Health and Wellness Center

Implementation Status of HWC by Ayushman Bharat UP

In February 2018, the Government of India announced the creation of 1,50,000 Health and Wellness Centres (HWCs) by transforming the existing Sub Centres and Primary Health Centres. These centres are to deliver Comprehensive Primary Health Care (CPHC) bringing healthcare closer to the homes of people. They cover both, maternal and child health services and non-communicable diseases, including free essential drugs and diagnostic services.

In first phase of 5 centers are identified in 51 medical colleges where Sanjay Gandhi Post Graduate Institue of Medical Sciences - Lucknow, King George Medical University - Lucknow, Banaras Hindu University of Medical Sciences- Varanasi, Maharani Laxmi Bai Medical College- Jhansi and other 18 medical colleges will be converted as hub. In this phase 100 each Health and wellness center will be connected through these telemedicine hub for providing telemedicine services as defined in Health and Wellness Center guidelines.

National Resource Center, SGPGI Lucknow has been given mandate by National Health Mission Uttar Pradesh to act as a mantor Organisation.

Activities

Health and Wellness Centers of Uttar Pradesh based on hub and scope model of NMCN

IMS BHU, has been permissioned of training of the staffs at these three locations of hub orientation program conducted 4600 staff participated in this orientation program. The event has ben hosted at NRC SGPGI Lucknow.

Key Principles of Health and Wellness Centres

• 1. Transform existing Sub Health Centres and Primary Health Centres to Health and Wellness Centers to ensure universal access to an expanded range of Comprehensive Primary Health Care services.
• 2. Ensure a people centered, holistic, equity sensitive response to people’s health needs through a process of population empanelment, regular home and community interactions and people’s participation.
• 3. Enable delivery of high quality care that spans health risks and disease conditions through a commensurate expansion in availability of medicines & diagnostics, use of standard treatment and referral protocols and advanced technologies including IT systems.
• 4. Instil the culture of a team-based approach to delivery of quality health care encompassing: preventive, promotive, curative, rehabilitative and palliative care.
• 5. Ensure continuity of care with a two way referral system and follow up support.
• 6. Emphasize health promotion (including through school education and individual centric awareness) and promote public health action through active engagement and capacity building of community platforms andindividual volunteers.
• 7. Implement appropriate mechanisms for flexible financing, including performance-based incentives and responsive resource allocations.
• 8. Enable the integration of Yoga and AYUSH as appropriate to people’s needs.
• 9. Facilitate the use of appropriate technology for improving access to health care advice and treatment initiation,enable reporting and recording, eventually progressing to electronic records for individuals and families.
• 10. Institutionalize participation of civil society for social accountability.
• 11. Partner with not for profit agencies and private sector for gap filling in a range of primary health care functions.
• 12. Facilitate systematic learning and sharing to enable feedback, and improvements and identify innovations for scale up.
• 13. Develop strong measurement systems to build accountability for improved performance on measures that matter to people.

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