ppt on PHC

2. Primary Health Centre (PHC)
The basic structural and functional unit of
the public health services in
developing countries.
PHCs were established to provide accessible,
affordable & available primary health care to
people, in accordance with the
Alma Ata Declaration of 1978 by the
member nations of the WHO.

3. In India,
PHCs form a basic part of the health
care system. The Medical Officer
appointed to run the PHC must be
a MBBS degree holder.
In addition to the provision of diagnostic and
curative services, the Medical Officer acts as
the primary administrator for the PHC.

4. Types of PHC
• 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

6. The primary field staff, who provide outreach
services, are called "ASHA (Accredited Social
Health Activist)" or a village health nurse,
depending upon the Indian state where the
PHC is located.
The village health nurse provides service at the
point of care, often in the patient's home. If
additional diagnostic testing or clinical
intervention is required, the patient is transported
to the PHC to be evaluated by the Medical Officer.

7. Manpower: PHC
PHC Staff Type A Type B
Essential Desirable Essential Desirable
• Medical Officer- MBBS 1 1 1#
• Medical Officer –AYUSH 1^ 1^
• Accountant cum Data Entry Operator 1 1
• Pharmacist 1 1
• Pharmacist AYUSH 1 1
• Nurse-midwife (Staff-Nurse) 3 +1 4 +1
• Health worker (Female) 1* 1*
• Health Assistant. (Male) 1 1
• Health Assistant. (Female)/Lady Health Visitor 1 1
• Health Educator 1 1
• Laboratory Technician 1 1
• Cold Chain & Vaccine Logistic Assistant 1 1
• Multi-skilled Group D worker 2 2
• Sanitary worker cum watchman 1 1 +1
• Total 13 18 14 21

8. Manpower: PHC

9. Objectives of IPHS for PHCs
 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.

10. Services at the Primary Health
Centre
Medical care(opd,ipd-6beds,24hrs emergency & referral)
Maternal and Child Health Care Including Family Planning
Medical Termination of Pregnancies
Management of Reproductive Tract Infections/STI
Nutrition Services (coordinated with ICDS)
School Health
Adolescent Health Care
Promotion of Safe Drinking Water and Basic Sanitation
Prevention and control of locally endemic diseases

11. Services at the Primary Health
Centre continued…………..
RNTCP
National Leprosy Eradication Programme
Integrated Disease Surveillance Project (IDSP)
National AIDS Control Programme
National Programme for Control of Blindness (NPCB)
National Vector Borne Disease Control Programme(NVBDCP)
National Programme for Prevention & Control of Deafness
National Mental Health Programme (NMHP)
National Iodine Deficiency Disorders Control Programme

12. Services at the Primary Health
Centre continued…………..
National Programme for Prevention and Control of
Cancer, Diabetes, CVD and Stroke (NPCDCS)
National Programme for Prevention and Control of
Fluorosis (NPPCF)
National Tobacco Control Programme (NTCP)
Physical Medicine and Rehabilitation (PMR) Services
Basic Laboratory and Diagnostic Services
Training
Monitoring and Supervision
Selected Surgical Procedures

13. Infrastructure
PHC Building : own
It should be centrally located in an easily accessible area.
The area chosen should have facilities for electricity.
 all weather road communication.
 adequate water supply.
and telephone .
 At a place, where a PHC is already located, another health centre/SC
should not be established to avoid the wastage of human resources.
PHC should be away from garbage collection, cattle shed, water logging
area, etc.
 PHC shall have proper boundary wall and gate.
should be well lit and ventilated with as much use of natural light and
ventilation as possible.