The public health care delivery system largely focuses on provision of care related to RMNCH+A & few communicable diseases. The conditions together represent merely 15% of all morbidities. Death from NCDs accounts nearly 62% of all mortality among men and 52% among women.Further, health care is largely sought at the level of district hospitals and people are availing care from private sector that leads to high Out of Pocket Expenditure (OOPE). To address this morbidity burden, reduce OOPE and for ensuring continuum of care state has positioned trained Community Health Officers (CHOs) at SHC-HWCs.
State undertook evaluation of CHOs actively in SHC-HWCs in NITI Aayog indicators in Osmanabad district of Maharashtra from April 2019 to August 2019. State has posted Community Health Officers at SC- HWCs. The members of primary care team at SHC-HWCs are trained in a set of skills are focusing on preventive and promotive health along with providing a package of services of high quality, using standard treatment protocols with assured referral. All the population above 30 years of age are screened for hypertension, diabetes and common cancers and free of cost treatment is provided.
The Percentage of ANCs registered within the first trimester increased from 89.67% to 93.24% and Percentage of Pregnant Women (PWs) registered for ANCs to total estimated pregnancies are also increased from 91.88% to 95.02%.
Percentage of newborns breastfed within one hour of birth increase from 95.80% to 99.18%. Percentage of live babies weighed at birth increased from 99.69% to 99.94 %.
Tuberculosis (TB) case notification rate (Public and Private Institutions) as against estimated cases increased from 57.24% to 78.75%.
This model is scalable and can be used as regular monitoring mechanism for HWCs where CHOs are posted.
Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019
Last Modified : 6/12/2021
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