Strengthening Primary Healthcare Teams through Skill Augmentation and Mentoring (SATHI)
The Government of Gujarat has approved the state-wide scale-up of the SATHI (Skill Augmentation and Team Building for Health Improvement) Mentoring Initiative under the National Health Mission (NHM). This approval formalizes SATHI as a structured, state-level program aimed at strengthening primary health care teams delivering Comprehensive Primary Healthcare (CPHC) services at Sub-center Ayushman Arogya Mandirs (SC-AAMs) across Gujarat.
Designed to support primary health care teams at Sub-Centre Ayushman Arogya Mandirs (SC-AAMs), SATHI focuses on strengthening clinical competencies alongside the soft skills required for effective teamwork in Comprehensive Primary Healthcare (CPHC) delivery.
SATHI Scale-Up: Vision and Design
Under the scale-up, the Government of Gujarat has retained the SATHI identity while expanding its scope and reach.
- Key Features of the Scale-Up
- 6 comprehensive modules covering 54 essential clinical skills
- Equal emphasis on soft skills and clinical competence
- Statewide implementation across all 34 districts of Gujarat
- Integration with NHM systems, including TeCHO+
- Strong monitoring, mentoring, and documentation framework
- The scale-up follows a cascade training and mentoring model, ensuring quality, consistency, and sustainability.
Figure 1Sathi scale-up – Cascade model
- Overview of Training Sessions Conducted
| Training | Date | Trainees | Number of participants |
| State-level training of trainers | 9 January 2026 | 5–6 nominated officials per region, including DTT members, THOs, Medical Officers, and AYUSH MOs | 34 |
| Regional-level training of trainers | 24 January 2026 | Senior Medical Officers from DTTs, THOs, MOs, and AYUSH MOs | Approximately 35 officials per region under each RDD zone
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| District-Level Trainings | 28 January 2026 | 2–3 functionaries per PHC–AAM, including Medical Officers, AYUSH MOs, Female Health Supervisors, and MPHS | 2–4 batches per district, based on training load
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- Cross-district Monitoring for quality implementation
- The quality of implementation of the initiative will be regularly monitored through cross-district monitoring visits by the master trainers and the regional trainers from the same regions.
- The detailed plan of cross-district mentoring visits will be shared
- The reporting of the cross-district monitoring visits will be done through TeCHO+.
- Monitoring tool to be prepared by
- Monitoring visit plan and implementation by RDD/SIHFW.
