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Accredited Social Health Activist(ASHA)
 
Rationale:
 The Government of India has launched National Rural Health Mission(NRHM) to address the health needs of rural population, especially thevulnerable section of the society. The sub-centre which is theperipheral level of contact with the community under the public healthinfrastructure caters to a large population of 5000. The ANM isoverworked, which impacts upon outreach services in rural areas. To complement the work of ANM, ASHA (the Accredited Social HealthActivist) is selected through a selection process to fill the gaps in thehealth care delivery system. She is a volunteer who acts as a bridgebetween the community and the available health care system. TheASHA strengthens the link between health sector and community. Sheis working towards catylysing behavioural change in rural and tribalareas of the state. ASHA is contributing towards enhancing quality of life with focus on health nutrition, sanitation, drinking water etc. Thevillage health and sanitation committee will oversee monitoring andsupport ASHA.In the year
05-06 and 06-07
ASHAs have been selected on the basisof Anganwadi Centres in the state. A total of 
585
were to be selectedby March 07. Therefore, it is proposed that the induction training costof ASHAs to be provided in 2007-08(Funds for training of 30% ASHAsprojected in 2006-07). Further the 2nd ,3rd, and 4th module training of the second batch of ASHAs also has to be undertaken. The drug kit forreplenishment of drugs for 209 and provision of new drug kit to newlyselected ASHAs has to be provided. Lastly selection of another 74ASHAs in new Anganwadi centers shall be done this year.In the District already trained ASHAs are currently doing their job andthey have assisted over 72000 JSY beneficiaries. Further, they aremotivating women for sterilisation and immunization of children. Theyare also being utilized for motivating people for household toilets in thevillages.
Objectives:
•
Create awareness on health and its social determinants.
 
•
Mobilize the community towards local health planning.
•
Increase utilization and accountability of the existing healthservices.
•
Promote good health practices.
•
Provide a minimum package of curative care as appropriate andfeasible for that level.
•
Undertaking timely referrals.
Strategy:
  The ASHA is appointed to take steps to create awareness and provideinformation to the community on determinants of health such asnutrition, basic sanitation & hygiene practices, healthy living conditionfor working conditions, information on existing health services andtimely utilization of health & family welfare services.She will counsel women on birth preparedness, importance of safedelivery, breast feeding and complementary feeding, immunization,contraception and prevention of common infections including RTI/STIand care of young child.ASHA will mobilize the community and facilitate them in accessinghealth and its related services available at the Anganwadi/Sub-center/primary health centers.She will assist the Village health & sanitation committee of the Grampanchayat to develop a comprehensive village health plan. She will escort/accompany pregnant women & children requiringtreatment / admission to the nearest pre-identified health facility i.e.PHC/CHC/FRU.ASHA will provide primary medical care for minor ailments such asdiarrhoea, fever, and first aid for minor injuries, work as provider of DOTS under RNTCP. She will also act
as depot 
holder for essentialprovisions which will be made available to every habitation.She will
inform
about the births and deaths in her village and anyunusual health problems/disease outbreaks in the community to theSub-Center/Primary Health Centre. Besides, she will also promoteconstruction of household toilets under Total Sanitation Campaign.
 
Activities:
 To follow-up on ASHA activities and support the ASHA programmeestablishment of ASHA Resource Center is proposed this year.
Selection of ASHA
 The general norm is
‘One ASHA per 1000 population/AnganwadiCenter’.
ASHA’s have been selected phase wise. In the first year 37%of ASHAs have already been selected; In the last years, 20897 havebeen selected. It is proposed to select 3164 new ASHAs for the newAnganwadi Center set up in the State.
Working Arrangements:
She will attend the AWC on the day when Immunisation / ANC sessionsare being organized. At least once or twice a month, she will organizehealth days for health IEC, rudimentary health checkup and adviceincluding medicine and contraceptive dispensation.
•
At Home: She will be available at her home, so as to work asdepot holder for distribution of supplies to needy people or forany assistance required in terms of accompanying a woman todelivery care center/FRU or RCH camp.
•
In the Community: She will organize /attend meetings of villagewomen / health committees and other group meetings andattend Panchayat health committees. She will counsel andprovide services to the families as per her defined role andresponsibilities.
Drug Kit to ASHA :
•
ASHA is being provided with a drug kit which includes Allopathicformulations and AYUSH drugs.
•
She shall dispense the drugs at the local level at times of need.
Training : (Capacity Building of ASHAs is required to enhanceher skills in order to achieve the objectives of NRHM).
•
After selection, ASHA will undergo series of training episodes toacquire the necessary knowledge, skills and confidence forperforming her spelt out roles. Considering range of functionsand tasks to be performed, induction training is to be completedin 23 days spread over a period of 12 months. The first round will
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