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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