Overview_of_CPHC_and_Operationalization_of_HWCs_JS_P_2.ppt - AYUSHMAN BHARAT Operationalizing Health and Wellness Centres To Deliver Comprehensive

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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 – CPHC & PMRSSM Unmet need: NCDs/other Chronic Diseases Existing services : RMNCH A 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
CPHC: Policy Articulation 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,
Launch of AYUSHMAN BHARAT 14 th April 2018 -Honorable Prime Minister launched the first Health and Wellness Centre at Jangla, Bijapur, Chattissgarh
Key Elements to Roll out CPHC Key Elements to Roll out CPHC
Key Elements to Roll out CPHC Key Elements to Roll out CPHC
Comprehensive Primary Health Care Team Comprehensive Primary Health Care Team Health & Wellness Centre – SHC Mid-level health provider 5: BSc/ GNM or Ayurveda Practitioner trained in 6 months Certificate Programme in Community Health/ Community Health Officer (BSc-CH) MPW F- 2 per SHC IPHS MPW M- 1 to be provided from state resource 5 ASHAs as outreach team per SHC Health & Wellness Centre – PHC (@30,000) / UPHC (@50,000) PHC team – (Atleast - 1 MBBS Doctor, 1 Staff nurses, 1 Pharmacist, 1 Lab Technician and LHV) + MPW + ASHAs s Services (IPHS +) - Screening of NCDs (VIA) and wellness room

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