Health and wellness centre guidelines pdf
File Name: health and wellness centre guidelines .zip
- Health and Wellness Center
- Circulars-Related to CGHS Wellness Centres
- School Health Guidelines
- Habif Health and Wellness Center
CDC integrated research and best practices related to promoting healthy eating and physical activity in schools, culminating in the School Health Guidelines. There are 9 School Health Guidelines that serve as the foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices for students. Executive Summary pdf icon [PDF — 5.
Health and Wellness Center
The existing GPHCFs deliver a narrow range of services, due to variety of reasons including, at times, the non-availability of providers as well. People in India either choose higher level of government facilities for primary health care PHC needs which results in an issue of subsidiarity or attend a private provider which results in the out of pocket expenditure or OOPE , both situations are not good for a well-functioning health system.
The challenge of weak PHC in India are increasingly being recognized and acknowledged. The proposed increase in provision of services shift from erstwhile provision of 6 sub-group of services to 12 sub-group of services and upgrade on other key design aspects are shown in Figs.
Cumulative target of 40, HWCs was set up for 31 March Official data on utilization of services from HWCs was available till 22 Sept , when nearly 21, AB-HWCs were operational which had reported a foot-fall of 17 million.
In these Centres , yoga sessions were conducted; 7 million people received treatment for hypertension and 3. The HWCs aims to address the identified challenges in PHC systems in India, by focusing upon holistic PHC strengthening through various initiatives [Table 2 structured as per health system functions ].
This is not first such initiative to strengthen PHC services in India. Yet, why AB-HWCs appears more promising than all earlier initiatives to strengthen and deliver comprehensive PHC has been explained in Appendix 1 [ 1 , 3 , 27 , 28 , 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ].
Therefore, it will be important that learnings from past are used and challenges identified, and focused attention is given to effective scale up. A few approaches could be as follows:. Getting less public and political attention may appear a minor issue but may result in lower prioritization. There is a need to bring attention back on AB-HWCs and make these politically visible through advocacy and evidence. There is role for technical experts, professional associations and civil society representatives in ensuring that cPHC is not lost in the noise for more secondary and tertiary care services.
People also need to demand for better primary healthcare services from their elective representatives. The policy announcements are often equated with political will. Though National Health Policy NHP has proposed to increase government funding for PHC and health services, the reality is that government funding for health in India has increased only marginally in last two decades. There is a need for more and active public attention and prioritization to increase govt funding for health in India and Indian states.
The initial allocation to AB-HWCs in union budget while may be sufficient in the beginning; however, with each passing year the recurrent expenditure for each HWC would be needed. In addition, there is a need for capital expenditure for setting up additional GPHCFs to address the shortage of facilities and meeting the health care needs of growing population, especially in urban areas [ 42 ].
In most of the HWCs set up till now, one additional package of services [the seventh package of non-communicable diseases NCDs ] has been included. However, 5 more packages need to be added and assured. The provision of services through these facilities, the utilization by public, assured availability of providers and functioning as per guidelines need to be ensured through continuous oversight, monitoring and innovations.
Getting the facilities functional or strengthening supply side through HWCs or other similar state specific initiatives is important; however, it is unlikely to generate utilization; specifically when the previous encounter of people with these facilities has not been pleasant.
Simply an upgrade of government health facility might not be enough. The supply side strengthening through PHC needs to be augmented by demand generation. This can be achieved with increased and active community involvement; accountability and involving local body representatives and civil society organizations in the process, from the very early stage.
In backdrop of recent policy dialogues and approaches adopted for Swachh Bharat Mission clean Indian mission and the approach to behavioral economics of nudge need to be examined for suitable adoption in health sector [ 43 , 44 , 45 ].
Fifth, the entire process should be guided by use of evidence to scale up interventions and services. There is similar evidence from countries such as Brazil; Ghana and South Africa [ 47 , 48 , 49 ].
These initiatives have become popular amongst people and brought poor, marginalized, women and children to government health care system [ 50 , 51 , 52 ]. The service delivery approach should be beyond referral and the PHC systems need to facilitate the care seeking by proactively seeking appointments for patient going to next level of facilities.
Once the treatment plan is prepared at next level of facility, the referral back to PHC level should also be ensured for continuity of treatment and required follow up. This could prove extremely essential and important in context of NCD including diabetes, hypertension services. It is not a PHC service, if focus is on curative services at facility level only. A well-functioning PHC system needs to cater to those who are not attending the health facilities.
People in communities with undiagnosed health conditions need to be identified and brought to treatment, is also part of PHC services. A few more suggestions on how to make AB-HWCs more effective and better functional are provided in articles published earlier [ 1 , 30 , 45 , 46 ]. The other factors being the ongoing attention on advancing UHC; states showing increasing and more than ever interest in improving PHC services through their own mechanism and increasing civil society participation and engagement in health [ 45 ].
This is a major approach in federal system, where health is a state subject as per constitution of India.
Clearly, for success, the Indian states have to take leadership in designing their own additional initiatives. Even when implementing AB-HWCs, innovative context specific approaches and adaptations for local setting would be needed. The ongoing attention on health by various approaches should be optimally used to place health higher on development agenda.
To answer this question, the performance of PHC system in India needs to be measured based upon health system outcomes. The progress and success of AB-HWCs should also need to be measured against some of the objectives of health systems and functions Fig.
A few more approaches and ideas for effective roll-out of AB-HWCs are provided in Appendix 2 [ 34 , 35 , 62 , 64 , 65 , 66 , 67 , 68 ].
Across the countries, hundreds of thousand people got affected and many thousands died due to the disease [ 70 ]. Experience from countries, affected at the start of pandemic indicated that the asymptomatic patients visiting hospitals for non-COVID health reasons partly contributed in spread of infections to many other people- attending the same facility- for some other health condition.
Learning from these experiences, in India, from the start of cases being reported, except for the large hospitals, most of the private facilities were either partially functioning or out patient departments were completely closed, at least for short period of time. There were reports of gross shortage of even essential health services for non-COVID patients, which were mostly provided through government primary health care facilities and smaller clinics. COVID pandemic has underscored the relevance of stronger primary health care and is a proof that the world needs better health systems than it has.
The weak health systems and primary health care facilities are in those countries, where the burden of diseases are already high and the epidemics and pandemic can further devastate those settings, as had been experienced during the Ebola epidemic in three African countries around [ 71 , 72 ]. In late March , COVID pandemic resulted in the government of India to release the guidelines to legalize prescription through telephonic consultation [ 73 ]. The mental health issues are a major health challenge in India.
However, there are not enough mental health services in the country [ 75 ]. COVID challenge should be used as an opportunity to deliver broader public health messages and services and PHC system is expected to be the most appropriate as well as the cost-effective approach. There is a global consensus that universal health coverage can only be achieved on the foundation of stronger primary health care system. There is a renewed attention on strengthening and delivering comprehensive primary health care services in India through health and wellness centres.
COVID pandemic has further underscored the need for strengthening the primary health care at the earliest. The experience from India can have lessons and learnings for other low and middle-income countries to strengthen primary health care in journey towards universal health coverage.
Lahariya C. Indian Pediatr. Key indicators of social consumption in India: Health. NSS 71st round. January — June Government of India. National Health Policy Guidelines for Health and Wellness Centres in India. Health Survey and Development Committee, Govt of India.
Community Development Program, New Delhi; Special report released on 22 September Ministry of Health and Family Welfare. Rural health statistics Google Scholar. World Health Organization.
Adoption of constitution of WHO. Geneva: WHO; Govt of United Kingdom. National Health Services. Great Britain, Primary health care and child survival in India. Indian J Pediatr. Accessed 24 Mar World Health Day Declaration of Alma-Ata. Accessed 7 Jan UNGA resolution of Health: Essential for sustainable development. Declaration of Astana. Global Conference on Primary Health Care. Astana, Kazakhstan, 25—26 October Accessed 24 March Primary Healthcare Fact Sheet.
The task force on primary healthcare in India. National Health Policy of India. A critical review of national rural health mission in India. Int J Health.
Circulars-Related to CGHS Wellness Centres
The existing GPHCFs deliver a narrow range of services, due to variety of reasons including, at times, the non-availability of providers as well. People in India either choose higher level of government facilities for primary health care PHC needs which results in an issue of subsidiarity or attend a private provider which results in the out of pocket expenditure or OOPE , both situations are not good for a well-functioning health system. The challenge of weak PHC in India are increasingly being recognized and acknowledged. The proposed increase in provision of services shift from erstwhile provision of 6 sub-group of services to 12 sub-group of services and upgrade on other key design aspects are shown in Figs. Cumulative target of 40, HWCs was set up for 31 March Official data on utilization of services from HWCs was available till 22 Sept , when nearly 21, AB-HWCs were operational which had reported a foot-fall of 17 million. In these Centres , yoga sessions were conducted; 7 million people received treatment for hypertension and 3.
School Health Guidelines
The college is currently operating with low-density classes and a reduced on-campus workforce. Currently, the Health and Wellness Center has modified lobby hours of weekdays a. The College is currently operating with low-density classes and a reduced on-campus workforce.
Habif Health and Wellness Center
In common with other countries in the World Health Organization South-East Asia Region, disease patterns in India have rapidly transitioned towards an increased burden of noncommunicable diseases. This epidemiological transition has been a major driver impelling a radical rethink of the structure of health care, especially with respect to the role, quality and capacity of primary health care. This transformation to facilities delivering high-quality, efficient, equitable and comprehensive care will involve paradigm shifts, not least in human resources to include a new cadre of mid-level health providers. Expanding the scope of these components to address the expanded service delivery package will require reorganization of work processes, including addressing the continuum of care across facility levels; moving from episodic pregnancy and delivery, newborn and immunization services to chronic care services; instituting screening and early treatment programmes; ensuring high-quality clinical services; and using information and communications technology for better reporting, focusing on health promotion and addressing health literacy in communities. Although there are major challenges ahead to meet these ambitious goals, it is important to capitalize on the current high level of political commitment accorded to comprehensive primary health care.
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at the PHC would be higher than at the sub health centre level and this would be indicated in the care pathways and standard treatment guidelines that will be.