PHC if the first point of contact with Medical Officer.

1. PRESENTATION
ON
GUIDELINES FOR
PHC
Presented by:-
Palka Mittal

2. CONTENTS
 PUBLIC HEALTH CENTER
• INTRODUCTION
• HISTORY
• FOCUSES OF PHC
• FUNCTIONS OF PHC
• TYPES OF PHC
 IPHS
• INTRODUCTION
• NEED
• OBJECTIVES
• GUIDELINES
 NABH

3. PUBLIC HEALTH CENTER

4. • Also referred to as Primary Health Center
• Government funded
• Presently 28,863 PHCs in India
• Link between SC and CHC
INTRODUCTION

5. HISTORY
• 1946 – BHORE COMMITTEE put forward concept of PHC
• 1974 – KARTARSINGH COMMITTEE integrated cadre of
MPWs
• 1977 – RURAL HEALTH SCHEME placing peoples health
in peoples hand
• 1978 – ALMAATA DECLARATION health for all through
PHC

6. FOCUSES OF PHC
Apart from the regular medical treatments, PHCs have some
special focuses on:
• Infant immunization programs
• Anti-epidemic programs
• Birth control programs
• Pregnancy and related care
• Emergencies

7. FUNCTIONS OF PHCs
Outlined in the Alma-Ata declaration

8. TYPES OF PHC
From Service delivery angle, PHCs may be of
two types, depending upon the delivery case
load:
• Type A PHC: PHC with delivery load of less than 20
deliveries in a month
• Type B PHC: PHC with delivery load of 20 or more
deliveries in a month

9. INDIAN PUBLIC HEALTH
STANDARDS
(IPHS)

10. Indian Public Health Standards (IPHS) are a set of standards
envisaged to improve the quality of health care delivery in the
country under the National Rural Health Mission.
INTRODUCTION

11. NEED OF IPHS
The health care system in India has expanded considerably
over the last few decades, however, the quality of services is
not uniform, due to various reasons like:
• nonavailability of manpower
• problems of access, acceptability
• lack of community involvement etc.
Hence, standards are being introduced in order to improve the
quality of public health level.

12. OBJECTIVES OF IPHS
• To provide comprehensive primary health care to the
community through the Primary Health Centers.
• To achieve and maintain an acceptable standard of quality of
care.
• To make the services more responsive and sensitive to the
needs of the community.

13. IPHS GUIDELINES FOR PHC
COVERAGE AREA
Typical Primary Health Centre covers a population of 20,000
in hilly, tribal, or difficult areas and 30,000 populations in
plain areas with 6 indoor/observation beds.

14. MANPOWER

15.  SERVICES PROVIDED
• MATERNAL & CHILD HEALTH CARE:-
1. ANTENATAL CARE: Early registration. Antenatal checkups. Routine
lab investigations. Nutrition & health counseling.
2. INTRANATAL CARE: Management of normal deliveries. Assisted
vaginal deliveries.
3. POSTNATAL CARE: Initiation of breast feeding. Counseling on
nutrition, hygiene and essential new borne care.
4. NEW BORNE CARE: Facilities for essential new borne care, New
borne care corner in OT/Labour room, Management of neonatal
hypothermia.
5. CARE OF CHILD: Routine & emergency care of sick children
including Integrated management of neonatal & childhood illness
strategy. Assessment of growth & development. Full immunization of
children

16. • MEDICAL CARE:- OPD services - 4 hrs morning & 2 hrs
evening, 24 hours emergency services, In-patient services (6
beds).
• FAMILY WELFARE:- Education, motivation & counseling
to adopt appropriate family planning methods. Provision of
contraceptives.
• SCHOOL HEALTH:- Screening of general health,
assessment of nutritional status. Mid-day meal scheme,
Micronutrient management, De- worming.
• ADOLESCENT HEALTH CARE:- Nutritional counseling,
IEC regarding reproductive health, STIs/RTIs management

17. • Promotion of safe drinking water and basic sanitation.
• Prevention and control of locally endemic diseases like
Malaria, JE etc.
• Collection and reporting of Vital event.
• Health Education and Behavior Change Communication.

18. • NATIONAL HEALTH PROGRAMMES:
1. Revised National Tuberculosis Control Programme (RNTCP)
2. National Leprosy Eradication Programme
3. Integrated Disease Surveillance Project (IDSP)
4. National Program for Control of Blindness (NPCB)
5. National Vector Borne Disease Control Programme (NVBDCP)
6. National AIDS Control Programme
7. National Programme for Prevention and Control of Deafness (NPPCD)
8. National Mental Health Programme (NMHP)
9. National Tobacco Control Programme (NTCP)
10. National Iodine Deficiency Disorders Control Programme (NIDDCP)

19. • REFERRAL SERVICES:- It acts as a referral unit for 6 Sub-
Centres and refer out cases to CHC and higher order public
hospitals located at sub-district and district level.
• TRAINING:- of- undergraduate medical students & intern
doctor in basic health care, male & female health worker,
ASHA worker, paramedics in treatment of minor ailments.
• MONITORING & SUPERVISION :- of activities of Sub-
center.

20. • BASIC LAB & DIAGNOSTIC SERVICES:-
1. Routine urine & blood samples
2. Sputum testing for mycobacterium
3. Blood examination for Malaria
4. Test for pregnancy
5. Blood Sugar level
6. Diagnosis of RTI/STDs

21. INFRASTRUCTURE
• The PHC should have its own building which have:-
o Out patient department
o Wards (4-6 beds)
o Labour room
o Minor OT/ Dressing room
o Laboratory
o Store room
o Infrastructure for AYUSH

22. o Residential accommodation
o Waiting area
o Sign-age
o Boundary wall/ Fencing
o Environment friendly features

23. OTHER SERVICES
• Laundry services
• Waste management
• Transport facilities
• Drugs

24. NABH GUIDELINES
To be continued….