Lok Sabha Question No. 4245 (UNSTARRED), answered on 2024-12-20
Subject: ASHA Workers Scheme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Kesineni Sivanath, Shri Daggumalla Prasada Rao

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4245 TO BE ANSWERED ON 20 th DECEMBER, 2024

## ASHAWORKERS SCHEME

## 4245. SHRI KESINENI SIVANATH: SHRI DAGGUMALLAPRASADARAO:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) whether the Government has any data regarding the total amount of funds allocated to the State of Andhra Pradesh under the ASHA workers' scheme;

- (b) if so, the details thereof from 2019 to 2024, year-wise;

(c) the total amount of funds utilized by the State for ASHA workers during the said period, year-wise;

(d) whether the Government is considering to increase the financial support and share allocated to ASHAworkers, in accordance with the Minimum Wages Act, if so, the details thereof; and

(e) whether the Government is contemplating to recognise ASHA workers as Government employees rather than volunteers, if so, the details thereof and if not, the reasons therefor for maintaining their current status?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) to (e): The primary responsibility of strengthening public healthcare system, including support for ASHA workers lies with the respective State/UT Governments. The Ministry of Health and Family Welfare provides the technical and financial support to the States/UTs to strengthen their public healthcare system, based on the requirements posted by States/UTs in their Programme Implementation Plans (PIPs) and within the overall resource envelope. The details of funds approved for the State of Andhra Pradesh under NHM in RoP for the FY2024-26 are available in public domain at:

The SPIP Approval and Expenditure to the State of Andhra Pradesh for ASHA under NHM from the FY 2019-20 to 2024-25 is as follows:

(Rs. in lakh)

| Financial Year   |   SPIPApproval |   Expenditure |
|------------------|----------------|---------------|
| 2019-20          |        9878.91 |      10623.5  |
| 2020-21          |       13813.7  |      11225.5  |
| 2021-22          |       10017.8  |       9629.63 |
| 2022-23          |        3034.93 |       1660.65 |
| 2023-24          |        2447.48 |       2347.8  |

## Note:

1. The above data is as per available FMRs as submitted by States/UTs and is provisional.
2. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of the year.

Under the National Health Mission (NHM), ASHAs are envisaged to be community health volunteers and are entitled to task/activity-based incentives. Apart from incentives approved for ASHAs at national level, States have the flexibility to design ASHA incentives. The incentives to ASHAs for different tasks are reviewed from time to time

ASHAs receive a fixed monthly incentive of Rs. 2000 per month in the country, for routine and recurring activities. Additionally, they are provided performance-based incentives for a varied set of activities under various National Health Programmes. The Government has approved additional incentives for ASHAs in September, 2022. The details of these ASHA incentives are available on the following Uniform Resources Locator (URL):

https://nhm.gov.in/New-Update-2023-24/ASHA/Orders\_and\_guidelines/ASHA-INCENTIVES-AP RIL-2024.pdf

Further, States/UTs provide additional incentives to ASHA workers over and above the incentives provided by the Government of India and the details are at Annexure.

## State Specific ASHA Incentives

|   Sl. No | State/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                                                                                          |

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