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

ASHA Soft REQUIRES 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 The SOLUTION CAME IN FORM OF MODULE CALLED – ASHA Soft

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 data ASHA 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.

Flow diagram of Payment process in ASHA-Soft 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 SMS will be sent to ASHA for information of online payment Payment will be transferred directly to the Bank A/C of ASHA Release of payment using Digital Signature Certificate by CMHO

Important Timelines SNo. Activity Responsibility Date 1. Verification of ASHA Claim Form ANM Between 26th – 30th of the month 2. 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 Admin Users at State Level (State Demographer) and District Levels (CM&HOs) are authorized to perform the Master Entries Continue…

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) Maternal Health Services Child Health Services Immunization Services Family Planning Services National Health Programmes Meetings Between 26th to 30th of the month IA/ PHC Health Supervisor/ Data Entry Operator will perform the online data entry of certified ASHA Claim Forms Continue…

Line List Maternal Health Services Family Planning Services 3 ANC Checkups Institutional Delivery Promotions Maternal Death Reporting Child Health Services HBNC Infant Death Reporting Referral of SAM Child Follow up of SAM Child SNCU Follow ups Immunization Services Social Mobilization Full Immunization DPT Booster Family Planning Services Sterilization Delay of Child Birth after marriage 3 Year spacing between two children PPIUCD National Health Programme Treatment of TB Cases Cataract Operations Treatment of Leprosy Cases Preparation of Blood Slides Treatment of Malaria Cases Meetings Monthly Meeting Payments Routine Monthly Activities

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) Maternal Health Services Child Health Services Immunization Services Family Planning Services National Health Programmes Meetings Between 26th to 30th of the month IA/ PHC Health Supervisor/ Data Entry Operator will perform the online verification of information Continue…

Verification Menu: “The information entered using Line List Menu would be verified by the Verification Menu”

Sanction Menu (Major category of services) Maternal Health Services Child Health Services Immunization Services Family Planning Services National Health Programmes Meetings By 4th of the next month MOIC with assistance of LHV/ Accountant will ensure to Release of Sanction or Generate Fund Transfer Order Continue…

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 month CMHO will ensure to release the payment (using DSC)

For payment information to ASHA SMS 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 ) Details of ASHAs Account Verification Status Age wise Summary Qualification of ASHAs Training Status of ASHAs Activity & Incentive wise ASHA worked in all activity Top 10 Best Performing ASHAs – In State/ District/ Block/ PHC Zero Performing ASHAs District wise Status of Incentive Amounts Average Payments of ASHAs Highest & Lowest Incentives More many reports… by Advanced Search Option Continue…

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 Summary Showing Qualification wise summary of ASHAs.

Reports Menu: Top 10 Best Performing ASHAs Showing list of top 10 best performing ASHAs who have earned the maximum incentive amount.

Reports Menu: Zero Performing ASHAs Showing list of ASHAs who have earned the zero incentive amount during the period.

Reports Menu: Average Payment Showing the average incentive amount paid to ASHAs during the month.

Reports Menu: District-wise Highest & Lowest Incentive Showing the summary of ASHA who have earned the highest & lowest incentive amount during the July, 2015.

Reports Menu: Highest Incentive (In Ajmer) Rs. 16500/- (Feb-Mar, 15) Reports Menu: Highest Incentive (In Ajmer) Showing the details of ASHA who have earned the highest incentive amount during the month.

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.

(ASHA can inform payment related grievances on ASHA Helpline) Contact details Email: ashasoft-rj@nic.in Phone no. 0141-2225685 Mob no. 9829930053, 9414254324, 9413417399 ASHA Helpline Mobile 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 BIGGER PICTURE FOR TOMORROW CAN BE LIKE THIS 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

ASHA Soft Performance Analysis Rajasthan State, July 2015

Amount Payment Realization Payment Status of ASHA Month Amount Sanctioned (In Crores) Amount Payment Realization 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 During Dec, 2014 During July, 2015

Performance of District under various services (in July, 2015)

Maternal Health Services (in %) During Dec, 2014

Maternal Health Services (in %) During July, 2015

Child Health Services (in %) During Dec, 2014

Child Health Services (in %) During July, 2015

Immunization Services (in %) During Dec, 2014

Immunization Services (in %) During July, 2015

Family Planning Services (in %) During Dec, 2014

Family Planning Services (in %) During July, 2015

National Programme (in %) During Dec, 2014

National Programme (in %) During July, 2015

Monthly Meetings (in %) During Dec, 2014

Monthly Meetings (in %) During July, 2015

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 improved Follow-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…