ASHA-A RAY OF HOPE PERMANENTLY HEALTH
One of the key components of the National Rural Health Mission is to provide every village inside the country with a trained female community health activist ASHA or authorised Social Health Activist. elect from the village itself and accountable to that, the ASHA square measure planning to be trained to work as associate interface between the community and conjointly the general public health system.
Following are the key components of ASHA:
ASHA should primarily be a woman resident of the village married/ widowed/ unwed , ideally inside the cohort of twenty 5 to 45 years.She need to be a literate woman with formal education up to class eight. this might be relaxed as long as no acceptable person with this qualification is gettable.ASHA square measure planning to be chosen through a rigorous methodology of selection involving varied community groups.ASHA will ought to be compelled to endure series of employment episodes to amass the obligatory knowledge, skills and confidence for acting her spelled out roles.The ASHAs will receive performance-based incentives. sceptered with knowledge and a drug-kit to deliver first-contact tending, every ASHA is anticipated to be a fountainhead of community participation publicly health programmes in her village.ASHA square measure planning to be the first port of imply any health connected demands of deprived sections of the population.ASHA square measure planning to be a health activist inside the community World Health Organization will manufacture awareness on health and its social determinants and mobilise the community towards native health developing with and enlarged activity and trustiness of this health services.She would be a promoter of fine health practices and make timely referrals.She will counsel women on birth readiness, importance of safe delivery, breast-feeding and complementary feeding, protection, contraceptive method|family planning} and interference of common infections in conjunction with generative Tract Infection/Sexually Transmitted Infections (RTIs/STIs) and care of the young child.ASHA will mobilise the community and facilitate them in accessing health and health connected services gettable at the Anganwadi/sub-centre/primary health centers.She will act as a depot holder for essential provisions being created gettable to all or any or any habitations like Oral Rehydration medical aid (ORS), Iron vitamin Bc Tablet(IFA), antiprotozoal drug, Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc.ASHA cannot perform whereas not adequate institutional support. Women's committees like help groups, village Health & Sanitation Committee of the Gram council, ANMs and Anganwadi employees, and so the trainers of ASHA would be a heavy offer of support to ASHA.
ASHA: The Haryana Scenario
16506 ASHAs (out of targeted 18008) selected and positioned upto August, 2013.Induction employment completed for all ASHAs.All ASHAs having Bank Accounts.12000 ASHAs received Uniform (Coat).11833 ASHAs having Drug Kits.ASHAs being given Nischay Kits.ASHAs attending monthly conferences at PHCs.Incentive payment on to their bank accounts out of accessible fund.Best activity ASHAs unit of measurement chosen at district level and awarded in quarterly award ceremony.State ASHA Resource Centre is established at State level.21 District ASHA Coordinators and 119 Block ASHA Coordinators for supporting ASHA programme at Block and District level.ASHA Grievance Redressal Committee started in many districts.ASHA Grievance Redressal Cells framed at State, District and Block level.Toll free ASHA Helpline established at State military installation.CUG mobile numbers square measure provided to ASHAs throughout the State.Best activity ASHA is chosen as ASHA helper at each PHC.
Selection of ASHA:
One ASHA per a thousand population.ASHA is primary resident of village with formal education up to category eighth.Age group of 20-45 years.She ought to be married/divorced/widow girls.
Selection Procedure:
As per tips, Gramsabha or VHNSC will recommend names of acceptable candidates to the caregiver Incharge.A committee comprising of caregiver Incharge, Block ASHA organizer, ANM and Sarpanch of village will select one woman as ASHA amongst these shortlisted candidates.Appointment letter of ASHA square measure issued by caregiver Incharge.
Support Mechanism of ASHA:
One District ASHA arranger for one district.One Block ASHA arranger at CHC Level.One ASHA supporter per PHC.State ASHA Resource Center (SARC).State, District & Block Mentoring Committees area unit being recognized for supporting ASHAs.
ASHA Facilitator
Criteria for selection:
One ASHA supporter for every PHC. ASHA supporter ought to have effective communication skills, leadership qualities and be able to reach dead set the community. Best playing ASHA within the space is chosen as ASHA supporter.
Roles and Responsibilities of ASHA Facilitator:
Supervision of ASHAs in space below PHC.Provide on job coaching to weak/new ASHAs.Facilitate ASHAs in filling their self appraisal forms for incentive.Help ASHA for motivating marginalised community.Help in renewal of drug kits. Organize cluster conferences of ASHAs. facilitate in VHSNC & VHND activities.
Training:
Capacity building of ASHA is important in enhancing her effectiveness. it's been envisaged that coaching can facilitate to equip her with necessary data and skills. coaching of ASHA assistant may be a continuous method.
State ASHA Resource Center for providing support to ASHA Programme :
ASHA is at the lowest of NHM pyramid and National Health Mission is observing ASHA as a modification agent in Health Sector Reform. she's planning to play a major role in rising the health indicators of the State significantly IMR and MMR. so it is vital to produce technical inputs and powerful subsidiary mechanism to the programme therefore expected results square measure usually achieved. State Project Management Unit is established at state level to a lower place Director NHM and is functioning as a technical and unit to implement the activities of NHM inside the State. State ASHA Resource Center (SARC) is conceptualized to spice up the quality of ASHA programme and is established at state level that job to a lower place direction of Mission Director of NHM Functions of State ASHA Resource Center
Technical backstopping in employment - SARC will develop user friendly employment methodology and so the employment modules, print the modules in prescribed time, and pass round the modules inside the District. Development of IEC material - SARC square measure planning to be in control of developing or collecting the IEC material in conjunction with flip books, charts, posters etc on completely totally different connected issues. would love based IEC material square measure planning to be developed from time to time. Development of stories formats and registers - ASHA is envisaged as a voluntary worker and to facilitate her work some very straightforward and basic news formats and registers square measure planning to be developed by SARC. method of mathematics information and records- On the premise of reports and registers of ASHA and totally different sources of data’s. SARC will compile the mathematics information, analyze the data and provide the feedback of the programme to the Mission. Intersectoral Coordination regarding ASHA- The believability of ASHA inside the community may perhaps be utilised by totally different Development Departments to promote their objectives. SARC will coordinate with completely {different|totally totally different|completely different} departments and facilitate empanelment of ASHAs in varied different programmes. Involving NGOs to strengthen the programme- Involvement of NGOs could be a crucial task inside the implementation of ASHA programme. NGOs might support the ASHA to work at community level. In consultation of NHM the NGOs need to be anxious inside the programme. Provision of Drug Kits- ASHA offers the basic medical care to the community. The drug kit with basic medicines and provides unit of measurement provided to all or any or any the ASHAs below NHM. The drug Kit contains medicines and contraceptives. Provision of services of Helpline – A Tollfree helpline has been started at State military installation to influence ASHAs Grievances. Team of centre at military installation every which way call ASHAs to enquire regarding the payment standing, drug kits renewal and totally different relevant matters. SARC ensures that the prompt help is provided to ASHA. Organizing ASHA Sammelan- there will be Sammelans at District level to share the experiences of ASHA and for cross learning’s. SARC organizes such events with the help of District Health Society.
Selection Procedure:
As per tips, Gramsabha or VHNSC will recommend names of acceptable candidates to the caregiver Incharge.A committee comprising of caregiver Incharge, Block ASHA organizer, ANM and Sarpanch of village will select one woman as ASHA amongst these shortlisted candidates.Appointment letter of ASHA square measure issued by caregiver Incharge.
Village Health Sanitation & Nutrition Committee
National Health Mission envisages the community to want leadership at native level, related to health and its connected issues. it will be possible on condition that the community is sufficiently approved to want leadership in health matters. Clearly, it wants involvement of Panchayati rule institutions inside the management of the health system. this can be possible if a committee is formed in each village below the spot of Gram council member and representative from the community like women's cluster, and SC/ST/OBC / minority communities etc. Hence, for the event of every village, Village Health Sanitation & Nutrition Committee has been formed by providing untied grant for village level activities.
A. Role of the VHSNC
1. The VHSNC square measure in control of the health of the village. it will take into thought the problems of the community and so the health and nutrition care suppliers and counsel mechanism to unravel it.
2. it will manufacture public awareness concerning the wants of health programmes, with consider people's info of entitlements to change their involvement inside the looking at.
3. it will discuss associate degreed develop a village health prepare supported AN assessment of the village state of affairs and priorities noted by the village community.
4. Analyze key issues and problems related to village level health and nutrition activities, supply feedback on these to the caregiver of the PHC.
5. The committee will monitor all the health activities that unit of measurement conducted inside the village like Village Health & Nutrition Day, mothers meeting etc.
6. VHSNC in conjunction with the ANM square measure responsible to conduct house survey inside the village.
7. it will maintain village health register and so the health data board which may have data concerning the mandated services inside the Sub Centre/PHC.
8. it will make certain that the ANM visit the village on the mounted days and perform the stipulated activity as per the Sub Centre workplan; supervise the village health and nutrition functionaries.
9. ANM will submit a metal monthly village report back to the committee in conjunction with the prepare for next a pair of months. Formats and contents would be determined by the village health committee. Discuss the report submitted by ANM inside the village level meeting and take acceptable action.
10. it will discuss every maternal or death that happens in their village, analyze it and counsel necessary action to forestall such deaths. Get these deaths registered inside the council.
11. The committee will organize regular monthly meeting to discussion varied issues inside the village and document the minutes of the meeting. The committee shall make certain that Public Dialogue is organized at regular intervals (once in six month) inside the presence of caregiver of the primary Health Care Centre. The committee shall make certain that each one the issues mentioned unit of measurement recorded and action taken on the issues mentioned.
12. The VHSNC conjointly can play necessary role for selecting and supporting the ASHA from the community except for health connected issues VHSNC conjointly are in control of the event of the village.
13. The VHSNC conjointly can watch out for the Sub Centre.
14. The VHSNC square measure responsible to inform the community concerning all the government schemes.
B. Utilization of the Untied Grant
1. The untied grant could also be a resource for community action at the native level.
2. The committee need to utilize the fund once taking resolution inside the VHSNC monthly meeting.
3.The committee cannot withdraw the complete amount of Rs. 10,000/- at one go.
4. The fund is employed for village level activities like cleanliness and sanitation drive, faculty health activities, building transport communication link for transferring the patient to health facilities, health awareness activities, house hold surveys, rising the facilities of the Anganwadi Centre and also the different biological process activities for the village/community.
5. throughout emergency like flood or any epidemic the committee will utilize the fund for the relief camps or provides like grouping pill for purification of water, ORS, bleach etc.
6. The committee can utilize the fund for making construction inside the installation of VHSNC.
C. Maintenance of Funds
1.The committee is entitled for annual grant of Rs. 10,000 for village level activities.
2. The VHSNC shall maintain a register of funds received and expenditure incurred.
3. The committee need to manage the village health fund for various health activities.
4. The committee need to maintain accounts and timely submit the employment certificate and statement of expenditure for the cash received to the primary Health Centre.
D. Maintenance of Registers
1. Village Health Register
2. Birth & Death Register
3. Public Dialogue Register
4. Referral Register
5. Untied Grant Register
Village Health Nutrition Day
TheVHND is to be organized once monthly (preferably on Wednesdays, and for those villages that square measure neglected, on the opposite day of an identical month) at the AWC inside the village. VHND is in addition to be seen as a platform for interfacing between the community and so the health system. On the appointed day, ASHAs, AWWs, and various will mobilize the villagers, significantly women and youngsters,to assemble at the nearest AWC. On the VHND, the villagers can move freely with the health personnel and procure basic services and knowledge. they'll put together ascertain concerning the preventive and inspiring aspects of health care, which may encourage them to hunt health care at correct facilities. Following issues is mentioned on the day of VHND.
Maternal Health
• Early registration of pregnancies.
• targeted ANC.
• Referral for girls with signs of complications throughout maternity and other people would love emergency care.
• Referral for safe abortion to approved MTP centres.
• direction on: one.
1.Education of girls.
2. Age at wedding.
3. Care throughout maternity.
4. Danger signs throughout maternity.
5. Birth readiness. 6. Importance of nutrition.
7. Institutional delivery.
8. Identification of referral transport.
9. accessibility of funds to a lower place the JSY for referral transport. 10. Post-natal care. 11. Breastfeeding and complementary feeding.
12. Care of a newborn.
13. contraception.
14. Organizing cluster discussions on maternal deaths, if any, that have occurred throughout the previous month therefore on spot and analyse the accomplishable causes.
Sanitation
•Avoidance of breeding sites for mosquitoes
• Mobilization of community action for safe disposal of home refuse and garbage.
Nutritionn
Diseases as a result of biological process deficiencies are often prevented by giving data and message on:
1. Healthy food habits.
2. healthful and correct preparation practices.
3.Checking for anaemia, significantly in adolescent ladies and pregnant women; checking, advising, and referring.
4.deliberation of infants and youngsters.
5. Importance of iron supplements, vitamins, and micronutrients
6. Food that will be adult domestically.
7. target adolescent, pregnant ladies and infants aged six months to 2 years.
Grievance Redressal Mechanism
ASHA Help table has been created at every Block CHC level. MO I/c, LHV, PHN square measure created In-charge at every Block/CHC to redress the issues raised by ASHAs ASHA Helpline No 8288014141 has been established at the highest Quarter to possess grievance from across the State, between 9:00 AM to 5:00 PM. Records of proceedings of ASHAs Grievance & Redressal square measure started maintaining at each level. Names and phone numbers of ASHA Grievance table square measure notified to each and every ASHA. the strategy of the ASHA Grievance Redressal Committees has been initiated at every district.
List of Drugs being provided in ASHA Kit
| # |
Name of contents |
| 1 |
Tab. Iron Folic Acid (L) |
| 2 |
ORS Packets |
| 3 |
Tab. Paracetamol |
| 4 |
Gentian Violet Paint |
| 5 |
Salter Scale |
| 6 |
Digital Thermometer |
| 7 |
Cotton Absorbent Roll |
| 8 |
Bandages, 4cm X 4 meters |
| 9 |
Condoms |
| 10 |
Oral Pills (In cycles) |
| 11 |
Paldai |