Lok Sabha Question No. 4473 (UNSTARRED), answered on 2019-07-19
Subject: ASHA Workers
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Pintu

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

LOK SABHA UNSTARRED QUESTION NO. 4473 TO BE ANSWERED ON 19 TH JULY, 2019

## ASHA WORKERS

## 4473. SHRI SUNIL KUMAR PINTU:

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

- (a) whether measures have been taken/ being taken to strengthen the system related to workers  going  on  in  the  country  particularly  Sitamarhi,  Sheohar,  Muzaffarpur,  Madhub Darbhanga etc. so as to benefit maximu m number of women;
- (b) the details thereof; and
- (c) if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a) to (c): Under  the  National  Health  Mission  (NHM),  ASHAs  are  envisaged  to  be community health volunteers and are entitled to task/activity - based  incentives.  List of various activities for which incentives are provided to ASHAs is given at Annexur -I.However, States have the flexibility to design ASHA incentives.

The incentives to ASHAs for different tasks are regularly reviewed from time to Accordingly, Government of India has recently approved increase in the amount of routine recurring incentives under National Health Mission for ASHAs that will enable ASHAs to get least Rs 2000/ -per month subject to carrying out assigned tasks.  Further, theGovernment has also approved enhancement of supervisory visit charges for ASHA facilitators from Rs. 250/ - per visit to Rs. 300/ -per visit.

Further, benefits of Life insurance, accident insurance and pension to eligible ASHA ASHA facilitators are extended by enrolling them under:

- Pradhan Mantri Jeevan Jyoti Beema Yojana (premium of Rs. 330 contributed by GOI)
- Pradhan Mantri Suraksha Beema Yojana (premium of Rs. 12 contributed by GOI)
- Pradhan Mantri Shram Yogi MaanDhan (50% contribution of premium by GOI and 50% by beneficiaries).
- The government has also approved a cash award of Rs. 20,000/ -and a citation to ASHAs who  leave  the  programme  after  working  as  ASHAs  for  minimum  of  10  years,  as acknowledgement of their contribution.
- To enhance competency and professional credibility of ASHAs by knowledge and skil assessment, ASHA Certification pro gramme has been launched in 2014 which is being currently implemented in 23 States and 1 UT.
- 35  State  training  sites  and  95  district  training  sites  have  been  accredited  by institute of Open Schooling (NIOS).
- 179 state trainers and 468 district trainers have been certified by NIOS.
- About 6212 ASHAs and ASHA Facilitators have been certified.

As  per  the  information  given  by  the  State  of  Bihar,  ASHAs  are  getting  52  types Performance  Based  Incentives  under  various  Programs  of  NHM  and  one  ince ntive  for  the activity under Jan Arogya Yojana from State fund .State is taking following initiatives to ensure timely  payments  to  the  ASHA  including  districts  of  Sitamarhi,  Sheohar,  Muzaffarp Madhubani and Darbhanga:

- Bihar has started payment to the AS HA through PFMS (Public Financial Management System)  portal.  Till  date  99  %  ASHAs  are  registered  on  PFMS  and  Aadhaar  linked payment is being done through PFMS.
- A standardized Claim Format has been distributed to all selected ASHA in order to the paym ent.
- A decision has been taken by Govt. of Bihar to provide Rs. 4,00,000 (Four Lacs) t nearest dependant of an ASHA in case of her death.

## Annexure - I

| Updated list of ASHA Incentives   | Updated list of ASHA Incentives                                                                                                                                                                                                                                                                                                                                                                                                              | Updated list of ASHA Incentives                                                                                                | Updated list of ASHA Incentives                                                             |
|-----------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
|                                   | Activities                                                                                                                                                                                                                                                                                                                                                                                                                                   | Amount in Rs/case                                                                                                              | Source of Fund and Fund Linkages                                                            |
| I                                 | Maternal Health                                                                                                                                                                                                                                                                                                                                                                                                                              | Maternal Health                                                                                                                | Maternal Health                                                                             |
| 1                                 | JSY financial package                                                                                                                                                                                                                                                                                                                                                                                                                        | JSY financial package                                                                                                          | JSY financial package                                                                       |
| a.                                | For ensuring antenatal care for the woman                                                                                                                                                                                                                                                                                                                                                                                                    | Rs.300 for Rural areas and Rs. 200 for Urban areas                                                                             | Maternal Health- NRHM-RCH Flexi pool                                                        |
| b.                                | For facilitating institutional delivery                                                                                                                                                                                                                                                                                                                                                                                                      | Rs. 300 for Rural areas and Rs. 200 for Urban areas                                                                            | Maternal Health- NRHM-RCH Flexi pool                                                        |
| 2                                 | Reporting Death of women (15-49 years age group) by ASHA to PHC Medical Officer                                                                                                                                                                                                                                                                                                                                                              | Rs. 200 for reporting within 24 hours of occurrence of death by phone                                                          | HSC/ U-PHC- Un-tied Fund                                                                    |
| II                                | Child Health                                                                                                                                                                                                                                                                                                                                                                                                                                 | Child Health                                                                                                                   | Child Health                                                                                |
| 1                                 | Undertaking Home Visit for the care of the New Born and Post Partum mother 1 - Six Visits in Case of Institutional Delivery (Days 3 rd , 7 th , 14th, 21 st , 28 th & 42 nd ) -Seven visits in case of Home Deliveries (Days 1 st , 3 rd , 7 th , 14th, 21 st , 28 th & 42 nd )                                                                                                                                                              | Rs. 250                                                                                                                        | birth of the child and should with BCG, first dose of OPV Child Health- NHM- RCH Flexi pool |
| 1 This 2                          | incentive is provided only on completion criteria - birth registration, weight - record in the complete with due entries in the MCP card and Undertaking Home Visits of Young Child for Strengthening of Health & Nutrition of young child through Home Visits- (recommended schedule- 3 rd , 6 th , 9 th , 12 th and 15 th months) - (Rs.50 x 5 visits) -in 1st phase the programme is proposed to implement only in 235 POSHAN Abhiyan and | of 45days after MCP Card, immunization both mother and new born Rs. 50/visit with total Rs. 250/per child for making 05 visits | are safe until 42nd day of delivery.                                                        |

|     | For follow up visits to a child discharged from facility or Severe Acute Malnutrition (SAM) management centre                                                                                                | Rs. 150 only after MUAC is equal to nor-more than 125mm   | 3 4 up Care 5 6 7 five 8   |
|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|----------------------------|
|     | Ensuring quarterly follow of low birth weight babies and newborns discharged after treatment from Specialized New born Units 2                                                                               | Rs. 50/ Quarter-from the 3 rd month until 1 year of age   | 3 4 up Care 5 6 7 five 8   |
|     | Child Death Review for reporting child death of children under 5 years of age                                                                                                                                | Rs. 50                                                    | 3 4 up Care 5 6 7 five 8   |
|     | For mobilizing and ensuring every eligible child (1-19 years out-of-school and non-enrolled) is administered Albendazole.                                                                                    | Rs. 100/ ASHA/Bi- Annual                                  | 3 4 up Care 5 6 7 five 8   |
|     | Week-1-ASHA incentive for prophylactic distribution of ORS to families with under- children                                                                                                                  | Rs. 1 per ORS packet for 100 under five children          | 3 4 up Care 5 6 7 five 8   |
|     | Week-2- ASHA incentive for facilitating growth monitoring of all children in village; screening and referral of undernourished children to Health centre; IYCF counselling to under- five children household | Rs. 100 per ASHA for completing at least 80% of household |                            |
|     | MAA (Mother's Absolute Affection) Programme Promotion of Breastfeeding- Quarterly mother meeting                                                                                                             | Rs. 100/ASHA/ Quarterly meeting                           | 9                          |
| III | Immunization                                                                                                                                                                                                 | Immunization                                              | Immunization               |
| 1   | Full immunization for a child under one year                                                                                                                                                                 | Rs. 100                                                   | Routine Immunization Pool  |
| 2   | Complete immunization per child up-to two years age (all vaccination received between 1st and second                                                                                                         | Rs. 75 3                                                  | Routine Immunization Pool  |

|    | year of age after completing full immunization after one year             |                                                                                                                                                                                                             |                                      |
|----|---------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------|
| 3  | Mobilizing children for OPV immunization under Pulse polio Programme      | Rs. 100/day 4                                                                                                                                                                                               | IPPI funds                           |
| 4  | DPT Booster at 5-6years of age                                            | Rs.50                                                                                                                                                                                                       |                                      |
| IV | Family Planning                                                           | Family Planning                                                                                                                                                                                             | Family Planning                      |
| 1  | Ensuring spacing of 2 years after marriage 5                              | Rs. 500                                                                                                                                                                                                     | Family planning - NHM RCH Flexi Pool |
| 2  | Ensuring spacing of 3 years after birth of 1 st child 5                   | Rs. 500                                                                                                                                                                                                     | Family planning - NHM RCH Flexi Pool |
| 3  | Ensuring a couple to opt for permanent limiting method after 2 children 6 | Rs. 1000                                                                                                                                                                                                    | Family planning - NHM RCH Flexi Pool |
| 4  | Counselling, motivating and follow up of the cases for Tubectomy          | Rs. 200 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat) Rs.300 in 146 MPV districts Rs. 150 in remaining states | Family planning - NHM RCH Flexi Pool |
| 5  | Counselling, motivating and follow up of the cases for Vasectomy/ NSV     | Rs. 300 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat) and 400 in 146 MPV districts and                        | Family planning - NHM RCH Flexi Pool |

Uttarakhand, Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim,

Tripura, Gujarat, Haryana, Karnataka, Maharashtra, Andhra Pradesh, Telangana, West Bengal Daman and Diu

6 Bihar, Chhattisgarh,

Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh, Uttarakhand, Arunachal Pradesh, Assam, Manipur, Meghalaya,

|                                                                                                                                                                        |                                                                                                                                                                                                                    | Rs. 200 in remaining states                                                                                                                                                      | 6 7 8 9                                                                                                                                                                |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                                        | Female Postpartum sterilization                                                                                                                                                                                    | Rs. 300 in 11 states with high fertility rates (UP, Bihar, MP, Rajasthan, Chhattisgarh, Jharkhand, Odisha, Uttarakhand, Assam, Haryana and Gujarat) and 400 in 146 MPV districts | 6 7 8 9                                                                                                                                                                |
|                                                                                                                                                                        | Social marketing of contraceptives- as home delivery through ASHAs                                                                                                                                                 | Rs. 1 for a pack of 03 condoms, Rs. 1 for a cycle of OCP, Rs. 2 for a pack of ECPs                                                                                               | 6 7 8 9                                                                                                                                                                |
|                                                                                                                                                                        | Escorting or facilitating beneficiary to the health facility for the PPIUCD insertion                                                                                                                              | Rs. 150/per case                                                                                                                                                                 | 6 7 8 9                                                                                                                                                                |
|                                                                                                                                                                        | Escorting or facilitating beneficiary to the health facility for the PAIUCD insertion                                                                                                                              | Rs. 150/case                                                                                                                                                                     | 6 7 8 9                                                                                                                                                                |
| Mission ParivarVikas- In selected 146 districts in seven states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh, Madhya Pradesh 25 and 2 in Assam) | Mission ParivarVikas- In selected 146 districts in seven states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh, Madhya Pradesh 25 and 2 in Assam)                                             | Mission ParivarVikas- In selected 146 districts in seven states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh, Madhya Pradesh 25 and 2 in Assam)           | Mission ParivarVikas- In selected 146 districts in seven states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh, Madhya Pradesh 25 and 2 in Assam) |
| 10                                                                                                                                                                     | Injectable Contraceptive MPA (Antara Program) and a non-hormonal weekly centchroman pill (Chhaya) - Incentive to ASHA                                                                                              | Rs. 100 per dose                                                                                                                                                                 | Family planning- RCH- NHM Flexi Pool                                                                                                                                   |
| 11                                                                                                                                                                     | Mission ParivarVikas Campaigns Block level activities- ASHA to be oriented on eligible couple survey for estimation of beneficiaries and will be expected to conducted eligible couple survey- maximum four rounds | Rs. 150/ ASHA/round                                                                                                                                                              | Family planning- RCH- NHM Flexi Pool                                                                                                                                   |
| 12                                                                                                                                                                     | NayiPahel- an FP kit for newly weds- a FP kit would be given to the newly wed couple by ASHA (In initial                                                                                                           | Rs. 100/ASHA/NayiPahel kit distribution                                                                                                                                          | Family planning- RCH- NHM Flexi Pool                                                                                                                                   |

|    | phase ASHA may be given 2 kits/ ASHA)                                                                                                                                   |                                            |                                               |
|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------|-----------------------------------------------|
| 13 | SaasBahuSammelan- mobilize SaasBahu for the Sammelan- maximum four rounds                                                                                               | Rs. 100/ per meeting                       |                                               |
| 14 | Updating of EC survey before each MPV campaign- Note-updating of EC survey register incentive is already part of routine and recurring incentive                        | Rs.150/ASHA/Quarterly round                |                                               |
| V  | Adolescent Health                                                                                                                                                       | Adolescent Health                          | Adolescent Health                             |
| 1  | Distributing sanitary napkins to adolescent girls                                                                                                                       | Rs. 1/ pack of 6 sanitary napkins          | Menstrual hygiene Scheme-RCH - NHM Flexi pool |
| 2  | Organizing monthly meeting with adolescent girls pertaining to Menstrual Hygiene                                                                                        | Rs. 50/meeting                             | VHSNC Funds                                   |
| 3  | Incentive for support to Peer Educator (for facilitating selection process of peer educators)                                                                           | Rs. 100/ Per PE                            | RKSK- NHM Flexi pool                          |
| 4  | Incentive for mobilizing adolescents for Adolescent Health day                                                                                                          | Rs. 200/ Per AHD                           | RKSK- NHM Flexi pool                          |
| VI | Incentive for Routine Recurrent Activities                                                                                                                              | Incentive for Routine Recurrent Activities | Incentive for Routine Recurrent Activities    |
| 1  | Mobilizing and attending VHND or (outreach session/Urban Health and Nutrition Days)                                                                                     | Rs. 2000 7                                 | NHM- Flexi Pool                               |
| 2  | Convening and guiding monthly meeting of VHSNC/MAS                                                                                                                      | Rs. 2000 7                                 | NHM- Flexi Pool                               |
| 3  | Attending monthly meeting at Block PHC/5U-PHC                                                                                                                           | Rs. 2000 7                                 | NHM- Flexi Pool                               |
| 4  | a) Line listing of households done at beginning of the year and updated every six months b) Maintaining records as per the desired norms like - village health register | Rs. 2000 7                                 | NHM- Flexi Pool                               |

|      | c) Preparation of due list of children to be immunized updated on monthly basis d) Preparation of due list of ANC beneficiaries to be updated on monthly basis e) Preparation of list of eligible couples updated on monthly basis   |                                                                                                                                                                                            |                                                                                                                                                                                            |
|------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| VII  | Participatory Learning and Action- (In selected 10 states that have low RMNCH+A indicators - Assam, Bihar, Chhattisgarh, Jharkhand , MP, Meghalaya, Odisha, Rajasthan, Uttarakhand and UP)                                           | Participatory Learning and Action- (In selected 10 states that have low RMNCH+A indicators - Assam, Bihar, Chhattisgarh, Jharkhand , MP, Meghalaya, Odisha, Rajasthan, Uttarakhand and UP) | Participatory Learning and Action- (In selected 10 states that have low RMNCH+A indicators - Assam, Bihar, Chhattisgarh, Jharkhand , MP, Meghalaya, Odisha, Rajasthan, Uttarakhand and UP) |
| 1    | Conducting PLA meetings- 2 meetings per month- Note-Incentive is also applicable for AFs @Rs.100/- per meeting for 10 meetings in a month                                                                                            | Rs. 100/ASHA/per meeting for 02 meetings in a month                                                                                                                                        |                                                                                                                                                                                            |
| VIII | Revised National Tuberculosis Control Programme 8                                                                                                                                                                                    | Revised National Tuberculosis Control Programme 8                                                                                                                                          | Revised National Tuberculosis Control Programme 8                                                                                                                                          |
|      | Honorarium and counselling charges for being a DOTS provider                                                                                                                                                                         |                                                                                                                                                                                            | RNTCP Funds                                                                                                                                                                                |
| 1    | For Category I of TB patients (New cases of Tuberculosis)                                                                                                                                                                            | Rs. 1000 for 42 contacts over six or seven months of treatment                                                                                                                             | RNTCP Funds                                                                                                                                                                                |
| 2    | For Category II of TB patients (previously treated TB cases)                                                                                                                                                                         | Rs. 1500 for 57 contacts over eight to nine months of treatment including 24-36 injections in intensive phase                                                                              | RNTCP Funds                                                                                                                                                                                |
| 3    | For treatment and support to drug resistant TB patients                                                                                                                                                                              | Rs. 5000 for completed course of treatment (Rs. 2000 should be given at the end on intensive phase and Rs. 3000 at the end of consolidation phase                                          | RNTCP Funds                                                                                                                                                                                |
| 4    | For notification if suspect referred is diagnosed to be TB patient by MO/Lab 9                                                                                                                                                       | Rs.100                                                                                                                                                                                     | RNTCP Funds                                                                                                                                                                                |

| IX   | National Leprosy Eradication Programme 10                                                                                                         | National Leprosy Eradication Programme 10                                                                | National Leprosy Eradication Programme 10       |
|------|---------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|-------------------------------------------------|
| 1    | Referral and ensuring compliance for complete treatment in pauci-bacillary cases of Leprosy - for 33 states (except Goa, Chandigarh &Puducherry). | Rs. 250 (for facilitating diagnosis of leprosy case)+ Rs. 400 (for follow up on completion of treatment) | NLEP Funds                                      |
| 2    | Referral and ensuring compliance for complete treatment in multi-bacillary cases of Leprosy- for 33 states (except Goa, Chandigarh &Puducherry).  | Rs. 250 (for facilitating diagnosis of leprosy case)+ Rs. 600 (for follow up on completion of treatment) | NLEP Funds                                      |
| X    | National Vector Borne Disease Control Programme                                                                                                   | National Vector Borne Disease Control Programme                                                          | National Vector Borne Disease Control Programme |
| A)   | Malaria 11 NVBDCP                                                                                                                                 | Malaria 11 NVBDCP                                                                                        | Malaria 11 NVBDCP                               |
| 1    | Preparing blood slides or testing through RDT                                                                                                     | Rs. 15/slide or test                                                                                     | Funds for                                       |
| 2    | Providing complete treatment for RDT positive Pf cases                                                                                            | Rs. 75/- per positive cases                                                                              | Malaria control                                 |
| 3    | Providing complete radical treatment to positive Pf and Pv case detected by blood slide, as per drug regime                                       | Rs. 75/- per positive cases                                                                              | Funds for                                       |
| 4    | For referring a case and ensuring complete treatment                                                                                              | Rs. 300 (not in their updated list)                                                                      | Funds for                                       |
| B)   | Lymphatic Filariasis                                                                                                                              | Lymphatic Filariasis                                                                                     | Lymphatic Filariasis                            |
| 1    | For one time line listing of lymphoedema and hydrocele cases in all areas of non-endemic and                                                      | Rs. 200                                                                                                  | NVBDCP funds for control of Lymphatic           |

|    | endemic districts                                                                                                                                                                                                                                                 |                                                                                                                                                            | Filariasis                                                                             |
|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|
| 2  | For annual Mass Drug Administration for cases of Lymphatic Filariasis 12                                                                                                                                                                                          | Rs. 200/day for maximum three days to cover 50 houses and 250 persons                                                                                      | Filariasis                                                                             |
| C) | Acute Encephalitis Syndrome/Japanese Encephalitis                                                                                                                                                                                                                 | Acute Encephalitis Syndrome/Japanese Encephalitis                                                                                                          | Acute Encephalitis Syndrome/Japanese Encephalitis                                      |
| 1  | Referral of AES/JE cases to the nearest CHC/DH/Medical College                                                                                                                                                                                                    | Rs. 300 per case                                                                                                                                           | NVBDCP funds                                                                           |
| D) | Kala Azar elimination                                                                                                                                                                                                                                             | Kala Azar elimination                                                                                                                                      | Kala Azar elimination                                                                  |
| 1  | Involvement of ASHAs during the spray rounds (IRS) for sensitizing the community to accept indoor spraying 13                                                                                                                                                     | Rs. 100/- per round during Indoor Residual Spray i.e. Rs 200 in total for two rounds                                                                       | NVBDCP funds                                                                           |
| 2  | ASHA Incentive for referring a suspected case and ensuring complete treatment.                                                                                                                                                                                    | Rs. 500/per notified case                                                                                                                                  | NVBDCP funds                                                                           |
| E) | Dengue and Chikungunya                                                                                                                                                                                                                                            | Dengue and Chikungunya                                                                                                                                     | Dengue and Chikungunya                                                                 |
| 1  | Incentive for source reduction & IEC activities for prevention and control of Dengue and Chikungunya in 12 High endemic States (Andhra Pradesh, Assam, Gujarat, Karnataka, Kerala, Maharashtra, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana and West Bengal) | Rs. 200/- (1 Rupee /House for maximum 200 houses PM for 05 months- during peak transmission season). The incentive should not be exceed Rs. 1000/ASHA/Year | NVBDCP funds                                                                           |
| F) | National Iodine Deficiency Disorders Control Programme                                                                                                                                                                                                            | National Iodine Deficiency Disorders Control Programme                                                                                                     | National Iodine Deficiency Disorders Control Programme                                 |
| 1  | ASHA incentive for salt testing                                                                                                                                                                                                                                   | Rs.25 a month for testing 50 salt samples                                                                                                                  | NIDDCP Funds                                                                           |
| XI | Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening                                                                                                                                                                            | Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening                                                                     | Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening |
| 1  | Maintaining data validation and collection of additional information- per completed form/family for NHPM - under Ayushman Bharat                                                                                                                                  | Rs. 5/form/family                                                                                                                                          | NHM funds                                                                              |
| 2  | Filling up of CBAC forms of                                                                                                                                                                                                                                       | Rs. 10/per form/per                                                                                                                                        | NPCDCS                                                                                 |

|     | every individual -onetime activity for enumeration of all individuals, filling CBAC for all individuals 30 or > 30 years of age      | individual as one time incentive         | Funds                                     |
|-----|--------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|-------------------------------------------|
| 3   | Follow up of patients diagnosed with Hypertension/Diabetes and three common cancer for ignition of treatment and ensuring compliance | Rs. 50/per case/Bi-Annual                | Funds                                     |
| 4   | Delivery of new service packages under CPHC component                                                                                | Rs.1000/ASHA/PM (linked with activities) | NHM funds                                 |
| XII | Drinking water and sanitation                                                                                                        | Drinking water and sanitation            | Drinking water and sanitation             |
| 1   | Motivating Households to construct toilet and promote the use of toilets.                                                            | Rs. 75 per household                     | Ministry of Drinking Water and Sanitation |
| 2   | Motivating Households to take individual tap connections                                                                             | Rs. 75 per household                     | Ministry of Drinking Water and Sanitation |