PDF(Pubmed)
Abstract：
UNASSIGNED: The Government of India launched the Ayushman Bharat (AB) program in 2018 which aims to transform 150,000 existing Sub Health Centres and Primary Health Centres into Ayushman Bharat Health and Wellness Centres (HWCs). In this study, we assessed health system readiness for establishment of HWCs.
UNASSIGNED: The assessment comprised of a cross sectional facility assessment and a knowledge assessment of community health officers (CHOs) and female multipurpose health workers also known as auxiliary nurse midwives (ANMs), in 26 HWCs in one community development block of Punjab state. HWCs were assessed for key input and process parameters such as a human resource, physical infrastructure, supplies, capacity building etc., and processes including health promotion, community participation, digitization of management information system, and service delivery.
UNASSIGNED: It was observed that only 7 of the 26 HWCs had all human resources as per guidelines. The median knowledge score of CHOs and ANMs was 54% and 51% respectively. 11 of the 26 HWCs were co-located with Zila Parishad SHCs. Out of the 15 standalone HWCs, while 9 had independent buildings, 5 were located in buildings of other community level institutions. 50 percent of the HWCs were not able to perform diabetes screening due to lack of glucometers or testing supplies. While services for non-communicable diseases were available, a two-way referral tracking system for patients was missing. The mean job satisfaction rated by the newly appointed CHOs was 3.12 on a scale of 1 to 5, where 5 represented very high job satisfaction.
UNASSIGNED: The operationalization of HWCs requires State and local level interventions for strengthening of existing physical infrastructure, ensuring a regular supply of medicines and consumables, development of referral mechanisms for patients and enhancing community participation.
UNASSIGNED: The assessment comprised of a cross sectional facility assessment and a knowledge assessment of community health officers (CHOs) and female multipurpose health workers also known as auxiliary nurse midwives (ANMs), in 26 HWCs in one community development block of Punjab state. HWCs were assessed for key input and process parameters such as a human resource, physical infrastructure, supplies, capacity building etc., and processes including health promotion, community participation, digitization of management information system, and service delivery.
UNASSIGNED: It was observed that only 7 of the 26 HWCs had all human resources as per guidelines. The median knowledge score of CHOs and ANMs was 54% and 51% respectively. 11 of the 26 HWCs were co-located with Zila Parishad SHCs. Out of the 15 standalone HWCs, while 9 had independent buildings, 5 were located in buildings of other community level institutions. 50 percent of the HWCs were not able to perform diabetes screening due to lack of glucometers or testing supplies. While services for non-communicable diseases were available, a two-way referral tracking system for patients was missing. The mean job satisfaction rated by the newly appointed CHOs was 3.12 on a scale of 1 to 5, where 5 represented very high job satisfaction.
UNASSIGNED: The operationalization of HWCs requires State and local level interventions for strengthening of existing physical infrastructure, ensuring a regular supply of medicines and consumables, development of referral mechanisms for patients and enhancing community participation.
摘要：
印度政府于2018年启动了AyushmanBharat（AB）计划，旨在将现有的150,000个亚健康中心和初级卫生中心转变为AyushmanBharat健康与保健中心（HWC）。在这项研究中,我们评估了卫生系统建立HWC的准备情况。
UNASSIGNED：该评估包括对社区卫生官员（CHOs）和女性多用途卫生工作者（也称为辅助护士助产士）的横断面设施评估和知识评估。在旁遮普邦一个社区发展区的26个HWC中。评估HWC的关键输入和过程参数，如人力资源，物理基础设施，用品,能力建设等。,以及包括健康促进在内的过程，社区参与,管理信息系统数字化，和服务交付。
UNASSIGNED：据观察，26家HWC中只有7家拥有所有的人力资源。CHOs和ANMs的中位知识得分分别为54%和51%。26个HWC中有11个与ZilaParishadSHC位于同一地点。在15个独立的HWC中，虽然9个有独立的建筑，5个位于其他社区一级机构的建筑物中。由于缺乏血糖仪或测试用品，50％的HWC无法进行糖尿病筛查。虽然有针对非传染性疾病的服务，患者双向转诊追踪系统缺失.新任命的CHO评估的平均工作满意度为3.12，范围为1到5，其中5代表非常高的工作满意度。
UNASSIGNED：HWC的运营需要国家和地方一级的干预措施，以加强现有的有形基础设施，确保药品和消耗品的正常供应，发展患者转诊机制，加强社区参与。
UNASSIGNED：该评估包括对社区卫生官员（CHOs）和女性多用途卫生工作者（也称为辅助护士助产士）的横断面设施评估和知识评估。在旁遮普邦一个社区发展区的26个HWC中。评估HWC的关键输入和过程参数，如人力资源，物理基础设施，用品,能力建设等。,以及包括健康促进在内的过程，社区参与,管理信息系统数字化，和服务交付。
UNASSIGNED：据观察，26家HWC中只有7家拥有所有的人力资源。CHOs和ANMs的中位知识得分分别为54%和51%。26个HWC中有11个与ZilaParishadSHC位于同一地点。在15个独立的HWC中，虽然9个有独立的建筑，5个位于其他社区一级机构的建筑物中。由于缺乏血糖仪或测试用品，50％的HWC无法进行糖尿病筛查。虽然有针对非传染性疾病的服务，患者双向转诊追踪系统缺失.新任命的CHO评估的平均工作满意度为3.12，范围为1到5，其中5代表非常高的工作满意度。
UNASSIGNED：HWC的运营需要国家和地方一级的干预措施，以加强现有的有形基础设施，确保药品和消耗品的正常供应，发展患者转诊机制，加强社区参与。
