Governance and leadership ▪ Weak regulation
▪ Limited transition of policy into implementation
▪ Health state subject and variable priority
▪ The job -descriptions of various health staff are not aligned with the activities they do ▪ High level political and administrative priority assigned to AB-HWCs at all levels
▪ System and coordination mechanism being proposed to link PHC services with AB-PMJAY
▪ National Knowledge Platform for implementation & operational research
▪ Revisions of operational guidelines
▪ Enhanced community-based monitoring for AB-HWCs.
▪ Regular reviews on progress and performance
▪ Revision in responsibilities of auxiliary nurse midwife to make them multi-purpose workers ▪ A number of governance and leadership mechanisms were established under NHM level including mission steering groups at top level to community based VHSNC at village level.
▪ The Clinical Establishment Registration and Regulation Act, 2010
▪ Stronger community and civil society participation in health services