Cphc hwc

CPHC-HWC

1. Comprehensive Primary Health Care through Ayushman Bharat - Health and Wellness Canters (AB-HWCs) PRESENTED BY ROHIT TONGARIYA ANMTC, KATIHAR

2. Learning Objectives- At the end of the session, learners will be able to- Describe the Current scenario of Health in India . Define the Comprehensive Primary Health Care. Explain the need for CPHC. Describe the Principles of CPHC.

3. Introduction In the last few decades, concerted efforts have been made towards improvement in provision of quality healthcare in the country. India has adopted a holistic approach towards healthcare to realize the mantra of: “May All be Happy, May All be Free from Illness”

4. Government has launched ambitious Ayushman Bharat Programme in 2018. The component of Ayushman Bharat - Health and Wellness Centers (AB-HWCs) is the platform to deliver Preventive, Promotive and Comprehensive Primary Health Care (CPHC). The Primary Health Care approach is a priority for ensuring accessible, affordable and quality health care.

5. Current Scenario of Health in India The Under-five Mortality has come down to 39/1000 live births in 2016 in comparison to 74.3 in 2005. Infant Mortality Rate is 33/1000 live births in 2016 and used to be 58/1000 live births in 2005 . Similar reduction is visible in Maternal Mortality Ratio that has declined from 234/one lakh live births in 2004-06 (SRS 2008) to 130/one lakh live births in 2014-16 (SRS, 2018). This decrease is visible on account of various initiatives by the government such as- the universal immunization program, several initiatives for improving maternal, child and reproductive health under the National Health Mission etc.

6. Ten to fifteen years ago communicable diseases along with maternal and nutritional disorders contributed to the major disease burden. We are now seeing a change in this disease pattern. Death from the four major NCDs–Cancer, Cardio Vascular Diseases (CVD), Diabetes, and Respiratory Diseases accounts for nearly 62% of all mortality among men and 52% among women – of which 56% is premature. However, high levels of maternal and child mortality continue to exists in many states .

7. Despite the changing disease pattern, the public health care delivery system focussed only on provision of care related to reproductive , maternal , new born and child health and few communicable diseases under the disease control programmes. These conditions together represent merely 15% of all morbidities. Majority health care is sought at the level of District Hospitals as primary health centres and sub-centres are not providing a wider range of services. For the rest of the services people are availing care from the private sector that leads to high Out of Pocket Expenditure (OOPE) on healthcare.

8. Why is Primary Health Care (PHC) Important?

9. Need For Comprehensive Primary Health Care To completely address the morbidity burden, Reduce OOPE, Improving the utilization of government health facilities and for ensuring continuum of care The Government of India has recently implemented the holistic programme of the “Ayushman Bhara t".

10. Cont... It comprises of two inter-related components. The first component involves upgrading of 1.5 lakh Sub Health Centres (SHCs) and Primary Health Centres (PHCs) to Ayushman Bharat Health and Wellness Centres for the delivery of CPHC. The second component comprises of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) which aims to provide financial protection of up to Rs. 5.0 lakh per annum for secondary and tertiary care to about 40% of India’s socially vulnerable and low-income households.

11. Comprehensive Primary Health Care Triangle

12. PRINCIPLES of CPHC Principles of CPHC- Equitable distribution of health care Community participation  Health human resources Appropriate technology Multi-sectional approach