VERY GOOD MORNING

By,

Pawan Kumar B. SIMS&RC, Mangalore

Accredited Social Health Activist

ASHA

I'm an health activist in community who create awareness on health.

1 ASHA for 1000 population

Selection CriteriaResident of village –a woman

(married/divorced/widow)

Age group – 25 to 45 years

Formal Education – 8th class

Good communication skills & leadership qualities

Training

ASHA will receive training on a pedagogy ofpublic health ,developed and monitoredthrough a National Experts Group.

Roles and responsibility

Nutrition

Basic sanitation

Hygienic practices

Healthy living

Working conditions

Also provide information on existing health services

And also need for timely utilisation of health and

family welfare services

1) Awareness

2)Counseling• Birth preparedness

• Importance of safe delivery

• Breast feeding and complementary feeding

• Immunization

• Contraception

• Care of young child

• Prevention of common infection , sexually transmitted diseases

3) Mobilization

Anganwadi /Subcentres/PHC Services such as

Immunization

ANC,PNC

Supplementary nutrition

Sanitation

Other services provided by govt

4) Work with VHSCWork with village health and sanitation committee of gram panchayat to develop a village health plan .

5) Escort

Requiring treatment

Admissions to nearest pre identified health facility – PHC ,CHC, FRU

Accompany pregnant woman & children

6) Medical care

Provide primary medical care for minor ailments such as diarrhea , fever, first aid for minor injuries.

7) Drug DepotAct as a depot holder for essential

provisions being made available to every habitation like

Oral rehydration therapy Iron and folic tablet, chloroquine Disposable delivery kits Oral pills and condoms

Drug kit is provided to each ASHA

8) Birth and Death Registration

Inform to subcentre/PHC about

Births and death in her village.

Unusual health problems/disease outbreaks in the community.

9) Sanitation

Promotion of household toilets under total sanitation campaign.

Monitoring and evaluation

Govt of India has provided indicators for monitoring ASHA

No of ASHA selected by due

process

No of ASHA trained

% of ASHAs attending review

meeting after one year

1)Process indicators

2) 0utcome indicators

% of new borns weighed & families counseled

% of children with diarrhea who received ORS

% of deliveries with skilled assistance

% of institutional deliveries

% of JSY claims made to ASHA

% of completely immunized in 12-23months age group.

% of unmet need for spacing contraception among BPL .

% of fewer cases who received chloroquine within first week in

a malaria endemic area.

2) Impact indicators

IMR

Child malnutrition rates

No of cases of TB/leprosy detected as compared to

previous year

Role and integration with Anganawadi

Organizing at Anganawadi centre

IEC activity through display of posters, folk dancers on these days can be undertaken to sensitize the beneficiaries on health related issues.

Anganawadi workers act as depot holders and issue drug kits to ASHA. Replacement of the consumed drugs can be done through AWW

ASHA will support AWW in mobilizing pregnant and

lactating women & infants for nutritional

support

Act as resource person In training of ASHA

AWW will update the list for eligible couples and also children less than one year of age in the village with the help of ASHA

ASHA would take initiative for bringing the beneficiaries from the village on specific days of immunization, health care checkups to anganwadi centres.

Role and integration with ANM

Organizing a meeting fortnightly/weekly and discuss the activities

Information regarding the date and time of outreach session & also guide her to bring beneficiary.

Act as resource persons in training ASHA

Organizing HEALTH DAY at anganwadi centre

Updating eligible couple register of the village.

Help ANM in bringing the married couples to subcentre for adopting family planning.

Utilizing ASHA in motivating the pregnant woman for coming to subcentre for initial checkups & motivate them to take full course of iron tablets & Tetanus Toxoid injections.

Orientation on dose schedule & side effects of oral pills

Educate ASHA on danger signs of pregnancy so that she can timely identify & help beneficiary to get further treatment .

Inform ASHA the details regarding periodic and initial training schedule. Also provide TA/DA for attending meeting and will get compensation for performance .

Achievements• 8.35 lakh ASHAs have been selected in entire

country of which 8.07 lakh ASHAs have been trained.

• 7.41 lakh ASHAs have been provided with drug kits

• 1.47 lakh sub centre in the country are provided with untied funds of Rs10000 each

• 40,426 subcentres are functional with second ANM

• 29,949 Rogi Kalyan Samitis have been registered at different level of facilities

• 8,630 doctors & specialists, 66,786 ANMs, 3,28,604 staff nurses, 14,434 paramedics have been appointed on contract to fill – in critical gaps in services

• 1,691 professionals have been appointed to support NRHM

1,842 mobile medical units

are operational under NRHM

in states

Emergency transport system

operational in 12 states

Progress made in pulse

polio immunization

Neonatal tetanus declared

eliminated in 7 states in the

country

Janani suraksha yojana is

operational in all states. 1.31 crore women

were benefitted in

the year 2011-12

IMNCI started in 310 states

Monthly health &nutrition days

being organized at the village

level in various states

States have constituted 4.96 lakhs village and sanitation

committees

School health programmes have been initiated in

over 26 states

Any Queries ?

TH

A NK Y

OU

Let food be thy medicine, thy medicine shall be thy food. - Hippocrates