PM-JAY Current Affairs - 2019
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The Ayushman Bharat scheme has two sub-components:
- PM JAY- Pradhan Mantri Jan Arogya Yojana which is a health insurance scheme for 10.74 crore families identified through SECC database.
- Health and Wellness Centres: Delivery of the comprehensive Primary health care through Health and Wellness centres covering prevention, promotion and ambulatory care at the primary level.
Ayushman Bharat – Health and Wellness Centres
To expand access to Comprehensive Primary Health Care (CPHC), Health and Wellness Centres (HWCs), Sub Health Centres (SHCs) and Primary Health Centres (PHCs) are being strengthened as Health and Wellness Centres (HWCs) under the Ayushmann Bharat Scheme.
These Health and Wellness Centres aim to provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing reproductive and child health services, communicable diseases, non-communicable diseases, palliative care and elderly care, oral health, ENT care, and basic emergency care.
The Health and Wellness centres provide comprehensive primary health care through:
- Expended Service Delivery.
- Continuum of Care – Telehealth/ Referral.
- Expanding HR- MLHP & Multiskilling.
- Medicines & Expanding Diagnostics.
- Community Mobilisation and Health Promotion.
- Robust IT System.
- Partnership for Knowledge & Implementation.
- Financing/ Provider Payment Reforms.
The services in HWCs will be provided through a Mid-level Health Care Provider (MLHP)/Community Health Officer (CHO) who is required to undergo a Certificate in Community Health through IGNOU or public university.
Pradhan Mantri – Jan Arogya Yojana (PM JAY) is a scheme of the government under Ayushman Bharat to reduce the financial burden on poor and vulnerable groups arising out of catastrophic hospital episodes and ensure their access to quality health services.
Implementation of PM JAY
The following steps have been undertaken for the effective implementation of the PM JAY:
- The State Governments have been given the flexibility to implement PM JAY either through insurance companies, or directly through trust/society, or in a mixed mode.
- National Health Agency (NHA) has been set up by the Government to implement PM JAY through State level Health Agencies.
- A robust IT system has been put in place for effective implementation of the Scheme.
- Central Grievance Redressal Management System has been set up for receiving grievances. A system has been put in place to acknowledge, record, escalate & resolve grievances as per well-defined process through a three-tier grievance redressal structure.
- A multi-prong approach has been adopted by putting in place a fraud control mechanism.
PM-JAY scheme would provide poor, deprived rural families and identified occupational categories of urban workers’ families as per the latest Socio-Economic Caste Census (SECC) data (approx. 50 crore beneficiaries) with health benefit cover of Rs Five Lakhs per family per year at free of cost. The health benefits under the scheme include more than 1,350 medical packages covering surgery, medical and daycare treatments, cost of medicines and diagnostics.