Question : Compensation to ASHA Workers

(a) the average number of daily working hours of Accredited Social Health Activist (ASHA) workers and ASHA facilitators for 2019-20, 2020-21, 2021-22 under the National Rural Health Mission (NRHM);
(b) whether ASHA workers and facilitators have been assigned additional responsibilities during the pandemic period and if so, the details thereof along with the percentage increase in their remuneration to compensate for the additional work load during the last three years, State/UT-wise;
(c) whether the Government has taken steps to ensure physical and mental well being of frontline COVID workers, in particular NRHM workers and ASHA workers, if so, the details thereof, State-wise and district-wise;
(d) whether the Government has provided monetary support and benefits to ASHA workers to cover additional healthcare costs in the form of insurance cover or covering additional medical expenses in case of illness; and
(e) if so, the details thereof?

Answer given by the minister

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

(a) to (e) 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. However, during the pandemic period, they have been assigned number of activities additionally for community level surveillance, counselling, house visits and follow-up of COVID-19 patients, identification of high-risk groups, provision of essential services and recording & reporting of COVID-19 cases.

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.

States were requested to ensure that incentive for routine and recurrent activities was paid in full for all the ASHAs during the COVID-19 pandemic also.

Under National Health Mission (NHM), Government of India provides financial and technical support to States/UTs to strengthen their healthcare systems including support for activities requiring mental and physical wellbeing of health human resource based on the requirements posed by them in their Programme Implementation Plans (PIPs) within their overall resource envelope. With respect to safeguarding physical wellbeing of the NRHM & ASHA workers during the pandemic, States/UTs have also been asked to ensure provision of safety tools like masks, gloves, soaps and sanitizers etc and supplying adequate PPE and ensuring her protection.

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

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.

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.


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