AYUSHMAN BHARAT Operationalizing 225 Health Wellness Centres To

AYUSHMAN BHARAT Operationalizing 225 Health & Wellness Centres To Deliver Comprehensive Primary Health Care by 15 th of August, 2018 https. youtu. begl. ZN 1 Zk. OFXo. mp 4

CPHC: Policy Articulation • • Task Force Report on Primary Health Care Rollout, 2015 National Health Policy 2017 – Two thirds to be committed to PHC Budget Announcement, 2017: Conversion of 1. 5 lakh sub Centres into Health and Wellness Centres (HWCs) Financial Commitment, Budget 2018,

Health & Wellness Centers TARGET Operationalizing for 15 th Aug, 2018 Aspirations Districts -10 (2 in each) • Baran • Dholpur • Jaisalmer • Karauli • Sirohi Interventions planned – • • • Sub center-100 Primary Health Center-100 Urban Primary Health Center- 25

Operationalisation of H&WCs from Sub health centre 1. Branding Design / Colour code- With reference to letter CE(M&H)/civil/2018/835 form civil engineer dated 3/7/2018

Operationalisation of H&WCs from Sub health centre Cont… 2. Space : Ø Examination room with adequate privacy and Telehealth Ø Diagnostics and medicine dispensation Ø Wellness room Ø Waiting area Ø IEC Ø Labour room at delivery points 3. Essential Drugs- as per list (as required) 4. Essential Diagnostic- as per EDL 5. Human resource & training. SUB CENTER PHC & UPHC • CHO • ANM • ASHA MO & other staff( as per IPHS Standards)

Operationalisation of H&WCs from Sub health centre Cont… 6. IT System : Tablets will be procured at state level 7. Availability of Equipment/furniture/Accessories (As per concern health facility) BUDGET PROVISIONS 8. Untied Budget: it is increase from INR 20, 000 to INR 50, 000 for utilization in required & Concerned activities only for Subcentre -H&WCs ( for 629 only) 9. For 490 H&WCs have provision for � Procurement for furniture, etc @ Rs 50, 000 � Reagents @ Rs 8, 000

CPHC – Essential package of services 1. Care in Pregnancy and Child-birth. 2. Neonatal and Infant Health Care Services 3. Childhood and Adolescent Health Care Services. Family Planning, Contraceptive Services and other Reproductive Health Care Services Management of Communicable Diseases: National Health Programmes General Out-patient Care for Acute Simple Illnesses and Minor Ailments Screening, Prevention, Control and Mgmt. of Non-communicable Diseases Care for Common Ophthalmic and ENT Problems Basic Oral Health Care Elderly and Palliative Health Care Services Emergency Medical Services including Burns and Trauma Screening and Basic Management of Mental Health Ailments 4. 5. 6. 7. 8. 9. 10. 11. 12.

ASHA • • Population Enumeration Outreach Services Community Based Screening Risk Assessment Awareness Generation Follow up of confirmed cases Counselling: Lifestyle changes; treatment compliance CHC/SDH/DH 8 • Advanced diagnostics • Complication assessment • Tele health • Tertiary linkage/PMRSSM MLHP/CHO • • First Level Care Screening Use of Diagnostics Drug Dispensation Record keeping Tele health Referral to MO at PHC for confirmation/complications PHC/UPHC • Diagnosis / • Prescription and Treatment Plan • Referral of complicated cases • Tele health • Real time monitoring SHC Village/Urban Ward Community – Facility: Maintaining Continuum of Care

OPD and community visit timings on H&WCs In summers: � 8: 00 AM - 10: 00 AM: pre scheduled community and outreach services � 10: 00 AM – 4: 00 PM: Service delivery at the wellness centers In winters: � 9: 00 AM – 11: 00 AM: pre scheduled community and outreach services � 11: 00 AM – 5: 00 PM: Service delivery at the wellness centers Dress code for CHO • The following logo embossed /embroidered on the front pocket of their white apron.

IEC Content for H&WCs

Record maintenance at HWCs q OPD Register q Community awareness & sensitization register q Referral record q Individual and family health records q Stock registers q Record for lab services q Financial management register

Operationalisation of PHC & UPHC as Wellness Centre � Required • infrastructure as per norm. Branding, Design & Color code (will be done on the front wall of HWCs with all 6 design), Budget may utilized from Untied grant of PHC & UPHC • IEC/Banner/Citizen Charter etc - Budget may utilized from Untied grant of PHC & UPHC • HR: Medical Officer and other staff • Frontline workers- 4 -5 ASHAs and 1 ANM for 10, 000 population - trained to deliver preventive, promotive, curative, rehabilitative & palliative services through outreach, including monitoring drug compliance for chronic diseases.

Operationalisation of PHC & UPHC as Wellness Centre • • • Drugs: Essential Drugs as per State EDL Diagnostic : Essential Diagnostic as per State EDL Availability of equipment/ Furniture/ Accessories as per concerned Health facility • IT System: Computer & internet connection should be Functional • Services: All services for which facilities is designated along with � Additional service like outreach camps, Yoga sessions , NCD screening & treatment, RNTCP services, with palliative care will be added to convert in PHC&UPHC HWC’s.

Monitoring Parameters / format The progress report in below format must be sent on every Tuesday before 11 AM on email- uhcrajasthan@gmail. com Format of 225 HWCs Monitoring & evaluation No. of health No. of facilities No. of facilitis have Avaiblity Avilablki health have essential health of HR ( ty of HR facilities diagnosti facilitie Availabilit No. of lity of No. of ( No. of have s c kit/ facility) essential reagents: Facade IEC essential facilities Type at SCs- drugs: (PHC- Brandin material equipme have Availability Total SC of Availabil of basic Availabili ANM (PHC-acc acc. to g/color (No. of nts, Healt No. of CHO; PHC/UP. to EDL coding facilities furniture ity of IT facilities ty of Name h health PHC- referral software like SCs- SC- comple are & S. of facilit Medical LT/Nurs given drug given list ted out supplie accessori & toilet, water, mechani N. District y y Officers e list ) ) of total d) es training electricity sim 1 PHC 4 UPH C 2 SC(H 1 Ajmer WC) Total 7

Operationalized H&WCs by 15 th aug 2018 (District wise numbers) S. No. District 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Ajmer Alwar Banswara Baran Barmer Bharatpur Bhilwara Bikaner Bundi Chittorgarh Churu Dausa Dholpur Dungarpur Ganganagar Hanumangarh PHC SHC UPHC Grand Total 4 4 3 3 4 4 3 0 6 0 0 3 3 3 1 4 3 6 3 1 2 5 0 1 10 2 3 0 1 3 2 0 0 1 0 0 0 4 0 0 1 0 0 0 7 8 6 10 6 4 6 13 3 1 16 2 4 3 4 6

Operationalized H&WCs by 15 th aug 2018 (District wise numbers) S. No. District 17 Jaipur 1 18 Jaipur 2 19 Jaisalmer 20 Jalore 21 Jhalawar 22 Jhunjhunu 23 Jodhpur 24 Karauli 25 Kota 26 Nagaur 27 Pali 28 Pratapgarh 29 Rajsamand Sawai 30 Madhopur 31 Sikar 32 Sirohi 33 Tonk PHC 4 4 3 3 3 3 3 2 SHC 8 7 2 3 7 6 2 2 2 4 1 0 2 UPHC 3 4 0 0 5 1 4 0 0 Grand Total 15 15 5 6 10 9 11 6 9 7 4 3 4 1 3 3 3 0 6 2 0 0 0 1 9 5 3

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Thank You For further details contact Dr Prem Singh, SNO 9460060445