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Fixed Monthly Incentive Received by ASHAs of Rs. 2000 PM

Last Modified: March 29, 2022

The details of incentives for routine and recurring activities given to ASHAs Receive a Fixed Monthly Incentive of Rs. 2000 PM

Salary and Allowances of ASHA workers

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

RAJYA SABHA UNSTARRED QUESTION NO. 2165
TO BE ANSWERED ON THE 22nd MARCH, 2022

SALARY AND ALLOWANCES OF ASHA WORKERS

2165: SMT. JHARNA DAS BAIDYA:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether Government is considering a plan to increase the salary and allowances of ASHA workers;

(b) if so, the details thereof, if not, whether any concrete step would be taken in this regard by Government in future; and

(c) the number of instances when the salary and allowances of ASHA workers have been increased during the last five years?

ANSWER

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

(a) to (c) ASHAs are envisaged to be community health volunteers and are entitled to task/activity based incentives. ASHAs receive a fixed monthly incentive of Rs. 2000 per month for routine and recurring activities and the details are placed at Annexure-I. Additionally, they are provided performance-based incentives for a varied set of activities under various National Health Programmes and is placed at Annexure-II. States/UTs in their programme implementation plans have also been given flexibility to provide a range of monetary incentives to the ASHAs and the details is placed at Annexure-III.

After the launch of the Ayushman Bharat scheme with operationalisation of Ayushman Bharat- Health and Wellness Centres (AB-HWCs), ASHAs are now additionally eligible for

Team Based Incentives (TBIs) along with ANMs based on monitored performance indicators (up to Rs. 1000 per month).
The Government has also approved a cash award of Rs. 20,000/- and a citation to ASHAs who leave the programme after working as ASHAs for minimum of 10 years, as acknowledgement of their contribution.

The ASHA benefit package was introduced acknowledging significant contribution and commitment of ASHAs. The package providing coverage for:

i) Pradhan Mantri Jeevan Jyoti Beema Yojana (PMJJBY) with a benefit Rs. 2.00 Lakh in case of death of the insured (annual premium of Rs. 330 contributed by GOI).

ii) 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 (annual premium of Rs. 12 contributed by GOI).

iii) 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).

However, in view of the significant contribution towards the COVID-19 pandemic related work by ASHAs, States were advised to pay an additional incentive 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.

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

Annexure-I

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

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

Annexure-II

Details of performance-based incentives for a varied set of activities under various
National Health Programmes
Activities Amount in Rs/case
I Maternal Health
1 JSY financial package
a. For ensuring antenatal care for the woman  Rs.300/Rs.200 (Rural/Urban areas)
b. For facilitating institutional delivery Rs. 300/Rs.200 (Rural/Urban areas)
2 Reporting Death of women  Rs. 200 (reporting within 24 hours)
II Child Health
1 Home Visit-care of the New Born and Post-Partum
mother etc. / Young Child / follow up
Rs. 250 /Rs. 50 per visit / Rs.150 only after
MUAC is equal to nor- more than 125mm
2 Intensified Diarrhoea Control Fortnight
a. 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
b. Week-2- ASHA incentive for facilitating growth monitoring
of all children in village
Rs. 100 per ASHA for completing at
least 80% of household
c. MAA (Mother’s Absolute Affection) Programme Rs. 100/ASHA/ Quarterly meeting
III Immunization
1 Full immunization for a child under one year/ up-to
two years age
Rs. 100 /Rs. 75
2 Mobilizing children for OPV immunization / DPT Booster Rs. 100 per day / Rs. 50
IV Family Planning
1 Ensuring spacing of 2 years/ 3 years after birth of
1st child / permanent limiting method
after 2 children after marriage
Rs. 500 / Rs. 500 / Rs. 1000
2 Counselling, motivating and follow up of the
cases for Tubectomy
Rs. 200 in 11 with high fertility rates states,
Rs.300 in 146 MPV districts
3 Counselling, motivating and follow up of the cases for
Vasectomy and NSV and Female Postpartum sterilization
Rs. 300 in 11 states with high fertility rates and
Rs. 400 in 146 MPV districts and Rs. 200 in remaining states
Mission ParivarVikas- 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)
4 Injectable Contraceptive MPA (Antara Program) and
a non-hormonal weekly centchroman pill (Chhaya) – Incentive to ASHA
Rs. 100 per dose
5 Mission ParivarVikas Campaigns Block level activities Rs. 150/ ASHA/round
6 NayiPahel – an FP kit for newly weds Rs. 100/ASHA/NayiPahel kit distribution
7 SaasBahuSammelan- mobilize SaasBahu
for the Sammelan- maximum four rounds
Rs. 100/ per meeting
8 Updating of EC survey before each MPV campaign Rs.150/ASHA/Quarterly round
V Adolescent Health
1 Sanitary napkins to adolescent girls Rs. 1/ pack of 6 sanitary napkins
2 Organizing monthly meeting with adolescent
girls pertaining to Menstrual Hygiene
Rs. 50/meeting
3 Conducting PLA meetings- 2 meetings per month Rs. 100/ASHA/per meeting
VI Revised National Tuberculosis Control Programme
1 For Category I/ Category II of TB patients
(New cases/ previously treated of Tuberculosis)
Rs. 1000 for 42 contacts / Rs. 1500
for 57 contacts
2 For treatment and support to drug resistant TB patients Rs. 5000 for completed course of treatment
3 For notification if suspect referred is diagnosed to be
TB patient by MO/Lab
Rs.100
VII National Leprosy Eradication Programme
1 Treatment in pauci-bacillary cases /multi-bacillary
cases of Leprosy – for 33 states
(except Goa, Chandigarh &Puducherry).
Rs. 250 (for diagnosis)
+ Rs. 400/Rs.600 (for follow up)
VIII National Vector Borne Disease Control Programme
1 Malaria–Preparing Blood Slides/complete treatment for
RDT or radical treatment of positive Pf cases
Rs. 15 per slide/ Rs. 75 per positive cases
2 Lymphatic Filariasis-Listing of cases Rs. 200
3 Acute Encephalitis Syndrome/Japanese Encephalitis
Referral of AES/JE cases to the nearest
CHC/DH/Medical College
Rs. 300 per case
4 Kala Azar elimination
Involvement of ASHAs during the spray rounds
(IRS) / for referring a suspected case
Rs. 100/- per round / Rs. 500/per notified case
5 Dengue and Chikungunya
Incentive for source reduction & IEC activities
for prevention and control of Dengue and
Chikungunya in 12 High endemic States.
Rs. 200/- (1 Rupee /House for
maximum 200 houses PM
for 05 months- during peak season).
6 National Iodine Deficiency Disorders Control Programme
ASHA incentive for salt testing Rs.25/ month (for 50 salt samples)
IX Incentives under (CPHC) and Universal NCDs Screening
1 Maintaining data validation and collection of
additional information
Rs. 5/form/family
2 Filling up of CBAC forms of every individual Rs.10/per form/per individual
3 Follow up of patients Rs. 50/per case/Bi-Annual
4 Delivery of new service packages under CPHC Rs.1000/ASHA/PM
X Drinking water and sanitation
1 Motivating Households to construct toilet and
promote the use of toilets and for individual tap connections
Rs. 75 per household

Annexure-III

State-wise details of monetary incentives provided to the ASHAs

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

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