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     ASHA (Accredited Social Health Activities):

                 In Nagaland, ASHA programme under NRHM has been in place since 2006. 1700 ASHAs have already been selected and are in place in the Villages all over the State. Updation of ASHAs’ capacity and skill is an ongoing process and is imparted through a series of training based on modules especially developed for them. The positive impact of the implementation of ASHA programme in the State is quite visible and is evident from the higher level of health awareness amongst the rural population and as also from the increased number of people availing health services in the various health centres.

Key components of ASHA 

·         ASHA must primarily be a woman resident of the village – married/ widowed/ divorced, preferably in the age group of 25 to 45 years.

·         She should be a literate woman with formal education up to class eight. This may be relaxed only if no suitable person with this qualification is available.

·         ASHA will be chosen through a rigorous process of selection involving various community groups, self-help groups, Anganwadi Institutions, the Block Nodal officer, District Nodal officer, the Village Health Committee and the Village Council.

·         Capacity building of ASHA is being seen as a continuous process. ASHA will have to undergo series of training episodes to acquire the necessary knowledge, skills and confidence for performing her spelled out roles.

·         The ASHAs will receive performance-based incentives for promoting universal immunization, referral and escort services for Reproductive & Child Health (RCH) and other healthcare programmes, and construction of household toilets.

·         Empowered with knowledge and a drug-kit to deliver first-contact healthcare, every ASHA is expected to be a fountainhead of community participation in public health programmes in her village.

·         ASHA will be the first port of call for any health related demands of deprived sections of the population, especially women and children, who find it difficult to access health services.

·         ASHA will be a health activist in the community who will create awareness on health and its social determinants and mobilise the community towards local health planning and increased utilisation and accountability of the existing health services.

·         She would be a promoter of good health practices and will also provide a minimum package of curative care as appropriate and feasible for that level and make timely referrals.

·         ASHA will provide information to the community on determinants  of health such as nutrition, basic sanitation & hygienic practices, healthy living and working conditions, information on existing health services and the need for timely utilisation of health & family welfare services.

·         She will counsel women on birth preparedness, importance of safe delivery, breast-feeding and complementary feeding, immunization, contraception and prevention of common infections including Reproductive Tract Infection/Sexually Transmitted Infections (RTIs/STIs) and care of the young child.

·         ASHA will mobilise the community and facilitate them in accessing health and health related services available at the Anganwadi/ sub-centre/ primary health centers, such as immunisation, Ante Natal Check-up (ANC), Post Natal Check-up, supplementary nutrition, sanitation and other services being provided by the Government.

·         She will act as a depot older for essential provisions being made available to all habitations like Oral Rehydration Therapy (ORS), Iron Folic Acid Tablet(IFA), chloroquine, Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc.

·         At the village level it is recognised that ASHA cannot function without adequate institutional support. Women’s committees (like self-help groups or women’s health committees), Village Health & Sanitation Committee of the Village Council, peripheral health workers especially ANMs and Anganwadi workers, and the trainers of ASHA and in-service periodic training would be a major source of support to ASHA.

ASHA is responsible for creating Awareness on Health including

·         Providing information to the community on nutrition, hygiene and sanitation.

·         Providing information on existing health services and mobilizing and helping the community in accessing health related services available at Health Centers.

·         Registering pregnant women and helping women to get BPL certification.

·         Counseling women on birth preparedness, safe delivery, breast feeding, contraception, RTI/STI and care of young child.

·         Arranging escort/accompany pregnant women and children requiring treatment/ admission to the nearest health centre.

·         Promoting universal immunization.

·         Providing primary medical care for minor ailments. Keeping a drug kit for first aid of common ailments.

·         Promoting construction of household toilets.

·         Facilitating preparation and implementation of the Village Health Plan through AWW, ANM, SHG members under the leadership of Village Health Committee.


                         
Some achievements under ASHA programme

a.       Completion of  2nd round of Block ASHA Trainings on Module 6 & 7 in all Districts.                                                                  

b.      Distribution of ASHA Drug Kit to all 1700 ASHAs.

c.       Distribution of ASHA Badge to all 1700 ASHAs.

d.      Monthly Block ASHA Meetings conducted in all 54 Blocks.

e.       Refresher training of District ASHA trainers for 2nd round of Block ASHA Trainings held in July 2011.

f.       ASHA Mentoring Group meeting held in August 2011.

g.      3 quarterly review meetings of Block ASHA Coordinators held in July 2011, November 2011 and February 2012.

h.      Provision of Mobile handsets to all ASHAs.

i.        District level ASHA Convention to be held in March 2012

       

Number of ASHAs

                                                                                                                                                                                                                                                                                                                         

No.

District

No. of ASHA selected

1

Kohima

120

2

Mokokchung

171

3

Tuensang

153

4

Phek

132

5

Mon

210

6

Wokha

160

7

Zunheboto

194

8

Dimapur

242

9

Peren

130

10

Kiphire

103

11

Longleng

85

TOTAL

 

1700

 

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