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,
4. 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)
Operationalisation of H&WCs from Sub
health centre Cont…
5. 6. IT System : Tablets will be procured at state level
7.Availability of Equipment/furniture/Accessories (As per
concern Agency)
BUDGET PROVISIONS
8. Untied Budget: it is increase from INR 20,000 to INR 50,000
for utilization in required & Concerned activities only for Sub
centre -H&WCs
Operationalisation of H&WCs from Sub
health centre Cont…
6. CPHC – Essential package of services
1. Care in Pregnancy and Child-birth.
2. Neonatal and Infant Health Care Services
3. Childhood and Adolescent Health Care Services.
4. Family Planning, Contraceptive Services and other Reproductive
Health Care Services
5. Management of Communicable Diseases: National Health
Programmes
6. General Out-patient Care for Acute Simple Illnesses and Minor
Ailments
7. Screening, Prevention, Control and Mgmt. of Non-communicable
Diseases
8. Care for Common Ophthalmic and ENT Problems
9. Basic Oral Health Care
10. Elderly and Palliative Health Care Services
11. Emergency Medical Services including Burns and Trauma
12. Screening and Basic Management of Mental Health Ailments
7. Village/Urban
Ward
ASHA
• Population Enumeration
• Outreach Services
• Community Based Screening
• Risk Assessment
• Awareness Generation
• Follow up of confirmed cases
• Counselling: Lifestyle changes;
treatment compliance
MLHP/CHO
SHC
PHC/UPHC
• First Level Care
• Screening
• Use of Diagnostics
• Drug Dispensation
• Record keeping
• Tele health
• Referral to MO at PHC for
confirmation/complications
• Diagnosis /
• Prescription and
Treatment Plan
• Referral of
complicated cases
• Tele health
• Real time monitoring
CHC/SDH/DH
• Advanced diagnostics
• Complication
assessment
• Tele health
• Tertiary
linkage/PMRSSM
Community – Facility: Maintaining
Continuum of Care
7
8. OPD and community visit timings on H&WCs
10:00 AM - 12:00 AM: pre scheduled community and outreach
services
12:30 PM – 5:00 PM: Service delivery at the wellness centers
9. 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
10. 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.
11. • 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.
Operationalisation of PHC & UPHC
as Wellness Centre
