Short overview of IPHS for PHC

1. Venue: Seminar Hall
Duration: 10 minutes
By: Dr. Swati Shikha
JR
Dept of PSM

2.  Introduction to IPHS
 Why Standards
 IPHS for Primary Health Centre
 Staffing pattern of PHC
 Infrastructure of PHC
 Functions of PHC
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3.  Set of uniform standards to improve the quality of health care
delivery in our country
 Draft IPHS was 1st developed in 2005, revised subsequently.
 They have been revised last in 2012
OBJECTIVES
 Provide optimum care to the community
 Achieve and maintain an acceptable standards of quality of
care
 Make services more responsive and sensitive to community
needs
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4.  Functioning of rural health care institutions is not satisfactory
 The health care system in India has expanded considerably,
over the last few decades, however, the quality of service is
not uniform
 Lack of comprehensive and realistic mandatory standards for
public health institutions in Indian context
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5. Minimum assured service That should be aspired to achieve
ESSENTIAL DESIRABLE
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6.  Revised in 2012
 Standards prescribed are for a PHC covering 20,000 – 30,000
population with 6 beds.
OBJECTIVES:
 To provide comprehensive primary health care to the
community through 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 community
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7. Type A PHC Type B PHC
< 20 Deliveries per ≥ 20 Deliveries per month
month
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10. The PHC should have its own building with
 Out patient departments
 Wards (4 – 6 beds)
 Labour room
 Waiting area
 Minor OT/ dressing room
 Laboratory
 Store room
 Infrastructure for AYUSH
 Cold chain, generator room
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11.  Residential accomodation
 1 room for counselling
 Provision for new born care corner
 Waste disposal pit
 Dirty utility room for dirty linen and used items
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12. Medical care:
 OPD services: Total 6hours OPD (4 hours in the morning and
2 hours in the evening) for 6 days in a week
 Emergency services: 24 X 7 appropriate management of
injuries, accidents, stabilization before referral, dog bite/ snake
bite/ scorpion bite etc
 Referral services
 In patient services (6 beds)
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13.  Antenatal care
 Intranatal care: 24 hours service for normal delivery, assisted
deliveries, management of PIH, managing labour using
partograph etc
 Postnatal care
 New born care: Essential newborn care and resuscitation,
management of hypothermia, initiation of breast feeding etc
 Care of child: According to IMNCI
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14.  Medical termination of pregnancy using manual vaccum
aspiration
 Health education for prevention and management of RTI/STI
 Nutrition services: Diagnosis and management of malnutrition
 School health services:
- Health check ups
- Basic medicines for common ailments
- Immunization and deworming
 Prevention and control of locally endemic diseases
 Adolescent health care- Adolescent friendly health clinics
 Promotion of sanitation and health education
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15.  Implementation of National Health Programs
 Trainings
 Monitoring and supervision
 Selected surgical procedures – vasectomy, tubectomy, MTP,
hydrocelectomy and cataract surgeries
 Mainstreaming of AYUSH
 Functional linkages with sub-centre.
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16.  Routine urine, stool and blood test
 Diagnosis of RTI/STD’s
 Sputum testing for TB
 Blood smear examination for malarial parasite
 Rapid test for pregnancy
 RPR for syphillis surveillance
 Rapid diagnostic test for typhoid and malaria
 Rapid test kit for fecal contamination of water
 Estimation of chlorine level in water using ortho-toludine
reagent
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