LitCovid-sentences  

PMC:7340764 / 42715-53398 JSONTXT 10 Projects

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Id Subject Object Predicate Lexical cue
T304 0-10 Sentence denotes Appendix 1
T305 12-106 Sentence denotes Why AB-HWCs hold the promise to strengthen and deliver comprehensive PHC? [1, 3, 27,29, 31,37]
T306 108-181 Sentence denotes System strengthening for better health by tackling identified challenges.
T307 182-348 Sentence denotes The components of HWCs are arguably well thought through and designed keeping in the mind the existing and identified challenges in GPHCF in India [1, 3, 27, 28, 31].
T308 349-464 Sentence denotes The new provision of services are better informed by emerging evidence as well as changing epidemiological reality.
T309 466-539 Sentence denotes Approaches to deliver new types of preventive and promotive health needs.
T310 540-727 Sentence denotes The design of HWCs seems to be cognizant that to tackle triple burden of MCH, ongoing burden of infectious diseases and emerging burden of NCDs, a comprehensive approach is required [29].
T311 728-830 Sentence denotes This also means a system design for provision of new type of preventive and promotive health services.
T312 831-964 Sentence denotes The preventive and promotive services of earlier period (Family planning, immunization and for disease control) need to be continued.
T313 965-1280 Sentence denotes However, new preventive and promotive health services to tackle emerging burden of non-communicable diseases (NCDs): healthy diet, no smoking, physical activity and moderate use of alcohol, require regular participation of individual from the beginning, need to be accelerated and continued to be followed for long.
T314 1282-1398 Sentence denotes Shifting service delivery from ‘doctor centric’ to ‘team based’ with focus on mid-level healthcare providers (MLHP).
T315 1399-1517 Sentence denotes The MLHP and other group of such providers known as Community health officers (CHOs) are being deputed to the AB-HWCs.
T316 1518-1708 Sentence denotes The CHO/MLHP approach has been made institutional and has been given legal status by their inclusion in National Medical Commission (NMC) Act, 2019 with limited prescription rights [31, 34].
T317 1709-1898 Sentence denotes This process has witnessed a number of innovations and state public universities (Tamil Nadu, Maharashtra, West Bengal, Gujarat and Jammu & Kashmir) also offering the certificate programme.
T318 1899-1942 Sentence denotes These modules, have now been included in B.
T319 1943-2105 Sentence denotes Sc and Post Basic Nursing Curriculum – which will enable course to be offered in 2,500 Nursing Colleges with annual admission capacity of 112,546 candidates [35].
T320 2107-2188 Sentence denotes I of ‘Illness’ proposed to be replaced with We to make it ‘Wellness’ care system.
T321 2189-2351 Sentence denotes This has been proposed through change in the approach to service delivery from routine curative care to more of community engagement and other cadre of providers.
T322 2352-3068 Sentence denotes The traditional health systems are also being mainstreamed in health services and includes, regular Yoga sessions and Health promotion activities at AB-HWCs; Awareness on ‘Eat Right India’ and promotion of ‘Fit India initiatives’ [36, 37]; provision of Food adulteration detection kits at PHCs; Nutritional counseling at AB-HWCs using the provisions of POSHAN Abhiyan under Ministry of Women & Child Development; Preventive and Promotive Healthcare Services involving Behavior change communication through Self Help Groups, youth and other organized groups, School Health Ambassadors, Village Health Sanitation and Nutrition Committees (VHSNCs), Panchayati raj Institutions (PRIs) and urban local bodies (ULBs), etc.
T323 3069-3146 Sentence denotes All these are further expected to bring focus on wellness in health services.
T324 3147-3237 Sentence denotes This is also aligned to seven components of Swasth Nagrik Abhiyan as proposed in NHP 2017.
T325 3239-3249 Sentence denotes Appendix 2
T326 3251-3360 Sentence denotes Proposed additional measures to ensure success of AB-HWCs and to strengthen cPHC in India [34, 35, 60-66, 74]
T327 3362-3427 Sentence denotes Shift health planning unit from districts to sub-district levels.
T328 3428-3640 Sentence denotes Considering ‘Health’ is a state subject in India, it is appropriate that the discourse on health with financial protection and allocation by states for health services becomes part of state level policy dialogue.
T329 3641-3741 Sentence denotes Health planning units in India are at district level as is the case in most other countries as well.
T330 3742-3823 Sentence denotes However, in most countries, the districts are at population of 50,000 to 300,000.
T331 3824-4092 Sentence denotes Considering that an average district in India is around 20 Lakh (2 million) population, even district level planning may not be detailed enough and to ensure planning for every 200,000 to 300,000; the ‘sub-district level health planning’ should be considered in India.
T332 4093-4276 Sentence denotes A beginning can be made by selected Indian states and with time, there would be need for 8,000 planning units, one for each block, rather than nearly 760 at district level at present.
T333 4277-4362 Sentence denotes This could help in equitable planning and allocation of funds, HR and infrastructure.
T334 4364-4406 Sentence denotes Innovative approaches for setting up HWCs.
T335 4407-4780 Sentence denotes The states have used the opportunity to set up HWCs to develop appropriate and innovative approaches at various levels which includes, Partnerships with non-governmental organizations (NGOs) for Urban-PHCs in Karnataka; Public-Private Partnerships through E-urban PHCs in Andhra Pradesh & Telangana; as well as Medical Officer led models in Kerala, Tamil Nadu & Puducherry.
T336 4781-5210 Sentence denotes On the similar line, the Community Health Officers (CHOs) are being selected amongst various approaches such as B.Sc Community Health equivalent in Assam and Chhattisgarh; Ayurveda Practitioners in Maharashtra and Nurses in states such as Jharkhand, Madhya Pradesh, Uttar Pradesh, Andhra Pradesh, Punjab, Karnataka, Telangana, West Bengal, Andaman & Nicobar Island, Dadar & Nagar Haveli and all North Eastern states except Assam.
T337 5211-5420 Sentence denotes The selection of CHO is based upon a mix of health staff in Bihar, Odisha, Gujarat, Rajasthan, Jammu & Kashmir (J&K) Uttarakhand, Haryana, Daman and Diu, and Unani Practitioners as well in J&K and Maharashtra.
T338 5421-5551 Sentence denotes The enactment of the National Medical Commission (NMC) Act, 2019 is become a supporting legal instrument for empowering community.
T339 5552-5665 Sentence denotes The NMC act of 2019, which proposes to empower non-physician providers to prescribe a limited range of medicines.
T340 5666-5918 Sentence denotes In wake of COVID-19 pandemic, the Board of Governors for Medical Council of India had released new tele-consultation guidelines, which opens a new opportunity for making health services accessible in under-served and difficult areas, in the time ahead.
T341 5919-6029 Sentence denotes These, along with other opportunities should be used to re-design PHC system as team based and people centric.
T342 6030-6145 Sentence denotes However, success and effective implementation of this initiative need a stronger focused monitoring of the process.
T343 6147-6224 Sentence denotes Revival and expansion of community and civil society participation in health.
T344 6225-6482 Sentence denotes The engagement with communities, elected representatives, civil society organizations and interest groups in designing the system which people need, demanding for better health services and working together for common cause is increasingly being recognized.
T345 6483-6635 Sentence denotes This is resulting in opening and supporting many new avenues which directly or indirectly may contribute to better health outcomes and systems in India.
T346 6636-6919 Sentence denotes These include national knowledge platform; Innovation and learning centres; Ayushman Bharat Ambassadors & messengers in school; renewed focus on community clinics or frontline health service; health getting far more attention in media as well as Political agenda in general election.
T347 6920-7161 Sentence denotes There are Sustained expert engagement, research and evidence and Strengthened CSO/CBO engagement for health; Development/revision of many operational guidelines, broadly supplemented by global dialogues and commitments for PHC strengthening.
T348 7163-7218 Sentence denotes Appropriate use of digital and mobile health solutions.
T349 7219-7315 Sentence denotes Making PHC functional needs measuring the results of interventions and improving accountability.
T350 7316-7565 Sentence denotes Digital technologies can be leveraged to address health challenges in remote areas, generate awareness about health entitlement, deliver preventive and promotive health services, empower people and support communities to look after their own health.
T351 7566-7803 Sentence denotes Information and communication technology can be used for ensuring referral linkage; measuring results to enhance accountability is making information on health care entitlements and performance publicly available in a transparent manner.
T352 7804-8186 Sentence denotes The planning and early role out needs to be supported by a robust IT enabled monitoring and evaluation process; real time dash boards, amongst others would be needed to ensure that program designs are implemented, facilities so created are being utilized, services scaled up, the bottlenecks are regularly being identified and corrective measures being taken to improve performance.
T353 8188-8248 Sentence denotes Strengthen implementation and operational research capacity.
T354 8249-8322 Sentence denotes There are a few policy questions which need to be answered in due course.
T355 8323-8450 Sentence denotes ABP should also be an opportunity to strengthen operational research to support scale up based upon evidence and understanding.
T356 8451-8668 Sentence denotes There would be a very important role of technical support and implementation research for identifying operational questions and then seeking answers in a scientific way through operational and implementation research.
T357 8669-8802 Sentence denotes Dept. of Health Research (DHR) and National Knowledge Platform (NKP) as proposed under NHM can play an important role in the process.
T358 8803-8896 Sentence denotes The emerging policy questions with possible need for operational research need to be a focus.
T359 8897-8987 Sentence denotes There is a role of evidence, implementation research and capacity building in the process.
T360 8988-9144 Sentence denotes The institutional mechanisms at both national and sub-national level, with sufficient government funding to support implementation research would be needed.
T361 9145-9266 Sentence denotes Such platforms should bring policy makers, academic researchers and program managers and all other stakeholders together.
T362 9268-9334 Sentence denotes Renewed inter-sectoral collaboration between health and education.
T363 9335-9510 Sentence denotes One of the example of how HWC dialogue has broadened the scope of health beyond curative care and beyond health department is the concept of Ayushman ambassadors & Messengers.
T364 9511-9604 Sentence denotes As part of HWCs initiative, a coordination has been established with department of education.
T365 9605-9748 Sentence denotes Two teachers, preferably one male and one female, in every school were proposed to be designated “Health and Wellness or Ayushman Ambassadors”.
T366 9749-9895 Sentence denotes Prior to that the teachers are to be trained in health promotion and disease prevention for one hour every week, through a pre-decided curriculum.
T367 9896-10093 Sentence denotes The school children are selected as health and wellness or Ayushman messengers and key health messages such as vaccination and hand-washing are communicated to the families through school children.
T368 10094-10225 Sentence denotes This idea and concept was further formalized with the formulation of guidelines for school health under HWCs, released in Feb 2020.
T369 10226-10242 Sentence denotes Publisher’s Note
T370 10243-10361 Sentence denotes Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
T371 10363-10373 Sentence denotes Disclaimer
T372 10374-10440 Sentence denotes The author is the staff member of World Health Organization (WHO).
T373 10441-10620 Sentence denotes The views expressed in this article are of the author and does not reflects the views and opinion of the organizations he has been associated/affiliated in the past or at present.
T374 10622-10655 Sentence denotes Compliance with Ethical Standards
T375 10657-10677 Sentence denotes Conflict of Interest
T376 10678-10683 Sentence denotes None.