Ayushman Bharat – Health and Wellness Centres

Ayushman Bharat (AB) is an attempt to move from a selective approach to health care to deliver comprehensive range of services spanning preventive, promotive, curative, rehabilitative and palliative care.  It has two components which are complementary to each other. Under its first component, 1,50,000 Health & Wellness Centres (HWCs) will be created to deliver Comprehensive Primary Health Care, that is universal and free to users, with a focus on wellness and the delivery of an expanded range of services closer to the community.  The second component is the Pradhan Mantri Jan Arogya Yojana (PM-JAY) which provides health insurance cover of Rs. 5 lakhs per year to over 10 crore poor and vulnerable families for seeking secondary and tertiary care. 

HWC are envisaged to deliver expanded range services that go beyond Maternal and child health care services to include care for non -communicable diseases, palliative and rehabilitative care, Oral, Eye and ENT care, mental health and first level care for emergencies and trauma , including free essential drugs and diagnostic services.

Achievement during 2023-24

 

  1. HR- During the year, 8 HWOs were newly recruited who have undergone compulsory CCH course under IGNOU. Currently, there are 262 HWOs present against the approved target of 283(92.5%).
        1.  
  2. Facility Branding –Facility painting and branding is done for 224 HWCs (PHC & SC) against 390(57.43%).
        1.  
  3. Training on NCD- As a part of operationalization of HWCs, Medical Officers, HWOs, Staff Nurses, MPW and ASHAs are to be trained on Population Based Screening on Non-Communicable Diseases. Currently, 2334 staffs (MOs, CHOs/HWOs, SN, MPW F/M, ASHAs) were trained on NCD against the target of 2524(92.47%).
        1.  
  4. Training on Expanded Range of Services – To ensure newer service delivery packages such as Emergency Medical Care, Oral, ENT, Eye, Mental, Neurological & Substance Abuse, Elderly and Palliative Care were rolled out in which 1804 Primary Health Care Team at HWCs were trained on these services against the target of 2524(71.47%).
        1.  
  5. HWC Health Mela – Health Melas were organised every month as per calendar and on every Health Days observed across the globe. Beneficiaries were given awareness and trainings as per need on the themes of the Health Days and Health Melas for better reach.
  6. Teleconsultation – A provision for consultation of physicians from Sub-Centre level was made available through Teleconsultation using e-Sanjeevani 2.0 software. Teleconsultation on newer Expanded Range of Services was launched in the state on 10th October 2023 in collaboration with Zoram Medical College. In addition to the existing allopathic services, consultation for Ayurveda, Homoeopathy and TB services were made available as well.
  7. Others – The HWC program successfully facilitated the launch of the Ayushman Bhav campaign on 13th September 2023 by the Hon’ble Governor of Mizoram and has coordinated the campaign in the state during 17th September to 6th October 2023. Following are the details of the Ayushman Mela held in the state during the campaign.

Sr. No.

Indicator

Performance

1

Health Mela Organized and Reported

785

2

Total Ayushman Sabha Planned

416

3

AyushmanSabhaOrganised and Reported

147

4

Total Footfall

31346

5

Average Footfall per Health Mela

40

6

Total ASHA trained

1091

7

Total ASHA Trained

305

8

Wellness/Yoga/Meditation sessions

514

9

Number of Teleconsultation conducted

359

10

Number of people received free drugs

15312

11

Number of people received free diagnostic services

20085

12

ABHA (health ID) creation

10245

13

Ayusman Card issuance

899

14

AYUSH services

2333

15

Lifestyle Counselling

26926

16

Total number of pregnant mothers registered in the first trimester and completed first ANC check-up

1019

17

SAM children identified

110

18

Immunization for mothers

778

19

Immunization of children

2320

20

Number of tuberculosis screenings done

21576

21

Number of hypertension screenings

17543

22

Number of diabetes screenings

15656

23

Number of oral cancer screenings

14769

24

Number of breast cancer screenings

8673

25

Number of cervical cancer screenings

2718

26

Number of cataract screenings

5318

 

 

 

Achievemet during 2022-23

 

Name of Program: Comprehensive Primary Health Care 

 

1. Human Resource:

Total No. of HWOs in position

 

Total No. of MOs in position

No. of new HWOs recruited from April 22 to March 2023

 

309 (271 + 38 AYUSH)

 

63

32

 

 

2. HWC Operational Status:

Type of health facilities

Total no. of facilities in the state

No of HWCs to be upgraded

No. of HWCs upgraded till date

Urban Primary Health Centre (UPHC)

8

8

8

Primary Health Centre (PHC)

60

60

60

Sub Centres (SC)

320

320 (282 NHM + 38 AYUSH)

320 (282 NHM + 38 AYUSH)

Urban HWC (UHWC)

17

17

0

TOTAL

405

405

388

 

District Wise Status (SCs):

District

No. of HWOs posted 

Operationalized

Aizawl East

52

52

Aizawl West

34

34

Champhai

44

44

Kolasib

21

21

Lawngtlai

29

29

Lunglei

55

55

Mamit

31

31

Serchhip

24

24

Siaha

19

29

TOTAL

309

309

 

3. Total Footfall (UPHC/PHC/SC):

Month

22-Apr

22-May

22-Jun

22-Jul

22-Aug

22-Sep

22-Oct

22-Nov

22-Dec

23-Jan

23-Feb

23-Mar



Mizoram

43423

36500

37645

26778

37422

37207

32661

38847

31101

57342

46548

61298


 

4. Wellness (UPHC/PHC/SC):

Month

22-Apr

22-May

22-Jun

22-Jul

22-Aug

22-Sep

22-Oct

22-Nov

22-Dec

23-Jan

23-Feb

23-Mar



Mizoram

1078

698

939

649

992

1133

1061

1170

850

1847

1218

2069


 

 

5. Teleconsultation:

Month

22-Apr

22-May

22-Jun

22-Jul

22-Aug

22-Sep

22-Oct

22-Nov

22-Dec

23-Jan

23-Feb

23-Mar



Mizoram

1277

221

555

1092

312

175

189

331

387

0

28

810


 

6. Mela:

 


Mizoram 

Total Number of Facility Reported

194

Total Entry

363

Total number of individuals enumerated or empanelled

18473

Total number of CBAC filled by ASHAs

13604

Total number of Family folders created

8878

Total number of pregnant mothers registered in the first trimester and completed first ANC check-up

650

Total number of ABHA numbers issued

806

Total number of PMJAY golden cards issued

1358

Total number of individuals counselled on personal hygiene, environmental hygiene, diet counselling

11263

Total number individuals counselled on nutrition

10172

Total number of individuals counselled on substance abuse

6580

Total number of individuals counselled on STI/RTI services

5135

Whether Wellness/Yoga/Meditation sessions conducted

310

Total number of participants in Wellness/Yoga/Meditation sessions

7605

Total number of individuals screended for hypertension

10058

Total number of individuals screended for diabetes

9048

Total number of individuals screended for oral cancer

8844

Total number of individuals screended for breast cancer

4979

Total number of individuals screended for cervical cancer

1118

Total number of individuals screended for cataract

2555

Total number of individuals screended for tuberculosis

7630

Total number of individuals screended for leprosy

3606

Total number of SAM children identified

102

Total number of pregnant mothers immunized as per due list

690

Total number of children immunized as per due list

2360

Total number of individuals availed contraceptive services

1845

Total number of teleconsultations conducted through eSanjeevani

154

Total number of patients availed free medicines

10585

Total number of patients availed free diagnostics

11745

Total Footfall

17792

Total Individuals availed AYUSH consultation

2506

Number of testing for food adulteration using food safety magic box

220

 

7.            Training Status (Expanded Package of Services):

                 

Sl. No

Name of Training

MO Trained

CHO Trained

SN Trained 

ANM Trained 

ASHA Trained

1

ENT

59

319

 0

540

875

2

Eye

59

319

 0

540

875

3

Oral

59

319

 0

540

875

4

Emergency

55

284

 0

0

0

5

MNS

55

284

 0

0

0

6

Elderly

58

319

 0

0

0

7

Palliative

58

319

 0

0

0

8

Eat Right

58

319

 0

0

0

9

JAS

58

319

 0

0

0

 

 

 

Achievement during 2021-022

  1. Human Resource:
    • Total number of HWOs currently posted at SC-HWCs - 264
    • No. of candidates currently undergoing 6 months IGNOU CCH(Certificate in Community Health)–11

    1. HWC Overall Achievement:
      • No. of Teleconsultation conducted at HWC – 2003 consultations
      • No. of Wellness Activities Conducted – 32461
      • Total health events organized –5225

      1. National Level Awards and Recognition:
        • 1st Prize winner in Wellness Activity conducted at HWCs on the 3rd Anniversary of Ayushman Bharat-Health and Wellness Centers on 14-April-2021 felicitated virtually by Union Health Minister.
        • 3rd Prize winner in Wellness Activity conducted at HWCs during observation of Azadi ka Amrit Mahotsav on behalf of the 75th India Independence. The award was felicitated by Hon’ble Minister of State for H&FW on the Universal Health Coverage (UHC) Day celebration at Delhi on 13.12.2021.
        • State level 1st Prize winner in best performing HWC-SC is awarded to Tokalo Health & Wellness Center SC, Siaha on UHC day celebration at Delhi on 13.12.2021


Physical Achievement during FY 2020-2021 MIZORAM.

1.Total number of approved facilities                                                             193

(57 PHCs + 8 UPHCs + 128 SCs) 

2. Total target                                                                                                178
3. Total number of operational facilities                                                        180

(53PHCs + 8 UPHCs + 119 SCs) 

             4.Total number of Health & Wellness Officers posted in SCs                       97