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Dr Deepak Upadhyay
Assistant Professor
Department of Community Medicine
Objectives
 To provide comprehensive primary
health care to the community through
the Primary Health Centres.
 To achiev...
PHCs may be of two types, depending upon
the delivery case load
Type A PHC: PHC with delivery
load of less than 20 deliver...
Manpower
Infrastructure
The PHC should have its own building
– Out patient department
– Wards (4-6 beds in a Primary Health
Centre)...
– Cold Chain room
– Logistics Room
– Generator room
– Office room
– Dirty utility room for dirty linen and
used items
– Re...
Functions• Medical Care
– OPD services: A total of 6 hours of
OPD services (4 hours in the morning
and 2 hours in the afte...
Maternal and Child Health Care
Including Family Planning
• Antenatal care
• Intranatal care
• Post natal care
• Care of Ne...
Basic Laboratory and Diagnostic Services
Essential Laboratory services including
• Routine urine, stool and blood tests (H...
Medical termination of pregnancy using
manual vacuum aspiration technique &
other Contraceptive services
Essential
• Couns...
Management of Reproductive Tract
Infections/Sexually Transmitted Infections
– Health education for prevention of
RTI/STIs....
School Health
• Teachers screen students on a
continuous basis
• ANMs/HWMs (a team of 2 workers)
visit the schools (one sc...
Adolescent health care
• Through adolescent friendly clinic for 2
hours once a week on a fixed day
• Adolescent and Reprod...
Promotion of Safe Drinking Water and
Basic Sanitation
Essential
• •Disinfection of water sources and
Coordination
• With P...
National health programmes.
Various training programmes.
Selected surgical procedures which includes
vasectomy, tubectomy,...
Iphs standards for primary health centre
Iphs standards for primary health centre
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Iphs standards for primary health centre

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Revised IPHS standards upto 2012

Published in: Healthcare
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Iphs standards for primary health centre

  1. 1. Dr Deepak Upadhyay Assistant Professor Department of Community Medicine
  2. 2. Objectives  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 community.
  3. 3. 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
  4. 4. Manpower
  5. 5. Infrastructure The PHC should have its own building – Out patient department – Wards (4-6 beds in a Primary Health Centre) – Labour Room – Minor OT/Dressing Room – Laboratory – Store room – Infrastructure for AYUSH
  6. 6. – Cold Chain room – Logistics Room – Generator room – Office room – Dirty utility room for dirty linen and used items – Residential Accommodation
  7. 7. 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 management – Referral services. • – In-patient services (6 beds)
  8. 8. Maternal and Child Health Care Including Family Planning • Antenatal care • Intranatal care • Post natal care • Care of Newborn • Care of Child
  9. 9. 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 districts). • Rapid test kit for fecal contamination of water. • Estimation of chlorine level of water using orthotoludine reagent. • Blood Sugar.
  10. 10. Medical termination of pregnancy using manual vacuum aspiration technique & other Contraceptive services Essential • Counseling and appropriate referral for safe abortion services (MTP) for those in need. Desirable • •MTP using Manual Vacuum Aspiration (MVA) • Medical Method of Abortion • Other methods of contraception to women in reproductive age group
  11. 11. Management of Reproductive Tract Infections/Sexually Transmitted Infections – Health education for prevention of RTI/STIs. – Treatment of RTI/STIs Nutrition Services – Diagnosis of and nutrition advice to malnourished children, pregnant women and others – Diagnosis and management of anaemia and vitamin A deficiency. – Coordination with ICDS
  12. 12. School Health • Teachers screen students on a continuous basis • ANMs/HWMs (a team of 2 workers) visit the schools (one school every week) • Doctor from CHC/PHC will also visit one school per week • Screening • Immunization • Micronutrient management • De-worming • Capacity building • Monitoring & Evaluation
  13. 13. 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 services
  14. 14. Promotion of Safe Drinking Water and Basic Sanitation Essential • •Disinfection of water sources and Coordination • With Public Health Engineering department for safe water supply. • •Promotion of sanitation including use of toilets and appropriate garbage disposal. Desirable • •Testing of water quality using H2S - Strip Test (Bacteriological).
  15. 15. National health programmes. Various training programmes. Selected surgical procedures which includes vasectomy, tubectomy, MTP, cataract surgery. Mainstreaming of AYUSH. Monitoring & Evaluation Record keeping Health Education and Behaviour Change Communication (BCC)

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