Primary Health Care in Urban Areas Ms Preeti
Primary Health Care in Urban Areas Ms. Preeti Pant Joint Secretary (Urban Health) Date: 8. 4. 2019
CPHC in Urban Areas • HWC/ U-PHCs - Fulcrum of Preventive, Promotive and Curative services in cities closer to the communities • De-congesting secondary/tertiary care facilities (DH/SDH/CHC) – Robust Comprehensive Primary Health Care services in urban areas • 3299 U-PHCs approved as HWCs of the total number of 4831 UPHCs • Approvals for Infrastructure strengthening, Trainings, IT support, IEC, Incentives, Monitoring etc. 2
CPHC Roll out in Urban areas § Rural vis-a-vis Urban § Is it Similar or Different? Yes/ No Some Yes/ Some No
Approaches… • Filling up of CBAC forms – Slum / Non slum areas • Follow up, back referrals, adherence etc. • Utilizing MAS present in Slum areas Ø for health promotion/awareness/follow-up/ vector control/ NCD/TB cases etc. • Enhanced Specialist services at HWCs/UPHCs – Less crowding at higher facilities • Strong Referral system • Metro Cities- Involving ULBs in HWC roll out
Some Examples from States • Filling up of CBAC formsØ Utilizing ANMs, Incentivizing ASHAs and involvement of volunteers for non- slum areas – HARYANA, ODISHA • Collaboration with Medical CollegesØ Master Trainers Team from Medical Colleges on CPHCs – CHHATTISGARH
Continued…. . • Utilizing MAS in urban areas Ø SMS alerts to MAS & ASHA on schedule of outreach camps – ODISHA Ø Active involvement of MAS in health promotion activities – CHHATTISGARH • Specialist services at HWCs/UPHCs Ø Fixed day Specialist services – ODISHA, KARNATAKA, CHHATISGARH
Way Forward § Besides ASHAs, utilizing ANMs, Nursing Students, NGOs, Volunteers, Link workers etc. for filling up CBAC forms/ Population Enumeration- For Non-slum areas § Using ANMs/ MAS for follow-up, adherence etc. in slum/ similar habitations § Enhanced fixed day Specialist services at HWCs for dental, eye, skin, mental health care etc. 7
Continued… § Prominent role for Medical Officer in HWC § Leveraging Medical Colleges in the cities and District Head quarters for training, mentoring etc. § PPP – Partnerships with Not for profit organizations § Intra-sectoral coordination (Urban & Rural)- logistics, drugs & diagnostics, trainings, monitoring, booking of expenditure… 8
LET’S JOIN HANDS FOR BETTER HEALTH CARE
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