1. Need for Inclusion of Primary & Preventive care packages under CMCHIS
Dr. T. S. Selvavinayagam. MD, DPH, DNB
Additional Director of Public Health & Preventive Medicine,
Government of Tamil Nadu

2. Out Line Why? What are the packages? Financial Sustainability
Expected Benefits

3. Why?
To ensure better access / Availability of services close to community.
Reducing load at Tertiary care institutions
To increase health awareness
To reduce OOPE
To ensure better outcome – following interventions like Renal transplantations, CABG, PTCA.,

4. Packages Screening – Amma Arogya Thittam
Package of 25 tests – HT/ DM/ CVD / Cancers/ Hematological profile/ TB / Visual acuity, Etc.,
Management of uncomplicated DM / HT along with distribution of drugs through empanelled Hospitals
Identification of high risk pregnancy / Complication of pregnancy
Management of uncomplicated fevers / Diarrhea / Dehydration
Follow up care with better package cost.

5. Institutional Services in Government Health Facilities Average Per Day Primary Health Care System is the the major care providers both in volume and reach except IP and higher level services
S. No
Service
DPH
DMS
DME 1
Out Patients Treated
2,51,880
1,88,322
72,744 2
In Patients Treated
4,200
20,303
25,188 3
Deliveries conducted
657
530
424 4
Family Planning done
223
218 98

6. Financial Sustainability
Wellness package – AAT – 100% claims state funds.
Use of mandatory set of generic drugs for HT / DM can handle 80 % cases.
Negotiated price at designated centres based on the volume of business.
Cost sharing – Benefit vouchers from PHC / Philanthropists
Linking with NHM – NPCDCS / RCH

7. Expected Benefits Increases health awareness
Morbidity profile for planning interventions
Early diagnosis and Management gives better quality of life.
Strengthen primary care institutions including HSCs
Overall reduction in health care cost.

8. THANK YOU