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Amma Arogya
Thittam Draft
Guidelines

Contents

INTRODUCTION

VISION

OBJECTIVES

BENEFICIARIES

METHODOLOGY

ROAD MAP

25 PARAMETERS FOR SCREENING

FOLDER & REPORT SHEET

MANPOWER

EQUIPMENT REAGENTS &

OTHER CONSUMABLES

FINANCIAL GUIDELINESS

WORKFLOW CHART

ONLINE

SCREENS

MONITORING

Introduction
Amma

Arogya Thittam is an annual wellness health

check up program for all citizens of Tamil Nadu above 30
years of age.

The

scheme was announced by the Honourable Chief

Minister under 110 announcement on 25.8.2015.

Vision
Promotion

of Health and Well being through

prevention and early detection of disease
conditions by providing free access to basic health
checkup to all people above 30 years of age on
annual basis

Objective
To

promote positive behavior change to seek health check

up on regular basis

To

provide follow-up and treatment through the PHCs,

secondary and tertiary care institutions and empaneled
hospitals under Honble Chief Ministers Comprehensive
Health Insurance Scheme if need arises.

To

arrive at the health profile of the state of Tamil Nadu

Beneficiaries
Above

30 years of age.

Both

male and female.

Both

in rural and urban areas.

To

cover roughly 3.5 crore people.

25 Parameters for Screening

According to the need

Height

Urine-Albumin

Weight

Urine-Sugar

BMI

Urine-Deposits

Blood Pressure

Screening for Ca Cervix

Peripheral Smear

Hemoglobin

Screening for Ca Breast

Blood Grouping and Typing

Screening for Oral Cancer

Ultrasound Abdomen if
needed

Random Blood Sugar

Blood-Cholesterol
Blood- Creatinine

Ophthalmic screening for

visual acuity and cataract
Screening for
dermatological conditions
General Examination by the
Medical Officer.

Blood Total Count

Blood Differential count

ECG- based on symptoms.

X-ray if needed
Sputum Microscopy(AFB)

Folders and Report sheet

Methodology

All individuals who are aged 30 years and above will be screened on an
annual basis under this scheme. A data base will be exclusively created
for all the beneficiaries for follow up on subsequent years. (TNHSP in
coordination with DPH at PM)

Village Health Nurse (VHN) / Urban Health Nurse (UHN) / will mobilize
the beneficiaries.

Registration and annual health check-up will be done on weekly 2 days

viz., Thursday and Friday

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Methodology (cont)
Services

like screening and basic investigations will be

done
Blood

samples will be collected, tested and an annual

health check-up report will be issued along with general
examination findings on the same day

Based

on the reports, the Medical Officer will examine and

provide treatment at PHC or will refer to the nearest
Secondary care hospitals / Govt. Medical College Hospital
or Private Hospitals empanelled under CMCHIS.

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Methodology (cont)

For patients with high blood pressure, high random blood sugar
(as per NCD protocol), suspicion of ca cervix and breast will be
further referred to the NCD corners of the concerned PHC.

For such referrals the patient can utilise the same PIN number to
pull out their reports in any of the HMS implemented institutions

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Beneficiary Database

The District wise beneficiary list extracted from CMCHIS enrolment database
will be provided to DDHS on a CD, mail and will also be available on HMS portal.

The beneficiary to be identified with the help of the CMCHIS card (URN) number
or the Ration card number if available in the beneficiary list.

The beneficiaries not listed in the database can also avail the services of
annual wellness check-up program. They will be added to the database during
the check-up program

The VHN will track the benefitted beneficiaries with the list provided.

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Road Map

Initial
Scale

Phase - 400 Upgraded PHC/Block PHC

up all Urban PHC, District Head Quarters

hospitals, Taluk hospitals, Medical College Hospitals and
attached institutions.

Manpower

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Based on the pilot testing it is advised that The following manpower may be mobilised by
the DDHS from the neighbouring PHC / GH / Medical College Hospitals during the program
days.
S.N
Activity
Person
o
VHN/HI/BHS/NMS from the
Mobilisation of
allotted PHCs in the block to
1
Beneficiary
be decided by DDHS (APP. 100
beneficiaries per day)
2
Registration
Health Worker
3
Anthropometry
Health Worker
4
BP measurement
Staff Nurse/ ANM
General
5
Doctor
Examination
6
Lab Tech
Blood Sample
Collection
7
Lab Assistant

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Manpower

contd

S.No
11
12
13
14
15
16
17

Activity
Person
Urine lab
Lab Tech
CBE / VIA VILLI
NCD Staff Nurse
X-ray
X-ray Tech
USG
Doctor
ECG
Staff Nurse
Sputum test
RNTCP Lab Tech
Oral Cavity Screening
Dentist
Visual Acuity/Ophthal
18
Ophthal asst.(PMOA)
screening
19 Dermatology Screening Doctor / NMS
Nurses and
health
workers from Dept.Health
of Family
Welfare, District
20 other
Data
Entry
Worker

Leprosy, District TB unit, District

Blindness Control Unit should be utilised effectively for running this program successfully. Suitable
communication to the respective departments have to be sent from the DPH & TNHSP

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Equipment Reagents & other Consumables

The following equipment including the ones available in the PHC are to be made available or have
to be mobilised by the DDHS from the neighbouring PHC / GH / Medical College Hospitals.

S.No

Test

Equipment

Quantity

Centrifuge

Semiautoanalyser

Microscope

Newbar Chamber

3
4

Blood test lab

Test tubes collection

100

Test tubes - testing

400

7
8

Urine test lab

Centrifuge
Test tube

1
100

Equipment Reagents & other Consumables

contd

S.No

Test

Equipment

Quantity

ECG

ECG Machine

10

X-ray

X-ray unit

11

USG

USG machine

VIA VILLI set

10

12
13

NCD

14

Sputum test

15

Data Entry

Ring lens

Microscope

Computer / Lap top

Computer with Printer

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Equipment Reagents & other Consumables

18

contd

The sugar, cholesterol and creatinine reagents provided through NCD program may
be utilised for this program also.

The report folders and sheets to be made available at the PHC as per the
specification given below.

Folders 250 gsm foreign board 12.25 height 17.50 width, bottom flap on one side
multicolour printing, one fold centre creasing, one side glossy lamination

Report sheet one sheet 11 x 8 size multi colour printing inserted paper 70 gsm.

The internet connectivity for accessing the online application may be obtained from
any existing service provider.

Financial guidelines
(Allotment for 6 months)

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s.no

items

Financial norms

Mobility and Contingencies

2000 per Block / month

NHM funds allotted for

the scheme
(Proceedings No
191/NPCDCS/TNHSP/2015
)

Lab Reagents and

consumables

5000 per Block / month

Available Reagents and

Reagents to be procured
from allotted funds for the
scheme

IEC including cards and

registers

18750 per Block PHC

NHM funds allotted for the

scheme

Note:

Any other items like test tubes, Surgical, etc. are to be procured from
PWS funds as per PWS guidelines.
JD PHC to send PIP proposal to Govt. JD Inspection to implement.
Further Seven lakhs per district allotted for drug and consumables
under District Health Society for the entire district . Proceedings No
191/NPCDCS/TNHSP/2015

source

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Work Flow Chart

Beneficiary

Dental
Screening
(Dentist)

Registration
(Hospital
Worker)

NCD Corner
(VIA/VILI/CBE)

Clinical Report
Height,
Weight BMI
(HW)

Blood Pressure
(Staff Nurse)

ECG/XRay/Ultrasound

Ophthal
Screening
(PMOA)
General
Examination
(Medical
Officer)

Lab

Data
Entry

Dermatological
Screening (MO/
NMS)

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Online Screens

The access to online screens will be given to existing NCD nurses on their HMS user ids.(Ids will be
mailed).

The screen will have forms for registration and clinical data entry.

There will be a report (monitoring) tab with which they can view the reports for that PHC and their
attached HSCs

The registration screen will have options to newly register or fetch the patient previously registered.

Once registered the screen goes to the clinical entry screen, where the clinical data can be recorded.

The forms can be temporarily saved with save button. The save and submit button will permanently
save the clinical record after which the record could not be edited.

The wellness clinical record will be generated as a pdf on a separate browser tab / window. There will
option to print and save the pdf in the local computer.

The report monitoring screen will have option to view the number of patients screened with drill down to
the attached additional PHC and HSC

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Monitoring

No need to send any reports. The reports will be reviewed online.

The access to report monitoring screen will be provided to BMOs, DPH, DDHS
& TNHSP for monitoring district and state wise program performance with
appropriate drill down options.

Analysis, performances and review will be done based on the data arrived.

BMOs to review the performance on a daily basis, The DDHS to review the
performance on a weekly basis. The State level review will be done
periodically.

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Thank You