Preventive and Social Medicine, RNT Medical College, Udaipur.
Indian J Public Health. 2009 Jul-Sep;53(3):166-70.
To assess the performance based incentive system for ASHA Sahyogini in Udaipur district of Rajasthan.
This cross-sectional study was conducted in three blocks (one each from rural, urban and tribal area) of Udaipur district during October-December 2008. From each block 60 ASHAs were selected randomly, thus a tola of 180 ASHAs were included. Besides interviewing the ASHAs, focus group discussions were also conducted for primary data collection. The study assessed the performance based incentives system to ASHAs during the last six months.
The study revealed that almost 50% ASHA's in the studied blocks were covering population ranging from 1000-1500. All the ASHA has good coordination with local community and they are participating in community meetings regularly. All the ASHAs received incentives for the cases of sterilization; 55.5 percent urban, 85.7 percent rural and 82.7% tribal ASHAs received it on the same day when sterilization was done. Half of the urban, 35% of the rural and 56.7% of tribal ASHAs got incentive less than Rs. 250 in last 6 months (less than 50/- per month). Common cause identified for dissatisfaction was less incentives compared to their work, especially for the ASHA working in tribal areas.
Timely release of incentives, adequate cooperation from staff such as ANMs, AWW, hospital staff and improved community awareness are needed for better performance of ASHAs.
评估拉贾斯坦邦乌代浦尔地区 ASHA Sahyogini 的基于绩效的激励制度。
本横断面研究于 2008 年 10 月至 12 月在乌代浦尔地区的三个街区（农村、城市和部落地区各一个）进行。从每个街区随机抽取 60 名 ASHA，共纳入 180 名 ASHA。除了采访 ASHA 外，还进行了焦点小组讨论以收集初步数据。该研究评估了过去六个月中 ASHA 的基于绩效的激励制度。
研究表明，在所研究的街区中，近 50%的 ASHA 负责覆盖 1000-1500 人的人口。所有 ASHA 都与当地社区有良好的协调，他们定期参加社区会议。所有 ASHA 都因绝育病例获得了奖励；55.5%的城市、85.7%的农村和 82.7%的部落 ASHA 在绝育当天获得了奖励。在过去的 6 个月中，一半的城市、35%的农村和 56.7%的部落 ASHA 的激励金少于 250 卢比（每月少于 50 卢比）。不满意的共同原因是与工作相比激励金较少，特别是在部落地区工作的 ASHA。
需要及时发放激励金，得到包括 ANM、AWW、医院工作人员在内的工作人员的充分合作，并提高社区意识，以提高 ASHA 的绩效。
