AYUSHMAN BHARATHEALTH AND WELLNESS CENTRES UPDATE SOUTHERN REGIONAL
AYUSHMAN BHARATHEALTH AND WELLNESS CENTRES: UPDATE, SOUTHERN REGIONAL WORKSHOP, AUGUST 7, 2019 1
HWC Approvals 534 90 520 16 867 24 58 1842 3344 568 2166 30 243 2 18234 1215 728 1100 708 671 71 132 30 81 28 1137 38628 82 824 rn at ak a Ke La ra ks ha la dw ee p Od Pu isha du ch er ry ds an 1174 218 234 2310 1096 611 10148 SHC PHC AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES 329 7509 293 97 Ka A& N Isl l ta To na 18 19268 1607 505 0 ng a u 18 778 AP UPHC Te la Na d y m il Ta Pu d uc eh rr a ish p ee ks ha d w la a ak Ke ra La Ka r na t an ds N Isl AP A & Od PHC 1003 641 985 SC 0 1145 3 2250 666 60206 1705 UPHC ta l 0 2866 To 22 60 364 121 na 1144 3 ga 5 2057 1308 la n 222 2740 TN 85 Te 3616 HWC Progressive
CHO Status Puducherry India Tamil Nadu 8000 7000 6000 86 86 Telangana 6835 Kerala 5000 4000 229 4312 Karnataka 524 3000 2000 1000 0 1734 58 87 Odisha 789 145 Lakshadweep Total CHOs Nurse CHOs Ayurveda CHOs with appointed CHOs BSc Andhra Pradesh at HWCs appointed Community at HWCs Health appointed Andaman and Nicobar Islands at HWCs 359 30 30 0 100 Ayurveda CHOs appointed at HWCs Total CHOs appointed at HWCs AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES 200 300 400 500 600 Nurse CHOs appointed at HWCs
CHOs under training-January 2019 session 5526 0 Puducherry 0 0 Tamil Nadu 5097 Telangana 0 0 0 0 Kerala 0 0 Karnataka Odisha Lakshadweep 429 Total CHOs under Nurse CHOs CPCH Training under CPCH Training Andhra Pradesh 0 328 0 71 71 0 0 Andaman and Nicobar 0 0 Islands 0 Ayurveda CHOs 0 under Training 428 50 100 150 Ayurveda CHOs under Training 200 250 300 350 400 Nurse CHOs under CPCH Training Total CHOs under CPCH Training -Jan 2019 AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES 450
CHO Enrolment Status July 2019 session 1 India 2 Andaman and Nicobar Island 3 Andhra Pradesh 4 Lakshadweep 5 Odisha 6 Karnataka 7 Kerala 8 Telangana 9 Tamil Nadu 10 Puducherry CHOs Approved for July 2019 session 23355 CHOs likely to be enrolled in July 2019 session 13677 30 500 0 1100 953 728 487 0 0 30 0 0 200 450 728 0 0 0 AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
Findings from Phone Survey with CHOs
Status of Calls 9873 Total calls made Survey completed 1232 264 Andhra Pradesh 38 435 42 Karnataka 129 Odisha 12 6 0 Tamil Nadu 2 0 Telangana AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES Total
Status of Upgrading of SHC to HWCs 26% 29% Andhra Pradesh N- 38 karnataka 12% N- 42 50% 51% 22% 27% N- 1232 0% 20% Under process/ongoing 45% 21% N- 12 Total No 67% 25% Odisha Yes 40% 60% 80%
Training of Primary Healthcare Team CHO certificate training 98% 97% 92% 80% Yes NO 20% Andhra Pradesh N- 38 8% 2% 3% Karnataka N- 42 Odisha N- 12 Total N- 1232
Training of Primary Healthcare Team on NCDs Andhra Pradesh 2% 9% 5% Karnataka 9% 9% ASHA N- 38 0% N- 42 Odisha 0% N- 12 Total 81% 75% 17% 79% 5% 7% 14% N- 1232 Andhra Pradesh 84% 2% 7% 7% N- 38 MPW-F 8% 84% Karnataka 82% 4% 4% 10% N- 42 Odisha 100% 0% N- 12 Total N- 1232 0% 4%8% 10% Completed Planned but not started Under process Do not know 78% 20% 40% 60% 80% 100%
Availability of Medicines 98% Both Hypertension and Diabetes Only Hypertension Only Diabetes 67% 58% None 58% 33% 29% 11% 3% Andhra Pradesh N- 38 4% 2% Karnataka N- 42 2% 0%0% Odisha N- 12 33% 7% 2% Total N- 1232
Diagnostic services available at HWCs 3% All 6 tests 17% 5 tests 45% 44% Total 10% 13% Hb, Blood sugar, UPT, Urine Dipstick, RDK Malaria, Sputum Collection 17% 5% 5% 4% 0% Karnataka Odisha 7% No test Andhra Pradesh 8% 8% 2% 0% 0% 33% 16% 15% 0% 2 tests 1 test 22% 17% 0% 3 tests 27% 11% 7% 10% 50% 20% 30% 40% 50%
Diagnostic services available at HWCs 90% Blood glucose test 76% 68% 50% Andhra Pradesh N- 38 Karnataka N- 42 Odisha Total N- 1232
Facilities started Community Outreach Andhra Pradesh N- 38 87% 58% 62% Karnataka 79% N- 42 CBAC form filling Population enumeration 75% Odisha 75% N- 12 67% Total N- 1232 66%
Status of NCD screening 100% 95%97% 98% 89% 84% 67% 63%66% 58% 40% 33% 30% Diabetes 17% Hypertension Oral Cancer Breast Cancer Andhra Pradesh N- 38 Karnataka N- 42 Odisha N- 12 Total N- 1232
Facilities started Wellness and Health Promotion Activities 38% 34% Common activities undertaken: • Village sabha/meeting &sammelan • NCD camps • Yoga • Rally/ campaigns • School visits/camps 11% 0% Andhra Pradesh N- 38 Karnataka Odisha N- 42 N- 12 Total N- 1232
Support and Supervision 68% 66% Andhra Pradesh 97% N- 38 77% Karnataka Attended PHC meeting in last 3 months 65% 96% N- 42 Block/district officer visited HWC in last 3 months 42% Odisha PHC-MO visited HWC on last 3 months 83% N- 12 71% Total 62% 87% N- 1232 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Concerns shared by CHOs • Infrastructure upgradation • Non/ Limited availability of Medicines • Shortage of Human resource • Irregular electricity and water supply • Issues related to salary and incentive • Need for more training • Issues related to security at the HWC • Limited availability of equipment and consumables • Poor internet connectivity
Operationalization: suggestions • Orientation of programme management teams at district/sub-district • Induction training of CHOs • Use of ECHO as a capacity building platform • Enhancing involvement of ASHA on role related to HWCcommensurate action on regular payment • Saturation of HWC-SHC in a cluster/block- to leverage action on several fronts • Expedite action by Nursing Councils/Nursing institutions for CHO scale up • Urban HWC- links with outreach need strengthening • Partnerships with credible organizations- training, management of HWC in remote areas
Thank You
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