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. 2025 Jul 16;17(7):e88071.
doi: 10.7759/cureus.88071. eCollection 2025 Jul.

Assessment of the Functioning of Health and Wellness Centers in Kurud Block, Dhamtari District, Chhattisgarh: A Facility-Based Cross-Sectional Study

Veena G Dev  1 , Manisha Ruikar  1
Affiliations

Assessment of the Functioning of Health and Wellness Centers in Kurud Block, Dhamtari District, Chhattisgarh: A Facility-Based Cross-Sectional Study

Veena G Dev et al. Cureus. .

Abstract

Background Ayushman Bharat - Health and Wellness Centers (HWCs), now renamed as Ayushman Arogya Mandir, are envisioned to provide an expanded range of healthcare services. This study was conducted to assess the functioning of HWCs in the rural field practice area of the All India Institute of Medical Sciences, Raipur. Materials and methods This was a facility-based analytical cross-sectional study conducted in the Kurud block of Dhamtari District, Chhattisgarh. Half of the HWCs in the Kurud block were selected using stratified random sampling. Data on inputs and outputs from the selected 20 HWCs were collected using an observation checklist and analyzed using IBM SPSS Statistics for Windows, Version 21.0 (Released 2012; IBM Corp., Armonk, NY, USA). Results There was a significant shortfall (41.2%) in the availability of community health officers (CHOs). Most centers lacked adequate infrastructure, and none had the full complement of essential equipment and medicines. Only 17.6% of Sub-Health Center-HWCs (SHC-HWCs) and none of the primary health centers met the diagnostic standards outlined in the operational guidelines. Teleconsultation facilities were available in 70% of HWCs, and yoga sessions had been initiated in 85% of them. All HWCs had started screening for hypertension and diabetes. Based on performance grading, 52.9% of SHC-HWCs were classified as high-performing, while 47.1% were low-performing. Performance was found to be significantly associated with the presence of a CHO, availability of a laptop, webcam, and teleconsultation facilities. Conclusions To improve overall performance, all HWCs should address human resource gaps, ensure logistics align with operational guidelines, strengthen teleconsultation infrastructure - including uninterrupted internet access - and enhance information, education, and communication coverage and screening services.

Keywords: ayushman bharat; health and wellness centers; human resources; infrastructure; teleconsultation.

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Conflict of interest statement

Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study. The Institutional Ethics Committee of All India Institute of Medical Sciences, Raipur issued approval AIIMSRPR/IEC/2021/945. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Distribution of HWCs according to key infrastructure facilities
HWCs, Health and Wellness Centers; IEC, information, education, and communication
Figure 2
Figure 2. Screening of various chronic diseases at HWCs
HWCs, Health and Wellness Centers
See this image and copyright information in PMC

References

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