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    Comprehensive Primary Health Care (CPHC) Training Programme

    Government of Maharashtra – Public Health Department

    Comprehensive Primary Health Care (CPHC) Training Programme

    Building the skills of frontline health teams at every Ayushman Arogya Mandir–Upkendra across Maharashtra

    Maharashtra has launched a statewide, training programme to strengthen Comprehensive Primary Health Care (CPHC) delivery through Ayushman Arogya Mandir Upkendras.

    Comprehensive Primary Health Care brings preventive, promotive, curative, rehabilitative and palliative services together in one integrated package delivered close to where people live.

    This programme aims to upgrade the knowledge and skills of Community Health Officers, ANMs, MPWs and ASHA workers so that quality, people-centred care reaches every village with a sharper focus on timely diagnosis, coordinated management of communicable and non-communicable diseases, a stronger referral system, and healthier lifestyle behaviour across communities.

    OBJECTIVE

    Improve service quality, ensure timely and accurate diagnosis, strengthen management of communicable and non-communicable diseases, and build a stronger referral system advancing Universal Health Coverage.

    WHO IS TRAINED

    Community Health Officers, ANMs, MPWs and ASHA workers of every Ayushman Arogya Mandir–Upkendra under a Primary Health Centre — about 50–100 participants per PHC batch.

    HOW THE TRAINING WORKS

    2 Days, Residential

    Day 1: classroom sessions at the Taluka Health Office / PHC covering all CPHC components. Day 2: field visits to 10–25 households to discuss promotive and preventive care directly with families.

    10–15 Master Trainers

    Selected per district by the District Health Officer and District Surgeon from among CPHC subject experts, who train every batch directly at PHC level.

    Statewide Rollout, 2026–27

    Each District Health Officer prepares a year-long schedule: roughly one PHC trained per week, one taluka covered a month, and every PHC in the district completed within the year about 3,872 sessions across Maharashtra.

    WHY THIS PROGRAMME MATTERS

    Changing disease patterns mean non-communicable diseases are rising alongside continuing communicable disease burdens, while maternal and child health, adolescent health, elderly care and mental health all demand consistently higher-quality service.

    “Resolve more, refer less.”

    No mother or child should die in any village. TB, hypertension, diabetes and cancer screening should happen at the village level itself supported by home visits, community outreach camps, and health workers who lead with empathy, clear communication and positive body language.

    13 CORE COMPONENTS OF CPHC COVERED

    Pregnancy, Childbirth & Postnatal Care — Early registration of pregnant women, regular ante-natal checks, timely identification of high-risk pregnancies, safe institutional delivery and postnatal follow-up of mother and newborn.
    Newborn & Infant Health Care — Essential newborn care immediately after birth, early breastfeeding, temperature control, routine immunisation, and early detection of malnutrition and infection.
    Child & Adolescent Health — Growth and development monitoring, timely diagnosis and treatment of common childhood illnesses, and dedicated attention to adolescent health needs.
    Family Planning & Reproductive Health — Access to spacing and permanent contraceptive methods, counselling across age groups, and early diagnosis and treatment of RTI/STI.
    Management of Communicable Diseases — Active surveillance, contact tracing and prevention for TB, malaria, dengue, HIV and other infectious diseases, backed by immunisation and hygiene awareness.
    Management of Common & Minor Ailments — Timely, protocol-based diagnosis and treatment of fever, cold, cough, diarrhoea and skin conditions, with assured medicine availability to avoid unnecessary referral.
    Prevention & Control of Non-Communicable Diseases — Regular screening for hypertension, diabetes, cancer and heart disease, with lifestyle counselling and consistent follow-up for treatment adherence.
    Eye & Ear Care — Early screening for vision and hearing impairment, cataract and refractive errors, with timely referral of serious cases and school/community awareness drives.
    Oral Health Services — Early diagnosis of dental and gum disease, regular check-ups, primary treatment, and awareness on tobacco-related oral cancer and oral hygiene.
    Elderly Care & Palliative Care — Regular monitoring of chronic conditions in the elderly, and compassionate palliative support — pain relief, emotional care and dignity of life — for patients with terminal illness.
    Emergency Medical Services — Immediate, protocol-based first response for accidents, heart attack, stroke and breathing distress, supported by stabilisation, essential equipment and referral/ambulance systems.
    Mental Health — Early screening for depression, anxiety, stress and substance dependence, with counselling, medication and referral pathways, alongside community awareness.
    Yoga & AYUSH Practices — Integration of Yoga, Ayurveda, Homeopathy and Unani as complementary approaches to health promotion, disease prevention and lifestyle management.

    MENTORING & CONTINUOUS SUPPORT

    Training does not end on Day 2. District Master Trainers stay connected with every Community Health Officer, ANM, MPW and ASHA worker they train, providing ongoing supervisory mentoring.

    Each District Health Officer will form WhatsApp groups linking health workers and trainers, creating a continuous community of practice where best practices, doubts and solutions are shared.

    Progress across the state will be tracked through a dedicated online portal jointly developed by the Directorate (Primary) and SIHFW, ensuring the programme stays on schedule and its impact is visible at every level.


    CPHC Training Monitoring Portal


    Open Monitoring Portal  →