Skip to Content

Theme Change


Comprehensive Primary Health Care

The primary aim of Ayushman Bharat program is to achieve universal health coverage. National Health Policy 2017 envisage establishment of Health and Wellness Centre (HWC) to provide comprehensive primary health care that is universal, free and closer to the community.

To fulfill the aim, Health and Wellness Centre Program was launched in 2018 and the first AB-HWC was inaugurated by the Honorable Prime Minister at Jaangla, Bijapur Chhattisgarh on 14th April 2018.

Under the program, existing Sub- Health Centres (SHCs) & Primary Health Centres (PHCs) are being transformed as Ayushman Bharat - Health & Wellness Centres (AB-HWCs) and 1, 50,000 AB-HWCs will be operationalized by December 2022.

Click to view the real time update on number of AB-HWCs across the country.

Key components of AB-HWCs

The delivery of comprehensive primary health care through AB-HWCs is complex task as it requires a paradigm shift at all levels of health system. The operationalization of AB-HWCs requires several inputs.



  1. Expanded Service delivery: AB-HWCs enable the expansion of the package of services that go beyond maternal and child health to include care for non -communicable diseases, palliative and rehabilitative care, Oral, Eye and ENT care, mental health and first level care for emergencies and trauma.
  2. Continuum of Care- Tele-health and referral:The delivery of comprehensive primary health care through AB- HWCs envisages a gatekeeping function, and a two-way referral system- that links to secondary and tertiary care and also follow up care. At all levels, teleconsultation are being done to improve referral advice, seek clarifications, and undertake virtual training including case management support by specialists.
  3. Expanding HR – CHO and multiskilling: A new cadre of worker Community Health Officer, trained in competencies of public health and primary health care has been posted at SHC-HWC. The Community Health Officer is expected to improve clinical management, continuum of care, dispensation of drugs and close follow up for those with chronic illness/patients discharged from health facilities . CHO leads the team of Multipurpose Workers, and ASHAs. All the service providers at AB-HWCs are being trained appropriately to deliver the expanded package of services to the community.
  4. Medicines and Expanding diagnostics: – Adequate availability of essential medicines and diagnostics enable medicine dispensation and necessary tests close to community. A total of 105 free and essential medicines at HWC-SHC and 172 medicines at HWC-PHC; and 14 diagnostic tests at HWC-SHC and 63 at HWC-PHCs are available for the community.
  5. Community Mobilization and Health Promotion – Health promotion at AB-HWCs is facilitated through engagement of community level collectives such as – VHSNCs, MAS and SHGs. Community mobilization, for action on social and environmental determinants, build on the accountability initiatives under NHM ensure that there is no denial of health care and universality and equity are respected
  6. Robust IT System- HWC team are equipped with IT equipment- Tablets at SCs and Laptop/ Desktop at PHC level to create electronic health record of the population covered by HWCs. Developing a robust IT system will support AB-HWC team to track patients for treatment adherence and follow up.
  7. Infrastructure – AB-HWCs are being upgraded and branded to provide sufficient space for expanded service delivery, for medicine dispensation, diagnostics organized, space for wellness related activities including the practice of yoga etc. with adequate spaces for display of communication material of health messages, including audio visual aids.
  8. Partnerships for knowledge and implementation- Partnerships with development partners and technical support agencies is being done to integrate AB-HWC in their domain. These partnerships provide implementation support to the states, research and advocacy of AB-HWC Program.
  9. Financing- provider payment reforms- Performance linked payment linked to the performance of AB-HWC team have been introduced at AB-HWCs to foster team spirit. It is a mechanism to promote demand of health care in the community and deliver optimum and timely care close to the community.


CPHC- Policy and orders


Convergence between UHC and PBS




New folder

Service packages


Sl No Title Description
1 NCD Screening Letter_11.01.2017 (1110 KB)




Expanded service packages

Performance Linked Payment

Sl No Title Description
1 Performance linked payment-Guidance note (781 KB)

Telemedicine at AB-HWCs

Sl No Title Description

Training- documents, ppts and videos


Expanded Packages (CPHC)

Elderly Care Training Manuals

Eye Care Training Manuals

MNS Care Training Manuals

Oral Care Training Manuals

ENT Care Training Manuals

Palliative Care Training Manuals

Emergency Care Training Manuals

Induction Modules for CHO

Ready Reckoner Booklets for CHO

Training Tools

Sl No Title Description
1 Eye Care for CHO & SN- Common Eye Conditions (PART 1) (4004 KB)
2 Eye Care for CHO & SN- Common Eye Conditions (PART 2) (2976 KB)
3 Eye Care for CHO & SN-Examination of eye (1513 KB)
4 Eye Care for CHO & SN-Eye Health & eye donation (1226 KB)
5 Eye Care for CHO &SN- Introduction to Eye care_Anatomy of Human Eye (1371 KB)
6 Eye Care for FLW- Common Eye related conditions and Service Delivery Framework (3888 KB)
7 Eye Care for FLW- Eye Health Promotion (1152 KB)
8 Eye Care for FLW- Eye related skills (1600 KB)
9 Eye Care for FLW-Introduction to Eye Care (1101 KB)
10 Eye Care for MO- Common Eye Conditions (PART 2) (2373 KB)
11 Eye Care for MO-Certificate of visual impairment , blindness (775 KB)
12 Eye Care for MO-Common Eye Conditions (PART 1) (3958 KB)
13 Eye Care for MO-Examination of Eye (1510 KB)
14 Eye Care for MO-Eye Health & Eye Donation (1375 KB)
15 Eye Care for MO-Introduction to Eye Care (1411 KB)
16 Eye Care for MO-Service Delivery Framework (1235 KB)
17 MNS Care for CHO & SN- Dementia (Mental, Neurological and Substance Use Disorders Care ) (1850 KB)
18 MNS Care for CHO & SN- Epilepsy (Mental, Neurological and Substance Use Disorders Care ) (1651 KB)
19 MNS Care for FLW- CMD & SMD (Mental, Neurological and Substance Use Disorders Care ) (2692 KB)
20 MNS Care for CHO & SN - Mental Healthcare Act (2185 KB)
21 MNS Care for CHO & SN- Addressing Stigma and Discrimination (1581 KB)
22 MNS Care for CHO & SN- Bipolar Disorder (1009 KB)
23 MNS Care for CHO & SN- Common Mental Disorders (942 KB)
24 MNS Care for CHO & SN- IDD and ADHD (2616 KB)
25 MNS Care for CHO & SN- Substance Use Disorder Tobacco and Psychotropic Drugs (2025 KB)
26 MNS Care for CHO & SN-Approach to Mental health (1510 KB)
27 MNS Care for CHO & SN-Introduction to Mental Health and Mental Health disorders (1727 KB)
28 MNS Care for CHO & SN-Platforms for Mental Health Promotion (1164 KB)
29 MNS Care for CHO & SN-Service delivery Framework & Role of CHO & SN in MNS Care (2400 KB)
30 MNS Care for CHO & SN-SMD Schizophrenia (1332 KB)
31 MNS Care for CHO & SN-Substance Use- Alcohol Disorder (1354 KB)
32 MNS Care for CHO & SN-Suicide Behaviour (1088)
33 MNS Care for FLW- Introduction to Mental Health & Mental Disorders (2408 KB)
34 MNS Care for FLW- Mental Health Promotion (3172 KB)
35 MNS Care for FLW- Neurological disorders (1620 KB)
36 MNS Care for FLW- Overview of Training Programme (1043 KB)
37 MNS Care for FLW- Psychological First Aid (1163 KB)
38 MNS Care for FLW- Service Delivery Framework and Role of ASHA (1840 KB)
39 MNS Care for FLW- Substance Use Disorder and Suicide ideation and Behaviors (930 KB)
40 MNS Care for MO- Child and adolescent mental disorders (895 KB)
41 MNS Care for MO- Legal, Ethical and Disability Issues in Mental (1087 KB)
42 MNS Care for MO- Mental Health Promotion (804 KB)
43 MNS Care for MO- Module on Care of Mental, Neurological and Substance Use Disorders for MO, PHCUPHC (2333 KB)
44 MNS Care for MO- National Mental Health Programme (1033 KB)
45 MNS Care for MO- Neurological Disorders (1485 KB)
46 MNS Care for MO- Roles and Responsibilities of Medical Officers (1172 KB)
47 MNS Care for MO- Severe Mental Disorders (SMD) (1315 KB)
48 MNS Care for MO- Substance Use Disorders (SUDs) (1474 KB)
49 MNS Care for MO- Suicide Ideation and Behaviour (994 KB)
50 ENT Care for CHO & SN- Common ENT Complaints (EAR) (1419 KB)