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Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward
In February 2018, the Indian Government announced Ayushman Bharat Program (ABP) with two components of (a) Health and Wellness Centres (HWCs), to deliver comprehensive primary health care (PHC) services to the entire population and (b) Pradhan Mantri Jan Arogya Yojana (PMJAY) for improving access to...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer India
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340764/ https://www.ncbi.nlm.nih.gov/pubmed/32638338 http://dx.doi.org/10.1007/s12098-020-03359-z |
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author | Lahariya, Chandrakant |
author_facet | Lahariya, Chandrakant |
author_sort | Lahariya, Chandrakant |
collection | PubMed |
description | In February 2018, the Indian Government announced Ayushman Bharat Program (ABP) with two components of (a) Health and Wellness Centres (HWCs), to deliver comprehensive primary health care (PHC) services to the entire population and (b) Pradhan Mantri Jan Arogya Yojana (PMJAY) for improving access to hospitalization services at secondary and tertiary level health facilities for bottom 40% of total population. The HWC component of ABP aims to upgrade and make 150,000 existing Government Primary health care facilities functional by December 2022. The first HWC was launched on 14 April 2018 and by 31 March 2020, a total 38,595 AB-HWCs were operational across India. This article documents and analyses the key design aspects of HWCs, against core components of PHC & the health system functions. The article reviews the progress and analyses the potential of HWCs to strengthen PHC services and therefore, advance Universal Health Coverage in India. Challenges emerged from COVID-19 pandemic & learnings thus far has also been analyzed to guide the scale up of HWCs in India. It has been argued that effectiveness and success of HWCs will be dependent upon a rapid transition from policy to accelerated implementation stage; focus on both supply and demand side interventions, dedicated and increased funding by both union and state governments; appropriate use of information and communication technology; engagement of community and civil society and other stakeholders, focus on effective and functional referral linkages; attention on public health services & population health interventions; sustained political will & monitoring and evaluation for the mid-term corrections, amongst other. Experience from India may have lessons and learnings for other low and middle-income countries to strengthen primary healthcare in journey towards universal health coverage. |
format | Online Article Text |
id | pubmed-7340764 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer India |
record_format | MEDLINE/PubMed |
spelling | pubmed-73407642020-07-08 Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward Lahariya, Chandrakant Indian J Pediatr Review Article In February 2018, the Indian Government announced Ayushman Bharat Program (ABP) with two components of (a) Health and Wellness Centres (HWCs), to deliver comprehensive primary health care (PHC) services to the entire population and (b) Pradhan Mantri Jan Arogya Yojana (PMJAY) for improving access to hospitalization services at secondary and tertiary level health facilities for bottom 40% of total population. The HWC component of ABP aims to upgrade and make 150,000 existing Government Primary health care facilities functional by December 2022. The first HWC was launched on 14 April 2018 and by 31 March 2020, a total 38,595 AB-HWCs were operational across India. This article documents and analyses the key design aspects of HWCs, against core components of PHC & the health system functions. The article reviews the progress and analyses the potential of HWCs to strengthen PHC services and therefore, advance Universal Health Coverage in India. Challenges emerged from COVID-19 pandemic & learnings thus far has also been analyzed to guide the scale up of HWCs in India. It has been argued that effectiveness and success of HWCs will be dependent upon a rapid transition from policy to accelerated implementation stage; focus on both supply and demand side interventions, dedicated and increased funding by both union and state governments; appropriate use of information and communication technology; engagement of community and civil society and other stakeholders, focus on effective and functional referral linkages; attention on public health services & population health interventions; sustained political will & monitoring and evaluation for the mid-term corrections, amongst other. Experience from India may have lessons and learnings for other low and middle-income countries to strengthen primary healthcare in journey towards universal health coverage. Springer India 2020-07-08 2020 /pmc/articles/PMC7340764/ /pubmed/32638338 http://dx.doi.org/10.1007/s12098-020-03359-z Text en © Dr. K C Chaudhuri Foundation 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Review Article Lahariya, Chandrakant Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title | Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title_full | Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title_fullStr | Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title_full_unstemmed | Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title_short | Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward |
title_sort | health & wellness centers to strengthen primary health care in india: concept, progress and ways forward |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340764/ https://www.ncbi.nlm.nih.gov/pubmed/32638338 http://dx.doi.org/10.1007/s12098-020-03359-z |
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