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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
101 Oral Care for FLW-Oral Care related Skills (6065 KB)
102 Oral Care for FLW- General Oral Examination (1629 KB)
103 Oral Care for FLW- Introduction to Oral Care (1563 KB)
104 Oral Care for FLW- Common Oral Conditions (6656 KB)
105 Oral Care for CHO & SN-General Oral Examination (2162 KB)
106 Oral Care for CHO & SN-Introduction to Oral Health (1813 KB)
107 Oral Care for CHO & SN-Oral Care related skills (5751 KB)
108 Oral Care for CHO & SN-Oral Heath Promotion (4888 KB)
109 Oral Care for CHO & SN-Common Oral Condition (8667 KB)
110 ENT Care for MO- Management of Common problems of Throat (4559 KB)
111 ENT Care for MO-Roles & responsibilities of MO & AB-HWC team & Service Delivery Framework (2778 KB)
112 ENT Care for MO- Management of Common Nose Problems (1862 KB)
113 ENT Care for MO - ENT Care, WHY & WHERE (6346 KB)
114 ENT Care for MO- Management of Common Ear Disorders (3615 KB)
115 ENT Care for FLW- Skills required in providing basic ENT care (1176 KB)
116 ENT Care for FLW-Health Promotion (2298 KB)
117 ENT Care for FLW-Service Delivery Framework (1391 KB)
118 ENT Care for FLW - Introduction & understanding the structure of ENT (742 KB)
119 ENT Care for FLW- Common ENT Complaints (1667 KB)
120 Service Delivery Framework for CHO in Oral, Eye and ENT care (2707 KB)
121 ENT Care for CHO & SN-ENT care related skills & ENT examination (768 KB)
122 ENT Care for CHO & SN-Health Promotion (896 KB)
123 ENT Care for CHO & SN- Common ENT Complaints (EAR) (1419 KB)
124 ENT Care for CHO & SN- Common ENT Complaints (Nose) (690 KB)
125 ENT Care for CHO & SN- Introduction & Understanding the Structure of ENT (742 KB)
126 ENT Care for CHO & SN-Common ENT Complaints (Throat) (1394 KB)
127 MNS Care for MO- Suicide Ideation and Behaviour (994 KB)
128 MNS Care for MO- Severe Mental Disorders (SMD) (1315 KB)
129 MNS Care for MO- Substance Use Disorders (SUDs) (1474 KB)
130 MNS Care for MO- Neurological Disorders (1485 KB)
131 MNS Care for MO- Roles and Responsibilities of Medical Officers (1172 KB)
132 MNS Care for MO- National Mental Health Programme (1033 KB)
133 MNS Care for MO- Legal, Ethical and Disability Issues in Mental (1087 KB)
134 MNS Care for MO- Mental Health Promotion (804 KB)
135 MNS Care for MO- Module on Care of Mental, Neurological and Substance Use Disorders for MO, PHCUPHC (2333 KB)
136 MNS Care for FLW- Substance Use Disorder and Suicide ideation and Behaviors (930 KB)
137 MNS Care for MO- Child and adolescent mental disorders (895 KB)
138 MNS Care for FLW- Psychological First Aid (1163 KB)
139 MNS Care for FLW- Service Delivery Framework and Role of ASHA (1840 KB)
140 MNS Care for FLW- Neurological disorders (1620 KB)
141 MNS Care for FLW- Overview of Training Programme (1043 KB)
142 MNS Care for FLW- Introduction to Mental Health & Mental Disorders (2408 KB)
143 MNS Care for FLW- Mental Health Promotion (3172 KB)
144 MNS Care for CHO & SN-Service delivery Framework & Role of CHO & SN in MNS Care (2400 KB)
145 MNS Care for CHO & SN-SMD Schizophrenia (1332 KB)
146 MNS Care for CHO & SN-Substance Use- Alcohol Disorder (1354 KB)
147 MNS Care for CHO & SN-Suicide Behaviour (1088)
148 MNS Care for CHO & SN-Approach to Mental health (1510 KB)
149 MNS Care for CHO & SN-Introduction to Mental Health and Mental Health disorders (1727 KB)
150 MNS Care for CHO & SN-Platforms for Mental Health Promotion (1164 KB)

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