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Government of India
Ministry of Health and Family Welfare
13-March-2020 12:29 IST
ASHA Workers

Statement showing State/UT-wise details of ASHAs engaged under National Health Mission (NHM), is given below:

S.N

States/UTs

ASHAs workers

1

Bihar

89437

2

Chhattisgarh

69515

3

Himachal Pradesh*

32376

4

Jammu & Kashmir

12356

5

Jharkhand

41312

6

Madhya Pradesh

77531

7

Odisha

46566

8

Rajasthan

64243

9

Uttar Pradesh

163407

10

Uttarakhand

12212

11

Arunchal Pradesh

3880

12

Assam

32256

13

Manipur

4009

14

Meghalaya

6697

15

Mizoram

1170

16

Nagaland

1992

17

Sikkim

656

18

Tripura

8044

19

Andhra Pradesh

42346

20

Goa

0

21

Gujarat

46287

22

Haryana

20115

23

Karnataka

43500

24

Kerala

30113

25

Maharashtra

70282

26

Punjab

21470

27

Tamil Nadu

3965

28

Talengna

32575

29

West Bengal

61545

30

A & N Islands

422

31

Chandigarh

18

32

D & N Haveli

542

33

Daman & Diu

134

34

Delhi

6035

35

Lakshadweep

110

36

Puducherry

206

Total

1047324

Source: NHM-MIS report as on Sept 2019.

                 Note- * Including Link workers

 

Under the National Health Mission, ASHAs act as a critical link between Healthcare delivery system and community. The details of task assigned  ASHAs under National Health Mission are given below:

 

The details task assigned  to ASHA workers under National Health Mission

  1. To create awareness and provide information to the community on determinants of health such as nutrition, basic sanitation and hygienic practices, healthy living and working conditions, information on existing health services and the need for timely use of health services.
  2. To counsel women and families on birth preparedness, importance of safe delivery, breastfeeding and complementary feeding, immunization, contraception and prevention of common infections including Reproductive Tract Infection/Sexually Transmitted Infection (RTIs/STIs) and care of the young child.
  3. To mobilize the community and facilitate people’s access to health and health related services available at the village/sub-centre/primary health centres, such as Immunization, Ante Natal Check-up (ANC), Post Natal Check-up (PNC), ICDS, sanitation and other services being provided by the government.
  4. To work with the Village Health, Sanitation and Nutrition Committee to develop a comprehensive village health plan, and promote convergent action by the committee on social determinants of health. In support with VHSNC, ASHAs will assist and mobilize the community for action against gender based violence.
  5. To arrange escort/accompany pregnant women & children requiring treatment/ admission to the nearest pre- identified health facility i.e. Primary Health Centre/Community Health Centre/First Referral Unit (PHC/CHC/FRU).
  6. To provide community level curative care for minor ailments such as diarrhoea, fevers, care for the normal and sick newborn, childhood illnesses and first aid. She will be a provider of Directly Observed Treatment Short-course (DOTS) under Revised National Tuberculosis Control Programme. She will also act as a depot holder for essential health products appropriate to local community needs. A Drug Kit will be provided to each ASHA. Contents of the kit will be based on the recommendations of the expert/technical advisory group set up by the Government of India. These will be updated from time to time, States can add to the list as appropriate.
  7. To act as a care provider can be enhanced based on state needs. States can explore the possibility of graded training to the ASHA to provide palliative care, screening for non communicable diseases, childhood disability, mental health, geriatric care and others.
  8. To provide information on about the births and deaths in her village and any unusual health problems/disease outbreaks in the community to the Sub-Centres/Primary Health Centre. She will promote construction of household toilets under Total Sanitation Campaign.

Under the National Health Mission, ASHA are envisaged to be community health volunteers. Under the National Health Mission, ASHA are entitled to task/activity based incentives. List of various activities for which incentives are provided to ASHA is given below:

 

List of ASHA Incentives

 

Activities

Amount in Rs/case

I

Maternal Health

1

JSY financial package

 

a.

For ensuring antenatal care for the woman

Rs.300 for Rural areas and Rs. 200 for Urban areas

b.

 

For facilitating institutional delivery

Rs. 300 for Rural areas and Rs. 200 for Urban areas

2

Reporting Death of women (15-49 years age group) by ASHA to PHC Medical Officer

Rs. 200 for reporting within 24 hours of occurrence of death by phone

II

Child Health

1

Undertaking Home Visit for the care of the New Born and Post Partum mother[1] -Six Visits in Case of Institutional Delivery (Days 3rd, 7th, 14th, 21st, 28th& 42nd) -Seven visits in case of Home Deliveries (Days 1st, 3rd, 7th, 14th, 21st, 28th& 42nd)

Rs. 250

2

Undertaking Home Visits of Young Child for Strengthening of Health & Nutrition of young child through Home Visits-(recommended schedule- 3rd, 6th, 9th, 12th and 15th months) -  (Rs.50 x 5 visits) –in 1st phase the programme is proposed to implement only in 235 POSHAN Abhiyan and Aspirational districts

Rs. 50/visit with total Rs. 250/per child for making 05 visits

3

For follow up visits to a child discharged from facility or Severe Acute Malnutrition (SAM) management centre

Rs. 150 only after MUAC is equal to nor-more than 125mm

4

Ensuring quarterly follow up of low birth weight babies and newborns discharged after treatment from Specialized New born Care Units[2]

Rs. 50/ Quarter-from the 3rd month until 1 year of age

5

Child Death Review for reporting child death of children under 5 years of age

Rs. 50

6

For mobilizing and ensuring every eligible child (1-19 years out-of-school and non-enrolled) is administered Albendazole.

Rs. 100/ ASHA/Bi-Annual

7

Week-1-ASHA incentive for prophylactic distribution of ORS to families with under-five children

Rs. 1 per ORS packet for 100 under five children

8

Week-2- ASHA incentive for facilitating growth monitoring of all children in village; screening and referral of undernourished children to Health centre; IYCF counselling to under-five children household

Rs. 100 per ASHA for completing at least 80% of household

 

9

MAA (Mother’s Absolute Affection) Programme Promotion of Breastfeeding- Quarterly mother meeting

 

 

Rs. 100/ASHA/ Quarterly meeting

III

Immunization

1

Full immunization for a child under one year

Rs. 100

2

Complete immunization per child up-to two years age (all vaccination received between 1st and 2nd year of age after completing full immunization after 01year

Rs. 75[3]

3

Mobilizing children for OPV immunization under Pulse polio Programme

Rs. 100/day[4]

4

DPT Booster at 5-6years of age

Rs.50

IV

Family Planning

1

Ensuring spacing of 2years after marriage [5]

Rs. 500

2

Ensuring spacing of 3 years after birth of 1st child 5

Rs. 500

3

Ensuring a couple to opt for permanent limiting method after 2 children[6]

Rs. 1000

4

Counselling, motivating and follow up of the cases for Tubectomy

Rs. 200 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat)

Rs.300 in 146 MPV districts

Rs. 150 in remaining states

5

Counselling, motivating and follow up of the cases for Vasectomy/ NSV

Rs. 300 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat) and

400 in 146  MPV districts and

Rs. 200 in remaining states

6

Female Postpartum sterilization

Rs. 300 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat) and 400 in 146  MPV districts

6

Social marketing of contraceptives- as home delivery through ASHAs

Rs. 1 for a pack of 03 condoms, Rs. 1 for a cycle of OCP, Rs. 2 for a pack of ECPs

7

Escorting or facilitating beneficiary to the health facility for the PPIUCD insertion

Rs. 150/per case

8

Escorting or facilitating beneficiary to the health facility for the PAIUCD insertion

Rs. 150/case

Mission ParivarVikas- In selected 146 districts in six states-(57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam)

9

Injectable Contraceptive MPA (Antara Program) and a non-hormonal weekly centchroman pill (Chhaya) - Incentive to ASHA

 

Rs. 100 per dose

10

Mission ParivarVikas Campaigns Block level activities- ASHA to be oriented on eligible couple survey for estimation of beneficiaries and will be expected to conducted eligible couple survey- maximum four rounds

Rs. 150/ ASHA/round

11

NayiPahel- an FP kit for newly weds- a FP kit would be given to the newly wed couple by ASHA (In initial phase ASHA may be given 2 kits/ ASHA)

Rs. 100/ASHA/NayiPahel kit distribution

12

SaasBahuSammelan- mobilize SaasBahu for the Sammelan- maximum four rounds

Rs. 100/ per meeting

13

Updating of EC survey before each MPV campaign-  Note-updating of EC survey register incentive is already part of routine and recurring incentive

Rs.150/ASHA/Quarterly round

 

V

Adolescent Health

1

Distributing sanitary napkins to adolescent girls

Rs. 1/ pack of 6 sanitary napkins

2

Organizing monthly meeting with adolescent girls pertaining to Menstrual Hygiene

Rs. 50/meeting

3

 Incentive for support to Peer Educator (for facilitating selection process of peer educators)

Rs. 100/ Per PE 

4

Incentive for mobilizing adolescents for Adolescent Health day

Rs. 200/ Per AHD

 

VI

Incentive for Routine Recurrent Activities

 

1

Mobilizing and attending VHND or (outreach session/Urban Health and Nutrition Days)

Rs. 200 per session

2

Convening and guiding monthly meeting of VHSNC/MAS

Rs. 150

3

Attending monthly meeting at Block PHC/5U-PHC

Rs. 150

4

a) Line listing of households done at beginning of the year and updated every six months

b) Maintaining records as per the desired norms like –village health register

c) Preparation of due list of children to be immunized updated on monthly basis

d) Preparation of due list of ANC beneficiaries to be updated on monthly basis

e) Preparation of list of eligible couples updated on monthly basis

Rs. 1500[7]

VII

Participatory Learning and Action- (In selected 10 states that have low RMNCH+A indicators – Assam, Bihar, Chhattisgarh, Jharkhand, MP, Meghalaya, Odisha, Rajasthan, Uttarakhand and UP)

1

Conducting PLA meetings- 2 meetings per month-

Note-Incentive is also applicable for AFs @Rs.100/- per meeting for 10 meetings in a month

 

 

Rs. 100/ASHA/per meeting for 02 meetings in a month

VIII

Revised National Tuberculosis Control Programme[8]

 

Honorarium and counselling charges for being a DOTS provider

 

1

For Category I of TB patients (New cases of Tuberculosis)

Rs. 1000 for 42 contacts over six or seven months of treatment

2

For Category II of TB patients (previously treated TB cases)

Rs. 1500 for 57 contacts over eight to nine months of treatment including 24-36 injections in intensive phase

3

For treatment and support to drug resistant TB patients

Rs. 5000 for completed course of treatment (Rs. 2000 should be given at the end on intensive phase and Rs. 3000 at the end of consolidation phase

4

For notification if suspect referred is diagnosed to be TB patient by MO/Lab[9]

Rs.100

IX

National Leprosy Eradication Programme[10]

1

Referral and ensuring compliance for complete treatment in pauci-bacillary cases of Leprosy - for 33 states (except Goa, Chandigarh &Puducherry).

Rs. 250 (for facilitating diagnosis of leprosy case)+

Rs. 400 (for follow up on completion of treatment)

2

Referral and ensuring compliance for complete treatment in multi-bacillary cases of Leprosy- for 33 states (except Goa, Chandigarh &Puducherry).

Rs. 250 (for facilitating diagnosis of leprosy case)+ Rs. 600 (for follow up on completion of treatment)

X

National Vector Borne Disease Control Programme

A)

Malaria[11]

 

1

Preparing blood slides or testing through RDT

Rs. 15/slide or test

2

Providing complete treatment for RDT positive Pf cases

 

 

Rs. 75/- per positive cases

3

Providing complete radical treatment to positive Pf and Pv case detected by blood slide, as per drug regime

4

For referring a case and ensuring complete treatment

Rs. 300 (not in their updated list)

B)

Lymphatic Filariasis

1

For one time line listing of lymphoedema and hydrocele cases in all areas of non-endemic and endemic districts

Rs. 200

2

For annual Mass Drug Administration for cases of

Lymphatic Filariasis[12]

 

Rs. 200/day for maximum three days to cover 50 houses and 250 persons

     

C)

Acute Encephalitis Syndrome/Japanese Encephalitis

1

Referral of AES/JE cases to the nearest CHC/DH/Medical College

Rs. 300 per case

D)

Kala Azar elimination

 

1

Involvement of ASHAs during the spray rounds (IRS) for sensitizing the community to accept indoor spraying[13]

Rs. 100/- per round during Indoor Residual Spray i.e. Rs 200 in total for two rounds

2

ASHA Incentive for referring a suspected case and ensuring complete treatment.

 

Rs. 500/per notified case

E)

Dengue and Chikungunya

1

Incentive for source reduction & IEC activities for prevention and control of Dengue and Chikungunya in 12 High endemic States (Andhra Pradesh, Assam, Gujarat, Karnataka, Kerala, Maharashtra, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana and West Bengal)

Rs. 200/- (1 Rupee /House for maximum 200 houses PM for 05 months- during peak transmission season). The incentive should not be exceed Rs. 1000/ASHA/Year

F)

National Iodine Deficiency Disorders Control Programme

1

ASHA incentive for salt testing

 

Rs.25 a month for testing 50 salt samples

XI

Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening

1

Maintaining data validation and collection of additional information- per completed form/family for NHPM-Ayushman Bharat

Rs. 5/form/family

2

Filling up of CBAC forms of every individual –onetime activity for enumeration of all individuals, filling CBAC for all individuals 30 or > 30 years of age

Rs. 10/per form/per individual as one time incentive

3

Follow up of patients diagnosed with Hypertension/Diabetes and three common cancer for ignition of treatment and ensuring compliance

Rs. 50/per case/Bi-Annual

4

Delivery of new service packages under CPHC component

Rs.1000/ASHA/PM (linked with new packages of activities)

XII

Drinking water and sanitation

1

Motivating Households to construct toilet and promote the use of toilets.

Rs. 75 per household

2

Motivating Households to take individual tap connections

Rs. 75 per household

 

To  improve the financial   security of ASHAs, the Government of India has already taken several steps in addition to routine and recurring incentives, which inter-alia includes :

 

  • Benefits of Life insurance, accident insurance and pension to eligible ASHAs and ASHA facilitators are extended by enrolling them under:

 

  • PradhanMantriJeevanJyotiBeemaYojana (premium of Rs. 330 contributed by GOI).

 

  • PradhanMantriSurakshaBeemaYojana (premium of Rs. 12 contributed by GOI).

 

  • PradhanMantriShram Yogi MaanDhan (PM-SYM) (50% contribution of premium by GOI and 50% by beneficiaries).

 

  • The government has also approved a cash award of Rs. 20,000/- and a citation to ASHAs who leave the programme after working as ASHAs for minimum of 10 years, as acknowledgement of their contribution. 

 

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.

 

*****

MV/LK