Background
Today, Universal Health Coverage (UHC) is a priority for ensuring accessible, affordable and quality health care. The focus of National Health Mission (NHM), has primarily been to strengthen Reproductive Maternal Newborn Child and Adolescent Health (RMNCH+A) services and reduce the increasing burden of communicable diseases. However, in the recent years, the country has witnessed an increasing disease burden and rising costs of care due to non-communicable and chronic diseases. It has become imperative to adopt a comprehensive approach towards primary health care delivery.
In this context, in February 2018, the Government of India announced that 1,50,000 Health & Wellness Centres (HWCs) would be created by transforming the existing Sub Health Centres, Additional Primary Health Centres and Urban Primary Health Centres to deliver Comprehensive Primary Health Care and declared this as one of the two components of Ayushman Bharat.
The HWCs will provide 12 services for strengthening CPHC delivery closer to people's homes, with time to care no more than 30 minutes. HWCs will provide an expanded range of services, ensure continuum of care by establishing strong referral and community linkages coupled with provision of free drugs and diagnostics with an ultimate aim of reaching the last mile.
Expanded Package of Services
- Care in pregnancy and child-birth.
- Neonatal and infant health care services.
- Childhood and adolescent health care services.
- Family planning, Contraceptive services and other Reproductive Health Care services.
- Management of Communicable diseases including National Health Programmes.
- Management of Common Communicable Diseases and Outpatient care for acute simple illnesses and minor ailments.
- Screening, Prevention, Control and Management of Non-Communicable diseases.
- Care for Common Ophthalmic and ENT problems.
- Basic Oral health care.
- Elderly and Palliative health care services.
- Emergency Medical Services.
- Screening and Basic management of Mental health ailments.
Brief Note
Status of operationalization in BIHAR
| Type of Facility | Target till FY 20-21 | Approvals taken in ROP till date | Operational | % of achievement Vs target |
|---|---|---|---|---|
| SHCs | 3244 | 3721 | 859 | 26% |
| PHCs | 1379 | 1379 | 951 | 69% |
| UPHCs | 100 | 110 | 98 | 98% |
| Total | 4723 | 5210 | 1908 | 40% |
IEC Materials
- ANC Leaflet
- ANC Wall Printing
- Cervical Cancer Poster
- Final MNS Operational Guidelines Web Optimized PDF Version
- HWC Operational Guideline
- Jan Aarogya Samiti Web Compressed
- OG ENT HWC
- OG Eye HWC
- OG oral health HWC
- Updated Rapid Kit Tests - PHC
Community Health Officers
Community Health Officers (CHOs) are a new cadre of health workers and are expected to lead the primary care team at Sub Centre - Health and Wellness Centre (HSC-HWC). Individuals with professional backgrounds such as BSc. in Community Health or a Nurse (GNM or B.Sc/P.B. B.Sc) trained and certified through IGNOU/other State Public Health/Medical Universities, and posted at SC-HWC for leading primary health care team
Or
Graduate Nurses (B.Sc /P.B.B.Sc), who have undergone nursing training on Indian Nursing Council revised syllabus 2019, and are posted at HSC-HWC for leading the primary health care team
CHO has the highest paramedic qualification at the level of HSC-HWC. He/She is supposed to work as the facility-in-charge of HSC-HWC and supervise the ANMs, ASHA facilitators and ASHAs. This HWC team would be responsible to deliver quality primary health services to the catchment population of the centre.