Professional Documents
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The Big Picture: Re-Engineering Primary Healthcare System Through Health & Wellness Centers (HWCS)
The Big Picture: Re-Engineering Primary Healthcare System Through Health & Wellness Centers (HWCS)
The Big Picture: Re-Engineering Primary Healthcare System Through Health & Wellness Centers (HWCS)
Communicable Diseases
Comprehensive
Primary Health Care –
Oral, Mental, Geriatric etc.
Coverage
Moving towards
Universal Health
Ayushman Bharat: Universal Health Coverage
• PMJAY empanelled Public &
TERTIARY Private Healthcare facilities
• CHCs/SDHs/District
Hospitals/Medical Colleges
SECONDARY
Gatekeeping
Referral/Return
3
Roll out Plan of Health and Wellness Centers
1.5 Lakh
160000
120000
25,000 as on
100000 October 2019 70,000 40000 40000
80000
ACHIEVEMENT 17149 40,000
30000 30000 30000
60000
40000
25000 25000 25000 25000
20000
15000 15000 15000 15000 15000
0
2018-19 2019-20 2020-21 2021-22 Dec, 2022
Uttar Pradesh has 2119 functional HWCs (as on 19.08.2019) against the target of 5278 (FY 2019-20) 4
Current Status – HWCs Operationalization in Uttar Pradesh
6
State level priorities
• First things first – Finalize list of facilities to be upgraded to HWCs in FY 2019 – 20/
FY 2020 – 21
• Protect your kitty – Compliance to RoP conditionality for HWCs (+20% or -20%)
State to convert a total of 25% of SCs, PHCs & UPHCs to HWCs
NCD screening- 15% of total population aged 30 years and above to be screened
NCD application entries – Mandate to enter at least 50% of screened population in NCD
app
8
• B’coz we have to do it right – Making HWCs fully operational as per the
functionality criteria
Posting of HR (CHOs/ FLHWs/ MOs & other staff as per IPHS norms)
Ensuring availability of drugs, supplies & equipment – expedite procurement
Ensuring availability of Diagnostic tests (14 for SCs and 63 for PHCs)
NCD training of all cadres of staff
Population enumeration & CBAC form filling
Initiation of NCD screening & management services
Expediting entries of screened population NCD app
Additional services beyond RMNCH+A and NCD
Streamlining and Rolling out Performance Linked Payments
Improving Daily and Monthly reporting from HWCs
Regularizing indenting at HWCs using the DVDMS log in IDs
Work with district officials to expedite printing and display of IEC materials
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• It’s high time – Work towards rolling out fixed day services
Yoga sessions – Identify space, yoga trainers, develop schedule and inform the community
Teleconsultation sessions – Identify and connect with higher level facilities/ specialists,
develop a schedule & display at facilities
Special day clinics
Identify the type of relevant wellness activity based upon local context, locally acceptable and
appropriate cultural practices and beliefs and available resources
Develop a Wellness Calendar
10
Classification of Functionality Criteria for prioritization of efforts
Identify and prioritize health facilities into these categories for targeted efforts
Focus on easy and moderate efforts facilities
Analysis as per Functionality Status - Indicative
35
30 29 29 29 29 29 29 29 29
28
25
25
21
20
15
11
10 10 10
10
0
0
Human Training Community Universal Medicines Diagnostics IT system Infrastructure
Resource Outreach Screening of
NCD
Target PHC
Strategy to adopt
Classification of
Selection of
criteria into Prioritization of
achievable criteria on
achievable and facilities based on
which performance is
achievable with these criteria
poor
efforts
Preparation of week
Achievement of at least
wise plan for
80% target facilities for
operationalization of
FY 2019-20 by March
facilities before 30th
2020
November, 2019
ETHOS FOR TEAM HWCs
• Build brand Jhpiego
Become indispensable as lead technical partners for HWCs
Strengthen your relationship with govt counterparts
Make them perceive the need
High quality and relevant TA
Do not ever compromise on QUALITY
• Market yourself
Believe in the beauty of your work- We have a chance to create HISTORY!
Ensure uptake of new program products – IEC materials, facility & PSC branding package etc.
Show and tell about your work where it matters
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• B’coz its your responsibility too!
Responsiveness – Because for everything the deadline was yesterday
Fast track implementation– We are racing against time
Sense of Ownership & Engagement – Its more than our JOB!
Innovate to differentiate – New ideas/ processes
Possible collaborations
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