ENVISONING UPON UNIVERSAL HEALTH COVERAGE BEING PROMOTED BY GOVERNMENT OF INDIA, DHANUSH HEALTH AND WELLNESS CENTRE SOLUTIONS ARE BEING PACKAGED FOR WITH EXPANDED SERVICES AND OUTREACH ACTIVITIES AT REMOTE SUBCENTRES / PHCs WHICH ARE LOWEST RUNG OF THE THREE TIER SETUP LOACTED CLOSER TO PUBLIC DWELLINGS IN TRIBAL, RURAL AND SEMI URBAN LOCALES ENSURING LASTMILE DELIVERY OF SERVICES.

e Subcentre/ e PHC

Dhanush engages in strategic, high-impact activities aided by the Government focused on improving access to care, addresses social determinants of health and promotes civic engagement at the phc/subcentres built near the tribal, rural and semi-urban localities. These services would be delivered at both SHCs and in the PHCs, which are transformed as HWCs.

Challenges Faced by the Existing Subcentres:

• Scarcity of medical specialists and lack of supervision of paramedics and support staff
• Diagnostic-based medical consultation often not made
• Unavailability of medical information system (EMR/PHR) for capturing patient data
• Deficiencies in supplies, inadequate training to providers not matching the expectations for service delivery
• No scientific reporting and monitoring system for measuring and improving the quality of service towards community
• Access to the doctor's consultation for the patients living remotely is a main challenge for delivering healthcare services
• Inadequate nutrition and poverty alleviation efforts
• Poor management of human resources

eSUBCENTRE Solution for Health and Wellness:

We are working towards a system that encourages the highest clinical quality, the best patient health and experience and appropriate management of costs. eSubcentre solution aims at catering proactive, preventive screening and curative medical services for seasonal diseases, epidemic diseases, mother and child related health issues, elder care and NCDs, population enumeration and registration of families in underprivileged areas that facilitates the following:

• Capture the detailed Electronic Medical Record (EMR) of the patient using stare of the art solution for error-free data capture
• MBBS Doctor Consultation through Telemedicine
• Facilitation of Non-Invasive Haemoglobin meter, Glucometer, Multi Para monitoring Device
• Pharmacy dispensing through Automatic Drug Vending Machine
• Patient Referral to Secondary or Tertiary Hospitals
• Electronic storage of feedback of Tele-consultation
• Provisioning of network connectivity at each Sub Centre
• Provisioning of Ground Application and Operational Support services with a dedicated support team, who will attend any incident or issue related to,
  • Network
  • Software Application
  • Hardware support with regards to Computers / Tablets, Drug Vending Machine

• Existing Range of Services at HWC
  • Maternal and fetal health care
  • Neonatal and infant health care
  • Childhood and adolescence health care
  • Family planning, contraceptive and reproduction related education and services
  • Outpatient care for simple, acute and chronic diseases and minor ailments
  • Emergency medical services
• Extendable Range of Services (Based on Feasibility and Requirement at HWC
  • Management of communicable diseases including National Health Programmes
  • Screening, prevention, control and management of non-communicable diseases
  • Care of ophthalmic and ENT issues
  • Basic oral health care
  • Screening and basic management of mental health ailments

eSubcentre Process Flow