Dr Deepak Upadhyay
Department of Community Medicine
To provide comprehensive primary
health care to the community through
the Primary Health Centres.
To achieve and maintain an acceptable
standard of quality of care.
To make the services more responsive
and sensitive to the needs of the
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
Type B PHC: PHC with delivery
load of 20 or more deliveries in a
The PHC should have its own building
– Out patient department
– Wards (4-6 beds in a Primary Health
– Labour Room
– Minor OT/Dressing Room
– Store room
– Infrastructure for AYUSH
– Cold Chain room
– Logistics Room
– Generator room
– Office room
– Dirty utility room for dirty linen and
– Residential Accommodation
Functions• Medical Care
– OPD services: A total of 6 hours of
OPD services (4 hours in the morning
and 2 hours in the afternoon) for six
days in a week
– Emergency services: 24x7
emergency services with appropriate
– Referral services. •
– In-patient services (6 beds)
Maternal and Child Health Care
Including Family Planning
• Antenatal care
• Intranatal care
• Post natal care
• Care of Newborn
• Care of Child
Basic Laboratory and Diagnostic Services
Essential Laboratory services including
• Routine urine, stool and blood tests (Hb%, platelets
count, total RBC, WBC, bleeding and clotting time).
• Diagnosis with wet mounting, Grams stain, etc.
• Sputum testing for mycobacterium
• Blood smear examination malaria
• Blood for grouping and Rh typing.
• RDK for Pf malaria in endemic districts.
• Rapid tests for pregnancy.
• RPR test for Syphilis/YAWS surveillance (endemic
• Rapid test kit for fecal contamination of water.
• Estimation of chlorine level of water using
• Blood Sugar.
Medical termination of pregnancy using
manual vacuum aspiration technique &
other Contraceptive services
• Counseling and appropriate referral for
safe abortion services (MTP) for those
• •MTP using Manual Vacuum Aspiration
• Medical Method of Abortion
• Other methods of contraception to
women in reproductive age group
Management of Reproductive Tract
Infections/Sexually Transmitted Infections
– Health education for prevention of
– Treatment of RTI/STIs
– Diagnosis of and nutrition advice to
malnourished children, pregnant
women and others
– Diagnosis and management of
anaemia and vitamin A deficiency.
– Coordination with ICDS
• Teachers screen students on a
• ANMs/HWMs (a team of 2 workers)
visit the schools (one school every
• Doctor from CHC/PHC will also visit one
school per week
• Micronutrient management
• Capacity building
• Monitoring & Evaluation
Adolescent health care
• Through adolescent friendly clinic for 2
hours once a week on a fixed day
• Adolescent and Reproductive Health:
• Information, counseling and services
related to sexual concerns, pregnancy,
contraception, abortion etc.
• •Services for tetanus immunization
• •Nutritional Counseling, Prevention and
management of nutritional anemia
• •Referral Services for VCTC and PPTCT
Promotion of Safe Drinking Water and
• •Disinfection of water sources and
• With Public Health Engineering
department for safe water supply.
• •Promotion of sanitation including use of
toilets and appropriate garbage
• •Testing of water quality using H2S -
Strip Test (Bacteriological).
National health programmes.
Various training programmes.
Selected surgical procedures which includes
vasectomy, tubectomy, MTP, cataract surgery.
Mainstreaming of AYUSH.
Monitoring & Evaluation
Health Education and Behaviour Change