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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
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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 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.
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.
