A five-year initiative by the Department of Health and Family Welfare (DoHFW), Government of Gujarat, SRESTHA-G aims to improve quality, equity, and access to comprehensive primary healthcare services across all 33 districts in Gujarat and eight municipal corporations with a focus on adolescent girls and strengthening disease surveillance systems. The programme also focuses on mental health, quality of care, digital health, and lagging health outcomes for adolescent girls, especially from vulnerable populations.
We are supporting the government with programme design, implementation, stakeholder coordination, and financial management while developing innovative strategies and service delivery models to strengthen existing programmes across four key result areas:
- Improved service delivery for Comprehensive Primary Health Care (CPHC), including RMNCAH, NCDs and mental health.
- Improved integrated health service delivery models for adolescent girls through improved health, nutrition and livelihood service provision and utilisation.
- Strengthened disease surveillance and early detection of outbreaks and response through hospitalisation and mortality surveillance, laboratory management information system (LMIS) and one health approach.
- Strengthened quality of care (QoC), governance, accountability, and citizen engagement.
Impact:
- The TSU has supported the achievement of cumulative claims received amounting to USD 119.27 million, surpassing the cumulative target of USD 118.46 million up to FY2.
- An additional 1414 Ayushman Arogya Mandir (AAM) facilities providing 7 service packages.
- Quality Certifications: 378 AAM & 3 secondary hospitals are NQAS certified, and 3 MCHs have received NABH Accreditation.
- 90% Population-based screening achieved for NCD.
- Quality of care and Health System Research strategy framework implemented.
- 6 Pilots on CPHC, adolescent health, and quality of care are being implemented.
- District-level and State-level Swasthya Parishads held.
- Data Quality Improvement Program (DQIP) and Performance Monitoring Framework (PMF) implemented.
- Capacity building of frontline workers of the Health, WCD, and Education departments on adolescent health and well-being and life skills.
- Anti Microbial Stewardship Program (AMSP) was made fully functional in 3 hospitals.
- State Action Plan for Containment of Antimicrobial Resistance (SAPCAR) operational plan was developed and adopted.
