Published: 2021-11-24

Assessment of health and wellness centres in hilly district of Himachal Pradesh

Abhilash Sood, Devender Kumar, Arvind Kumar, Sanjay ., Aditya Sood, Neetu .


Background: The National health policy 2017 has envisioned Health and wellness centres under Ayushman Bharat in health care system of India. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health-care needs through primary health-care setup. The aim of the study was conducted to identify the gaps in Ayushman Bharat Health and wellness centres under various domains of service delivery.

Methods:A cross-sectional study was conducted to assess the AB-Health and wellness centres in district Hamirpur of Himachal Pradesh. Duration of study was five months with effect from 1st March 2021 to 31st July 2021.Study tool used was a validated checklist prepared by National Health Mission Government of Himachal Pradesh.

Results: There is deficient human resource in Health and wellness centres (PHCs and SCs). Inadequate skill competencies observed especially in newly appointed health care workers. Equipment for telemedicine are available at each health centre but none or very few tele-consultation are being done by health care workers.

Conclusions:In present study it was seen that target to upgrade AB-HWCs have been achieved but still human resource, infrastructure, trainings, skill competencies of health care workers are inadequate. To fill up these gaps there is need of focussed and target oriented determination by health department of state. 


Health wellness centre, Community, Domain, Ayushman Bharat

Full Text:



Ministry of health and family welfare, Government of India. Ayushman Bharat Health and wellness centre, 2019. Available at: https://ab-hwc.nhp. Accessed on 05 September 2021.

Ministry of Health and family welfare New Delhi India. Status of operationalised Health and Wellness centres in India, 2021. Available at Accessed on 26 September 2021.

Wikipedia. Hamirpur district, Himachal Pradesh, 2021. Available at: Hamirpur_district,_Himachal_Pradesh. Accessed on 21 August 2021.

Centre for sustainable development. Health and Wellness Centres: Expanding Access to Comprehensive Primary Health Care in India, 2019. Available at: content/docs/ICT%20India/Papers/ICT_India_Working. Accessed on 21 August 2021.

Rathod H, Pithadia P, Patel D, Goswami M, Parmar D, Kotecha I. Assessment of functioning of Health and Wellness Centres in a district of Western Gujarat. Healthline. 2020;11(2):34-9.

Wikipedia. Severe acute respiratory syndrome coronavirus2, 2021. Available at: Accessed on 28 August 2021.

Swaminathan K, Veerasekar G, Kuppusamy S, Sundaresan M, Velmurugan G, Palaniswami NG. Noncommunicable disease in rural India: Are we seriously underestimating the risk? The Nallampatti noncommunicable disease study. Indian J Endocrinol Metab. 2017;21(1):90-5.