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AYUSHMAN BHARAT-
HEALTH AND WELLNESS CENTRES:
UPDATE, SOUTHERN REGIONAL WORKSHOP, AUGUST 7, 2019
1
HWC Progressive
1705
2866
121
2057
1308
2740
3616 60206
HWC Approvals
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
2250 58 1842
728
3
1100
81
985
1137 38628
1144 22
534 520
0
867 24
1215
568
18234
222 5 364
60 0 90
16
666
3344
SC PHC UPHC
3
85 19268
1174
1607
18
1003
0
671
708
30
2166
778
28
505
0 97 293
329 7509
1145
132
641
0
824 18 1096 611
10148
243 2 71 30
0
82 218 234 2310
SHC PHC UPHC
CHO Status
6835
4312
1734
789
0
1000
2000
3000
4000
5000
6000
7000
8000
Total CHOs
appointed at
HWCs
Nurse CHOs
appointed at
HWCs
Ayurveda
CHOs
appointed at
HWCs
CHOs with BSc
Community
Health
appointed at
HWCs
India
30
359
145
524
86
229
30
359
87
524
86
229
58
0 100 200 300 400 500 600
Andaman and Nicobar Islands
Andhra Pradesh
Lakshadweep
Odisha
Karnataka
Kerala
Telangana
Tamil Nadu
Puducherry
Ayurveda CHOs appointed at HWCs Nurse CHOs appointed at HWCs
Total CHOs appointed at HWCs
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
CHOs under training-January 2019 session
0
428
0
71
328
0
0
0
0
0
428
0
71
328
0
0
0
0
0
0
0
0
0
0
0
0
0
0 50 100 150 200 250 300 350 400 450
Andaman and
Nicobar Islands
Andhra Pradesh
Lakshadweep
Odisha
Karnataka
Kerala
Telangana
Tamil Nadu
Puducherry
Ayurveda CHOs under Training Nurse CHOs under CPCH Training
Total CHOs under CPCH Training -Jan 2019
5526
5097
429
Total CHOs under
CPCH Training
Nurse CHOs
under CPCH
Training
Ayurveda CHOs
under Training
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
CHO Enrolment Status July 2019 session
CHOs Approved for July
2019 session
CHOs likely to be enrolled in
July 2019 session
1India 23355 13677
2Andaman and Nicobar Island
30 30
3Andhra Pradesh 500 0
4Lakshadweep 0 0
5Odisha 1100 200
6Karnataka 953 450
7Kerala 728 728
8Telangana 487 0
9Tamil Nadu 0 0
10Puducherry 0 0
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
Findings from Phone Survey with
CHOs
Status of Calls
Andhra Pradesh Karnataka Odisha Tamil Nadu Telangana Total
264 435
129 6 2
9873
38 42 12 0 0
1232
Total calls made
Survey completed
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
Status of Upgrading of SHC to HWCs
0% 20% 40% 60% 80%
Total
Odisha
karnataka
Andhra Pradesh
27%
50%
21%
45%
22%
25%
12%
29%
51%
25%
67%
26%
Yes
No
Under process/ongoing
N- 42
N- 12
N- 1232
N- 38
Training of Primary Healthcare Team
CHO certificate training
Andhra
Pradesh
Karnataka Odisha Total
97% 98%
92%
80%
3% 2%
8%
20%
Yes
NO
N- 38 N- 42 N- 12 N- 1232
Training of Primary Healthcare Team on NCDs
0% 20% 40% 60% 80% 100%
Total
Odisha
Karnataka
Andhra Pradesh
Total
Odisha
Karnataka
Andhra Pradesh
MPW-F
ASHA
10%
0%
10%
7%
14%
8%
9%
5%
8%
0%
4%
7%
7%
17%
0%
9%
4%
0%
4%
2%
5%
0%
9%
2%
78%
100%
82%
84%
79%
75%
81%
84%
Completed
Planned but not started
Under process
Do not know
N- 38
N- 38
N- 42
N- 42
N- 12
N- 12
N- 1232
N- 1232
Availability of Medicines
Andhra Pradesh Karnataka Odisha Total
58%
98%
33%
58%
11%
4%
0%
7%
3% 2% 0% 2%
29%
2%
67%
33%
Both Hypertension and Diabetes
Only Hypertension
Only Diabetes
None
N- 42
N- 1232
N- 12
N- 38
Diagnostic services available at HWCs
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
No test
1 test
2 tests
3 tests
4 tests
5 tests
All 6 tests
7%
5%
7%
10%
15%
33%
22%
50%
0%
17%
0%
0%
17%
17%
4%
0%
2%
8%
15%
44%
27%
11%
5%
13%
8%
16%
45%
3%
Andhra Pradesh
Karnataka
Odisha
Total
Hb, Blood sugar, UPT, Urine Dipstick, RDK
Malaria, Sputum Collection
Diagnostic services available at HWCs
Andhra Pradesh Karnataka Odisha Total
68%
90%
50%
76%
Blood glucose test
N- 12
N- 38 N- 42 N- 1232
Facilities started Community Outreach
Total
Odisha
Karnataka
Andhra Pradesh
66%
75%
79%
58%
67%
75%
62%
87%
CBAC form filling
Population enumeration
N- 1232
N- 38
N- 12
N- 42
Status of NCD screening
Andhra Pradesh Karnataka Odisha Total
95%
100%
58%
84%
97% 98%
67%
89%
63%
40%
17%
33%
66%
40%
17%
30%
Diabetes
Hypertension
Oral Cancer
Breast Cancer
N- 1232
N- 42
N- 38 N- 12
Facilities started Wellness and Health Promotion
Activities
Common activities undertaken:
• Village sabha/meeting &sammelan
•NCD camps
•Yoga
•Rally/ campaigns
•School visits/camps
Andhra
Pradesh
Karnataka Odisha Total
11%
38%
0%
34%
N- 42 N- 12 N- 1232
N- 38
Support and Supervision
0% 20% 40% 60% 80% 100%
Total
Odisha
Karnataka
Andhra Pradesh
87%
83%
96%
97%
62%
42%
65%
66%
71%
42%
77%
68%
Attended PHC meeting in last 3 months
Block/district officer visited HWC in last
3 months
PHC-MO visited HWC on last 3 months
N- 38
N- 42
N- 12
N- 1232
Concerns shared by CHOs
• Infrastructure upgradation
• Non/ Limited availability of Medicines
• Shortage of Human resource
• Irregular electricity and water supply
• Issues related to salary and incentive
• Need for more training
• Issues related to security at the HWC
• Limited availability of equipment and consumables
• Poor internet connectivity
Operationalization: suggestions
• Orientation of programme management teams at district/sub-district
• Induction training of CHOs
• Use of ECHO as a capacity building platform
• Enhancing involvement of ASHA on role related to HWC-
commensurate action on regular payment
• Saturation of HWC-SHC in a cluster/block- to leverage action on
several fronts
• Expedite action by Nursing Councils/Nursing institutions for CHO
scale up
• Urban HWC- links with outreach need strengthening
• Partnerships with credible organizations- training, management of
HWC in remote areas
Thank You

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CHO_Phone_Survey_ED_NHSRC.pptx

  • 1. AYUSHMAN BHARAT- HEALTH AND WELLNESS CENTRES: UPDATE, SOUTHERN REGIONAL WORKSHOP, AUGUST 7, 2019 1
  • 2. HWC Progressive 1705 2866 121 2057 1308 2740 3616 60206 HWC Approvals AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES 2250 58 1842 728 3 1100 81 985 1137 38628 1144 22 534 520 0 867 24 1215 568 18234 222 5 364 60 0 90 16 666 3344 SC PHC UPHC 3 85 19268 1174 1607 18 1003 0 671 708 30 2166 778 28 505 0 97 293 329 7509 1145 132 641 0 824 18 1096 611 10148 243 2 71 30 0 82 218 234 2310 SHC PHC UPHC
  • 3. CHO Status 6835 4312 1734 789 0 1000 2000 3000 4000 5000 6000 7000 8000 Total CHOs appointed at HWCs Nurse CHOs appointed at HWCs Ayurveda CHOs appointed at HWCs CHOs with BSc Community Health appointed at HWCs India 30 359 145 524 86 229 30 359 87 524 86 229 58 0 100 200 300 400 500 600 Andaman and Nicobar Islands Andhra Pradesh Lakshadweep Odisha Karnataka Kerala Telangana Tamil Nadu Puducherry Ayurveda CHOs appointed at HWCs Nurse CHOs appointed at HWCs Total CHOs appointed at HWCs AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
  • 4. CHOs under training-January 2019 session 0 428 0 71 328 0 0 0 0 0 428 0 71 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 100 150 200 250 300 350 400 450 Andaman and Nicobar Islands Andhra Pradesh Lakshadweep Odisha Karnataka Kerala Telangana Tamil Nadu Puducherry Ayurveda CHOs under Training Nurse CHOs under CPCH Training Total CHOs under CPCH Training -Jan 2019 5526 5097 429 Total CHOs under CPCH Training Nurse CHOs under CPCH Training Ayurveda CHOs under Training AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
  • 5. CHO Enrolment Status July 2019 session CHOs Approved for July 2019 session CHOs likely to be enrolled in July 2019 session 1India 23355 13677 2Andaman and Nicobar Island 30 30 3Andhra Pradesh 500 0 4Lakshadweep 0 0 5Odisha 1100 200 6Karnataka 953 450 7Kerala 728 728 8Telangana 487 0 9Tamil Nadu 0 0 10Puducherry 0 0 AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
  • 6. Findings from Phone Survey with CHOs
  • 7. Status of Calls Andhra Pradesh Karnataka Odisha Tamil Nadu Telangana Total 264 435 129 6 2 9873 38 42 12 0 0 1232 Total calls made Survey completed AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
  • 8. Status of Upgrading of SHC to HWCs 0% 20% 40% 60% 80% Total Odisha karnataka Andhra Pradesh 27% 50% 21% 45% 22% 25% 12% 29% 51% 25% 67% 26% Yes No Under process/ongoing N- 42 N- 12 N- 1232 N- 38
  • 9. Training of Primary Healthcare Team CHO certificate training Andhra Pradesh Karnataka Odisha Total 97% 98% 92% 80% 3% 2% 8% 20% Yes NO N- 38 N- 42 N- 12 N- 1232
  • 10. Training of Primary Healthcare Team on NCDs 0% 20% 40% 60% 80% 100% Total Odisha Karnataka Andhra Pradesh Total Odisha Karnataka Andhra Pradesh MPW-F ASHA 10% 0% 10% 7% 14% 8% 9% 5% 8% 0% 4% 7% 7% 17% 0% 9% 4% 0% 4% 2% 5% 0% 9% 2% 78% 100% 82% 84% 79% 75% 81% 84% Completed Planned but not started Under process Do not know N- 38 N- 38 N- 42 N- 42 N- 12 N- 12 N- 1232 N- 1232
  • 11. Availability of Medicines Andhra Pradesh Karnataka Odisha Total 58% 98% 33% 58% 11% 4% 0% 7% 3% 2% 0% 2% 29% 2% 67% 33% Both Hypertension and Diabetes Only Hypertension Only Diabetes None N- 42 N- 1232 N- 12 N- 38
  • 12. Diagnostic services available at HWCs 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% No test 1 test 2 tests 3 tests 4 tests 5 tests All 6 tests 7% 5% 7% 10% 15% 33% 22% 50% 0% 17% 0% 0% 17% 17% 4% 0% 2% 8% 15% 44% 27% 11% 5% 13% 8% 16% 45% 3% Andhra Pradesh Karnataka Odisha Total Hb, Blood sugar, UPT, Urine Dipstick, RDK Malaria, Sputum Collection
  • 13. Diagnostic services available at HWCs Andhra Pradesh Karnataka Odisha Total 68% 90% 50% 76% Blood glucose test N- 12 N- 38 N- 42 N- 1232
  • 14. Facilities started Community Outreach Total Odisha Karnataka Andhra Pradesh 66% 75% 79% 58% 67% 75% 62% 87% CBAC form filling Population enumeration N- 1232 N- 38 N- 12 N- 42
  • 15. Status of NCD screening Andhra Pradesh Karnataka Odisha Total 95% 100% 58% 84% 97% 98% 67% 89% 63% 40% 17% 33% 66% 40% 17% 30% Diabetes Hypertension Oral Cancer Breast Cancer N- 1232 N- 42 N- 38 N- 12
  • 16. Facilities started Wellness and Health Promotion Activities Common activities undertaken: • Village sabha/meeting &sammelan •NCD camps •Yoga •Rally/ campaigns •School visits/camps Andhra Pradesh Karnataka Odisha Total 11% 38% 0% 34% N- 42 N- 12 N- 1232 N- 38
  • 17. Support and Supervision 0% 20% 40% 60% 80% 100% Total Odisha Karnataka Andhra Pradesh 87% 83% 96% 97% 62% 42% 65% 66% 71% 42% 77% 68% Attended PHC meeting in last 3 months Block/district officer visited HWC in last 3 months PHC-MO visited HWC on last 3 months N- 38 N- 42 N- 12 N- 1232
  • 18. Concerns shared by CHOs • Infrastructure upgradation • Non/ Limited availability of Medicines • Shortage of Human resource • Irregular electricity and water supply • Issues related to salary and incentive • Need for more training • Issues related to security at the HWC • Limited availability of equipment and consumables • Poor internet connectivity
  • 19. Operationalization: suggestions • Orientation of programme management teams at district/sub-district • Induction training of CHOs • Use of ECHO as a capacity building platform • Enhancing involvement of ASHA on role related to HWC- commensurate action on regular payment • Saturation of HWC-SHC in a cluster/block- to leverage action on several fronts • Expedite action by Nursing Councils/Nursing institutions for CHO scale up • Urban HWC- links with outreach need strengthening • Partnerships with credible organizations- training, management of HWC in remote areas

Editor's Notes

  1. Operational -19268 – with difference in Kerala – 294 – rest are same