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Dr Mansukh Mandaviya releases AB-HWC assessment report in 18 states

The assessment was undertaken using a cross-sectional study design with a mixed-methods approach

Dr Mansukh Mandaviya, Union Minister for Health and Family Welfare, released the findings of a third party assessment of Ayushman Bharat – Health and Wellness Centres (AB-HWC) in 18 states of India, in the presence of Dr Vinod Paul, Member (Health), NITI Aayog and Rajesh Bhushan, Union Health Secretary, in New Delhi.

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Appreciating the findings of the report, Dr Mandaviya stated, “Third party evaluation is important for proper assessment of the functioning and implementation of the scheme.”

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

Dr VK Paul congratulated the research teams for the assessment report and suggested that a governance structure should be established for daily monitoring and review of AB-HWCs. He also highlighted the need to further train the human resources at AB-HWCs.

Rajesh Bhushan noted that this report will work like a foundation for future independent assessments of AB-HWCs and help in planning and redirecting efforts for ensuring the implementation of the objectives of the scheme.

The following are the key findings of the report: 

  • The launch of AB-HWC has enabled translation of the vision of moving from selective to comprehensive primary health care package enunciated in the National Health Policy 2017.
  • The implementation of AB-HWC scheme is on track in most states with a clear roadmap for achieving targets set for December 2022.
  • Overall, there has been an improvement in equity in access, despite existing constraints such as infrastructure availability and status of peripheral health facilities.
  • Effective communication was noted from district to PHC-HWC and SHC-HWC resulting in translation of policy decisions into action, faster and better.
  • Client satisfaction with the services provided was much higher among those who received services from HWCs as compared to those who received services from non-HWCs across all the four parameters measured – treatment, medicines, diagnostics and cleanliness.
  • The Evaluation also brought out requirement of a definite timeline for rolling out all the services packages. The timelines have now been fixed.

The assessment 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 higher focus on North-Eastern states. The study covered a sample of 317 facilities across eighteen states with 117 PHCs/UPHCs and 220 SHCs. 1,002 users from upgraded and 1,015 users from non-upgraded facilities were interviewed. The assessment covered both types of comparisons – a) pre and post conversion of the HWCs; and b) HWCs and non-HWCs within the same district.

 

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