Job chart of ASHA
I. Maternal Health
Antenatal:
Registration of all pregnancies before 12 weeks is mandatory.
To ensure every pregnant women 4 antenatal checkups + 2 doses of Td
vaccination and 180 IFA tablets & Ca+ tablets.
One Antenatal check-up by Medical officer with ultra sonography.
100% Institutional delivery in Government health institutions ensuring
initiation of breast feeding with in ½ hour of delivery.
High risk pregnant women follow-up till the delivery.
Post natal services:
Completion of 6 or 7 post-natal follow up visits of mother.
Checking for any fever and bleeding.
To ensure post natal IFA and Calcium supplementation for 180 days.
Ensuring HB > 9 Gms (To be certified by Medical Officer).
Home Maternal death reporting within 24 hours of death.
II. Child Health & Immunization
Child Health:
Home Based New Born Care (HBNC) - [6 Home visits in institutional
delivery cases (i.e. on Day 3, 7,14, 21, 28 & 42) and 7 home visits in
home delivery cases i.e. on Day1, 3, 7,14, 21, 28 & 42]
Home Based Care for the Young Child (HBYC): additional 5 visits for the
child during the 3rd, 6th, 9th, 12th and 15th months of age.
Follow up of SNCU discharged cases. (4 visits in 3rd, 6th, 9th, 12th months).
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Child Diseases:
Utilization of 108 ambulance /feeder ambulance for mobilization of sick
babies to nearest public facility.
Early mobilization of pneumonia, Sepsis.
Treatment of Diarrhoea and referral if necessary.
AEFI cases to the nearest hospital.
Informing home, private hospital Infant deaths (within 24 hours of
death).
Immunization:
Mobilizing children for 1st 3 cycles of Immunization up to 14 weeks of
age and full immunization (1 Year of age).
Ensuring complete immunization up to 2nd year of age.
Ensuring DPT immunization at 5 years of age.
Ensuring Td vaccination for 10 Years children.
Ensuring Td vaccination for 16 Years children.
III. Nutrition
Nutrition for Adolescent Girl:
IFA to be taken in the school on every Thursday (WIFS) (Out of school
children).
Dietary advice–, on iron rich foods to prevent anaemia.
Nutrition for Antenatal Women:
Ensuring ante natal women to gain weight from 9 to 12 kgs (minimum 1
kg/Pm) by the time of delivery. Provide nutritious diet & Regular weight
monitoring must be done at anganwadi centre.
Awareness on breast feeding importance & hazards to the mother&
baby if not given.
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Nutrition for Children:
Registration all 0-5 years children at anganwadi centre for nutritious
diet & growth monitoring.
Identifying underweight children & bringing to MMUs or to NRC refer if
necessary and follow up of discharge babies from NRC.
Ensure 3 follow up visits with a gap of 15 days after discharge from NRC.
Bringing 6Months to 60 Months children to AWC for IFA syrup
administration (twice weekly –wed& Saturday).
IV. Non Communicable disease
Population enumeration for NCD screening using CBAC formats by
ASHAs once in 6 months.
Identified cases of Hypertension and Diabetes to be followed to the
Mobile medical units and Primary Health Centres.
All Cancer cases to be followed to the identified secondary and tertiary
level hospitals for follow-up and treatment.
Follow-up of all Cancer cases on treatment in her jurisdiction.
Awareness on healthy life style ( regular exercises ½ hour per day , usage
of iodised salt with low sodium ,Yoga, small frequent feeds, replacement
of rice with millets, Jaggery in place of sugar ,green leafy vegetables,etc.)
V. Communicable Disease
Malaria:
50 Houses to be visited for fever survey per day.
[Link]/RDT
Providing complete treatment for PV/PF and follow-up
Dengue:
Home visits for identification of source reduction methods
Filaria:
Line listing of Filaria cases and morbidity management
Spray Operations Involvement in Spraying: IRS, Anti Larval Operations including
Source
reduction at time of Spray schedule
Distribution and Monitoring of usage of LLINs
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Leprosy:
ASHA Based surveillance for Leprosy Suspects (ABSULS) is being done by
ASHA.
To bring out suspected leprosy cases & Disability cases from villages for
diagnosis at Primary Health Centre (PHC) and follow up of confirmed
cases for treatment completion.
Tuberculosis:
Establish treatment support centre at her residence.
Notification of New TB cases: Refer to the nearest TB centre for
conformation.
Previously Treated: Provide the treatment support up to completion of
treatment.
Drug Resistant TB: Provide the treatment support up to completion of
treatment.
VI. RKSK:
Educate every girl on personal & Menstrual Hygiene.
Conduct campaign on postponement marriage Age 21 Years for girls and
25 Years for boys by engaging them in education, skill development
activities.
VII. Family Planning:
If married below 20years pregnancy to be delayed for two years by using
temporary contraceptive methods.
Home delivery of Contraceptives.
If requires MTP, Guide the women on safe abortion facilities
(Gynaecologist, Govt facilities).
VIII. Routine & Recurring activities
Holding or attending VHSNC meeting.
Attending ASHA Day Review Meeting.
Line listing of households done at beginning of the year and updated
after six months.
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Maintaining village health register and supporting universal registration
of births and deaths to be updated on monthly basis.
Preparation of due list of children to be immunized updated on monthly
basis.
Preparation of list of ANC beneficiaries to be updated on monthly basis.
Preparation of list of eligible couples updated on monthly basis.
IX. VHND/UHND
Organization of Monthly Two Village Health & Nutrition Day.
One VHND/UHND has to be conducted in Anganwadi centre.
Second VHND/ UHND should be conducted on the day of visit MMU to
that village.
Mobilize the villagers, especially women (post natal & ante natal) and
children to the AWC.
Create awareness on preventive & promotive aspects of health care on
all programmes.
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