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Comprehensive Primary Health Care

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

To fulfill the aim, Ayushman Arogya Mandir Program was launched in 2018 and the first Ayushman Arogya Mandir 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 Arogya Mandir and 1, 50,000 Ayushman Arogya Mandir will be operationalized by December 2022.

Click to view the real time update on number of Ayushman Arogya Mandir across the country.

Key components of Ayushman Arogya Mandir

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

ab-hwc

 

  1. Expanded Service delivery: Ayushman Arogya Mandir 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 Ayushman Arogya Mandir 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-Ayushman Arogya Mandir. 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 Ayushman Arogya Mandir 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 Ayushman Arogya Mandir-SHC and 171 medicines at Ayushman Arogya Mandir-PHC; and 14 diagnostic tests at Ayushman Arogya Mandir-SHC and 63 at Ayushman Arogya Mandir-PHCs are available for the community.
  5. Community Mobilization and Health Promotion – Health promotion at Ayushman Arogya Mandir 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- Ayushman Arogya Mandir 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 Ayushman Arogya Mandir. Developing a robust IT system will support Ayushman Arogya Mandir team to track patients for treatment adherence and follow up.
  7. Infrastructure – Ayushman Arogya Mandir 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 Ayushman Arogya Mandir in their domain. These partnerships provide implementation support to the states, research and advocacy of Ayushman Arogya Mandir Program.
  9. Financing- provider payment reforms- Performance linked payment linked to the performance of Ayushman Arogya Mandir team have been introduced at Ayushman Arogya Mandir 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.

CPCH-CHO

CPHC- Policy and orders

ASHA

Convergence between UHC and PBS

HWC

Incentive

IT

New folder

Service packages

NCD

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1 NCD Screening Letter_11.01.2017 (1110 KB)

Training

Guidelines

CPHC

Expanded service packages

Performance Linked Payment

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1 Performance linked payment-Guidance note (781 KB)

Telemedicine at AB-HWCs

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1 GUIDELINES FOR TELEMEDICINES (502 KB)

Sickle Cell Disease

Training- documents, ppts and videos

NCD

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

Training Module for CHO in Management of Acute Simple Illnesses

Induction Modules for CHO

Ready Reckoner Booklets for CHO

Training Tools

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1 Elderly & Palliative Care in CHO & SN- Use of Formats in Palliative Care (2554 KB)
2 Elderly & Palliative Care for CHO & SN-Service Delivery Framework in Palliative & Elderly Care (3547 KB)
3 Elderly & Palliative Care for CHO & SN-Palliative Crae in HIV AIDS and other Chronic Diseases (2540 KB)
4 Elderly & Palliative Care for CHO & SN-Comprehensive Geriatric Assessment (Part 2) (1867 KB)
5 Elderly & Palliative Care for CHO & SN-Communication Skills in Palliative Care (3167 KB)
6 Elderly & Palliative Care for CHO & SN- Psychosocial Support in Palliative Care (4557 KB)
7 Elderly & Palliative Care for CHO & SN- National Programmes & Social Security schemes for Elderly (4739 KB)
8 Elderly & Palliative Care for CHO & SN- Medicines used for Palliative Care & Logistic Management (5450 KB)
9 Elderly & Palliative Care for CHO & SN- Management of Common Symptoms (4101 KB)
10 Elderly & Palliative Care for CHO & SN- Introduction to Palliative Care (2967 KB)
11 Elderly & Palliative Care for CHO & SN- Introduction to Elderly Care (4571 KB)
12 Elderly & Palliative Care for CHO & SN- Home Care in Palliative Care (2559 KB)
13 Elderly & Palliative Care for CHO & SN- Healthy Ageing (2536 KB)
14 Elderly & Palliative Care for CHO & SN- Health promotion, education & counselling in the Elderly (4331 KB)
15 Elderly & Palliative Care for CHO & SN- Geriatric Syndromes (4360 KB)
16 Elderly & Palliative Care for CHO & SN- End of Life Care (6750 KB)
17 Elderly & Palliative Care for CHO & SN- Comprehensive Geriatric Assessment (Part-1) (8536 KB)
18 Elderly & Palliative Care for CHO & SN- Common alignments in Elderly Population (3721 KB)
19 Elderly & Palliative Care for CHO & SN- Basic Nursing Skills (16907 KB)
20 Elderly & Palliative Care for CHO & SN- Assessment and Managemnt of Pain (6066 KB)
21 Elderly & Palliative Care for FLW-Community Participation in Palliative Care (3703 KB)
22 Elderly & Palliative Care for FLW Palliative Care in National Health Programmes (4196 KB)
23 Elderly & Palliative Care for FLW Service Delivery Framework & Role of ASHA and MPW in Elderly and Palliative Care (4392 KB)
24 Elderly & Palliative Care for FLW-End of Life Care (5516 KB)
25 Elderly & Palliative Care for FLW Basic Nursin Skills (14894 KB)
26 Elderly & Palliative Care for FLW-Symptom Assessment and Management (7133 KB)
27 Elderly & Palliative Care for FLW-Psychosocial and Spiritual Care (4995 KB)
28 Elderly & Palliative Care for FLW-Introduction to Palliative Care (3974 KB)
29 Elderly & Palliative Care for FLW Home Care (3439 KB)
30 Elderly & Palliative Care for FLW Identification of elderly in need of care (9758 KB)
31 Elderly & Palliative Care for FLW Comprehensive Geriatric Assessment (8476 KB)
32 Elderly & Palliative Care for FLW-Common Illnesses in Elderly (8063 KB)
33 Elderly Palliative Care for MO-Care of Ostomies (4255 KB)
34 Elderly Palliative Care for MO-Common Ailments in Elderly (6891 KB)
35 Elderly Palliative Care for MO-Introduction to Elderly Care (4996 KB)
36 Elderly Pallliative Care for MO-Care of bedridden (2780 KB)
37 Elderly Palliative Care for MO-Common Symptoms (6565 KB)
38 Elderly Palliative Care for MO-Opiod access and documentation (5242 KB)
39 Elderly Palliative Care for MO-End of Life Care(EOLC) (4560 KB)
40 Elderly Palliative Care for MO-Assessment and Management of Pain (10919 KB)
41 Elderly Palliative Care for MO-Introduction to Palliative Care (2689 KB)
42 Elderly Palliative Care for MO-Home care (1635 KB)
43 Elderly Palliative Care for M Role of MO (7606 KB)
44 Elderly Palliativ Care for MO-Psychosocial aspects of Geriatrics and Palliative care (2415 KB)
45 Elderly Palliative Care for MO Ethics (2717 KB)
46 Elderly Palliative Care for MO-Communication (2686 KB)
47 Elderly Palliative Care for MO Geriatric Syndromes (7057 KB)
48 Elderly Palliative Care for MO Comprehensive Geriatric Assesment (7247 KB)
49 Elderly Palliative Care for MO Rehabilitation in Geriatric Care (6104 KB)
50 Elderly Palliative Care for MO Healthy ageing (4052 KB)

Block Health Mela

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1 Block Health Mela Compendium - 2022 (11955 KB)

Sickle Cell Disease