BRIDGE COUSE 1.ppt - BRI BRIDGE PROGRAMME ON CERTIFICATE IN COMMUNITY HEALTH NURSING UNDER AYUSHMAN BHARAT Operationalizing Health And Wellness Centres

BRIDGE COUSE 1.ppt - BRI BRIDGE PROGRAMME ON CERTIFICATE IN...

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BRI BRIDGE PROGRAMME ON CERTIFICATE IN COMMUNITY HEALTH NURSING UNDER AYUSHMAN BHARAT Operationalizing Health And Wellness Centres To Deliver Comprehensive Primary Health Care
2 AYUSHMAN BHARAT – Rationale AYUSHMAN BHARAT – Rationale PRIMARY SECONDARY TERTIAR Y CONTINUUM OF CARE Unmet need: NCDs/other Chronic Diseases Existing services PMRSSM Referral Preventive, Promotive, Curative,, Rehabilitive & Palliative Care
Currently the Primary Health Care is selective: limited to RCH and Communicable Diseases- addresses about 20% of health care needs Low utilization of public health facilities -NSSO data (71 st Round) : 28% in rural areas and 21% in urban areas sought care in the public sector; of which only 11% and 3% respectively sought any form of care at a level below the CHC (other than child birth related services) Health care is fragmented –disrupts continuity of care and impacts on clinical outcomes and leads to high OOP High Costs are incurred because of lack of gate keeping function – raises the load on secondary and tertiary facilities and compromises quality Epidemiologic Transition: Death from the four major NCDs –Cancer, CVD, Diabetes, and Respiratory Diseases accounts for nearly 62% of all mortality among men and 52% among women – of which 56% is premature Rationale Rationale
DALYs Rate Attributable to Risk Factors in India 2016
Unfinished Agenda of RCH and Communicable Diseases - Persistent challenge –high levels of maternal and child mortality with Inter and intrastate variations High TFR- States of Bihar, UP, Rajasthan, MP, Jharkhand and Chhattisgarh(56% of India’s population increase) High Proportion of Underweight Children- 38% children under five are stunted and 36% continue to have low weight for age Challenge of communicable diseases –Tuberculosis including MDR TB, Hepatitis and rising burden of Dengue, Chikungunya Rationale Rationale
Launch of AYUSHMAN BHARAT On September 25, 2018 on the birth anniversary of the RSS

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