AYUSHMAN BHARAT-

HEALTH AND WELLNESS CENTRES:

UPDATE, SOUTHERN REGIONAL WORKSHOP, AUGUST 7, 2019

1
 HWC Approvals HWC Progressive

3616 85 2740 1308 3 2057 121 2866 1705 60206 2166 30 708 671 0 1003 18 1607 1174 19268
5 60 0 90 3344 30
222 243 2 71 82
364 16
666
218 234 2310
22 568 132
1144 534 24 18234
520 867
1145 10148
1215 824 18 1096 611
3 28 641
505
2250 58 1842 81 1137 38628
728 1100 778 7509
329
985 97 293
0

SHC PHC UPHC

SC PHC UPHC
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
CHO Status Puducherry

Tamil Nadu 229

India 229
8000

7000 Telangana 86
6835 86
6000

5000 Kerala
4000 4312
3000 Karnataka 524
524
2000
1734 58
1000 Odisha 87
0
789 145

Lakshadweep

Andhra Pradesh 359

359

Andaman and Nicobar Islands 30

30
0 at HWCs
Ayurveda CHOs appointed 100 200Nurse300 400 500
CHOs appointed 600
at HWCs
Total CHOs appointed at HWCs

AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

CHOs under training-January 2019 session 0
Puducherry 0
0
0
5526 Tamil Nadu 0
0
5097
0
Telangana 0
0
0
Kerala 0
0
0
Karnataka 328
328
0
Odisha 71
71
0
Lakshadweep 0
0
0
Andhra Pradesh 428
428
429
Andaman and Nicobar Is- 0
lands 0
0
Total CHOs under Nurse CHOs Ayurveda CHOs 0 50 100 150 200 250 300 350 400 450

CPCH Training under CPCH under Training

Training Ayurveda CHOs under Training Nurse CHOs under CPCH Training
Total CHOs under CPCH Training -Jan 2019
AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES
CHO Enrolment Status July 2019 session
CHOs Approved for July CHOs likely to be enrolled in
  2019 session July 2019 session
1 India 23355 13677
2 Andaman and Nicobar Island
30 30
3 Andhra Pradesh 500 0
4 Lakshadweep 0 0
5 Odisha 1100 200
6 Karnataka 953 450
7 Kerala 728 728
8 Telangana 487 0
9 Tamil Nadu 0 0
10 Puducherry 0 0

AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

Findings from Phone Survey
with CHOs
 Status of Calls

9873
Total calls made
Survey completed

1232
264 435
38 42 129 12 6 0 2 0

Andhra Pradesh Karnataka Odisha Tamil Nadu Telangana Total

AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRES

 Status of Upgrading of SHC to HWCs

26% Yes
Andhra Pradesh 29% No
45% Under process/ongoing
N- 38

67%
karnataka 12%
21%
N- 42

25%
Odisha 25%
50%
N- 12

51%
Total 22%
27%
N- 1232

0% 10% 20% 30% 40% 50% 60% 70%

 Training of Primary Healthcare Team

97% 98% CHO certificate training

92%
80%
Yes
NO

20%

8%
3% 2%

Andhra Karnataka Odisha Total

Pradesh
N- 38 N- 42 N- 12 N- 1232
 Training of Primary Healthcare Team on NCDs
84%
Andhra Pradesh 2% 9%
N- 38 5%
9% 81%
Karnataka 0%
9%
ASHA

N- 42
75%
Odisha 0% 17%
N- 12 8%
79% Completed
Total 5%
7% 14%
N- 1232 Planned but not started
84% Under process
Andhra Pradesh 2% 7%
N- 38 7% Do not know
82%
Karnataka 4%
4%
MPW-F

N- 42 10%
100%
Odisha 0%
0%
N- 12 0%
4% 78%
Total 8%10%
N- 1232
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
 Availability of Medicines
98%

Both Hypertension and Diabetes

Only Hypertension
Only Diabetes
67%
None
58% 58%

33% 33%
29%

11%
7%
3% 4% 2% 2% 2%
0% 0%

Andhra Pradesh Karnataka Odisha Total

N- 38 N- 42 N- 12 N- 1232
 Diagnostic services available at HWCs
3%
All 6 tests 27%
17%
22%
45%
5 tests 44%
17%
33%
16%
4 tests 15%
0% Andhra Pradesh Karnataka Odisha
15%
8% Total
3 tests 8%
0%
10%
13%
2 tests 2% Hb, Blood sugar, UPT, Urine Dipstick, RDK Malaria,
17%
7% Sputum Collection
5%
1 test 0%
0%
5%
11%
No test 4%
50%
7%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
 Diagnostic services available at HWCs

90% Blood glucose test

76%
68%

50%

Andhra Pradesh Karnataka Odisha Total

N- 38 N- 42 N- 12 N- 1232
 Facilities started Community Outreach

Andhra 87%
Pradesh 58%
N- 38

62%
Karnataka
79%
N- 42 CBAC form filling
Population enumeration
75%
Odisha
75%
N- 12

67%
TotalN- 1232
66%
 Status of NCD screening
100% 98%
95%97%
89%
84%

67%
63%66%
58%

40% 40%
33%
30%
Diabetes
17% 17% Hypertension
Oral Cancer
Breast Cancer
Andhra Pradesh Karnataka Odisha Total
N- 38 N- 42 N- 12 N- 1232
 Facilities started Wellness and Health Promotion
Activities

38%
34%
Common activities undertaken:

• Village sabha/meeting &sammelan

•NCD camps
•Yoga
•Rally/ campaigns
•School visits/camps

11%

0%

Andhra Karnataka Odisha Total

Pradesh N- 42 N- 12 N- 1232
N- 38
 Support and Supervision

68%
Andhra 66%
Pradesh
97%
N- 38

77%
Karnataka 65%
96% Attended PHC meeting in last 3 months
N- 42
Block/district officer visited HWC in last
3 months
42%
PHC-MO visited HWC on last 3 months
Odisha 42%
83%
N- 12

71%
Total 62%
N- 1232 87%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
 Concerns shared by CHOs
• Infrastructure upgradation
• Non/ Limited availability of Medicines
• Shortage of Human resource
• Irregular electricity and water supply
• Issues related to salary and incentive
• Need for more training
• Issues related to security at the HWC
• Limited availability of equipment and consumables
• Poor internet connectivity
Operationalization: suggestions
• Orientation of programme management teams at district/sub-district
• Induction training of CHOs
• Use of ECHO as a capacity building platform
• Enhancing involvement of ASHA on role related to HWC- commensurate
action on regular payment
• Saturation of HWC-SHC in a cluster/block- to leverage action on several
fronts
• Expedite action by Nursing Councils/Nursing institutions for CHO scale up
• Urban HWC- links with outreach need strengthening
• Partnerships with credible organizations- training, management of HWC
in remote areas
Thank You