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 Holder- Contraceptives, 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 onwards-

NRHM 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 intersectoralcoordination

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

Education,,PHED,

RDMSS, SHG

AWW Of AWC

ASHASahyo-gini

ANMMO

Of SC,PHC

GramsabhaGP

CBOs, NGO

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