Bhubaneswar: Chief Minister Naveen Patnaik on Friday announced financial assistance of Rs 10,000 for accredited social health activists (ASHAs) to buy umbrella, shoe, cycle, almirah and torchlight.
Besides, he also announced hike of the one-time honorarium to Rs 20,000 from Rs 10,000 under ASHA Abyahati Yojana. They will receive the honorarium amount under Voluntary Retirement Scheme (VRS) after completing at least 10 years of service or on retirement at the age of 62.
The announcement was made in view of success rate in Odisha in decline in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR) in the past decade.
“I am delighted that Odisha registered sharp decline in IMR and MMR and improvement in other health-related issues,” the Chief Minister said announcing the scheme.
The 47,000 ASHAs, working in both rural and urban areas of the state, will get this benefit.
Major activities and achievements in ASHA Programme in the State
Progress made in ASHA activity:
- 46,695 ASHAs (Target -47147) are in place to facilitate and promote right health care practices and maximize health service utilization at the community level.
- The selection of ASHA is made co-terminus with Anganwadi Centres in 10 High Priority Districts (HPDs).
- Average population served by one ASHA is 887 in the State.
- Scope of ASHA involvement in health-related activities has been extended to 41 activities including RMNCH+A, Disease Control Programme, Non-Communicable Diseases and other activities (Annex-A).
- ASHAs are getting monthly conditional remuneration @ Rs. 2,000/- effect from 01.04.2018 on discharging of 5 mandatory and 4 assured activities. Out of Rs. 2,000/-, State Govt. contributes Rs. 1,000/- per ASHA per month. By 1st quarter of 2018-19, on an average 40,300 ASHAs got benefit.
- Declaration has been made to provide maternity benefit to ASHA @ Rs.1000/- per month for a period of 6 months effect from 01.04.2018. As on date, 5 ASHAs have got the benefit.
- ASHA Exit policy for ASHAs is in place to provide one-time financial benefit to ASHAs @ Rs.10,000/- after attaining 60 years of age. Total 9 ASHAs got the benefit.
- Compensation package for death and permanent disability of ASHA is in place. Families of 26 such departed ASHAs (2016-17: 8 cases, 2017-18: 18 cases) have been provided the benefit towards death compensation @ Rs. 1 lakh per case.
- Total incentive amount of Rs.117.82 crores has been paid to the ASHAs in the year 2017-18.
- Adequate capacity building of ASHA is being made with a total of 62 days of training in induction, thematic and refresher modules.
- All ASHAs are trained in Home Based New Born Care (HBNC) to provide home-based care to the newborn and post partum mothers.
- Incentive is being paid to ASHAs through PFMS on a fixed day i.e. 10th of the month.
- Enhancement in incentive amount – Average estimated monthly incentive amount for a functional ASHA- 1794/- (2015-16) to Rs. 1975/- (2017-18)
- 143 ASHA Gruhas made functional in major health institutions to facilitate stay of ASHAs at institutions during odd hours while they accompany pregnant women for delivery.
- 2261 best performing ASHAs have been selected as ASHA SATHI and getting additional incentive up to Rs.3000/- per month to provide mentoring support to ASHA.
- 1134 ASHAs awarded for their better performance.
- 1833 ASHAs have been enrolled under ASHA Education Empowerment programme for completing higher studies.
Contributions of ASHA during last 5 years
- Total 56, 09,550 (86%) institutional deliveries escorted by ASHAs
- Total 22, 56, 226 (overall 76%) newborn visited by ASHA under ASHA HBNC programme (April, 2013 to December, 2017)
- More than 28 lakhs children mobilized for immunization in last five years.
- More than 26 lakhs beneficiaries’ mostly pregnant mothers mobilized to VHND sessions to get the service related to antenatal and postnatal care in last five years.
- More than 2 lakhs eligible couple promoted for adopting permanent limiting method up to two children in the last five years.
- More than 1.7 lakh TB patients, more than 7 lakh positive malaria cases and more than 20 thousand leprosy cases supported by ASHAs for complete treatment in the last five years.
- ASHAs have been actively participating in the distribution of 1.13 Cores Long Lasting Insecticide Mosquito Nets (LLIN) and ensuring use of mosquito net through home visit and ringing the bells at night.
- ASHAs are actively facilitating in organizing 5,234 DAMAN camps in hard to reach areas.
- Way Forward:
- Support Provision for ASHA:
All ASHA will be provided grant-in-aid of Rs. 10,000/- out of State budget for the purchase of following items for their use.
- Steel Almirah
- Ladies Bicycle
- Rechargeable Torch
- Enhancement of financial incentive under Exit Policy
Enhancement of cash incentive from Rs. 10,000/- to Rs. 20,000/- at the time of exit from the role of ASHA.