As an ASHA, I want to screen women using key health questions and refer them to a HWC when required, so that beneficiaries with potential high-risk symptoms or high screening scores receive timely care under the NCD program.

NCD Referrals:

After CBAC screening, ASHA can refer the suspected cases (If score is > 4) to the HWC facility for further clinical screening. All referral cases should be line listed separately in a section titled "NCD Referrals". Logic to do this is for ease of access to follow-up of case by ASHA and incentive calculation for ASHA. Should capture the start date and end of treatment date from HWC (6 months).

Acceptance Criteria

Referral Based on Screening:

1. If score is > 4, in Part A: Risk Assessment it is a "NCD Referrals":

• If the screening score is greater than 4:
  • Show the same dialog box to ASHA:
    • “Do you want to refer to HWC facility?”

                                 Buttons: Yes / No

• If Yes is selected:
  • Move the beneficiary to the "NCD Referrals" section.
  • Log referral reason: "Score > 4"

2. In 'Part B2: Women Only' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4), {}Mandatory Questions in ‘Part B2: Women Only’ Section

ASHA must answer the following mandatory spinner questions:

Referral Based on Part B2 Responses

• If ASHA selects "Yes" for any one of the above questions:
  • Show a confirmation dialog box:
    • “Do you want to refer to HWC facility?”

                                 Buttons: Yes / No

• If Yes is selected:
  • Move the beneficiary to the "NCD Referrals" section.
  • Log referral reason: "Part B2: Women Only – Symptom Present"

3. In 'Part B3: Elderly Specific' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4)

4. If score is > 3, in Part D: PHQ2 it is a "NCD Referrals"

In all above 4 cases:

Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" 
with "No" or "Yes" options.

If referred, then move the beneficiary to "NCD Referrals" section.

Incentive:

1. ASHA is eligible for incentive of Rs. 10, for population enumeration, CBAC filling and mobilizing for NCD screening
2. ASHA is eligible for incentive of Rs. 50, once the beneficiary completes the treatment diagnosed with Hypertension, Diabetes Mellitus & 3 common cancers(Oral, Breast, Cervical), if the beneficiary referred to HWC.