AP Upgradation Urban Health Centres as Primary Health Centres as per G.O.NO:43.

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AP Upgradation Urban Health Centres as Primary Health Centres as per G.O.NO:43.

AP HM&FW - National Urban Health Mission- Upgradation of existing Urban Health Centres as Urban Primary Health Centres and Strengthening of services provided at UPHCs through State Level service provider – Permission – Accorded – Orders – Issued. 

HEALTH, MEDICAL AND FAMILY WELFARE (E2) DEPARTMENT 

G.O.MS.No. 43 Dated: 28-04-2016 

Read the following: 

1. G.O.Ms.No.12, HM&FW Deptt., dt.22.01.2014. 
2. From the CH&FW., AP., Hyd., Lr.Rc.No.08/SPMU-NUHM/AP/2014, dt.04.04.2016. 

ORDER:

1.Government of Andhra Pradesh have established 193 Urban Health centres 
under AP Urban Slum Health Care Project and operating these institutions under PPP 
model with NGOs since June 2000. District Collectors have entered in to agreements 
with the NGOs for operating these Urban Health Centres for a period of one year which are extended from year to year based on the performance evaluation. The contract agreements with the NGOs were entered up to 2013-2014. At present 133 NGOs are running 193 Urban Health Centres (UHCs) as follows:

2.Government of India have launched National Urban Health Mission as a Sub-
Mission under the overarching umbrella of National Health Mission during the year 
2013-14, with National Rural Health Mission (N.R.H.M.) being the other Sub-Mission. 
The National Urban Health Mission will aim to improve the health status of the urban 
population in general, but particularly of the poor and other disadvantaged sections by facilitating equitable access to quality health care through a revamped public health system, partnerships, community based mechanism with the active involvement of the urban local bodies. 

3.In the G.O. 1st read above, Government of AP had accorded administrative 
approval for establishment and operationalisation of Urban Health Cell in this State. After implementation of National Urban Health Mission (NUHM) in the state, the fresh contract agreements with the NGOs for the year 2014-15 and 2015-16 for operation of Urban Health Centres (UHCs) was not entered into and the existing service delivery with the NGOs is continued without and specific orders and payment is also made from time to time. Currently there is no evaluation undertaken.

4. Government of India have approved upgradation of all existing 193 Urban Health Centres as Urban Primary Health Centres in the ROP for the year 2014-15 and 2015-16. Each Urban Primary Health Centre is provided with additional human resources including Medical Officer, Staff Nurse, Lab-technician, Pharmacist, Ministerial Assistance, Supporting staff to work in Urban Primary Health Centres (UPHC) and 5 ANMs provided @ one Urban Primary Health Centres (UPHC) for providing community services. 

5.In order to implement the National Urban Health Mission (NUHM) guidelines and 
to strengthen the Primary Health Centres (PHC) delivery in the urban areas for 
facilitating equitable access to quality health care to the poor and other disadvantaged sections, Government after careful examination the matter issue the following orders:- 

• The services of NGOs hereby dispensed (i.e. who are operating existing Urban Health Centres (UHCs)) and the Commissioner of Health and Family Welfare is permitted to undertake administrative control of those Urban Health Centres (UHCs). 
• The existing (193) UHCs is hereby upgraded as e-UPHCs with the staff approved in ROP of the National Health Mission (N.H.M.) and provide specialist services on tele-mode in a HUB and spoke model. 
• Permission is accorded to the Commissioner of Health and Family Welfare to call for an Request for Proposal (RFP) for identifying total service provider for operation and maintenance of (193) e-UPHCs. 

6.The Commissioner of Health and Family Welfare, A.P., Hyderabad shall take 
further action in the matter accordingly. 

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH) 

 POONAM MALAKONDAIAH 

PRINCIPAL SECRETARY TO GOVERNMENT.

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