Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions
Background: Comprehensive primary health care (CPHC) is an effective way to respond to the challenges of changing epidemiology, growing population expectations, and universal health coverage. A set of demand and supply improvement strategies was developed to support primary health center provision a...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Indian Journal of Public Health |
| Subjects: | |
| Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=568;epage=574;aulast=Purohit |
| _version_ | 1797225487551954944 |
|---|---|
| author | Neha Purohit Aarti Goyal Atul Bhanu Rairker M A Balasubramanya Atul Kotwal Shankar Prinja |
| author_facet | Neha Purohit Aarti Goyal Atul Bhanu Rairker M A Balasubramanya Atul Kotwal Shankar Prinja |
| author_sort | Neha Purohit |
| collection | DOAJ |
| description | Background: Comprehensive primary health care (CPHC) is an effective way to respond to the challenges of changing epidemiology, growing population expectations, and universal health coverage. A set of demand and supply improvement strategies was developed to support primary health center provision and pilot tested in three model health and wellness centers (HWCs) in Punjab. Objective: The study aimed to assess the early effects of interventions on the inputs, processes, and outputs for optimal implementation of the Ayushman Bharat-HWC (AB-HWC) program. Materials and Methods: Cross-sectional facility assessments were conducted using a standardized methodology at three time points to identify the changes in inputs and processes at subcenter-HWCs from 2019 to 2021. In addition, daily and month-wise service utilization data of model HWCs and nonmodel HWCs in the intervention block and control block in a district of Punjab from the AB-HWC portal were analyzed from May 2020 to April 2021. Results: The difference-in-difference analysis indicated that the CPHC strengthening interventions in the model HWCs improved the mean number of people screened for noncommunicable diseases, mean newly diagnosed patients with hypertension and diabetes, mean hypertensive and diabetic patients on treatment, mean outpatient attendance, and mean number of wellness sessions by 265.71, 21.31, 29.48, 102.17, and 4.88 units per month, compared to control HWCs. Conclusion: The success of the initiatives can be attributed to an integrated approach encompassing multistakeholder planning of interventions, community involvement, empowerment of service providers, and consistent supportive supervision. The long-term success will be contingent on the quality of training, team dynamics, community participation, social accountability, and supervision support. |
| first_indexed | 2024-04-24T14:09:48Z |
| format | Article |
| id | doaj.art-78942d9b8827432285c6806ed61ab0e2 |
| institution | Directory Open Access Journal |
| issn | 0019-557X |
| language | English |
| last_indexed | 2024-04-24T14:09:48Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj.art-78942d9b8827432285c6806ed61ab0e22024-04-03T09:29:08ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2023-01-0167456857410.4103/ijph.ijph_885_22Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventionsNeha PurohitAarti GoyalAtul Bhanu RairkerM A BalasubramanyaAtul KotwalShankar PrinjaBackground: Comprehensive primary health care (CPHC) is an effective way to respond to the challenges of changing epidemiology, growing population expectations, and universal health coverage. A set of demand and supply improvement strategies was developed to support primary health center provision and pilot tested in three model health and wellness centers (HWCs) in Punjab. Objective: The study aimed to assess the early effects of interventions on the inputs, processes, and outputs for optimal implementation of the Ayushman Bharat-HWC (AB-HWC) program. Materials and Methods: Cross-sectional facility assessments were conducted using a standardized methodology at three time points to identify the changes in inputs and processes at subcenter-HWCs from 2019 to 2021. In addition, daily and month-wise service utilization data of model HWCs and nonmodel HWCs in the intervention block and control block in a district of Punjab from the AB-HWC portal were analyzed from May 2020 to April 2021. Results: The difference-in-difference analysis indicated that the CPHC strengthening interventions in the model HWCs improved the mean number of people screened for noncommunicable diseases, mean newly diagnosed patients with hypertension and diabetes, mean hypertensive and diabetic patients on treatment, mean outpatient attendance, and mean number of wellness sessions by 265.71, 21.31, 29.48, 102.17, and 4.88 units per month, compared to control HWCs. Conclusion: The success of the initiatives can be attributed to an integrated approach encompassing multistakeholder planning of interventions, community involvement, empowerment of service providers, and consistent supportive supervision. The long-term success will be contingent on the quality of training, team dynamics, community participation, social accountability, and supervision support.http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=568;epage=574;aulast=Purohitayushman bharatcommunity participationhealth and wellness centershealth interventionshealth systems strengtheningnoncommunicable diseasesprimary health care |
| spellingShingle | Neha Purohit Aarti Goyal Atul Bhanu Rairker M A Balasubramanya Atul Kotwal Shankar Prinja Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions Indian Journal of Public Health ayushman bharat community participation health and wellness centers health interventions health systems strengthening noncommunicable diseases primary health care |
| title | Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions |
| title_full | Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions |
| title_fullStr | Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions |
| title_full_unstemmed | Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions |
| title_short | Strengthening comprehensive primary health care through Ayushman Bharat: Role of demand and supply-side interventions |
| title_sort | strengthening comprehensive primary health care through ayushman bharat role of demand and supply side interventions |
| topic | ayushman bharat community participation health and wellness centers health interventions health systems strengthening noncommunicable diseases primary health care |
| url | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=568;epage=574;aulast=Purohit |
| work_keys_str_mv | AT nehapurohit strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions AT aartigoyal strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions AT atulbhanurairker strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions AT mabalasubramanya strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions AT atulkotwal strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions AT shankarprinja strengtheningcomprehensiveprimaryhealthcarethroughayushmanbharatroleofdemandandsupplysideinterventions |