NHSRC

The National Health Systems Resource Centre, a premier Think Tank for MoHFW, is mandated to assist in policy and strategy development in the provision and mobilization of technical assistance to the states and in capacity building for the Ministry of Health.

Notice

The online exam will be on for Jharkhand at 11th March , for Orissa at 13th March, for Bihar at 15th March and for West Bengal at 18th March, for U.P at 8th March, for Gujarat at 20th March, for Assam at 22nd March

NHSRC-RESULT 2024

Requirements as a national health Mission

Hiring by central government casual base

1) post- state coordinator,
qualification- BSC,BCom,BA, + computer knowledge
salary- 23,700/-+ pf +bonus+allowance+ esi )

2) *POST- district coordinator
Qualification– any graduate + knowledge or experience in computer.Salary- 18,300/– + pf, bonus allowance, ESI)

3) Post- municipality or block coordinator
Qualification– higher secondary education
salary- 13,500/– pf,esi bonus, allowance, etc)

4) POST- panchayat or word qualification coordinator
qualification– 10th pass knowledge in android phone
Salary- 10,200/-+( pf+allowance+ Bonus, +esi )

POST- COORDINATOR
Qualification–Graduation/H.S/M.P

Salary- Rs. 10,200/- to Rs. 18,300/- per month +PF+ESI

More Details

* Process* –
1) Online form fill up
2) Admit card collection
3) Online exam
4) Telephonic interview
5) By post joining letter
6) Seven days training
7) Receive ID password
8) Job joining

Introduction

  • The National Health Mission (NHM), the country’s flagship health systems strengthening programme, particularly for primary and secondary health care envisages “attainment of universal access to equitable, affordable and quality health care which is accountable and responsive to the needs of people”.
  • Investments during the life of the NHM in its earlier phases were targeted to strengthen Reproductive and Child Health(RCH) services and contain the increasing burden of communicable diseases such as Tuberculosis, HIV/AIDS and vector borne diseases.
  • Studies show that 11.5% households in rural areas and about only 4% in urban areas, reported seeking any form of OPD care – at or below the CHC level (except for childbirth) primary care facilities, indicating low utilization of the public health systems for other common ailments .
  • National Sample Survey estimates for the period-2004 to 2014 show a 10% increase in households facing catastrophic healthcare expenditures. This could be attributed to the fact that private sector remains the major provider of health services in the country and caters to over 75% and 62% of outpatient and in-patient care respectively. India is also witnessing an epidemiological and demographic transition, where non-communicable diseases such as cardiovascular diseases, diabetes, cancer, respiratory, and other chronic diseases, account for over 60% of total mortality.
  • In India, the need for and emphasis on strengthening Primary Health Care was firstly articulated in the Bhore Committee Report 1946 and subsequently in the First and Second National Health Policy statements (1983 and 2002). India is also a signatory to the Alma Ata declaration for Health for All in 1978. The Twelfth Five Year Plan Identified Universal Health Coverage as a key goal and based on the recommendations of the High- Level Expert Group Report on UHC had called for 70% budgetary allocation to Primary Health Care in pursuit of UHC for India.
  • The National Health Policy, 2017 recommended strengthening the delivery of Primary Health Care, through establishment of “Health and Wellness Centres” as the platform to deliver Comprehensive Primary Health Care and called for a commitment of two thirds of the health budget to primary health care. In February 2018, the Government of India announced that 1,50,000 Health & Wellness Centres (HWCs) would be created by transforming existing Sub Health Centres and Primary Health Centres to deliver Comprehensive Primary Health Care and declared this as one of the two components of Ayushman Bharat. This was the first step in the conversion of policy articulations to a budgetary commitment.
  • The Report of the Primary Health Care Task Force, Ministry of Health and Family Welfare, Government of India while reiterating that primary health care is the only affordable and effective path for India to Universal Health Coverage, also provided valuable insights into structure and processes that are required in health systems to enable Comprehensive Primary Health Care (CPHC).
  • The delivery of CPHC through HWCs rests substantially on the institutional mechanisms, governance structures, and systems created under the National Health Mission (NHM). NHM, as part of health system reform in the country, in its nearly 12 years of implementation, has supported states to create several platforms for delivery of community-based health systems, expanding Human Resources for Health and infrastructure towards strengthening primary and secondary care.
  • Thus, although the delivery of universal Comprehensive Primary Health Care, through HWCs builds on existing systems, it will need change management and systems design at various levels, to realise its full potential. The other component of Ayushman Bharat, namely the Pradhan Mantri Jan Arogya Yojana (PMJAY) aims to provide financial protection for secondary and tertiary care to about 40% of India’s households.
  • Its success and affordability rests substantially on the effectiveness of provision of Comprehensive Primary Health Care through HWCs. Together, the two components of Ayushman Bharat will enable the realization of the aspiration for Universal Health Coverage.

Key Elements of HWC

Goal and Achievement

The Primary Health Care team at the HWC would serve as the fulcrum of Comprehensive Primary Health Care and support system, for planning, delivery and monitoring services for the defined catchment population. Once the HWCs have been decided, population numeration to facilitate empanelment is a critical first step.

We provide three level of Services:

a. Family/Household and Community Level.
b. Health and Wellness Centers.
c. First Referral Level

Family / Household and Community Level

The ASHA and MPW will undertake house visits supported and supplemented by the MPWs for community mobilization for improved care seeking, risk assessments, screening, follow up for primary and secondary prevention, counseling and increasing supportive environment in families and community.

ASHAs can also support in follow up for compliance to treatment and instructions from clinicians, through regular home visits, and assist in conducing meetings of patient support groups. Community platforms such as Village Health and Nutrition Days (VHNDs), Village Health, Sanitation, Nutrition Committees (VHSNCs), Mahila Arogya Samities (MAS), would be leveraged.

Health and Wellness Centers

The HWC must be kept open with services available for at least six hours in the day. Outreach services and home visits of the team members should be so scheduled that someone is available at the HWC for the general OPD and follow up for those with chronic illness.

Follow up of chronic illness could also be organized in the form of patient group meetings on fixed days at the HWC, for example a meeting forHypertension/Diabetes patients on Wednesday afternoons and elderly care on Thursdays etc.

First Referral Level

Referral care and sites will vary with each illness, its care pathways and availability of specialists. For consultations on acute illness, it is the MO in the PHC or the specialist in CHC/DH, either physically or through teleconsultation as
appropriate.

Over time, states will progress to establishing an FRU at the CHC level, and every DH having the full complement of specialist access required to provide referral support to the expanded range of services.

Working As First Referral Level

First Referral Level can be a person/ organization/ NGO . The main work for HWC to know the main cause as Diseases in a particular area/ locality/ District / State.

Firstly we need to make a survey to know the dieses to provide a better and comfortable cure for a patient. In next slide you will get a list of Diseases which will be surveyed for first
level.

Diseases for Survey(For Medicine)

There are many other Diseases which is not listed for vaccine but Medicine like as :
a) Alzheimer’s
b) Asthma
c) Allergies
d) Bipolar Disorder
e) Colds & Flu
f) Cancer
g) Cholesterol
These Diseases will be surveyed by first level  (Volunteer) for providing their treatment at ground level.

h) Depression
i) Diabetes
j) Diarrhea
k) Heart Disease
l) Hypertension
m) Insomnia
n) Mental Health
o) Migraine
p) Stroke

Resolution After Survey

After making Survey we use to apply our three level of service which will help to improve health ratio. In First Referral Level we provide medicine and Vaccine for the Diseases through other two services.

We will make a platform for Volunteer who make survey with their registered id which will given by us on ground level. We provide people a health card which will help people to make treatment easy in any hospitals in cheap cost or free as per Government Scheme.

Distribution Of Medicine After Survey

We will provide medicine using our three level of services which make easy to cure patient by their experience and guidance.

Firstly we need Patient data related with each diseases either it will be treated by Medicine or Vaccine. After enrolling on platform patient will directly receive cure and guidance through our service member which may be ASHA and MPW , VHNDs, VHSNCs, MAS

RoadMap Of Survey

Volunteer will make survey for free without taking any id for record (Can ask id only for verification of details).

Patient will get their Medicine and vaccine directly through our service member.

If patient is interested he/she will get a health card which will help to find cheap/ free treatment in any hospital as per Government scheme after making a small formalities.

Payable as per Government Structure

As above mention the main part of this Scheme is First Referral Level. FRL can be a person/ organization/ NGO. If a person/ organization/ NGO will take responsibility to continue as FRL he need to purchase id for their Volunteer. After making survey FRL will get medicine and vaccine at government price. for providing medicine and vaccine to patient he will be able to receive bill of their expenses and reimbursed.

FRL can charge from patient for the health card and also government will pay a certain amount to FRL. If a patient used health card FRL will get a certain
Percentage of total wages.