Enhancing NPPMT&BI at the Grassroots: Synergizing CHWs and AB-HWCs for Trauma and Burn Injury Prevention

Abstract

Trauma and burn injuries represent a major public health challenge in India, causing substantial morbidity, mortality, and economic burden. The National Program for Prevention & Management of Trauma and Burn Injuries (NPPMT&BI) was initiated to address this, but its potential at the grassroots level remains underexplored. This article argues that the program's success is contingent upon a focused paradigm shift: a deep integration of community-level prevention and first aid, led by Community Health Workers (CHWs), with the primary care preparedness of Ayushman Bharat Health and Wellness Centres (AB-HWCs). The article critically analyses the rationale for this synergistic model, identifies existing operational gaps in service delivery, and examines significant implementation challenges, including CHW workload and resource constraints. We propose specific, actionable recommendations focused on policy integration, primary facility strengthening, and the establishment of clear operational protocols. Fostering this integrated continuum of care is not only a programmatic necessity but also a critical step for India to reduce preventable mortality from injuries and achieve Sustainable Development Goal 3.