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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.

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  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

Guidelines

Training- documents, ppts and videos

NCD

Expanded Packages (CPHC)

Induction Modules for CHO

Ready Reckoner Booklets for CHO

Training Tools

Sl No Title Description
51 Elderly Palliative Care for MO Drugs in Elderly Care (6645 KB)
52 Elderly Palliative Care for MO Counselling and Training Caregivers of Elderly (4031 KB)
53 Elderly Palliative Care for MO - Emergencies Humanitarian Crises (6490 KB)
54 Emergency Care for MO-Neurological Scenarios (2683 KB)
55 Emergency Care for MO-Triage in Emergencies (2398 KB)
56 Emergency Care for MO-Bites and Stings (6511 KB)
57 Emergency Care for MO-Emergency Burn Care (4203 KB)
58 Emergency Care for MO-Introduction to Emergency Care (2142 KB)
59 Emergency Care for MO-Managing Emergencies with the Primary Healthcare Team (1862 KB)
60 Emergency Care for MO-Neonatal Skills (3086 KB)
61 Emergency Care for MO- Principles of Assessment of Trauma Victims (2397 KB)
62 Emergency Care for MO- Medico-Legal Issues and Documentation (2897 KB)
63 Emergency Care for MO- Neonatal Resuscitation Protocol (3118 KB)
64 Emergency Care for MO -Paediatric Emergency Assessment (2762 KB)
65 Emergency Care for MO - Obsteritics Emergencies (2081 KB)
66 Emergency Care for MO- Airway Management Principles (3329 KB)
67 Emergency Care for MO- Cardiac emergencies (4191 KB)
68 Emergency Care for MO- General Approach to Poison Management (1537 kB)
69 Emergency Care for MO- General Principles of Patient Stabilisation & Safe Transfer (2720 KB)
70 Emergency Care for FLW-First Aid AVPU AND HABCDE (1833 KB)
71 Emergency Care for FLW-Introduction to Emergency Care (1314 KB)
72 Emergency Care for FLW-Near Drowning and Choking (2239 KB)
73 Emergency Care for FLW-Trauma and Burns (2737 KB)
74 Emergency Care for FLW- Epilepsy, Allergic Reactions and Poisoning (2385 KB)
75 Emergency Care for FLW- Management and Prevention of Common Emergency Conditions (1839 KB)
76 Emergency Care for FLW-Emergency Conditions arising out of NCDs (2067 KB)
77 Emergency Care for FLW-Exposure Illnesses (1766 KB)
78 Emergency Care for FLW- Bites (1650 KB)
79 Emergency Care for CHO.SN- Choking and Acute abdomen (1070 KB)
80 Emergency Care for CHO.SN- First aid AVPU AND HABCDE (1891 KB)
81 Emergency Care for CHO.SN- Near-Drowning (1079 KB)
82 Emergency Care for FLW - Obstetric and Neonatal Emergencies (1836 KB)
83 Emergency Care for CHO.SN - Introduction to Emergency Care (1388 KB)
84 Emergency Care for CHO.SN - NCD related and Epilepsy related Emergency (3404 KB)
85 Emergency Care for CHO.SN - Obstetric Emergencies, Neonatal Emergencies and Exposure Illnesses (2418 KB)
86 Emergency Care for CHO.SN - Trauma and Burns (2087 KB)
87 Emergency Care for CHO.SN - Bites (1478 KB)
88 Emergency Care for CHO.SN - Allergies and Poisoning (1515 KB)
89 Oral Care for MO-Service Delivery Framework & Role of PHC MO in Oral Care (3293 KB)
90 Oral Care for MO-Oral Examination (2646 KB)
91 Oral Care for MO-Prevention & Management of Periodical Conditions (2883 KB)
92 Oral Care for MO-Introduction to Oral Health (2) (1585 KB)
93 Oral Care for MO-Introduction to Oral Health (1882 KB)
94 Oral Care for MO- Oral Health Promotion (6441 KB)
95 Oral Care for MO- Prevention and Management of Common Oral Hard Tissue (2968 KB)
96 Oral Care for MO- Dental Emergencies (5955 KB)
97 Oral Care for MO- Management of Common Oral Soft tissue conditions (8189 KB)
98 Oral Care for FLW-Oral Heath Promotion (4940 KB)
99 Service Delivery Framework-Oral & Eye Care (4279 KB)
100 Oral Care for FLW-Care for Special Target Groups (2509 KB)

Block Health Mela

Sickle Cell Disease