Lok Sabha Question No. 2465 (UNSTARRED), answered on 2018-03-09
Subject: ASHA Workers
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DIPSINH SHANKARSINH RATHOD, RABINDRA KUMAR JENA, PARESH RAWAL, VINOD CHAVDA, PONNUSAMY VENUGOPAL

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2465 TO BE ANSWERED ON 9 TH MARCH, 2018

## ASHA WORKERS

## 2465. SHRI D.S. RATHOD:

SHRI RABINDRA KUMAR JENA: SHRI PARESH RAVAL: SHRI VINOD LAKHAMASHI CHAVDA:

DR. P. VENUGOPAL:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the 45th and 46th Indian Labour Conference (ILC) recommended that scheme workers such as ASHA (accredited Social Health Activists) should be recognised as workers, paid minimumwages and social security benefits and regularise their services;
- (b)  if  so,  the  details  thereof  and number  of  ASHA  workers  currently working  under  the National Health Mission, State/UT - wise;
- (c)the  details  of  wages  currently  paid to  ASHA  workers  alongwith  the  other benefits provided to them;
- (d) whether the Government has any data of the certified ASHA workers by NIOs in the country if so, the details thereof along with the amount granted/ utili sed by NIOs during the last three years; and
- (e) whether ASHA workers are considered as volunteers and not full time heal h workers and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): The  45 th and  46 th Indian  Labour  Conference  (ILC)  has  recommended  that  scheme workers such as ASHAs should be recognised as workers and must be paid minimum wages and social security benefits including pensions.
- (b): The recommendations/  Record  of  Discussion  of  45 th &  46 th ILC  are  available  at https://www.labour.nic.in/lcandilasdivision/list - indian - abour - conferences . 'Public Health and Hospitals' being  a  State  subject,  under  the  National  Health  Mission  (NHM),  technical and financial support is provided to States to strengthen their healthcare systems incl ASHAs.  As  per  the  Framework  for  Implementation  of  NRHM  (now  NHM),  ASHA s  are envisaged  as  voluntary  Health  Activists.  The  State/  UT  wise  number  of  ASHAs  engaged under NHM is at Annexure -I
- (c): As per the Framework for implementation of NRHM (now NHM), ASHAs would not be paid any honorarium and would be entitled for performa nce based compensation . The list of task/ activity of ASHAs and incentives approved at national level is at Annexure -II. States have also been given the flexibility to design ASHA incentives. Many States are also paying fixed monthly honorarium out of thei r State Budget. List of State specific ASHA incentives/ fixed honorarium are at Annexure -III.
- (d): As per information available ,t otal 2361 ASHA workers were registered for the first examination of ASHA workers conducted by NIOS on 31st of January, 2018 of which 2256 workers appeared and 105 were absent.

State - wise number of ASHA workers appeared in examination is as under:

| Sl. No      | Name of State     |   No. of ASHA workers |
|-------------|-------------------|-----------------------|
| 1           | Assam             |                   471 |
| 2           | Karnataka         |                   302 |
| 3           | Arunachal Pradesh |                    22 |
| 4           | Tripura           |                   304 |
| 5           | Sikkim            |                    25 |
| 6           | Maharashtra       |                   279 |
| 7           | Madhya Pradesh    |                   120 |
| 8           | Delhi             |                   175 |
| 9           | Jharkhand         |                   558 |
| Grand Total | Grand Total       |                  2256 |

The details of Receipt and Expenses incurred by NIOS for ASHA Project for the l three years are as under:

| Financial Year   | Receipt (in Rs)   | Expenses (In Rs)   |
|------------------|-------------------|--------------------|
| 2014- 15         | 7,64,72,049       | -                  |
| 2015- 16         | -                 | 28,74,455          |
| 2016- 17         | -                 | 56,10,983          |

- (e): As per the Framework for implementation of NRHM (now NHM), ASHAs would not be paid any honorarium and would be entitled for performance based compensation.

## Annexure - I

| Status of ASHAsSelected/In - Position under NHM   | Status of ASHAsSelected/In - Position under NHM   | Status of ASHAsSelected/In - Position under NHM   | Status of ASHAsSelected/In - Position under NHM   | Status of ASHAsSelected/In - Position under NHM   |
|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|
| S.No.                                             | States/UTs                                        | ASHAs Selected (Rural)                            | ASHA - In Position (Urban)                        | Total ASHAs                                       |
| 1                                                 | Bihar                                             | 86893                                             | 344                                               | 87237                                             |
| 2                                                 | Chhattisgarh                                      | 66713                                             | 3295                                              | 70008                                             |
| 3                                                 | Himachal Pradesh*                                 | 32342                                             | 24                                                | 32366                                             |
| 4                                                 | Jammu & Kashmir                                   | 11843                                             | 63                                                | 11906                                             |
| 5                                                 | Jharkhand                                         | 40964                                             | 216                                               | 41180                                             |
| 6                                                 | Madhya Pradesh                                    | 68698                                             | 3907                                              | 72605                                             |
| 7                                                 | Odisha                                            | 46678                                             | 1435                                              | 48113                                             |
| 8                                                 | Rajasthan                                         | 57010                                             | 4040                                              | 61050                                             |
| 9                                                 | Uttar Pradesh                                     | 162945                                            | 5557                                              | 168502                                            |
| 10                                                | Uttarakhand                                       | 11086                                             | 561                                               | 11647                                             |
| 11                                                | Arunchal Pradesh                                  | 3826                                              | 42                                                | 3868                                              |
| 12                                                | Assam                                             | 30619                                             | 1336                                              | 31955                                             |
| 13                                                | Manipur                                           | 4009                                              | 81                                                | 4090                                              |
| 14                                                | Meghalaya                                         | 6516                                              | 178                                               | 6694                                              |
| 15                                                | Mizoram                                           | 1091                                              | 79                                                | 1170                                              |
| 16                                                | Nagaland                                          | 1887                                              | 38                                                | 1925                                              |
| 17                                                | Sikkim                                            | 641                                               | 25                                                | 666                                               |
| 18                                                | Tripura                                           | 7590                                              | 356                                               | 7946                                              |
| 19                                                | Andhra Pradesh                                    | 39009                                             | 2502                                              | 41511                                             |
| 20                                                | Goa                                               | 0                                                 | 0                                                 | 0                                                 |
| 21                                                | Gujarat                                           | 37967                                             | 3950                                              | 41917                                             |
| 22                                                | Haryana                                           | 17355                                             | 2472                                              | 19827                                             |
| 23                                                | Karnataka                                         | 34694                                             | 2454                                              | 37148                                             |
| 24                                                | Kerala                                            | 28115                                             | 1820                                              | 29935                                             |
| 25                                                | Maharashtra                                       | 59310                                             | 7675                                              | 66985                                             |
| 26                                                | Punjab                                            | 18983                                             | 2362                                              | 21345                                             |
| 27                                                | Tamil Nadu                                        | 3905                                              | 0                                                 | 3905                                              |
| 28                                                | Talengna                                          | 29257                                             | 3142                                              | 32399                                             |
| 29                                                | West Bengal                                       | 53370                                             | 5444                                              | 58814                                             |
| 30                                                | A & N Islands                                     | 407                                               | 0                                                 | 407                                               |
| 31                                                | Chandigarh                                        | 14                                                | 18                                                | 32                                                |
| 32                                                | D & N Haveli                                      | 397                                               | 59                                                | 456                                               |
| 33                                                | Daman & Diu                                       | 87                                                | 8                                                 | 95                                                |
| 34                                                | Delhi                                             | 0                                                 | 5327                                              | 5327                                              |
| 35                                                | Lakshadweep                                       | 105                                               | 0                                                 | 105                                               |
| 36                                                | Puducherry                                        | 0                                                 | 0                                                 | 0                                                 |
| Total Note * Including Link worker                | Total Note * Including Link worker                | 964326                                            | 58810                                             | 1023136                                           |

Source: MIS Report

## Annexure - II

| List of ASHA incentives Provided by States   | List of ASHA incentives Provided by States                                                                                                               | List of ASHA incentives Provided by States                      | List of ASHA incentives Provided by States   |
|----------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------|----------------------------------------------|
| S. No.                                       | Heads of Compensation                                                                                                                                    | Amount in Rs/case                                               | Source of Fund and Fund Linkages             |
|                                              | Maternal Health                                                                                                                                          |                                                                 |                                              |
| 1.                                           | JSY financial package                                                                                                                                    |                                                                 |                                              |
|                                              | For ensuring antenatal for the woman                                                                                                                     | care 300 for Rural areas 200 for Urban areas                    | Maternal Health - NRHM - RCH Flexi pool      |
|                                              | For facilitating delivery                                                                                                                                | institutional 300 for Rural areas 200 for Urban areas           | Maternal Health - NRHM - RCH Flexi pool      |
| 2.                                           | Reporting Death of women (15-49 years age group) by ASHA to U-PHC Medical Officer                                                                        | 200 for reporting within hours of occurrence death by phone     | 24 of HSC/ U - PHC -Un -tied Fund            |
|                                              | Child Health                                                                                                                                             |                                                                 |                                              |
|                                              | 1. Undertaking six ( in case institutional deliveries)and seven( for home deliveries) home - visits for the care the new born and post - partum mother 1 | of of 250                                                       | ChildHealth -NHM -RCH Flexi pool             |
|                                              | For follow up visits to discharged from facility community Severe Acute Malnutrition (SAM) management centre                                             | a child or 150 only after MUAC is equal to nor -more than 125mm | ChildHealth -NHM -RCH Flexi pool             |
|                                              | 2. Ensuring quarterly follow of low birth weight babies and newborns discharged after treatment from Specialized New born Care Units                     | up 50                                                           | ChildHealth -NHM -RCH Flexi pool             |
|                                              | 3. Child Death Review                                                                                                                                    | for reporting child death 50                                    | of children under 5 years of                 |
|                                              | 4. For mobilizing and ensuring every eligible child - 19                                                                                                 | (1 100                                                          | ChildHealth -NHM -RCH Flexi pool             |

1 This incentive is provided only on completion of 45days after bith of the child and should meet the following criteria-birth registration, weight-record in the MCP Card, immunization with BCG, first dose of OPV and DPT complete with due entries in the MCP card and both mother and new born are safe until 42nd of delivery.

|     | years out - of- school and non - enrolled) is administered Albendazole.                                                                           |                                                                                                                                                    |                                      |
|-----|---------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------|
| 5.  | ASHA incentive for prophylactic distribution ORS                                                                                                  | of Re 1 per ORS packet                                                                                                                             |                                      |
| 6.  | MAA (Mother's Absolute Affection) Programme Promotion of Breastfeeding - Quartely mother meeting                                                  | 100/ASHA/ Quarterly meeting                                                                                                                        |                                      |
| III | Immunization                                                                                                                                      |                                                                                                                                                    |                                      |
| 1.  | Complete immunization for child under one year                                                                                                    | a 100.00                                                                                                                                           | Routine Immunization Pool            |
| 2.  | Full immunization per up- to two years age( vaccination received between 1st and second year of after completing full immunization after one year | child all age 50                                                                                                                                   | Routine Immunization Pool            |
| 3.  | Mobilizing children for immunization under Pulse polio Programme                                                                                  | OPV 100/day 2                                                                                                                                      | IPPI funds                           |
| IV  | Family Planning                                                                                                                                   |                                                                                                                                                    |                                      |
| 1.  | Ensuring spacing of 2 after marriage                                                                                                              | years 500                                                                                                                                          | Family planning - NHM RCH Flexi Pool |
| 2.  | Ensuring spacing of 3 after birth of 1 st child                                                                                                   | years 500                                                                                                                                          | Family planning - NHM RCH Flexi Pool |
| 3.  | Ensuring a couple to opt permanent limiting method after 2 children                                                                               | for 1000                                                                                                                                           | Family planning - NHM RCH Flexi Pool |
| 4.  | Counselling, motivating follow up of the cases Tubectomy                                                                                          | and for 200 in 11 states with fertility rates 3 ( UP, Bihar, MP, Rajasthan, Chhattisgrah, Jhakhand, Odisha, Uttrakhand, Asam, Haryana and Gujarat) | high                                 |

|                                                                                                                                          |                                                                                                                                                                                          | 150 in remaining states                                                                                                                                                    |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |
|------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------|
| 5.                                                                                                                                       | Counselling, motivating follow up of the cases Vasectomy/ NSV                                                                                                                            | and for 300 in 11 states with fertility rates 4 ( UP, Bihar, MP, Rajasthan, Chhattisgrah, Jhakhand, Odisha, Uttrakhand, Asam, Haryana and Gujarat) 200 in remaining states | high                                                                                                                                     | high                                                                                                                                     | high                                                                                                                                     |
| 6.                                                                                                                                       | Social marketing contraceptives - as home delivery through ASHAs                                                                                                                         | of 1 for a pack of condoms 1 for a cycle of OCP 2 for a pack of ECPs                                                                                                       | three                                                                                                                                    | three                                                                                                                                    | three                                                                                                                                    |
| 7.                                                                                                                                       | Escorting or facilitating beneficiary to the health facility for the Post Partum IUCD insertion                                                                                          | 150/case                                                                                                                                                                   |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |
| 8.                                                                                                                                       | Escorting or facilitating beneficiary to the health facility for the Post Abortion IUCD insertion                                                                                        | 150/case                                                                                                                                                                   |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |
| M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) | M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam)                                                 | M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam)                                   | M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) | M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) | M ission ParivarVikas -In selected 145 districts in six states - 36 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) |
| 9.                                                                                                                                       | Injectable Contraceptive MPA -Incentive to ASHA                                                                                                                                          | 100 per dose                                                                                                                                                               | Family planning -RCH - Pool                                                                                                              | NHM                                                                                                                                      | Flexi                                                                                                                                    |
| 10.                                                                                                                                      | Mission ParivarVikas Campaigns Block level activities - ASHA to be oriented on eligible couple survey for estimation beneficiaries and will expected to conduct eligible couple survey - | of be 150/ ASHA/round                                                                                                                                                      |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |
| 11.                                                                                                                                      | NayiPahel - an FP kit newly weds -be given 2 ASHA)                                                                                                                                       | for kits/ 100/ASHA/NayiPahel kit distribution                                                                                                                              |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |
| 12.                                                                                                                                      | Saas Bahu Sammelan - mobilize Saas Bahu for Sammelan                                                                                                                                     | the 100/ per meeting                                                                                                                                                       |                                                                                                                                          |                                                                                                                                          |                                                                                                                                          |

| V   | Adolescent Health                                                                   |                                                                                                                             |                                                 |
|-----|-------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------|
| 1.  | Distributing sanitary to adolescent girls                                           | napkins Re 1/ pack of 6 sanitary napkins                                                                                    | Menstrual hygiene Scheme - RCH - NHM Flexi pool |
| 2.  | Organizing monthly meeting with adolescent girls pertaining to Menstrual Hygiene    | 50/meeting                                                                                                                  | VHSNC Funds                                     |
| 3.  | Incentive for support to Educator (for facilitating selection process of educators) | Peer peer Per PE Rs. 100                                                                                                    | RKSK -NHM Flexi pool                            |
| 4.  | Incentive for mobilizing adolescents for Adolescent Health day                      | Per AHD Rs. 150                                                                                                             | RKSK -NHM Flexi pool                            |
| VI  | Revised National Tuberculosis Control Programme 5                                   |                                                                                                                             |                                                 |
|     | Honorarium and counselling charges for being a DOTS provider                        |                                                                                                                             | RNTCP Funds over of over of should on           |
| 1.  | For Category I of TB (New cases of Tuberculosis)                                    | patients 1000 for 42 contacts six or seven months treatment                                                                 | RNTCP Funds over of over of should on           |
| 2.  | For Category II of patients( previously TB cases)                                   | TB treated 1500 for 57 contacts eight to nine months treatment including 24 - 36 injections in intensive phas               | RNTCP Funds over of over of should on           |
| 3.  | For treatment and support drug resistant TB patients                                | to 5000 for completed course of treatment( 2000 be given at the end intensive phase and 3000 the end of consolidation phase | at                                              |
| 4.  | For notification if referred is diagnosed beto TB patient by MO/Lab 6               | suspect Rs.100                                                                                                              | RNTCP Funds over of over of should on           |

of

| VII   | National Leprosy Eradication Programme 7                                                                  |                                                                                                 |                                               |
|-------|-----------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-----------------------------------------------|
| 1.    | Referral and ensuring compliance for complete treatment in pauci - bacillary cases of Leprosy             | 250( for facilitating diagnosis of leprosy case)+ 400(for follow up on completion of treatment) | NLEP Funds                                    |
| 2.    | Referral and ensuring compliance for complete treatment in multi - bacillary cases of Leprosy             | 250(for facilitating diagnosis of leprosy case)+ 600((for follow up on completion of treatment) | NLEP Funds                                    |
| VIII  | National Vector Borne Disease Control Programme                                                           |                                                                                                 |                                               |
| A)    |                                                                                                           |                                                                                                 | Malaria 8                                     |
| 1.    | Preparing blood slides                                                                                    | 15/slide                                                                                        | NVBDCP Funds for Malaria control              |
| 2.    | Providing complete treatment for RDT positive Pf cases                                                    |                                                                                                 | NVBDCP Funds for Malaria control              |
| 3.    | Providing complete radical treatment to positive Pf Pv case detected by slide, as per drug regimen        | 75 and blood                                                                                    | NVBDCP Funds for Malaria control              |
| 4.    | For referring a case ensuring complete treatment                                                          | and 300                                                                                         | NVBDCP Funds for Malaria control              |
| B)    | Lymphatic Filariasis                                                                                      |                                                                                                 |                                               |
| 1.    | For one time line listing lymphoedema and hydrocele cases in all areas of - endemic and endemic districts | of non 200                                                                                      | NVBDCP funds for control Lymphatic Filariasis |
| 2.    | For annual Mass Drug Administration for cases Lymphatic Filariasis 9                                      | of 200/day for maximum three days to cover 50 houses and 250 persons                            | NVBDCP funds for control Lymphatic Filariasis |

For facilitating diagnosis and follow up for completion of treatment for multi-bacillary cases were Rs 500 incentive was given to ASHA before and has now been revised to-Rs 250 and Rs 600.

8 Incentive for slide preparation was Rs 5 and has been revised to Rs 15. Incentive for providing treatment for RDT positive Pf cases was Rs 20 before and has been revised to Rs 75. Incentive for providing complete radical treatment to positive Pf and Pv case detected by blood slide, as per drug regimen was Rs 50 before. Similarly-incentive for referring a case of malaria and ensuring complete treatment was Rs 200/case and has been revised to Rs 300 now. 9 Incentive has been revised from Rs 100 to Rs 200 per day for maximum three days to cover 50 houses or 250 persons

7 Incentives under NLEP for facilitating diagnosis and follow up for completion of treatment for pauci bacillary cases was Rs 300 before and has now been revised to-Rs 250 and Rs 400 now.

| C)   | Acute Encephalitis Syndrome/Japanese Encephalitis                                                                        |                                                                                                                                                                                                  |                                 |
|------|--------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------|
| 1.   | Referral of AES/JE cases the nearest CHC/DH/Medical College                                                              | to 300 per case                                                                                                                                                                                  | NVBDCP funds                    |
| D)   | Kala Azar elimination                                                                                                    |                                                                                                                                                                                                  |                                 |
| 1    | Involvement of ASHAs during the spray rounds(IRS) for sensitizing community to accept indoor spraying 10 (New incentive) | the Rs 100/ - per round during Indoor Residual Spray Rs 200 in total for rounds                                                                                                                  | i.e. two NVBDCP funds           |
| E)   | National Iodine Deficiency Disorders Control Programme                                                                   |                                                                                                                                                                                                  |                                 |
| 1    | ASHA incentive for testing                                                                                               | salt Rs. 25 a month for 50 salt samples                                                                                                                                                          | testing NIDDCP Funds            |
| IX   | Non -Communicable Diseases                                                                                               |                                                                                                                                                                                                  |                                 |
| 1    | National Programme for Control of Blindness (NPCB),                                                                      | Rs. 175 for each operated eye', for bringing the patient from community and follow up, up to operation stage                                                                                     | post NCD Flexipool              |
| 2    | Universal Screening NCDs                                                                                                 | of Rs. 10 per individual a onetime incentive enumeration of individuals, filling Community Based Assessment Checklist (CBAC) for all individuals over years of age mobilising for NCD screening. | as for all 30 and NCD Flexipool |
| 3    |                                                                                                                          | Rs. 50 per individual every six months follow up with patients                                                                                                                                   | for                             |

the DDT spray. During the spray rounds her involvement would be for sensitizing the community to accept indoor spraying and cover 100% houses and help Kala Azar elimination. She may be incentivized of total Rs 200/- (Rs.100 for each round) for the two rounds of insecticide spray in the affected districts of Uttar Pradesh, Bihar, Jharkhand and West Bengal.

10 In order to ensure vector control, the role of the ASHA is to mobilize the family for IRS. She does not carry out

|     |                                                                                                                                                                                                                                                                                                                                                                                      | diagnosed with Hypertension / Diabetes and Cancers for initiation of treatment and ensuring compliance for a period of 6 months   |                                       |
|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|---------------------------------------|
| X   | Incentive for Routine Recurrent Activities                                                                                                                                                                                                                                                                                                                                           |                                                                                                                                   |                                       |
| 1   | Mobilizing and attending VHND or(outreach session/Urban Health and Nutrition Days)                                                                                                                                                                                                                                                                                                   | 200 per session                                                                                                                   | NHM -Flexi Pool                       |
| 2   | Convening and guiding monthly meeting of VHSNC/MAS                                                                                                                                                                                                                                                                                                                                   | 150                                                                                                                               | NHM -Flexi Pool                       |
| 3.  | Attending monthly meeting at Block PHC/5U - PHC                                                                                                                                                                                                                                                                                                                                      | 150                                                                                                                               | NHM -Flexi Pool                       |
| 4.  | a) Line listing of households done at beginning of the and updated every six months b) Maintaining records as the desired norms like - village health register c) Preparation of due list children to be immunized updated on monthly basis d) Preparation of due list f ANC beneficiaries to updated on monthly basis e) Preparation of list eligible couples updated monthly basis | year per of o be of on 500                                                                                                        | NHM -Flexi Pool                       |
| X I | Drinking water and sanitation                                                                                                                                                                                                                                                                                                                                                        |                                                                                                                                   |                                       |
| 1   | Motivating Households construct toilet and the use of toilets.                                                                                                                                                                                                                                                                                                                       | to promote Rs. 75 per household                                                                                                   | Ministry of Drinking Water Sanitation |
| 2   | Motivating Households take individual connections                                                                                                                                                                                                                                                                                                                                    | to tap Rs. 75 per household                                                                                                       | Ministry of Drinking Water Sanitation |

and and

## Other State Specific Incentives for ASHAs

1. Chhattisgarh gives 50% of matching amount of the incentives over and above the incentives earned by an ASHA as a top up on an annual basis
2. Haryana (Rs. 1000/month)
3. Kerala (Rs.1500/month, Rajasthan (Rs. 1600/month through ICDS),
4. Karnataka (Rs. 3500/month -recently introduced replacing the top up incentive)
5. Sikkim (Rs. 3000/month)
6. Meghalaya and Tripura provide 100%matching amount of the incentives over and above the incentives earned by an ASHA as a top up on an annual basis.
7. West Bengal (Rs . 2000/month).
8. Recently  states  of  Gujarat,  Telangana  and  Uttrakhand  have  also  introduced incentives from state funds but modalities of payment are not available.