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Amma Arogya
Thittam Draft
Guidelines
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INTRODUCTION
VISION
OBJECTIVES
BENEFICIARIES
METHODOLOGY
ROAD MAP
25 PARAMETERS FOR SCREENING
FOLDER & REPORT SHEET

Contents

MANPOWER
EQUIPMENT REAGENTS &
OTHER CONSUMABLES
FINANCIAL GUIDELINESS
WORKFLOW CHART
ONLINE SCREENS
MONITORING
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Introduction

Amma Arogya Thittam is an annual wellness health

check up program for all citizens of Tamil Nadu above 30
years of age.
Thescheme was announced by the Honourable Chief
Minister under 110 announcement on 25.8.2015.
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Vision

Promotion of Health and Well being through

prevention and early detection of disease
conditions by providing free access to basic health
checkup to all people above 30 years of age on
annual basis
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Objective

To
promote positive behavior change to seek health check
up on regular basis
To
provide follow-up and treatment through the PHCs,
secondary and tertiary care institutions and empaneled
hospitals under Honble Chief Ministers Comprehensive
Health Insurance Scheme if need arises.
To arrive at the health profile of the state of Tamil Nadu
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Beneficiaries

Above 30 years of age.

Both male and female.
Both in rural and urban areas.
To cover roughly 3.5 crore people.
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25 Parameters for Screening

According to the need

Height Urine-Albumin
Blood Total Count
Weight Urine-Sugar
Blood Differential count
BMI Urine-Deposits
Screening for Ca Cervix Peripheral Smear
Blood Pressure
Screening for Ca Breast Ultrasound Abdomen if
Hemoglobin needed
Screening for Oral Cancer
Blood Grouping and Typing ECG- based on symptoms.
Ophthalmic screening for
Random Blood Sugar X-ray if needed
visual acuity and cataract
Blood-Cholesterol Screening for Sputum Microscopy(AFB)
Blood- Creatinine dermatological conditions
General Examination by the
Medical Officer.
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Folders and Report sheet
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Methodology

All individuals who are aged 30 years and above will be screened on an
annual basis under this scheme. A data base will be exclusively created
for all the beneficiaries for follow up on subsequent years. (TNHSP in
coordination with DPH at PM)
Village Health Nurse (VHN) / Urban Health Nurse (UHN) / will mobilize
the beneficiaries.
Registration and annual health check-up will be done on weekly 2 days
viz., Thursday and Friday
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Methodology (cont)

Services like screening and basic investigations will be

done
Bloodsamples will be collected, tested and an annual
health check-up report will be issued along with general
examination findings on the same day
Based on the reports, the Medical Officer will examine and
provide treatment at PHC or will refer to the nearest
Secondary care hospitals / Govt. Medical College Hospital
or Private Hospitals empanelled under CMCHIS.
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Methodology (cont)

For patients with high blood pressure, high random blood sugar
(as per NCD protocol), suspicion of ca cervix and breast will be
further referred to the NCD corners of the concerned PHC.

For such referrals the patient can utilise the same PIN number to
pull out their reports in any of the HMS implemented institutions
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Beneficiary Database
The District wise beneficiary list extracted from CMCHIS enrolment database
will be provided to DDHS on a CD, mail and will also be available on HMS portal.
The beneficiary to be identified with the help of the CMCHIS card (URN) number
or the Ration card number if available in the beneficiary list.
The beneficiaries not listed in the database can also avail the services of
annual wellness check-up program. They will be added to the database during
the check-up program
The VHN will track the benefitted beneficiaries with the list provided.
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Road Map

Initial Phase - 400 Upgraded PHC/Block PHC

Scale up all Urban PHC, District Head Quarters
hospitals, Taluk hospitals, Medical College Hospitals and
attached institutions.
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Manpower

Based on the pilot testing it is advised that The following manpower may be mobilised by
the DDHS from the neighbouring PHC / GH / Medical College Hospitals during the program
days. S.N
Activity Person
o
VHN/HI/BHS/NMS from the
Mobilisation of allotted PHCs in the block to
1
Beneficiary be decided by DDHS (APP. 100
beneficiaries per day)
2 Registration Health Worker
3 Anthropometry Health Worker
4 BP measurement Staff Nurse/ ANM
General
5 Doctor
Examination
6 Blood Sample Lab Tech
7 Collection Lab Assistant
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Manpower contd

S.No Activity Person

11 Urine lab Lab Tech
12 CBE / VIA VILLI NCD Staff Nurse
13 X-ray X-ray Tech
14 USG Doctor
15 ECG Staff Nurse
16 Sputum test RNTCP Lab Tech
17 Oral Cavity Screening Dentist
Visual Acuity/Ophthal
18 Ophthal asst.(PMOA)
screening
19 Dermatology Screening Doctor / NMS
20 other
Nurses and Data Entry
health workers from Dept.Health Worker
of Family Welfare, District Leprosy, District TB unit, District
Blindness Control Unit should be utilised effectively for running this program successfully. Suitable
communication to the respective departments have to be sent from the DPH & TNHSP
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Equipment Reagents & other Consumables

The following equipment including the ones available in the PHC are to be made available or have
to be mobilised by the DDHS from the neighbouring PHC / GH / Medical College Hospitals.

S.No Test Equipment Quantity

1 Centrifuge 1
2 Semiautoanalyser 3
3 Microscope 6
Blood test lab
4 Newbar Chamber 6
5 Test tubes collection 100
6 Test tubes - testing 400
7 Centrifuge 1
Urine test lab
8 Test tube 100
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Equipment Reagents & other Consumables
contd

S.No Test Equipment Quantity

9 ECG ECG Machine 2
10 X-ray X-ray unit 1
11 USG USG machine 1
12 VIA VILLI set 10
NCD
13 Ring lens 2
14 Sputum test Microscope 1
Computer / Lap top 2
15 Data Entry
Computer with Printer 1
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Equipment Reagents & other Consumables
contd

The sugar, cholesterol and creatinine reagents provided through NCD program may
be utilised for this program also.

The report folders and sheets to be made available at the PHC as per the
specification given below.

Folders 250 gsm foreign board 12.25 height 17.50 width, bottom flap on one side
multicolour printing, one fold centre creasing, one side glossy lamination

Report sheet one sheet 11 x 8 size multi colour printing inserted paper 70 gsm.

The internet connectivity for accessing the online application may be obtained from
any existing service provider.
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Financial guidelines
(Allotment for 6 months)
s.no items Financial norms source
1 Mobility and Contingencies 2000 per Block / month NHM funds allotted for
the scheme
(Proceedings No
191/NPCDCS/TNHSP/2015
)
2 Lab Reagents and 5000 per Block / month Available Reagents and
consumables Reagents to be procured
from allotted funds for the
scheme
3 IEC including cards and 18750 per Block PHC NHM funds allotted for the
registers scheme
Note: Any other items like test tubes, Surgical, etc. are to be procured from
PWS funds as per PWS guidelines.
JD PHC to send PIP proposal to Govt. JD Inspection to implement.
Further Seven lakhs per district allotted for drug and consumables
under District Health Society for the entire district . Proceedings No
191/NPCDCS/TNHSP/2015
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Work Flow Chart 5 2

4 3
 Beneficiary

Dental ECG/X-
Registration Screening Ray/Ultrasound
(Hospital (Dentist)
Worker)

NCD Corner
Clinical Report (VIA/VILI/CBE)

Height,
Weight BMI
(HW) Ophthal
Screening
(PMOA)

Dermatological
Blood Pressure General
Lab Screening (MO/
(Staff Nurse) Examination
NMS)
(Medical
Officer)

Data
Entry
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Online Screens

The access to online screens will be given to existing NCD nurses on their HMS user ids.(Ids will be
mailed).
The screen will have forms for registration and clinical data entry.
There will be a report (monitoring) tab with which they can view the reports for that PHC and their
attached HSCs
The registration screen will have options to newly register or fetch the patient previously registered.
Once registered the screen goes to the clinical entry screen, where the clinical data can be recorded.
The forms can be temporarily saved with save button. The save and submit button will permanently
save the clinical record after which the record could not be edited.
The wellness clinical record will be generated as a pdf on a separate browser tab / window. There will
option to print and save the pdf in the local computer.
The report monitoring screen will have option to view the number of patients screened with drill down to
the attached additional PHC and HSC
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Monitoring

No need to send any reports. The reports will be reviewed online.

The access to report monitoring screen will be provided to BMOs, DPH, DDHS
& TNHSP for monitoring district and state wise program performance with
appropriate drill down options.

Analysis, performances and review will be done based on the data arrived.

BMOs to review the performance on a daily basis, The DDHS to review the
performance on a weekly basis. The State level review will be done
periodically.
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Thank You