Overview- SASHAKT (Systematic Assessment of Health Care provider’s Knowledge and Training)

Introduction

Ayushman Bharat (AB) is an attempt to move from sectoral and segmented approach of health service delivery to a comprehensive range of health care service. Ayushman Bharat aims to undertake path breaking interventions to holistically address health (covering prevention, promotion, and ambulatory care), at primary, secondary and tertiary level. Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components. The first component pertains to creation of 1,50,000 Health and Wellness Centres (HWCs) which will bring health care closer to the homes of the people. These centres will provide Comprehensive Primary Health Care (CPHC), like maternal and child health, services to address communicable and non-communicable diseases and services for elderly and palliative care. AB-HWCs provide free essential medicines and diagnostic services, teleconsultation, and health promotion including wellness activities like Yoga.

covering both maternal and child health services and non-communicable diseases, including free essential drugs and diagnostic services. The second component is the Pradhan Mantri Jan Arogya Yojana (PM-JAY) which provides health protection cover to poor and vulnerable families for seeking secondary and tertiary care.

Ayushman Bharat Health and wellness centres are expected to deliver an expanded range of services both at SHCs as well as PHCs, closer to the communities. The level of complexity of care of services delivered at the PHC would be higher than at the sub health centre level as per the standard defined pathways. Operational Guidelines of all expanded service packages (Eye, ENT, Oral, MNS, Emergency, EPC) have been launched on 14th April 2021. States are required to roll-out all the 12 service packages under comprehensive primary healthcare at operationalized AB-HWCs. Knowledge and skill building are deemed essential to ensure quality of services provided at AB-HWCs. Annual grants have been allocated to the states for multiskilling and continuous capacity building of health care team. Technology support will enable and ensure better planning and execution of trainings.

In order to support states in implementation and monitoring of trainings, National Health System and Resource Centre (NHSRC) has developed Training Monitoring web portal known as SASHAKT – Systematic Assessment of Health care providers Knowledge and Training. This portal is designated to provide real-time update on the progression of trainings. The specific purpose of training monitoring software is as follows:

• Support the states in planning trainings for health care functionaries
• Monitor the quality of trainings
• Determine the real-time status of training of healthcare functionaries
• Timely documentation and reporting on the status of training