Joshi Nitin K, Bhardwaj Pankaj, Suthar Praveen, Joshi Vibha
PhD Scholar, Department of Community Medicine and Family Medicine and Demonstrator, School of Public Health, All India Institute of Medical Sciences, Jodhpur.
Additional Professor, Department of Community Medicine and Family Medicine and Coordinator, School of Public Health, All India Institute of Medical Sciences, Jodhpur.
Online J Public Health Inform. 2020 Jul 24;12(1):e12. doi: 10.5210/ojphi.v12i1.10662. eCollection 2020.
ASHA-Soft is the pioneer e-Health program which was launched to manage online payment and for monitoring performance of ASHA workers in Rajasthan. There is a paucity of studies which documents the feasibility and effectiveness of this program with aim to assess the feasibility and effectiveness of ASHA-Soft program.
Study was conducted in Jodhpur using quantitative and qualitative method. Primary and secondary data approach was used to assess feasibility and effectiveness of ASHA-Soft. Purposive sampling was done to recruit 150 ASHA workers having experience of more than 5 years to capture the perception before and after implementation of ASHA-Soft. Qualitative data was also obtained from ASHA workers and key stakeholders. To assess the effectiveness secondary data was obtained from various sources was analyzed.
Mean age of participants were 35.51 6.7 years. Most of ASHAs agreed that ASHA-Soft mediated timely payment (68%) and payment according to their performance (81%). It also increased their motivational level (96%).There were no significant difference in different work experience of ASHAs and perception towards ASHA-Soft regarding timely payment (p=0.99), improving quality of life (p=0.66) and motivation level (p=0.40). This program has provided standard online procedure of online payment and monitoring for ASHAs. Incentives received by ASHAs increased to 77%, performance increased by 7% and 9% for maternal health and child health respectively within one year of its initial implementation.
Study finding demonstrate that ASHA-Soft program is acceptable to the users and is effective in terms of meeting organizational requirement.
ASHA-Soft是首个推出的电子健康项目，旨在管理在线支付并监测拉贾斯坦邦ASHA工作人员的绩效。目前鲜有研究记录该项目的可行性和有效性，本研究旨在评估ASHA-Soft项目的可行性和有效性。
在焦特布尔采用定量和定性方法进行研究。采用初级和二级数据方法评估ASHA-Soft的可行性和有效性。采用目的抽样法招募150名有5年以上工作经验的ASHA工作人员，以了解ASHA-Soft实施前后的看法。还从ASHA工作人员和关键利益相关者那里获取了定性数据。为评估有效性，对从各种来源获得的二级数据进行了分析。
参与者的平均年龄为35.51±6.7岁。大多数ASHA工作人员认为，ASHA-Soft实现了及时支付（68%）和按绩效支付（81%）。这也提高了他们的积极性（96%）。不同工作经验的ASHA工作人员在及时支付（p=0.99）、改善生活质量（p=0.66）和积极性水平（p=0.40）方面对ASHA-Soft的看法没有显著差异。该项目为ASHA工作人员提供了标准的在线支付和监测程序。在最初实施的一年内，ASHA工作人员获得的激励增加到77%，孕产妇健康和儿童健康方面的绩效分别提高了7%和9%。
研究结果表明，ASHA-Soft项目为用户所接受，在满足组织要求方面是有效的。
