Lok Sabha Question No. 3830 (UNSTARRED), answered on 2017-03-24
Subject: ASHA Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRABHAS KUMAR SINGH, RAM KUMAR SHARMA KUSHWAHA

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

## LOK SABHA UNSTARRED QUESTION NO. 3830 TO BE ANSWERED ON 24 th MARCH, 2017

## ASHA PROGRAMME

## 3830. DR. PRABHAS KUMAR SINGH: SHRI RAM PRASAD SARMAH:

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

(a)  whether  National  Accredited  Social Health  Activist  (ASHA)  monitoring  group has  been constituted for ASHA programme;

(b) if so, the objectives thereof;

(c) the names of the members of the said Committee along with the time since whe  they are members of the Committee;

(d) the details of selection process, tenure and the expense incurred thereon and the outcome of the research conducted by such body;

(e) the total number of ASHA workers selected in the country, the details thereof, State - wise including North Eastern region; and

(f) whether the Government has taken such steps to ensure that every village shou d have at least one ASHA activist in remote and tri bal dominated areas like North Eastern region, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

(a) to (c): The Monitoring of ASHA programme is done through field visits and is part o Annual Common Review Mission of NHM. However the Ministry has set up a National ASHA Mentoring Group (NAMG) comprising of leading NGOs and well known experts on community health  f or  supervision  and  support  to  the  ASHA  Programme.  The  objectives  of  NAMG  is  at Annexure-I. The names of the members along with the time since when they are members o NAMG is at Annexure - II.

(d): Under  NAMG,  except  for  the  provision  of  state  nodal  officers  who  are  Ex - officio members,  with  a  tenure  of  two  years  each,  there  is  no  fixed  tenure  of  the  memb Consequently,  a  person  after  being  nominated  to  the  NAMG  remains  a  member  till  the  ne recon stitution  of  NAMG.  On  reconstitution  of  NAMG  she  /  he  continue  to  be  a  member  i her/his name has been retained in the reconstituted NAMG.

No honorarium is paid to the NAMG members. They provide their support and advice on voluntary basis. Only their travel and stay costs are borne, on 'actual basis' when they attend the NAMG meeting, or when they conduct a visit to a state to provide support to the state (w part of their role as per the objectives of NAMG).

No research is conducted by NAMG. Th ey provide their advice for giving direction to the ASHA programme, which includes guidance on the studies related to the programme. 'ASHA Which  Way  Forward,  Evaluation  of  ASHA  Programme'  is  one  such  major  study  for  which NAMG has provided their advice.

(e): The status of ASHAs selected under NRHM State - wise including North Eastern region is at Annexure -III.

(f): Public Health is a State subject. Under the National Health Mission (NHM), suppor provided  to  States/UTs  for  strengthening  their  healthca e  sys em  including  support  for Accredited  Social  Health  Activists (ASHAs)  based  on  proposals  received  from  State/UT governments. The Implementation of NHM including selection of ASHAs lie in the domain of the States .As per the guidelines, ASHAs are selec ted based on population norm of one ASHA per 1000 population, however in tribal, hilly and desert areas the norms can be relaxed ASHA per habitation, depending on the workload, geographic dispersion, and difficult terra

## Objectives of National ASHA Mentoring Group:

1. Provide tech nical guidance and inputs for policy to the Ministry of Health and Family Welfare on overall implementation and development of the ASHA Programme.
2. Identify one or few a states and provide on - site Mentoring throug h periodic supportive supervision visits.
3. Meet on a bi - annual basis to share the major observations and provide assessment repo related to programme progress, challenges and innovations across different states.
4. Identify constrains; provide feedback and strategic recommendations to the Ministry of Health and Family Welfare and state officials for appropriate interventions.
5. Support  in  undertaking  programme  evaluation  at  regular  intervals,  to  enable  evid based  understanding  of  programme  effectiveness  an d  propose  strategies  for  improved outcomes.
6. Facilitate  scale  up  of  ASHA  trainings  through -serving  as  training  site,  supporting  in identification  or  selection  of  trainers,  assisting  in  training  curriculum  des providing inputs for/developing training material.
7. Identify the emerging priorities and support in planning future goals to enable lo sustenance of the programme.

## Annexure - I

## Present List of NAMG members and date since they are member

|    | Name of NAMG member                                                                                                                                                                                   | Date of becoming NAMG member   |
|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------|
|  1 | Ms. InduCapoor Director Centre for Health Education, Training and Nutrition Awareness (CHETNA), Supath - II B Blcok, 3rd Floor, OppVadaj Bus Terminal, Ashram road, Vadaj Ahemadabad- 380013, Gujarat | 5 July 2005                    |
|  2 | Dr.NupurBasu Advisor - CINI Training Child In Need Institute (CINI), Vollage& PO Daulatpur, Via Joka, Dist South 24 Pargana, West Bengal - 700104                                                     | 6 August 2009                  |
|  3 | Dr. N F Mistry Director Foundation for Research in Community Health (FRCH), 84 A, RG Thadani Marg, Worli, Mumbai -400018,Maharashtra                                                                  | 6 August 2009                  |
|  4 | Dr.AlokMukopadhyay CEO Voluntary Health Association of India (VHAI), B - 40, Qutab Institutional Area, New Delhi-10016                                                                                | 5 July 2005                    |
|  5 | Dr.Abhay Bang Society for Education, Action and Research in Community (SEARCH), Shodhgram, P O & District -Gadchiroli (Maharashtra) -442605                                                           | Health 5 July 2005             |
|  6 | Dr.Prabir Chatterjee Executive Director State Health Resource Centre, BijliChowk, Kalibari, Raipur, Chhattisgarh                                                                                      | 17 May 2014                    |
|  7 | Dr. H. Sudarshan Secretary Karuna Trust, 686,Karuna Trust 16th A main, 38th Cross Jayanagar, T Block Banglore -560041                                                                                 | 5 July 2005                    |

|   8 | Dr. M. R. Rajagopal Chairman Pallium India S- 10, Vrindavan Gardens, Opposite Pattom Traffic Police Station, Pattom, Trivandrum 695004, Kerala            | 13 December 2012   |
|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------|
|   9 | Dr.RakhalGaitonde SOCHARA, C/o Balamandir Research Foundation, 31, Balamandir Compound, Prakasam Street, Chennai- 600017                                  | 13 December 2012   |
|  10 | Dr. Prashant K Tripathy Ekjut, Plot 556B, Potka, Chkradharpur, West Singbhum-833102 Jharkhand                                                             | 13 December 2012   |
|  11 | Ms. Sulakshana Nandi State Convenor Public Health Resource Network 28, New Panchsheel Nagar, Near KatoraTalab, Civil Lines, Raipur, Chhattisgarh - 492001 | 13 December 2012   |
|  12 | Dr. Raman Kataria Jan SwasthyaSahyog, I - 4, Parijat Colony Nehru Nagar Bilaspur -495 001 Chhattisgarh, Bilaspur, Chhattisgarh                            | 15 April 2014      |
|  13 | Dr.Amod Kumar (Kant) St. Stephen's Hospital St. Stephen's Hospital Marg Tis Hazari Delhi 110401                                                           | 13 December 2012   |
|  14 | Dr.Vikram Patel Sangath, 841/1, Behind Electricity Dept., AltoPorvorim, Bardez, Goa -403 521                                                              | 13 December 2012   |
|  15 | Dr.Armida Fernandez Founder Trustee SNEHA, SNEHA Behind Bldg. No. 11, BMC Colony Shastri Nagar Santa Cruz (West) Mumbai -400 054                          | 15 April 2014      |

| 16   | Dr.RajaniVed NHSRC, NIHFW Campus, Baba Gang Nath Marg , Munirka, New Delhi - 110067                                                                                    | 6 August 2009   |
|------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| 17 1 | Ms. SrabaniMajumder, State NGO Coordinator, Department of Health & Family Welfare SwasthyaBhawan, GN-29, Sector -5, Salt Lake City,Kolkata - 700091 (West Bengal)      | 11 January 2017 |
| 18   | Dr. Rajesh Jha General Manager(CP) & Nodal Officer(ASHA) SPMU - NRHM, Om Kailash Tower 19- A, VidhanSabhaMarg, Lucknow - 226 001 (Uttar Pradesh)                       | 11 January 2017 |
| 19   | Ms. ChubalaPongen State Programme Manager - CP, O/o Mission Director (NHM) Department of Health & Family Welfare, Govt. of Nagaland, RuziezouKohima, Nagaland - 797001 | 11 January 2017 |
| 20   | Dr.Rajkumar. N, ASHA Nodal Officer, Deputy Director (FW & MH) Directorate of Health and Family Welfare Services Govt of Karnataka, Karnataka.                          | 11 January 2017 |
| 21   | Dr.Monika Rana State Program Officer Delhi State Health Mission 6th Floor, -B Wing, VikasBhawan, Civil Lines, Near Metcalf House, New Delhi - 110054                   | 11 January 2017 |

## Annexure - III

| Status of ASHAs Selected, Trained under NRHM (as on September'16)   | Status of ASHAs Selected, Trained under NRHM (as on September'16)   | Status of ASHAs Selected, Trained under NRHM (as on September'16)   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| S.No.                                                               | States/UTs                                                          | ASHAs Selected                                                      |
| 1                                                                   | Bihar                                                               | 85708                                                               |
| 2                                                                   | Chhattisgarh                                                        | 66713                                                               |
| 3                                                                   | Himachal Pradesh                                                    | 32066                                                               |
| 4                                                                   | Jammu & Kashmir                                                     | 11843                                                               |
| 5                                                                   | Jharkhand                                                           | 40964                                                               |
| 6                                                                   | Madhya Pradesh                                                      | 66289                                                               |
| 7                                                                   | Odisha                                                              | 44583                                                               |
| 8                                                                   | Rajasthan                                                           | 53983                                                               |
| 9                                                                   | Uttar Pradesh                                                       | 147343                                                              |
| 10                                                                  | Uttarakhand                                                         | 11086                                                               |
| 11                                                                  | Arunchal Pradesh                                                    | 3826                                                                |
| 12                                                                  | Assam                                                               | 30619                                                               |
| 13                                                                  | Manipur                                                             | 4009                                                                |
| 14                                                                  | Meghalaya                                                           | 6460                                                                |
| 15                                                                  | Mizoram                                                             | 964                                                                 |
| 16                                                                  | Nagaland                                                            | 1887                                                                |
| 17                                                                  | Sikkim                                                              | 641                                                                 |
| 18                                                                  | Tripura                                                             | 7590                                                                |
| 19                                                                  | Andhra Pradesh                                                      | 39009                                                               |
| 20                                                                  | Goa                                                                 | 0                                                                   |
| 21                                                                  | Gujarat                                                             | 37191                                                               |
| 22                                                                  | Haryana                                                             | 16677                                                               |
| 23                                                                  | Karnataka                                                           | 32506                                                               |
| 24                                                                  | Kerala                                                              | 33953                                                               |
| 25                                                                  | Maharashtra                                                         | 58698                                                               |
| 26                                                                  | Punjab                                                              | 18773                                                               |
| 27                                                                  | TamilNadu                                                           | 3905                                                                |
| 28                                                                  | Talengna                                                            | 29257                                                               |
| 29                                                                  | West Bengal                                                         | 52225                                                               |
| 30                                                                  | A & N Islands                                                       | 407                                                                 |
| 31                                                                  | Chandigarh                                                          | 17                                                                  |
| 32                                                                  | D & N Haveli                                                        | 338                                                                 |
| 33                                                                  | Daman & Diu                                                         | 80                                                                  |
| 34                                                                  | Delhi                                                               | 0                                                                   |
| 35                                                                  | Lakshadweep                                                         | 102                                                                 |
| 36                                                                  | Puducherry                                                          | 0                                                                   |
| Total                                                               | Total                                                               | 939712                                                              |