1. ASHA Soft

2. Current scenario
A woman hired by Women & Child deptt but works for Medical & health also
Fixed Rs from WCD and M&H pays incentives
Currently around 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.

3. Why ASHA Soft?
To ensure timely and transparent online payment to ASHAs
To improve the system for effective monitoring their performance on 26 parameters

4. 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

5. 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

6. What information has been collected and fed in the default?
Name
Location/posting details
Qualification
Training status
Mobile number
Bank account details

7. 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

8. ASHA Soft is integrated with PCTS
For name based reporting and verification of beneficiary

9. 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

10. 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.

11. 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

12. 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

13. Website address http://ashasoft.raj.nic.in
Only authorized users can login to the website

14. Home page of ASHA Soft

15. Welcome screen after login

16. 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…

17. 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…

18. Verify Account Details screen:
For verification of ASHA’s bank account information (Bank Name, Account No., IFSC Code, Mobile No.)

19. 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.

20. 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…

21. 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

22. 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

23. 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…

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

25. 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…

26. 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.

27. Release Payment using DSC
Between 5th to 7th of the next month
CMHO will ensure to release the payment (using DSC)

28. 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

29. 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…

30. 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.

31. 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

32. Reports Menu:
System will various analytical reports

33. Reports Menu: Qualification Wise Summary
Showing Qualification wise summary of ASHAs.

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

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

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

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

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

39. 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.

40. 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.

42. Advanced Search:
It allows searching of ASHA based on the various parameters e.g. ASHA ID, Name, Incentive Amount, No. of Activities etc.

43. (ASHA can inform payment related grievances on ASHA Helpline)
Contact details Phone no Mob no , ,
ASHA Helpline Mobile no ,
(ASHA can inform payment related grievances on ASHA Helpline)

44. 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

45. 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

46. ASHA Soft Performance Analysis
Rajasthan State, July 2015

47. 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

48. Performance of ASHAs in the State under various services
During Dec, 2014
During July, 2015

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

50. Maternal Health Services (in %)
During Dec, 2014

51. Maternal Health Services (in %)
During July, 2015

52. Child Health Services (in %)
During Dec, 2014

53. Child Health Services (in %)
During July, 2015

54. Immunization Services (in %)
During Dec, 2014

55. Immunization Services (in %)
During July, 2015

56. Family Planning Services (in %)
During Dec, 2014

57. Family Planning Services (in %)
During July, 2015

58. National Programme (in %)
During Dec, 2014

59. National Programme (in %)
During July, 2015

60. Monthly Meetings (in %)
During Dec, 2014

61. Monthly Meetings (in %)
During July, 2015

62. IMPACT of ASHA Soft Improvement in line list data of MCTS/PCTS
Mother Count (+ 31% )
Child Count (+19%)
One 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

63. 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.

64. 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

65. 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
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

66. ASHA Soft Raises Hopes in Healthcare

67. ASHA Soft in News

68. Recognition

69. Our vision is to turn ASHA into Medical Entrepreneurs One day…