ASHA Soft

Current scenario• A woman hired by Women & Child deptt but

works for Medical & health also• Fixed Rs. 1600 from WCD and M&H pays

incentives• Currently around 48000 ASHA Sahyogini are

working in the State.• They are given a small village or a cluster of

houses for ensuring better awareness about health, RCH activities and family welfare services in the village.

Why ASHA Soft ?

• To ensure timely and transparent online payment to ASHAs• To improve the system for

effective monitoring their performance on 26 parameters

A S H A S o ft R E Q U I R E S• Circular authorizing ASHA Soft• ASHA claim forms for ASHAs• ASHA Soft Program (NIC)• ASHA Soft Manual for guidance • Mechanism for data entry and verification• Digital Signature Certificates for release of

payments• SMS Gateway• Payment arrangements with Bank• Reliable PCTS/MCTS database

Strengths of ASHA Soft• No capital investment in any manner and at

any level (Existing PC is used)• Existing information Assistants/Computer

operators used –No new HR hired• Existing SMS Gateway is used…better used• Existing banker can be made partner• Utility of PCTS/MCTS, which in turn

strengthens entry regime• No need to compile information manually• informed decisions are encouraged

What information has been collected and fed in the default?

• Name• Location/posting details• Qualification• Training status• Mobile number• Bank account details

THE SOLUTION CAME IN FORM OF MODULE CALLED –

ASHA SOFT

Challenge was to devise a system• To capture the work done by them• To record it on a program without new

investment• To pay the same incentives in a

transparent and easy manner• To remain connected with existing PCTS

ASHA Soft is integrated with PCTS

For name based reporting and verification of beneficiary

PCTS - some facts• Pregnancy & Child Tracking System• Rajasthan has been pioneer in starting this• Started since October, 2008• For 7 main RCH activities • Progress has been not very encouraging• GoI places a lot of reliance on this system• Based on ANM/SDR for reporting and computer

operators for feeding the dataASHA Soft was decided to be converged with existing PCTS

rather then creating a parallel system for monitoring the RCH activities

What is ASHA Soft ?• It is a web-based software for online

payment to their bank account and monitoring the performance.– It will capture beneficiary wise details of services

given by ASHA to the community.– It will generate various reports to monitor the

progress of the program

• It is developed by the NIC-Rajasthan State Unit and for online payment, Bank of Baroda has been selected.

Verification of ASHA Claim

Form by ANM

Online data entry of ASHA

Claim Form and verification on

ASHA Soft by IA/ PHC Health

Supervisor/ Data Entry Operator

Release of Sanction or

Fund Transfer Order (FTO) by

MOIC with assistance of

LHV/ Accountant

Release of payment using

Digital Signature

Certificate by CMHO

Payment will be transferred directly to the Bank A/C of

ASHA

SMS will be sent to ASHA

for information of online payment

Flow diagram of Payment process in ASHA-Soft

Important TimelinesSNo. Activity Responsibility Date

1. Verification of ASHA Claim Form

ANM Between 26th – 30th of the

month2. Online data entry of

ASHA Claim Form and its verification on ASHA Soft

IA/ PHC Health Supervisor/ Data Entry Operator

3. Release of sanction or fund transfer order

MOIC with assistance of

LHV/ Accountant

By 4th of the next month

4. Release of payment (using DSC)

CMHO Between 5th to 7th of the next month

Website address

http://ashasoft.raj.nic.in

Only authorized users can login to the website

Home page of ASHA Soft

Welcome screen after login

Menu options(based on the user’s access rights options would be visible)

• Home• Master Entry• Line List• Verification• Sanction• Release Payment• Reports• Logout

Continue…

Master Entry• Verify Accounts Details• Define User Permissions for– Administrator– Data Entry & Verification of Records– Generating Sanction– Release Payment

Continue…

Admin Users at State Level (State Demographer) and District Levels (CM&HOs) are authorized to

perform the Master Entries

Verify Account Details screen:For verification of ASHA’s bank account information (Bank Name, Account No., IFSC Code, Mobile No.)

Define User Permission screen:For defining and authorization of access rights to USER-IDs as Administrator, Data Entry & Verifier, for Sanction generation, for Release of payment.

Line List Menu(Major category of services)

1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings

Continue…

Between 26th to 30th of the monthIA/ PHC Health Supervisor/ Data Entry Operator will perform

the online data entry of certified ASHA Claim Forms

1. Maternal Health Services • 3 ANC Checkups• Institutional Delivery

Promotions • Maternal Death Reporting

2. Child Health Services • HBNC • Infant Death Reporting • Referral of SAM Child • Follow up of SAM Child • SNCU Follow ups

3. Immunization Services • Social Mobilization • Full Immunization • DPT Booster

4. Family Planning Services • Sterilization • Delay of Child Birth after

marriage• 3 Year spacing between two

children• PPIUCD

5. National Health Programme• Treatment of TB Cases • Cataract Operations • Treatment of Leprosy Cases • Preparation of Blood Slides • Treatment of Malaria Cases

6. Meetings • Monthly Meeting Payments • Routine Monthly Activities

Line List

Line List Menu:Showing the major service category “Maternal Health Services” and sub-menu items (3 ANC Check-ups, Institutional Delivery Promotions, Woman Death Reporting) and similarly for the other services

Verification Menu(Major category of services)

1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings

Continue…

Between 26th to 30th of the monthIA/ PHC Health Supervisor/ Data Entry Operator will perform

the online verification of information

Verification Menu: “The information entered using Line List Menu would be verified by the Verification Menu”

Sanction Menu(Major category of services)

1. Maternal Health Services2. Child Health Services 3. Immunization Services 4. Family Planning Services 5. National Health Programmes6. Meetings

Continue…

By 4th of the next monthMOIC with assistance of LHV/ Accountant will ensure to

Release of Sanction or Generate Fund Transfer Order

Sanction Menu: MOIC will generate one-by-one sanctions for Maternal Health Services, Child Health Services, Immunization Services, Family Planning Services, National Health Programmes and Meetings.

Release Payment using DSC

Between 5th to 7th of the next monthCMHO will ensure to release the payment (using DSC)

For payment information to ASHASMS will be sent to the ASHA’s registered mobile no.

Proposed SMS

Aapke bank account mein July, 2015 mahine ki protsahan rashi Rs. 3500/- jama kara di gayi hai.

Swasthya sewaye pradan karne ke liye dhanyawad. ASHA Soft NHM Rajasthan

Reports Menu(Various analytical reports )

1. Details of ASHAs2. Account Verification Status3. Age wise Summary4. Qualification of ASHAs5. Training Status of ASHAs6. Activity & Incentive wise 7. ASHA worked in all activity8. Top 10 Best Performing

ASHAs – In State/ District/ Block/ PHC

Continue…

9. Zero Performing ASHAs10. District wise Status of

Incentive Amounts11. Average Payments of ASHAs12. Highest & Lowest Incentives 13. More many reports… by

Advanced Search Option

Reporting The most powerful tool

• After we have completed the entries for a given month after due verification, it is the time to get the reports for our needs.

• The program would generate the reports based on the fixed parameters in master and data entries done under various heads.

• The people in ASHA-Cell in Blocks/ Districts/ State will get so many useful information on the basis of which they can decide their plan of action.

What Reports can be generated?• Non-functional ASHAs• Cases where payments are extraordinarily high• ASHAs who are doing good work• Supervisors with ASHAs with low performance• PHC/CHC with lowest performing ASHAs• Blocks with ASHAs who are not performing as

per need in RCH activities• Districts with lower ASHA performance indices• Which programs are not generally taken up by

the ASHAs

Reports Menu: System will various analytical reports

Reports Menu: Qualification Wise SummaryShowing Qualification wise summary of ASHAs.

Reports Menu: Top 10 Best Performing ASHAsShowing list of top 10 best performing ASHAs who have earned the maximum incentive amount.

Reports Menu: Zero Performing ASHAsShowing list of ASHAs who have earned the zero incentive amount during the period.

Reports Menu: Average PaymentShowing the average incentive amount paid to ASHAs during the month.

Reports Menu: District-wise Highest & Lowest IncentiveShowing the summary of ASHA who have earned the highest & lowest incentive amount during the July, 2015.

Reports Menu: Highest Incentive (In Ajmer)Showing the details of ASHA who have earned the highest incentive amount during the month.

Rs. 16500/-(Feb-Mar, 15)

Decisions based on reports-Example

• Post graduate/ Graduate ASHAs doing excellent work may be preferred in Supervisory job after following a process.

• Can we reserve seats in ANM course????? • Training need assessment would be based on

actual evidences rather than guess work.• BHS/PHS cadre would also be exposed as

ASHAs with good/bad performance will be directly linked to their supervision quality.

Advantages expected• Better monitoring and transparent payments• A very big boost to PCTS Entry system• Line listing needs would lead to better health

indicators• Repeat transactions wont be possible, hence

quality of data would be of excellent standard.• Transactions would be transparent and at the

same time, no payment without verification will be possible.

Advanced Search: It allows searching of ASHA based on the various parameters e.g. ASHA ID, Name, Incentive Amount, No. of Activities etc.

Contact details Email: ashasoft-rj@nic.inPhone no. 0141-2225685

Mob no. 9829930053, 9414254324, 9413417399

ASHA HelplineMobile no. 8290266668, 8290266669

(ASHA can inform payment related grievances on ASHA Helpline)

Way Forward• Time lag in payment to ASHAs would be

further reduced• Urban ASHAs would also be covered once the

concerned PHC/ CHC get PC with internet.• ASHAs with tablets/ some other tool like

mobiles feeding their data directly on the system provided system is also strengthened enough to respond to those entries

• 104 helpline to be used for ASHA related queries

The entire health system is put on a dashboard where we are getting information on health

incidents continuously and we are in a position to intervene from the control room settings.

Just think that we are getting continuous feed on points like------

-maternal death-accidents and ambulances

-FRUs and Delivery points status-Attendance of staff

THE BIGGER PICTURE FOR TOMORROW CAN BE LIKE THIS

Rajasthan State, July 2015

ASHA Soft Performance Analysis

Payment Status of ASHA

Month Amount Sanctioned (In Crores)

Amount Payment Realization(In Crores)

Dec, 2014 4.34 4.15

April, 2015 7.80 7.77

July, 2015 7.40 7.25

Performance of ASHAs in the State under various services

Maternal Health21%

Child Health10%Imm

un-iz-ation Services16%

Family Planning Dervices

16%

National Program

me1%

Monthly Meetings36%

During Dec, 2014 During July, 2015

Maternal Health28%

Child Health19%

Immunization17%Fam-

ily Planning7%

Na-tional Pro-gramme2%

Monthly Meetings27%

Performance of District under various services (in July, 2015)

Maternal Health % Child Health % Routine Immunisation %

Family Welfare % National Programme % Monthly Meetings & Routine Activities %

Maternal Health Services (in %)

Churu

Bikaner

Dholpur

Bhilwara

DungarpurSiro

hi

Jalore

Jhunjhunu

SikarPali

Chittorg

arh

Ganganagar

Ajmer

Nagaur

Jaipur I

Banswara

Rajasthan

HanumangarhBara

nTonk

Bharatp

ur

UdaipurBundi

Rajsamand

Karauli

Alwar

Kota

Jodhpur

Jaipur II

Jhalawar

Sawai Madhopur

Jaisalm

er

Dausa

Barmer

Prata

pgarh

36.1

7

35.8

5

31.6

7

30.1

1

29.5

5

28.7

6

28.7

2

25.5

5

23.8

8

22.7

6

22.4

9

22.4

8

22.2

8

21.5

7

21.0

5

21.0

2

20.9

4

20.8

4

20.1

6

19.1

6

19.1

6

18.6

5

18.6

1

17.5

6

16.7

7

16.7

4

16.6

3

14.6

2

14.0

1

13.6

1

11.4

8

10.7

1

10.3

3

5.61

3.29

During Dec, 2014

42.4

436

.58

35.7

334

.14

33.2

232

.42

31.4

431

.14

30.9

930

.99

30.9

830

.80

30.6

530

.50

30.2

429

.99

29.5

529

.53

29.2

629

.20

27.5

927

.58

27.3

227

.19

26.9

726

.70

26.6

226

.37

25.8

825

.23

25.1

125

.06

24.4

523

.22

22.0

5

Maternal Health Services (in %)During July, 2015

Child Health Services (in %)

Bharatp

urSiro

hi

Jalore

Jaipur ISikar

Jhunjhunu

Dholpur

Churu

Karauli

Jaipur II

Ajmer

Tonk

BikanerPali

Bhilwara

Ganganagar

Rajasthan

Chittorg

arh

Banswara

NagaurAlw

ar

Rajsamand

Udaipur

Dungarpur

Sawai Madhopur

BundiKota

Jodhpur

HanumangarhBara

n

Jhalawar

Dausa

Barmer

Prata

pgarh

Jaisalm

er

15.6

914

.94

14.7

714

.42

13.3

713

.05

12.5

611

.99

11.9

011

.52

11.3

010

.76

10.2

610

.08

10.0

39.

809.

748.

888.

738.

558.

358.

177.

977.

557.

507.

217.

076.

526.

156.

105.

875.

604.

062.

360.

39

During Dec, 2014

Child Health Services (in %)During July, 2015

Bharatpur

Jalore

Dholpur

Sawai M

adhopurPali

Sirohi

AlwarAjm

er

Bhilwara

Sikar

Karauli

Jaipur II

Jaipur I

Churu

Jhunjhunu

Bikaner

Dausa

Rajasthan

BaranBundi

Kota

Nagaur

Rajsamand

Banswara

Chittorg

arhTonk

Udaipur

Dungarpur

Jhalawar

Hanumangarh

Jodhpur

Ganganagar

Pratapgarh

Barmer

Jaisalm

er

18.8

618

.86

17.9

716

.85

16.8

016

.74

16.5

516

.31

16.1

115

.60

15.5

215

.30

15.2

215

.14

14.9

914

.79

14.7

414

.27

14.2

213

.50

13.4

613

.42

13.2

212

.86

12.6

012

.45

12.2

511

.59

11.5

011

.49

11.4

39.

878.

527.

457.

23

Immunization Services (in %)

Barmer

Jaisalm

erSikar

Jodhpur

Pali

Bhilwara

Dungarpur

Udaipur

Nagaur

Ajmer

Dholpur

Ganganagar

Jaipur I

Churu

Bikaner

Chittorg

arh

Karauli

Jhunjhunu

Rajasthan

Jalore

Hanumangarh

Jaipur II

Banswara

Rajsamand

Bharatp

ur

Sawai Madhopur

Prata

pgarh

Jhalawar

AlwarBara

nSiro

hi

DausaKota

TonkBundi

24.3

423

.83

21.4

320

.29

19.1

018

.79

18.3

018

.06

17.8

017

.65

17.4

317

.38

17.1

716

.77

16.6

916

.35

16.3

516

.16

15.9

215

.57

15.3

015

.28

15.2

515

.15

14.2

214

.12

13.6

213

.61

12.9

712

.84

12.5

012

.43

11.7

110

.92

10.7

7

During Dec, 2014

Immunization Services (in %)During July, 2015

Karauli

JaloreSik

ar

Jodhpur

Udaipur

Sawai M

adhopur

Pratapgarh

Jaisalm

erPali

Dungarpur

Banswara

Jaipur I

Barmer

Nagaur

Bhilwara

Ajmer

Rajasthan

Jhunjhunu

DholpurChuru

JhalawarTonk

Sirohi

Kota

Bharatpur

Alwar

Rajsamand

Jaipur II

Dausa

Chittorg

arh

Hanumangarh

GanganagarBara

nBundi

Bikaner

23.8

522

.02

20.6

320

.54

20.2

520

.14

20.0

620

.04

19.9

119

.34

19.3

419

.03

18.9

418

.94

18.7

618

.70

18.3

018

.15

18.1

217

.86

17.6

917

.58

17.5

717

.25

17.0

417

.04

17.0

116

.97

16.9

516

.76

16.7

216

.29

16.2

516

.08

15.0

8

Family Planning Services (in %)

KotaBundi

Prata

pgarh

Jhalawar

Sawai Madhopur

DausaAlw

arTonk

Jaipur II

Karauli

Baran

Jodhpur

Hanumangarh

Chittorg

arh

Banswara

Rajasthan

Ajmer

Bharatp

ur

Bhilwara

Jaipur I

Dholpur

Barmer

Udaipur

Rajsamand

Jhunjhunu

JaloreChuru

Sirohi

Pali

Nagaur

Bikaner

GanganagarSikar

Jaisalm

er

Dungarpur

39.5

6

34.8

2

34.6

4

31.2

3

28.9

3

27.6

6

24.7

1

23.7

2

21.6

8

21.0

6

19.6

1

19.2

9

19.0

4

17.1

7

16.7

9

16.0

2

15.5

0

14.1

9

13.9

2

13.1

4

12.4

7

9.52

9.43

9.30

7.88

7.16

7.00

6.90

6.80

6.16

5.53

5.48

4.39

1.32

0.53

During Dec, 2014

Family Planning Services (in %)During July, 2015

Ganganagar

Bikaner

JhunjhunuSik

ar

Jhalawar

Jaipur II

Rajasthan

Churu

Pratapgarh

Tonk

Chittorg

arh Pali

Banswara

Udaipur

Bharatpur

Dungarpur

Jalore

Dholpur

18.8

016

.94

13.3

712

.29

10.5

510

.51

9.71

9.01

8.32

7.52

7.51

7.36

7.10

6.95

6.84

6.83

6.51

6.44

5.90

5.82

5.25

5.22

4.96

4.72

4.71

4.64

4.43

3.82

3.63

3.59

2.92

2.90

2.55

0.71

0.35

National Programme (in %)

HanumangarhJalore

SikarPali

Bikaner

GanganagarTonk

Bhilwara

Rajasthan

Jaipur II

Alwar

Jhalawar

DausaSiro

hiKota

Jhunjhunu

Dungarpur

Prata

pgarh

2.00

1.94

1.68

1.67

1.61

1.54

1.45

1.40

1.30

1.30

1.28

1.25

1.15

1.04

1.02

1.01

0.96

0.93

0.92

0.86

0.83

0.83

0.76

0.74

0.73

0.70

0.61

0.56

0.53

0.47

0.46

0.30

0.24

0.16

0.00

During Dec, 2014

HanumangarhBundi

Kota

JhalawarJalore

DholpurSir

ohi

Dausa

Udaipur

Rajsamand

Tonk

Chittorg

arhAjm

er

Bikaner

Baran

Sawai M

adhopur

Jaipur I

Pratapgarh

Rajasthan

PaliAlw

ar

Jaipur II

Nagaur

Bharatpur

Jodhpur

Ganganagar

Bhilwara

Jaisalm

erSik

ar

Barmer

Karauli

JhunjhunuChuru

Dungarpur

Banswara

3.08

2.94

2.61

2.53

2.30

2.15

2.12

2.11

2.10

1.86

1.73

1.66

1.65

1.57

1.52

1.52

1.52

1.49

1.43

1.42

1.28

1.27

1.16

1.12

1.09

1.03

0.97

0.87

0.83

0.82

0.63

0.58

0.54

0.48

0.43

National Programme (in %)During July, 2015

Monthly Meetings (in %)

Jaisalm

er

Barmer

Rajsamand

Pratapgarh

Nagaur

Udaipur

Dungarpur

GanganagarDausa

Baran

Pali

Jodhpur

Banswara

Sawai M

adhopur

Jhunjhunu

Hanumangarh

Jaipur II

Bharatpur

Rajasthan

AlwarSir

ohiSik

ar

JhalawarTonk

Karauli

Chittorg

arh

Jaipur I

AjmerJalore

Bikaner

Bundi

Churu

Bhilwara

Kota

Dholpur

62.5

155

.73

48.4

246

.08

45.0

944

.34

43.8

343

.57

43.2

440

.43

39.8

138

.58

38.0

436

.92

36.9

036

.66

36.5

936

.44

36.4

336

.40

36.3

035

.33

34.9

334

.27

33.4

533

.16

32.9

232

.25

32.1

030

.36

28.0

227

.15

26.1

524

.49

24.2

0

During Dec, 2014

Monthly Meetings (in %)During July, 2015

Barmer

Jaisalm

er

Pratapgarh

Chittorg

arh

Dungarpur

Pali

Baran

Nagaur

Banswara

DausaSir

ohiTonk

Jaipur II

Rajsamand

Jhunjhunu

UdaipurKota

Rajasthan

Jhalawar

GanganagarChuru

Alwar

Bikaner

Jaipur IBundi

Ajmer

Karauli

Sikar

Hanumangarh

JodhpurJalore

Bhilwara

Bharatpur

Sawai M

adhopur

Dholpur

43.6

9

42.8

636

.72

36.1

3

34.6

8

33.6

9

32.9

7

32.6

9

32.6

7

32.6

6

32.0

8

31.8

4

31.6

4

31.3

3

30.5

0

30.1

8

29.6

1

29.3

7

28.9

6

28.9

0

28.6

2

28.5

6

28.0

1

27.8

3

27.5

2

26.9

7

26.8

7

26.6

1

25.4

1

25.3

8

24.0

4

23.7

6

23.6

2

23.5

6

18.9

8

IMPACT of ASHA Soft

Improvement in line list data of MCTS/PCTS Mother Count (+ 31% ) Child Count (+19%)One ASHA @ One Aganwadi + Charge of One

Additional Aganwadi (1+1)Performance of Block/ PHC Health Supervisors

has been improvedFollow-up visits of HBNC has improved care of

infants and referral of sick neo-nates.Audit of ASHAs performance, based on analysis

IMPACT of ASHA Soft

250 Best performing ASHAs has been identified as ‘Head ASHA’. These ASHAs will get additional incentive of Rs. 1000/- per month.

More than 800 Best performing ASHA, have been selected for higher education through open board for 10th and 12th Std. Course fees will be borne by Government.

Government has agreed to provide Tablet PC to ASHAs on pilot basis, to improve their skills.

ASHA Soft backed by Whatsapp• There is a Whatsapp group of all the state

level and district level officers/ employees, connected with ASHA Soft

• Continuous mentoring and monitoring • Technical and managerial issues are

resolved• Exchange of ideas and best practices• Moral boost and motivation • Sense of competition

In just one year of implementation

• It has attracted the attention of GoI• It has been included as one of the best

replicable practices in 2015-16• 3 states have already visited us- Karnataka,

Maharashtra, Punjab• 4 states are coming - Himachal Pradesh,

Tripura, Gujarat and Uttaranchal• It has been presented on many platforms-

workshops and seminars

ASHA Soft Raises Hopes in Healthcare

http://ehealth.eletsonline.com/2015/06/ashasoft-raises-hopes-healthcare/

ASHA Soft in News

Recognition

Our vision is to turn ASHA into Medical Entrepreneurs One day…