Healthcare Facility Analysis and Recommendations for Improvement
This report presents an analysis of human resource allocation, essential medicine availability, diagnostics, portal reporting mechanisms, branding of AB-HWCs, and wellness activities in various states. Recommendations include addressing staff shortfalls, improving medicine procurement, ensuring diagnostic supplies, enhancing reporting systems, completing branding initiatives, and promoting wellness activities.
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Human resource Haryna: 2 ANM, 1 CHO, 1MPW(M) Jammu and Kashmir: 1ANM, 1 MPW (M), 1CHO Punjab: 2 ANM, 1 CHO, 1MPW(M) Uttarakhand: 1CHO, 1 ANM Madhya Pradesh: 1 MPW(F) Chattishgarh: Has AMO Model , 1ANM, 1 MPW (M), 1CHO Rajasthan: 1ANM, 1CHO. ISSUES: Uttarakhand has shortfall in MPW (M) MP has shortfall in CHO and MPW(M) Rajasthan: has shortfall in MPW (M) RECOMMONDATION: Ensured the CHO availability at the facility rather than going for regular cadre fresh recruitment may be consider. Provision of support staff on outsourcing at HWC-SC
ESSENTIAL MEDICINES AVAILABILTY Haryana: 92 EDL : 71 available Jammu and Kashmir: EDL no shared at SC. Need based availability to SC Punjab: 30-40% of EDL are available Uttarakhand: EDL 32: 10-15 drugs available Madhya Pradesh: EDL : 40 drugs available Chattishgarh: 36 EDL+10 Emergency drugs: only 31 drugs available due to purchase/prcurement issues. Rajasthan: 91
Diagnostics Haryana: 7 Test Jammu and Kashmir: 4 test Punjab: 4 test Uttarakhand: 4 test Madhya Pradesh:14 Chattishgarh: 6 test Rajasthan: 6 test Issues: issue of supply of HIV kit by NACO Recommendation: Rapid/point of care Test should be available.
AB-HWC Portal reporting- mechanisms available Haryana: Daily / through Laptops and Mobile phone Jammu and Kashmir: no entry / lack of calrity Punjab: no entry, manually done at PHC coz of connectivity issues Uttarakhand: Daily reporting not taking place/ Tablets are not available and doing by personal Mobile phones Madhya Pradesh: No entry/Manually done through at PHC due to unavailability of CHO at SCs Chattishgarh: daily/ monthly Rajasthan: Daily/ through personal mobile phones
Branding of AB-HWCs Haryna: completed Jammu and Kashmir: completed Punjab: in process Uttarakhand: Yes at all HWC: HWC infrastructure has been built separately from the SC building. ANM sits in SC building and CHO sits in HWC Building Madhya Pradesh: in process Chattishgarh: Completed for last year Rajasthan: poor quality Challenge in execution in all states
Wellness Activity- Yoga & Beyond! Haryana: Initiated: CHO performing: also doing laugter therapy meditation and culture based dance. Jammu and Kashmir: Initiated Punjab: Not Started yet: Yet to identify space and trainer Uttarakhand: 10 Days a month: Trainers picked from List of GoI: Open GYMs at selected SCs but unutlised. Madhya Pradesh: RFP floated for Yoga instructors Chattisgarh: Initiated, but not regular due to unavailability of funds Rajasthan: Yet to identify the Yoga trainer: Have also started Medicinal Plants Concern raised: Incentive for Yoga Trainer, unavailability of funds (Chattisgarh),
Training Quality of the supervision by IGNOU is questionable. Delay in Result Declaration by IGNOU. NCD Training: Recently joined MLHPs were told during certificate course and NCD Training will take place separataley (Uttarkhand). VIA Training to be intiated (Punjab) ASHA: Except Rajasthan CHO: Uttarakhand, Rajasthan, Jammu and Kashmir, Jharkhand has completed Duration of training was reduced thus compromising the quality of training. (Only in Uttrakhand and J&K ASHAs training duration was five days)
Population Based Screening common NCDs Population enumeration underway Family folders and CBAC being filled but lack of clarity amongst ASHAs and incomplete forms. Uttarakhand CBAC forms not distributed rationally and records are not there for distribution per facility.
RCH activities at Activities All the RCH Services provided at the SC. Nutrition requires focus Adolescent activities require focus on SC level Status of out reach activities: With SC upgrading to HWC, ANM is performs RCH activities and CHO performing NCD activities.
Expanded Range of Services J & K : Not started Uttarakhand: NIMHANS trains CHOs for Deliverying Expanded services (MoU has been Signed) Chattisgarh: Ophthalmic Assistant performing Vision Screening on fixed days. Rajasthan: CHO doing vision screening Haryana: Dental Surgeon visits SC. Dental Surgeon available at PHC level. Madhya Pradesh: Expanded Range of Services not initiated. Punjab: Not Initiated
Best Practices Chhattisgarh: NCD Camps (Suraksha Maah) 6.5 L Completed for Screening & Management Internal Branding- at HWCs ANM MPW are yoga Trained and Pilot initiated in 5 Districts. Uttarkhand : NCD screening camps for govt officials and corporate offices. Parent teacher meeting to be used as platform for NCD screening (for 8th- 12thStudents) MP: NCD screening done at SCs by MOs on Thursdays Haryana: Utilisation of unemployed use through employment exchange (Saksham) J & KJan Aushadhi at SC
