ASHA
Accredited Social Health Activist
MS.NEETHU VINCENT
ASST PROFESSOR
KVM COLLEGE OF NURSING
• RESIDENT OF THE VILLAGE(MARRIED/WIDOW/DIVORCED)
• AGE GROUP 25-45YRS
• EDUCATION UPTO EIGHTH CLASS
• COMMUNICATION SKILLS AND LEADERSHIP QUALITIES
• 1ASHA :1000 POPULATION
• TRIBAL ,HILLY AND DESERT AREAS:1 ASHA PER HABITATION
ROLE AND
RESPONSIBILITIES
1.AWARENESS
• PROVIDE INFORMATION TO THE COMMUNITY ON DETERMINANTS OF
HEALTH:
• NUTRITION
• BASIC SANITATION AND HYGENIC PRACTICES
• HEALTHY LIVING AND WORKING CONDITIONS
• NEED FOR TIMELY UTILISATION OF HEALTH AND FAMILY WELFARE
SERVICES
2.MOTHER AND
CHILD
• COUNSEL WOMEN ON BIRTH PREPAREDNESS
• IMPORTANCE OF BREAST-FEEDING AND COMPLEMENTARY FEEDING
• IMMUNIZATION
• CONTRACEPTION
• PREVENTION OF COMMON INFECTIONS(RTI,STD,CARE OF YOUNG
CHILD)
3.MOBILIZE THE
COMMUNITY
• FACILITATE THEM IN ACCESSING HEALTH AND HEALTH RELATED
SERVICES
• ANGANWADI,SUBCENTRE,PHC
• IMMUNIZATION,ANTENATAL CHECK UP,POSTNATAL CHECK
UP,SUPPLEMENTARY NUTRITION,SANITATION AND OTHER GOVT
SERVICES
4.COMPREHENSIVE VILLAGE
HEALTH PLAN
• WORK WITH WITH THE VILLAGE HEALTH AND SANTATION
COMMITTEE
5.ESCO
RT
• ARRANGE ESCORT OR ACCOMPANY PREGNANT WOMEN AND
CHILDREN REQUIRING TREATMENT OR ADMISSION TO NEAREST
PHC/CHC/FIRST REFERRAL UNIT
6.PRIMARY MEDICAL
CARE
• FOR MINOR AILMENTS SUCH AS DIARRHOEA,FEVER,FIRST AID FOR
MINOR INJURIES.
• PROVIDER OF SHORTCOURSE DOTS UNDER RNTCP
7.DEPOT HOLDER FOR ESSENTIAL
PROVISIONS
• ORS
• IRON AND FOLIC ACID
• CHLOROQUINE
• DISPOSABLE DELIVERY KITS
• ORAL PILLS,CONDOMS
• DRUG KIT PROVIDED TO EACH ASHA
• CONTENTS:BOTH AYUSH AND ALLOPATHIC
• BASED ON THE RECOMMENDATIONS OF EXPERT OR TECHNICAL
ADVISORY GROUPSET BY GOVT OF INDIA
8.PROVIDER
• ROLE AS PROVIDER CAN BE ENHANCED
• GRADED TRAINING TO PROVIDE NEWBORN CARE, MANAGEMENT OF
A RANGE OF COMMON AILMENTS PARTIULARLY CHILDHOOD ILLNESS
9.INFOR
M
• BIRTHS AND DEATHS IN HER VILLAGE
• UNUSUAL HEALTH PROBLEMS
• DISEASE OUTBREAKS
• TO THE SUBCENTRE/PHC
10.TOTAL SANITATION
CAMPAIGN
• PROMOTE CONSTRUCTION OF HOUSEHOLD TOILETS
11. Fulfillment of all the se roles by ASHA is envisaged
through continuous training and upgradation of her
skills, spread over two years or more
Role and integration with
Anganwadi
• Organising Health Day
• AWWs and ANMs as resource persons
• IEC activity
• AWWs as depot holder
• List of eligible couples and children less than 1 year
• Mobilizing pregnant and lactating women
Role and integration with
ANM
• Weekly or fortnightly meeting with ASHA
• ANMs as Resource persons
• Date and time for outreach session
• Guide in organising health days
• Motivating pregnant women for coming to sub centre for initial
check-up taking iron and folic acid medication.
• Dose schedule and side effects of oral pills & danger signs of
pregnancy and labour
• compensation
WORKING ARRANGEMENTS
ASHA will have her work organized in following manner. She will have a flexible work
schedule and her work load would be limited to putting in only about two-three hours per
day, on about four days per week, except during some mobilization events and training
programmes.
A.At AWC: She will be attending the AWC on the day when Immunization/ANC
sessions are being organized. At least once or twice a week, she would organize health
days for health IEC, rudimentary health checkup and advice including medicine and
contraceptive dispensation.
B.At home: She will be available at her home so as to work as depot holder for
distribution of supplies to needy people or for any assistance required in terms of
accompanying a woman to delivery care centre/FRU or RCH camp.
C.In the Community: she will organize/attend meetings of village women/health
committees and other group meetings and attend Panchayat health committees. She will
counsel and provide services to the families as per her defined role and responsibility
TRAINING
Capacity building of ASHA is critical in enhancing her effectiveness. It has been envisaged that training
will help to equip her with necessary knowledge and skills resulting in achievement of scheme’s
objectives…
Training Strategy
Induction Training: After selection, ASHA will have to undergo series of training episodes to acquire the
necessary knowledge, skills and confidence for performing her spelled out roles.Considering range of functions
and tasks to be performed, induction training may be completed in 23 days spread over a period of 12 months.
Training materials: would be prepared according to the roles and responsibilities that the ASHA would need
to perform.
Periodic Trainings: After the induction training, periodic re-training will be held for about twodays, once in
every alternate month at appropriate level for all ASHAs.
On-the-job Training: ASHAs needs to have on the job support after training both during the initial training
phase and during the later periodic training phase it is needed to provide on thejob training to ASHAs in the
field, so that they can get individual attention and support that is essential to begin and continue her work
Training of trainers : A cascade model of training is proposed. At most peripheral level, Block trainers (who
are the members of identified block training teams) would have to spend at least the same number of days in
acquiring the knowledge and skills as ASHAs. The block teams would be trained by a district trainer’s team.
(Or Master trainers) who are in turn trained by the state training team.
Continuing Education and skill upgradation: A resource agency in the district of state (preferably an
NGO) will be identified by the State.
THANK
YOU
