Ayushman Bharat School Health and wellness program

1. Ayushman Bharat
School Health and Wellness Programme
Dr. Zoya Ali Rizvi
Deputy Commissioner
Ministry of Health and Family Welfare
(zoya.rizvi@nic.in/acrchgoi@gmail.com)

2. School Health and Wellness Programme (SHWP)
 A joint initiative between Ministries of Health & Family Welfare (MoHFW) and Education (MoE)
 Is a flagship programme of the Govt of India for strengthening comprehensive primary healthcare
in India
Objectives
 Increase knowledge, inculcate positive attitudes and enhance life skills to promote informed,
responsible and healthy behaviors among school going children
 Creating school-going children and adolescents as ‘agents of change’ or ‘health messengers’ for
spreading key health messages within the community
 Establish robust linkages between schools and Health and Wellness Centers (HWCs) and AFHCs to
ensure continuum of care between HWCs, higher facilities, schools and communities
Foster growth, development and educational achievement of school going children
by promoting their health and wellbeing

3. Release of Operational Guidelines
by Hon’ble Prime Minister of India
on 14th April, 2018
Release of Resource Materials by
Hon’ble Ministers of MoHFW and
MoE on 12th Feb, 2020

4. Eleven Themes of Curriculum
Prevention and
Management of
Substance Misuse
Promotion
of Healthy
Life Style
Reproductive
Health and
HIV Prevention
Safety and Security
Against Violence
and Injuries
Promotion of Safe Use
of Internet, Gadgets
and Media
Growing Up
Healthy
Emotional Well-
being and Mental
Health
Interpersonal
Relationships
Values and
Responsible
Citizenship
Nutrition,
Health and
Sanitation
Gender Equality

5. Operational Strategy
Schools Covered – Middle, Secondary and High Secondary Schools (Government & Government –aided) of
select districts
 Selection and training of two teachers as Health and Wellness Ambassadors on age- appropriate, skill-
oriented, thematic, graded curriculum through a Cascade model (4-5 days training, 30 participants /batch)
One-two days orientation of School Principals/Headmasters to increase program ownership
Health promotion activities in schools by trained HWAs
• Weekly interactive classroom sessions for 1 hour/week for 24 weeks
• One day per week as Health and Wellness Day
• Installation of question box to resolve individual anonymous queries of students
Two students from each class selected as Health and Wellness Messengers to support HWAs in organizing
school activities
Thematic Adolescent Health and Wellness Days may be celebrated every quarter in schools
Regular reinforcement of messages/themes through IEC/BCC activities such as interactive
activities/posters/class room/Assembly discussion
Referral of students to AFHCs/HWCs by HWAs

6. 6
Convergence for Roll Out of SHWP
National
Secretary, School
Education
State**
MD (NHM)
State Nodal Officer
(Adolescent Health)
Directors, Education
District** District Nodal Officer
District Education
Officer
Block
Counselor /Block
Coordinators
Block Education Officer
• Principals
• Teachers
• Community Health Officers
• Peer Educators
Schools
Secretary, Health&
Family Welfare
Commitment from both ministries
Ministry of Education/NCERT led
development of resource materials
Pool of >40 National Resource Group
Members constituted from both
ministries +Experts+NGOs+UN Agencies
Ministry of Health providing funds for
implementation (conducting trainings,
monitoring of training, logistics, printing of
materials, mobility support to officials, IT support,
conducting meetings etc.)
Pool of 1700 State Resource Group
Members constituted
NCERT provides trainers and support to
SCERTs ** Importance of Coordination Committee set up and meeting

7. Activities in Schools
Referral to AFHCs/HWCs, and access to RKSK counselors and RBSK teams as required
FORTNIGHTLY,
MONTHLY
 Thematic
School
Assembly
 Question Box
Responses
BI-ANNUAL
 Administratio
n of
Albendazole
tablets
(National
Deworming
Day)
WEEKLY
 Classroom
Transactions
through Health
and Wellness
Ambassadors
 Iron Folic Acid
QUARTERLY
 Thematic
Adolescent
Health and
Wellness Days
(AHWDs)
 Parent-Teacher
Meetings

8. SHWP
Implementation Activities

9. Curriculum
Development
Commitment
from both
Ministries
Ministry of
Education led
development of
training material
National
Resource Group
(NRG) formed
Harmonizatio
n of existing
Curricula
MoHFW
providing funds
for the
implementation
Development of Training Material

10. Steps for States to roll-out of SHWP
Finalize district wise
list of HWAs;
Identify
SRGs/DRGs/BRGs
Printing &
distribution of all IEC
& merchandise
materials to
HWAs/schools
Conduct Baseline
assessment
Google Link to be
shared to all identified
HWAs
Roll-out HWA trainings
(5 days)
Pre- post test; Training
resource materials +
TA/DA to be given
Conduct orientation of
School Principals/
Headmasters (1 day)
Identify HWMs
2 students from each
class from 6th-12th
Micro-Planning for
school based sessions
by HWAs with
Education dept.
•Weekly classroom
sessions by trained
HWAs+ other school
activities
•Regular Reporting
through MIS*
•Program monitoring
& Supportive
supervision support
at all levels
**States to plan for
refresher trainings of
HWAs , recognition
of good performing
HWAs/HWMs/school
s to strengthen the
program

11. Selection of Teachers as Health and Wellness Ambassadors
HWA Selection Criteria:
 Proactive and self-motivated teachers
 Good communication skills
 Ability to connect with students
 Age of teachers preferably < 45 years
 States may consider giving special
rewards/recognition for their contribution in
promoting health in their respective schools
• A joint letter from State Health and Education
department to all districts
• List of nominated HWAs with contact details shared
by Education with Health department
• Development of training plan with datelines – Jointly
by Health and Education

12. Capacity Building of HWAs – Cascade Model
Training of
National
Resource Group
Training of State
Resource Group
States are now
developing additional
SRGs as per need
Training of Health
and Wellness
Ambassadors
Some states training
District Resource Group
(DRG) & Block Resource
Group (BRG)

13. Assessments under SHWP
Before
training
•Pre-
assessment;
Online google
format
•Conducted just
before training
•To be done by
HWAs
During
training
•Quality
Assurance tool
for assessing
the quality of
trainings
•To be used by
‘mentors/
observers
After
training
•Post-
assessment
with feedback
tool; Online
google format
To be done by
HWAs
Baseline
assessment
through
online google
form

14. Health and Wellness Ambassador Training Dashboard
• Dashboard developed by national partner
• Provides snapshot of HWA training progress and
outcomes, across the country
• Mobile based data collection tool which captures
performance of trainees on pre-post test and
feedback on quality of training
• Enable regular review of states/district
performances; Requisite actions on training
content and/or methodology based on
synthesized information
Transportation and integration of HWA Training
dashboard elements with SHWP MIS

15. Resource Materials prepared and shared

16. Material developed and shared for HWAs and Students

17. Advocacy material shared for use

18. Age Appropriate Covid related IEC for school going children

19. Strengthening monitoring for SHWP
All the data elements to be linked and reported
through the SHWP MIS (once rolled-out)
• Simple and easy to fill SHWP reporting formats have
been shared with all the states for use at various levels-
School, Block/District and State level
• Captures information on 4 key indicators
 No. of classroom sessions organized
 No. of students who attended the sessions
 Themes covered in the sessions
 No of students referred from schools to
AFHC/HWC/other health facilities
• School data filled by HWAs to be collated at Block
/District and all district level collated at State level –
Shared with MoHFW electronically

20. Management Information System for School Health and Wellness Programme
Comprehensive MIS for SHWP
being developed with support
from USAID MCGL India
Will serve multiple purpose:
• Assessment of HWA
trainings
• Recording and reporting of
school based data
• Resource materials access
for HWAs
• Effective program
monitoring at various levels
Mobile app for End
users
- Health and Wellness
Ambassadors
Data is
centralized,
searchable and
instantly available
SHWP Web Portal
Programme Managers at
Block/District/State/National
access and review data in real
Create
tabular
reports
Visualize the
data in
dashboards

22. Partner Support for SHWP
MoHFW USAID/Jhpiego UNICEF UNFPA
DNH & Daman and Diu Chhattisgarh Gujarat Odisha
Andaman and Nicobar Jharkhand Maharashtra Rajasthan
Lakshadweep Assam Andhra Pradesh Bihar
Ladakh Sikkim Telangana Delhi
Puducherry Meghalaya Karnataka MP
Goa Manipur West Bengal Punjab
Uttarakhand Mizoram Kerala
Arunachal Pradesh Tamil Nadu Engender Health
Nagaland Bihar –in select districts
Tripura
MAMTA
Uttar Pradesh
(Jhpiego/BMGF) C3 WHO
Haryana
CINI
Chhattisgarh, Jharkhand,
Odisha, Bihar in select
districts
J&K