The document outlines the staffing patterns for various healthcare facilities in India, including sub-centers, primary health centers (PHCs), community health centers (CHCs), urban health centers (UHCs), and district hospitals (DHs). Each facility type has specific roles ranging from medical officers and nursing staff to support staff, tailored to the population served and facility capabilities. Key points highlight the tiered structure of healthcare services and variations based on state policies and the National Health Mission guidelines.

1. Staffing Pattern
Mr Hardik Gadhavi
Principal
DNSA
COMMUNITY HEALTH NURSING

2. Staffing pattern of sub centres
 The staffing pattern of a Sub-Centre (SC) in India is designed to provide basic health
services at the village level, catering to a population of 5,000 in plain areas and 3,000
in hilly or tribal areas. Sub-Centers are the first point of contact between the
community and the healthcare system.
1. Health Workers:
1.Auxiliary Nurse Midwife (ANM):
 1 ANM (Female): Responsible for maternal and child health (MCH),
immunization, and family planning services.
 In upgraded Sub-Centers under National Health Mission (NHM), 2 ANMs
are deployed

3.  2. Multipurpose Health Worker (Male):
 1 Male Health Worker: Provides services related to communicable diseases,
sanitation, and disease surveillance.
2. Support Staff:
 ASHA (Accredited Social Health Activist):
 Works in the community to support ANM in outreach activities and
mobilizing the community for health services.
 Volunteers (Optional):
 • Local volunteers may assist in outreach programs under specific
schemes.

4. 3. Additional Staff in Upgraded Sub-Centers:
 Data Entry Operator: (optional, depending on the state and programs).
 Pharmacist: (optional, in upgraded Sub-Centers).
Key Points:
1. Sub-Centers are primarily managed by ANMs with support from ASHAs
and Male Health Workers.
2. They serve as outreach centers to deliver preventive, promotive, and basic
curative care.
3. Upgraded Sub-Centers under NHM may have additional staff and
improved infrastructure, including basic laboratory facilities.
4. Each Sub-Centre receives financial support for operational costs like drug
procurement, maintenance, and outreach activities.

5. Staffing pattern of PHC
1. Medical Staff:
 Medical Officer (MO):
 1 (preferably an MBBS doctor)In upgraded PHCs, 2 Medical Officers (one male
and one female).
 AYUSH Medical Officer: 1 (optional, depending on the state policy).

6. 2. Nursing Staff:
 Staff Nurse: 3
 ANM (Auxiliary Nurse Midwife): 2 (one ANM for outreach activities).
3. Pharmacist:
 1 (responsible for drug dispensing and maintaining stock).
4. Lab Technician:
 1 (for conducting diagnostic tests).

7. 5. Health Workers:
 Male Health Worker (MPW): 1 (for communicable disease control and sanitation).
 Health Assistant (Female) or Lady Health Visitor (LHV): 1 (to supervise ANMs and
support maternal-child health services).
6. Support Staff:
•Clerk/Accountant: 1 (to handle administrative and financial work).
•Driver: 1 (if the PHC has a vehicle for patient transport or outreach services).
•Group D Worker (Peon/Attendant): 1-2 (for cleaning, assisting, and support
tasks).
7.Sanitation Staff:
•Sweeper/Janitor: 1 (to maintain cleanliness of the facility).

8.  Key Points:
 • Some PHCs, especially those upgraded under National Health
Mission (NHM), may include additional staff like a dentist, counsellor, or data entry
operator.

9. Staffing pattern of CHC
 The staffing pattern of a Community Health Centre (CHC) in India is defined by
the Indian Public Health Standards (IPHS) guidelines. A CHC is a 30-bedded
referral unit and caters to a population of approximately 80,000–1,20,000 in plain
areas and 40,000–80,000 in hilly/tribal areas. It serves as a referral center for four
Primary Health Centers (PHCs).

10.  1. Medical Staff:
 General Surgeon: 1
 Physician/General Medicine Specialist: 1
 Obstetrician & Gynecologist (OBG): 1
 Pediatrician: 1
 Medical Officer (MBBS): 3 (to manage OPD, IPD, and
emergencies).
 Dental Surgeon: 1 (for dental health services).
 AYUSH Medical Officer: 1 (optional, depending on state policy).

11. 2. Nursing Staff:
• Staff Nurses: 7 (to provide nursing care in wards, labor rooms, and
OT).
• Auxiliary Nurse Midwife (ANM): 2 (for outreach and MCH
services).
3. Paramedical Staff:
• Pharmacist: 1 (to dispense medicines and maintain stock).
• Lab Technician: 1 (for diagnostic services).
• Radiographer: 1 (for X-rays and imaging).
• Ophthalmic Assistant: 1 (for vision and eye care services).
• ECG Technician: 1 (optional, depending on equipment availability).

12. 4. Administrative Staff:
•Health Assistant (Male and Female): 2 (for supervision of outreach
activities).
•Clerk/Accountant: 1 (for administrative and financial work).
5. Support Staff:
• Ward Boys/Ayah: 2-3 (for assisting nurses and patient care).
• Sweeper/Janitor: 1-2 (for maintaining cleanliness).
• Driver: 1 (for ambulance services, if available).
• Watchman/Chowkidar: 1 (for security).

13. 6. Specialists (Optional in Upgraded CHCs):
• Anesthetist, Orthopedician, ENT Specialist, or Public Health Specialist (depending
on the state and specific health needs).
 Key Points:
 1. CHCs act as First Referral Units (FRUs), providing emergency obstetric care and
other specialty services.
 2. Staffing patterns may vary based on the state government’s guidelines or whether
the CHC is upgraded under the National Health Mission (NHM).
 3. Additional posts like a counselor, data entry operator, or social worker may be
present in NHM-supported CHCs.

14. Staffing pattern of UHC
 The staffing pattern of an Urban Health Centre (UHC), also known as an Urban
Primary Health Centre (UPHC), is designed to provide primary healthcare
services to urban populations. Each UHC typically caters to a population of
50,000–75,000 and focuses on preventive, promotive, and curative healthcare.

15. 1. Medical Staff:
 • Medical Officer (MO): 1-2
 • Preferably MBBS doctors, with at least one female Medical
Officer.
 • AYUSH Medical Officer: 1 (optional, depending on state policy).
2. Nursing Staff:
 • Staff Nurses: 3-5
 • Provide nursing care, manage immunization, family planning,
and maternal and child health services.

16. 3. Paramedical Staff:
• Pharmacist: 1
 • Dispenses medicines and maintains drug inventory.
• Lab Technician: 1
 • Conducts basic diagnostic tests like blood, urine, and sputum tests.
4. Community and Outreach Staff:
• ANM (Auxiliary Nurse Midwife): 2
 • Responsible for maternal and child health, immunization, and family
planning outreach activities.

17. • Urban ASHAs:
 • 1 ASHA for every 2,000-2,500 population to assist in mobilizing
the community for healthcare services.
 • Public Health Nurse/Health Visitor: 1 (optional, for supervision
of outreach activities).

18. 5. Administrative Staff:
 • Clerk/Accountant: 1
 • Handles administrative and financial records.
 • Data Entry Operator: 1
 • Manages health records and digital data entry.
6. Support Staff:
 • Group D Staff/Attendant: 1-2
 • Assists in facility maintenance and patient care.
 • Sweeper/Janitor: 1-2
 • Maintains cleanliness of the facility.

19.  Key Features:
 1. UHCs provide outpatient care, immunization, maternal and
child health services, disease prevention, and health education.
 2. The staffing may vary depending on the size of the population
served and the state government’s guidelines.
 3. In some upgraded UHCs, additional staff like counselors,
specialists, or physiotherapists may be appointed.

20. Staffing pattern DH
 The staffing pattern of a District Hospital (DH) in India is outlined by the Indian
Public Health Standards (IPHS). District Hospitals are secondary-level referral
centers that cater to a population of 10–12 lakh (1–1.2 million). The staffing
structure depends on the bed strength of the hospital, typically ranging from 100
to 500 beds.

21. 1. Medical Staff
 • Medical Superintendent: 1 (Head of the hospital).
 • Specialists (varies by hospital size):
 • General Surgeon: 1-2
 • Physician: 1-2
 • Obstetrician & Gynecologist: 1-2
 • Pediatrician: 1-2
 • Orthopedic Surgeon: 1-2
 • Anesthetist: 1-2
 • Radiologist: 1-2

22.  • Pathologist: 1-2
 • ENT Specialist: 1
 • Ophthalmologist: 1
 • Dentist: 1
 • Psychiatrist: 1
 • Casualty Medical Officer (CMO): 2-3 (for 24x7 emergency
services).
 • Medical Officers (General Duty): 5-10 (depending on bed
strength).

23. 2. Nursing Staff
 • Staff Nurses:
 • 1 Nurse per 6 beds in general wards.
 • 1 Nurse per 2 beds in ICU/CCU.
 • 1 Nurse for every delivery table (in the labor room).
 • Nursing Superintendent: 1
 • Deputy Nursing Superintendent: 1-2 (for larger hospitals).
 • Assistant Nursing Superintendent: 2-3

24. 3. Paramedical Staff
 • Pharmacist: 2-4
 • Lab Technicians: 2-5 (depending on diagnostic load).
 • Radiographer/X-Ray Technician: 1-2
 • Blood Bank Technician: 2 (in hospitals with blood banks).
 • OT Technician: 2-4 (for operation theater services).
 • Physiotherapist: 1-2
 • Dietician: 1 (to plan patient diets).
 • ECG Technician: 1
 • Dental Technician: 1

25. 4. Administrative Staff
• Hospital Administrator: 1 (optional in larger hospitals).
• Clerk/Accountant: 2-4
• Data Entry Operators: 3-5
• Receptionist: 1-2
5. Support Staff
• Ward Boys/Ayahs: 1 per 12 beds.
• Sweepers/Janitors: 1 per 8,000 sq. ft. area.
• Security Guards: 3-6 (for 24x7 security).
• Drivers: 2-4 (for ambulances and other vehicles).

26. 6. Specialists (Optional in Larger District Hospitals)
 • Cardiology, Neurology, Oncology, Nephrology, Urology
specialists, depending on hospital size and services provided.

27. Key Points
 1. The staffing pattern depends on the bed strength and service
load of the hospital.
 2. District Hospitals serve as referral centers for Community
Health Centers (CHCs) and provide specialized healthcare.
 3. The NHM or state-specific guidelines may add additional roles
like counselors, biomedical engineers, or IT staff.