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.
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
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
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