Last Updated:  11/08/2021

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Project Pitch By: Piramal Swasthya

 

Proposed Project Title


Health and Wellness Centre (HWCs) – Comprehensive People Centric Services

 

Thematic Area

Eradicating hunger, poverty and malnutrition, promoting health care, sanitation & safe drinking water

Sub Thematic Area

Hospital infrastructure, medical camps, surgeries, healthcare awareness & rehabilitation

Project Synopsis

Achieving universal health coverage in India, a paradigm shifts from provision of essential to quality health care at the primary care level is on the anvil. Health Subcentres and Primary health centres are being transformed into Ayushmann Bharat - Health and Wellness Centres (AB-HWCs) which is expected to provide comprehensive primary healthcare (CPHC) through range of integrated diagnostic, preventive, promotive, curative, rehabilitative and palliative services, improve utilization of public-sector primary care services and improve the health of communities served. To enable efficient delivery of Comprehensive Primary Healthcare services, close to the community, Piramal Swasthya proposes the establishment of Model Health and Wellness Centres (HWC)
 
 
 

Overview of the Proposed Project

Estimated Budget
INR 1.0 Cr - INR 5.0 Cr
Proposed Location
Assam, Uttarakhand, Jharkhand

Key Project Partners
Government,NGOs,Companies

Project Status
Already Implemented-Replicable
 

Facts

Beneficiary Type (Primary): Pregnant Women and Children
Beneficiary Type (Secondary): Adolescent
Estimated No. of Beneficiaries: 1000 and above Families
Status of Baseline Survey: Already Done
 
 
 

Proposed Project Description

The GoI has a huge task of developing, equipping and manning 1.5 lakhs HWCs across the country in the next few years. Piramal Swasthya looks at this as an opportunity to work with the government health system to upgrade health and wellness centres with innovative technology and increase uptake of health services. In collaboration with state governments, Piramal Swasthya has established 5 Model health and wellness centres in 5 different states (Uttar Pradesh, Bihar, Jharkhand, Assam and Rajasthan). Such model health and wellness centres have become models for other HWCs and can be replicated in other location also.

 

They believe that understanding and identifying health concerns/needs of the community is important before offering any solution to them. Therefore, they focus on the quality of service facility, infrastructure and technology-based solution as well as social and behavioural detriments that affect the uptake of services.

 

Objectives of the project:

  • To improve access to preventive and curative healthcare services
  • To leverage technology to enable delivery of wider basket of services in an efficient manner
  • To promote healthy lifestyles such as physical activity and healthy nutrition through the HWCs, enhancing the wellness of the community and reducing the risk of developing chronic diseases and morbidities.
  • To improve community ownership and engagement for health

 

To make health and wellness centre vibrant and owned by the community, they have adopted two-pronged approaches

  • Facility-based interventions
  • Community-based interventions

 

Facility-based interventions:

These interventions include infrastructure strengthening, capacity building of service providers, pharmacy set-up and management, creating nutrition-hub, and incorporating technology for better health outcomes.

  • Infrastructure Strengthening: Technical assistance and onsite support is provided to the health department by a team of quality experts in designing the departments like outpatient care, labour room, examination room, medicines dispensing counter, diagnostic services, adequate spaces for the display of communication material of health messages, spaces for wellness activities like Yoga and physical exercises etc.
  • Capacity Building: Need assessment of their skill gap of HWC service providers is conducted regularly followed up capacity building on various issues like infection control practices, ante-natal care, effective workplace management, standard treatment guidelines etc. by a team of clinician and experts.
  • Pharmacy Management: To ensure availability of medicine across the year pharmacy management is the key area where technology-driven intervention is required. Therefore, we introduced the Bin Card system to track the first expiry first out medicine and ensure minimum stock of each category of drugs.
  • Adding Nutrition Hub in HWCs: Considering poor diet diversity, malnutrition particularly among women and children, it is pertinent to plug in nutrition layer in the health and wellness center. Community Nutrition Hubs is an open community kitchen which Tracks the nutritional status of the mother and children; Educates mothers/Caregivers/Communities; Demonstrates diet diversity through low-cost recipes and nutria-garden; Provides supplementary nutrition to SAM/MAM/SUW and Anaemic mothers& Trains Anganwadi, ASHA, ANM to better address the nutritional needs of the community they serve
  • Adding state of the art Information Technology: Piramal Swasthya's Continuum of Care application is installed in the smartphone of the community health workers. This application enables in collecting village household and population database of 30+ years around the risk of NCDs (digitizing the CBAC form). In this technology, all the data is stored on the cloud but linked to the model HWC such that data will be accessible both at the outreach level as well as at the Centre level.
  • Health Cube: This is a small device that performs diagnostic tests at the first point of care. It is a small laptop-sized device that can help assess multiple critical health parameters and eliminate multiple steps in the current patient care model that lead to dropouts and delays in treatment. It can run 18 diagnostic tests, namely, pregnancy, blood glucose, urine protein and glucose, cholesterol, lipid profile, HB, uric acid, Troponin1, Chikungunya, Dengue Antigen, Hepatitis B, Hepatitis C, Syphilis, Typhoid, malaria, ECG, and SPO2 level. The test reports get fed into the patient record and referred for treatment protocol.
  • AMRIT (Accessible Medical Records via Integrated Technologies): Each HWC is equipped with AMRIT technology to capture data and upload on to the central server. AMRIT is a technology platform that enables in the creation of unique beneficiary id by capturing demographic details, contact numbers, existing id such as ADHAAR, RCH ID etc. of the said beneficiary. This unique identifier once created stays with the beneficiary and is used to access all her/his medical records chronologically. Information on a patient visit to primary, secondary and tertiary health care can be stored in this thereby creating longitudinal health record which helps in improving patient outcomes.
  • Telemedicine Services: Setting up telemedicine Centres within the HWC is an attempt to bridge the gap of specialist services by connecting the patients at Subcentres/PHCs with specialist doctors through telemedicine services. The telemedicine solution comprises of:
  • Spoke or Patient-end: Located at the model HWC and operated by the Community Health Officer, enabling him/her to connect to specialist doctors using Piramal Swasthya’s Telemedicine Software.
  • Hub or Specialist-end: Located at the District Hospital, state headquarters/Delhi/any other suitable location where specialist doctors will be linked to the spokes to provide teleconsultation.

 

Community based interventions:

Simply an up-gradation of a health facility is not enough as people need to visit these to experience the change. A positive experience at the facility leads to further demand.

 

HWC is instrumental in health promotion and well-being of the individuals and the communities. It promotes healthy lifestyles, preventing diseases, illness, and injury, enabling environments that support good health and well-being. Further, we engage in various community engagement activities to drive traffic to the HWC such as the celebration of important days, competition yoga sessions etc.

 

Therefore, they work as a catalyst to promote convergence, innovation and governance in health and wellness centre that not only strengthen the quality of services but increase community ownership also

 
 

Salient Features

  1. Comprehensive database creation with a 100% population enumeration, telemedicine services, integrated Digital Point of Care Diagnostics for facilitating prompt initiation of appropriate treatment and intervention, electronic health record management, model labour room and respectful maternal care, n
  2. These services will be primarily rendered to pregnant and lactating women, children up to 5 years, school going children, adolescent and 30-year old and above for NCDs.
 

About Piramal Swasthya

Piramal Swasthya Management and Research Institute (Piramal Swasthya), the health and nutrition initiative of Piramal Foundation, is one of the largest not-for-profit organisations. Since its inception in 2017, it has served 148 million beneficiaries across 22 states through its 35 public health delivery programs.

 

Vision: “Transforming Health Ecosystems through High Impact Solutions, Thought Leadership and Partnerships”

 

Core values: Knowledge, Action, Care and Impact

 

Scale and Impact:

  • 22 states
  • 35 innovative public healthcare projects
  • 378 call center seats
  • 114 MMUs
  • 7 - day clinics
  • 2363 employees
  • 14.8 Cr Beneficiaries
 
 

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