The document outlines the infrastructure, staffing, services, and equipment requirements for Indian community health centres. Key requirements include: - 30 indoor beds, an operation theatre, labour room, X-ray and laboratory facilities. - Staff including doctors, nurses, paramedical staff, and administrative staff totaling 46-52 people. - Services such as OPD clinics, routine and emergency surgery/medicine care, maternal and child health services, family planning, and national health programs. - Diagnostic services, equipment, drugs, and transportation for referrals.

1. Indian Public Health Standards
for
Community Health Centres

2. Infrastruture
• CHC should have
• 30 indoor beds
• 1 Operation theatre
• 1 labour room
• X-ray facility and laboratory facility
• Transport facilities
• The centre should be located at the centre of
the block head quarter in order to improve access
to the patients. (This may be applicable only to
centers that are to be newly established.

3. • Common entrance zone with registration facility
and patients waiting hall.
• OPD Zone
– Separate OPD rooms for different specialists
for OPD.
– 1 minor OT
– Injection / dressing room
– Observation room
– One pharmacy including AYUSH drugs
• Emergency area
– 1 room for doctors
– 1 room for minor OT
– 1 for plaster/dressing
– 1 for patient observation (At least 4 beds)

4. • Critical care zone
– 1 labour room
– Newborn care corner
– 1 Operation theater
• Residential Zone
– Minimum 8 quarters for Doctors.
– Minimum 8 quarters for staff nurses/
paramedical staff.
– Minimum 2 quarters for ward boys.
– Minimum 1 quarter for driver

5. • Wards
– 4 wards each with 6 beds ( 2 male wards & 2
female wards)
– 4 private room
– 2 isolation rooms
• Diagnostic Zone
– Laboratory services
– Imaging services
– Other investigations like ECG
• Administrative area
– Offices
– Stores

6. Provision for
– Adequate equipments
– Adequate drugs
• Essential drugs
• Emergency drugs
• Drugs under national programmes
– Investigations
• Routine investigations
• Emergency investigations
• Specific investigations under national
programmes

7. Staff Pattern
Block Public Health Unit
Personnel Essential Desirable
Block Medical officer/Medical
Superintendent
1
Public Health Specialist 1
Public Health Nurse 1 +1
Specialty services
Physician 1
General Surgeon 1
Obstetrician & Gynecologist 1
Pediatrician 1
Anesthetist 1
General Duty Officers
Dental Surgeon 1
General Duty Medical Officer 2
Medical Officer - AYUSH 1

8. Nursing and paramedical staff
Staff Nurse 10
Pharmacist 1 +1
Pharmacist – AYUSH 1
Lab. Technician 2
Radiographer 1
Dietician 1
Ophthalmic Assistant 1
Dental Assistant 1
Cold Chain & Vaccine Logistic Assistant 1
OT Technician 1
Multi Rehabilitation/Community Based Rehabilitation
worker
1 +1
Counsellor 1
Administrative Staff 6
Group D Staff 7 3
Total 46 52

9. Functions
• OPD clinics
1. Medicine
2. Surgery
3. Obs & Gynae
4. Pediatrics
5. Public Health
6. Anesthesia
7. Dental clinic
8. Eye clinic
• Care of Routine and Emergency Cases in Surgery
• Care of Routine and Emergency Cases in
Medicine

10. • Maternal Health
• Newborn Care and Child Health
• Family Planning
• Other Services
• School Health
• Adolescent Health Care
• Elderly health care
• Outreach services in schools (essential) and
community Camps (desirable)
• Blood Storage Facility
• Diagnostic Services
• Referral (transport) Services
• Maternal Death Review (MDR)

11. All the National Health Programmes (NHP)
Integration with the existing structure
– Blindness control - 1 eye surgeon / 5 CHCs
– Integrated Disease Surveillance Project
– RNTCP
– HIV/AIDS Control programme
– National Vector – Borne Disease Control
Programme
– National Leprosy Eradication Programme
– Detection of faecal contamination of water and
chlorination level.
– Others: Blood Storage Facility; Essential
Laboratory Services; Referral (transport)
Services

12. Equipment Kits Supplied Under CSSM
Programme