asha soft. current scenario a woman hired by women & child deptt but works for medical &...
TRANSCRIPT
ASHA Soft
Current scenario• A woman hired by Women & Child deptt but
works for Medical & health also• Fixed Rs. 1600 from WCD and M&H pays
incentives• Currently around 48000 ASHA Sahyogini are
working in the State.• They are given a small village or a cluster of
houses for ensuring better awareness about health, RCH activities and family welfare services in the village.
Why ASHA Soft ?
• To ensure timely and transparent online payment to ASHAs• To improve the system for
effective monitoring their performance on 26 parameters
A S H A S o ft R E Q U I R E S• Circular authorizing ASHA Soft• ASHA claim forms for ASHAs• ASHA Soft Program (NIC)• ASHA Soft Manual for guidance • Mechanism for data entry and verification• Digital Signature Certificates for release of
payments• SMS Gateway• Payment arrangements with Bank• Reliable PCTS/MCTS database
Strengths of ASHA Soft• No capital investment in any manner and at
any level (Existing PC is used)• Existing information Assistants/Computer
operators used –No new HR hired• Existing SMS Gateway is used…better used• Existing banker can be made partner• Utility of PCTS/MCTS, which in turn
strengthens entry regime• No need to compile information manually• informed decisions are encouraged
What information has been collected and fed in the default?
• Name• Location/posting details• Qualification• Training status• Mobile number• Bank account details
THE SOLUTION CAME IN FORM OF MODULE CALLED –
ASHA SOFT
Challenge was to devise a system• To capture the work done by them• To record it on a program without new
investment• To pay the same incentives in a
transparent and easy manner• To remain connected with existing PCTS
ASHA Soft is integrated with PCTS
For name based reporting and verification of beneficiary
PCTS - some facts• Pregnancy & Child Tracking System• Rajasthan has been pioneer in starting this• Started since October, 2008• For 7 main RCH activities • Progress has been not very encouraging• GoI places a lot of reliance on this system• Based on ANM/SDR for reporting and computer
operators for feeding the dataASHA Soft was decided to be converged with existing PCTS
rather then creating a parallel system for monitoring the RCH activities
What is ASHA Soft ?• It is a web-based software for online
payment to their bank account and monitoring the performance.– It will capture beneficiary wise details of services
given by ASHA to the community.– It will generate various reports to monitor the
progress of the program
• It is developed by the NIC-Rajasthan State Unit and for online payment, Bank of Baroda has been selected.
Verification of ASHA Claim
Form by ANM
Online data entry of ASHA
Claim Form and verification on
ASHA Soft by IA/ PHC Health
Supervisor/ Data Entry Operator
Release of Sanction or
Fund Transfer Order (FTO) by
MOIC with assistance of
LHV/ Accountant
Release of payment using
Digital Signature
Certificate by CMHO
Payment will be transferred directly to the Bank A/C of
ASHA
SMS will be sent to ASHA
for information of online payment
Flow diagram of Payment process in ASHA-Soft
Important TimelinesSNo. Activity Responsibility Date
1. Verification of ASHA Claim Form
ANM Between 26th – 30th of the
month2. Online data entry of
ASHA Claim Form and its verification on ASHA Soft
IA/ PHC Health Supervisor/ Data Entry Operator
3. Release of sanction or fund transfer order
MOIC with assistance of
LHV/ Accountant
By 4th of the next month
4. Release of payment (using DSC)
CMHO Between 5th to 7th of the next month
Website address
http://ashasoft.raj.nic.in
Only authorized users can login to the website
Home page of ASHA Soft
Welcome screen after login
Menu options(based on the user’s access rights options would be visible)
• Home• Master Entry• Line List• Verification• Sanction• Release Payment• Reports• Logout
Continue…
Master Entry• Verify Accounts Details• Define User Permissions for– Administrator– Data Entry & Verification of Records– Generating Sanction– Release Payment
Continue…
Admin Users at State Level (State Demographer) and District Levels (CM&HOs) are authorized to
perform the Master Entries
Verify Account Details screen:For verification of ASHA’s bank account information (Bank Name, Account No., IFSC Code, Mobile No.)
Define User Permission screen:For defining and authorization of access rights to USER-IDs as Administrator, Data Entry & Verifier, for Sanction generation, for Release of payment.
Line List Menu(Major category of services)
1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings
Continue…
Between 26th to 30th of the monthIA/ PHC Health Supervisor/ Data Entry Operator will perform
the online data entry of certified ASHA Claim Forms
1. Maternal Health Services • 3 ANC Checkups• Institutional Delivery
Promotions • Maternal Death Reporting
2. Child Health Services • HBNC • Infant Death Reporting • Referral of SAM Child • Follow up of SAM Child • SNCU Follow ups
3. Immunization Services • Social Mobilization • Full Immunization • DPT Booster
4. Family Planning Services • Sterilization • Delay of Child Birth after
marriage• 3 Year spacing between two
children• PPIUCD
5. National Health Programme• Treatment of TB Cases • Cataract Operations • Treatment of Leprosy Cases • Preparation of Blood Slides • Treatment of Malaria Cases
6. Meetings • Monthly Meeting Payments • Routine Monthly Activities
Line List
Line List Menu:Showing the major service category “Maternal Health Services” and sub-menu items (3 ANC Check-ups, Institutional Delivery Promotions, Woman Death Reporting) and similarly for the other services
Verification Menu(Major category of services)
1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings
Continue…
Between 26th to 30th of the monthIA/ PHC Health Supervisor/ Data Entry Operator will perform
the online verification of information
Verification Menu: “The information entered using Line List Menu would be verified by the Verification Menu”
Sanction Menu(Major category of services)
1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings
Continue…
By 4th of the next monthMOIC with assistance of LHV/ Accountant will ensure to
Release of Sanction or Generate Fund Transfer Order
Sanction Menu: MOIC will generate one-by-one sanctions for Maternal Health Services, Child Health Services, Immunization Services, Family Planning Services, National Health Programmes and Meetings.
Release Payment using DSC
Between 5th to 7th of the next monthCMHO will ensure to release the payment (using DSC)
For payment information to ASHASMS will be sent to the ASHA’s registered mobile no.
Proposed SMS
Aapke bank account mein July, 2015 mahine ki protsahan rashi Rs. 3500/- jama kara di gayi hai.
Swasthya sewaye pradan karne ke liye dhanyawad. ASHA Soft NHM Rajasthan
Reports Menu(Various analytical reports )
1. Details of ASHAs2. Account Verification Status3. Age wise Summary4. Qualification of ASHAs5. Training Status of ASHAs6. Activity & Incentive wise 7. ASHA worked in all activity8. Top 10 Best Performing
ASHAs – In State/ District/ Block/ PHC
Continue…
9. Zero Performing ASHAs10. District wise Status of
Incentive Amounts11. Average Payments of ASHAs12. Highest & Lowest Incentives 13. More many reports… by
Advanced Search Option
Reporting The most powerful tool
• After we have completed the entries for a given month after due verification, it is the time to get the reports for our needs.
• The program would generate the reports based on the fixed parameters in master and data entries done under various heads.
• The people in ASHA-Cell in Blocks/ Districts/ State will get so many useful information on the basis of which they can decide their plan of action.
What Reports can be generated?• Non-functional ASHAs• Cases where payments are extraordinarily high• ASHAs who are doing good work• Supervisors with ASHAs with low performance• PHC/CHC with lowest performing ASHAs• Blocks with ASHAs who are not performing as
per need in RCH activities• Districts with lower ASHA performance indices• Which programs are not generally taken up by
the ASHAs
Reports Menu: System will various analytical reports
Reports Menu: Qualification Wise SummaryShowing Qualification wise summary of ASHAs.
Reports Menu: Top 10 Best Performing ASHAsShowing list of top 10 best performing ASHAs who have earned the maximum incentive amount.
Reports Menu: Zero Performing ASHAsShowing list of ASHAs who have earned the zero incentive amount during the period.
Reports Menu: Average PaymentShowing the average incentive amount paid to ASHAs during the month.
Reports Menu: District-wise Highest & Lowest IncentiveShowing the summary of ASHA who have earned the highest & lowest incentive amount during the July, 2015.
Reports Menu: Highest Incentive (In Ajmer)Showing the details of ASHA who have earned the highest incentive amount during the month.
Rs. 16500/-(Feb-Mar, 15)
Decisions based on reports-Example
• Post graduate/ Graduate ASHAs doing excellent work may be preferred in Supervisory job after following a process.
• Can we reserve seats in ANM course????? • Training need assessment would be based on
actual evidences rather than guess work.• BHS/PHS cadre would also be exposed as
ASHAs with good/bad performance will be directly linked to their supervision quality.
Advantages expected• Better monitoring and transparent payments• A very big boost to PCTS Entry system• Line listing needs would lead to better health
indicators• Repeat transactions wont be possible, hence
quality of data would be of excellent standard.• Transactions would be transparent and at the
same time, no payment without verification will be possible.
Advanced Search: It allows searching of ASHA based on the various parameters e.g. ASHA ID, Name, Incentive Amount, No. of Activities etc.
Contact details Email: [email protected] no. 0141-2225685
Mob no. 9829930053, 9414254324, 9413417399
ASHA HelplineMobile no. 8290266668, 8290266669
(ASHA can inform payment related grievances on ASHA Helpline)
Way Forward• Time lag in payment to ASHAs would be
further reduced• Urban ASHAs would also be covered once the
concerned PHC/ CHC get PC with internet.• ASHAs with tablets/ some other tool like
mobiles feeding their data directly on the system provided system is also strengthened enough to respond to those entries
• 104 helpline to be used for ASHA related queries
The entire health system is put on a dashboard where we are getting information on health
incidents continuously and we are in a position to intervene from the control room settings.
Just think that we are getting continuous feed on points like------
-maternal death-accidents and ambulances
-FRUs and Delivery points status-Attendance of staff
THE BIGGER PICTURE FOR TOMORROW CAN BE LIKE THIS
Rajasthan State, July 2015
ASHA Soft Performance Analysis
Payment Status of ASHA
Month Amount Sanctioned (In Crores)
Amount Payment Realization(In Crores)
Dec, 2014 4.34 4.15
April, 2015 7.80 7.77
July, 2015 7.40 7.25
Performance of ASHAs in the State under various services
Maternal Health21%
Child Health10%Imm
un-iz-ation Services16%
Family Planning Dervices
16%
National Program
me1%
Monthly Meetings36%
During Dec, 2014 During July, 2015
Maternal Health28%
Child Health19%
Immunization17%Fam-
ily Planning7%
Na-tional Pro-gramme2%
Monthly Meetings27%
Performance of District under various services (in July, 2015)
Maternal Health % Child Health % Routine Immunisation %
Family Welfare % National Programme % Monthly Meetings & Routine Activities %
Maternal Health Services (in %)
Churu
Bikaner
Dholpur
Bhilwara
DungarpurSiro
hi
Jalore
Jhunjhunu
SikarPali
Chittorg
arh
Ganganagar
Ajmer
Nagaur
Jaipur I
Banswara
Rajasthan
HanumangarhBara
nTonk
Bharatp
ur
UdaipurBundi
Rajsamand
Karauli
Alwar
Kota
Jodhpur
Jaipur II
Jhalawar
Sawai Madhopur
Jaisalm
er
Dausa
Barmer
Prata
pgarh
36.1
7
35.8
5
31.6
7
30.1
1
29.5
5
28.7
6
28.7
2
25.5
5
23.8
8
22.7
6
22.4
9
22.4
8
22.2
8
21.5
7
21.0
5
21.0
2
20.9
4
20.8
4
20.1
6
19.1
6
19.1
6
18.6
5
18.6
1
17.5
6
16.7
7
16.7
4
16.6
3
14.6
2
14.0
1
13.6
1
11.4
8
10.7
1
10.3
3
5.61
3.29
During Dec, 2014
42.4
436
.58
35.7
334
.14
33.2
232
.42
31.4
431
.14
30.9
930
.99
30.9
830
.80
30.6
530
.50
30.2
429
.99
29.5
529
.53
29.2
629
.20
27.5
927
.58
27.3
227
.19
26.9
726
.70
26.6
226
.37
25.8
825
.23
25.1
125
.06
24.4
523
.22
22.0
5
Maternal Health Services (in %)During July, 2015
Child Health Services (in %)
Bharatp
urSiro
hi
Jalore
Jaipur ISikar
Jhunjhunu
Dholpur
Churu
Karauli
Jaipur II
Ajmer
Tonk
BikanerPali
Bhilwara
Ganganagar
Rajasthan
Chittorg
arh
Banswara
NagaurAlw
ar
Rajsamand
Udaipur
Dungarpur
Sawai Madhopur
BundiKota
Jodhpur
HanumangarhBara
n
Jhalawar
Dausa
Barmer
Prata
pgarh
Jaisalm
er
15.6
914
.94
14.7
714
.42
13.3
713
.05
12.5
611
.99
11.9
011
.52
11.3
010
.76
10.2
610
.08
10.0
39.
809.
748.
888.
738.
558.
358.
177.
977.
557.
507.
217.
076.
526.
156.
105.
875.
604.
062.
360.
39
During Dec, 2014
Child Health Services (in %)During July, 2015
Bharatpur
Jalore
Dholpur
Sawai M
adhopurPali
Sirohi
AlwarAjm
er
Bhilwara
Sikar
Karauli
Jaipur II
Jaipur I
Churu
Jhunjhunu
Bikaner
Dausa
Rajasthan
BaranBundi
Kota
Nagaur
Rajsamand
Banswara
Chittorg
arhTonk
Udaipur
Dungarpur
Jhalawar
Hanumangarh
Jodhpur
Ganganagar
Pratapgarh
Barmer
Jaisalm
er
18.8
618
.86
17.9
716
.85
16.8
016
.74
16.5
516
.31
16.1
115
.60
15.5
215
.30
15.2
215
.14
14.9
914
.79
14.7
414
.27
14.2
213
.50
13.4
613
.42
13.2
212
.86
12.6
012
.45
12.2
511
.59
11.5
011
.49
11.4
39.
878.
527.
457.
23
Immunization Services (in %)
Barmer
Jaisalm
erSikar
Jodhpur
Pali
Bhilwara
Dungarpur
Udaipur
Nagaur
Ajmer
Dholpur
Ganganagar
Jaipur I
Churu
Bikaner
Chittorg
arh
Karauli
Jhunjhunu
Rajasthan
Jalore
Hanumangarh
Jaipur II
Banswara
Rajsamand
Bharatp
ur
Sawai Madhopur
Prata
pgarh
Jhalawar
AlwarBara
nSiro
hi
DausaKota
TonkBundi
24.3
423
.83
21.4
320
.29
19.1
018
.79
18.3
018
.06
17.8
017
.65
17.4
317
.38
17.1
716
.77
16.6
916
.35
16.3
516
.16
15.9
215
.57
15.3
015
.28
15.2
515
.15
14.2
214
.12
13.6
213
.61
12.9
712
.84
12.5
012
.43
11.7
110
.92
10.7
7
During Dec, 2014
Immunization Services (in %)During July, 2015
Karauli
JaloreSik
ar
Jodhpur
Udaipur
Sawai M
adhopur
Pratapgarh
Jaisalm
erPali
Dungarpur
Banswara
Jaipur I
Barmer
Nagaur
Bhilwara
Ajmer
Rajasthan
Jhunjhunu
DholpurChuru
JhalawarTonk
Sirohi
Kota
Bharatpur
Alwar
Rajsamand
Jaipur II
Dausa
Chittorg
arh
Hanumangarh
GanganagarBara
nBundi
Bikaner
23.8
522
.02
20.6
320
.54
20.2
520
.14
20.0
620
.04
19.9
119
.34
19.3
419
.03
18.9
418
.94
18.7
618
.70
18.3
018
.15
18.1
217
.86
17.6
917
.58
17.5
717
.25
17.0
417
.04
17.0
116
.97
16.9
516
.76
16.7
216
.29
16.2
516
.08
15.0
8
Family Planning Services (in %)
KotaBundi
Prata
pgarh
Jhalawar
Sawai Madhopur
DausaAlw
arTonk
Jaipur II
Karauli
Baran
Jodhpur
Hanumangarh
Chittorg
arh
Banswara
Rajasthan
Ajmer
Bharatp
ur
Bhilwara
Jaipur I
Dholpur
Barmer
Udaipur
Rajsamand
Jhunjhunu
JaloreChuru
Sirohi
Pali
Nagaur
Bikaner
GanganagarSikar
Jaisalm
er
Dungarpur
39.5
6
34.8
2
34.6
4
31.2
3
28.9
3
27.6
6
24.7
1
23.7
2
21.6
8
21.0
6
19.6
1
19.2
9
19.0
4
17.1
7
16.7
9
16.0
2
15.5
0
14.1
9
13.9
2
13.1
4
12.4
7
9.52
9.43
9.30
7.88
7.16
7.00
6.90
6.80
6.16
5.53
5.48
4.39
1.32
0.53
During Dec, 2014
Family Planning Services (in %)During July, 2015
Ganganagar
Bikaner
JhunjhunuSik
ar
Jhalawar
Jaipur II
Rajasthan
Churu
Pratapgarh
Tonk
Chittorg
arh Pali
Banswara
Udaipur
Bharatpur
Dungarpur
Jalore
Dholpur
18.8
016
.94
13.3
712
.29
10.5
510
.51
9.71
9.01
8.32
7.52
7.51
7.36
7.10
6.95
6.84
6.83
6.51
6.44
5.90
5.82
5.25
5.22
4.96
4.72
4.71
4.64
4.43
3.82
3.63
3.59
2.92
2.90
2.55
0.71
0.35
National Programme (in %)
HanumangarhJalore
SikarPali
Bikaner
GanganagarTonk
Bhilwara
Rajasthan
Jaipur II
Alwar
Jhalawar
DausaSiro
hiKota
Jhunjhunu
Dungarpur
Prata
pgarh
2.00
1.94
1.68
1.67
1.61
1.54
1.45
1.40
1.30
1.30
1.28
1.25
1.15
1.04
1.02
1.01
0.96
0.93
0.92
0.86
0.83
0.83
0.76
0.74
0.73
0.70
0.61
0.56
0.53
0.47
0.46
0.30
0.24
0.16
0.00
During Dec, 2014
HanumangarhBundi
Kota
JhalawarJalore
DholpurSir
ohi
Dausa
Udaipur
Rajsamand
Tonk
Chittorg
arhAjm
er
Bikaner
Baran
Sawai M
adhopur
Jaipur I
Pratapgarh
Rajasthan
PaliAlw
ar
Jaipur II
Nagaur
Bharatpur
Jodhpur
Ganganagar
Bhilwara
Jaisalm
erSik
ar
Barmer
Karauli
JhunjhunuChuru
Dungarpur
Banswara
3.08
2.94
2.61
2.53
2.30
2.15
2.12
2.11
2.10
1.86
1.73
1.66
1.65
1.57
1.52
1.52
1.52
1.49
1.43
1.42
1.28
1.27
1.16
1.12
1.09
1.03
0.97
0.87
0.83
0.82
0.63
0.58
0.54
0.48
0.43
National Programme (in %)During July, 2015
Monthly Meetings (in %)
Jaisalm
er
Barmer
Rajsamand
Pratapgarh
Nagaur
Udaipur
Dungarpur
GanganagarDausa
Baran
Pali
Jodhpur
Banswara
Sawai M
adhopur
Jhunjhunu
Hanumangarh
Jaipur II
Bharatpur
Rajasthan
AlwarSir
ohiSik
ar
JhalawarTonk
Karauli
Chittorg
arh
Jaipur I
AjmerJalore
Bikaner
Bundi
Churu
Bhilwara
Kota
Dholpur
62.5
155
.73
48.4
246
.08
45.0
944
.34
43.8
343
.57
43.2
440
.43
39.8
138
.58
38.0
436
.92
36.9
036
.66
36.5
936
.44
36.4
336
.40
36.3
035
.33
34.9
334
.27
33.4
533
.16
32.9
232
.25
32.1
030
.36
28.0
227
.15
26.1
524
.49
24.2
0
During Dec, 2014
Monthly Meetings (in %)During July, 2015
Barmer
Jaisalm
er
Pratapgarh
Chittorg
arh
Dungarpur
Pali
Baran
Nagaur
Banswara
DausaSir
ohiTonk
Jaipur II
Rajsamand
Jhunjhunu
UdaipurKota
Rajasthan
Jhalawar
GanganagarChuru
Alwar
Bikaner
Jaipur IBundi
Ajmer
Karauli
Sikar
Hanumangarh
JodhpurJalore
Bhilwara
Bharatpur
Sawai M
adhopur
Dholpur
43.6
9
42.8
636
.72
36.1
3
34.6
8
33.6
9
32.9
7
32.6
9
32.6
7
32.6
6
32.0
8
31.8
4
31.6
4
31.3
3
30.5
0
30.1
8
29.6
1
29.3
7
28.9
6
28.9
0
28.6
2
28.5
6
28.0
1
27.8
3
27.5
2
26.9
7
26.8
7
26.6
1
25.4
1
25.3
8
24.0
4
23.7
6
23.6
2
23.5
6
18.9
8
IMPACT of ASHA Soft
Improvement in line list data of MCTS/PCTS Mother Count (+ 31% ) Child Count (+19%)One ASHA @ One Aganwadi + Charge of One
Additional Aganwadi (1+1)Performance of Block/ PHC Health Supervisors
has been improvedFollow-up visits of HBNC has improved care of
infants and referral of sick neo-nates.Audit of ASHAs performance, based on analysis
IMPACT of ASHA Soft
250 Best performing ASHAs has been identified as ‘Head ASHA’. These ASHAs will get additional incentive of Rs. 1000/- per month.
More than 800 Best performing ASHA, have been selected for higher education through open board for 10th and 12th Std. Course fees will be borne by Government.
Government has agreed to provide Tablet PC to ASHAs on pilot basis, to improve their skills.
ASHA Soft backed by Whatsapp• There is a Whatsapp group of all the state
level and district level officers/ employees, connected with ASHA Soft
• Continuous mentoring and monitoring • Technical and managerial issues are
resolved• Exchange of ideas and best practices• Moral boost and motivation • Sense of competition
In just one year of implementation
• It has attracted the attention of GoI• It has been included as one of the best
replicable practices in 2015-16• 3 states have already visited us- Karnataka,
Maharashtra, Punjab• 4 states are coming - Himachal Pradesh,
Tripura, Gujarat and Uttaranchal• It has been presented on many platforms-
workshops and seminars
ASHA Soft Raises Hopes in Healthcare
http://ehealth.eletsonline.com/2015/06/ashasoft-raises-hopes-healthcare/
ASHA Soft in News
Recognition
Our vision is to turn ASHA into Medical Entrepreneurs One day…