Module		Type of Training	Target	No. of ASHA Trained	% of ASHA Trained
Module 1		Non-Residential	74313	68592	92.30
Module 2, 3, 4		Non-Residential	74313	52859	71.13
Module 5,6 & 7	Phase –I
	Phase –II
	Phase –III
	Phase –IV

Training of Module 5, 6 & 7 is completely based on Maternal and Neo-natal health. It is a residential training comprising of 24 days spread into 4 phases (6 days for each phase).

Induction Training – Newly Selected ASHA from September 2015 will be trained in Induction Training.
To be effective in Home visits in order to reduce in Neonatal mortality ASHAs are provided with Neo-Natal Kits/HBNC Kits.
Till date 82272 ASHA is with HBNC kit.

ASHA Facilitator Training - ASHA Facilitators are ASHAs, who are better performing in their assigned work, having higher education, and can support 20 ASHAs. They are responsible to do on job training and supporting her 20 ASHAs in their fields. They do monthly reporting and hold meetings with their 20 ASHAs. 2 days residential training about Roles & responsibilities, HBNC, Supportive supervision & hand holding support to ASHAs in their working area are provided to ASHA Facilitators. 3735 are trained so far.

Procurement & Replenishment of ASHA Drug Kit – ASHAs are also working as a depot holder. In order to make their work easier 83624 ASHAs are provided with ASHA Drug kit in the Financial Year 2010-2011. Now a days essential drugs are being replenished by the respective PHCs.

Awards to ASHA’s/Link Workers - On the basis of their yearly performance,3 best performing ASHA are identified from every PHC and awarded by Rs. 1500/-, 1000/- ,Rs. 800/- and are given certificates as well.

ASHA`s on wheel - In order to increase the efficiency of ASHA and ASHA Facilitator, Bicycles have been provided to the all ASHAs of West Champaran district and al ASHA Facilitators of Bihar.

ASHA with CUG Sim- In order to make effective Communication CUG Sims are provided to the selected ASHA.

ASHA Sari - In order to motivate ASHAs, Every Year Rs. 1000/- is transferred to ASHA’s bank account for purchase of two Saries as Uniform

ASHA Rest room - In order to provide security and comfort of ASHA during night stay at health facilities while escorting patient to health facilities. 190 out of 209 ASHA Rest room/ASHA Ghar are functional till date.

ASHA. One ASHA Facilitator supports approximately 20 ASHAs in her working areas.

At present, ASHAs are getting 53 types of performance based incentives under National Health Mission in Bihar state. Apart from the incentives paid from NHM, ASHA and ASHA facilitators are also getting additional performance based incentive of Rs.1000/- per month from State Fund for Immunization, Child Health, Maternal Health, Family Planning etc. as per Resolution (Sankalp) no. 789(12), dated 09.08.2019 of Health Department GoB.

ASHA Payment System - 87438 ASHAs have been selected against total target of 93687 and 4253 ASHA Facilitators have been selected against total target of 4685 in Bihar. It is a major challenge to pay incentives to ASHA & ASHA Facilitators on time and also to maintain the transparency in the whole payment process.

Bihar State is going to pay Incentives to ASHA & ASHA Facilitators on time by State Level Centralized System through DBT (Direct Beneficiary Transfer) in their bank accounts from December 2020. This online payment system “Ashwin (ASHA Performance and Incentive Portal)” has been developed by NIC, Bihar with technical Inputs from ASHA Resource Centre, HMIS Cell, State Health Society Bihar and Care India and is hosted at http://ashwin.bih.nic.in.

• 1. Community Based Activities or Services &
• 2. Institution Based Activities or Services

Community based activities will be verified by ANM and Institution based activities will be verified by BCMs for PHC, RH & SDH and DCMs for District Hospital and Medical College & Hospital. After verification and approval of all activities/services performed by ASHA & ASHA Facilitator will be visible on BHM’s Login ID. BHM will forward their claims to MOI/C for final approval. MOI/C will approve or reject the claims. After approval from MOI/C, claims will be forwarded to the ASHA Resource Center’s Login ID. ASHA Resource Center, SHSB will forward the claims for payment to Finance cell, SHSB. After Digital Signature of designated Finance Person, the total approved Incentive amount will be transferred to the Bank account of ASHA and ASHA Facilitators through DBT.

Responsibility is fixed at every level for wrong claim entry & verification i.e. for ASHA, ASHA Facilitator, ANM, BCM, and BHM & DCM. Approving and Forwarding any wrong payment, concerned MOI/C will be responsible.

State Initiatives

• Death Claim to ASHA - An initiative has been taken by the Govt. of Bihar to provide Rs. 4,00,000 (four lakh) to the nearest dependant of an ASHA after her death. Department of Heath Notification No. 12/ प0 - विविध - 08 - 43 2015/86 (12) पटना, दिनांक & 03.02.2016 issued in this regard. Rs. 12, 76, 00000 (Twelve Crore Seventy Six Lacs) provided by the State Government for 319 ASHA is allocated to the districts.
• Additional incentive of Rs. 1000/- (one thousand) per month - Additional performance based incentive of Rs. 1000/- per month to be provided to all eligible ASHA and ASHA Facilitator from State Fund. Department of Health Notification-12/प0 क0. 09-03/2019/789 (12 ) पटना dated- 09.08.2019 issued in this regard.