This document provides guidelines for public health centers (PHCs) in India. It discusses the history and objectives of PHCs, focusing on improving access to primary healthcare. PHCs aim to provide services like maternal and child care, immunizations, treatment of common illnesses, and health education. The document also outlines the Indian Public Health Standards, which were created to standardize staffing, facilities, services and quality of care across PHCs. This includes guidelines on infrastructure, services provided, coverage areas, and national health programs supported. The overall goal is to improve healthcare delivery and access through primary care centers.
CONTENTS
Introduction
NHM
NRHM
Components of NRHM
NUHM
Components of NRHM
Difference between NRHM and NUHM
Future goals
Conclusion
References
INTRO:
National Health Mission
Ministry of health and family welfare
NHM - approved in May 2013
Sub missions – NRHM & NUHM
It aims at improving and correcting the deficiencies in the health care delivery system with a focus on integrating all thee available healthcare facilities like Ayush along with ongoing vertical programme.
Main programmatic components
- RMNCH+A
- control of NCDs & Comm. d/s
NRHM:
Launched in 5th April 2005 for 7 years by GOI
Intended for 2005 - 2012
Recently extended to 2017
Operational in whole country & Special focus on 18 states
Correct the deficiencies of health system
The Mission adopts a synergistic approach by relating health to determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking water.
Objective of the mission:
Reduction in child and maternal mortality.
Universal access to public health services.
Prevention and control of communicable and noncommunicable diseases, endemic diseases
Stabilization and demographic balance.
Revitalizeimunisation programme
Access to integrated phc.
Revitalize local local health tradition.(Ayush)
Promotion of healthy life style
COMPONENTS UNDER NRHM:
Comprehensive Primary Health Care (CPHC) through Ayushman Bharat Health and Wellness Centers (HWCs)
National Ambulance Services (NAS)
National Mobile Medical Units (NMMUs)
Free Drugs Service Initiative
Free Diagnostics Service Initiative
Community Participation
a)Accredited Social Health Workers (ASHA)
b)Rogi Kalyan Samiti (Patient Welfare Committee) / Hospital Management Society
c)VHSNCs
Mera Aspataal
Kayakalp
SUMAN (Surakshit Matritva Aashwasan)
Mission Indradhanush
TB Harega Desh Jeetega Campaign
Eat Right India Movement, with ‘Sahi Bhojan Behtar Jeevan’
AYUSHMAN BHARATH HWCS:
Ayushman Bharath is an attempt to move from a selectiv approach to health care to deliver range of services like preventive,promotive,curative,rehabilitative,and palliative care
It has 2 components
1) Health and wellness centre(HWCs) 1,50,000
2)Pradhan mantri jan Arogya yojan (PM-JAY)
Health insurance cover 5 lakh / year – 10 crore poor ppl
The first Health and Wellness Centre was inaugurated by Hon’ble Prime Minister on 14th April 2018 in Bijapur district of Chhattisgarh.
So far, 51,484 HWC are formed
Objectives:
upgrading the Sub Health Centers (SHCs) and Primary Health Centers (PHCs) in rural and urban area
provide Comprehensive Primary Health Care
common NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix.
primary healthcare services for Mental health, ENT, Ophthalmology, Oral health, Geriatric and Palliative health care and Trauma care as well as Health promotion and wellness activities like Yoga.
This presentation deals with advent of NRHM, backdrop of public health scenario prior to NRHM & discusses in details vision & core strategy of NRHM. It focuses on different schemes related to maternal & child health under NRHM with special reference to Maharashtra.
Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms.
Overview of Health Programs at Provincial LevelNiru Magar
Nepal adopted a federal system of governance in its constitution on September 20, 2015 and thus, transformed its unitary system of governance into a three-tier governance structure comprising of a federal, 7 provincial and 753 local governments.
Following this transformation, provincial governments have authorized power to exercise their exclusive and concurrent powers of making laws, policies, plans, and programs that fall under their respective jurisdictions while also making public their finances and budgeting.
1. Family Health Program
2. Epidemiology and Disease Control Program
Management Program
3. Curative Service Program
4. Nursing and Social Security Program
5. Management Program
6. National Tuberculosis ControlProgram
8. National AIDS and STI ControlProgram
7. National Health Training Program
9. National Health Education, Information and Communication Program
This slide tells about the overview of health programs at provincial level in Nepal.
It is the small topic from the 3rd unit of Bsc nursing, delivery of community health nursing , in which u will come to know about organization, staffing and functions of rural health services provided by Govt.
health campaigns of ayush .
The ministry of health, Government of India, central health council launch programs aimed at controlling or eradicating diseases which cause considerable morbidity and mortality in India.
Health campaign is a type of media campaign which attempts to promote public health by making new health interventions available
National health mission was launched nation wide on 12th April 2005 under the department of health and family welfare.
It aims at improving and correcting the deficiencies in the health care delivery system with a focus on integrating all the available healthcare facilities like ayush along with ongoing vertical programmes.Mainstreaming of Ayush
- co location services with allopathy
- appointment of Ayush doctors
Integrity of Ayush medicine.
- include Ayush medicine in Asha kit. Ex: punarnav mandoora
- supply of Ayush medicines at subcentres, phc/chc.
Need for educational research.
- drug standardization research
Public awareness
speciality clinics and therapy centres
Ayush camps.
Ayush doctor at PHC
- 2 doctor phc- 1 Ayush ,1 Allopathy
1. The AYUSH medicines are being distributed to the public in the Primary Health Center / Community Health Center / Taluk Public Hospital / District Public Hospital / Panchkarma Unit.
2. To raise awareness among the general public on the use of radio broadcasting and bus branding under the Education and Communication Program.
3. Conducting training programs for AYUSH doctors
Ayush programmes in diffrernt states.
Ayurved Gram – Chattisgarh and gujarath.
• School yoga, AYUSH School health –Orissa, Punjab.
• Dadi Maa ki Batua – Jammu & Kashmir
• Gyan ki Potli, AYUSH Call centre – Madhyapradesh
• AYUSH Call center, Suposhanam – Tripura
• AYUSH Epidemic cell – Tamilnadu, Kerala
• The IPHS prescribes setting up of a herbal garden in sub centre and PHC premise within the available space.
Jharkhand,Himachalpradesh, J&K and Orissa mentioned about utilization of AYUSH doctors in mobile medical unit.
Tamilnadu and Keral are using AYUSH services for the prevention and control of epidemics e.g. use of Homoeopathy for controlling Chikungunya outbreak.
RAECH (Rapid action epidemic cell of Homoeopathy) is a major AYUSH initiative highlighted in Kerala PIP (NRHM, 2008; NRHM, 2009 and NRHM, 2010)
AYUSH CAMPAIGNS
Specialty Clinics/Wards- Ksharasutra clinics for ano-rectal disorders and Panchakarma therapy for intensive and specialized treatment have been mentioned by half of the states in their PIP
(NRHM, 2008; NRHM, 2009 and NRHM, 2010).
Geriatric campaign
Antianemia campaign
Ksharasutra campaign.
Ayush nutrition programme
Ayush for immunity campaign
Poshan abhiyan
Fit india campgaign
International yoga campaign
Ayush school programme
Svasthya rakshan
CONTENTS
Introduction
NHM
NRHM
Components of NRHM
NUHM
Components of NRHM
Difference between NRHM and NUHM
Future goals
Conclusion
References
INTRO:
National Health Mission
Ministry of health and family welfare
NHM - approved in May 2013
Sub missions – NRHM & NUHM
It aims at improving and correcting the deficiencies in the health care delivery system with a focus on integrating all thee available healthcare facilities like Ayush along with ongoing vertical programme.
Main programmatic components
- RMNCH+A
- control of NCDs & Comm. d/s
NRHM:
Launched in 5th April 2005 for 7 years by GOI
Intended for 2005 - 2012
Recently extended to 2017
Operational in whole country & Special focus on 18 states
Correct the deficiencies of health system
The Mission adopts a synergistic approach by relating health to determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking water.
Objective of the mission:
Reduction in child and maternal mortality.
Universal access to public health services.
Prevention and control of communicable and noncommunicable diseases, endemic diseases
Stabilization and demographic balance.
Revitalizeimunisation programme
Access to integrated phc.
Revitalize local local health tradition.(Ayush)
Promotion of healthy life style
COMPONENTS UNDER NRHM:
Comprehensive Primary Health Care (CPHC) through Ayushman Bharat Health and Wellness Centers (HWCs)
National Ambulance Services (NAS)
National Mobile Medical Units (NMMUs)
Free Drugs Service Initiative
Free Diagnostics Service Initiative
Community Participation
a)Accredited Social Health Workers (ASHA)
b)Rogi Kalyan Samiti (Patient Welfare Committee) / Hospital Management Society
c)VHSNCs
Mera Aspataal
Kayakalp
SUMAN (Surakshit Matritva Aashwasan)
Mission Indradhanush
TB Harega Desh Jeetega Campaign
Eat Right India Movement, with ‘Sahi Bhojan Behtar Jeevan’
AYUSHMAN BHARATH HWCS:
Ayushman Bharath is an attempt to move from a selectiv approach to health care to deliver range of services like preventive,promotive,curative,rehabilitative,and palliative care
It has 2 components
1) Health and wellness centre(HWCs) 1,50,000
2)Pradhan mantri jan Arogya yojan (PM-JAY)
Health insurance cover 5 lakh / year – 10 crore poor ppl
The first Health and Wellness Centre was inaugurated by Hon’ble Prime Minister on 14th April 2018 in Bijapur district of Chhattisgarh.
So far, 51,484 HWC are formed
Objectives:
upgrading the Sub Health Centers (SHCs) and Primary Health Centers (PHCs) in rural and urban area
provide Comprehensive Primary Health Care
common NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix.
primary healthcare services for Mental health, ENT, Ophthalmology, Oral health, Geriatric and Palliative health care and Trauma care as well as Health promotion and wellness activities like Yoga.
This presentation deals with advent of NRHM, backdrop of public health scenario prior to NRHM & discusses in details vision & core strategy of NRHM. It focuses on different schemes related to maternal & child health under NRHM with special reference to Maharashtra.
Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms.
Overview of Health Programs at Provincial LevelNiru Magar
Nepal adopted a federal system of governance in its constitution on September 20, 2015 and thus, transformed its unitary system of governance into a three-tier governance structure comprising of a federal, 7 provincial and 753 local governments.
Following this transformation, provincial governments have authorized power to exercise their exclusive and concurrent powers of making laws, policies, plans, and programs that fall under their respective jurisdictions while also making public their finances and budgeting.
1. Family Health Program
2. Epidemiology and Disease Control Program
Management Program
3. Curative Service Program
4. Nursing and Social Security Program
5. Management Program
6. National Tuberculosis ControlProgram
8. National AIDS and STI ControlProgram
7. National Health Training Program
9. National Health Education, Information and Communication Program
This slide tells about the overview of health programs at provincial level in Nepal.
It is the small topic from the 3rd unit of Bsc nursing, delivery of community health nursing , in which u will come to know about organization, staffing and functions of rural health services provided by Govt.
health campaigns of ayush .
The ministry of health, Government of India, central health council launch programs aimed at controlling or eradicating diseases which cause considerable morbidity and mortality in India.
Health campaign is a type of media campaign which attempts to promote public health by making new health interventions available
National health mission was launched nation wide on 12th April 2005 under the department of health and family welfare.
It aims at improving and correcting the deficiencies in the health care delivery system with a focus on integrating all the available healthcare facilities like ayush along with ongoing vertical programmes.Mainstreaming of Ayush
- co location services with allopathy
- appointment of Ayush doctors
Integrity of Ayush medicine.
- include Ayush medicine in Asha kit. Ex: punarnav mandoora
- supply of Ayush medicines at subcentres, phc/chc.
Need for educational research.
- drug standardization research
Public awareness
speciality clinics and therapy centres
Ayush camps.
Ayush doctor at PHC
- 2 doctor phc- 1 Ayush ,1 Allopathy
1. The AYUSH medicines are being distributed to the public in the Primary Health Center / Community Health Center / Taluk Public Hospital / District Public Hospital / Panchkarma Unit.
2. To raise awareness among the general public on the use of radio broadcasting and bus branding under the Education and Communication Program.
3. Conducting training programs for AYUSH doctors
Ayush programmes in diffrernt states.
Ayurved Gram – Chattisgarh and gujarath.
• School yoga, AYUSH School health –Orissa, Punjab.
• Dadi Maa ki Batua – Jammu & Kashmir
• Gyan ki Potli, AYUSH Call centre – Madhyapradesh
• AYUSH Call center, Suposhanam – Tripura
• AYUSH Epidemic cell – Tamilnadu, Kerala
• The IPHS prescribes setting up of a herbal garden in sub centre and PHC premise within the available space.
Jharkhand,Himachalpradesh, J&K and Orissa mentioned about utilization of AYUSH doctors in mobile medical unit.
Tamilnadu and Keral are using AYUSH services for the prevention and control of epidemics e.g. use of Homoeopathy for controlling Chikungunya outbreak.
RAECH (Rapid action epidemic cell of Homoeopathy) is a major AYUSH initiative highlighted in Kerala PIP (NRHM, 2008; NRHM, 2009 and NRHM, 2010)
AYUSH CAMPAIGNS
Specialty Clinics/Wards- Ksharasutra clinics for ano-rectal disorders and Panchakarma therapy for intensive and specialized treatment have been mentioned by half of the states in their PIP
(NRHM, 2008; NRHM, 2009 and NRHM, 2010).
Geriatric campaign
Antianemia campaign
Ksharasutra campaign.
Ayush nutrition programme
Ayush for immunity campaign
Poshan abhiyan
Fit india campgaign
International yoga campaign
Ayush school programme
Svasthya rakshan
Theories of Health Communication and their conceptual models.
These can be used to design health communication program to ensure some behavioral changes. Tells about stages of behavior change, types of audience and their perceptions.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
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Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
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Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
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Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
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Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
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Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
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2. CONTENTS
PUBLIC HEALTH CENTER
• INTRODUCTION
• HISTORY
• FOCUSES OF PHC
• FUNCTIONS OF PHC
• TYPES OF PHC
IPHS
• INTRODUCTION
• NEED
• OBJECTIVES
• GUIDELINES
NABH
4. • Also referred to as Primary Health Center
• Government funded
• Presently 28,863 PHCs in India
• Link between SC and CHC
INTRODUCTION
5. HISTORY
• 1946 – BHORE COMMITTEE put forward concept of PHC
• 1974 – KARTARSINGH COMMITTEE integrated cadre of
MPWs
• 1977 – RURAL HEALTH SCHEME placing peoples health
in peoples hand
• 1978 – ALMAATA DECLARATION health for all through
PHC
6. FOCUSES OF PHC
Apart from the regular medical treatments, PHCs have some
special focuses on:
• Infant immunization programs
• Anti-epidemic programs
• Birth control programs
• Pregnancy and related care
• Emergencies
8. TYPES OF PHC
From Service delivery angle, PHCs may be of
two types, depending upon the delivery case
load:
• 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
10. Indian Public Health Standards (IPHS) are a set of standards
envisaged to improve the quality of health care delivery in the
country under the National Rural Health Mission.
INTRODUCTION
11. NEED OF IPHS
The health care system in India has expanded considerably
over the last few decades, however, the quality of services is
not uniform, due to various reasons like:
• nonavailability of manpower
• problems of access, acceptability
• lack of community involvement etc.
Hence, standards are being introduced in order to improve the
quality of public health level.
12. OBJECTIVES OF IPHS
• To provide comprehensive primary health care to the
community through the Primary Health Centers.
• 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.
13. IPHS GUIDELINES FOR PHC
COVERAGE AREA
Typical Primary Health Centre covers a population of 20,000
in hilly, tribal, or difficult areas and 30,000 populations in
plain areas with 6 indoor/observation beds.
15. SERVICES PROVIDED
• 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 and essential new borne care.
4. NEW BORNE CARE: Facilities for essential new borne care, New
borne care corner in OT/Labour room, Management of neonatal
hypothermia.
5. CARE OF CHILD: Routine & emergency care of sick children
including Integrated management of neonatal & childhood illness
strategy. Assessment of growth & development. Full immunization of
children
16. • MEDICAL CARE:- OPD services - 4 hrs morning & 2 hrs
evening, 24 hours emergency services, In-patient services (6
beds).
• FAMILY WELFARE:- Education, motivation & counseling
to adopt appropriate family planning methods. Provision of
contraceptives.
• SCHOOL HEALTH:- Screening of general health,
assessment of nutritional status. Mid-day meal scheme,
Micronutrient management, De- worming.
• ADOLESCENT HEALTH CARE:- Nutritional counseling,
IEC regarding reproductive health, STIs/RTIs management
17. • Promotion of safe drinking water and basic sanitation.
• Prevention and control of locally endemic diseases like
Malaria, JE etc.
• Collection and reporting of Vital event.
• Health Education and Behavior Change Communication.
18. • NATIONAL HEALTH PROGRAMMES:
1. Revised National Tuberculosis Control Programme (RNTCP)
2. National Leprosy Eradication Programme
3. Integrated Disease Surveillance Project (IDSP)
4. National Program for Control of Blindness (NPCB)
5. National Vector Borne Disease Control Programme (NVBDCP)
6. National AIDS Control Programme
7. National Programme for Prevention and Control of Deafness (NPPCD)
8. National Mental Health Programme (NMHP)
9. National Tobacco Control Programme (NTCP)
10. National Iodine Deficiency Disorders Control Programme (NIDDCP)
19. • REFERRAL SERVICES:- It acts as a referral unit for 6 Sub-
Centres and refer out cases to CHC and higher order public
hospitals located at sub-district and district level.
• TRAINING:- of- undergraduate medical students & intern
doctor in basic health care, male & female health worker,
ASHA worker, paramedics in treatment of minor ailments.
• MONITORING & SUPERVISION :- of activities of Sub-
center.
20. • BASIC LAB & DIAGNOSTIC SERVICES:-
1. Routine urine & blood samples
2. Sputum testing for mycobacterium
3. Blood examination for Malaria
4. Test for pregnancy
5. Blood Sugar level
6. Diagnosis of RTI/STDs
21. INFRASTRUCTURE
• The PHC should have its own building which have:-
o Out patient department
o Wards (4-6 beds)
o Labour room
o Minor OT/ Dressing room
o Laboratory
o Store room
o Infrastructure for AYUSH