Evidence map›Paper›PMID 39367295›Full record

ArticleBMC primary care2024

Performance of health and wellness centre in providing primary care services in Chhattisgarh, India.

Narayan Tripathi, Priyanka Parhad, Samir Garg, Silka Shubhadarshini Biswal, Senthilkumar Ramasamy, Animesh Panda, Abhishek Kumar Shastri, Aniruddha Bhargav, Chandrashekhar Bopche, Vahab Ansari and 12 more

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Validation of Point-of-care Testing Device HemoCue® Glucose 201RT in Blood Glucose Estimation.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Validation of the HemoCueIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Narayan TripathiState Health Resource Centre, Chhattisgarh, Raipur, India. narayanptripathi@gmail.com.
Priyanka ParhadState Health Resource Centre, Chhattisgarh, Raipur, India.
Samir GargState Health Resource Centre, Chhattisgarh, Raipur, India.
Silka Shubhadarshini BiswalState Health Resource Centre, Chhattisgarh, Raipur, India.
Senthilkumar RamasamyState Health Resource Centre, Chhattisgarh, Raipur, India.
Animesh PandaState Health Resource Centre, Chhattisgarh, Raipur, India.
Abhishek Kumar ShastriState Health Resource Centre, Chhattisgarh, Raipur, India.
Aniruddha BhargavState Health Resource Centre, Chhattisgarh, Raipur, India.
Chandrashekhar BopcheState Health Resource Centre, Chhattisgarh, Raipur, India.
Vahab AnsariState Health Resource Centre, Chhattisgarh, Raipur, India.
Anjulata SahuState Health Resource Centre, Chhattisgarh, Raipur, India.
Rohit RajputState Health Resource Centre, Chhattisgarh, Raipur, India.
Anju GuptaState Health Resource Centre, Chhattisgarh, Raipur, India.
Manisha GuptaState Health Resource Centre, Chhattisgarh, Raipur, India.
Sanjana AgrawalState Health Resource Centre, Chhattisgarh, Raipur, India.
Rajesh SharmaState Health Resource Centre, Chhattisgarh, Raipur, India.
Mohammed AhmedState Health Resource Centre, Chhattisgarh, Raipur, India.
Sudipta GhoshState Health Resource Centre, Chhattisgarh, Raipur, India.
Jyotiraditya SamratState Health Resource Centre, Chhattisgarh, Raipur, India.
Dipti YadavState Health Resource Centre, Chhattisgarh, Raipur, India.
Pramita SharmaState Health Resource Centre, Chhattisgarh, Raipur, India.
Vikash R KeshriState Health Resource Centre, Chhattisgarh, Raipur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary health care has regained its importance in global policy making. In 2018, the Government of India initiated the Ayushman Bharat - Comprehensive Primary Health Care (AB-CPHC) programme. It was based on upgrading the existing primary health facilities into Health and Wellness Centers (HWCs). The current study aimed to assess the readiness and performance of HWCs in providing comprehensive primary health care services in India's Chhattisgarh state.

methodsWe conducted a cross-sectional health facility assessment with a state-representative sample of 404 HWCs. A standardized health facility survey tool was used to collect information on essential inputs and service outputs of HWCs. The expected population healthcare needs were estimated using secondary sources. The performance of HWCs was assessed by comparing the volume of services provided against the expected population need for outpatient care.

resultsOn an average, 358 outpatients including 128 non-communicable disease (NCD) patients were treated monthly at an HWC. HWCs were able to cover 31% of the total population's health need for outpatient care, 26% for hypertension, and 21% for diabetes care. In addition to services for reproductive and child health, HWCs provided services for common acute ailments (cold, cough, fever, aches and pains); infections of skin, eye, ear, and reproductive tract, and minor injuries. HWCs were also contributing significantly to national disease control programmes. Acute ailments followed by NCDs and communicable diseases had the largest share among services provided. The key gaps were in coverage of mental illnesses and chronic respiratory diseases. Most of the HWCs showed adequate readiness for the availability of required human resources, supplies, and infrastructure.

conclusionHWCs were able to provide a comprehensive range of primary care services and able to cater to a sizable portion of the rural population's acute and chronic health care needs. The performance was made possible by the adequate availability of medicines, staff, training programmes and tele-consultation linkages. If HWCs in other states are able to reach a similar level of performance, the initiative will prove to be a game changer for equitable primary care in India.

Indexed as

Primary Health CareComprehensive Health CareCross-Sectional StudiesHealth Services Needs and DemandHumansIndiaNoncommunicable DiseasesCommunity Health officers (CHO)Health and Wellness Centers (HWC)Non-communicable disease (NCD)PerformancePrimary Health Care (PHC)

Identifiers

PMID39367295
PMCPMC11451184

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.