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JAN AAROGYA SAMITI (JAS)

SUB HEALTH CENTRE - HEALTH & WELLNESS CENTRE

COMMITTEE

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Jan Arogya Samiti (JAS)

(Sub Health Centre - Health and Wellness Centre Committee)

I. Background

(i) Under Ayushman Bharat, the Health and Wellness Centres are being created by upgrading existing

Sub Health Centres (SHCs) and Primary Health Centres (PHCs) to provide comprehensive primary

health care services. Such a transformation is expected to enable these HWCs to serve as the first

port of call for a range of primary health care services spanning preventive, promotive, curative,

rehabilitative and palliative care. HWCs are also expected to play public health role and focus on

collective community action on Social Determinants of Health, and Social Audit and

Accountability.

(ii) Rogi Kalyan Samities (RKS) were established under the National Health Mission (NHM) in all

health care facilities at the level of the PHC and above. RKS were envisioned as local level

institutional mechanism to enable action for improvement in the availability and quality of hospital

infrastructure and services, and promoting a culture of accountability amongst service providers to

those seeking care in health care facilities. The RKS were seen as a mechanism for promoting

active public participation in health care.

(iii) At the SHC level, the ASHA and Village Health Sanitation and Nutrition Committees, (and

subsequently the Asha and Mahila Arogya Samities – MAS - in urban areas) were expected to

undertake community action for health, in the form of monitoring health and related public

services through undertaking semi-annual Jan Sunwais or community hearings, at which staff

from HWC and SHC would also be present.

(iv) RKS is a registered society to manage the affairs of health facilities in consonance with the

principle of decentralization and devolution of administrative and financial powers. Their

composition includes members from Panchayati Raj Institutions (PRIs), NGOs, persons of

eminence, and officials from Government sector including health who are responsible for proper

functioning and management of the facilities. RKS at all facilities have the autonomy to generate

and use its funds for smooth facility functioning, maintaining the quality of services and enabling

the delivery of patient centred care. RKS at various levels also receive untied funds as budgetary

allocation under NHM.

(v) Under Ayushman Bharat, the SHC level HWCs, are provided Rs. 50,000 as united fund,

enhancing the amount from Rs. 20,000 that is provided to all SHCs. This untied fund is expected

to be used primarily for supporting the essential requirements for HWC.

(vi) Given that the mandate of HWC at SHC level has expanded considerably, the funds have been

augmented. There have been requests from states to form a similar committee at AB-HWC-

SHC level. This

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State level- State Health Society

District level- District Health Society

Facility level :

PHC/CHC/DH-Rogi Kalyan Samiti

SHC - HWC level - Jan Arogya Samiti (JAS)

Village level (Rural)- VHSNC

Slum level(Urban)- MAS

committee which is being proposed to be formed at the HWC - SHC shall be named as Ayushman

Bharat - Jan Arogya Samiti (JAS).

Fig 1 Institutions for Effective Health Planning

II. Key Objectives of Jan Arogya Samiti (JAS)

The JAS will be the institutional counterpart of RKSs at SHC - HWC to serve as an umbrella for VHSNCs, /

MASs, which will serve as the hub of Health Promotion and action on Social Determinants of health, and

undertake social audit, with active engagement of community.

The following are key objectives of JAS:

(i) To serve as Friend, Philosopher and Guide to the VHSNCs of the HWC area, providing them

support and oversight, by leading the capacity building support, help in management of Untied

Funds and coordination with the health system.

(ii) To serve as the Facility Management Committee for SHC-HWC, and play a role similar to the Rogi

Kalyan Samiti (RKS), with respect to provisions and delivery of healthcare services and amenities

at the SHC-HWC.

(iii) To lead interventions for Health Promotion and Action on Social Determinants of Health, through

VHSNC sand provide support for community level activities of national health programmes, and

community interventions of HWC-SHC

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(iv) To engage the VHSNCs of the HWC area, in community level interventions of HWC, particularly,

screening for various age-groups and post treatment follow-up (including support to patient support

groups).

(v) To support the conduct of Social Audit at HWC level, and in villages under HWC area.

(vi) To act as Grievance Redressal Platform for families who access healthcare services at SHC - HWC,

ensuring availability and accountability for quality services at the HWC.

(vii) To mobilise resources, both monetary and non-monetary, from Three Tier Panchayat Structures,

other Government Schemes and Programmes, Corporate Social Responsibility (CSR) Funds, and

Philanthropy and Charity Organisations, and ensure its use for improving infrastructure and quality

of services in HWC, and undertaking Health Promotion interventions in the HWC area.

III. Structure and Composition of JAS

(i) The Proposed composition of JAS is –

Selection/ nomination of the Chairperson of the JAS- The Sarpanch of the area under the HWC shall be

designated Chairperson by rotation with the Sarpanch of the Headquarter Panchayat as the first

Chairperson. The term of each such Chairperson to be fixed as 2 years.The Sarpances of other Panchayats

covered under the HWC area will be membersMember Secretary -Community Health Officer (CHO) of

the HWC.

1. All Multi-Purpose health Workers of HWC

2. One Non Official member of RKS of the corresponding PHC

3. Chairpersons of all VHSNCs under HWC area

4. Member Secretary (ASHA) of all VHSNCs in HWC area

5. Two representatives - from among the Women SHGs of the HWC area

6. One non-official member from each VHSNC of the HWC area. If the Chairperson of the VHSNC

from a village is a woman, a man will be selected in this category, and vice-versa.

7. Two representatives (one male and one female) from among Peer Educators under Rashtriya Kishore

Swasthya Karyakram (RKSK) – or from Youth Groups (Youth Groups / Youth Clubs / Sports Clubs) -

in the age group 18 to 30.

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8. Member – One representative from among the Ayushman Bharat School Health & Wellness Ambassadors of

the HWC area.

9. Special Invitees - Medical-officer in-charge of parent PHC, Corresponding ASHA Facilitator,(as non

voting members)

In the selection of JAS members, efforts should be made to ensure, that all habitations, and all communities

(especially the vulnerable communities like, SC or ST) of the HWC area are well represented. Care should

also be taken to ensure at least 50% representation of women.

(ii) The respective VHSNCs in the HWC area, will finalise the nominations for categories listed at 7 to 10,

from their village, and will pass a resolution to this effect. A copy of resolution will be kept in the VHSNC

records. JAS will co-opt / include these members nominated by the respective VHSNCs, as full members,

with voting rights. The resolution passed by VHSNCs will be sufficient for this purpose, no other

approval will be needed.

(iii) An ex-officio member of JAS, like, the Chairperson of VHSNC, will cease to be member of JAS, when

she / he, ceases to be the VHSNC Chairperson.

IV. Legal position of JAS –

JAS will work under the overall guidance of DHS.

V. Roles and responsibilities of JAS

(i) Role of JAS in Facility Management –

a. The JAS will have an oversight role over the functioning of HWC and will hold the HWC

team accountable for ensuring universal access to equitable, quality healthcare services, as per

the provision of services available at the HWC level.

b. JAS will ensure that the HWC team works to serve the community, keeping the interests of the

service users in focus with provision of accessible healthcare. It will also play a supportive

and complementary role, by helping the HWC team in organizing the community support .

The following role is envisaged for the JAS:

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i. Creating community awareness to highlight the key functions of the SHC-HWC and mobilize

community to avail its services.

ii. Ensure that the Citizen Charter at HWC explicitly provides list of assured services that are provided at

the facility.

iii. The JAS will particularly highlight the preventive and promotive services that are provided at HWC –

ranging from screening for chronic diseases, vision, hearing, services available for pregnant and

lactating women, children and adolescents, and conduct of yoga/wellness sessions.

iv. Ensure that no user fees or charges are levied for any healthcare services being provided in HWC, as all

services at the HWC level, are committed under Ayushman Bharat to be provided completely free of

cost for everybody.

v. Ensure that services and entitlements related to care during pregnancy, delivery, family planning,

postpartum care, newborn care and care during infancy, childhood malnutrition, and national disease

control programmes such as Tuberculosis, Malaria, HIV/AIDS, services related to Non Communicable

Diseases and other government funded programmes which have to be provided as assurance or service

guarantee, are being provided to everybody without any discrimination, and are completely free.

vi. Ensure by making pro-active efforts and regular follow-up, that those from poor and vulnerable

sections of community, do not face any hurdles in availing healthcare services at HWC, and ensure that

services are not denied to anybody who visits the HWC.

vii. Develop mechanisms to ensure that, any section of community, especially the poor and vulnerable

sections, and those hamlets / habitations under the HWC area who live in the farthest and difficult to

reach areas, are not left out, and are given equitable priority, when the HWC team undertakes

community outreach and mobilization activities and conducts population enumeration, and community

based screening activities.

viii. Undertake regular monitoring and ensure provision of safe drinking water, quality diet, litter free

premises, clean toilets, clean linen, uncluttered waiting area, good security, and clear signage systems.

ix. Ensure that essential medicines and diagnostics are available (as per the Essential Drugs and

Diagnostics List for HWC), and HWC team follows standard treatment protocols/standard operating

procedures, as have been prescribed for them.

x. Facilitate and support HWC team to ensure that patients and service users are provided the care and

services as per the protocols assigned for the HWC.

xi. The JAS, to enable assured health services to all who come to the HWC, (as per the protocols defined

for the HWC) can allow the CHO, to procure small amounts of essential drugs / diagnostics not

available in the HWC from the JAS funds. Such local

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purchases should be allowed only on very rare occasions, as a short-term interim measure. The JAS

will review such purchases in its next meeting and ensure that the rationale for the purchase is justified

and that this is not undertaken repeatedly.

xii. The JAS will promote a culture of user-friendly behavior amongst HWC staff for improved

responsiveness and user satisfaction, by their training / orientation / sensitization.

xiii. Facilitate overall facility maintenance to ensure that the facility achieves or aspires to achieve the

standards set for the HWC.

(ii) Role of JAS in Health Promotion

1. Facilitate and support the HWC Team, in conduct of various activities at community level; a) complete

population enumeration of the area under HWC, and making of Family Folders of all families, b)

undertaking administering of Community based Assessment Checklist (CBAC) and identifying and

counselling high risk individuals, c) conduct of community level ‘Population Based Screening’ covering

entire population of above 30 age group, d) providing post treatment follow-up, and ensuring in the

process that no family and no section of community is left out, and the poor and vulnerable families are

pro-actively reached. JAS will also support community outreach activities under all programmes such as

Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK) etc.

2. JAS will lead the celebration of annual health calendar days at HWC-SHC and also facilitate and support

VHSNCs to undertake the celebration of Annual Health Calendar Days (Annual Health Calendar is attached

as Annexure 1). JAS will help VHSNCs in building awareness, mobilising community and planning and

conduct of health promotion activities on each Health Day. The community mobilisation strategies and key

activities of each Health Day can be designed keeping in view the key messages that are envisaged to be

delivered on that day.

3. Undertake community level demand generation for Health and Wellness Centres. JAS will facilitate and

lead community level IEC activities in the form of campaigns, distribution of print materials, folk

programmes and awareness generation during population enumeration. These campaigns would provide

information about services offered at HWC (including the screening services), Healthcare team of the

HWC, and the details about the location, service hours / days of HWC.

4. To act as a platform for multi-sectoral action on Social Determinants of Health, involving different

programmes and departments to address: (a) rising burden of Non Communicable Diseases (NCDs) like,

Cardiovascular Disease, Diabetes, and Common Cancers, (b) Water Sanitation and Hygiene (WASH), (c)

Malnutrition, Stunting and Anemia. JAS will work for effective community level implementation of

programmes like, Population Based Screening for NCDs, Swachh Bharat Mission, Nutritional support

schemes under Anganwadis, and Eat Right Campaign of FSSAI (using Eat Right Tool Kit developed by

FSSAI), Indira Gandhi Matritva Sahyog Yojana (IGMSY) and SABLA (Rajiv Gandhi Scheme for

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Empowerment of Adolescent Girls). JAS will also help in selection of Swachhta Champions, Ayushman

Ambassadors and will support them in working effectively. JAS will facilitate and provide supportive

supervision for improving hygiene and cooking practices in mid-day meal program in schools and hot

cooked meals in Anganwadi.

5. JAS will undertake the community level collective action on Water Sanitation and Hygiene (WASH), using

the handbook of VISHWAS (Village based Initiative to synergise Health Water and Sanitation) Campaign,

using the structure of 11 monthly campaign days which are part of the VISHWAS Campaign.

6. Undertake VHSNC / Village level Health Promotion, identifying challenges and planning of priorities and

desired actions.

7. Engage with existing women groups and ensure greater participation of women to enable gender equity and

promotion of women’s health issues.

8. Undertake activities for promoting regular exercise and sports to promote healthy life styles, and action

against alcohol, tobacco and other forms of substance abuse.

9. JAS will work for building awareness about services and entitlements under various government schemes

for health and financial risk protection (including Pradhan Mantri Jan Arogya Yojna – PMJAY).

(iii) Role of JAS as Grievance Redressal Platform

1. JAS will work to ensure that systems are in place in the HWC to provide complete information about the

services and entitlements available at the HWC level, and the key information is displayed in the HWC, in

local language and format, at easily visible places, alongwith prominent display of Citizens’ Charter, as

per the state’s policy.

2. JAS will create mechanisms for taking feedback from the users of healthcare services, and facilitate timely

and appropriate action on such feedback. In every meeting of the committee, the issues related to

challenges faced by community in accessing available healthcare services and entitlements at the HWC

level, will be reviewed and complaints will be taken up.

3. JAS will build an institutional mechanism and system for the community to raise their issues and lodge

complaints. The process and methods of making complaints will be widely advertised at the HWC premises

and in the villages under the HWC. JAS will periodically review the functionality of the system of

complaints and feedback and the HWC team’s response on them, as per the terms defined for disposal of

complaints.

4. JAS will help community to give feedback and raise their complaints through the platform of their

respective VHSNCs, regarding the services at the HWC level, and outreach healthcare related services in

the community.

5. The JAS will act as Grievance Redressal Platform for families who access healthcare services under

Ayushman Bharat – Pradhan Mantri Jan Ayogya Yojana (PMJAY), and other government programmes. It

will raise the issues and complaints by sending its representation (oral or written as per the requirement) to

the PHC / CHC level RKS and the District health Society (DHS).

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VI. Meetings of JAS

(i) The JAS will meet at-least once every month on a fixed day, which will be decided by the

states/UTs. It can conduct as many additional meetings in a month, as required. With this, the sub

centre level committees wherever SHC is converted to HWC will be dissolved.

The member secretary will organise the meeting, and will communicate the day, date of the

meeting, with the list of agenda items to all members, minimum seven days in advance. Every effort

should be made to ensure that the clear information about the meeting has reached every member,

and they have acknowledged receiving this meeting notice. The essential quorum for the meeting

will be 50% of the members of the committee.If the required quorum is not fulfilled in a JAS

meeting, the meeting will be adjourned, and will be reconvened the same day after giving suitable

time to rest of the members to fulfil the quorum. In the reconvened meeting, the meeting will be

done and its normal business will be conducted, even if the 50% quorum is not fulfilled.

Every effort should be made that, the quorum is fulfilled in every meeting, and also representation

of every village hamlet, every community is ensured.

The JAS, in the last meeting of a financial year, will present its account of activities undertaken

and expenditures incurred in the financial year, as its ‘Annual Report’. Subsequently it will prepare

a vision plan and an action plan for the next year. In every subsequent JAS meeting, the annual

action plan and the activities linked to it that were undertaken since the previous meeting will be

placed for discussion and approval.

The Annual Report of the HWC, as presented and approved in the last JAS meeting of the financial

year, will be placed for consideration in the Social Audit of HWC. The Social Audit of the HWC

may be planned in April, every year, in a way so that it can feed the issues of Health and Health

Planning into the Annual Planning process of concerned Gram Panchayat. It will also coincide with

the Annual Health Calendar Days – World Health Day on 7th April, and 14th April, Ayushman

Bharat- Health and Wellness Centre Day

Every proposed activity and its expenditure would be approved by a minimum of two third of the

members who attend the meeting. All activities undertaken since the last meeting and their

expenditure, would be presented, and will be approved in the meeting. All approvals would be by

voice vote of the attending members, or by counting of hands, and should be recorded with number

of members who were in favour of its approval.

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Note- States will need to develop a monthly calendar of meetings/ activities/campaigns for

engagement of JAS in various activities/events. This will support in organizing systematic action

on planning , service delivery and monitoring of activities to be undertaken.

(ii) Minutes of every meeting of JAS, along with a written account of activities undertaken and

expenditures made in previous month, would be written systematically, in the order in which the

agenda items were taken up, giving key information about each agenda item clearly.

(iii) In every JAS meeting, issues raised in meetings of respective VHSNCs (under the HWC), and

activities undertaken by them, will be shared, and a discussion will be undertaken, especially with

respect to support that can be provided by the JAS, for promoting health promotion and outreach

services.

(iv) Every JAS meeting will place before itself and discuss a set of permanent agenda items, as detailed

in the ‘Template of HWC Agenda’, apart from other agenda item taken up for the meeting,

VII. Financial Management of Untied Fund of JAS -

(i) The bank account of the untied fund of JAS will have two joint signatories; Chairperson of the JAS,

and Member Secretary of JAS.

(ii) Any withdrawal will be based on approval of the proposed activity and expenditure in the meeting

of HWC Committee, conducted with the essential quorum, as explained above.

(iii) All payments should be made only through cheque / draft, following the financial norms as

prescribed by state government. An amount of only up to Rs. 2000, can be kept in cash, by Member

Secretary, as emergency fund. Every expenditure made from this must be reported in the next

meeting of JAS, and approval will have to be taken on the activity as well as the expenditure.

The annual audit of the untied fund of the HWC committee and its activities will have to be undertaken,

according to the guidelines issued by the state government in this regard.

VIII. Responsibilities of key JAS members-

Powers and Functions of the Chairperson

1. The Chairperson shall have the powers to call for and preside over all meetings of the committee.

2. The Chairperson shall enjoy such powers as may be delegated to him by the JAS.

3. The Chairperson shall have the authority to review periodically the work and progress of JAS and to

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order inquiries into its the affairs.

4. All disputed questions at the meeting of the JAS shall be determined by voting. The members of

the committee as described in Section 3(i) shall have one vote and in case of a tie, the Chairperson

shall have the casting vote.

5. In the event of any urgent business, the Chairperson of the Society may take a decision on behalf of

the committee at the recommendation of Member Secretary. Such a decision must be presented to the

committee at its next meeting for approval.

A copy of the minutes of the proceedings of each meeting shall be furnished to the Chairperson as soon as

possible after completion of the meeting.

Powers and functions of Member Secretary

The Member Secretary of JAS shall facilitate all meetings of JAS, record proceedings and resolutions,

and will ensure action upon them.

1. All executive and financial powers of the society shall vest in the Member Secretary who shall be

responsible for; (i) Managing its day to day administration, (ii) Conducting all correspondence on its behalf

(iii) Keeping custody of all its records and movable properties

2. He/she shall be entitled to sign on behalf of JAS, bills, receipts, vouchers, contracts and other

documents whatsoever on behalf of JAS.

3. To form a subcommittee to perform a task and delegate powers to these subcommittees, with provision that

any such decision will be presented and be approved in the next meeting of JAS.

4. Take action on urgent important matters in consultation with Chairperson and place them in the next

meeting of JAS.

5. Exercise such powers and discharge such functions as maybe delegated to him by JAS approved in a

meeting of JAS with required quorum.

IX. Management and Performance indicators for JAS

The HWC-SHC team (CHO, MPWs, and ASHAs) will maintain a detailed data-base on JAS.

The data base should have information on:

c. No. of VHSNCs under each SHC-HWC

d. Composition of the JAS

e. Number of monthly meetings held

f. Monthly meeting minutes

g. Bank account details of JAS

h. Date of release of the un-tied fund to JAS

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i. Total Fund spent by JAS under different heads, as per Utilisation Certificates received.

The block community processes team will review the functioning of JAS. All supervisory staff must attend JAS

meetings periodically. Indicators for monitoring the performance of JAS at the block / district level are as

follows-

a. % of JAS having regular monthly meetings (against 12 meetings in year, planned as minimum

no. of meetings to be held)

b. % of JAS which have submitted UCs

c. % of JAS which have submitted UCs with over 90% of their funds spent.

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Monthly Meeting of Jan Arogya Samiti

(Template for Agenda)

The monthly meeting of JAS should be structured and a suggestive agenda has been discussed below. In addition

to the topics mentioned, JAS members can include other topics that are deemed relevant for that HWC-SHC.

1. Monthly progress report of HWC

2. Review of Issues and findings from Public Service Monitoring (PSM) tool from participating

VHSNCs

3. Proposals and review of expenditure of untied funds

4. Issues at HWC-SHC

1. Monthly progress report of HWC

The Community Health Officer (CHO) of the HWC will present the details of service delivery, referrals

and outreach activities undertaken by HWC team in the given month (with emphasis on marginalized

population). The objective of discussing this data is to enable the JAS to understand the overall status,

coverage and progress of activities mandated under HWC. Format of Monthly Progress Report is

attached as Annexure 1. The JAS members should discuss the status of service delivery and

functionality reports of HWC as reported in the portal, and ensure that timely and accurate figures are

reflected in the portal.

2. Review of Issues and findings from Public Service Monitoring (PSM) tool from participating

VHSNCs

Key findings of Public Service Monitoring Tool (as provided in the VHSNC Guidelines) and issues

will be presented by the participating VHSNC representatives during monthly meeting of JAS. Public

service monitoring tool examines the functioning of health and related services, such as, Anganwadi

centre, education, mid-day meal, water and sanitation, individual household latrines and key

community behaviors such as, complementary feeding status and status of women in the village. The

consolidated status and action taken should be discussed during the meeting. Issues thus requiring

escalation to the higher levels, will be brought up for discussion.

3. Proposal and review of expenditure of untied funds -

The JAS committee will review the expenditure of untied fund for the last month and also plan for

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expenditure in the coming month.

4. Issues at HWC-SHC

After reviewing service delivery, equipment and medicine supply status, VHSNC feedback, and

expenditure of untied fund, members of JAS will consolidate actions needed at various levels. The

members will try and resolve problems at local level and escalate those requiring systemic efforts at

higher level.

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Annexure- 1 Presentation of Monthly Progress Report of HWC

Presentation of Monthly Progress Report of HWC

A snapshot of population being served by HWC-SHC will be available with HWC team. It can be referred

for measuring performance against targets and to review access of services by marginalized population.

1. Community Outreach

a. Village-wise Village Health Sanitation and Nutrition Days (VHSND) held – whether VHSNDs

were conducted as per defined calendar, timings. Was public notice of date / venue done

adequately

b. Coverage and Quality of Service delivery at VHSNDs in respective villages –

- Whether all pregnant women of respective villages, including those from vulnerable

sections, have received ANC. Are all essential tests & counseling conducted in ANC.

- Whether High-risk pregnant women were identified, and counseling, support and referral

given as required

- Coverage of children immunized in respective villages

c. Any problems related to shortage / stock-out of drugs, and availability and functionality of

Service Providers as well as equipment and drugs; BP instrument, Weighing Machine,

Hemoglobin measurement apparatus, IFA tablets, Calcium tablets, Vaccines at VHSND.

Reach and Access of services in outreach areas and marginalized sections will have to be

especially reviewed.

d. Number of VHSNC meetings held in respective villages with more than 50% attendance

e. Review of Births and Deaths in respective villages – distribution by gender, age, premature

deaths. Any deaths with unclear cause should be flagged by VHSNCs, and discussed.

2. Services provided at Health and Wellness Centre facility-

2.1 Reproductive and Child care

f. Number of pregnant women provided ANC with special focus on marginalized

g. Number of high- risk pregnant women identified and referred

h. Number of institutional / safe / home deliveries

i. Identification, management, referral and follow-up of high-risk newborn - LBW/Sick Newborn,

Preterm and Sepsis

j. Number of children given full immunization as per their age

k. Number of cases of Anemia, and SAM detected, referred and followed up.

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l. Number of RBSK children referred, sought treatment and followed up.

m. Number of insertions and removals of IUCD

2.2 Communicable diseases and General Outpatient Care

n. Total OPD at HWC

o. Number of Malaria, Dengue, Chikungunya, Filaria, Kalazar, Japanese Encephalitis, TB and

Leprosy cases diagnosed, referred and treated.

2.3 Screening of Chronic/ Non-communicable diseases

p. Coverage under Population Enumeration, and creation of Family Folders - No. of Families

/ Individuals empaneled. Number of Community Based Assessment (CBAC) checklists filled.

q. Individuals screened (monthly and cumulative)– Hypertension, Diabetes, Oral Cancer,

Breast Cancer

r. Individuals who were referred to higher facility but did not seek treatment – Chronic conditions

(Hypertension, Diabetes, Oral Cancer, Breast Cancer, Mental Illness)

s. Individuals being followed up for treatment adherence and lifestyle modifications –

Hypertension, diabetes, oral cancer, breast cancer

2.4 Others-

t. No. of cases who required palliative care and those who are getting care

u. Number of cases from PM-JAY (secondary and tertiary care) being followed at home.

2.5 Health promotion and Wellness activities-

a. Number of yoga sessions held

c. Wellness activities as per Annual Health Calendar and VISHWAS Campaign, review of last month

and planning for next month.

3. Medicines and Diagnostics

v. Availability of Medicines - Instances of stock-outs of essential medicines

w. Availability of diagnostic equipment- instances of non-availability of diagnostics services

x. Provision of different diagnostic tests/POC - Diabetes, hypertensio

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