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Primary Health Care Outreach Clinic
1. Primary Health Care Outreach
BPH at pokhara university (2011-2015 )
MPH at parul university (2019-2021)
Binam Raj Shrestha
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2. Outline
Introduction
Services to be provided by PHC-ORCs according to PHC-ORC
strategy
Service coverage
Issues, constraints and recommendations
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3. Abbreviation
PHC –ORCs =Primary Health Care Outreach services
ANM =Auxiliary Nursing Midwifery
FCHV=Female Community Health Volunteers
IUCDs= Intra-uterine Contraceptive Device
STI, HIV/AIDS = Sexually Transmitted Human
Immunodeficiency Virus / Acquired Immunodeficiency Syndrome
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4. Introduction
Health facilities were extended to the village level under the
National Health Policy (1991).
Primary health care outreach clinics (PHC-ORC) were therefore
initiated in 1994 (2051 BS) to bring health services closer to
communities.
The aim of these clinics is to improve access to basic health services
including family planning, child health and safe motherhood.
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5. These clinics are service extension sites of PHCCs and health posts.
The primary responsibility for conducting outreach clinics is of
ANM and paramedics.
FCHVs and local NGOs and community based organisations
(CBOs) support health workers to conduct clinics including
recording and reporting.
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6. Based on local needs, these clinics are conducted every month at
fixed locations, dates and times.
They are conducted within half an hour’s walking distance for their
catchment populations.
ANMs/AHWs provide the basic primary health care services listed.
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7. Services to be provided by PHC-ORCs
according to PHC-ORC strategy
Safe motherhood and newborn care:
Antenatal, postnatal, and newborn care
Iron supplement distribution
Referral if danger signs identified.
Family planning:
DMPA (Depo-Provera) pills and condoms
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8. Monitoring of continuous use
Education and counselling on family planning methods and
emergency contraception
Counselling and referral for IUCDs, implants and VSC services
Tracing defaulters.
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9. Child health:
Growth monitoring of under 3 years children
Treatment of pneumonia and diarrhoea.
Health education and counselling:
• Family planning
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10. Maternal and newborn care
• Child health
STI, HIV/AIDS
Adolescent sexual and reproductive health.
First aid:
• Minor treatment and referral of complicated cases.
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11. Service coverage
A total of 131,382 clinic were run which represents 90 percent of the
targeted number (131,382 clinics x 12 = 1,576,584 in a year).
the highest number of clinics was conducted in province 2 and the
highest peoples was served in province 5.
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12. The number of people provided with deworming tablets ,iron tablets
and vitamin A for postpartum
The services delivery of PHC-ORC clinics is in increasing trend
except Depo.
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13. Issues, constraints and recommendations
Issues /constraints Recommendation Responsibility
All the P HC - O RC s
are not functional
Functionalize all PHC-ORCs
by resolving all issues at
every levels
FWD,HO
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