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
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•
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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?
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•
•
•
•
•
Name
Location/posting details
Qualification
Training status
Mobile number
Bank account details
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
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•
•
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•
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
of
ASHA
Responsibility
Date
ANM
Between 26th
– 30th of the
month
1.
Verification
Claim Form
2.
Online data entry of IA/ PHC Health
ASHA Claim Form and its Supervisor/ Data
verification on ASHA Soft Entry Operator
3.
Release of sanction or
fund transfer order
By 4th of the
next month
4.
Release of
(using DSC)
Between 5th
to 7th of the
next month
MOIC with
assistance of
LHV/ Accountant
payment
CMHO
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)
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•
•
•
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•
•
•
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)
1.
2.
3.
4.
5.
6.
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
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 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.
2.
3.
4.
5.
6.
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)
1.
2.
3.
4.
5.
6.
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 )
1.
2.
3.
4.
5.
6.
7.
8.
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
9. Zero Performing ASHAs
10. District wise Status of
Incentive Amounts
11. Average Payments of ASHAs
12. Highest & Lowest Incentives
13. 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?
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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.
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.
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
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
During Dec, 2014
During July, 2015
National
Programme
2%
Maternal
Health
21%
Monthly
Meetings
36%
Monthly
Meetings
27%
Maternal
Health
28%
Child
Health
10%
National
Programm
e
1%
Family
Planning
Dervices
16%
Immunizat
ion
Services
16%
Family
Planning
7%
Immunizati
on
17%
Child
Health
19%
Rajasthan
Udaipur
Tonk
Sirohi
Sikar
Sawai Madhopur
Rajsamand
Pratapgarh
Pali
Nagaur
Kota
Karauli
Jodhpur
Jhunjhunu
Maternal Health %
Routine Immunisation %
National Programme %
Jhalawar
Jalore
Jaisalmer
Jaipur II
Jaipur I
Hanumangarh
Ganganagar
Dungarpur
Dholpur
Dausa
Churu
Chittorgarh
Bundi
Bikaner
Bhilwara
Bharatpur
Barmer
Baran
Banswara
Alwar
Ajmer
Performance of District under various
services (in July, 2015)
Child Health %
Family Welfare %
Monthly Meetings & Routine Activities %
5.61
20.84
20.16
Hanumangarh
Baran
Pratapgarh
3.29
10.33
Dausa
Barmer
10.71
Jaisalmer
11.48
13.61
Jhalawar
Sawai Madhopur
14.01
Jaipur II
16.63
Kota
14.62
16.74
Alwar
Jodhpur
16.77
17.56
Karauli
Rajsamand
18.61
20.94
Rajasthan
Bundi
21.02
Banswara
18.65
21.05
Jaipur I
Udaipur
21.57
Nagaur
19.16
22.28
Ajmer
Bharatpur
22.48
Ganganagar
19.16
22.49
Chittorgarh
Tonk
22.76
23.88
Pali
Sikar
25.55
28.72
Jalore
Jhunjhunu
28.76
29.55
Dungarpur
Sirohi
30.11
Bhilwara
31.67
35.85
Bikaner
Dholpur
36.17
Churu
Maternal Health Services (in %)
During Dec, 2014
25.88
25.23
25.11
25.06
24.45
Jaipur I
Jhunjhunu
Ganganagar
Sirohi
Barmer
Jaisalmer
22.05
23.22
26.37
Hanumangarh
Pali
26.62
29.20
Alwar
Sikar
29.26
Jodhpur
26.70
29.53
Rajasthan
Pratapgarh
29.55
Kota
26.97
29.99
Banswara
Nagaur
30.24
Jalore
27.19
30.50
Tonk
Bikaner
30.65
Dausa
27.32
30.80
Udaipur
Jaipur II
30.98
Dungarpur
27.58
30.99
Jhalawar
Rajsamand
30.99
Churu
27.59
31.14
Ajmer
Chittorgarh
31.44
32.42
Karauli
Baran
33.22
34.14
35.73
36.58
Sawai Madhopur
Bundi
Bharatpur
Bhilwara
Dholpur
42.44
Maternal Health Services (in %)
During July, 2015
0.39
2.36
4.06
6.10
5.87
5.60
Baran
Jhalawar
Dausa
Jaisalmer
Pratapgarh
Barmer
6.15
Hanumangarh
6.52
7.07
Kota
Jodhpur
7.21
7.97
Udaipur
Bundi
8.17
Rajsamand
7.50
8.35
Alwar
Sawai Madhopur
8.55
Nagaur
7.55
8.73
Banswara
Dungarpur
8.88
Chittorgarh
9.74
Rajasthan
10.03
Bhilwara
9.80
10.08
Pali
Ganganagar
10.26
Bikaner
10.76
11.30
Ajmer
Tonk
11.52
11.90
Karauli
Jaipur II
11.99
Churu
12.56
13.05
Jhunjhunu
Dholpur
13.37
Sikar
14.42
14.77
Jalore
Jaipur I
14.94
15.69
Sirohi
Bharatpur
Child Health Services (in %)
During Dec, 2014
8.52
9.87
14.79
14.74
Bikaner
Dausa
7.45
7.23
Barmer
Jaisalmer
Pratapgarh
Ganganagar
11.43
12.25
Udaipur
Jodhpur
12.45
Tonk
11.49
12.60
Chittorgarh
Hanumangarh
12.86
Banswara
11.50
13.22
Rajsamand
Jhalawar
13.42
Nagaur
11.59
13.46
Kota
Dungarpur
13.50
Bundi
14.22
14.99
Jhunjhunu
Baran
15.14
Churu
14.27
15.22
Jaipur I
Rajasthan
15.30
16.11
Bhilwara
Jaipur II
16.31
Ajmer
15.52
16.55
Alwar
Karauli
16.74
Sirohi
15.60
16.80
Pali
Sikar
16.85
Sawai Madhopur
17.97
18.86
Jalore
Dholpur
18.86
Bharatpur
Child Health Services (in %)
During July, 2015
17.17
16.77
16.69
16.35
16.35
16.16
15.92
15.57
15.30
15.28
15.25
15.15
Jaipur I
Churu
Bikaner
Chittorgarh
Karauli
Jhunjhunu
Rajasthan
Jalore
Hanumangarh
Jaipur II
Banswara
Rajsamand
12.50
12.43
Sirohi
Dausa
10.92
10.77
Tonk
Bundi
11.71
12.84
Baran
Kota
12.97
Alwar
13.61
17.38
Ganganagar
Jhalawar
17.43
Dholpur
13.62
17.65
Ajmer
Pratapgarh
17.80
Nagaur
14.12
18.06
Udaipur
Sawai Madhopur
18.30
Dungarpur
14.22
18.79
Bhilwara
Bharatpur
19.10
20.29
Pali
Jodhpur
21.43
23.83
Jaisalmer
Sikar
24.34
Barmer
Immunization Services (in %)
During Dec, 2014
18.76
18.70
18.30
18.15
18.12
17.86
17.69
17.58
17.57
17.25
17.04
17.04
17.01
16.97
16.95
16.76
16.72
16.29
16.25
16.08
Bhilwara
Ajmer
Rajasthan
Jhunjhunu
Dholpur
Churu
Jhalawar
Tonk
Sirohi
Kota
Bharatpur
Alwar
Rajsamand
Jaipur II
Dausa
Chittorgarh
Hanumangarh
Ganganagar
Baran
Bundi
15.08
18.94
Nagaur
Bikaner
18.94
19.91
Pali
Barmer
20.04
Jaisalmer
19.03
20.06
Pratapgarh
Jaipur I
20.14
Sawai Madhopur
19.34
20.25
Udaipur
Banswara
20.54
Jodhpur
19.34
20.63
Dungarpur
23.85
22.02
Sikar
Jalore
Karauli
Immunization Services (in %)
During July, 2015
7.00
6.90
6.80
6.16
5.53
5.48
Churu
Sirohi
Pali
Nagaur
Bikaner
Ganganagar
1.32
0.53
Jaisalmer
Dungarpur
4.39
7.16
Jalore
Sikar
7.88
9.30
Rajsamand
Jhunjhunu
9.43
Udaipur
12.47
Dholpur
9.52
13.14
Jaipur I
Barmer
13.92
Bhilwara
15.50
Ajmer
14.19
16.02
Rajasthan
Bharatpur
16.79
Banswara
19.04
Hanumangarh
17.17
19.29
Jodhpur
Chittorgarh
19.61
21.06
Karauli
Baran
21.68
23.72
28.93
27.66
24.71
Jaipur II
Tonk
Alwar
Dausa
Sawai Madhopur
31.23
34.64
Pratapgarh
Jhalawar
34.82
Bundi
Kota
39.56
Family Planning Services (in %)
During Dec, 2014
7.10
6.95
6.84
6.83
6.51
6.44
Rajasthan
Jaisalmer
Churu
Nagaur
Pratapgarh
Sirohi
4.43
Udaipur
0.35
Dholpur
2.55
Jalore
0.71
2.90
Dausa
Karauli
2.92
Dungarpur
3.59
4.64
Barmer
Baran
4.71
Banswara
3.63
4.72
Sawai Madhopur
Bharatpur
4.96
Pali
3.82
5.22
Ajmer
Bhilwara
5.25
Chittorgarh
5.82
7.36
Alwar
Bundi
7.51
Jaipur II
5.90
7.52
Tonk
9.01
8.32
Kota
Jhalawar
Rajsamand
9.71
10.51
Jaipur I
Sikar
10.55
Jhunjhunu
Jodhpur
Bikaner
Hanumangarh
Ganganagar
12.29
13.37
16.94
18.80
Family Planning Services (in %)
During July, 2015
0.00
1.28
1.25
Ganganagar
Jaisalmer
0.70
Jodhpur
Pratapgarh
Banswara
Dungarpur
0.16
0.24
0.30
0.46
Jhunjhunu
Bharatpur
0.47
0.53
Kota
Karauli
0.56
Bundi
0.61
0.73
Dausa
Sirohi
0.74
Barmer
0.83
Nagaur
0.76
0.83
Alwar
Jhalawar
0.86
0.92
Jaipur II
Baran
0.93
Churu
1.01
Ajmer
0.96
1.02
Bhilwara
Rajasthan
1.04
Sawai Madhopur
1.15
1.30
Jaipur I
1.40
1.30
Tonk
1.54
1.45
Bikaner
Rajsamand
Pali
Udaipur
1.61
1.67
Dholpur
Sikar
1.68
Jalore
Chittorgarh
Hanumangarh
1.94
2.00
National Programme (in %)
During Dec, 2014
2.10
Udaipur
1.49
Pratapgarh
1.09
Jodhpur
0.48
0.43
Banswara
0.54
Churu
Dungarpur
0.58
Jhunjhunu
0.82
Barmer
0.63
0.83
Sikar
Karauli
0.87
0.97
Jaisalmer
Bhilwara
1.03
1.12
Bharatpur
Ganganagar
1.16
1.27
Jaipur II
Nagaur
1.28
Alwar
1.42
1.52
Jaipur I
Pali
1.52
Sawai Madhopur
1.43
1.52
Baran
Rajasthan
1.57
1.65
Ajmer
Bikaner
1.66
Chittorgarh
Tonk
1.73
2.11
Dausa
1.86
2.12
Sirohi
Rajsamand
2.15
2.30
Dholpur
Jalore
Jhalawar
Kota
Bundi
Hanumangarh
2.53
2.61
2.94
3.08
National Programme (in %)
During July, 2015
36.92
36.90
36.66
36.59
36.44
36.43
36.40
36.30
35.33
34.93
34.27
33.45
33.16
32.92
32.25
32.10
Sawai Madhopur
Jhunjhunu
Hanumangarh
Jaipur II
Bharatpur
Rajasthan
Alwar
Sirohi
Sikar
Jhalawar
Tonk
Karauli
Chittorgarh
Jaipur I
Ajmer
Jalore
24.20
Dholpur
26.15
Bhilwara
24.49
27.15
Churu
Kota
28.02
Bundi
30.36
38.04
Banswara
Bikaner
38.58
43.24
Dausa
Jodhpur
43.57
Ganganagar
39.81
43.83
Dungarpur
Pali
44.34
Udaipur
40.43
45.09
Nagaur
Baran
46.08
48.42
Pratapgarh
Rajsamand
Barmer
Jaisalmer
55.73
62.51
Monthly Meetings (in %)
During Dec, 2014
18.98
28.01
27.83
27.52
26.97
26.87
26.61
Bikaner
Jaipur I
Bundi
Ajmer
Karauli
Sikar
23.76
23.62
23.56
Bhilwara
Bharatpur
Sawai Madhopur
Dholpur
24.04
Jalore
25.38
28.56
Alwar
Jodhpur
28.62
Churu
25.41
28.90
Ganganagar
Hanumangarh
28.96
Jhalawar
31.33
Rajsamand
29.37
31.64
Jaipur II
Rajasthan
31.84
Tonk
29.61
32.08
Sirohi
Kota
32.66
Dausa
30.18
32.67
Banswara
Udaipur
32.69
Nagaur
30.50
32.97
Baran
Jhunjhunu
33.69
Pali
34.68
36.13
Chittorgarh
Dungarpur
36.72
42.86
Jaisalmer
Pratapgarh
43.69
Barmer
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 platformsworkshops 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…