Wage Compensation Scheme For Pregnant Women of Tea Garden Areas of Assam

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Wage compensation scheme for pregnant women of tea garden areas

of Assam
Background
Name of the Initiative: Wage compensation scheme for pregnant women of tea garden areas of
Assam
Place: Assam
Scale of the Initiative: Applicable to women working in the tea gardens industry of across Assam.

Problem Statement
Tea gardens in Assam, employs considerable number of women for harvesting needs. While, the
women are pregnant, they have to go through hardships and often fails to take care of themselves in
terms of regular ANC checkups and the monitor their health, resulting in higher infant as well as
maternal mortality rate. As per the NHM guidelines, compensation to a pregnant woman is only
provided on delivering a child in a govt. hospital.
Taking clue from these adversities and encouraging women working in the tea gardens and ensuring
their well being and protect their needs, the govt. of Assam, initiated a special scheme of “Wage
compensation for pregnant women of tea garden areas”.

Programme Description
Objective: The program was designed with the aim of enhancing the health and nutrition of
pregnant women, enabling them to care for themselves and their unborn children without
compromising on their family's well-being. Additionally, It aims at discouraging pregnant women
from working during the later stages of pregnancy by offering financial assistance for essential
nutritional needs.
Enumeration of beneficiary: ASHAs will identify pregnant women living and working inside the tea
gardens, through field activity and register them through the MCP cards and enumerate them to this
scheme at a block level, through the ANM. This information will be sent to the State department and
will be made available on the ‘Swasthya Sewa Dapoon, NHM Assam’ portal under the wage
compensation system. All information regarding the PW, ASHA linked to the specific PW and ANM
linked to the ASHA, and the tea garden/estate area, in which the women is employed or working will
be made available on this portal for the state authorities to monitor the updates.
Payment of Installments to beneficiary: A 4 stage installment totaling Rs. 12,000 was decided to be
provided to the PW. The 4 installments were spread as mentioned below.

Installment Details Compensation


Early registration of pregnancy and
1st Installment Rs. 2,000/
ANC preferably in 1st trimester
One ANC should be done preferably by
2nd Installment Rs. 4,000/
medical Officer in third trimester
3rd Installment Institutional delivery in govt. hospital Rs. 3,000/
Birth Registration of Child
Immunization of first cycle of BCG,OPV,
4th Installment Rs. 3,000/
DPT, Hepatitis-B or their
equivalent/substitute

1
Incentives to ASHA: In addition to the Rs. 750 incentives under the NHM, incentives to ASHA under
the State Budget are also made @Rs. 200 / pw; Rs. 50 for opening of bank account of pw, Rs. 100 for
ensuring one ANC by MO in 3rd trimester and Rs. 50 for Institutional delivery of the beneficiary. This
makes the total incentives for ASHA as Rs. 900 per pw. Moreover, this incentive also is paid to ASHA
through DBT basis from the PFMS.
Monitoring and fund transfer: The monitoring and fund transfer was made available under this
scheme as
 Separate portal for the scheme under the ‘Swasthya Sewa Dapoon, NHM Assam’.
 Beneficiary bank account to be ensured, through ASHA and ANM.
 MOIC will check and ensure correctness of all beneficiaries before sending it to block level.
 All entries verified at the block level and uploaded to the portal.
 The state will directly release fund in beneficiary’s account through DBT.
 Fund under the scheme to be kept separate.

Outcome
More PW identified turned up at the public health facilities for a regular checkup and ASHAs were
also encouraged through the incentives and ensured the success of the scheme. Moreover, a
database of beneficiaries working in the tea gardens and related estates was also made available to
the State health department to ensure better immunization and nutrition coverage.
The scheme brough down the Infant and Maternal Mortality rate considerably.
Adaptability/Replicability
The practice can be adapted in the context of cities of Uttar Pradesh, specifically focusing primarily
on the women amongst migrated population, vulnerable settlements such as construction workers,
industries, and other targeted settlements where the access and reach of medical facilities and
awareness is poor. Additionally, ASHA taskforce specialized for this activity and focusing on
identifying women across these settlements shall be needed.
The State health department shall enumerate and identify financial requirements by tasking the
respective ULBs and NUHM cells to work together to identify beneficiaries in their respective cities.

Source: http://nhmssd.assam.gov.in/teag/docs/user_manual_tea_garden.pdf

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