Track shipments

“The Health and Wellness Centers program is on track in most states to meet the goals”

Implementation of the Ayushman Bharat-Health and Wellness Centers (AB-HWC) program is on track in most states with a clear roadmap to achieve the targets set for December 2022, according to a report by assessment of 18 states released on Tuesday.

According to the findings of an independent evaluation of the program in 18 states, published by Union Health Minister Mansukh Mandaviya, the launch of AB-HWC has translated the vision of moving from a package of care from selective primary health care to a comprehensive primary health care package set out in the National Health Policy 2017.

He also indicated that there has been an improvement in the inequality of access, despite existing constraints such as the availability of infrastructure and the state of peripheral health facilities.

“Client satisfaction with services provided was significantly higher among those who received HWC services compared to those who received non-HWC services for all four parameters measured – treatment, medications, diagnostics and cleanliness,” the report said.

Appreciating the report’s findings, Mandaviya said, “AB-HWC was envisioned by Prime Minister Narendra Modi to provide affordable and accessible healthcare to the last mile. In this regard, third-party evaluation is important for a proper evaluation of the functioning and implementation of the programme. »

He said the report will serve as a guiding principle to better plan for the future.

Mandaviya said necessary steps will be taken to further strengthen the program. He pointed out that the Union government was coordinating with states to ensure last mile delivery through teleconsultation. “The government is committed to providing the best health care for everyone,” he said.

The assessment of AB-HWCs in 18 states was carried out in two phases by non-governmental entities, GRAAM and JHPIEGO, as well as AIIMS, New Delhi of the government sector, for the year 2020-21.

The main objective of this exercise was to assess the pace of deployment of AB-HWCs in different states and to identify specific challenges in their deployment. Given the early stage of implementation, the evaluation focused primarily on inputs and processes that contribute to the functionality of HWCs and considered any gains in short-term outputs, including community use. of the expanded range of services with an emphasis on chronic non-communicable diseases. care.

The evaluation was undertaken using a cross-sectional study design with a mixed-methods approach. The 18 states were selected to cover the spectrum of epidemiological transition levels as defined by the Global Burden of Disease India study with a stronger focus on the northeastern states.

The study involved a sample of 317 institutions in the 18 states with 117 PHCs, UPHCs and 220 SHCs. A total of 1,002 users of modernized facilities and 1,015 users of non-modernized facilities were interviewed. The assessment covered both types of comparisons – before and after CHF conversion; and HWCs and non-HWCs within the same district.