Lok Sabha Question No. 892 (UNSTARRED), answered on 2021-07-23
Subject: Remuneration to ASHA Workers
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gangasandra Siddappa Basavaraj, Bhavana Gawali (Patil), Krishna Pal Singh Yadav

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

## LOK SABHA U NSTARRED QUES TION NO. 892 TO BE ANSWERED ON 23 RD JULY, 2021

## REMUNERATION TO ASHA WORKERS

## 892. SHRI G.S. BASAVARAJ: SHRIMATI BHAVANA PUNDALIKRAOGAWALI: DR. KRISHNA PAL SING H YADAV:

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

- (a) the details of remuneration paid to ASHA workers under National Rural Health Mission and whether the Government will consider enhancing the remuneration to ASHA workers enabling them to lead a dignified life;
- (b)  whether  the  Government  proposes  to  recognize services  of  ASHA  workers  as  full  time employee, if so, the details thereof and if not, the reasons therefor;
- (c) whether any social se curity benefit is being given to ASHA workers, if so, the details thereof and if not, the reasons therefor;
- (d) whether additional honorarium is being paid to the ASHA workers for undertaking additional duties under COVID - 19 management, if so, the details thereof;
- (e) the details of the steps taken to ensure timely payment of dues to the ASHA workers;
- (f) whether a number of ASHA workers have died during COVID- 19 duty and if so, the details thereof, State/UT - wise; and
- (g) the number of insurance claims filed for the health workers, fighting with COVID - 19 under PradhanMantri Garib Kalyan package along with further action taken thereon?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR . BHARATI PRAVIN PAW AR )

(a) :Under the National Health Mission, ASHAs are envisaged to be community health voluntee and are entitled to task/activity based incentives.

In  FY  2018 - 19  the  Union  Cabinet  approved  the  revised  amount  of  routine  recurren incentive for ASHAs from Rs. 1000/ month to Rs. 2000/month.

Now, ASHAs receive a fixed monthly incentive of Rs. 2000 per month for undertakin routine  and  recurring  activities.  The  details  of  incentives  for  routine  and  recurring given  to  ASHAs  is  placed  at  Annexure -I.  Additional ly,  she  is  provided  performance - b sed incentives for a varied set of activities under various National Health Programmes. De performance - based  incentives  for  a  varied  set  of  activities  under  various  National  H Programmes  is  placed  at  Annexure - II.  State  governments  also  provide  a  range  of  monetary incentives to the ASHAs. State - wise details of incentives provided to the ASHAs is placed at Annexure-III .

After the launch of the Ayushman Bharat scheme with operationalisation of Ayushma Bharat - He alth  and  Wellness  Centres  (AB - HWCs),  ASHAs  are  now  additionally  eligible  for Team Based Incentives (TBIs) along with ANMs based on monitored performance indicato rs (up to Rs. 1000 per month).

The incentives to ASHAs are regularly being reviewed and activit ies for which ASHAs would get incentives are expanded from time to time.

(b) :Under the National Health Mission, ASHAs are envisaged to be community health voluntee and are entitled only to task/activity based incentives.

(c) : In  the  year  2018,  the  ASHA benefit  package  was  introduced  acknowledging  significant contribution and commitment of ASHAs. The package providing coverage for:

- Pradhan Mantri Jeevan Jyoti Beema Yojana (PMJJBY) with a benefit Rs. 2.00 Lakh in case of death of the insured (annual premi um of Rs. 330 contributed by GOI).
- Pradhan Mantri Suraksha Beema Yojana (PMSBY) with a benefit of Rs. 2.00 lakh for accidental  death  or  permanent  disability;  Rs.  1.00  lakh  for  partial  disability premium of Rs. 12 contributed by GOI).
- Pradhan Mantri Shram Yogi Maan Dhan (PM - SYM) with pension benefit of Rs. 3000 pm after age of 60 years (50% contribution of premium by GOI and 50% by beneficiaries).

years,

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 acknowledgement of their contribution.

as

States/UTs have been asked to ensure provision of safet y tools like masks, gloves, soaps and sanitizers etc. for ASHAs.

Moreover, under the recently launched Pradhan Mantri Garib Kalyan Package in the year 2020,  Insurance  Scheme  has  been  introduced  for  all  health  workers,  including  ASHAs.  T insurance  scheme provides  an  insurance  cover  of  Rs.  50.00  Lakhs  in - case  of  loss  of  life  on account of COVID - 19 related duty.

(d) : In  view  of  the  significant contribution towards the COVID - 19  pandemic related work by ASHAs, States were advised to pay an additional incenti ve of Rs.1000/ - per  month  for  those ASHAs engaged in COVID-19 related work using the resources of COVID - 19 Health System Preparedness and Emergency Response Package upto September, 2021.

Moreover, under the recently launched Pradhan Mantri Garib Kalyan Pa ck ge, Insurance Scheme has been introduced for all health workers, including ASHAs. This insurance sche provides an insurance cover of Rs. 50.00 Lakhs in - c se of loss of life on account of COVID - 19 related duty.

Provisions  are  also  made  for  continued full  payment  of  the  existing  Routine  and Recurring  Incentive  of  Rs.  2000  per  month  to  ASHAs  to  ensure  delivery  of  essential  he services during the pandemic along with additional COVID - 19 incentives for ASHAs.

(e) : Public  Health  and  Hospitals  being  a  S tate  Subject,  all  the  administrative  and  personnel matters  of  health  human  resource  lie  with  the  respective  State/UT  Governments.  Under National Health Mission (NHM), Government of India provides financial and technical supp to States/UTs to strengt hen their healthcare systems including support for remuneration of hea human resources including incentives for ASHA workers, based on the requirements posed the  States/UTs  in  their  Programme  Implementation  Plans  (PIPs)  subject  to  availabili res ources.  Hence,  the  responsibility  for  timely  payment  of  incentive  to  ASHAs  lies  wit respective States/UTs. However, Ministry of Health and Family Welfare, Government of Ind requests the States/UTs time and again, to ensure that incentives are paid to ASHAs without any delay.

(f) :A statement showing, State/UT - wise, numbers of ASHAs died during COVID - 19 activities as reported by the States/UTs (as on April, 2021) is placed at Annexure -IV.

(g) : As  on  18.07.2021,  1349  nos.  of  claims  have  been  filed  f or the health workers including ASHAs fighting with COVID - 19, out of which 944 nos. of claims were paid, 273 nos. of claims were withdrawn  by  States  or  found  ineligible  (not  being  in  terms  of  eligibility  crite remaining  132  nos.  of  claims  are under examinationunder  Pradhan  Mantri  Garib  Kalyan package.

Annexure-I

## The details of incentives for routine and recurring activities given to ASHAs

| S. No.   | Incentives                                                                                                                           | Previous Incentives   | Revised Incentives (September, 2018)   |
|----------|--------------------------------------------------------------------------------------------------------------------------------------|-----------------------|----------------------------------------|
| 1        | Mobilizing and attending Village Health and Nutrition Days or Urban Health and Nutrition Days                                        | Rs.200/ session       | Rs.200/ session                        |
| 2        | Conveying and guiding monthly meeting of VHSNC/MAS                                                                                   | Rs. 150               | Rs. 150                                |
| 3        | Attending monthly meeting at Block PHC/UPHC                                                                                          | Rs. 150               | Rs. 150                                |
| 4        | a. Line listing of households done at beginning of the year and updated every six months                                             | Rs. 100               | Rs. 300                                |
| 4        | b. Maintaining village health register and supporting universal registration of births and deaths to be updated on the monthly basis | Rs. 100               | Rs. 300                                |
| 4        | c. Preparation of due list of children to be immunized on monthly basis                                                              | Rs. 100               | Rs. 300                                |
| 4        | d. Preparation of list of ANC beneficiaries to be updated on monthly basis                                                           | Rs. 100               | Rs. 300                                |
| 4        | e. Preparation of list of eligible couple on monthly basis                                                                           | Rs. 100               | Rs. 300                                |
|          | Total                                                                                                                                | Rs. 1000/-            | Rs. 2000/-                             |

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| Annexure-II Details of performance-based incentives for a varied set of activities under various   | Annexure-II Details of performance-based incentives for a varied set of activities under various                                                                                                                                                                                                                      | Annexure-II Details of performance-based incentives for a varied set of activities under various   | Annexure-II Details of performance-based incentives for a varied set of activities under various   |
|----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|
|                                                                                                    | National Activities                                                                                                                                                                                                                                                                                                   | Health Programmes Amount in Rs/case                                                                | Source of Fund and Fund Linkages                                                                   |
| I                                                                                                  | Maternal Health                                                                                                                                                                                                                                                                                                       | Maternal Health                                                                                    | Maternal Health                                                                                    |
|                                                                                                    | JSY financial package                                                                                                                                                                                                                                                                                                 |                                                                                                    |                                                                                                    |
|                                                                                                    | For ensuring antenatal care for the woman                                                                                                                                                                                                                                                                             | Rs.300 for Rural areas and Rs. 200 for Urban areas                                                 | Maternal Health- NRHM-RCH Flexi pool                                                               |
|                                                                                                    | For facilitating institutional delivery                                                                                                                                                                                                                                                                               | Rs. 300 for Rural areas and Rs. 200 for Urban areas                                                | Maternal Health- NRHM-RCH Flexi pool                                                               |
|                                                                                                    | 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                                                                                       |
|                                                                                                    | 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                                                                                            | Child Health- NHM- RCH Flexi pool                                                                  |
|                                                                                                    | 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 Aspirational districts | Rs. 50/visit with total Rs. 250/per child for making 05 visits                                     | Child Health- NHM- RCH Flexi pool                                                                  |
|                                                                                                    | Undertaking 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                                           | Child Health- NHM- RCH Flexi pool                                                                  |
|                                                                                                    | Ensuring quarterly follow up of low- birth-weight babies and newborns discharged after treatment from                                                                                                                                                                                                                 | Rs. 50/ Quarter-from the 3 rd month until 1 year of age                                            | Child Health- NHM- RCH Flexi pool                                                                  |

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|     | Specialized New born Care Units 2                                                                                                                                                                           |                                                           |                           |
|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|---------------------------|
|     | Child Death Review for reporting child death of children under 5 years of age                                                                                                                               | Rs. 50                                                    |                           |
|     | For mobilizing and ensuring every eligible child (1-19 years out-of- school and non-enrolled) is administered Albendazole.                                                                                  | Rs. 100/ ASHA/Bi- Annual                                  |                           |
|     | Intensified Diarrhoea Control Fortnight                                                                                                                                                                     |                                                           |                           |
|     | Week-1-ASHA incentive for prophylactic distribution of ORS to families with under-five children                                                                                                             | Rs. 1 per ORS packet for 100 under five children          |                           |
|     | 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                           |                           |
| III | Immunization                                                                                                                                                                                                | Immunization                                              | Immunization              |
|     | Full immunization for a child under one year                                                                                                                                                                | Rs. 100                                                   | Routine Immunization Pool |
|     | Complete immunization per child up-to two years age (all vaccination received between 1st and second year of age after completing full immunization after one year                                          | Rs. 75 3                                                  |                           |
|     | Mobilizing children for OPV immunization under Pulse polio Programme                                                                                                                                        | Rs. 100/day 4                                             | IPPI funds                |
|     | DPT Booster at 5-6years of age                                                                                                                                                                              | Rs.50                                                     |                           |

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| IV   | Family Planning                                                           | Family Planning                                                                                                                                                                                                  | Family Planning                      |
|------|---------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------|
|      | Ensuring spacing of 2 years after marriage 5                              | Rs. 500                                                                                                                                                                                                          | Family planning - NHM RCH Flexi Pool |
|      | Ensuring spacing of 3 years after birth of 1 st child 5                   | Rs. 500                                                                                                                                                                                                          | Family planning - NHM RCH Flexi Pool |
|      | Ensuring a couple to opt for permanent limiting method after 2 children 6 | Rs. 1000                                                                                                                                                                                                         | Family planning - NHM RCH Flexi Pool |
|      | 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 |
|      | 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 Rs. 200 in remaining states | Family planning - NHM RCH Flexi Pool |
|      | 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                                                          | Family planning - NHM RCH Flexi Pool |

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|                                                                                                                                                    |                                                                                                                                                                                                                     | 400 in 146 MPV districts                                                                                                                           |                                                                                                                                                    |
|----------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                    | 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                                                                 |                                                                                                                                                    |
|                                                                                                                                                    | Escorting or facilitating beneficiary to the health facility for the PPIUCD insertion                                                                                                                               | Rs. 150/per case                                                                                                                                   |                                                                                                                                                    |
|                                                                                                                                                    | Escorting or facilitating beneficiary to the health facility for the PAIUCD insertion                                                                                                                               | Rs. 150/case                                                                                                                                       |                                                                                                                                                    |
| Mission Parivar Vikas- In selected 146 districts in six states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) | Mission Parivar Vikas- In selected 146 districts in six states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam)                                                                  | Mission Parivar Vikas- In selected 146 districts in six states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) | Mission Parivar Vikas- In selected 146 districts in six states- (57 in UP, 37 in Bihar, 14 RJS, 9 in Jharkhand, 02 in Chhattisgarh and 2 in Assam) |
|                                                                                                                                                    | 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                                                                                                                |
|                                                                                                                                                    | Mission Parivar Vikas 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                                                                                                                |
|                                                                                                                                                    | NayiPahel- an FP kit for newly weds- a FP kit would be given to the newly wed couple by ASHA (In initial phase ASHA may be given 2 kits/ ASHA)                                                                      | Rs. 100/ASHA/NayiPahel kit distribution                                                                                                            | Family planning-RCH- NHM Flexi Pool                                                                                                                |
|                                                                                                                                                    | Saas Bahu Sammelan- mobilize Saas Bahu for the Sammelan- maximum four rounds                                                                                                                                        | Rs. 100/ per meeting                                                                                                                               | Family planning-RCH- NHM Flexi Pool                                                                                                                |
|                                                                                                                                                    | 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                                                                                                                        | Family planning-RCH- NHM Flexi Pool                                                                                                                |
| V                                                                                                                                                  | Adolescent Health                                                                                                                                                                                                   | Adolescent Health                                                                                                                                  | Adolescent Health                                                                                                                                  |
|                                                                                                                                                    | Distributing sanitary napkins to adolescent girls                                                                                                                                                                   | Rs. 1/ pack of 6 sanitary napkins                                                                                                                  | Menstrual hygiene Scheme-RCH - NHM Flexi pool                                                                                                      |
|                                                                                                                                                    | Organizing monthly meeting with adolescent girls pertaining to Menstrual Hygiene                                                                                                                                    | Rs. 50/meeting                                                                                                                                     | VHSNC Funds                                                                                                                                        |
|                                                                                                                                                    | Incentive for support to Peer Educator (for facilitating selection                                                                                                                                                  | Rs. 100/ Per PE                                                                                                                                    | RKSK- NHM Flexi pool                                                                                                                               |

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|    | process of peer educators)                                                                                                                                                                |                                                                                                                                                                                           |                                                                                                                                                                                           |
|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|    | Incentive for mobilizing adolescents for Adolescent Health Day                                                                                                                            | Rs. 200/ Per AHD                                                                                                                                                                          |                                                                                                                                                                                           |
|    | 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) |
|    | 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                                                                                                                                       |                                                                                                                                                                                           |
| VI | Revised National Tuberculosis Control Programme 7                                                                                                                                         | Revised National Tuberculosis Control Programme 7                                                                                                                                         | Revised National Tuberculosis Control Programme 7                                                                                                                                         |
|    | Honorarium and counselling charges for being a DOTS provider                                                                                                                              |                                                                                                                                                                                           | RNTCP Funds                                                                                                                                                                               |
|    | For Category I of TB patients (New cases of Tuberculosis)                                                                                                                                 | Rs. 1000 for 42 contacts over six or seven months of treatment                                                                                                                            | RNTCP Funds                                                                                                                                                                               |
|    | 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                                                                                                                                                                               |
|    | 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                                                                                                                                                                               |
|    | For notification if suspect referred is diagnosed to be TB patient by MO/Lab 8                                                                                                            | Rs.100                                                                                                                                                                                    | RNTCP Funds                                                                                                                                                                               |

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| VII   | National Leprosy Eradication Programme 9                                                                                                            | National Leprosy Eradication Programme 9                                                                 | National Leprosy Eradication Programme 9         |
|-------|-----------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|--------------------------------------------------|
|       | 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                                       |
|       | 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                                       |
| VIII  | National Vector Borne Disease Control Programme                                                                                                     | National Vector Borne Disease Control Programme                                                          | National Vector Borne Disease Control Programme  |
| A)    | Malaria 10                                                                                                                                          |                                                                                                          |                                                  |
|       | Preparing blood slides or testing through RDT                                                                                                       | Rs. 15/slide or test                                                                                     | NVBDCP Funds for Malaria control                 |
|       | Providing complete treatment for RDT positive Pf cases                                                                                              |                                                                                                          | NVBDCP Funds for Malaria control                 |
|       | Providing complete radical treatment to positive Pf and Pv case detected by blood slide, as per drug regime                                         | Rs. 75/- per positive cases                                                                              | NVBDCP Funds for Malaria control                 |
|       | For referring a case and ensuring complete treatment                                                                                                | Rs. 300 (not in their updated list)                                                                      | NVBDCP Funds for Malaria control                 |
| B)    | Lymphatic Filariasis                                                                                                                                | Lymphatic Filariasis                                                                                     | Lymphatic Filariasis                             |
|       | 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 Filariasis |

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|    | endemic districts                                                                                                                                                                                                                                                 |                                                                                                                                                            |                                                                                            |
|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|
|    | For annual Mass Drug Administration for cases of Lymphatic Filariasis 11                                                                                                                                                                                          | Rs. 200/day for maximum three days to cover 50 houses and 250 persons                                                                                      |                                                                                            |
| C) | Acute Encephalitis Syndrome/Japanese Encephalitis                                                                                                                                                                                                                 | Acute Encephalitis Syndrome/Japanese Encephalitis                                                                                                          | Acute Encephalitis Syndrome/Japanese Encephalitis                                          |
|    | Referral of AES/JE cases to the nearest CHC/DH/Medical College                                                                                                                                                                                                    | Rs. 300 per case                                                                                                                                           | NVBDCP funds                                                                               |
| D) | Kala Azar elimination                                                                                                                                                                                                                                             |                                                                                                                                                            |                                                                                            |
|    | Involvement of ASHAs during the spray rounds (IRS) for sensitizing the community to accept indoor spraying 12                                                                                                                                                     | Rs. 100/- per round during Indoor Residual Spray i.e. Rs 200 in total for two rounds                                                                       | NVBDCP funds                                                                               |
|    | ASHA Incentive for referring a suspected case and ensuring complete treatment.                                                                                                                                                                                    | Rs. 500/per notified case                                                                                                                                  | NVBDCP funds                                                                               |
|    | E) Dengue and Chikungunya                                                                                                                                                                                                                                         |                                                                                                                                                            |                                                                                            |
|    | 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                                     |
|    | ASHA incentive for salt testing                                                                                                                                                                                                                                   | Rs.25 a month for testing 50 salt samples                                                                                                                  | NIDDCP Funds                                                                               |
|    | IX. Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening                                                                                                                                                                        | IX. Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening                                                                 | IX. Incentives under Comprehensive Primary Health Care (CPHC) and Universal NCDs Screening |
|    | Maintaining data validation and collection of additional information- per completed form/family for NHPM -under Ayushman Bharat                                                                                                                                   | Rs. 5/form/family                                                                                                                                          | NHM funds                                                                                  |
|    | Filling up of CBAC forms of every individual -onetime activity for enumeration of all individuals, filling CBAC for all individuals 30 or > 30                                                                                                                    | Rs. 10/per form/per individual as one time incentive                                                                                                       | NPCDCS Funds                                                                               |

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|    | years of age                                                                                                                         |                                          |                                           |
|----|--------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|-------------------------------------------|
|    | 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               |                                           |
|    | Delivery of new service packages under CPHC component                                                                                | Rs.1000/ASHA/PM (linked with activities) | NHM funds                                 |
| X  | Drinking water and sanitation                                                                                                        | Drinking water and sanitation            | Drinking water and sanitation             |
|    | Motivating Households to construct toilet and promote the use of toilets.                                                            | Rs. 75 per household                     | Ministry of Drinking Water and Sanitation |
|    | Motivating Households to take individual tap connections                                                                             | Rs. 75 per household                     | Ministry of Drinking Water and Sanitation |

## State-wise details of incentives provided to the ASHAs

## Annexure-III

1. Andhra Pradesh provides balance amount to match the total incentive of Rs.10,000/month;
2. Arunachal Pradesh-provides 100% top up;
3. Bihar- Rs.1000/- per ASHA per month linked with functionality of five specified 06 activities (started in FY 2019-20);
4. Chhattisgarh-75% of matching amount of the incentives over and above the incentives earned by an ASHA as a top up on an annual basis;
5. Delhi- Rs. 3000/- PM for functional ASHA (against the 12 core activities perform by ASHA);
6. Gujarat provides 50% top up;
7. Haryana- Rs. 4000/month from June-2018 and 50% top-up;
8. Himachal Pradesh- Rs. 2000/month;
9. Karnataka-Rs. 4000/month - recently introduced replacing the top up incentive;
10. 10.Kerala-Rs.5000/month in FY 2020-21;
11. 11.Odisha-Rs. 1000 /month from state fund launched on April 1st, 2018;
12. 12.Rajasthan- Rs. 2700/month through ICDS;
13. 13.Sikkim -Rs. 6000/month;
14. 14.Telangana provides balance amount to match the total incentive of Rs. 6000/- pm;
15. 15.Tripura  provides  100%  top  up  against  08  specified  activities  and  33%  top-up  based  on  other activities;
16. 16.Uttarakhand- Rs.5000/year and Rs. 1000/month;
17. 17.Uttar Pradesh- Rs.750/- per ASHA per month linked with functionality of five specified activities (started from March 2019); and
18. 18.West Bengal-Rs. 3000/month.

## Statement showing, State/UT-wise, numbers of ASHAs died during COVID-19 activities as reported by the States/UTs (as on April, 2021)

| Sr. No.   | Name of State/UT            |   No. of ASHA deaths |
|-----------|-----------------------------|----------------------|
| 1         | Andaman and Nicobar Islands |                    0 |
| 2         | Andhra Pradesh              |                    5 |
| 3         | Arunachal Pradesh           |                    0 |
| 4         | Assam                       |                    0 |
| 5         | Bihar                       |                    7 |
| 6         | Chhattisgarh                |                   12 |
| 7         | Dadar and Nagar Haveli      |                    0 |
| 8         | Daman and Diu               |                    0 |
| 9         | Delhi                       |                    1 |
| 10        | Gujarat                     |                   15 |
| 11        | Haryana                     |                    3 |
| 12        | Himachal Pradesh            |                    0 |
| 13        | Jammu and Kashmir           |                    3 |
| 14        | Jharkhand                   |                    2 |
| 15        | Karnataka                   |                   10 |
| 16        | Kerala                      |                    4 |
| 17        | Ladakh                      |                    0 |
| 18        | Lakshadweep                 |                    0 |
| 19        | Madhya Pradesh              |                   16 |
| 20        | Maharashtra                 |                    2 |
| 21        | Manipur                     |                    0 |
| 22        | Meghalaya                   |                    0 |
| 23        | Mizoram                     |                    0 |
| 24        | Nagaland                    |                    0 |
| 25        | Odisha                      |                    6 |
| 26        | Puducherry                  |                    0 |
| 27        | Punjab                      |                    2 |
| 28        | Rajasthan                   |                    7 |
| 29        | Sikkim                      |                    0 |
| 30        | Tamil Nadu                  |                    0 |
| 31        | Telangana                   |                    5 |
| 32        | Tripura                     |                    1 |
| 33        | Uttar Pradesh               |                    0 |
| 34        | Uttarakhand                 |                    5 |
| 35        | West Bengal                 |                    3 |
| Total     | Total                       |                  109 |