Ayushman Mela

The health landscape of India is confronted with a multitude of challenges that demand immediate and concerted efforts. These health issues that range from the unfinished agenda of Reproductive Maternal, Newborn, Child, and Adolescent Health (RMNCHA), to the accelerating burden of non-communicable diseases (NCDs) including TB, mental health, emerging, and reemerging diseases, and injuries and road traffic accidents (RTAs). The prevalence of non-communicable diseases (NCDs) among children and newborns in India is also a growing concern. According to an Indian Council of Medical Research (ICMR) study, it is estimated that the proportion of deaths due to non-communicable diseases (NCDs) in India have increased from 37.9% in 1990 to 61.8% in 2016. According to WHO estimates, NCDs contribute to 5.87 million deaths that constitutes 60% of all deaths in India.

Malnutrition too poses a significant challenge for children and newborns in India. Both undernutrition and overnutrition, continues to affect children, leading to stunted growth, delayed cognitive development, and compromised immune systems. Poor awareness on balanced diet, essential nutrients, excusive breastfeeding practices and complementary feeding exacerbates the problem. India has made significant strides in improving in nutrition status of children. However, the burden still remains enormous considering the vast population size of India. According to the NFHS 5 data, prevalence of stunting has reduced from 38.4% to 35.5%, Wasting has reduced from 21.0% to 19.3% and Underweight prevalence has reduced from 35.8% to 32.1%.

The National Health Policy 2017 envisages a goal of attainment of the highest possible level of health and wellbeing for all, through provision of promotive, preventive, curative, rehabilitative and palliative health care services, universally, with focus on quality and without anyone facing financial hardship. The policy also highlights adoption of key principles of equity, affordability, accountability, patient-centeredness, pluralism, inclusive partnership and decentralization of plan and delivery of health care.

Ayushman Bharat is a flagship program of Government of India, launched in 2018, translating the policy intent to budgetary commitment, to achieve the Universal Health Coverage (UHC) underscoring the commitment of “leave no one behind.” Ayushman Bharat has four pillars, which are:

  1. Ayushman Bharat - Health and Wellness Centres (AYUSHMAN AROGYA MANDIR)
  2. Ayushman Bharat - Pradhan Mantri Jan Aarogya Yojana (AB-PM-JAY)
  3. Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)
  4. Pradhan Mantri- Ayushman Bharat Digital Mission (PM-ABDM)

Under AYUSHMAN AROGYA MANDIRs, more than 1,60,000 Ayushman Bharat Health and Wellness Centres (AYUSHMAN AROGYA MANDIRs) have been established by transforming the existing Sub Health Centres and Primary Health Centres. They provide an expanded range of primary health care services such as pregnancy related care, reproductive and child health care, communicable diseases, non-communicable diseases, elderly care, eye, ear-nose-throat and oral care, emergency care and palliative care, including free essential drugs and diagnostic services.

The PMJAY provides financial protection of up to ₹5 lakh per annum for secondary and tertiary care, benefiting approximately 40% of India's socially vulnerable and low-income households. The Ayushman Bharat Digital Mission (ABDM) has facilitated the creation of Ayushman Bharat Health Account (ABHA), a unique Health ID for every citizen, enhancing the efficiency and effectiveness of our healthcare systems.

The Ayushman Bharat Digital Health Mission (ABDM) is providing the necessary backbone for attainment of universal health coverage, by creating a seamless online platform “through the provision of a wide-range of data, information and infrastructure, duly leveraging open, interoperable, standards-based digital systems”.

Our commitment to transforming healthcare is further strengthened by financial support from multiple sources. The 15th Finance Commission-Health Grants and the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) are playing a crucial role in filling critical gaps in health infrastructure, surveillance, and health research. These financial initiatives, combined with our political will, have been instrumental in strengthening primary healthcare with linkages with secondary and tertiary care and bringing quality and safe healthcare closer to the people.

The AYUSHMAN AROGYA MANDIRs endeavour to shift the focus from illness to wellness and wellbeing, from fragmented care to continuum of care, from disease-centric care to personalized-care inclusive of family support, from healthcare being just a facility event to making it a community movement.

To realize the vision of ‘universal health coverage’ people’s ownership of their health is important. Health Melas/ fairs are popular among the masses for providing health services, such as awareness on health and wellness, preventive measures, early detection, and treatment, and a potent vehicle for inculcation of health-seeking behaviour. Thus, organisation of health melas at each of the Ayushman Bharat - Health and Wellness Centres will optimize the uptake of services. The health melas provide platform to people to express their issues and concerns about the healthcare services and aid people-centric planning and implementation. Melas with their wide reach also augment behaviour change among people through group wellness activities that are integral to such events.

This operational guideline provides a broad framework for facility and block health teams to organize and realize the objectives of health melas at the AYUSHMAN AROGYA MANDIRs.


Objectives of the AYUSHMAN AROGYA MANDIR Health Mela are to:

  1. Provide early diagnosis through screening, comprehensive primary health care services with drugs and diagnostics, teleconsultation with health specialists, and appropriate referrals, with a special focus on marginalized people, for a continuum of care
  2. Build awareness through behavior change communication among the people about health and healthy lifestyles to maintain well-being and different health schemes and services provided by the Government
  3. Bridge the gaps in:
  4. Creation of ABHA (Health IDs) and issuance of Ayushman Bharat Cards under PM-JAY for eligible citizens
  5. Community-based risk assessment and population-based screening for diseases like hypertension, diabetes, cancer, cataract, tuberculosis, hepatitis B
  6. Routine Immunization
  7. Follow-up PM-JAY treated beneficiaries

Services available at AYUSHMAN AROGYA MANDIRs-Operationalization of Health Mela at the AYUSHMAN AROGYA MANDIRs

  • Health Mela aims to address the health needs of the underserved population, thereby enhancing the accessibility, availability, affordability, and acceptability of comprehensive health services.
  • Each mela should be organized keeping in mind the disease prevalence, risk profile evident from CBAC assessment and the existing health facilities of the area where the mela is to be organized.
  • It is recommended that the health mela be conducted at SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR, UPHC-AYUSHMAN AROGYA MANDIR, and URBAN AYUSHMAN AROGYA MANDIR in collaboration with CHC/SDH/District hospital.
  • Lifestyle modification and wellness promotion activities are to be conducted using multimedia including local art and culture.
  • Screening will help build awareness of health risks and provide information on lifestyle modifications to enhance their health. Support from community-based youth groups shall be taken for the same.
  • It is recommended that health mela information is disseminated both pre and post-event for publicity on print/audio-visual/ social media especially on radio channels, nukkad natak, miking campaigns etc.
  • Mobile Medical Units and RBSK teams can also be leveraged to fulfil the requirement of medical officers and other staff
Schedule of Health Melas
  • Health melas at Ayushman Bharat- Health and Wellness centres should be conducted weekly, on Saturday of each week.
  • Every mela shall have a main theme with *other services. Below table shows weekly main themes
Table 4: Themes for Health Melas
Week  Week 1 Week 2 Week 3 Week 4
Theme NCDs Tuberculosis, Leprosy and other Communicable Diseases Maternal and Child Health, and Nutrition State Specific Theme (such as Tribal areas Sickle Cell Disease & Non-tribal area-Eye care services)

*Along with main theme other common services will also be available in weekly health melas such as ABHA ID and Ayushman Bharat card creation, comprehensive primary healthcare services, AYUSH, mental health services, elderly and palliative care, wellness support and activities, free drugs and diagnostics and Teleconsultation services.

Core Planning and Implementing team
  • It is advised to have a representative from the following groups in the core planning and implementing team:
  • Health professionals: Medical Officer in-charge, staff nurses, CHOs, yoga practitioners and other wellness instructors
  • Representation from community platforms- JAS, VHSNC, MAS, self-help groups- NRLM/NULM
  • Anganwadi worker
  • PRI members
  • School teachers, staff etc.
  • Local media
  • Some prominent members of the community
  • Members of the youth groups
  • CHC/SDH/DH shall be engaged. Medical College in the block/district should also be involved.
  • Collaborations- Block level officials from other departments like Block health authority, Indian Medical Association, ICDS, AYUSH, Women and Child Development, Social Welfare, Education, PRI, School Health & Wellness Ambassadors, etc. to make concerted efforts for successful health mela at AYUSHMAN AROGYA MANDIR
  • Cooperative Societies such Society of Fishery, Agriculture, Horticulture, Animal Husbandry etc.
Roles and Responsibilities of Implementing team members
  • Overall mentoring shall be provided by MD, NHM in the State/UT and CMO in each District for coordination and other necessary arrangements. Health Mela shall be planned in a way that adequate Teleconsultation hubs should be available for convenient connections with the Spokes.
  • Chairman of JAS at the Ayushman Bharat - Health and Wellness Centres shall take the lead under the guidance of Block Health Officer/Taluk Health Officer.
  • VHSNC/ MAS and JAS members shall proactively mobilize people for the mela from their villages or locality.
  • CHO and PHC Medical Officer shall be responsible for implementing the health mela with the support of JAS members, PRI members and community.
  • It is recommended that ASHAs should undertake intensive CBAC assessments in a campaign mode prior to the scheduled Health Melas, and inform about the mela to each household in her area.
  • Necessary medicines, diagnostics and supplies should be arranged through the respective AYUSHMAN AROGYA MANDIR well in advance
  • Certificate of appreciation/ award to the SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR and UPHC-AYUSHMAN AROGYA MANDIR, URBAN AYUSHMAN AROGYA MANDIR with highest participation in the mela can also be considered.
  • Community based Youth groups and CBOs can be leveraged for the mobilization and spreading awareness
Common services to be provided during each Health mela:

Table 5: Services during Health Mela

Services Details
  • ABHA (Health ID) creation
  • Population enumeration and CBAC filling by ASHAs/ MPWs
  • Updating family folders
  • PM-JAY Ayushman Bharat card issuance to eligible beneficiaries
Healthy Lifestyle Promotion
  • Wellness activities such as yoga, meditation sessions, Cyclathon and Walkathon
  • Lifestyle modification and diet counselling
  • Wellness support for children and youth by Health and Wellness Ambassadors
  • Promote balanced diet with affordable, nutritive and locally available food


  • Teleconsultation for specialist consultation for both Modern medicine and AYUSH services
Theme specific services to be provided in the Health Melas:

Table 6: Weekly Themes of Health Melas

Week 1 Week 2 Week 3 Week 4

Theme: NCDs

  • On first Saturday of the month, health mela will be organized at the SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR and UPHC-AYUSHMAN AROGYA MANDIR, URBAN AYUSHMAN AROGYA MANDIR with special theme of NCDs such as diabetes, hypertension, common cancers such as Oral, Cervical and Breast


Theme: Tuberculosis, Leprosy, Hepatitis, HIVAIDS, Malaria, Kala-azar, Filariasis and Other vector borne diseases)

  • On second Saturday of the month, health mela will be organized at the SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR and UPHC-AYUSHMAN AROGYA MANDIR, URBAN AYUSHMAN AROGYA MANDIR with special theme of Tuberculosis, Leprosy, Hepatitis, HIVAIDS, Malaria, Kala-azar, Filariasis and Other vector borne diseases)

Theme: Women and child health, and Nutrition

  • On third Saturday of the month, health mela will be organized at the SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR and UPHC-AYUSHMAN AROGYA MANDIR, URBAN AYUSHMAN AROGYA MANDIR with special theme of Maternal and child health, and Nutrition 


*State Specific Theme and services on fourth Saturday of the month (Sickle cell Anaemia for Tribal Areas and Eye care for non-tribal areas)
  • Screening and treatment of hypertension and diabetes, and referral, as needed
  • Screening of oral, breast and cervical cancer (VIA screening) and referral, as needed
  • Screening of mental health issues using PHQ -9 by CHOs and other standard screening tools, psychosocial management, and referral as needed
  • Screening and follow-up care for occupational diseases (Pneumoconiosis, dermatitis, lead poisoning); fluorosis; respiratory disorders (COPD and asthma) and epilepsy
  • Vulnerability assessment of the beneficiary for TB
  • Screening for symptoms of TB during population screening using Community Based Assessment Checklist (CBAC)
  • HIV and blood sugar testing of all TB cases/ presumptive cases
  • Treatment, refilling of drugs and referral, as needed
  • Promoting health awareness and encouraging individuals to adopt proactive health-seeking behaviours, including awareness on symptoms of TB, TB during pregnancy, Coughing etiquettes, and patient support programs/ benefit schemes like Nikshay Poshan Yojana and transportation assistance for Drug Resistant Tuberculosis (DRTB) patients. Leprosy screening and initiation of treatment, referral as needed
  • Provision of DOTS/ensuring treatment adherence as per protocols in cases of TB
  • Collection of blood slides in case of fever outbreak in malaria prone areas
  • Awareness generation and addressing stigma and discrimination associated with Tuberculosis and Leprosy
  • HIV Screening (in Type B SHC), appropriate referral and support for HIV treatment
  • Early diagnosis of pregnancy
  • Early registration of pregnancy and issuing of ID number and Mother and Child protection card
  • Antenatal check-up including screening of Hypertension, Diabetes, Anaemia, Immunization for pregnant women-TT, IFA and Calcium supplementation
  • Counselling regarding care during pregnancy including information about nutritional requirements
  • Identifying high risk pregnancies
  • Follow up to ensure compliance with IFA in normal and anaemic cases
  • Post- partum care visits 
  • Counselling and support for early exclusive breast feeding, complimentary feeding practices
  • Adoption of Safe and hygiene WASH practices
  • Growth monitoring
  • Counselling for Early Childhood Growth and Development
  • Identification of birth asphyxia, sepsis and referral after initial management
  • Identification of congenital anomalies and appropriate referral
  • Family /community education for prevention of infections and keeping the baby warm
  • Routine Immunization


Child Health

  • Growth Monitoring, IYCF continued and enable access to food supplementation- all linked to ICDS
  • Detection of SAM, referral and follow up care for SAM
  • Prevention of Anaemia, iron supplementation and deworming
  • Prevention of diarrhoea/ ARI, prompt, and appropriate treatment of diarrhoea/ ARI with referral where needed
  • Pre-school and School Child Health: Biannual Screening, School Health Records, Eye care, De-worming
  • Screening of children under national program to cover 4’D’s Viz. Defect at birth, Deficiencies, Diseases, Development delay including disability


Adolescent Health

  • Adolescent friendly health clinic with Counselling on- Improving nutrition, Sexual and reproductive health, enhancing mental health/Promoting favourable attitudes for preventing injuries and violence, Prevent substance misuse, Promote healthy lifestyle, Personal hygiene- Oral Hygiene and Menstrual hygiene
  • Prevention of Anaemia, identification, and management, with referral if needed
  • Provision of IFA under National Program for Iron Supplementation
  • Screening and Early diagnosis
  • Treatment of the diseases
  • Free drug distribution
  • IEC activities





*Theme: State specific theme
  • On fourth Saturday of the month, health mela will be organized at the SHC-AYUSHMAN AROGYA MANDIR, PHC-AYUSHMAN AROGYA MANDIR and UPHC-AYUSHMAN AROGYA MANDIR, URBAN AYUSHMAN AROGYA MANDIR with special state specific theme like Sickle Cell for tribal areas and Eye care services for non-tribal areas.
  • Health mela will provide comprehensive primary health care services with special focus based on the health priority of state.
  • All the counters will be organized in same manner except a special weekly counter of specific theme such as NCDs, TB, Leprosy and other communicable diseases, Women and Child health may be replaced with a counter of theme decided by the state based on their health priorities or prevalence of diseases.

Facilitating continuum of care:

  • Directory of functional secondary and tertiary health facilities should be readily available in the health mela so that the doctors attending the patients can refer the case for subsequent follow up.
  • All referral cases must be entered into a register indicating the name of the patient, reason of referral and the hospital where the patient has been referred.
  • Referred patients shall be mapped village-wise or locality-wise and linked to the nearest SHC-AYUSHMAN AROGYA MANDIR/PHC-AYUSHMAN AROGYA MANDIR/ UPHC-AYUSHMAN AROGYA MANDIR/ URBAN AYUSHMAN AROGYA MANDIR and shall be shared with the CHO/PHC MO for following-up on the status/outcome of the referrals to health institutions.

Finance and Resource Management

  • Resources in terms of human resources, drugs & diagnostics, etc. from respective AYUSHMAN AROGYA MANDIRs.
  • Untied fund or fund for IEC activities approved in the ROPs can be utilized for conducting health melas at Ayushman Bharat - Health and Wellness Centre.
  • Mobilization of additional resources through PRIs/ ULBs/local NGOs/ CSR funds/ MPLADs funds etc.
  • Support for specialist services may be sought from linked CHCs/SDH/ DH/ Medical Colleges.


Each AYUSHMAN AROGYA MANDIR will submit a monthly consolidated report of all the completed melas in a month as per the reporting form (Annexure - 1) and Feedback (Annexure - 2). Furthermore, the State/ UT NHM shall adopt and issue these guidelines to the districts for implementation.

Weekly online reporting will also be done on the AYUSHMAN AROGYA MANDIR portal with uploading of photos of weekly melas.

The AYUSHMAN AROGYA MANDIRs should share photos of the health mela on the Ministry’s and AYUSHMAN AROGYA MANDIR’s Social media accounts i.e @MoHFW_India and @AyushmanAYUSHMAN AROGYA MANDIRs, respectively.

Operational Guidelines of Medical Camps to be organized by Medical Colleges at CHC Level

The healthcare facilities of the country form a large base of primary health centres and health and wellness centres, which are closest to the people. The secondary care facilities are positioned above the primary health services, which include community health centres, sub-district hospitals and district hospitals. The apex is formed by tertiary care hospitals, which include medical college hospitals. Medical colleges at the apex of the pyramid are also responsible for training medical doctors and providing high-end clinical care.

The potential of the medical colleges needs to be utilized for overall health system strengthening through existing well-established support systems as envisaged in the National Health Policy. Various initiatives in this direction are underway, and a systems approach is now being impressed for achieving universal health coverage. As a step towards achieving UHC, a target of SDG, the Government of India (GoI) has contemplated Ayushman Bhav, an umbrella of various health schemes. This campaign will ensure saturation coverage of health schemes and an initiative to ensure optimal delivery of health services. Out of the four activities under this, Ayushman Mela aims to utilize the potential of existing medical colleges in strengthening specialist and outreach services at CHCs following the whole-of-government and whole-of-society approach.


There have been noteworthy improvements in health indicators such as life expectancy, the infant mortality rate (IMR), achieving the MDGs target of maternal mortality ratio (MMR) etc. as well due to increasing penetration of healthcare services across the country, extensive health campaigns, sanitation drives, increase in the number of government and private hospitals in India, improved immunization, growing literacy etc. A significant decrease in mortality from communicable, maternal, perinatal and nutritional causes has been reported from 25.2% to 16.1%.[1] However, there is a projected rise in deaths due to non-communicable diseases from 63.5% in 2015 to 72% in 2030, which is a cause for concern.

To address this, various initiatives such as Janani Shishu Suraksha Karyakarm, Janani Suraksha Yojana PMSMA, and national programmes to curb incidences of diseases such as polio, HIV, TB, leprosy, cataract etc., have also played pivotal roles in improving India’s health indicators by providing the specialized care closer to the community.

The vision to move from Ayushman panchayat to Swasthya Panchayat will ensure last-mile coverage. Indian Public Health Standards 2022 enumerates population norms for each level of the facility creating bidirectional referral (backward linkages for a continuum of care and forward linkages for referrals). At the block level, Community Health Centers (CHCs) constitute the secondary level of health care and are envisaged at a population of 80,000 to 1,20,000 for rural areas depending upon the terrain and 2,50,000 for urban areas (5,00,000 in metros).

All essential services are available, including routine and emergency care in surgery, medicine, obstetrics and gynaecology, paediatrics, dental and AYUSH, in addition to the implementation of national health programs. CHCs are designed to provide referral as well as specialist health care to the rural and urban populations. The CHCs function as a nucleus for all the health-related activities at the block level and act as block-level health administrative units and gatekeepers for referrals to higher facilities. As per the recent available data, 5480 CHCs are functional in rural areas and 548 in Urban areas. (Rural Health Statistics 2021-22)

In this new era of reinvigorating medical education, the Government of India launched Pradhan Mantri- Swasthya Suraksha Yojana (PM-SSY) in the year 2006 has been setting up new AIIMS to provide a major thrust for the creation of advanced tertiary healthcare infrastructure, medical education in different parts of the country. Currently, 22 new AIIMS has been announced, and 75 government medical colleges have been considered for upgradation. In furtherance to it, The Hon’ble Prime Minister of India has visioned establishing Medical College in every district with the forethought that it will further improve health services and increase people's accessibility to advance care. At present, out of the 765 districts identified, 395 districts have 648 medical colleges. (National Health Profile 2022)

Although the medical colleges have the nuanced potential for coordinated implementation and innovative strategies to provide Behaviour Change Communication, Counselling, Research & Clinical Epidemiology, Collection/compilation/analysis and utilization of data, and support in the national programmes under NHM, in addition to their core responsibility of teaching and training, however, there is a felt need to strengthen public health services through Medical Colleges in varied capacities. As of now, the mandate of having Rural Health Training Centres and Urban Health Training Centres in the Medical Colleges has a limited intervention in providing day-care services and is limited as a training site for medical graduates.

With the existing conducive environment and focus on epistemes of medical education like never before, there is a need to leverage the medical colleges for overall health system strengthening and re-establishing the suggestions of the Shrivastav committee report in 1975 of Reorientating Medical Education (ROME) and linking medical colleges to rural health.

To achieve this, outreach services play a significant role by delivering health services to cover the unreached, underserved, inaccessible vulnerable population. Such outreach services have been catalogued in our existing health system, and departments of medical colleges in various states are discretely supporting public health facilities to provide assured services in remote areas.

In the same direction, Ayushman melas are being organized to increase health awareness and provide preventive, promotive and curative functions as comprehensive primary healthcare services. The need for secondary care, which includes specialized services, including operative care in such Ayushman melas, can be augmented by involving the medical colleges by bringing in their expertise and thereby providing holistic services.

CHCs have the available infrastructure and Human Resources for Health to provide secondary care services and can be efficiently utilized in providing the services in a camp-based mode and fixed-day approach for bringing specialized services closer to the community, thereby enhancing the service delivery as envisaged through Ayushman Bharat.

Through an effectively orchestrated coordination, health needs assessment of the community and mobilization of resources, periodic camps at CHCs will help in improving the reliance of the community towards the public health facilities, handhold the CHC staff in improving healthcare provision, and increase the health literacy of the population in addition to gatekeeping the tertiary health facilities, refining the referral linkage mechanisms and help in improving the overall quality of health services being offered to the community.

Through this guideline, the operational aspects of organizing such medical camps at CHC level hospitals under the Ayushman Bhav initiative have been outlined, and the responsibilities of stakeholders have been defined for guiding the implementors.


Medical Colleges would build a synergism in implementing national programs, public health functions and overall benefit the community as a whole. In addition to the objectives defined under the guidelines for conducting the health mela at the block level, the medical college would provide screening, diagnosis, and basic and advanced health care services through specialized care, including referrals to tertiary care setup utilizing the existing CHCs.


Engaging Medical Colleges would build a synergism in implementing public health functions and overall benefitting the community as a whole. The primary objective of the medical camp is to:

  1. Provide screening, diagnosis, and basic and advanced health care services through specialized care, including referrals to tertiary care setup and specialized and diagnostic services.
  2. To make available specialist services up to the block level.
  3. To enhance the clinical material and training of medical college students/faculty.

Expected Outcomes:

  1. Increased access to specialized care ensure a continuum of Care.
  2. Building the trust of the community.
  3. Improved health-seeking behaviours and health literacy of the community.
  4. Increased ownership of Medical Colleges.
  5. Reaching the Unreached: Leaving no one Behind.

The objective of the guideline is to define:

Figure 1: Modalities of Medical college health camps

Modalities and periodicity of organising a camp.
Range of services.
Roles and responsibilities.
Operationalising the health camp.
Reporting mechanism.

Modalities and periodicity of organising a camp:

Operational Framework
  1. An overseeing committee may be constituted for planning the medical camp with representation from State/UTs, Medical Colleges, CHC and a “block health mela planning committee” as defined in the national guidelines for conducting Block Level Health Melas.
Figure 2:Committees monitoring Health Melas


  1. The Director/ Dean of the Medical College would be in charge of providing technical expertise and specialised care at CHCs and may nominate a Departmental Head of Preventive and Social Medicine/Community and Family Medicine to plan/coordinate with the other departments of the medical college for the nomination of staff for the medical camp.
  2. The camp activities would also be supported by staff viz., Assistant Professor, Senior and Junior Residents etc., as per need and decision of the appropriate authority.
  3. The overall administrative responsibility for conducting a camp at the CHC shall be entrusted with state and district administration.
  4. Staffing pattern at Medical Camp: The human resource allocated for the camp from the medical college shall comprise a medical officer, a medical specialist (Physician), a gynaecologist, a paediatrician, a Surgeon, an Anaesthetist, an Eye specialist, an ENT specialist, a Dermatologist, a psychiatrist, a dental surgeon, two staff nurses, one lab technician, one counsellor and one Medical Social Worker.
  5. Financing and resource management: Untied funds or funds for IEC activities approved in RoPs may be utilised for medical camps at CHCs. Additional resources may be mobilised by leveraging funds available with State/District administration, PRIs, ULBs, CSR/MPLAD funds, NGOs, CBOs etc.
  6. Partnership and collaboration-

    The collaboration and partnership with Indian Medical Association (IMA), Charitable Trusts, NGOs, etc., for providing human resources may be explored by State/District level committees.
Site Selection and Assessment of CHCs

Selection of CHC: The medical college is envisaged to provide camp-based outreach functions to the community at the selected Community Health Centres (CHCs) of the district. The CHCs planned to provide health services would require consultation with the overseeing committee (defined under the operational framework). The selection of the camp should be prioritised based on the following:

  1. Aspirational District/Blocks.
  2. CHC covers the remote//vulnerable population/slums in rural areas and in urban areas.
  3. High population density.

The medical college will support 4 CHCs, and one camp shall be conducted by all the medical colleges once a week, such that the camps are held in each CHC once a month. Each camp may last for 1 to 2 days as per need and shall preferably be conducted from 9 AM to 4 PM. Such camps need to be widely publicised for community awareness and to increase the uptake of services through campaigning, hoardings and leveraging community platforms such as VHSNC/MAS/UHND/VHND.

Figure 3:Representation of Health Melas organized by a Medical College

helth mela image

Assessment of CHC: The gap assessment of health facilities for the available resources (infrastructure, equipment, HR etc.) needs to be conducted by CHC In-charge as per IPHS 2022 (https://nhsrcindia.org/sites/default/files/CHC IPHS 2022 Guidelines pdf.pdf) which would thereby help to plan for providing specialised services such as conducting operative care, USGs, family planning services, diagnostic, therapeutic dental care etc., based on the local morbidity profile. The services to be provided will be discussed in the subsequent section.

Range of services

Service Delivery

In addition to the service envisaged at CHCs, fixed-day OT services may be provided particularly for cataracts (National Blindness Control Programme), hydrocele (National Filaria Control Programme) and family planning (RMNCH+A) as per the requirement of national programmes. The following services may be provided in a camp-based mode. The list is non-exhaustive; therefore, additional services can be added based on felt needs.

  1. General OPD: Identification and management of cardiac, neurological, GI, endocrine and other related disorders.
  2. Surgeries: performing major and minor surgical procedures such as hernia repair, laparoscopic cholecystectomy, hydrocele, appendectomy etc.
  3. RMNCHA+N services: ANC, immunisation, USG of ANC mothers, counselling, MTPs
  4. Ophthalmology services: diagnosing vision-related disorders, RoP screening, treating common ophthalmic ailments through surgery like glaucoma and cataract, screening for diabetic retinopathy etc
  5. ENT services: diagnosis of hearing loss, medical management of acute and chronic otitis media, surgical correction of DNS etc.
  6. Psychiatric services: diagnosis, management and counselling for common medical disorders such as dementia, depression, OCD, parkinsonism, substance abuse, erectile dysfunction etc.
  7. Dermatology services: diagnosis and management of skin disorders such as tinea, psoriasis, STIs, vitiligo, candidiasis etc.
  8. Palliative services: pain management of chronic illnesses such as RA, osteoarthritis, peripheral neuropathy, cancers etc.
  9. Diagnostic services: endoscopy, colonoscopy, DEXA scan, mammography, 2-D Echo etc.
  10. Oral health services: endodontics, prosthodontics, pedodontics and orthodontic related procedures
  11. Healthy Lifestyle Promotion: Lifestyle modification and diet counselling
  12. Other activities which can be performed by health staff at CHC:
  • Ayushman card issuance to eligible beneficiaries.
  • ABHA (Health ID) creation.
  • Population enumeration and CBAC filling by ASHAs.
  • MPWs.
  • Updating family folders.
  • Identifying the newly diagnosed beneficiaries who can avail of services under various national programs.
  • Based on the requirement of the CHC, week-wise planning may be done for each facility to ensure the delivery of specialist and operative services.

    Facilitating Continuum of Care
  • The cases which require prolonged hospital admission/ specialist care shall be identified for being treated at the medical college or a higher tertiary care centre as feasible.
  • Beneficiaries under PMJAY may be provided with surgical services required at the CHC. Any higher mediation required can be referred to medical college. However, the beneficiaries requiring services and type of intervention should be line-listed prior.
  • All the referral cases must be entered into a register indicating the name of the patient and the hospital where the patient has been referred.
  • Referred patients shall be mapped and linked to the neared AYUSHMAN AROGYA MANDIR-PHC, and the list shall be shared with respective MO-PHC for following up on the status/ outcome of the referrals to health institutions.
    1. Facilitate the coordination between the Medical College and the District Administration for identifying the CHCs where the camps shall be conducted and ensure CHCs preparedness before the conduction of the camp.

Medical Colleges with their undergraduates and postgraduates shall undertake implementation and operational research for strengthening delivery of secondary care services.


The medical college should envisage creating a pool of experts to improve the delivery of acute care and promote learning opportunities. Also, demonstrating proficiency in performing clinical procedures, capacity building, monitoring and implementing appropriate treatment plans may also be provided to health care staff of CHCs. Need-based short workshops, simulation exercises on common acute care scenarios and communication skills may be part of the mentorship.

Roles and Responsibilities

As a fact of reiteration, the overall administrative responsibility for conducting a camp at the CHC shall be entrusted to state, and district administration and providing technical expertise and specialised care shall be the responsibility of the Medical College.

The roles of the potential stakeholders have been defined, which are not exhaustive and, therefore, may be added based on mutual agreement of district administration/CHCs and the Medical College. The responsibilities are shared and not binding and limiting to any stakeholder

Table 7: Roles and Responsibilities of State/UT
Stakeholder Role and Responsibilities
  1. The state shall support in implementation and prepare the budgetary requirements for the camp under State PIPs. 
  2. Exploring Collaboration and Partnerships: 
  • Leveraging CSR/MPLAD Funds
  • IMA, NGOs, CBOs etc.


District Administration


  1. The proposal for organising a health camp shall be sent to the District Administration and must be a part of the District Health Action Plan.
  2. Wide publicity for community awareness and to increase the uptake of services through campaigning, hoardings and leveraging community platforms such as VHSNC/MAS/UHND/VHND should essentially be done at least two weeks before the camp is scheduled.
  3. Engagement of MPs/MLAs, counsellors/Pradhan/sarpanch and other local leaders for enhancing service uptake and increasing the visibility of camp.
  4. Enable the selection of CHCs in the District by the Medical College.
  5. Monitor and review the activities of the camp. Also, to undertake the review of the camp as one of the agenda in the DHS meeting. 
  6. Identify priority areas in health for research and innovations in coordination with medical colleges.
  7. Exploring Collaboration and Partnerships
Table 8: Roles and Responsibilities of Medical College
Stakeholder Role and Responsibilities
Medical College
  1. The Medical Colleges will assign mutual roles and responsibilities (inter and intra-department) for health staff visiting the camp. 
  2. Promotion of health camp and communication by developing a communication plan to raise awareness about the health camp in the targeted community. 
  3. Deployment and Training of Staff:
  • Coordinate with medical professionals and recruit volunteers and support staff for the health camps.
  • Conduct training sessions to familiarise staff with camp protocols, procedures, and specific health issues prevalent in the target community.
  • Provide training on topics such as triage, basic medical procedures, patient communication, and emergency response.
  1. Develop Standard Operating Procedures (SOPs):
  • Create a comprehensive set of SOPs for the health camps, covering all key aspects of operations.
  • Include guidelines for patient registration, medical examination, treatment protocols, referral systems, medication administration, and record-keeping.
  • Ensure SOPs are clear, concise, and easily understandable by all staff members.
  1. Develop a roaster for health staff visiting the camp.
  2. Logistic support to the health staff posted for a camp.
  3. Organise awareness campaigns/nukkad natak at the CHCs by interns. 
  4. Extract and analyse the data/relevant case studies for scientific documentation. 
  5. Generate evidence through operational research on various aspects of public health and its implications on health outcomes. 
  6. Support for pooling of resources, if required. 
Table 9: Roles and responsibility of Medical college and CHC
Stakeholder Role and Responsibilities
  1. The CHC in charge or any appointed nodal  (of the same facility) will oversee the activity to be planned at the camp every month. 
  2. Assess Needs and the resources which may be required:
  • Identify the target community and their specific healthcare needs.
  • Evaluate available resources, including medical personnel, equipment, and supplies.
  • Determine the scope and objectives of the health camps.
  • Publicising the camp scheduled for a month and the specialist services to be organised. 
  1. Plan and Schedule for the health camps:
  • Establish a timeline for organising the health camps.
  • Allocate specific dates and locations for each camp, considering accessibility for the target population.
  • Coordinate with relevant stakeholders, including local authorities, community leaders, and healthcare professionals.
  1. Field visits by the appointed health staff to oversee the mobilisation activity. 
  2. Facilitating documentation and reporting of the activities being undertaken. 
  3. Preparing the periodic work reports and submitting them to the District Health Society.
  4. Any other job assigned by the Nodal Officer.
    1. Plan for Services and facilities during the camp in coordination with the local team:


CHC and Medical Colleges
  • Determine the types of medical services to be offered at the health camps based on community needs and available resources.
  • Arrange for medical equipment, supplies, and medications required for the camp.
  • Coordinate with local healthcare facilities for emergency services, referrals, and follow-up care.
    1. Promotion of health camps and Communications:
  • Develop a communication plan to raise awareness about the health camps in the target community.
  • Utilise various channels such as social media, local newspapers, radio, and community organisations to disseminate information.
  • Provide clear instructions on registration procedures, camp dates, and any prerequisites for participation.
    1. Ensuring Quality Assurance at and during the Camps:
  • Establish a monitoring and evaluation system to assess the effectiveness of the health camps.
  • Implement mechanisms to collect and analyse data, including patient demographics, health conditions, treatment outcomes, and patient satisfaction.
  • Regularly review the data and make improvements to enhance the quality of services provided.


Operationalising the health camp

The following activities shall be carried out for the successful implementation of a health camp:

Infrastructural considerations
  1. The camp should be in CHC only
  2. Clear access for vehicles and ambulances should be maintained.
  3. The plan for arranging the consultation/specialisation room should be in such as way that it maximises the patient's movement.
  4. Arrangements for fire safety should be adhered to.
  5. If the surgeries are to be planned, the Operation Theatre at the CHCs should be well-equipped and must follow due infection prevention protocols.
  6. Each camp planned should ensure that there is a designated central waste collection area which, after collection, should immediately be shifted the storage area of BMW away from the reach of the common public till the waste is picked and transported for treatment and disposal at a Common Biomedical Waste Treatment Facility.
Other operational aspects
  • The decision on the type of specialized services to be provided in addition to the routine services in the camp shall depend upon the health needs assessment performed by the CHC staff.
  • Necessary medicines, equipment and supplies should be arranged through the district health department well in advance. An adequate number of health staff from medical colleges may be drawn depending upon the services planned.
  • A display of the services being provided room-wise in the local language shall be displayed at the entrance of the CHC to guide the community members.
  • The duty chart of the doctors and other staff should be clearly visible.
  • An enquiry office with duty charts of the doctors and other staff with a layout map should be functional for at least from two days before the start of the camp.
  • An adequate number of registration counters need to be set up so that people are not inconvenienced and can easily get themselves registered. Online registration through ABHA IDs should be encouraged.
  • The initial check-up and examination of the patients shall be performed by the residents/medical officers from the department of community medicine and, if required, shall be referred to the specialists posted for the camp.
  • The patients who have been assessed previously by the medical officers/specialists of the CHCs who require a specific intervention shall not follow the above-mentioned protocol.
  • Lifestyle modification and wellness promotion using multimedia, including local art and culture along with the services, shall help build awareness of health risks and provide information on how an individual can make changes in their lifestyle to enhance their health.
  • Medicine for a full course of therapy in case of acute illness and at least for one month in case of a lifestyle disorder/mental illness will be distributed or as prescribed by the treating doctor by the pharmacist. Adequate storage and distribution facilities should be arranged.
  • The organisers will take due care of hygiene and infection prevention at the campsite. Arrangements for drinking water and sanitation at the campsite should be made.

Reporting mechanism

The CHC shall submit a quarterly physical work report and annual financial report to the District Health Society regarding the camps conducted. The medical camp OPD will be counted as OPD under medical college and will be monitored using Health Management Information System (HMIS). It should be linked with ABHA ID. Also, the existing platforms under State NHM and District Health Society (DHS) should be utilised for review. The CHCs may share photos of medical camps on the Ministry’s social media account.

The review may be done based on the pre-defined indicators mentioned below and to be updated in HMIS.

The number of cases seen monthly can be categorised by:

  1. Number of camps conducted (Target: 50 camps annually)
  2. Total number of patients registered in the camps (Target: 15000-20000 annually)
  3. Number of major/minor surgeries performed
  4. Number of specialist OPD
  5. Number of general OPD
  6. Patients diagnosed with confirmed HT/Diabetes/cancer (oral/breast/cervical)
  7. High Risk /Complicated Pregnancies.
  8. Number of Non-Scalpel Vasectomy (NSV) / Conventional Vasectomy conducted.
  9. Number of Laparoscopic sterilizations (excluding post-abortion) conducted.
  10. Inpatient – Operated for Cataract
  11. Number of Lab tests performed.
  12. Number of patients referred to higher facilities.