Accredited Social Health Activist (ASHA)

Accredited Social Health Activist (ASHA)

ASHA (Accredited Social Health Activists) scheme is being implemented in the state since 2007 under the National Health Mission. ASHA is a community volunteer and is working as an important social link in terms of creating awareness, harmony, coordination, promotion, negotiation between the health system, charitable organizations and villagers, other elements of the society. As ASHA is a local resident, it is easily possible for ASHA to create local level harmony. Various national health related programs are being implemented in the state with the help of ASHA which mainly includes Immunization, Pulse Polio, Leprosy and Tuberculosis Control, Arogyavardhini, CO-VID, NCD and other health related programs. With the help of ASHA, efforts are being made to reduce maternal and child mortality in the state and HBNC (Home Based Neonatal Care) and HBYC (Home Based Young Care) programs are being implemented.

Objectives-

1. Health Awareness and Education
2. Promote Health Services
3. Provide Basic Health Services
4. Community Mobilization
5. Monitor Maternal and Child Health
6. Member of various Committees

ASHA Selection –

Rural Area

• Educational qualification – 8th pass (for tribal area) and 10th pass (for non-tribal area). Highly educated women should be given preference.
• Usually ASHAs are selected at the rate of 1 in 1000 population.
• Age – Age of woman 20 to 45 years
• ASHA should be a permanent local resident of the work area and a married woman.
• Tribals, widows, marginalized women and those with health related experience should be given preference.
• A woman fulfilling the above mentioned criteria should submit an application for the post of ASHA to the Village Health Nutrition, Sanitation and Water Supply Committee of her area of operation.
• Village Health Nutrition, Sanitation and Water Supply Committee should scrutinize the application received for the post of ASHA.
• The Village Health Nutrition, Sanitation and Water Supply Committee should submit the applications of five women fulfilling the above mentioned criteria to the Gram Sabha in the ratio of one to three.
• The Gram Sabha should discuss the application and select a woman for the post of ASHA.
• The proposal of the selected woman should be sent to the Taluka Arogya Adhikari.
• The Taluka Health Officer will issue the appointment letter to the said woman for the post of ASHA.

Urban Area

• Educational Qualification – Minimum 10th pass, highly educated women preferred.
• Generally 2000 to 2500 population 1 ASHAs are selected.
• Age – Age of woman 20 to 45 years
• ASHA should be a permanent local resident of the work area and a married woman.
• A woman who fulfills the above mentioned criteria for the post of Asha Civil Pvt. After receiving the application form at the Centre, the committee at the civic center level will select the hopefuls on the basis of interview.

Urban Area

Sr No	Name of Officer	Designation
1	Medical Officer, Urban Primary Health Centre.	President
2	Urban Primary Health Centre level Appointed Staff Nurse/P.H.N/G.N.M/G.N.M/A.N.M	Member
3	Chief servant, P. C. D. S.	Member
4	Primary or Higher Secondary Female school Teacher in Corporation / Nagar Parishad School	Member

• After that the above mentioned committee will send the list of women selected for the post of ASHA to the Municipal Corporation/Municipality/Cuttack Mandal level committee for validation.

Committee structure for Municipal Corporation and Municipal Council

Sr No	Name of Officer	Designation
1	Chairperson, Women and Child Welfare Committee, Corporation / Council	President
2	Deputy Chairman, Women and Child Welfare Committee, Municipal Corporation / Municipal Corporation	Member
3	Medical Officer of Health, for Municipality/Taluka Health Officer for concerned Municipality	Member
4	Project Officer, I. C. D. S, for Municipal Corporation / Council	Member
5	Project Officer, Suvarna Jayanti Urban Employment Scheme, for Municipal Corporation / Council	Member

• After getting the approval of the said committee, the Medical Officer of Health Municipal Corporation and Taluka Health Officer will issue the appointment letter to the selected woman as ASHA for the concerned municipality.
• ASHA Facilitator – In tribal areas there is 1 group promoter for every 10 ASHAs and in non-tribal areas there is approximately one group promoter for every 20 to 25 ASHAs.

ASHA/AF Sanction Posts
In the State 80085 ASHAs and 3664 AFs posts are sanctioned.

ASHA training

GOI is developed various Training for the ASHAs as following

 

RMNCH+A+ Training For ASHAs

Sr.No.	Type of ASHA Training	Duration of the training
1	Induction Training	8 Days
2	HBNC 6th Module Training	5 Days
3	HBNC 7th Module Training	5 Days
4	HBNC 4th Module Training	5 Days
5	NCD Training	5 Days
6	HBYC Training	5 Days

Expanded Package Training For ASHAs

Sr.No.	Type of ASHA Training	Duration of the training
1	Mental Health Training	3 Days
2	Elderly & Palliative care Training	5 Days
3	OEEE Training	5 Days
4	Eat Right Training	1 Days

Work-Based Remuneration to ASHAs from Central Government Level –

ASHA is being paid performance based remuneration on 58 incentives for Rural ASHAs and 38 incentives for Urban ASHAs as approved by the Central Government in the Project Implementation Plan.

Routine Activities and Incentives for ASHAs from Central Govt. as follows

• For accurate collection of information and reports and presentation of reports – (Rs.1500/- per month)

1. Creation of Gram Registrar. Rs. 300/- per month.
2. Registration of births and deaths. Rs. 300/- per month

• Preparation of list of eligible couple. Rs. 300/- per month

1. Preparation of list of pregnant women. Rs. 300/- per month
2. Preparation of list of children eligible for vaccination Rs. 300/- per month

• Monthly meeting at P.H.C.Centre/ Urban P.H.C Centre level – Rs.150/- per month
• 200/- per month for active participation in VHND/ UHND projects

Monthly Meeting of VHNSC/ Women Health Committee Rs.150/- per month

Beneficiary:

Citizen

Benefits:

As above