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In conjunction with HWCs, the Pradhan Mantri Jan Arogya Yojana (PM-JAY) seeks to provide financial protection for secondary and tertiary healthcare to approximately 40% of India's households. Together, these two components of Ayushman Bharat aim to achieve the aspiration of Universal Health Coverage.
Defining
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Health and wellness centre
HWCs are established by converting existing Sub Centers and Primary Health Centers in rural and urban areas. These centers follow the principle of "time to care," ensuring that care is provided within 30 minutes. They may also provide services through outreach programs, Mobile Medical Units, camps, home-based care, and community-based care, all of which should create a seamless continuum of care while upholding principles of equity, universality, and financial accessibility.
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Sub health center and Health and Wellness Centre Team:
HWCs at the Sub Health Centre level are staffed by a trained Primary Health Care team, including multi-Purpose Workers (male and female), Accredited Social Health Activists (ASHAs), and led by a Mid-Level Health Provider (MLHP). This team delivers an expanded range of services, and some states have transformed Additional Primary Health Centers (PHCs) into HWCs.
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Primary Health Centre/Urban Primary Health Centre-HWC Team:
The Medical Officer at the Primary Health Centre (PHC) ensures that CPHC services are provided not only at the HWCs but also at the PHC itself. The staff qualifications and numbers at the PHC are in accordance with the Indian Public Health Standards (IPHS). Strengthening PHCs to HWCs includes training for staff, provision of equipment for wellness rooms, IT infrastructure, and resources for laboratory and diagnostic support.
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