International Journal of Community Medicine and Public Health | December 2021 | Vol 8 | Issue 12 Page 5852 International Journal of Community Medicine and Public Health Sood A et al. Int J Community Med Public Health. 2021 Dec;8(12):5852-5855 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Assessment of health and wellness centres in hilly district of Himachal Pradesh Abhilash Sood, Devender Kumar, Arvind Kumar*, Sanjay, Aditya Sood, Neetu INTRODUCTION The National Health policy 2017 has envisioned Health and Wellness Centres (HWCs) under Ayushman Bharat in health care system of India. In February 2018, the Government of India's announced the creation of 1,50,000 HWCs by transforming existing sub centres and primary health centres as the base pillar of Ayushman Bharat. 1 At present 741 health and wellness centres were upgraded from Primary health centres and sub centres in Himachal Pradesh. 2 In district Hamirpur total 59 HWCs are operational. Hamirpur district is located in hilly state of Himachal Pradesh, India with a population of 4,54,468. 3 A three tier service delivery framework is proposed at the HWCs. First, the family/household and community level services, which will be delivered by ASHAs and MPWs. Community platforms such as, Village Health Sanitation and Nutrition Committees, Village Health and Nutrition Days (VHNDs), Mahila Arogya Samities, would also be leveraged. Second, comprehensive primary health care services will be provided at the HWC for at least six hours/day. Third, the referral services by referring patients to Primary Health Centre, Community Health Centre (CHC) or a District Hospital (DH)/FRUs depending on the type and severity of the illness. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health- ABSTRACT Background: The National health policy 2017 has envisioned Health and wellness centres under Ayushman Bharat in health care system of India. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health-care needs through primary health-care setup. The aim of the study was conducted to identify the gaps in Ayushman Bharat Health and wellness centres under various domains of service delivery. Methods: A cross-sectional study was conducted to assess the AB-Health and wellness centres in district Hamirpur of Himachal Pradesh. Duration of study was five months with effect from 1st March 2021 to 31st July 2021.Study tool used was a validated checklist prepared by National Health Mission Government of Himachal Pradesh. Results: There is deficient human resource in Health and wellness centres (PHCs and SCs). Inadequate skill competencies observed especially in newly appointed health care workers. Equipment for telemedicine are available at each health centre but none or very few tele-consultation are being done by health care workers. Conclusions: In present study it was seen that target to upgrade AB-HWCs have been achieved but still human resource, infrastructure, trainings, skill competencies of health care workers are inadequate. To fill up these gaps there is need of focussed and target oriented determination by health department of state. Keywords: Health wellness centre, Community, Domain, Ayushman Bharat Department of Community Medicine, DRKMGC, Hamirpur, Himachal Pradesh, India Received: 15 October 2021 Revised: 17 November 2021 Accepted: 18 November 2021 *Correspondence: Dr. Arvind Kumar, E-mail: dr.arvinddhiman77@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20214578