The document outlines guidelines for primary health centers (PHCs) and community health centers (CHCs) in India according to the Indian Public Health Standards (IPHS). The IPHS were published in 2007 under the National Rural Health Mission to ensure minimum services, quality standards, and responsiveness. The summary highlights the staff, services provided, and objectives of PHCs and CHCs, which include maternal and child health services, family planning, treatment of minor ailments, and involvement in national health programs.

1. BY:
ROLL NO.: 75 & 125

2. INTRODUCTION
 IPHS for sub-centres ,PHCs ,CHCs ,sub-district
and district hospitals were published in
january/february 2007 under National Rural
Health Mission[NRHM] which was launched in
the year 2005.
 IPHS have been used as the reference point for
public health care infrastructure planning &
up-gradation

3. OBJECTIVES OF IPHS;
 To ensure minimum package of assured services.
 To achieve & maintain acceptable standards of
quality of services.
 To make the services more responsive & sensitive
to the needs of the community to enhance patient
satisfaction.

4. IPHS GUIDELINES FOR SUB-CENTRES
 Sub-centres provide health care facilities for a
population of 5000 in plains & 3000 in hilly/tribal
areas.
 Staff of sub-centre: Multi purpose Health worker [male
& female], who are in linkage with the anganwadi
workers, ASHA worker, village health guide.

5. SERVICES PROVIDED:
 Maternal & Child health:
1. Early registration of all pregnancies, antenatal, natal &
postnatal care, promotion of institutional deliveries.
2. Identification of cases for referral.
3. Essential newborn care [maintain body temperature,
initiate breast feeding]
 Family planning & contraception: Education, motivation
& counseling to adopt appropriate family planning
methods.
 Curative services: Provide treatment for minor ailments
like diarrhea, fever, & first aid. Appropriate and prompt
referral..

6.  Adolescent & school health services:
1. Education, counselling & referral.
2. Prevention of anemia.
3. Screening & treatment of minor ailments,
immunization, prevention & management of
nutritional deficiencies in children.
 National Health Control Programmes:
1. National AIDS control programme[NACP]: IEC
activities to enhance awareness & preventive
measures about STIs & HIV/AIDS, & HIV-TB
coordination.

7. 2. National vector borne disease control programme [NVBDCP]:
Collection of blood slides of fever patients. RDT for diagnosis in
endemic areas. Assistance for integrated vector control activities.
3. National leprosy eradication programme [NLEP]: Health
education to community regarding leprosy. Referral of suspected
cases to PHC.
4. Revised national TB control programme [RNTCP]: Referral of
suspected symptomatic cases to PHC.
5. National Programme for Control of blindness [NPCB]: Detection
of cases of impaired vision, spreading awareness regarding eye
problems.
6. National programme for prevention & control of cancer,
diabetes, cardiovascular diseases & stroke: IEC activities to
promote healthy lifestyle.
 Record of vital events.

8.  PHC is health care centre for a population of 20000-
30000.
 Staff at PHC: Medical officer-MBBS-1
Medical officer-AYUSH
Accountant
Pharmacist
Staff-nurse
Health worker [female]
Health assistant [male & female]
Laboratory technician
IPHS GUIDELINES FOR PHC

9. SERVICES PROVIDED
 Medical care: OPD services- 4 hrs in morning & 2 hrs in
afternoon. 24 hrs emergency services. In-patient services[6
beds].
 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, essential new born care.
4. New born care: Facilities for Essential new born care
[ENBC] & Resuscitation [Newborn care corner in labour
room/OT]. Management of neonatal hypothermia.

10.  Family welfare: Education, motivation & counseling to
adopt appropriate family planning methods. Provision
of contraceptives.
 Care of the child: Routine & emergency care of sick
children including Integrated management of
neonatal & childhood illnesses [IMNCI] strategy.
Assessment of growth & development. Full
immunization of children. Vitamin A prophylaxis.
Prevention & management of routine childhood
diseases, infections.
 School & adolescent health care: Screening of general
health, assessment of nutritional status. Mid-day meal
scheme. IEC regarding reproductive health &
RTIs/STIs.

11.  National Health Programmes:
1. RNTCP: Function as DOTS centres to deliver
treatment as per guidelines. Collection & transport
of sputum samples.
2. NLEP: Diagnosis & management of leprosy & it’s
complications. Training of patients having ulcers for
self-care.
3. Integrated disease surveillance project [IDSP]:
Weekly reporting of epidemic prone diseases.
Appropriate preparedness & first level action on out-
break situations.
4. NPCB: Early detection of visual impairment &
referral. Awareness generation through appropriate
IEC strategies.

12. 5. NVBDCP: Diagnosis & management of vector borne
diseases.
6. National AIDS control programme: IEC activities to
enhance awareness & preventive measures about STIs &
HIV/AIDS. Help & guide patients receiving ART.
7. NPCDCS: IEC services for prevention of cancer & early
detection. Health promotion services to modify lifestyle.
Early detection, management & referral of cases of non
communicable diseases.
 Training: of- undergraduate medical students & intern
doctors in basic health care.
- male & female health worker.
- ASHA worker.
- paramedics in treatment of minor ailments

13.  Basic lab & diagnostic services: Routine urine & blood
tests
- Diagnosis of RTI/STDs
- sputum testing for mycobacterium.
- blood smear examination for malaria
- rapid tests for pregnancy.
- blood sugar.
 Promotion of safe drinking water & basic sanitation.
 Monitoring & supervision of activities of sub-centre.
 Record of vital events including birth & death rates.

14. IPHS GUIDELINES FOR CHC
 A CHC caters a population of 80,000 in tribal/hilly areas &
1,20,000 in plains.
 Staff of CHC: Block medical officer
-Public health specialist-1
- Public health nurse-1
- General surgeon-1
- General physician-1
- Obstetrician & gynaecologist-1
- Paediatrician-1
- Anaesthetist-1
- Dental surgeon-1
-General duty medical officer [MBBS]-6[atleast 2 female
doctors]

15. Continued…
- Medical officer- AYUSH-1
- General duty medical officer- AYUSH-1
- Staff nurse- 19
-Pharmacist-3
- Lab technician-3
- OT technician-1
- Accountant-1
- Group D staff

16. SERVICES PROVIDED
 Care of routine & emergency cases in surgery:
Dressings & incision & drainage.
 Care of routine & emergency cases in medicine
 Maternal health: Antenatal checkups. 24 hr delivery
services. Management of complications. Postnatal care
for 0 & 3rd day.
 Newborn care & child health: Essential newborn care&
resuscitation in newborn corner in labour room & OT.
Newborn stabilization unit. Routine & emergency care
of sick children. Immunization & prevention & control
of childhood diseases. Management of malnutrition.

17.  Family planning: Full range of family planning services
including sterilisation techniques. Safe abortion services as
per MTP.
 National Health Programme:
1. RNTCP: All diagnostic services & treatment.
2. HIV/AIDS control programme: Integrated counseling &
testing centre. Sexually transmitted infection clinic.
3. NVBDCP: Diagnosis & treatment for routine &
complicated cases of vector borne diseases.
4. NLEP: Diagnosis , treatment & management of
complications to prevent disabilities.
5. NPCB: Vision testing & early detection of visual
impairment. Awareness generation through IEC activities

18. 6. NPCDCS: Early detection & referral of cancer cases.
Screening for cervical, breast & oral cancers.
Modification of lifestyle of people. Treatment & timely
referral of complicated cases. Assured investigations.
 Other services:
1. School & adolescent health: Screening of general
health, nutritional assessment, immunization, Mid-
day meal. Education for reproductive health & STDs
to adolescents & management.
2. Blood storage facility.
3. Diagnostic services: In addition to lab facilities , X-
ray & ECG should be made available.
4. Referral [transport] services.