HWC Portal https abhwc nhp gov in Key

HWC Portal (https: //ab-hwc. nhp. gov. in/) Key Features Ø Facility wise information on all functionality criteria Ø Daily Reporting on service utilization Ø Monthly Servicer Delivery Reporting Format Ø HWC and CPCH planning sheet Ø NIN and RCH Code mapping Ø HWC – CHO / MO Directory Ø Platform to upload photos, videos and testimonials

Functionality Criteria for SHC-HWC: 1. CHO in position+ 2. Training on NCD completed for MPW(F) and ASHA+ 3. Diagnostics available + 4. Medicines available+ 5. Branding completed + Screening of NCDs- Hypertension + Diabetes+ Oral Cancer + Breast Cancer started Criteria for SHC-HWC: Criteria for PHC-HWC & UPHC- HWC: 1. CHO in position + 2. Training on NCD completed for MPW(F) 1. MBBS MO in position + 2. Training on NCD completed for MO or Staff and ASHA + Diagnostics available + Nurse+ 3. Medicines available + 3. Diagnostics available + 4. Branding completed if the facility is in 4. Medicines available + Government Building 5. Branding completed + Criteria for PHC-HWC & UPHC- HWC: 6. Screening of NCDs- Hypertension + Diabetes + Oral Cancer + Breast Cancer started 1. MBBS MO in position + 2. Training on NCD completed for MO or Staff Nurse + 3. Diagnostics available + 4. Medicines available + 5. Branding completed if the facility is in Government Building

HWC Portal Data Entry Status AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

HWC Portal Data Entry Status Service Delivery Reporting Status May -Sept- 2019 Name of State HWC May-19 % Operational June-19 % July-19 % Aug-19 % Sept-19 % Arunachal Pradesh 94 33 35 38 40 31 33 32 34 0 0 Assam 920 876 95 860 93 851 93 762 83 0 0 Manipur 81 46 57 54 67 55 68 64 79 5 6 Meghalaya 40 41 103 42 105 0 0 Mizoram 4 0 0 0 0 0 Nagaland 53 3 6 3 6 1 2 Sikkim 25 10 40 23 92 9 36 2 8 Tripura 71 5 7 13 18 54 76 5 7 0 0 WB 371 272 73 268 72 236 64 266 72 28 8 Total 20668 11844 57 11981 58 11667 56 11508 56 481 2 * Entries also include data from proposed HWCs which are yet to become operational AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

NCD Screening status as per AB- HWC Portal State Name Arunachal Assam Pradesh Individuals 3710 Community Empanelled Outreach CBAC Filled 9182 Screening 3204 Newly 416 Hypertensi Diagnosed on On Treatment 189 Diabetes 52052 305 0 16201 1511 142133 24301255 890337 363934 66461 10356 85742 13297 530 2294 42 3032 10260 3436 7930 9704 104580 15989930 166355 15440445 45417 1314 1365 34 153 570 845 65182 1279294 45809 1171 1141 1 233 1585 816 86671 7058852 2959 319190 9890 11576 867 1812 7886 9111 110086 13242771 158 23875 969 1242 45 171 351 184 26291 1572479 21344 882 850 0 98 232 170 28475 3127345 1461 320098 9467 11159 239 0 7783 497 20119 7680756 0 579 24 11 0 0 4 0 261 15128 On Treatment 0 192 4 0 0 0 13 0 20 10218 Screening Newly Diagnosed 693 156267 6451 8145 489 0 2575 6 12375 5293008 0 276 29 2 0 0 56 0 117 20408 On Treatment 0 20 14 0 0 0 56 0 34 9742 Screening Newly Diagnosed 40 3280 2666 12 23 0 545 0 2640 3730142 0 12 116 0 0 0 32 0 76 17785 0 34 2 0 0 32 0 0 10075 Screening Newly Diagnosed Screening Newly Oral Cancer Diagnosed Cervical Cancer Total- all states 2956170 69849 On Treatment 55 Breast Cancer Manipur Meghalaya Mizoram Nagaland Sikkim Tripura WB On Treatment 0

Use of IT application Name of State HWC Operational Use of IT app as per HWC Portal Arunachal Pradesh 94 92 Assam 920 27 Manipur 81 85 Meghalaya 40 19 Mizoram 4 0 Nagaland 53 53 Sikkim 25 11 Tripura 71 0 WB 371 0 Total 20668 12062 AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

Continuum of Care PHC Portal CHC, DH, TCC Portal Treatment Diagnosis Examination Screening Enrolment Village SC / HWC PHC CHC/DH Admin Portal TCCC Dash boards

State NCD Deployment Status* Population Enrolment Partial Screening Total Screening Referred to PHC Examined at PHC Arunachal Pradesh 1528296 16371 1735 2696 532 0 0 0 Assam 34586234 6680 669 1414 405 693 82 543 Manipur 3008546 102550 3573 11052 2390 198 87 87 Meghalaya 3276323 49415 2533 3961 1213 32 3 24 Mizoram 1205974 36667 2936 6318 2520 0 Nagaland 2189297 4332 827 1583 243 0 0 0 Sikkim 671720 46780 2819 9779 2349 232 49 166 Tripura 4057847 15909 2 2 87 0 0 0 West Bengal** 97694960 0 0 0 States • *Status is as on Sept 28 th, 2019 • ** West Bengal is yet to initiate CPHC-NCD software Diagnosed- Diagnosed. DM HTN

NCD Dashboard – HWC status HWC Individuals Hypertension Empanelled Diabetes Oral Cancer Breast Cancer Cervical Cancer Screening Diagnosed Screening Diagnos Screening ed Diagn osed Arunachal 12, 768 Pradesh 2155 0 2122 0 1551 0 919 0 149 0 Assam 5, 240 1396 3 1400 2 1248 0 681 0 194 0 Manipur 47, 737 8124 42 8087 50 7955 0 5101 1 3490 0 Meghalaya 47, 094 3823 24 3804 3 3750 0 2501 0 197 1 Mizoram 6, 753 11 0 10 0 5 0 0 0 Nagaland 84 83 0 80 0 38 0 5 0 Sikkim 31, 399 7917 161 7902 49 7898 0 4137 0 2216 0 Tripura 14, 623 1 0 0 0 0 0 Total- all states 38, 04, 358 9, 68, 834 18, 220 2, 24, 871 12 9, 57, 514 9, 877 9, 401 5 4, 85, 775 3

Status Update Arunachal Pradesh – Assam— • ANM screening needs to be improved • MO screening needs to be initiated NCD software usage is low and needs to be initiated Meghalaya– Mizoram – • Need to procure remaining tablets • Complete all trainings Nagaland– • Overall low NCD screenings. • Conduct re-orientation and conduct NCD screenings • Procure remaining IT equipment's Tripura – • Need to procure tablet and laptops • Initiate NCD trainings West Bengal– • Needs to conduct re orientation and procure remaining tablet Sikkim • Need to increase NCD screening • Procure remaining tablets and laptops/PC Manipur— • One of the good performers in NE. • Needs to strengthen screenings by ANM and MO further Yet to start use of CPCH – NCD app

Daily Reporting Status HWC Portal

Daily Reporting 9 /1 9/ 30 9 /1 9/ 29 /1 9 9266 9/ 28 9 /1 9671 9778 9738 9/ 27 9 /1 9/ 26 9 /1 9/ 25 9 /1 10015 9/ 24 9 /1 9/ 23 9 3553 /1 10400 9/ 22 9 /1 10718 10557 9/ 21 9 /1 9/ 20 9 /1 10315 9/ 19 9 /1 /1 9 10601 9/ 18 17 9/ 9 /1 9/ 16 9 /1 9/ 15 TOTAL-ALL STATES 52% 8719 7648 6304 3138 2132

25 /1 9 30 9/ /1 9 29 9/ /1 9 429 28 9/ /1 9 27 9/ /1 9 457 447 26 9/ /1 9 25 9/ /1 9 447 453 449 448 24 9/ /1 9 28 23 9/ /1 9 22 9/ /1 9 21 9/ /1 9 20 9/ /1 9 482 479 19 9/ 9 /1 9 18 9/ /1 17 9/ /1 9 16 9/ /1 9 15 9/ Assam-926 52% 413 400 324 25

1 /1 9 5 30 9/ /1 9 9 12 29 9/ 22 /1 9 34 28 9/ 24 /1 51% 28 27 9 24 9/ 9 41 26 /1 9/ /1 41 25 9/ 51% /1 9 43 24 9/ /1 9 5 4 23 9/ /1 22 9 28 9/ 48 /1 21 28 9/ 51% /1 9 9 45 20 9/ 26 /1 9 51% 19 9/ 28 /1 18 9/ 9 /1 9 17 9/ 9 /1 16 9/ /1 15 9/ 49 70% 50 Tripura -71 Nagaland -54 49 39 31 24 18 13 16 4 1

9 /1 29 30 9 32 9/ 9 88% /1 29 9/ /1 9 33 28 9/ 31 /1 9 58 27 9/ 30 /1 9 58 26 9/ 31 /1 9 61 25 9/ 1 /1 9 59 24 9/ 7 /1 9 34 23 9/ 35 /1 9 61 22 9/ 34 /1 59 21 35 9 88% 9/ 9 58 /1 20 9/ 35 /1 9 58 19 9/ 34 /1 9 60 18 9/ 9 /1 17 9/ 9 /1 16 9/ /1 15 9/ Sikkim -20 Meghalaya -40 56 49 43 33 25 23 7 2 20

9 2 0 /1 30 15 9/ 23% /1 9 14 29 9/ /1 9 28 16 9/ 20 /1 9 16 27 9/ 17 /1 9 9 17 26 9/ 17 /1 25 9/ 19 /1 9 20 24 9/ /1 9 2 3 23 9/ 18 /1 9 19 22 17 9/ 20 /1 9 18 21 9 20 9/ 19 /1 20 9/ /1 9 19 9/ 22 /1 9 18 18 9/ /1 9 17 9/ /1 9 16 9/ /1 9 15 9/ -81 Arunachal Pradesh Manipur -97 25% 19 15 13 18 14 3 10 1 2

9 /1 0 30 9 0 9/ 9 8 /1 29 9/ 0 /1 9 11 28 9/ 0 /1 9 13 27 9/ 0 /1 13 26 9 WB 9/ 0 /1 9 14 25 9/ 0 /1 9 14 24 9/ 0 /1 9 9 23 9/ 0 /1 9 12 22 9/ 0 /1 9 11 21 9/ /1 9 0 20 9/ 0 /1 9 14 19 9/ 0 /1 9 14 18 9/ 9 0 /1 17 9/ 9 /1 16 9/ /1 15 9/ Mizoram -4 -399 13 10 8 9 5 0 0

Key issues – HWC Portal • About 50% verification of data done by state nodal teams – affects quality of data entered • No regular updation of HWC – suggestive frequency was quarterly • Slow pace of data entry

Next phase • Integration with NCD- CPHC IT application for – Ø Sharing of daily service utilization data (for estimation of Performance Linked Payments for HWCs) Ø Pulling data for NCD screening • Create Hierarchy of SHC and PHCs for planning of strengthening Primary health care units

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