About reporting of Workdone on form 1

2. Operational Characteristics of AYUSH HWCS
1 2 3 4 5 6 7 8
Branding
done
(Yes/No)
Herbal garden
available
(Yes/No)
If "Yes" no. of
plants planted
in Herbal
Garden
Lab services
available
(Yes/No)
Medicine
available
(Yes/No)
IT network
available
(Internet
available)
(Yes/No)
Laptop/
Desktop
purchased
(Yes/No)
CHOs
Status
(Whether
CHO
posted)
(Yes/No)
Yoga
Instructor/
s
appointed
(Yes/No)
Whether
Facility
Operational
Satisfying any
5 out of 8 (1,
4,7&8) are
essential
(Yes/No)

3. Functionality Characteristics of AYUSH HWCs
1 2 3 4
Training of
CHOs
completed
(Yes/No)
No. of CHOs
trained
Training of
Yoga
instructor/s
completed
(Yes/No)
No. of Yoga
instructors
trained
Training of
ASHAs/ANM
s completed
(Yes/No)
If "Yes" No.
of ASHAs
given
training in
AYUSH
If "Yes" No
of ANMs
given
training in
AYUSH
OPD started If "Yes"
No. of
footfall in
current
month

4. Functionality Characteristics of AYUSH HWCs
5 6 7
Family
Empanelment
Started
(Yes/No)
If "Yes" No. of
people
empanelment
done
CBAC survey
started for 30
age and above
(Yes/No)
If "Yes" No. of
people
underwent for
CBAC survey
Screening for DM
(Diabetes)
(Yes/No)
If "Yes" no. of
people
screened for
DM
No. of people
of DM on
treatment/follo
w-up

5. Functionality Characteristics of AYUSH HWCs
8 9 10
Screening
for HT
(Yes/No)
If "Yes"
no. of
people
screened
for HT
No. of HT
cases on
treatment
/follow-up
Screening
for Oral
cancer
(Yes/No)
If "Yes"
no. of
suspected
cases
referred
No. of
Referral
for Breast
cancer
(Yes/No)
No. of
Referrel
for Cervix
cancer
(Yes/No)
Prakruti
Parikshan
(18+ age
population)
(Yes/No)
If "Yes" no.
of people
underwent
for prakruti
Parikshan
Of those
underwent
for Prakruti
Parikshan
No. of
people
counselled
for lifestyle

6. Functionality Characteristics of AYUSH HWCs
11 12 13 14 15
IEC
activity
done at
commun
ity level
(Yes/No)
If "Yes"
What kind
of IEC
activities
undertaken
(mention
any 3
activities)
Yoga
Sessions
started
(Yes/No)
If "Yes" No.
of Yoga
sessions
conducted
in month
at HWC
and at
Communit
y level
Distributio
n of
medicinal
plant
started to
families
IF "Yes"
no. of
families
distribute
d
medicinal
plants in
catchmen
t area
Performan
ce based
incentives
received
to CHOs
(Yes/No)
Performanc
e based
incentives
received to
ASHAs
(Yes/No)
Perform
ance
based
incentiv
es
received
to HWCs
team
(Yes/No)
Whether
Facility
Functional
Satisfying
any 9 of 14
(1 to 5 & 11
to 14 are
essential
points)
(Yes/No)
What are
major
challenges in
operationaliza
tion of HWCs
(Mention
three major
key
challenges)

7. Thank-you!