Innovative Skill Enhancement cum Training

Vision

To enhance the technical capability of Sahiyas (Asha Workers) on Curative and Emergency Health Services during critical Golden Hours of Emergency. 

Scale

200 Sahiyas (ASHA Workers) from the blocks of Manatu & Tarhasi.

Time Period

12 Months, bifurcated into an initial classroom training period and assessment for 3 months and On field support of trained doctors for 9 months.

Situational Analysis

Sahiyas (ASHA Workers) were trained to provide preventive healthcare services but there is a dearth of doctors, nurses and paramedics in remote areas which makes provision of clinical services difficult in interior geographical areas. To ensure the clinical assistance and identifying emergency medics situation, district administration of Palamu realized that Sahiya (ASHA Worker) could play a vital role being ‘First Contact Clinical Assessor’ of the patient. Sahiya (ASHA Worker) could be trained for using technology equipment to assess the critical emergency and referral condition of patient.  

• To enhance the clinical examination skills of Sahiyas (ASHA workers) and train them in accessing Techno Health Solutions for clinical assistance an android based mobile application was developed named as AAROGYA SAHIYA. The app would list down solutions to different illnesses where doctors are not available. The Sahiyas were trained on understanding the critical cases and calling the ambulance in case of emergency. 
• The Sahiyas (ASHA Workers) were given a medical kit which consists of medical diagnostic equipments and some necessary OTC drugs. The real time Monitoring of Sahiyas is done through a Digital Dashboard by medical experts from Health Department.

Output

The project kick started on ground from 1st August 2019, till now 40,919 patients have been attended by Sahiyas (ASHA Workers), out of the number of patients attended, 2111 have been referred to the OPDs and another 3972 required emergency referral through Ambulance rest 34,836 patients have been treated by Sahiyas (ASHA Workers) at their own end.

Impact

• Optimum utilization of Ambulance Services.
• Digital penetration in Health Sector.
• Decreased footfall in OPD resulting in improved efficiency of the facility.
• Perennial availability of OTC drugs in remotest parts of the district.
• Improved visibility of Sahiyas in their respective villages.

Highlights of the Year 2019

• Modernization of Blood Bank in District Hospital – with an upgraded capacity of 300-unit storage.
• Medical College with strength of 100 students and 300 beds for patients.
• 10 Sub-Centers/PHCs converted into Health & Wellness Centers (HWCs).
• Secured 1st Rank in the month of August, 2019. 

Way Forward

District Administration has planned to scale up the intervention in 3 more blocks through SCA funds and in 8 blocks through award money to be received by the district for securing 1st Rank in Monthly Delta ranking, for the month of Aug, 2019.

Source : District Administration, Palamu