1. AYUSHMAN BHARAT Operationalizing 225 Health & Wellness Centres
To Deliver Comprehensive Primary Health Care by 15th of August, 2018
https.youtu.beglZN1ZkOFXo.mp4

2. 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,

3. Health & Wellness Centers TARGET Operationalizing for 15th Aug, 2018
Aspirations Districts -10 (2 in each)
Baran
Dholpur
Jaisalmer
Karauli
Sirohi
Interventions planned –
Sub center-100
Primary Health Center-100
Urban Primary Health Center- 25

4. Operationalisation of H&WCs from Sub health centre
Branding Design / Colour code-
With reference to letter CE(M&H)/civil/2018/835 form civil engineer dated 3/7/2018

5. Operationalisation of H&WCs from Sub health centre Cont…
2.Space :
Examination room with adequate privacy and Telehealth
Diagnostics and medicine dispensation
Wellness room
Waiting area
IEC
Labour room at delivery points
3. Essential Drugs- as per list
(as required)
4. Essential Diagnostic- as per EDL
5. Human resource & training-
SUB CENTER
PHC & UPHC
CHO
ANM
ASHA
MO & other staff( as per IPHS Standards)

6. Operationalisation of H&WCs from Sub health centre Cont…
6. IT System : Tablets will be procured at state level
7.Availability of Equipment/furniture/Accessories (As per concern health facility)
BUDGET PROVISIONS
8. Untied Budget: it is increase from INR 20,000 to INR 50,000 for utilization in required & Concerned activities only for Subcentre -H&WCs ( for 629 only)
9. For 490 H&WCs have provision for
Procurement for furniture, Rs 50,000
Rs 8,000

7. CPHC – Essential 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: National Health Programmes
General Out-patient Care for Acute Simple Illnesses and Minor Ailments
Screening, Prevention, Control and Mgmt. of Non-communicable Diseases
Care for Common Ophthalmic and ENT Problems
Basic Oral Health Care
Elderly and Palliative Health Care Services
Emergency Medical Services including Burns and Trauma
Screening and Basic Management of Mental Health Ailments

8. Community – Facility: Maintaining Continuum of Care
ASHA
MLHP/CHO
Village/Urban Ward
Population Enumeration
Outreach Services
Community Based Screening
Risk Assessment
Awareness Generation
Follow up of confirmed cases
Counselling: Lifestyle changes; treatment compliance
First Level Care
Screening
Use of Diagnostics
Drug Dispensation
Record keeping
Tele health
Referral to MO at PHC for confirmation/complications
SHC
CHC/SDH/DH
PHC/UPHC
Advanced diagnostics
Complication assessment
Tele health
Tertiary linkage/PMRSSM
Diagnosis /
Prescription and Treatment Plan
Referral of complicated cases
Tele health
Real time monitoring

9. Dress code for CHO OPD and community visit timings on H&WCs
In summers:
8:00 AM - 10:00 AM: pre scheduled community and outreach services
10:00 AM – 4:00 PM: Service delivery at the wellness centers
In winters:
9:00 AM – 11:00 AM: pre scheduled community and outreach services
11:00 AM – 5:00 PM: Service delivery at the wellness centers
The following logo embossed /embroidered on the front pocket of their white apron.

10. IEC Content for H&WCs

11. Record maintenance at HWCs
OPD Register
Community awareness & sensitization register
Referral record
Individual and family health records
Stock registers
Record for lab services
Financial management register

12. Operationalisation of PHC & UPHC as Wellness Centre
Required infrastructure as per norm .
Branding, Design & Color code (will be done on the front wall of HWCs with all 6 design), Budget may utilized from Untied grant of PHC & UPHC
IEC/Banner/Citizen Charter etc - Budget may utilized from Untied grant of PHC & UPHC
HR: Medical Officer and other staff
Frontline workers- 4-5 ASHAs and 1 ANM for 10,000 population - trained to deliver preventive, promotive, curative, rehabilitative & palliative services through outreach, including monitoring drug compliance for chronic diseases.

13. Operationalisation of PHC & UPHC as Wellness Centre
Drugs: Essential Drugs as per State EDL
Diagnostic : Essential Diagnostic as per State EDL
Availability of equipment/ Furniture/ Accessories as per concerned Health facility
IT System: Computer & internet connection should be Functional
Services: All services for which facilities is designated along with
Additional service like outreach camps, Yoga sessions , NCD screening & treatment, RNTCP services, with palliative care will be added to convert in PHC&UPHC HWC’s.

14. Monitoring Parameters / format
The progress report in below format must be sent on every Tuesday before 11 AM on -
Format of 225 HWCs Monitoring & evaluation
S.N.
Name of District
Type of Health facility
Total No. of health facility
Avaiblity of HR ( No. of facility) at SC -CHO; PHC- Medical Officers
Avilablkity of HR ( No. of facility) SCs- ANM PHC/UPHC- LT/Nurse
No. of health facilities have essential drugs: (PHC-acc .to EDL SCs- given drug list )
No. of health facilities have essential diagnostic kit/ reagents: (PHC-acc .to EDL SC- given list )
No. of health facilities Facade Branding/color coding completed out of total
Availability of IEC material (No. of facilities are supplied)
No. of facilitis have Availability of essential equipments, furniture & accessories
No. of facilities have Availability of IT software & training
Availability of basic facilities like toilet,water,electricity
Availability of referral mechanisim 1
Ajmer
PHC 4
UPHC 2
SC(HWC)
Total 7

15. Operationalized H&WCs by 15th aug 2018 (District wise numbers)
S. No.
District
PHC
SHC
UPHC
Grand Total 1
Ajmer 4 2 7
Alwar 8 3
Banswara 6
Baran 10 5
Barmer
Bharatpur
Bhilwara
Bikaner 13 9
Bundi
Chittorgarh 11
Churu 16 12
Dausa
Dholpur 14
Dungarpur 15
Ganganagar
Hanumangarh

16. Operationalized H&WCs by 15th aug 2018 (District wise numbers)
S. No.
District
PHC
SHC
UPHC
Grand Total 17
Jaipur1 4 8 3 15 18
Jaipur2 7 19
Jaisalmer 2 5 20
Jalore 6 21
Jhalawar 10 22
Jhunjhunu 9 23
Jodhpur 11 24
Karauli 1 25
Kota 26
Nagaur 27
Pali 28
Pratapgarh 29
Rajsamand 30
Sawai Madhopur 31
Sikar 32
Sirohi 33
Tonk 34
Udaipur

17. Lkeqnkf;d LokLF; vf/kdkjh d{k
;ksx LFky
izfr{kk d{k
Lkeqnkf;d LokLF; vf/kdkjh d{k
izlqfr d{k
,,u,e d{k
nok laxzg.k LFky
oSyusl d{k
LVksj :e
lqfo/kk;sa
Tkakp LFky
vkS"kf/k;kWa m|ku

18. Thank You For further details contact Dr Prem Singh, SNO 9460060445