SCHOOL HEALTH AMBASSADOR INITIATIVE: AYUSHMAN BHARAT
Context: Union Minister of Human Resource Development Shri Ramesh Pokhriyal “Nishank”, Union Minister of Health & Family Welfare, Dr. Harsh Vardhanjointly released curriculum for School Health Ambassador Initiative under Ayushman Bharat in New Delhi.
- Teachers are the best mentors for the children and now they will also act as “Health and Wellness Ambassadors” and will disseminate various key information by organising culturally sensitive activity based sessions for one hour per week for 24 weeks in a year to promote joyful learning.
- The first phase of implementation will be in all the public upper primary, secondary and senior secondary schools of aspirational districts.
- Subsequently, remaining districts will be taken up in the second year.
- In this new initiative, health promotion and prevention activities program has been added in addition to ongoing health screening program through Rasthriya Bal Swasthya Karyakram (RBSK) teams and provision of services (IFA, Albendazole and sanitary napkins).
- While health screening and provision of services are ongoing activities, the newly added health promotion and prevention component will be implemented by two teachers identified in every school as “Health and Wellness Ambassador”. These ambassadors will be supported by class monitors as “Health and Wellness Messengers”.
- A National Resource Group (NRG) of 40 members has already been constituted by NCERT who have sound training skills and experience in Adolescent Health.
- The NRG will train the State Resource Group which will comprise of 2 persons each from SCERT, SIHFW and DIET from each selected district at the 5 Regional Institute of Education (RIE) at Shillong, Mysore, Bhopal, Bhubaneshwar and Ajmer.
- The School Health Programme (SHP) under Ayushman Bharat was launched on April 14, 2018 by the Prime Minister, Shri Narendra Modi in Bijapur, Chhattisgarh.
- This is a joint collaborative programme of the Ministry of Health and Family Welfare and the Ministry of Human Resource & Development, Department of School Education & Literacy.
- The initiative targets both Education and Health implementers and is envisaged to facilitate an integrated approach to health programming and more effective learning at the school level.
- Ministry of Human Resource & Development and Ministry of Health and Family Welfare (MoHFW) along with NCERT has developed curriculum framework and training material for training of nodal teachers, in line with Sustainable Development Goals (SDG- 3).
ABOUT AYUSHMAN BHARAT SCHEME
Ayushman Bharat, a flagship scheme of Government of India was launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC). This initiative has been designed on the lines as to meet SDG and its underlining commitment, which is “leave no one behind”. Ayushman Bharat is an attempt to move from sectoral and segmented approach of health service delivery to a comprehensive need-based health care service. AIM: To undertake path breaking interventions to holistically address health (covering prevention, promotion and ambulatory care), at primary, secondary and tertiary level. COMPONENTS: Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, which are –
- Health and Wellness Centres (HWCs): Designed to deliver Comprehensive Primary Health Care (CPHC) bringing healthcare closer to the homes of people covering both maternal and child health services and non-communicable diseases, including free essential drugs and diagnostic services.
- Pradhan Mantri Jan Arogya Yojana (PM-JAY): This component aims at providing health insurance cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to over 10.74 crores poor and vulnerable families (approximately 50 crore beneficiaries).
- There is no cap on the family size, age or gender under the scheme.
- This scheme was earlier known as National Health Protection Scheme (NHPS) before it was rechristened to PM-JAY.
- This scheme was launched on 23rd September 2018 by the Hon’ble Prime Minister Shri Narendra Modi in Ranchi, Jharkhand.
- PM-JAY has been rolled out for the bottom 40% of poor and vulnerable population.
- The households included are based on the deprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas respectively.
- The scheme subsumed then existing Rashtriya Swasthya Bima Yojana (RSBY), launched in 2008.
- PM-JAY is completely funded by the Government, and cost of implementation is shared between Central and State Governments.
- All pre–existing conditions are covered from day one.
- Covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
- Benefits of the scheme are portable across the country i.e. a beneficiary can visit any empanelled public or private hospital for cashless treatment.
- Public hospitals are reimbursed for the healthcare services at par with the private hospitals.
- Services include approximately 1,393 procedures covering all the costs related to treatment, including but not limited to drugs, supplies, diagnostic services, physician’s fees, room charges, surgeon charges, OT and ICU charges etc.
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