Focus Areas

Expansion of scope of care to address rising burden of NCDs, in addition to Maternal and Child Health services and Communicable Diseases

Availability of Essential state-of-art Lab Diagnostics & Drugs

Leverage Technology to improve access to care through Telemedicine

Promote holistic healthcare through integration of Indian heritage of AYUSH

Community outreach for Preventive and Promotive healthcare and improving utilisation of primary care services

Capacity building of Healthcare workers to deliver Comprehensive Primary Healthcare

Main streaming cost effective innovations

Good Governance to strengthen primary care provisions

  • Problem statement

    Low utilization of public health systems for common ailments other than childbirth: ~11.5% households in rural areas and ~4% in urban areas reported seeking any form of OPD - at or below CHC level primary care facilities
    NSSO data estimates 10% increase in households facing catastrophic healthcare expenditures (from 2004-2014)

    Epidemiological and demographic transition in India: non-communicable diseases such as cardiovascular diseases, diabetes, cancer, respiratory, and other chronic diseases, account for over 60% of total mortality

  • Proposed solution

    Improving provision of Comprehensive Primary Health Care reduces morbidity and mortality at much lower costs and significantly reduces the need for secondary and tertiary care

    Essential parts of comprehensive primary health care: preventive, promotive, curative, rehabilitative and palliative aspects of care

    Primary Health Care goes beyond first contact care, and is expected to mediate a two-way referral support to higher-level facilities (from 1st level care provider to specialist care and back) and ensure follow-up support for individual and population health interventions

  • Implementation

    National Health Policy, 2017 recommended strengthening delivery of Primary Health Care, through establishment of HWCs as the platform to deliver comprehensive Primary Health Care

    Target of operationalizing 1.5L HWCs by 2022 declared in Feb 2018 by Govt. (one of the two components of Ayushman Bharat), to be created by transforming existing sub-health centers and primary health centers

    10% of these (12.5K HWCs) to be dedicated for AYUSH (10K through upgradation of existing AYUSH dispensaries, 2.5K through upgradation of existing SHCs)

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