Ayushman Sabha is a Gram Panchayat or Urban ward level sabha led by the VHSNC /Ward
Committee/ MAS. It shall ensure saturation coverage of health schemes and optimum
healthcare service delivery.
It involves distribution of Ayushman cards to eligible beneficiaries, displaying lists of
beneficiaries who have received treatment under PM-JAY, showcasing empaneled hospitals in
the area, organizing special health talks to raise awareness about NCDs, TB, SCD, Ayushman
Cards, and ABHA IDs, and facilitating the creation of ABHA IDs. Furthermore, invitees shall
include MPs/MLAs, PMJAY beneficiaries, beneficiaries of Ayushman Bharat Health and
Wellness Centres, tuberculosis champions etc.
Objectives of Ayushman Sabha
Ayushman Sabha is a Gram Panchayat / Nagar Panchayat/Notified Area Committee level sabha
led by VHSNCs/ Ward Committees/ MAS and intended to -
Enhance awareness about the importance of Ayushman cards and their distribution
Generate ABHA IDs
Enhance awareness about the importance of utilizing screening services for NCDs
(Hypertension, Diabetes & three common cancers), TB and sickle cell disease provided
through AYUSHMAN AROGYA MANDIRs
Enhance awareness about communicable services and their elimination such as TB,
which is treatable and preventable.
Social accountability of the Health Systems for the community to express their issues
and concerns related to health services provided at the AYUSHMAN AROGYA MANDIRs
Focus on holistic approach to preventive healthcare, address myths and stigmas.
Operationalization of Ayushman Sabha- Planning & Implementation
The Ayushman Sabha is a community-level activity to be conducted to create momentum
among the community to saturate Ayushman cards, ABHA IDs generation along with the
awareness on NCDs, communicable services, TB and sickle cell disease.
The Ayushman Sabha shall be led by Village Health Sanitation Nutrition Committee (VHSNC)
/ Ward Committee/ Mahila Arogya Samiti (MAS) and Panchayati Raj Institution (PRI) and
conducted at the Gram Panchayat / Nagar Panchayat.
Ayushman Sabha shall be conducted along with Gram Sabha scheduled on 2nd October 2023,
with ‘health’ as a key agenda. The follow up Ayushman Sabha will also be conducted before
31st December 2023 to review the progress made by the village regarding the health indicators.
Implementation of Ayushman Sabha involves a cascade of planning from different levels.
Following are the different planning activities to be undertaken at each level:
Table 1: Roles at different levels
S. No
Level
Description of roles
1
State
At the State level, the health department will collaborate
with the departments of Women & Child development,
Panchayati Raj /Housing and Urban Affairs, Social
Welfare, Tribal affairs and Education for the
implementation of Ayushman Sabha.
The Health and State Panchayati Raj departments/
Housing and Urban Affairs departments shall
disseminate the Ayushman Sabha guidelines to the
districts and from districts to Gram Panchayats/ Nagar
Panchayats and villages/ towns.
Organizing state-level meetings for planning and
orientation of district officials on the guidelines
Review of compiled plans from all districts for
implementation of Sabha
2
District/ City
Zila Panchayat shall organize a workshop under the
chairmanship of the President of Zila Panchayat with
health and allied departments for orientation, planning,
and implementation of Sabha and Ayushman Gram.
Similarly, Nagar Panchayat under its Chairperson along
with Municipal Councilors shall organize the workshop
for orientation, planning, and implementation of Sabha
and Ayushman Nagar Panchayat
Orientation of block/ ward level team to prepare microplan for Ayushman Sabha at each village/ town/ City.
Ensure compilation of micro plan received from blocks/
wards through block development officer (BDO)/
Deputy or Assistant Commissioner
Review of activities undertaken by the block/ ward team
and Gram/ Nagar panchayats
Monitoring visit to Ayushman Sabha must be conducted
to ensure its execution in a meaningful way.
DM/ Collector OR Municipal Commissioner shall
monitor the implementation of Ayushman Sabha at
Gram Panchayat/ Nagar Panchayat level.
3
Block/ Ward
Block development officer/Deputy or Assistant
Commissioner will assist and monitor the micro-plans of
Sabhas
Monitoring of Ayushman Sabha for ensuring its
execution in a meaningful way
Periodic review of TB, ABHA IDs and PM-JAY cards
generated in each Sabha
Monitor the individuals screened for NCDs, TB through
AYUSHMAN AROGYA MANDIRs and identify villages/towns with less
achievement
4
Gram Panchayat/ Nagar Panchayat
Prepare micro plan for Ayushman Sabha, including
baseline survey to map eligible PMJAY beneficiaries
with the help of ASHAs
Informing all stakeholders about the date and venue of
Ayushman Sabha through locally relevant modes of
communications.
Convene Ayushman Sabha at each village/ town as per
micro-plan
Monitor the progress of generating Ayushman cards &
ABHA ID Cards and awareness activities for NCDs, TB,
immunization etc.
Foster awareness about Ayushman Sabha through
localized communication
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.
Ayushman Sabha Activities
On the day of the Ayushman Sabha, ASHAs with support of other stakeholders such as
Anganwadi workers, SHG members, youth club members, School Health and wellness
ambassadors, other CBOs, TB Champions and co-operative societies (Cooperative
society of agriculture, fishery, dairy, etc) shall mobilize people to participate in the
Ayushman Sabha.
During the Sabhas all segments of the community shall be invited, especially focusing
on vulnerable and marginalized population.
PRI, VHSNC/ Ward Committee/ MAS and JAS members shall ensure logistic
arrangements at the venue of Ayushman Sabha including:
ASHAs shall ensure the setting up of IEC materials, such as banners and lists
of eligible PM-JAY beneficiaries, beneficiaries who have PM JAY services,
and empaneled hospitals in the area.
Separate counters shall be established for Ayushman card generation and
ABHA-ID generation, where awareness about eligibility criteria, Ayushman
cards, empaneled hospitals, and ABHA IDs will be disseminated.
Providing a feedback box for participants' input.
The Gram Panchayat/ Nagar Panchayat chairperson shall welcome the sabha
participants and give a brief overview of the event with the objectives of the Sabha and
link it with the development of the village/ town
MLA/MP/ Zilla Parishad president/ Elected Councilor shall be invited for giving
opening remarks to set the vision of the Ayushman Panchayat
Important invitees from health such as CHO/ MO/ ANM shall be invited to deliver a
brief overview of the services delivered at the SC-AYUSHMAN AROGYA MANDIR related to NCD, TB and SCD
Health talks for generating awareness regarding the NCDs, TB, Routine Immunization,
SCD, Ayushman Card, ABHA ID, and services related to it available at the AYUSHMAN AROGYA MANDIRs
shall be delivered by the AYUSHMAN AROGYA MANDIR team members.
Generation of Ayushman cards and ABHA ID:
Dedicated personnel responsible for creating the Ayushman cards/ABHA IDs
will be available. The dedicated person shall be Gram Rojgar Sahayak, Data
Entry Operator, Common Service Centers, Ayushman Mitras etc. for the
streamlining of the process
ASHAs will compile a list of beneficiaries whose Ayushman cards/ABHA IDs
were generated at the Ayushman Sabha, which will be validated by the VHSNC/
Ward Committee / MAS chairperson at the end of the Sabha.
Information regarding the PMJAY scheme, its services, and empaneled
hospitals will also be disseminated at the counter.
Beneficiaries experience sharing: Selected beneficiaries, including PMJAY
beneficiaries, AB-Health and Wellness Ambassadors, community champions, Ek
Lavya school wardens, TB Champions, and SCD beneficiaries, may be invited to share
their experiences related to healthcare service utilization, challenges faced during visits,
compliance with treatment, and follow-up care at the facility.
The Chairperson will facilitate discussion on issues faced by the community members
related to Ayushman card generation, approach to saturate the Ayushman cards and
ABHA IDs in their village/ town, utilization of services under the PM-JAY scheme,
services provided at the health and wellness centers and at the referral facilities etc.
A follow up action note will be prepared on issues raised by community which shall
include the issue raised, expected follow up action, expected timeline, person
responsible for reporting the follow up action back to the community.
TB Mukt Panchayat: All Panchayats achieve TB free status will be certified as ‘TB
Mukt Panchayat’ for 1 Year. The information is available in Ni-Kshay portal. The
criteria adopted to certify a Panchayat TB Mukt are as follows:
Table 2: Indicators for TB Mukt Panchayat
INDICATORS FOR TB MUKT PANCHAYAT
S.No.
INDICATOR
DESCRIPTION
TARGET
1
Number of
presumptive TB
examination/1000
population
Numerator: Number of presumptive TB persons
examined in the year
Denominator: Total population of Panchayat in the year
≥30 per 1000 (for
the year) in the
panchayat
2
TB Notification
rate/ 1000
population
Numerator: Number of TB cases notified (all types) in
the year
Denominator: Total population of Panchayat in the year
≤1 per 1000 (for
the year) in the
panchayat
3
Treatment Success
rate
Numerator: Number of TB patients with treatment
outcome given as success i.e. either cured or treatment
completed
Denominator: Denominator: Net TB patients notified during the same
period previous year
More than 85%
4
Drug Susceptibility Test Rate
Numerator: Number of microbiologically confirmed TB
patients with available result for at least Rif-resistance
in the year
Denominator: Number of TB patients notified in the
year in the panchayat
At least 60%
5A
Ni-kshay Poshan Yojana
Numerator: Number of TB patients paid at least one
instalment in the year
Denominator: Number of Eligible TB patients in the
year in the panchayat
100%
5B
Nutritional support
to TB patients
under Pradhan
Mantri TB Mukt
Bharat Abhiyaan
Numerator: Number of TB patients received nutrition
support in the year
Denominator: Number of TB patients consented in the
year in the panchayat
100%
Stakeholders of Ayushman Sabha
The stakeholders for Ayushman Sabha are as follows:
Chairperson: President of the GP / President of Nagar Panchayat
Member Secretary: Panchayat Secretary/ Chief Executive Officer
ANM/ ASHA/ AWW
VHSNC Chairpersons of the villages under Gram Panchayat / Ward Councilors /MAS
Chairpersons of urban areas
Members of SHGs, CBOs, NGOs, locally influential persons, tribal heads, teachers
Cooperative Societies such as Cooperative society of Fishery, Agriculture
Special Invitees:
CHO / MO-PHC
School Health Ambassadors
TB champions
Roles of the stakeholders are as follows:
Table 3: Roles of Stakeholder
Member
Role
Chairperson
The chairperson is responsible for convening the Ayushman Sabha
Planning and mobilizing the stakeholders
Logistics management – ensuring availability of laptop/tablet, internet
connectivity at Ayushman Sabha level, and ensuring availability of drugs
and diagnostics at facility level
Signatory authority for verifying the activities conducted at the Sabha
Member Secretary
Mobilizing community members to attend Ayushman Sabhas
Motivate community members to enroll for Ayushman cards and generate
their ABHA IDs
Mapping of the left-out beneficiaries of Ayushman cards and ABHA IDs
Maintain reporting format (Annexure 4)
Verify the report by the President of Gram/ Nagar Panchayat and submit
to the AYUSHMAN AROGYA MANDIR
Other members
Mobilizing community members to attend Ayushman Sabhas
Motivate community members to enroll for Ayushman cards and generate
their ABHA IDs
Special invitees
Mobilizing community members to attend Ayushman Sabhas
Motivate community members to enroll for Ayushman cards and generate
their ABHA IDs
Conducting health talks during the Ayushman Sabhas
Finance and Resource Management
Gram Panchayat fund can be utilized for conducting Gram Sabhas
Mobilization of additional resources through PRIs/ ULBs/local NGOs/ CSR funds/
MPLADs funds etc.
