The Government of Kerala envisioned strengthening the health care system through “Aardram Mission”. The prime strategy of the mission was to transform the Primary Health Centres into Family Health Centres by redefining the service packages and improving the quality of services. SHSRC-K being the technical support unit, formulated drafts pertaining to the duties and responsibilities of the health care workers in Kerala in consultation with the constituted expert working groups. Several discussions were held with academicians and experts from the Health Service Department. Final approval was given by the Government of Kerala, which was then published and implemented.

During the year 2018-2019, the following government orders were published:

• G.O. (Rt) No.845/2017/H&FWD-Dated 28/03/2017 - Health & Family Welfare Department - Aardram mission - 170 Primary Health Centres selected as Family Health Centres - orders issued
• G.O. (Rt) No.1514/2017/H&FWD - Dated 29/05/2017 - Health & Family Welfare Department – Augmentation of the infrastructure and the standard of all Family Health Centres in Kerala - Sanctioned Orders Issued
• G.O. (Rt) No.46/2017/H&FWD - Dated 05/08/2017 - Health & Family Welfare Department – Transforming Primary Health Centres into Family Health Centres - Guidelines - Orders issued
• G.O. (Rt) No.2781/2017/H&FWD - Dated 09/10/2017- Health & Family Welfare Department - "Aardram" Comprehensive Primary Health Care Clinical Guidelines – approved and published – Orders issued
• G.O. (Rt) No.2782/2017/H&FWD - Dated 09/10/2017 - Health & Family Welfare Department – Duties and Responsibilities of Medical Officers in Family Health Centre Approved - Orders Issued
• G.O. (Rt) No.2783/2017/H&FWD - Dated 09/10/2017 - Health & Family Welfare Department – Duties and Responsibilities of Staff Nurse in Family Health Centre Approved - Orders Issued
• G.O. (Ms.) No. 113/2018/H&FWD - Dated 16/06/2018 - Health & Family Welfare Department - Aardram Mission – 500 Institutions Selected as Family Health Centres - orders issued
• G.O. (Rt) No.2159/2018/H&FWD - Dated 05/07/2018 - Health & Family Welfare Department – Revision on PHC Manual –Committee Constituted – Order Issued
• G.O. (Rt) No.2198/2018/H&FWD - Dated 07/07/2018 - Health & Family Welfare Department – Standarisation of Taluk Hospitals under Aardram Mission- Strategies to be adopted – orders issued
• G.O. (Ms) No.134/2018/H&FWD- Dated 16/07/2018- Duties and responsibilities of Lab Technicians in FHCs.
• G.O. (Rt) No.140/2018/H&FWD- Dated 19/07/2018 - Revision of duties and responsibilities of Nursing Assistant, Hospital Attendant working in FHCs. ****
• G.O. (Ms) No.168/2018/H&FWD- Dated 18/08/2018- Duties and responsibilities of Pharmacists in FHCs.
• G.O. (P) No.116/2018/H&FWD- Dated 23/08/2018- Revision of duties and responsibilities of Public Health Nurses working in FHCs.
• G.O. (P) No.118/2018/H&FWD- Dated 26/08/2018- Revision of duties and responsibilities of Health Inspectors working in FHCs.
• G.O. (P) No.119/2018/H&FWD- Dated 29/08/2018- Revision of duties and responsibilities of Junior Public Health Nurses (Grade 2&1) working in FHCs.
• G.O. (P) No.120/2018/H&FWD- Dated 01/09/2018- Revision of duties and responsibilities of Junior Health Inspectors (Grade 2&1) working in FHCs.
• G.O. (Rt) No.2713/2018/H&FWD - Dated 04/09/2018 - Health & Family Welfare Department – Aardram Mission – Integration of services of Government and Private Medical Colleges into the Aardram Mission – Sanction accorded – Orders Issued
• G.O. (Rt) No.367/2020/H&FWD - Dated 11/02/2020 - Health & Family Welfare Department – State level Research & Development Committee and Resource Group for Research Studies and other studies in Directorate of Health Services – Constituted – Orders issued.