1. ASHA Sahyogini intervention in Rajasthan by Vaidehi Agnihotri

2. ASHA Sahyogini Key component of NRHM
ASHA-Accredited Social Health Activist
Selected from the Village through Gram Sabha and accountable to the community
Interface between community and public health system.

3. Why ASHA Sahyogini
At present ANM is placed on the population of 3000 – 5000
Covering 3-5 villages and distance problem
Difficulty in providing services at door steps
On Other hand – Anganwadi is on the population of 1000
Anganwadi worker and Sahayika is placed at AWC -limits them to provide services
So to fill up the gap, role of Accredited Social health Activist becomes critical

4. Overview ASHA – Sahyogini , a joint HFW- DWCD Initiative
46,000 estimated in
42000 Rural under NRHM 4000 Urban RCH
40,000 villages.30,000 ASHA sahyoginis in place
New selection started in AUG 2006
Training under NRHM and Extra 7-17 days training by DWCD

5. Training
ASHA Resource book, Facilitators Guide Developed at state level, based on GOI modules
NGOs selected for training for each block NGOs Selection by committee at district level headed by Collector
Allocation of of Rs. 5 Crore to the districts
State, District, Block level trainers team developed
Actual ASHA Training at block level

6. Monitoring of training
Monitoring tools Developed
Modalities developed to monitor each training by at least 2 officers
State level monitors visited Selected trainings
ARC to compile monitoring formats and develop future strategy for training

7. ASHA Mentoring Group Oversee implementation
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

8. ASHA Resource Center SRC -Selected through Competitive bidding
Budget of Rs.22 Lakhs per annum
For implementation, supervision, technical inputs, trainings, data collection and processing, IEC, concurrent evaluation, involvement of NGOs/Community/Other Departments

9. ASHA Sahyogini Compensation
ASHA Sahyogini will get fixed honorarium from DWCD i.e. Rs. 500/-
She will also get performance based incentive worked out from different Schemes.
Compensation package is Rs. 1067/- (If she works as per expectation)

10. Linkages Of ASHA Sahyogini

11. Supporting Mechanism for ASHA Sahyogini
ASHA mentoring group
State level SPMU
State
By Monthly Review
Periodic surveys
Assessment of Progress
of ASHA Scheme
District Health Mission
DPMU
ICDS (Dy Director).
District
Bi monthly Meetings
Block Medical Officer
ICDS CDPO
Block PHC
Periodic Trainings/
Monthly Meetings
Replenishment of ASHA Kit
Incentive Payment
PHC
Medical Officer
ASHA Facilitators
LHV
PHC
Meetings
Referral Records
Incentive Payment
Sub Center
ANM
Village Health Survey
Helping ANM in maintaining
Village Health Register
Member VHSC
Developing VHP
Organizing MCHN Days
Referral Records
SHG
AWW
ANM
Village Health &
Sanitation Committee
Village

12. Role Of NGOs NGO workshop organized. Role of NGOs identified
Facilitator role in Selection
Conducting Trainings
Mentoring and Monitoring
Facilitation in ensuring timely payments of incentives
Facilitation in interdepartmental Coordination

13. STEPS AHEAD Joint Selection of about 16000 ASHA Sahyoginis
Trainings of ASHA Sahyoginis – in 5 rounds- a tough task
Long term process
Conducting monthly/ bimonthly meeting
Identification of Block facilitator, cluster facilitator and their capacity building
Giving identity to ASHA Sahyogini – provision of I/cards

14. STEPS AHEAD Streamlining the system of incentive payments
- Multiple source
Record keeping for activity based incentive
Identification of NGOs Role and involvement of NGOs in the programme
Provision of Drug Kit and ensuring regular inventory control
Household surveys

15. Factors Critical to the success of ASHA Sahyogini
Selection of proper candidate for ASHA Sayogini. Acceptance of ASHA Sahyogini by community
Linkages with nearest functional health facility for referral services
Identified transport for referral of cases from village to facility
Priority and recognition of cases referred by ASHA Sahyogini to MO/ANM
Timely payment of incentives
Timely replenishment of ASHA Kit
Monthly meeting of ASHA Sahyogini at PHC
Successful organization of MCHN Days

16. Thank you