Healthcare systems in Rural areas

Health and Wellness centres under AB-PMJAY

HWCs are providing a package of the following 12 services to make basic health facilities equitable, accessible, and affordable to under-served people, especially in rural and remote areas:

• Care in Pregnancy and Child Birth.
• Neonatal and Infant health care services.
• Childhood and Adolescent health care services.
• Family planning, contraceptive services and other reproductive health care services
• Management of communicable diseases: National Health programmes
• General out-patient care for acute simple illnesses and minor ailments
• Screening, prevention, control and management of non-communicable diseases and chronic communicable diseases like tuberculosis and leprosy
• Basic oral health care
• Screening and basic management of mental health ailments
• Care for common ophthalmic and ENT problems
• Elderly and palliative health care services
• Emergency medical services including burns and trauma.

In addition to the above there is a range of wellness activities which include the following:

• Regular Yoga sessions / Wellness sessions.
• Through Annual Health Calendar, 39 Health days have been identified to conduct health promotion activities.
• Ayushman Bharat -Health and Wellness Ambassador Initiative has been launched wherein two teachers in every school will be Ambassadors to foster growth, development and educational achievement of school-going children by promoting their health and wellbeing. This is a joint initiative of MoHFW and MHRD under the comprehensive School Health Program (SHP).
• Eat-Right toolkit and Food Safety kit (Magic Box) have been developed in collaboration with FSSAI, under the initiative ‘SahiBhojanBehtarJeevan’ (????????????????) Eat Right India’.

Prime Minister AtmanirbharSwasth Bharat Yojana (PMASBY)

Prime Minister AtmanirbharSwasth Bharat Yojana (PMASBY) Scheme has an outlay of about Rs. 64,180 Cr over six years (to be implemented till 2025-26)

Under PMASBY efforts to enhance public health capacities are being undertaken like the following:

• A paradigm shift in the provision of Urban Primary Health Care services with the establishment of 11,024 new urban Health and Wellness Centers across the country with a focus on slum and slum-like areas
• Infrastructure support for 17,788 AB- Health and Wellness Centres in rural areas in seven High Focus States and three NE States.
• Setting up of 3,382 Block Public Health Units (BPHUs) in 11 High Focus States/UTs to strengthen Public Health functions such as surveillance, and epidemiological investigations along with enhanced capacities for clinical diagnostic services and
• Establishment / Strengthening of Integrated District Public Health Labs (IPHLs) in all 730 districts.
• Establishment of 50/100 bedded Critical Care Hospital Blocks in 602 Districts and 150 bedded Critical Care Hospital Blocks in 12 AIIMS and Central Institutions.
• Health Emergency Response- Two state-of-the-art Self-contained container-based mobile hospitals and 15 Health Emergency Operation Centres (HELOCs) towards strengthening Disaster and Epidemic Preparedness and response