Lok Sabha Question No. 1860 (UNSTARRED), answered on 2024-08-02
Subject: Remuneration for ASHA Workers
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adv Dean Kuriakose

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1860 TO BE ANSWERED ON THE 2 nd AUGUST, 2024

## REMUNERATION FOR ASHAWORKERS

## 1860: ADV. DEAN KURIAKOSE:

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

- (a) whether ASHA workers are not getting a fixed salary in the country and if so, the details thereof, State/UT-wise;
- (b) the details of total monthly remuneration received by ASHA workers, State-wise;
- (c) whether the Government intends to raise the total monthly remuneration of Anganwadi teachers in the country including honorarium to Rs. 21,000 and if so, the details thereof;
- (d) the details of pending amounts to be released to them, State-wise;
- (e) the details of the ratio of ASHA workers salary borne by Union Government and State Governments;
- (f) whether the ASHA workers are on strike for their minimum salary and regularization of their service in some States, if so, the details thereof; and
- (g) the details of criteria followed by State Governments for their selection, State-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (SMT. ANUPRIYAPATEL)

- (a) and (b) ASHAs are envisaged to be community health volunteer and entitled to task/activity-based incentives. ASHAs receive a fixed monthly incentive of Rs. 2000 per month for routine and recurring activities. Additionally, they are provided performance-based incentives for a varied set of activities under various National Health Programmes. The details of these ASHAincentives are available on the following Uniform Resources Locator (URL):

https://nhsrcindia.org/sites/default/files/2024-01/ASHA%20Incentives.pdf

States/UTs in their Programme Implementation Plans (PIPs) have also been given flexibility to provide a range of monetary incentives to the ASHAs details of which are placed at Annexure .

After the launch of the Ayushman Bharat scheme with operationalization of Ayushman Aarogya Mandir , ASHAs are now additionally eligible for Team Based Incentives (TBIs) along with ANMs based on monitored performance indicators (up to Rs. 1000 per month).

- (c) As per information provided by Ministry of Women & Child Development, Anganwadi Workers (AWW) and Anganwadi Helpers (AWH) are 'honorary workers' from the local

community who voluntarily come forward to render their services in the area of child care and development to help the community for which Anganwadi Worker is paid honorarium @Rs.4,500/- per month and Anganwadi Helper is paid honorarium @Rs.2,250/- per month on cost sharing basis between the Centre and State/UT along with performance linked incentive of Rs.250/- per month for AWHs and Rs.500/- to AWWs. In addition, States/UTs are also paying additional monetary incentives/honorarium to these functionaries from their own resources which vary from State to State. The State of Andhra Pradesh provides Rs. 7000/- as additional honorarium to AWWs.

(d) to (g) Under the National Health Mission (NHM), Government of India provides financial and technical support to States/UTs to strengthen their health systems, based on the requirements posed by them through their Programme Implementation Plans (PIPs), within their overall resource envelope. National Health Mission is a centrally sponsored scheme,funding pattern between the Centre -State is 60:40 for all States except

-  8 North Eastern States and 3 Himalayan States/UT (Himachal Pradesh, Uttarakhand, , UT of Jammu &Kashmir)- funding pattern is 90:10
-  UTs without Legislature - 100 % Centrally funded

All the administrative and personnel matters related to health human resource lies with the respective State/UT Governments. Details of protests conducted by ASHAs are discussed in State level meetings/National Programme Co-ordination Committee meetings based on the feedback received from States/UTs.

The details of Selection Criteria for ASHA are available on following link:

https://nhsrcindia.org/sites/default/files/2021-07/Community%20Processes%20Guidelines%2020 14%20%28English%29.pdf

State Governments are provided with the flexibility to modify the guidelines and the details of the selection process, based on their context except that no change may be made in the basic criteria of ASHA being a woman volunteer, with minimum education up to VIII class, (only to be relaxed in selected areas where no such candidate is available) and that she would be a resident of the village. In case any of the selection guidelines or process is modified, these should be widely disseminated in local languages.

***

## Annexure

|   Sl. | NoState/UT        | State specific fixed/top up incentive to ASHAs from State Fund                                                                                               |
|-------|-------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------|
|     1 | A&NI              | Rs. 500/- per month is being provided to every ASHAfor the betterment of villagers                                                                           |
|     2 | Andhra Pradesh    | Provides balance amount to match the total incentive of Rs.10, 000/month/ASHA                                                                                |
|     3 | Arunachal Pradesh | Rs. 2000 Per Month (100% top-up, frequency of disbursement quarterly)                                                                                        |
|     4 | Bihar             | Additional performance-based incentives of Rs. 1000/month/ASHA and Rs. 1000/month/ASHA Facilitator from state fund                                           |
|     5 | Chhattisgarh      | 75% of matching amount of incentives from state fund over the incentives earned by ASHA.                                                                     |
|     6 | Delhi             | Core incentives is Rs. 3000/- per month for functional ASHAplus certain state specific activity incentives.                                                  |
|     7 | Gujarat           | 50% TOP UP/ per month over total GOI incentive and 2500/month fix Incentive                                                                                  |
|     8 | Haryana           | Rs.4000/PM/ASHA and 50% top-up (Excluding Routine recurring incentive) and Rs. 450/- additional linked with performance of 05 Major RCH activities           |
|     9 | Himachal Pradesh  | Rs. 4700/- (State incentive has been increased by Rs. 500/-, therefore, total incentive payable w.e.f. April, 2023 is Rs. 5200/-)                            |
|    10 | Jharkhand         | Top up of 1000/- on performance based incentive of 14 key indicator                                                                                          |
|    11 | Karnataka         | The State Govt is providing Rs.5000 per month as Monthly fixed honararium to ASHAs                                                                           |
|    12 | Kerala            | Rs. 6000 per month as ASHAHonorarium from state government fund                                                                                              |
|    13 | Maharashtra       | Rs. 3500/month/ASHA                                                                                                                                          |
|    14 | Manipur           | Rs. 1000/- per ASHA/month.                                                                                                                                   |
|    15 | Meghalaya         | State Fixed Incentive - Rs. 2000/month and State Covid Incentive - Rs. 1000/- pm                                                                             |
|    16 | Madhya Pradesh    | Rs. 4000/month/ASHA and 200/month/ASHA Facilitator from state fund                                                                                           |
|    17 | Odisha            | 1000/- per month as conditional assured incentive                                                                                                            |
|    18 | Puducherry        | Fixed amount of Rs. 3000/ASHA/month                                                                                                                          |
|    19 | Punjab            | Rs. 2500 Per Month Per ASHA/ASHAFacilatator                                                                                                                  |
|    20 | Rajasthan         | Rs. 1650/ASHA/Month from State Govt Fund                                                                                                                     |
|    21 | Sikkim            | Monthly fixed honorarium of Rs 6000/- disburse from State Fund, recently Government of Sikkim announce hike in fixed honorarium from Rs 6000/- to Rs 10000/- |
|    22 | Tamil Nadu        | NCD incentive - RS.500                                                                                                                                       |
|    23 | Telangana         | Rs. 6750/month                                                                                                                                               |
|    24 | Tripura           | Top up @100 %on 8 specific work and 33.33% on NHMwork from State exchequer and @Rs.1000/ fixed for each ASHAand Afs.                                         |
|    25 | Uttar Pradesh     | Rs. 1500 per month (State Budget Incentive linked with Incentive for Routine Activity)                                                                       |
|    26 | Uttarakhand       | Rs. 3000/ Month state incentive                                                                                                                              |
|    27 | West Bengal       | Monthly Fixed Honorarium of Rs. 4500 for all functional rural ASHAs                                                                                          |