Background: Health and wellness canters component were launched under the ambit of Ayushman Bharat Yojana. In Kashmir, there was scarce data regarding health and wellness centers implementation ...therefore this study was undertaken to identify the gaps in implementation of the program at grassroot levels. Objective: to assess and compare the existing staff, services, lab services and infrastructure at health and wellness centers across ten districts of Kashmir valley. Methodology: a descriptive cross-sectional study was done to evaluate the implementation of health and wellness centers in ten districts of Kashmir valley. study population: staff at health and wellness centers study setting: selected health and wellness centers in 10 districts of Kashmir valley sampling: convenient sampling and random sampling 10 % of upgraded health and wellness center in each district at the beginning and 12 months of study. study timeline: 15months data collection 12 months interpretation 3 months study tools: preformed checklist, semi open questionnaires interviews Results: the results of the study indicated that there was still a gap in implementation of program as per guidelines. there were deficiencies in terms of yoga and wellness, proper space for health and wellness centers and staff was not trained properly about the program. Conclusion: this study was done in Kashmir valley to asess the implementation of health and wellness center component of Ayushman Bharat yojana. the study highlighted important deficiencies during the implementation of the program as per guidelines.
Abstract Background: According to the National Family Health Survey-5 report, Odisha’s population with hypertension has a 5% noncommunicable disease (NCD) burden, and only 40% of people in Odisha use ...primary health-care facilities to treat their NCDs, despite the Government of India having developed these facilities through the health and wellness centre (HWC) initiative. Aim and Objective: The aim of the study is to evaluate the utilization of Health and Wellness Centers (HWCs) in Odisha from the perspective of beneficiaries, and to identify factors influencing their low utilization, using a mixed-method approach. Materials and Methods: The study utilized a mixed-method approach, with a sample size of 400 participants. Quantitative data were collected through structured interviews, analysed using frequency and percentage calculations, and assessed for associations using logistic regression. Qualitative data were obtained via in-depth interviews, and thematic analysis was applied to identify major themes and subthemes related to HWC utilization and beneficiaries’ perceptions. Ethical clearance and informed consent were obtained before data collection. Results: In this study with 400 participants, only 31% utilized Health and Wellness Centers (HWCs) in Odisha. Factors associated with utilization included no formal education, proximity to HWCs within 2 km, low household income, experiencing general illness, and availing allopathic treatment which is statically significant with p<0.05. In-depth interviews revealed positive influences for utilization, such as nearby distance to HWCs, free testing and medicine, and positive expectations from government hospitals. Barriers to utilization included negative experiences, transportation challenges, lack of awareness, and poor beliefs or perceptions about HWCs. Conclusion: The study on Health and Wellness Centre (HWC) utilization in Odisha conclude that only 31% of beneficiaries access these facilities. Education, distance, and household income influence utilization. Proximity, free services, and awareness campaigns can improve utilization and foster preventive healthcare. The study recommends the policy makers to take action to bridge gaps and unleash the true potential of HWCs, creating a healthier future for Odisha.
Respectful Maternity Care (RMC) is right to receive dignified and respectful care by health care worker and right to freedom from harm. “The relationship between the lack of quality care and adverse ...maternal outcome has been highlighted globally. RMC include respect for women autonomy, dignity, feelings, privacy choices and freedom from ill-treatment, coercion, consideration for personal preference include option for companionship during maternity care.”
To assess the experiences of mothers of infants (42 days- 6 months of age) regarding RMC residing in Dadu Majra colony UT. Chandigarh.
This descriptive study was conducted on 133 mother of infants (42 days-6 month of age) residing in one semi urban area of Chandigarh, by using total enumeration sampling technique. The ethical clearance was given by the Ethics committee of NINE, PGIMER, Chandigarh. Tool used for data collection was interview schedule comprised of three parts : 1) Socio demographic profile of participants 2) Obstetrical profile of participants 3) Interview schedule to assess RMC, in the form of Likert scale in which 43 items scored into 5 categories i.e All the times (5). Sometimes (4). Often (3), Rarely (2) and Never (1). Data was collected by interviewing the participants as per interview schedule after taking informed written consent. Data was analysed by SPSS 20 version.
Majority of the participants (90.2%) received very good RMC, other 7.3% received RMC and 2.3% received fair RMC. Most of the mothers received very good care in domain of dignified care (91.7%), equitable care (100.0%), highest attainable level of care (78.9%). freedom from harm (89.5%) and informed consent (88%) while the domain of privacy and confidential care 52.6% mothers received good respectful maternity care.
Majority of the participant received the very good RMC, only few of the participants reported abusive cares such as yelling by the HCW and the security guards, slapped on the thighs etc.
Introduction: To achieve universal health coverage, concept of Health and Wellness Center (HWC) was given under Ayushman Bharat. For providing health care services through HWC, cadre of Mid-Level ...Health Provider (MLHP) is introduced who would be leading primary health care team at HWC. Objective: This study was undertaken with objective to assess the factors favoring to join this course and baseline knowledge of Comprehensive Primary Health Care (CPHC) and Health and Wellness Center (HWC) among course candidates Method: It was a cross sectional study conducted among candidates of certificate course in community health at PSC (Program Study Center) of Medical College at South Gujarat through self-administered semi-structured Performa. Results:Career changing opportunity was considered as a major factor to pursue CCCH course and obtaining MLHP position at HWC. Accessibility of HWC and role in advocacy generation were perceived major needs for it in community. Preventive, Promotive and Curative functions were mentioned as functions of HWC and geographical accessibility with delivery of functions in effective manner were perceived as chief characters of ideal HWC. Along with these, they mentionedcleanliness of center, community involvement and client satisfaction as its other characters. Conclusion and Recommendations:Baseline knowledge of the candidates pertaining to need, functions and ideal HWC was found almost satisfactory but it needed reinforcement and clarity. These results should be used for proper planning of curriculum and implementation of CCCH course to fulfill gaps in knowledge. We recommend that similar exercise should be carried out at all PSCs for effective implementation of course curriculum.
About 40 years ago, the mental health services providing strategies have been dramatically changed worldwide. As well as, it is considered as a new revolution in mental health and named as ...community-based mental health movement. Moreover, mental health centers in Iran have been established in order to make a change in urban community-based mental health (CMHC). The first CMHC was founded in Tehran 16th district in 2010. In Yazd, it was established in 2010. In this article, the steps for establishment of the first CMHC were described.
Context: The government of India has recently decided to upgrade subcenters (SCs) to health and wellness centers (HWCs) for providing comprehensive quality services. Aims: The present study was ...undertaken to determine workforce- and infrastructure-wise gaps in the SCs for upgradation to HWCs and assess knowledge of the auxiliary nurse midwives (ANMs) regarding services to be delivered through HWCs. Settings and Design: This cross-sectional study was conducted in Bhatar block of Purba Bardhaman district between August and October 2019. Subjects and Methods: Workforce and infrastructure availability was assessed using a checklist in 38 SCs and knowledge was assessed using a questionnaire among ANMs. Statistical Analysis Used: Data entry and analysis was done in Microsoft™ Excel™. Results: No Subcentre had Community Health Officer and 23.7% of Subcentre were without second ANM. 28.9% of the ANMs had adequate knowledge about services to be delivered through HWCs. Infrastructurally, lack of staff residential facility (76.3%), water supply (34.2%), and inadequate civil construction (34.2%) were major barriers. Conclusions: Adequate recruitment of HCWs, infrastructure upliftment, and proper training of HCWs in the SCs are the need of the hour.
India's commitment to achieve the goal of Universal Health Coverage is evidenced by the launch of Ayushman Bharat and the transformation of Sub-Centres into Health and Wellness Centre to provide ...secondary and comprehensive primary healthcare to the vast majority of its population. Successful implementation of these initiatives requires adequate and skilled human resources for health and a conducive work environment. There exists a deficiency of doctors and paramedical professionals in different parts of the country. The vacancies in different categories of health functionaries have increased after 2005 despite the National Rural Health Mission/National Health Mission initiatives to strengthen the health system. The distribution of doctors and paraprofessionals in health is skewed, favoring urban areas. Properly oriented, trained, and skilled health workforce and informed public participation are critical to provide quality services for achieving national health goals. Therefore, it is necessary to establish public health cadre in all states of India and ensure appropriately skilled workforce to meet the functional requirements of health-care delivery system at different levels. This will also help to move forward on the way to reach the Sustainable Development Goals.
Purpose.
There is limited documentation regarding the potential quality of life (QOL) benefits associated with use of a worksite wellness center. Therefore, the aim of this study was to examine the ...relationship between potential QOL change and use of a worksite wellness center during a 12-month period.
Design.
Analysis of an annual QOL wellness center member survey and wellness center use during a 12-month time period.
Setting.
A worksite wellness center.
Participants.
A total of 1151 employee wellness center members, average age of 39.5 years, 69.7% female, and 43.5% reported being overweight.
Intervention.
Members of the worksite wellness center have access to a range of fitness options, including exercise classes, water aerobics, an indoor track, strength training, and aerobic conditioning equipment. Additionally, nutritional classes are offered, and there is a wellness café. For resiliency, members can participate in wellness coaching or a stress-reduction group program.
Method.
Participants completed a baseline QOL survey and a second QOL survey 1 year later. An electronic entry system tracked use of the wellness center.
Results.
Participants were divided into four wellness center use quartiles: low users (less than once every 2 weeks), below-average users, above-average users, and high users (two to three visits per week). High users reported experiencing improvements in their physical QOL (p < .0001) compared with the low users. Additionally, low users experienced a greater decline in their mental QOL (p = .05) compared with high users.
Conclusion.
In a large sample of employees, use of a wellness center during a 12-month period was associated with benefits for physical QOL. QOL is an important domain of wellness; therefore, in addition to measuring physiologic changes, examining potential QOL changes may be another important outcome measure for wellness centers.
Objective: The purpose of this article is to review a crisis intervention using the developmental-ecological protocol (Collins and Collins, 2005) with a college student presenting with symptomatology ...of an active eating disorder. Participants: Participants included University Wellness Center employees responding to the crisis. Methods: Methods include an informal review of the crisis intervention response and application of the ABCDE developmental-ecological crisis model. Results: Results reported include insight into crisis intervention when university counseling and health center is not available as resources. Conclusions: ABCDE Developmental-ecological model recommendations for university faculty and staff are included.
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