The document discusses the structure and functions of Primary Health Centres (PHCs) in rural healthcare as established by the Bhore Committee in 1946, which aims to provide integrated curative and preventive care to populations. It details the objectives, services, and roles of healthcare professionals, especially nurses, in promoting community health, managing diseases, and ensuring accessibility to healthcare. Additionally, it outlines the relationships between PHCs, Community Health Centres (CHCs), and Sub Centres, emphasizing their collaborative roles in delivering healthcare services to diverse populations.

1. Primary
Health Centre
Dr. Rahul B. Pandit
Faculty of Nursing
Sassoon General Hospital, Pune
Dr. Rahul Bhausaheb Pandit

2. Introduction
 The Bhore Committee in 1946 gave the
concept of a PHC as a basic health unit to
provide as close to the people as possible,
an integrated curative and preventive
health care to the rural population with
emphasis on preventive and promotive
aspects of health care.
Dr. Rahul Bhausaheb Pandit

3. Introduction
 Primary health centers are the corner stone of
rural health services .
 It act as a referral unit for 6 sub centers and refer
out cases to CHCs.
 It covers a population of 30,000 in plain area and
20,000 in hilly and tribal area.
 There are 4-6 beds for patients and some
diagnostic facilities are also available.
Dr. Rahul Bhausaheb Pandit

4. Definition
The primary health center (PHC) is the
basic structural and functional unit of the
public health services in developing countries,
to provide accessible, affordable, and
available primary health care to people. OR
“Primary health centers some times referred to
as public health centers
Dr. Rahul Bhausaheb Pandit

5. Objectives
 To provide comprehensive primary health care
to the community at PHCs.
 To achieve and maintain an acceptable
standards of quality of care.
 To make the services more responsive and
sensitive to the need of the community.
Dr. Rahul Bhausaheb Pandit

6. Principles
 Reducing exclusion and social disparities in health.
 Organizing health services around people's needs and
expectations.
 Integrating health into all sectors .
 Pursuing collaborative models of policy dialogue
(leadership reforms).
 Health workforce developments.
 Community participation
Dr. Rahul Bhausaheb Pandit

7. Function
 Medical care
 Treatment and prevention of endemic
disease
 Maternal and child health care
 Health education
 Referral services
Dr. Rahul Bhausaheb Pandit

8. Function
 Basic laboratory test
 National health programme
 Training of ANM , ASHA paramedics
 Collection and reporting of vital events
Dr. Rahul Bhausaheb Pandit

9. Services provided by PHC
 Medical care 24 x 7
 Maternal and child health care including
family planning
 Medical termination of pregnancy
 Management of RTI and STI
Dr. Rahul Bhausaheb Pandit

10. Services provided by PHC
 Nutrition services
 School health
 Adolescent health care
 Promotion of safe drinking water and
basic sanitation
Dr. Rahul Bhausaheb Pandit

11. Services provided by PHC
 Prevention and control of locally endemic
disease.
 Collection and reporting of vital events.
 Health education and behavior change
communication.
Dr. Rahul Bhausaheb Pandit

12. Services provided by PHC
 National health programme
 Referral services
 Training
 Basic laboratory services
Dr. Rahul Bhausaheb Pandit

13. Dr. Rahul Bhausaheb Pandit

14. Role of Nurse in PHC
 Care provider
 Organizer
 Quality control
 Problem solver
 Educator
 Advocate
Dr. Rahul Bhausaheb Pandit

15. Dr. Rahul Bhausaheb Pandit

16. Responsibilities of Nurse in PHC
 Health promotion
 Illness prevention
 Healthy ageing
 Antenatal and postnatal care
 Child and family health nursing
 Treatment and care of sick people
Dr. Rahul Bhausaheb Pandit

17. Responsibilities of Nurse in PHC
 Rehabilitation and palliation
 Community development
 Population and public health
 Education and research
 Policy development and advocacy.
Dr. Rahul Bhausaheb Pandit

18. Community Health Centre
 CHCs are being established and
maintained by the State Government.
 It has 30 in-door beds with one OT, X-ray,
Labor Room and Laboratory facilities.
 It serves as a referral centre for 4 PHCs
 Provides facilities for obstetric care and
specialist consultations.
Dr. Rahul Bhausaheb Pandit

19. Community Health Centre
 Each community health centre covering
population of 1,00,000.
Dr. Rahul Bhausaheb Pandit

20. Objectives of CHC
 To providing routine as well as specialized
health care services.
 To making adequate provisions for
referral services.
Dr. Rahul Bhausaheb Pandit

21. Dr. Rahul Bhausaheb Pandit

22. Function of CHC
 Regular out patient services and In-patient
services,
 Comprehensive family welfare services
 Maternal and child health services
 Laboratory services
 X-ray facilities
Dr. Rahul Bhausaheb Pandit

23. Function of CHC
 National Health Programme
 Immunization services
 Provisions for safe drinking water
 Basic sanitation
 Prevention and control of endemic diseases
 Collection of vital statistics of the area
Dr. Rahul Bhausaheb Pandit

24. Function of CHC
 Health and nutrition
 Education and training of various health
personnel
Dr. Rahul Bhausaheb Pandit

25. Sub Centre
 The sub-centre is the peripheral outpost of
the existing health delivery system in rural
areas.
 They are being established on the basis of
one sub-centre for every 5000 population in
general and one for every 3000 population
in hilly, tribal and backward areas.
Dr. Rahul Bhausaheb Pandit

26. Function of Sub Centre
 Immunization
 Antenatal, Intranatal and postnatal care
 Prevention of malnutrition and common
childhood diseases
 Family planning services
 Counseling
 Drugs for minor ailments
Dr. Rahul Bhausaheb Pandit

27. Dr. Rahul Bhausaheb Pandit

28. Dr. Rahul Bhausaheb Pandit