ASHA AND ANGANWADI WORKERS- ENGLISH
ASHA
The ASHA programme is a critical component of the
National Rural Health Mission (NRHM). Full form of ASHA is-
} A-Accredited
} S-Social
} H-Health
} A-Activist
} The ASHA is a woman selected by the community,
resident of the community, who is trained and supported to function in her own
village to improve the health status of the community through securing people’s
access to health care services, enabling improved health care practices and
behaviours and health care provision as is essential and feasible at the
community level
SELECTION OF ASHA-
} One ASHA is selected for each village of for 1000
population. ASHA must be primarily a woman resident of the village –‘Married/Widow/Divorced’
and preferably in the age group of 25 to 45 yrs.
} ASHA should have effective communication skills,
leadership qualities and be able to reach out to the community.
} She should be a literate woman with formal
education up to Eighth Class. This may be relaxed only if no suitable
person with this qualification is available.
} Adequate representation from disadvantaged population
groups should be ensured to serve such groups better
} ASHA will be chosen through a rigorous process of
selection involving various community groups, self-help groups, Anganwadi
Institutions, the Block Nodal officer, District Nodal officer, the village
Health Committee and the Gram Sabha.
TRAINING OF ASHA-
} Training for ASHA is based on principles of adult
learning. After taking up and completing this training ASHA is equipped with
necessary knowledge and skills to effectively perform the tasks and activities
expected from her. The training is completed during five exposures spread over
the entire year and is to be completed during specified 23 days at PHC.
FUNCTIONS OF ASHA-
} ASHA will be the first person for any health related
demands of deprived sections of the population, especially women and children,
who find it difficult to access health services.
} ASHA will take steps to create awareness and provide
information to the community on determinants of health such as nutrition, basic
sanitation & hygienic practices
} ASHA will take steps to create awareness and provide
information to the community on existing health services and the need
for timely utilization of health & family welfare services.
} ASHA will provide counseling to women on birth
preparedness, importance of safe delivery, breast-feeding and complementary
feeding.
} ASHA will Counsel mother on immunization,
contraception and prevention of common infections including Reproductive Tract
Infection/Sexually Transmitted Infections.
} She also work with the Village Health &
Sanitation Committee of the Gram Panchayat to develop a comprehensive village
health plan.
} ASHA will mobilise the community and facilitate them
in accessing health and health related services available at the
Anganwadi/sub-centre/primary health centers, such as immunisation, Ante Natal
Check-up (ANC), Post Natal Check-up supplementary nutrition, sanitation and
other services being provided by the government.
} She will arrange escort/accompany pregnant
women & children requiring treatment/ admission to the nearest
pre-identified health facility i.e. Primary Health Centre/ Community
Health Centre/ First Referral Unit (PHC/CHC /FRU).
} ASHA will provide primary medical care for
minor ailments such as diarrhoea, fevers, and first aid for minor injuries.
} She will act as a depot holder for essential
provisions being made available to all habitations like Oral Rehydration
Therapy (ORS), Iron Folic Acid Tablet(IFA), chloroquine, Disposable Delivery
Kits (DDK), Oral Pills & Condoms, etc.
} She is a provider of Directly Observed
Treatment Short-course (DOTS) under Revised National
Tuberculosis Control Programme.
} She will inform about the births and deaths in
her village and any unusual health problems/disease outbreaks in the
community to the Sub-Centres/Primary Health Centre.
ANGANWADI WORKER-
} Anganwadi workers functions under ICDS scheme. This
scheme was launched on 2nd October, 1975 and is one of the flagship programmes
of the Government of India and represents one of the world’s largest and unique
programmes for early childhood care and development.
SELECTION OF ANGANWADI WORKER-
} One Anganwadi worker is selected from each village or
for 1000 population. Anganwadi worker should be a lady 18 - 44 years from the
local village and acceptable to local community. The selection committee should
have district social welfare officer, BDO, CDPO, Medical officer of PHC as members.
FUNCTIONS OF ANGANWADI WORKER-
} To organise non-formal pre-school activities in the
anganwadi of children in the age group 3-6 years of age .
} To organise supplementary nutrition feeding for
children (0-6 years) and expectant and nursing mothers by planning the menu
based on locally available food and local recipes.
} Anganwadi worker get cooperation from the community
and motivate people for participation in running the programme
} She weigh each child every month, record the weight
graphically on the growth card, use referral card for referring cases of
mothers/children to the sub-centres/PHC etc.,
} Anganwadi worker
assist the PHC staff in the implementation of health component of
the Programme such as. immunization, health check-up, antenatal and postnatal
check etc.
} She assist ANM in the administration of IFA and
Vitamin A by keeping stock of the two medicines in the Centre
} Anganwadi worker identify the disability
among children during her home visits and refer the case immediately
to the nearest PHC or District Disability Rehabilitation Centre.
} She help in organizing Pulse Polio
Immunization (PPI) drives and house to house activity of pulse polio program.
} AWWs shall share the information relating to births
that took place during the month with the Panchayat Secretary/Gram Sabha
Sewak/ANM whoever has been notified as Registrar/Sub Registrar of Births &
Deaths in her village.
} She makes home visits for educating parents to enable
mothers to plan an effective role in the child's growth and development
} AWWs guide
Accredited Social Health Activists (ASHA) engaged under National Rural Health
Mission in the delivery of health care services and maintenance of records
under the ICDS Scheme.
} She informs the ANM in case of emergency cases like
diahorrea, cholera etc.
} Anganwadi worker
maintains files and records as prescribed and report to the Supervisors/
CDPO about all work progress and any development in the village that requires
their attention and intervention, particularly in regard to the work of the
coordinating arrangements with different departments.
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