Transcript Document

ASHA
Sahyogini
Objectives of ASHA Sahyogini
Intervention
• Improve awareness of health issues and health
education
• Improve utilization of existing health care
services
• Provide measures for immediate relief to health
problems
• Mobilize community, especially women and
weaker sections on health care issues
Operational Objectives
• Select an ASHA Sahyogini on every 1000
population – Woman, in the Age of 21-45,
Resident of same village,8th pass, selected by
the community and approved by the Panchayats
• Training for 23 days in 4 rounds
• Provide support to her in her work and closely
coordinate with ANM and AWW for maximum
effectiveness - Mainstreaming in the structures
of Health Institutions
• Provision of drugs and dressing for basic
healthcare services
• Strengthen her as a Community Health
Volunteer
Why the need felt for Village level
volunteers
• 10500 Subcenter - 41000 Villages, with Countless
Dhanis and Hamlets
• If Infant Mortality has to fall then every newborn,
every diarrhoea, every ARI, every case of fever
must be seen stat
• If Maternal Mortality has to fall then every mother
must be provided services of ANC, Safe
institutional Delivery, PNC
• Each medical emergencies must be identified and
referred
• Health Education requires someone from the
community who knows local idioms and customs.
ASHA Sahyogini :
A State’s Initiative
• Convergence of NRHM and DWCD
• 21,000 Sahyoginis already functional in the State
with DWCD
• Roles, area, selection process envisaged under
NRHM for ASHA and under DWCD for Sahyogini was
similar
• Decision at State level – Instead of 2 workers there
should be only one worker- “ASHA Sahyogini”
Selections
• She is Coterminous with
AWC
• Selections facilitated By
DWCD
• Total 46000 ASHA
Sahyoginis- 42000 Rural
and 4000 Urban
• Total Selections – 41000
• Total functional ASHA
Sahyoginis – 39000 after
successful completion of
first round of training
Roles
• Mothers Health- Care of mother
during pregnancy, delivery, and post
partum
• Child Health – Exclusive Breast
feeding, immunization, growth
monitoring, complementary Feeding,
• Counseling – Health issues, Small
family , contraception,
• Referrals- Institutional delivery,
Treatment of infants and children,
Sterilization, any medical and surgical
emergencies
Roles of ASHA Sahyogini
• Depot HolderContraceptives, DOTS,
Choriquine , DDK, ORS
• Basic Medical Care – First
aid and referral
• Facilitation in Development
of VHP- Member of the VHC
Training
• Total training – 23 days in 4
rounds- 10 Days +4 Days +5
Days and 4 days
• First round through DWCD
• Second round onwardsNRHM with support of NGOs
selected at District Level
ASHA Sahyogini Compensation
• Under NRHM ASHA Sahyogini is a
Voluntary worker- No fixed
honorarium but performance based
incentives
• Fixed honorarium from DWCD i.e.
Rs. 500/• Performance based incentive worked
out from different Schemes on the
population of 1000
• Compensation package :Rs. 1067/(If she works as per expectation)
ASHA Resource Center
• Established at State Institute of Health and Family
Welfare – Under SHSRC
• Technical backstopping for strengthening the program
– Trainings,
– IEC Material development,
– Data Management and
– Analysis,
– Supportive Supervision,
– Monitoring,
– Concurrent Evaluation etc.
ASHA Mentoring Group
ASHA Mentoring Group
Constituted to
 Oversee implementation
 Facilitate in Development
of Policy guidelines
 Provide Technical inputs
& Support Mechanism
 Act as think tank
 Facilitate intersectoral
coordination
Performance
• Referrals started for
Institutional Deliveries,
Sterilizations.
• Provision of counseling
services, awareness
generation, distribution of
contraceptives
• 2007-2008 – more than 2
lakhs deliveries referred by
ASHA Sahyoginis.
Linkages of ASHA Sahyogini
AWW
Of AWC
ANM
MO
Of SC,PHC
CBOs, NGO
ASHASahyogini
Education,
,PHED,
RD
MSS, SHG
Gramsabha
GP
Factors Critical to the Success of
ASHA Sahyogini
• Strengthening convergence with NRHM and
DWCD at all Levels
• Selection of suitable person as ASHA
Sahyogini.
• Quality Trainings
• Linkage with nearest functional health facility for
referral services.
• Identified transport for referral of cases from
village to facility
Factors Critical to the Success
of ASHA Sahyogini
• Priority and recognition of cases referred by ASHA
Sahyogini to MO / ANM.
• Successful organization of monthly Health and
Nutrition Day (in every village with the ANM / AWW).
• Monthly meeting of ASHA- Sahyogini at PHC.
• Timely payment of incentives and replenishment of
Medicines in the kit.
Thank You