Which of the following health care institutions have been upgraded to health and wellness centers?

1. Sub-health centres
2. Primary health centres
3. Sub district hospitals
4. District hospitals Choose the most appropriate answer from the options given below:

1. A

   3 and 4 only

2. B

   1 and 2 only

3. C

   1 and 3 only

4. D

   2 and 3 only

Appeared in: BHU NO - 12 April 2024

Explanation

• Under the Ayushman Bharat program, the Government of India is upgrading existing Sub-Health Centres (SHCs) and Primary Health Centres (PHCs) into Health and Wellness Centres (HWCs).
• This initiative aims to shift the focus from selective care to comprehensive primary healthcare that is closer to communities.
• The goal is to transform 1.5 lakh such facilities to provide an expanded range of services, including care for non-communicable diseases.
• Sub-district and District hospitals are part of the secondary and tertiary care system, which act as referral points, and are not the facilities being upgraded to HWCs.

Why Other Options Were Wrong

• Option A: Sub-district and District hospitals are secondary and tertiary care facilities, respectively. They are not part of the primary care infrastructure being upgraded into HWCs.
• Option C: This option incorrectly includes Sub-district hospitals, which are secondary care centers, and omits Primary Health Centres, which are a key part of the HWC upgrade initiative.
• Option D: This option incorrectly includes Sub-district hospitals and omits Sub-Health Centres, which are the most grassroots-level facilities being upgraded to HWCs.

Related Visual

Clinical Relevance

• Nursing practice connection: Knowing Identification of healthcare facilities upgraded to Health and Wellness Centres (HWCs) under Ayushman Bharat helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Nurses working in HWCs, often designated as Community Health Officers (CHOs), are pivotal in implementing national health programs, providing preventive care, and managing common illnesses at the community level.
• Understanding the scope of HWCs is vital for patient referral. A nurse must know when to manage a patient at the HWC and when to refer them to a higher center like a CHC or District Hospital.
• What if? If a patient at an HWC presents with symptoms of an acute myocardial infarction, the CHO's priority is to provide immediate first aid and arrange for urgent transfer to a higher facility (like a District Hospital) with cardiac care capabilities, as HWCs are not equipped for such emergencies.

How to Approach the Question

• First, identify the core concept of the question, which is about the upgradation of healthcare institutions into 'Health and Wellness Centers'.
• Recall or deduce the specific government program associated with this term. 'Health and Wellness Centers' is a key component of the Ayushman Bharat initiative.
• Remember the goal of Ayushman Bharat's primary care component: to strengthen the grassroots level of healthcare.
• Evaluate the options based on the hierarchy of the Indian healthcare system. Sub-health centres and Primary health centres are at the primary (grassroots) level.
• Sub-district and District hospitals are higher-level referral centers (secondary and tertiary). Therefore, they are not the ones being 'upgraded' in this context.
• Select the option that correctly groups the primary level facilities (Sub-health centres and Primary health centres).

Concept Tested & Keywords

• Concept Tested: Identification of healthcare facilities upgraded to Health and Wellness Centres (HWCs) under Ayushman Bharat.
• Stem keywords: health care institutions, upgraded, health and wellness centers
• Lead-in keywords: Which of the following, Choose the most appropriate answer

Question ID

QLyn4iMD8ivEDIzZmiIqyR

Copy ID

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 122-124

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 80-82