1. Health and Wellness Centre's under Comprehensive Primary Health Care
National Health Mission Maharashtra

2. HWC – Aarogyavardhini Kendra

3. In Health Wellness Center Maharashtra, the Primary Health Care Services under National Health Programmes (NHPs) are integrated with Ayurved, Yog & Naturopathy in order to provide a holistic approach towards prevention and health advocacy.
Ayurved services focus on healthy diet and lifestyle along with Yoga practices to achieve a healthy & productive life. Providing Comprehensive Primary Health Care with more emphasis on preventive care through promotion of healthy life style.
The use of home remedies and promotion of medicinal plants cultivation are also an integral part of HWCs in Maharashtra.
Various promotive, preventive, curative & rehabilitative activities will be provided along with screening and diagnostic camps in the community.
The Ayurveda graduate in Maharashtra is recognized by the State Government to practice Allopathy (modern medicine) as per amendment in Maharashtra Medical Practitioners Act, Hence he may provide services of Ayurved, Allopathy, Yog & Naturopathy according to need of patient & disease condition.
Monitoring of the National Health Programmes (NHPs) will be intensified in the catchment area of these HWCs.

4. Services
Comprehensive Maternal Health Care services to be provided in those sites equipped to service as “delivery point”
Comprehensive Neonatal and Infant health care services
Comprehensive Childhood and Adolescent health care services
Comprehensive Contraceptive services
Comprehensive Reproductive Health services 
Comprehensive management of communicable diseases
Screening and Comprehensive management of Non- communicable diseases 
Basic Ophthalmic health care services
Basic ENT care services
Screening and basic management of Mental Health ailments
Basic Dental health care
Basic Geriatric health care services

5. Ayurveda & Yoga Integration Maharashtra has decided to integrate the services provided at HWC with Ayurveda & Yog components for a preventive & holistic approach towards health of the community
Preventive or outreach activities
Preventive practices in Ayurveda
Aahaar (Diet) and Vihaar (lifestyle)
Dincharya/Ritucharya/Rajaswala paricharya (Menstruation Period),
Yogasanas & Pranayam
Home remedies for minor ailments
Supraja Concept ( Ayurved concept for healthy baby. It consist of Pre- Antenatal & Post natal care.)
Medicinal Plant cultivation and use
Clinical activities
OPD cases to be treated with Ayurveda medicines
Anaemia intervention

6. Activities of HWC team At the HWC OPD at HWCs
Weekly meetings, Training & Monthly reporting
Outreach:
Peripheral OPD in villages
Home Visits
House-to-House Surveys
Monitoring of NHPs, Village Health and Nutrition Day (VHND), Immunization sessions etc.
Health promotion & Community Level Interactions with the AWWs, ASHAs, SHGs, School students, panchayats etc.
Organization of various screening and diagnostic camps
IEC/BCC activities related to healthy diet & lifestyle, common illnesses, home remedies for common illnesses etc. & Health advocacy
Promotion of Yoga practices and Medicinal Herbs plantation
Street shows and group activities

7. Current status of HWC
Total 30 sub centres are functioning since Feb 2017 in two districts high MMR & IMR prevalent, high target population, low availability of health services in the area etc.
20 Tribal SCs in Vikramgadh, Jawhar & Mokhada blocks of Palghar district
10 Non Tribal SCs in Malegaon block of Nashik district
250 HWC will be functional in December end.
Additional 500 HWC demanded in supplementary PIP. They will be functional in Feb 2018.
Baseline data of both the districts regarding the number and population of the villages under the SC, physical (infrastructure & equipment) and human resources has been collected
Ayurveda doctors are trained and working as HWC MO (Mid level service provider), providing preventive and curative services at SC and in the community
Renovation & repair works, purchase of medicine and equipment in process at district level

8. Various activities taking place in Maharashtra at 30 HWCs
ANC/PNC examination
Outreach OPD in Villages

9. Outreach OPD at HWC Savarkadwadi, Nashik
NCD screening:
Outreach OPD at HWC Savarkadwadi, Nashik

10. SAM/MAM examination at HWC

11. Immunization sessions
Outreach Immunization session at villages

12. Village visits
Examination of patients during School visit, HWC Savarkadwadi

13. Various IEC/BCC activities
Breastfeeding week rally in one of the villages of HWC Poshera, Mokhada, Palghar
Yog practices by school students, HWC Astane, Nashik

14. Promotion of medicinal plant cultivation at HWC Palsunde, Palghar
Breastfeeding and ORS Information given to mothers, HWC Talwade, Nashik

15. Health education through laptops in community, Mokhada, Palghar
Hygiene practices information: Hand washing demonstration in Government schools, HWC Kashti, Nashik

16. Anganwadi visits

17. Training of MO’s – Medicinal Plants

18. Treatment of joint pains with basic ayurvedic therapies with materials available at home
Health Promotion activity in school

19. Facebook Page of HWC Maharashtra

20. HWC training modules Ayurveda Training module
Prepared by HFWTC, SHSRC & AYUSH Cell
Ayurveda Training module
National Health programme module
Training modules for MO/ANM/MPW/ASHA have been prepared and training sessions will be organized in January 2018.
HFWTC, Nashik is nodal agency for HWC training.

22. HWC REPORT April to October 2017
Sr.no.
Activities
Total no. of pts.
Clinical activities 1
No. of ANC examination
4385 2
No. of PNC Examination
2692 3
No of NCD Screening
1483 4
No of SAM/MAM examination
4935 5
No of accidents/injuries cases
450 6
Total No. of patients referred
1439
PHC
1215
CHC, DH/ other
598 7
Total no. of patients examined for other diseases
42282
Outreach activities (IEC/BCC)
No fo Village Visits
1586
No of Screening /awareness camp
392
No of School / Anganwadi Visit
1345
No of households/families promoted for home remedies
3723
No of immunization camp attended
840
No of households/families promoted for plantation of herbal garden
3875
No of Children/ families promoted for yog practices
3610

23. Data Comparison – HWC Malegaon Block March to August

24. Caste Study – HWC Valvanda, Taluka Jawhar ( Tribal HWC)
PRANITA DEVRAM KAKWA
AGE : 6MONTHS
ADDRESS : MAULIPADA,JAWHAR.
Primary diagnosis is CA of ovaries
Consult with TATA MEMORIAL HOSPITAL
Followed up by HWC MO from Primary Diagnosis to Operation
Patient with HWC MO

25. HEALTH FOR ALL SAVES LIVES, STRENGTHENS NATIONS, IS ACHIEVABLE IN EVERY COUNTRY