FORM 1 (Used at district level & CHO level at AYUSH Health & Wellness Centre level o

Status of AYUSH HWCs

Name of State/UT__J&k_______________________
Name of District Shopian

Month ___August____2021

General Information Local_Intersectoral coordination

S.No. Name of AYUSH Type of AYUSH DPMU/District MOU with MoU with
Health & Health Stream AYUSH Society Local District Private
Wellness Centres Facility formed (Yes/No) (NHM) Partners
Yes/No (Yes/No)

Ayush
AHWC Keegam Unani
1 Dispensary

Ayush
2 AHWC Reshnagri Ayurvedic
Dispensary

Note: 1) FORM 1_Every CHO should report this information to respective District Nodal officer by 3rd of the Mont
2) FORM 1_Every District Nodal AYUSH officer should send this information to State by 5th of the Month.
Signature of CHOs/District Nodal Officer
Date of reporting 28/08/21
ellness Centre level only)

ctoral coordination 1 2 3
If Yes, Inter-sectoral Branding done Infrastructure Herbal garden If "Yes" no. of plants
Name the convergence (Yes/No) completed available planted in Herbal
organization e.g. (Yes/No) (Yes/No) Garden
with whom VHSNC/VHND
MOU signed (Yes/No)

Yes Yes Yes Yes 2 in pots 5 in garden

Yes Yes Yes 16

officer by 3rd of the Month.

ate by 5th of the Month.
 4 5 6 7 8
Medicine IT network CHOs Status Yoga No. of HWCs Training of No. of Training
available available (Whether Instructor/s progressive CHOs CHOs of Yoga
(Yes/No) (Internet CHO posted) appointed functional completed trained instructor
availble) (Yes/No) (Yes/No) Satisfying (Yes/No) /s
(Yes/No) criteria/colu complete
m no. d
(Yes/No)
1,2,3,4,5&6

Yes No Yes No Yes 1 Yes

Yes No Yes No 1,2,3,4,5,6, Yes 1 Yes

 Functional HWCs Stage - I
9 10
No. of Yoga Training of If "Yes" No. of If "Yes" No of OPD If "Yes" No. of No. of
instructors ASHAs/ANMs ASHAs given ANMs given started No. of footfall beneficiaries/
trained completed training in training in (Yes/No) footfall in cumulative patients
(Yes/No) AYUSH AYUSH current till current distributed
month month medicines at
HWCs in
current year
(cumulative)
till the month

Yes 5 1 Yes 416 1708 1566

Yes 2 1 Yes 182 1002 991

1
 11 12 13 14
Lab Laptop/ No. of HWCs Family If "Yes" No. of CBAC If "Yes" No.
services Desktop functional Stage-I Empanelment people survey of people
available purchase Satisfying Started empanelment started underwent
(Yes/No) d criteria/column (Yes/No) done for 30 age for CBAC
(Yes/No) no. 7,8,9,10, 11 & and survey
12 above
(Yes/No)

Yes Yes 7,8,9,10,11,12 Yes 300 Yes 122

Yes Yes Yes 300 Yes 7

7,8,9,10,11,12
 15 16
No. of people Screening If "Yes" No. of people No. of Screening If "Yes" No. of people
underwent for DM no. of screened for people of for HT no. of screened for
for CBAC (Diabetes) people DM DM on (Yes/No) people HT cumulative
survey (Yes/No) screened cumulative in treatment/f screened in current
cumulative in for DM current year ollow-up for HT year till the
current year till the reporting
till the reporting month
reporting month
month

184 yes 169 184 5 Yes 164 184

22 yes 12 12 3 12 12
yes
 Functional
17
No. of HT Screening No. of people no. of No. of cases No. of No. of cases No. of
cases on for Oral screened for cases screened for Referral screened for Referrel
treatment/f cancer Oral Cancer referred Breast Cancer for Breast Cervix Cancer for Cervix
ollow-up (Yes/No) cumulative in for Oral cumulative in cancer cumulative in cancer
current year till Cancer current year current year
the reporting till the till the
month reporting reporting
month month

20 yes 184 Nill 104 Nill 104 Nill

5 yes 12 0 6 0 5 0
Functional HWCs Stage - II
18
Prakruti If "Yes" no. of No. of people No. of people
Parikshan people underwent counselled for
(18+ age underwent for Prakriti Parikshan lifestyle after
population) prakruti cumulative in Prakriti
Started Parikshan current year till Parikshan in
(Yes/No) the reporting current year till
month the reporting
month

8 12 8
Yes

Yes 5 20 20
 19
IEC activity If "Yes" What kind of IEC activities undertaken Yoga If "Yes" No. of
done at (mention any 3 activities) Sessions Yoga sessions
community started conducted in
level (Yes/No) month at HWC
(Yes/No) and at
Community
level

Yes Mo Outreach camp No No

covid-19 awarenass
Distribution of immune boosting medicines to
covid positive patients as well as post
vaccination

Yes camp/Coucelling/Awareness No
 20 21
No. of Yoga sessions Distribution of IF "Yes" no. of Performance Performance Performance
conducted in current Brochure on families based based based
year till the reporting Medicinal distributed incentives incentives incentives
month plants medicinal plants received to received to received to
Or Medicinal OR Brochure in CHOs (Yes/No) ASHAs HWCs team
plant started catchment area (Yes/No) (Yes/No)
to families

No No No No No No

No No No
No. of HWCs in Major challenges in operationalization of HWCs
functional (Mention three major key challenges)
Stage-II
Satisfying
criteria/column
no. 13 to 21
(Yes/No)

1.Lack of manpower

2. Yoga instructor not available

3. Lack of fencing of hospital and plants cant beplanted in open space

4.Part time sweeper has not been engaged after resignation of previous one.

Lack of manpower