Health &amp; Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward

Lahariya, Chandrakant

doi:10.1007/s12098-020-03359-z

Cited by 144 publications

(71 citation statements)

References 18 publications

(35 reference statements)

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“…The Health & Wellness Centres (HWCs) proposed under the Pradhan Mantri Jan Arogya Yojana were envisaged expand primary healthcare services for non -communicable diseases as well ( Lahariya, 2020 ). These services includes screening of adults for non-communicable diseases through community health workers, then confirmation of NCD risk factors or disease at HWC and initiation of lifestyle modification measures and drug therapy etc These centres will cater to clusters of defined villages in their vicinity.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Determinants of behavioural and biological risk factors for cardiovascular diseases from state level STEPS survey (2017–19) in Madhya Pradesh

Kokane

Joshi

Kotnis

et al. 2020

PeerJ

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Background National and statewide assessment of cardiovascular risk factors needs to be conducted periodically in order to inform public health policy and prioritise allocation of funds, especially in LMICs. Although there have been studies from India which have explored the determinants of cardiovascular risk factors, they have mostly been from high epidemiological transition states. The present study assessed the determinants of cardiovascular (CVD) risk factors in a low epidemiological transition state (Madhya Pradesh) using the WHO STEPwise approach to surveillance (STEPS). Methods A total of 5,680 persons aged 18–69 years were selected from the state of Madhya Pradesh through multi-stage cluster random sampling. Key CVD risk factors we sought to evaluate were from behavioural (tobacco, alcohol, physical activity, diet) and biological domains (overweight or obese, Hypertension, Diabetes, and Raised serum cholesterol). Key socio-demographic factors of interest were the caste and tribe groups, and rural vs urban location, in addition to known influencers of CVD risk such as age, gender and education level Results Those belonging to the scheduled tribes were more at risk of consuming tobacco (OR 2.13 (95% CI [1.52–2.98]), and a diet with less than five servings of fruits and vegetables (OR 2.78 (95% CI [1.06–7.24]), but had had the least risk of physical inactivity (OR 0.31 (95% CI [0.02–0.54]). Residence in a rural area also reduced the odds of physical inactivity (OR 0.65 (95% CI [0.46–0.92])). Lack of formal education was a risk factor for both tobacco consumption and alcohol intake (OR 1.40 (95% CI [1.08–1.82]) for tobacco use; 1.68 (95% CI [1.14–2.49]) for alcohol intake). Those belonging to schedules tribes had much lower risk of being obese (OR 0.25; 95% CI [0.17–0.37]), but were at similar risk of all other clinical CVD risk factors as compared to other caste groups. Conclusion In the current study we explored socio-demographic determinants of behavioural and biological CVD risks, and found that in Madhya Pradesh, belonging to a scheduled tribe or living in a rural location, protects against being physically inactive or being overweight or obese. Increasing age confers a greater CVD-risk in all domains. Being a male, and lack of formal education confers a greater risk for behavioural domains, but not for most clinical risk domains. Future efforts at curbing CVDs should be therefore two pronged –a population-based strategy targeting biological risk factors, and a more focussed approach directed at those displaying risky behaviour.

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Section: Conclusion and Recommendationsmentioning

confidence: 99%

Determinants of behavioural and biological risk factors for cardiovascular diseases from state level STEPS survey (2017–19) in Madhya Pradesh

Kokane

Joshi

Kotnis

et al. 2020

PeerJ

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“…The Concept and Design: The Mohalla Clinic Initiative was launched by the Delhi Government in July 2015, with one clinic located in the slums. 14,15 The idea stemmed from the success of mobile vans or mobile medical units (MMUs). It was then complemented by the requirement of the top political leadership to fulfil the electoral promise and commitment to strengthen health systems rather than to provide ad hoc solutions.…”

Section: Mohalla Clinicsmentioning

confidence: 99%

Can Mohalla Clinics be a Catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna to achieve Universal Health Coverage in India?

Mukhopadhyay¹,

Dudhraj²,

Malhotra³

et al. 2021

IHRJ

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BACKGROUND: Expenditure on health sector in India is one of the lowest public health expenditures in the world at just over 1% of GDP, with substantial disparities in population, infrastructure, availability and provision of services that define the Indian health care system. In a reform of Indian health systems approved by the Indian Government in March 2018, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched on 23rd September, 2018 to provide financial health insurance coverage of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalizations to more than 10.74 million poor families that form the bottom 40% of population in India. OBJECTIVES: The objective of this paper is to discuss and analyze the benefits and weaknesses of the AB-PMJAY model and investigating the position that these clinics can play in (I) improving the provision of urban health facilities (II) resolving health inequities (III) and enhancing primary health care.MATERIALS AND METHOD: The authors explored different databases. Government portals, research publications on AB-PMJAY and Mohalla clinics (MC) to do in-depth analysis of various parameters.RESULTS: Although there are significant obstacles to the programme, by building impetus for program reform, AB-PMJAY offers an opportunity for the nation to resolve long-standing and ingrained shortcomings in governance, quality control and stewardship, and to accelerate India's development towards the stated UHC supply goal. The main achievement of these facilities in the last 18 months has been to introduce wellness to civic and political dialogue. CONCLUSION: Mohalla Clinics can prove as a major catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna for health reforms and progress towards universal health coverage in India.

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“…The residents of low-income countries lack access to primary care physicians; therefore, the provision of practice nurses would improve care [25]. In a State in India a project has been successfully implemented to improve primary health care services in order to provide effective and accessible care which will help very low-income families [26].…”

Section: Introductionmentioning

confidence: 99%

Lack of Primary Health Care Services in Developing Countries during Pandemic: An Urgent Reminder!

Georgina¹

2021

J Fam Med Dis Prev

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As the world population is growing and health care resources are in high demand the pressure on medical services is becoming higher. Developing countries are already at a crisis point in health care provision, and time demands a new approach in structuring medical resources. Primary care is the vital pillar for fundamental health care at community level and has been deemed as a cost-effective modality. In the West the primary care physician manages chronic medical conditions in communities and therefore reduces unnecessary hospital admissions. In the West, the primary care system is extremely well organised. Low-income countries must improve teaching, training and funding in primary care. In this article the urgent need for primary care is discussed in developing countries, and ways to minimise costs and improve clinical outcomes at community level.

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Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward

Cited by 144 publications

References 18 publications

Determinants of behavioural and biological risk factors for cardiovascular diseases from state level STEPS survey (2017–19) in Madhya Pradesh

Determinants of behavioural and biological risk factors for cardiovascular diseases from state level STEPS survey (2017–19) in Madhya Pradesh

Can Mohalla Clinics be a Catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna to achieve Universal Health Coverage in India?

Lack of Primary Health Care Services in Developing Countries during Pandemic: An Urgent Reminder!

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