In addition to approved budgetary allocations, the untied funds for SHCs would be Rs. ______ per HWC to meet additional and non-anticipated requirements for delivery of CPHC services?

1. A

   Rs. 10000/-

2. B

   Rs. 50000/-

3. C

   Rs. 25000/-

4. D

   Rs. 15000/-

Appeared in: Hariyana-CHO-2021

Explanation

• Under the Ayushman Bharat program, each Sub-Health Centre upgraded to a Health and Wellness Centre (SHC-HWC) is allocated an annual untied fund of Rs. 50,000.
• This fund is specifically intended to provide financial autonomy to the HWC team to manage unforeseen and immediate expenses required for the delivery of Comprehensive Primary Health Care (CPHC).
• It enables the Community Health Officer (CHO) to procure essential items, manage minor repairs, or support emergency referrals without bureaucratic delays, ensuring uninterrupted services.

Why Other Options Were Wrong

• Option A: This was the untied fund amount allocated to traditional Sub-Centres under the older National Rural Health Mission (NRHM) guidelines.
• Option C: This is not the standard untied fund amount for an SHC-HWC. Under the old NRHM scheme, Rs. 25,000 was the untied grant allocated to a Primary Health Centre (PHC), not a Sub-Centre.
• Option D: This is an incorrect figure and does not correspond to any standard untied fund allocation for SHCs or HWCs under national health programs.

Related Visual

Clinical Relevance

• Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Financial provisions and management under the National Health Mission, specifically for Health and Wellness Centres (HWCs) as background academic context rather than a clinical decision trigger.
• The untied fund is a critical tool for a Community Health Officer (CHO) to ensure the quality and continuity of care. It empowers them to respond swiftly to local health needs and emergencies.
• Proper management of this fund, including meticulous record-keeping and transparent reporting, is a core administrative responsibility of the CHO and is essential for accountability.
• What if? - A sudden local outbreak of measles is detected. The CHO can use the untied fund to immediately print and distribute informational pamphlets on vaccination and hygiene, and arrange transport for sick children to a higher facility, thereby containing the spread and preventing complications without waiting for district-level approvals.

How to Approach the Question

• First, identify the key terms in the question: 'untied funds', 'SHCs', and 'HWC'.
• Recognize that 'HWC' (Health and Wellness Centre) indicates the updated guidelines under the Ayushman Bharat program, which superseded older NRHM norms.
• This is a factual recall question based on health program administration and finance.
• Access your knowledge of the specific financial provisions for different levels of facilities (SHC vs. PHC) under the current national health framework.
• Differentiate the current HWC funds from the previous NRHM funds for sub-centres to avoid selecting the outdated amount.
• Select the precise amount allocated for an SHC-HWC's untied fund.

Concept Tested & Keywords

• Concept Tested: Financial provisions and management under the National Health Mission, specifically for Health and Wellness Centres (HWCs).
• Stem keywords: untied funds, SHCs, HWC, CPHC services, budgetary allocations
• Lead-in keywords: BEST, MOST RELEVANT CLUE
• Negative lead-in flag: false

Question ID

QnwyXyKV-g16YUzinZbC3Z

Copy ID

Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) pp. 111-113, 155-157