhalawar
SawaiMadhopur
Dausa
Alwar
Tonk
JaipurII
Karauli
Baran
Jodhpur
Hanumangarh
Chittorgarh
Banswara
Rajasthan
Ajmer
Bharatpur
Bhilwara
JaipurI
Dholpur
Barmer
Udaipur
Rajsamand
Jhunjhunu
Jalore
Churu
Sirohi
Pali
Nagaur
Bikaner
Ganganagar
Sikar
Jaisalmer
Dungarpur
During Dec, 2014
Family Planning Services (in %)
During July, 2015
18.80
16.94
13.37
12.29
10.55
10.51
9.71
9.01
8.32
7.52
7.51
7.36
7.10
6.95
6.84
6.83
6.51
6.44
5.90
5.82
5.25
5.22
4.96
4.72
4.71
4.64
4.43
3.82
3.63
3.59
2.92
2.90
2.55
0.71
0.35
Ganganagar
Hanumangarh
Bikaner
Jodhpur
Jhunjhunu
JaipurI
Sikar
Rajsamand
Jhalawar
Kota
JaipurII
Alwar
Rajasthan
Jaisalmer
Churu
Nagaur
Pratapgarh
Sirohi
Tonk
Bundi
Chittorgarh
Ajmer
Pali
SawaiMadhopur
Banswara
Barmer
Udaipur
Bhilwara
Bharatpur
Baran
Dungarpur
Dausa
Jalore
Karauli
Dholpur
National Programme (in %)2.00
1.94
1.68
1.67
1.61
1.54
1.45
1.40
1.30
1.30
1.28
1.25
1.15
1.04
1.02
1.01
0.96
0.93
0.92
0.86
0.83
0.83
0.76
0.74
0.73
0.70
0.61
0.56
0.53
0.47
0.46
0.30
0.24
0.16
0.00
Hanumangarh
Chittorgarh
Jalore
Dholpur
Sikar
Udaipur
Pali
Rajsamand
Bikaner
JaipurI
Ganganagar
Jaisalmer
Tonk
SawaiMadhopur
Bhilwara
Ajmer
Rajasthan
Churu
JaipurII
Baran
Alwar
Nagaur
Jhalawar
Barmer
Dausa
Jodhpur
Sirohi
Bundi
Kota
Karauli
Jhunjhunu
Bharatpur
Dungarpur
Banswara
Pratapgarh
During Dec, 2014
3.08
2.94
2.61
2.53
2.30
2.15
2.12
2.11
2.10
1.86
1.73
1.66
1.65
1.57
1.52
1.52
1.52
1.49
1.43
1.42
1.28
1.27
1.16
1.12
1.09
1.03
0.97
0.87
0.83
0.82
0.63
0.58
0.54
0.48
0.43
Hanumangarh
Bundi
Kota
Jhalawar
Jalore
Dholpur
Sirohi
Dausa
Udaipur
Rajsamand
Tonk
Chittorgarh
Ajmer
Bikaner
Baran
SawaiMadhopur
JaipurI
Pratapgarh
Rajasthan
Pali
Alwar
JaipurII
Nagaur
Bharatpur
Jodhpur
Ganganagar
Bhilwara
Jaisalmer
Sikar
Barmer
Karauli
Jhunjhunu
Churu
Dungarpur
Banswara
National Programme (in %)
During July, 2015
Monthly Meetings (in %)62.51
55.73
48.42
46.08
45.09
44.34
43.83
43.57
43.24
40.43
39.81
38.58
38.04
36.92
36.90
36.66
36.59
36.44
36.43
36.40
36.30
35.33
34.93
34.27
33.45
33.16
32.92
32.25
32.10
30.36
28.02
27.15
26.15
24.49
24.20
Jaisalmer
Barmer
Rajsamand
Pratapgarh
Nagaur
Udaipur
Dungarpur
Ganganagar
Dausa
Baran
Pali
Jodhpur
Banswara
SawaiMadhopur
Jhunjhunu
Hanumangarh
JaipurII
Bharatpur
Rajasthan
Alwar
Sirohi
Sikar
Jhalawar
Tonk
Karauli
Chittorgarh
JaipurI
Ajmer
Jalore
Bikaner
Bundi
Churu
Bhilwara
Kota
Dholpur
During Dec, 2014
Monthly Meetings (in %)
During July, 2015
43.69
42.86
36.72
36.13
34.68
33.69
32.97
32.69
32.67
32.66
32.08
31.84
31.64
31.33
30.50
30.18
29.61
29.37
28.96
28.90
28.62
28.56
28.01
27.83
27.52
26.97
26.87
26.61
25.41
25.38
24.04
23.76
23.62
23.56
18.98
Barmer
Jaisalmer
Pratapgarh
Chittorgarh
Dungarpur
Pali
Baran
Nagaur
Banswara
Dausa
Sirohi
Tonk
JaipurII
Rajsamand
Jhunjhunu
Udaipur
Kota
Rajasthan
Jhalawar
Ganganagar
Churu
Alwar
Bikaner
JaipurI
Bundi
Ajmer
Karauli
Sikar
Hanumangarh
Jodhpur
Jalore
Bhilwara
Bharatpur
SawaiMadhopur
Dholpur
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
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.
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
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
ASHA Soft Raises Hopes in Healthcare
http://ehealth.eletsonline.com/2015/06/ashasoft-raises-hopes-healthcare/
ASHA Soft in News
Recognition
Our vision is to turn ASHA into
Medical Entrepreneurs One day…

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Asha soft presentation

  • 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
  • 14. Home page of ASHA Soft
  • 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
  • 24. Verification Menu: “The information entered using Line List Menu would be verified by the Verification Menu”
  • 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
  • 32. Reports Menu: System will various analytical reports
  • 33. Reports Menu: Qualification Wise Summary Showing Qualification wise summary of 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
  • 46. Rajasthan State, July 2015 ASHA Soft Performance Analysis
  • 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 %
  • 50. Maternal Health Services (in %) 36.17 35.85 31.67 30.11 29.55 28.76 28.72 25.55 23.88 22.76 22.49 22.48 22.28 21.57 21.05 21.02 20.94 20.84 20.16 19.16 19.16 18.65 18.61 17.56 16.77 16.74 16.63 14.62 14.01 13.61 11.48 10.71 10.33 5.61 3.29 Churu Bikaner Dholpur Bhilwara Dungarpur Sirohi Jalore Jhunjhunu Sikar Pali Chittorgarh Ganganagar Ajmer Nagaur JaipurI Banswara Rajasthan Hanumangarh Baran Tonk Bharatpur Udaipur Bundi Rajsamand Karauli Alwar Kota Jodhpur JaipurII Jhalawar SawaiMadhopur Jaisalmer Dausa Barmer Pratapgarh During Dec, 2014
  • 52. Child Health Services (in %)15.69 14.94 14.77 14.42 13.37 13.05 12.56 11.99 11.90 11.52 11.30 10.76 10.26 10.08 10.03 9.80 9.74 8.88 8.73 8.55 8.35 8.17 7.97 7.55 7.50 7.21 7.07 6.52 6.15 6.10 5.87 5.60 4.06 2.36 0.39 Bharatpur Sirohi Jalore JaipurI Sikar Jhunjhunu Dholpur Churu Karauli JaipurII Ajmer Tonk Bikaner Pali Bhilwara Ganganagar Rajasthan Chittorgarh Banswara Nagaur Alwar Rajsamand Udaipur Dungarpur SawaiMadhopur Bundi Kota Jodhpur Hanumangarh Baran Jhalawar Dausa Barmer Pratapgarh Jaisalmer During Dec, 2014
  • 53. Child Health Services (in %) During July, 2015 18.86 18.86 17.97 16.85 16.80 16.74 16.55 16.31 16.11 15.60 15.52 15.30 15.22 15.14 14.99 14.79 14.74 14.27 14.22 13.50 13.46 13.42 13.22 12.86 12.60 12.45 12.25 11.59 11.50 11.49 11.43 9.87 8.52 7.45 7.23 Bharatpur Jalore Dholpur SawaiMadhopur Pali Sirohi Alwar Ajmer Bhilwara Sikar Karauli JaipurII JaipurI Churu Jhunjhunu Bikaner Dausa Rajasthan Baran Bundi Kota Nagaur Rajsamand Banswara Chittorgarh Tonk Udaipur Dungarpur Jhalawar Hanumangarh Jodhpur Ganganagar Pratapgarh Barmer Jaisalmer
  • 54. Immunization Services (in %)24.34 23.83 21.43 20.29 19.10 18.79 18.30 18.06 17.80 17.65 17.43 17.38 17.17 16.77 16.69 16.35 16.35 16.16 15.92 15.57 15.30 15.28 15.25 15.15 14.22 14.12 13.62 13.61 12.97 12.84 12.50 12.43 11.71 10.92 10.77 Barmer Jaisalmer Sikar Jodhpur Pali Bhilwara Dungarpur Udaipur Nagaur Ajmer Dholpur Ganganagar JaipurI Churu Bikaner Chittorgarh Karauli Jhunjhunu Rajasthan Jalore Hanumangarh JaipurII Banswara Rajsamand Bharatpur SawaiMadhopur Pratapgarh Jhalawar Alwar Baran Sirohi Dausa Kota Tonk Bundi During Dec, 2014
  • 55. Immunization Services (in %) During July, 2015 23.85 22.02 20.63 20.54 20.25 20.14 20.06 20.04 19.91 19.34 19.34 19.03 18.94 18.94 18.76 18.70 18.30 18.15 18.12 17.86 17.69 17.58 17.57 17.25 17.04 17.04 17.01 16.97 16.95 16.76 16.72 16.29 16.25 16.08 15.08 Karauli Jalore Sikar Jodhpur Udaipur SawaiMadhopur Pratapgarh Jaisalmer Pali Dungarpur Banswara JaipurI Barmer Nagaur Bhilwara Ajmer Rajasthan Jhunjhunu Dholpur Churu Jhalawar Tonk Sirohi Kota Bharatpur Alwar Rajsamand JaipurII Dausa Chittorgarh Hanumangarh Ganganagar Baran Bundi Bikaner
  • 56. Family Planning Services (in %)39.56 34.82 34.64 31.23 28.93 27.66 24.71 23.72 21.68 21.06 19.61 19.29 19.04 17.17 16.79 16.02 15.50 14.19 13.92 13.14 12.47 9.52 9.43 9.30 7.88 7.16 7.00 6.90 6.80 6.16 5.53 5.48 4.39 1.32 0.53 Kota Bundi Pratapgarh Jhalawar SawaiMadhopur Dausa Alwar Tonk JaipurII Karauli Baran Jodhpur Hanumangarh Chittorgarh Banswara Rajasthan Ajmer Bharatpur Bhilwara JaipurI Dholpur Barmer Udaipur Rajsamand Jhunjhunu Jalore Churu Sirohi Pali Nagaur Bikaner Ganganagar Sikar Jaisalmer Dungarpur During Dec, 2014
  • 57. Family Planning Services (in %) During July, 2015 18.80 16.94 13.37 12.29 10.55 10.51 9.71 9.01 8.32 7.52 7.51 7.36 7.10 6.95 6.84 6.83 6.51 6.44 5.90 5.82 5.25 5.22 4.96 4.72 4.71 4.64 4.43 3.82 3.63 3.59 2.92 2.90 2.55 0.71 0.35 Ganganagar Hanumangarh Bikaner Jodhpur Jhunjhunu JaipurI Sikar Rajsamand Jhalawar Kota JaipurII Alwar Rajasthan Jaisalmer Churu Nagaur Pratapgarh Sirohi Tonk Bundi Chittorgarh Ajmer Pali SawaiMadhopur Banswara Barmer Udaipur Bhilwara Bharatpur Baran Dungarpur Dausa Jalore Karauli Dholpur
  • 58. National Programme (in %)2.00 1.94 1.68 1.67 1.61 1.54 1.45 1.40 1.30 1.30 1.28 1.25 1.15 1.04 1.02 1.01 0.96 0.93 0.92 0.86 0.83 0.83 0.76 0.74 0.73 0.70 0.61 0.56 0.53 0.47 0.46 0.30 0.24 0.16 0.00 Hanumangarh Chittorgarh Jalore Dholpur Sikar Udaipur Pali Rajsamand Bikaner JaipurI Ganganagar Jaisalmer Tonk SawaiMadhopur Bhilwara Ajmer Rajasthan Churu JaipurII Baran Alwar Nagaur Jhalawar Barmer Dausa Jodhpur Sirohi Bundi Kota Karauli Jhunjhunu Bharatpur Dungarpur Banswara Pratapgarh During Dec, 2014
  • 60. Monthly Meetings (in %)62.51 55.73 48.42 46.08 45.09 44.34 43.83 43.57 43.24 40.43 39.81 38.58 38.04 36.92 36.90 36.66 36.59 36.44 36.43 36.40 36.30 35.33 34.93 34.27 33.45 33.16 32.92 32.25 32.10 30.36 28.02 27.15 26.15 24.49 24.20 Jaisalmer Barmer Rajsamand Pratapgarh Nagaur Udaipur Dungarpur Ganganagar Dausa Baran Pali Jodhpur Banswara SawaiMadhopur Jhunjhunu Hanumangarh JaipurII Bharatpur Rajasthan Alwar Sirohi Sikar Jhalawar Tonk Karauli Chittorgarh JaipurI Ajmer Jalore Bikaner Bundi Churu Bhilwara Kota Dholpur During Dec, 2014
  • 61. Monthly Meetings (in %) During July, 2015 43.69 42.86 36.72 36.13 34.68 33.69 32.97 32.69 32.67 32.66 32.08 31.84 31.64 31.33 30.50 30.18 29.61 29.37 28.96 28.90 28.62 28.56 28.01 27.83 27.52 26.97 26.87 26.61 25.41 25.38 24.04 23.76 23.62 23.56 18.98 Barmer Jaisalmer Pratapgarh Chittorgarh Dungarpur Pali Baran Nagaur Banswara Dausa Sirohi Tonk JaipurII Rajsamand Jhunjhunu Udaipur Kota Rajasthan Jhalawar Ganganagar Churu Alwar Bikaner JaipurI Bundi Ajmer Karauli Sikar Hanumangarh Jodhpur Jalore Bhilwara Bharatpur SawaiMadhopur Dholpur
  • 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/
  • 67. ASHA Soft in News
  • 69. Our vision is to turn ASHA into Medical Entrepreneurs One day…