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Indian Public Health Standards
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Primary Health Centres
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Directorate General of Health Services
Ministry of Health & Family Welfare
Government of India
(February 2007)
J
IPHS for Primary Health Centre
l
Foreword
Preface
iii
Acknowledgement
iv
Executive Summary
1
1.
Introduction
3
2.
Objectives of IPHS for PHC
5
3.
Minimum Requirements (Assured Services) at the PHC
5
4.
Essential Infrastructure
14
4.1
PHC Building
14
4.2
Equipment and Furniture
19
5.
Manpower
20
6.
Drugs
20
7.
Transport Facilities
21
8.
Laundry and Dietary Facilities for indoor patients
21
9.
Waste Management at PHC level
21
10.
Quality Assurance in Service Delivery
21
11.
Monitoring
22
12.
Accountability
22
Annexe ■'
Annexure-1
: Current Immunization Schedule
Annexure-2 & 2A : Layout of PHC
24
24 & 26
/PHS for Primary Health Centre
Annexure-3
: List of suggested Equipments and Furniture
27
Annexure-4
: Drug List
.33
Annexure-5
: Universal Precautions
62
Annexure-6
: Check List for Monitoring
64
Annexure-7
: Job Responsibilities of Medical Officer and other staff
68
Annexure-8
: Charter of Patients' Rights
95
Annexure-9
: Facility Survey Format for PHC
9
97
Office Order
107
List of Abbreviations
108
References
110
IPHS for Primary Health Centre
Foreword
As early as 1951, the Primary Health Centres (PHCs) were established as an integral
part of community development program. Since then lot of changes have taken
place. Currently the PHC covers a population of 20,000-30,000 (depending upon the
geographical location) and is occupying a place between a sub centre at the most
peripheral level and community health centres- at block level. Currently 22,669 PHCs
are functioning in the country. However, the functional level of most of these PHCs
is far from satisfactory. There is a felt need for quality management and quality
assurance procedure in health care delivery system so as to make the same more
effective, affordable and accountable.
' |jhe National Rural Health Mission (NRHM) launched by the Hon'ble Prime Minister of
India on 12 April 2005, aims to restructure the delivery mechanism for health towards
providing universal access to equitable, affordable and quality health care that is
accountable and responsive to the people's needs, reducing child and maternal deaths
as well as stabilizing population and ensuring gender and demographic balance. In
the implementation framework of NRHM, it is envisaged that the public health
institutions including Primary Health Centres (PHC) would be upgraded from its present
level to a level of a set of Vstandards called "Indian Public Health Standards".
Although there has been some guidelines for the PHCs in piece meal, no concerted
effort has been made to prepare comprehensive standards for the PHCs. Therefore an
effort has been made to prepare Indian Public Health Standards for Primary Health
Centre. Similarly IPHS for Sub-centres and Community Health Centres has also been
prepared.
The IPHS for PHCs has been worked out by constituting an Expert Group comprising
of various stakeholders under the chairmanship of Director General of Health Services,
Ministry of Health & Family Welfare, Government of India. The IPHS for Primary
Health Centres has been prepared, keeping in view the minimum resources available
1
T
I.
and mentions the minimum functional level of PHCs in terms of space, manpower,
IPHS for Primary Health Centre
instruments and equipments, drugs and other basic health care services at PHCs.
Constitution of Rogi Kalyan Samiti / Management Committee with involvement of
PRI, citizens' charter are some of the innovative approaches incorporated. The facility
survey format has also been included in order to identify the gaps and monitoring
the level of standards achieved by the PHCs from time to time.
No doubt, setting standards is a dynamic process and this document provides at
this stage the standards for a minimum functional grade for a PHC. It is hoped that
this document will be useful to all the stakeholders. Any comment for further
improvement is most welcome.
I would like to acknowledge the efforts put by the Directorate General of Health
Services and the Infrastructure Division of the Ministry in preparing the guidelines.
(Naresh Dayal)
Secretary (H& FW)
Ministry of Health & Family Welfare
05 February 2007
Government of India
New Delhi
ii
J
IPHS for Primary Health Centre
Preface
Standards are a means of describing a level of quality that health care organizations
are expected to meet or aspire to. Although efforts have been made by Bureau of
Indian Standards (BIS) to prescribe standards for hospitals with various bed
strengths, no comprehensive set of standards have been in place for a vast network
of public health institutions such as Sub-centres, Primary Health Centres and
Community Health Centres in the country. For the first time under National Rural
Health Mission (NRHM), an effort has been made to prepare Indian Public Health
Standards (IPHS) for these peripheral institutions in the rural areas of the country.
A PHC serves as a first port of call to a qualified doctor in the public health sector
in rural areas providing a range of curative, promotive and preventive health care.
While it serves as a referral unit for 6 Sub-centres, cases are referred out from the
PHCs to the Community Health Centres and other higher order of secondary level
health care delivery system. A PHC, providing 24-hour services and with appropriate
linkage, plays an important role in improving institutional delivery thereby helping
to reduce maternal mortality and infant mortality.
The IPHS for Primary Health Centres has been prepared in consultation with the
Expert Group constituted for this purpose taking into consideration the minimum
functional level needed for providing a set of assured services. Several innovative
approaches have been incorporated in the management process to ensure
community/PRI involvement and accountability.
Setting standards is a dynamic process and this document is not an end in itself.
Further revision of the standards will occur as and when the Primary Health
Centres will achieve a minimum functional grade. The contribution of the Expert
. Group members, and the efforts made by the Infrastructure Division of the Ministry
‘ -....
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iii
IPHS for Primary Health Centre
of Health & Family Welfare in bringing out the first document of IPHS for PHC is
well appreciated. It is hoped that this document will be of immense help to the
state governments and other stakeholders in bringing up Primary Health Centres
to the level of Indian Public Health Standards.
(Dr. R. K. Srivastava)
Director General of Health Services
Ministry of Health & Family Welfare
05 February 2007
New Delhi
iv
Government of India
IPHS for Primary Health Centre
Acknowledgements
Publication of guidelines for Indian Public Health Standards (IPHS) for Primary
Health Centres (PHCs) fulfills a long standing need in the efforts of the Ministry
of Health and Family Welfare towards strengthening of Primary Health Care services
in the rural areas of the country. This document is a concerted effort made
possible by the advise, assistance and cooperation of many individuals, institutions,
government and non-government organizations.
I gratefully acknowledge the valuable contribution of all the members of the
Expert Group constituted to formulate Indian Public Health Standards (IPHS) for
Sub-centres and Primary Health Centres. I am thankful to them individually and
collectively.
I also gratefully acknowledge the initiative, encouragement and guidance provided
by Sri Prasanna Hota, Former Secretary (H&FW) and Dr. R. K. Srivastava, Director
General of Health Services, Ministry of Health and Family Welfare, Government of
India.
I would specially like to thank Dr. S. P. Agarwal, former DGHS and Dr. Shivlal,
Additional DG and Director NICD, for their valuable contribution and guidance in
formulating the IPHS for PHCs. The help and encouragement provided by Smt. S.
Jalaja, Additional Secretary and Shri Amarjeet Sinha, Joint Secretary, MOH&FW
is also gratefully acknowledged.
The preparation of this document has been made possible by the assistance
II
provided by Ms Sushma Rath, Under Secretary (ID/PNDT) and the secretarial and
I
I
typing assistance provided by Shri Brij Mohan Singh Bhandari. Last but not the
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IPHS for Primary Health Centre
least the assistance provided by the staff of Rural Health Section of the Ministry
of Health and Family Welfare is duly acknowledged.
(Dr. S. K. Satpathy)
Member Secretary
Expert Group
Director
Central Health Education Bureau
Directorate General of Health Services
Ministry of Health & Family Welfare
Government of India
New Delhi
05 February 2007
vi
IPHS for Primary Health Centre
Executive Summs
Primary Health Centres are the cornerstone of rural health services- a first port of call to a
qualified doctor of the public sector in rural areas for the sick and those who directly
report or referred from Sub-centres for curative, preventive and promotive health care. A
typical Primary Health Centre covers a population of 20,000 in hilly, tribal, or difficult
areas and 30,000 populations in plain areas with 4-6 indoor/observation beds. It acts as a
referral unit for 6 sub-centres and refer out cases to CHC (30 bedded hospital) and higher
order public hospitals located at sub-district and district level.
Standards are the main driver for continuous improvements in quality. The performance
of Primary Health Centres can be assessed against the set standards.
In order to provide optimal level of quality health care, a set of standards are being
recommended for Primary Health Centre to be called Indian Public Health Standards
(IPHS) for PHCs. The launching of National Rural Health Mission (NRHM) has provided
this opportunity.
The standards prescribed in this document are for a PHC covering 20,000 to 30,000
populations with 6 beds.
Setting standards is a dynamic process. Currently the IPHS for Primary Health Centres
has been prepared keeping in view the resources available with respect to functional
requirement for Primary Health Centre with minimum standards such as building, manpower,
instruments and equipments, drugs and other facilities etc.
The overall objective of IPHS for PHC is to provide health care that is quality oriented and
sensitive to the needs of the community. These standards would help monitor and improve
the functioning of the PHCs.
Service D
♦
,
All "Assured Services" as envisaged in the PHC should be available, which includes
routine, preventive, promotive, curative and emergency care in addition to all the
national health programmes.
.vii
IPHS for Primary Health Centre
Appropriate guidelines for each National Programme for management of routine
♦
and emergency cases are being provided to the PHC.
♦
All the support services to fulfil the
above objectives will be strengthened at the
PHC level.
■
Requirement for Delivery of the Above-mentioned Service;
The following requirements are being projected based on the basis of 40 patients per
doctor per day, the expected number of beneficiaries for maternal and child health care
and family planning and about 60% utilization of the available indoor/observation beds
(6 beds). It would be a dynamic process in the sense that if the utilization goes up, the
standards would be further upgraded. As regards, manpower, one more Medical Officer
(may be from AYUSH or a lady doctor) and two' more, staff nurses are added to the
existing total staff strength of 15 in the PHC to make it 24x7 services delivery centre.
raciiities
The document includes a suggested layout of PHC indicating the space for the building
and other infrastructure facilities. Series of designs, based on the layout be developed. A
list of equipment, furniture and drugs needed for providing the assured services at the
PHC has been incorporated in the document. A Charter of Patients' Rights for appropriate
information to the beneficiaries, grievance redressal and constitution of Rogi Kalyan
Samiti/Primary Health Centre Management Committee for better management and
improvement of PHC services with involvement of PRI has also been made as a part of
the Indian Public Health Standards. The monitoring process and quality assurance
mechanism is also included.
viii
IPHS for Primary Health Centre
Indian Public Health Standards
for Primary Health Centres
1.
I
!
Introduction
The concept of Primary Health Centre (PHC)
is not new to India. The Shore 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.
The health planners in India have visualized
the PHC and its Sub-Centres (SCs) as the
proper infrastructure to provide health
services to the.rural population. The Central
Council of Health at its first meeting held
in January 1953 had recommended the
establishment of PHCs in community
development
blocks
to
provide
comprehensive health care to the rural
population. These centres were functioning as peripheral health service institutions with
little or no' community involvement.
Increasingly, these centres, came under
criticism, as they were not able to provide
adequate health coverage, partly, because
they were poorly staffed and equipped and
lacked basic amenities.
The 6th Five year Plan (1983-88) proposed
reorganization of PHCs on the basis of one
PHC for every 30,000 rural population in
the plains and one PHC for every 20,000
population in hilly, tribal and desert areas
for more effective coverage. Since then,
22,669 PHCs have been established in the
country (as of March 2005).
PHCs are the cornerstone of rural health
services- a first port of call to a qualified
doctor of the public sector in rural areas
for the sick and those who directly report
or referred from Sub-centres for curative,
preventive and promotive health care. It
acts as a referral unit for 6 sub-centres and
refer out cases to Community Health
Centres (CHCs-30 bedded hospital) and
higher order public hospitals at sub-district
and district hospitals. It has 4-6 indoor beds
for patients.
PHCs are not spared from issues such as
the inability to perform up to the
expectation due to (i) non-availability of
doctors at PHCs; (ii) even if posted, doctors
do not stay at the PHC HQ; (iii) inadequate
physical infrastructure and facilities; (iv)
insufficient quantities of drugs; (v) lack of
accountability to the public and lack of
community participation; (vi) lack of set
standards for monitoring quality care etc.
Standards are a means of describing the
level of quality that health care
organizations are expected to meet or
aspire to. Key aim of these standards is to
underpin the delivery of quality services
which are fair and responsive to client's
needs, which should be provided equitably
and which deliver improvements in the
health and wellbeing of the population.
Standards are the main driver for
continuous improvements in quality. The
performance of health care delivery
organizations can be assessed against the
set standards. The National Rural Health
Mission (NRHM) has provided the
opportunity to set Indian Public Health
Standards (IPHS) for Health Centres
functioning in rural areas.
1
IPHS for Primary Health Centre
oriented and sensitive to the needs
of the community.
There are Standards prescribed for a 30
bedded hospital by Bureau of Indian
Standards (BIS). Recently, under NRHM,
Indian Public Health Standards have been
framed for Community Health Centre as
the BIS is considered as very resource
intensive at the present scenario. But no
such standards have been laid down for
Primary Health Care Institutions.
In order
to provide optimal level of quality health
care, a set of standards are being
recommended for Primary Health Centre to
be called Indian Public Health Standards
(IPHS) for PHCs.
The nomenclature of a PHC varies from
State to State that include a Block level
PHCs (located at block HQ and covering
about 100,000 population and with varying
number of indoor beds) and additionalPHCs/New PHCs covering a population of
20,000-30,000 etc. The standards
prescribed in this document are for a PHC
covering 20,000 to 30,000 populations
with 6 beds, as all the block level PHCs are
ultimately going to be upgraded as
Community Health Centres with 30 beds
for providing specialized services.
Setting standards is a dynamic process.
Currently the IPHS for Primary Health
Centres has been prepared keeping in view
the resources available with respect to
functional requirement for PHCs with
minimum standards such as building,
manpower, instruments and equipments,
drugs and other facilities etc.
Objectives ci
Public Health
■•.tapdards (IPHS* for Primary Health
Centres:
The overall objective of IPHS is to
provide health care that is quality
2
The objectives of IPHS for PHCs are:
To provide comprehensive
primary health care to the
community through the Primary
Health Centres.
3.
ii.
To achieve and maintain an
acceptable standard of quality
of care.
iii.
To make the services more
responsive and sensitive to the
needs of the community.
Mirumur
Service
Centre ”.
■v
(Assured
mry Health
e IPHS:
Assured services cover all the essential
elements of preventive, promotive,
curative and rehabilitative primary
health care. This implies a wide range
of services that include:
3.1. Medical
OPD services: 4 hours in the
morning and 2 hours in the
afternoon / evening. Time
schedule will vary from state to
state. Minimum OPD attendance
should be 40 patients per doctor
per day.
24 hours emergency services:
appropriate management of
injuries and accident, First Aid,
Stabilisation of the condition of
the patient before referral, Dog
bite/snake bite/scorpion bite
cases, and other emergency
conditions. There should be
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IPHS for Primary Health Centre
sufficient doctors (keeping in
view one weekly off for each
doctor
and
a
minimum
percentage of them on leave) to
attend to 8-hourly shift duties
to make 24-hour emergency
services available.
skilled attendance at birth
by ANMs and LHVs)
iii)
Minimum
laboratory
investigations
like
haemoglobin,
urine
albumin, and sugar, RPR
test for syphilis
iv)
Nutrition
counseling
v)
Identification of high-risk
pregnancies/ appropriate
management
vi)
Chemoprophylaxis for
Malaria in high malaria
endemic areas as per
NVBDCP guidelines.
vii)
Referral to First Referral
Units
(FRUs)/other
hospitals of high risk
pregnancy beyond the
capability of Medical
Officer, PHC to manage.
Referral services
In-patient services (6 beds)
3.2. Maternal and Chi/d Health Care
including family pkmnsng:
a)
Antenatal care:
i)
ii)
Early registration of all
pregnancies ideally in the
first trimester (before 12th
week of pregnancy).
However, even if a woman
comes
late
in
her
pregnancy for registration
she should be registered
and care given to her
according to gestational
age.
Minimum 3' antenatal
checkups and provision of
complete package of
services. First visit as soon
as pregnancy is suspected/
between 4th and 6th month
(before 26 weeks), second
visit at 8th month (around
32 weeks) and third visit
at 9th month (around 36
weeks).
Associated
services like providing iron
and folic acid tablets,
injection Tetanus Toxoid
etc (as per the "guidelines
for ante-natal care and
b)
and
health
Intra-natal care: (24-hour
delivery services both normal
and assisted)
i)
Promotion of institutional
deliveries
ii)
Conducting
deliveries
iii)
Assisted vaginal deliveries
including forceps / vacuum
delivery whenever required
iv)
Manual
placenta
v)
Appropriate and prompt
referral for cases needing
specialist care.
of
normal
removal
of
K*;
3
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IPHS for Primary Health Centre
Management of Pregnancy
Induced
hypertension
including referral
vi)
vii)
Management of neonatal
hypothermia / jaundice
ii)
e)
Pre-referral management
(Obstetric first-aid) in
Obstetric emergencies that
need expert assistance
(Training of staff for
emergency management
to be ensured)
Care of the child:
Emergency care of sick
children including Integrated
Management of Neonatal
and Childhood Illness
i)
(IMNCI)
Carb of routine childhood
ii)
vii)
c)
There should be sufficient
number of staff nurses
(keeping in view one
weekly off for each staff
nurse and a minimum
percentage of them on
leave) to attend to 8-hourly
shift duties to make 24hour delivery services
available.
illness
iii)
Essential Newborn Care
iv)
Promotion of exclusive
breast-feeding
for
6
months.
v)
Full Immunization of all
infants
and
children
against vaccine preventable
diseases as per guidelines
of GOI. (Current Immunization
Schedule at Annexure-1).
vi)
Vitamin A prophylaxis to
the children as per
guidelines.
vii)
Prevention and control of
diseases,
childhood
infections, etc.
Postnatal Care:
a)
b)
c)
A
minimum
of
2
postpartum home visits,
first within 48 hours of
delivery, 2nd within 7 days
through Sub-centre staff.
Initiation of early breast
feeding within half-hour of
birth
Education on nutrition,
hygiene, contraception,
essential new born care
f)
Family Planning:
Education, Motivation and
counseling
to
adopt
appropriate Family planning
(As per Guidelines of GOI on
Essential new-born care)
d)
d)
methods.
ii.
New Born care:
i)
4
Others:
Provision
of
facilities under Janani
Suraksha Yojana (JSY)
Facilities and care for
neonatal resuscitation
Provision of contraceptives
such as condoms, oral pills,
emergency contraceptives,
IUD insertions.
iii.
Permanent methods like
IPHS for Primary Health Centre
Tubal
ligation
vasectomy / NSV.
Follow up services to the
eligible couples adopting
permanent
methods
(Tubectomy/Vasectomy).
iv.
Counseling and appropriate
referral for safe abortion
services (MTP) for those in
need.
V.
Counseling and appropriate
referral for couples having
infertility.
vi.
3.3. Meo
usim
(MV
perso*
and
of Pregnancies
. n Aspiration
■jierever trained
exists i
4 -nh.--
3.4. Marte
'
Infection!
’ Infec
r-
3.9. Prevention and control of locally
endemic diseases like malaria, Kalaazar, Japanese Encephalitis, etc.
3.10.Disease Surveillance and Control of
Epidemics:
a)
Alertness to detect unusual
health
events
and
take
appropriate remedial measures
b)
Disinfection of water sources
c)
Testing of water quality using
H2S- Strip Test (Bacteriological)
Promotion
of
sanitation
including use of toilets and
appropriate garbage disposal.
a)
Health education for prevention
of RTI/ STIs
e)
b)
Treatment of RTI/ STIs
Weekly collection of information
on disease surveillance (by ANM
manually).
a)
I
3.8. Promotion of Safe Drinking Water
and Basic Sanitation
d)
oVdinated with
3.11 .Collection and reporting of vital
events
Diagnosis of and nutrition
advice to malnourished
children, pregnant women
and, others.
3.12.Education about health/Behaviour
Change Communication (BCC)
h
ICDS
i-
A/ ■ ‘s. : ;
.
Life style
education, counseling, appropriate
. treatment.
fract
■v Transmitted
3.5. Nutrition
I
3.7
b)
Diagnosis and management
of anaemia, and'vitamin A
deficiency.
c)
Coordination with ICDS.
3.6. Schoo* Health.
Regular check ups, appropriate
treatment including deworming,
referral and follow-ups.
3.13.National Health Programmes including
Reproductive and Child Health
Programme (RCH), HIV/AIDS control
programme, Non communicable
disease control programme - as
relevant:
Revised National Tuberculosis Control
Programme (RNTCP): All PHCs to
function as DOTS Centres to deliver
treatment as per RNTCP treatment
5
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IPHS for Primary Health Centre
guidelines through DOTS providers
and
treatment
of
common
complications of TB and side effects
of drugs, record and report on RNTCP
activities as per guidelines.
Integrated Disease Surveillance
Project (IDSP):
a)
PHC will collect and analyse
data from sub-centre and will
report information to district
surveillance unit.
b)
Appropriate preparedness and
first level action in out-break
situations.
c)
Laboratory services for diagnosis
of Malaria, Tuberculosis,
Typhoid (Rapid Diagnostic testTyphi Dot) and tests for
detection of faecal contamination
of water (Rapid test kit) and
chlorination level.
National Programme for Control of
Blindness (NPCB):
(a)
Basic services: Diagnosis and
treatment of common eye
diseases
(b)
Refraction Services
(c)
Detection of cataract cases and
referral for cataract surgery
National Vector Borne Disease
Control Programme (NVBDCP):
6
(a)
Diagnosis of Malaria cases,
microscopic confirmation and
treatment
(b)
Cases of suspected JE and
Dengue to be provided symptomatic
treatment, hospitalization and
case management as per the
protocols
(C)
Complete treatment to Kala-Azar
cases in Kala-Azar endemic areas
as per national Policy
(d)
Complete
treatment
of
microfilaria positive cases with
DEC and participation and
arrangement of Mass Drug
Administration (MDA) along with
management of side reactions,
if any. Morbidity management of
Lymphoedema cases.
Nation^ AIDS Control Programme:
(a)
IEC activities ' to enhance
awareness and preventive
measures about STIs and HIV/
AIDS, Prevention of Parents to
Child Transmission (PPTCT)
services.
(b)
Organizing School
Education Programme
(c)
Screening of persons practicing
high-risk behaviour with one
rapid test to be conducted at the
PHC level and development of
referral linkages with the nearest
VCTC at the' District Hospital
level for confirmation of HIV . .
status of those found positive
at one test stage in the high
prevalence states.
(d)
Risk screening of antenatal
mothers with one rapid test for
HIV and to establish referral
linkages with CHC or District
Hospital for PPTCT services in
the six high HIV prevalence
states (Tamil Nadu, Andhra
Health
k
IPHS for Primary Health Centre
Education, conferences, skill
development training, etc. on
emergency obstetric care
Pradesh, Maharashtra, Karnataka,
Manipur and Nagaland) of India.
(e)
(f)
(g)
1
(h)
Linkage with Microscopy Centre
for HIV-TB coordination.
v)
Condom Promotion & distribution
of condoms to the high risk
groups.
Training of ANM and LHV in
antenatal care and skilled birth
attendance.
Vi)
Help and guide patients with
HIV/AIDS receiving ART with
focus on adherence.
Training under Integrated
Management of Neonatal and
Childhood Illness (IMNCI)
vii)
Training of pharmacist on
AYUSH
component
with
standard modules.
Pre and post-test counseling of
AIDS’patients by PHC staff in
high prevalence states.
3.14. Referral Serv'ces1
Appropriate and prompt referral of
cases .needing specialist care
including:
a)
Stabilisation of patient
b)
Appropriate support for patient
during transport
c)
Providing transport facilities
either by PHC vehicle or other
available referral transport. The
funds should be made available
for referral transport as per the
provision under NRHM/RCH-II
program.
viii) Training of AYUSH doctor in
imparting health services related
to National Health and Family
Welfare programme.
3.16. Basic Laboratory Services.
Laboratory services includi
p.'-. •.
>
Routine urine, stool and blood
tests.
ii.
Bleeding time, clotting time.
iii.
Diagnosis of RTI/ STDs with wet
mounting, Grams stain, etc.
iv.
Sputum testing for tuberculosis
(if designated as a microscopy
center under RNTCP).
v.
Blood smear examination for
malarial parasite.
3.15. Training:
(i)
Health workers and traditional
birth attendants
vi.
Rapid tests for pregnancy /
malaria.
ii)
Initial and periodic Training of
paramedics in treatment of minor
ailments
vii.
RPR test for Syphilis/YAWS
surveillance.
viii.
Rapid diagnostic tests for
Typhoid (Typhi Dot).
ix.
Rapid test kit for
contamination of water.
iii)
Training of ASHAs
iv)
Periodic training of Doctors
through Continuing Medical
fecal
7
IPHS for Primary Health Centre
X.
Estimation of chlorine level of
water using ortho-toludine
reagent
d £<jp- ■
(i)
(ii)
admission
to
the
Monitoring of all National Health
Programmes
(iii)
Monitoring activities of ASHAs
(iv)
MO should visit all Sub-centres
at least once in a month
(v)
Health Assistants Male and LHV
should visit Sub-centres once a
week.
pre
identified health facility including
PHC.
3H
3.20.
Monitoring and supervision of
activities of sub-centre through
regular meetings / periodic visits,
etc.
nearest
The AYUSH doctor at PHC shall
attend patients for system
specific
preventive,
AYUSH
based
pro motive
and
curative health care and take up
public health education activities
including awareness generation
about the uses of medicinal
on.ai linkages with Sub
There shall be a monthly review
plants and local health practices.
Locally available medicinal
herbs/plants should be grown
around the PHC.
The signboard of the PHC
should
mention
AYUSH
facilities.
3.21. Rehabfliwioi
meeting at PHC chaired by MO
in-charge, PHC, and attended by
all the ANMs, ASHAs$ and
Anganwadi Workers.
Supervisory visits to
Sub
centres.
Organizing
health
day
at
Anganwadi Centres.
Specific duties of ASHA include
informing PHC about the births and
deaths in her village and any unusual
health problem/disease outbreaks in
the community and arranging escort/
accompany pregnant women
children
8
requiring
&
treatment/
Disability prevention, early detection,
intervention and referral
3 .22.The PHCs would provide 24 hour
delivery services and new born care,
all seven days a week in order to
increase the institutional deliveries
which would help in reducing
maternal mortality
3.23. Selects
F^oaedures
The vasectomy, tubecfomy (including
laparoscopic tubectomy), MTP,
hydrocelectomy and cataract surgeries
as a camp/fixed day approach have
to be carried out in a PHC having
facilities of O.T.
IPHS for Primary Health Centre
During all these surgical procedures,
universal precautions will be adopted
to ensure infection prevention. These
universal precautions are mentioned
at Annexure 5.
323. Recc
Repo
4.
ol
tvents and
a)
Recording and reporting of Vital
statistics including births and
deaths.
b)
Maintenance of all the relevant
records concerning services
provided in PHC
depending on whether an OT
facility is opted for.
4.1 .SEntrance: It should be well-lit
and ventilated with space for
Registration and record room,
drug dispensing room, and
waiting area for patients.
4.1.4 The doorway leading to the
entrance should also have a
ramp facilitating easy access for
handicapped patients, wheel
chairs, stretcher trolleys etc.
4.1.5
a)
This should have adequate
space and seating arrangements
for waiting clients / patients
b)
The walls should carry
posters imparting health
education.
c)
Booklets / leaflets may be
provided in the waiting
area for the same purpose.
d)
Toilets with adequate
water supply separate for
males and females should
be available.
e)
Drinking water should be
available in the patient's
waiting area.
Esse^d,?*
The PHC should have a building of
its own. The surroundings should be
clean. The details are as follows:
4.1 PHC Bh 'dng
4.1.1 Location: It should be located
in an easily accessible area. The
building
should
have
a
prominent board displaying the
name of the Centre in the local
language.
The area chosen should have the
facility for electricity, all
weather road communication,
adequate
water
supply,
telephone.
4.1.2 It should be well planned with
the entire necessary infrastructure,
including slope for wheelchair.
It should be well lit and
ventilated with as much use of
natural light and ventilation as
possible. The plinth area would
vary from 375 to 450 sq. meters
Waiting area:
4.1.6 There should be proper
notice displaying wings of
the centre, available
services, names of the
doctors, users' fee details
and list of members of the
Rogi Kalyan Samiti /
Hospital
Management
Committee.
9
5
■f
IPHS for Primary Health Centre
A locked complaint /
suggestion box should be
provided and it should be
ensured that the complaints/
suggestions are looked into
at regular intervals and the
complaints are addressed.
The ward should be easily
accessible from the ORD so
as to obviate the need for
a separate nursing staff in
the ward and OPD during
c)
ORD hours.
d)
The surroundings should
be kept clean with no
water-logging in and
around the centre and
vector breeding places.
4.1.7 Outpatient Department:
a)
b)
The outpatient room
should have separate areas
for consultation and
examination.
c)
Toilets, both for male and
female be provided for the
relatives of the patients.
The construction and
maintenance of the same
be done by Rogi Kalyan
Samiti/Hospital Management
Committee.
4.1.SWards 5.5x3.5 m each:
a)
b)
clinic timings.
e)
*
There should be 4-6 beds
in a primary health centre.
Separate
wards/areas
should be earmarked for
males and females with
the necessary furniture.
There should be facilities
for drinking water and
separate and clean toilets
for men and women.
Clean linen should be
provided and cleanliness
should be ensured at all
times.
f)
Cooking should not be
allowed inside the wards
for admitted patients
g)
A suitable arrangement
with a local agency like a
local women's group for
provision of nutritious and
hygienic
food
at
reasonable rates may be
made wherever feasible
The area for examination
should have sufficient
privacy.
Nursing station should be
located in such a way that
health staff can be easily
accessible to OT and ( ,
labour room after regular
and possible.
h)
Cleaning of the wards, etc.
should be carried out at
such times so as not to
interfere with the work
during peak hours and also
during times of eating.
4.1.9 Operation Theatre:
(Optional) to facilitate
selected
conducting
surgical procedures (e.g.
vasectomy, tubectomy,
hydrocelectomy, Cataract
surgery camps)
10
i
z
IPHS for Primary Health Centre
a.
b.
c.
d.
e.
f.
It should have a changing
room, sterilization area
operating
area
and
washing area.
Separate facilities for
storing of sterile and
unsterile equipments /
instruments should be
available in the OT.
The Plan of an ideal OT has
been annexed showing the
layout.
It would be ideal to have a
patient preparation area
and
Post-OP
area.
However, in view of the
existing situation, the OT
should be well connected
to the wards.
The OT should be wellequipped with all the
necessary accessories and
equipment
Surgeries like laparoscopy
/ cataract / Tubectomy /
Vasectomy should be able
to be carried out in these
OTs.
C)
4.1.11 Minor OT/Dressing Room/
Injection
Room/
Emergency:
a)
This should be located
close to the OPD to cater
to patients for minor
surgeries and emergencies
after OPD hours.
b)
It should be well equipped
with all the emergency
drugs'and instruments.
41.12Laboratory (3800x2700mm):
a)
Sufficient space with
workbenches and separate
area for collection and
screening
should
be
available.
b)
Should have marble/stone
table top for platform and
wash basins
4.1.13 General store:
a)
Separate area for storage
of sterile and common
linen and other materials/
drugs/ consumable etc.
should be provided with
adequate storage space.
4.1.10 Labour Room (3800 x
420Qmm):
I
t
Dirty linen, baby wash,
toilet, Sterilization
a)
There should be. separate
areas for septic and
aseptic deliveries.
b)
The area should be well-lit
and ventilated and should
be rodent/ pest- free.
b)
The LR should be well-lit
• and ventilated with an
attached
toilet
and
drinking water facilities.
Plan has been annexed.
c)
Sufficient space with the
storage cabins for AYUSH
drugs be provided.
4.1.14 Dispensing cum store
area: 3000x3000mm
11
r
L.
IPHS for Primary Health Centre
board should also be made
4.1.15 Infrastructure for AYUSH
doctor:
Based
available.
on the
specialty being practiced,
4.1.23 Other amenities:
appropriate arrangements
should be made for the
a.
Electricity with adequate
capacity generator back-up
b.
Adequate water supply- In
provision of a doctor's
room and a dispensing
room cum drug storage.
For drug dispensing, the
absence of piped water,
tube-well should be provided
present pharmacist may be
by DHS/ Panchayat.
trained or Rogi Kalyan
c.
Samiti (RKS) may provide
direct line
an AYUSH pharmacist.
d.
4.1.16 Immunization/FP/counseling
area: 3000x 4000mm
resuscitation be provided. _
The suggested layout of a PHC
3500x
and Operation Theatre is given
at Annexure 2 and Annexure 2A
respectively. The Layout may
vary according ,to the location
4.1.19 Dirty utility room for dirty
linen and used items
and shape of the site, levels of
the site and climatic conditions.
4.1.20Boundary wall with gate
The prescribed layout may be
implemented in PHCs yet to be
built, whereas those already built
may be upgraded after getting
the
requisite
alterations/, ,
additions. The funds may be
made available as per budget
provision
under
relevant
strategies mentioned in NRHM/
RCH-II program and other
funding projects/programs.
4.1.21 Residential Accommodation:
Decent accommodation
with all the amenities like
24-hrs. water supply,
electricity, etc. should be
available
for
medical
officers and nursing staff,
pharmacist and laboratory
technician and other staff.
4.1.22Lecture hall/AuditoriumFor training purposes, a
Lecture hall or a small
Auditorium for 30 persons
should be available. Public
address system and a black
Wherever possible garden
should be developed
preferably
with
the
involvement of community.
4.1.17 Separate area for baby
room
4.1.18 Office
3000mm
Telephone: at least one
4.2. Equipment and Furniture:
a.
The necessary equipment to
deliver the assured services of
the PHC should be available in
12
i
IPHS for Primary Health Centre
adequate quantity and also be
functional.
b.
Equipment maintenance should
be given special attention.
c.
Periodic stock taking of
equipment and preventive/
round the year maintenance will
ensure proper functioning
equipment. Back up should be
made
available
wherever
possible. A list of suggested
equipments
and furniture
including
reagents
and
diagnostic kits is given in
Annexure 3
The manpower that should be
available in the PHC s as follows:
Staff
Existing
Recommended
Medical Officer
1
3 (At least 1 female)
AYUSH practitioner
Nil
1 (AYUSH or any ISM
system prevalent locally)
Account Manager
Nil
1
Pharmacist ’
1
2
Nurse-midwife (Staff)
1
5
Health workers (F)
1
1
Health Educator
1
1
Health Asstt (Male &
2
2
Clerks
2
2
Laboratory Technician
1
2
Driver
1
Optional/vehicles may be
out-sourced.
Class IV
4
4
Total
15
24/25
(Nurse)
Female)
The job responsibilities of the different personnel are given in Annexure 7. Funds
may be made available for hiring additional manpower as per provision under NRHM/
RCH-II program.
L
13
IPHS for Primary Health Centre
vehicle can also be outsourced
for this purpose.
Drugs
a)
All the drugs available in the
Sub-centre should also be
available in the PHC.
b)
8.
In addition, all the drugs required
for
the
National
health
programmes and emergency
management should be available
in adequate quantities so as to
ensure completion of treatment
These facilities can be outsourced.
9.
d)
"7
Drugs required for the AYUSH
doctor should be available in
addition to all other facilities.
The list of suggested drugs
including AYUSH drugs is given
in Annexure 4.
The Transport Facilities
10
Quality Assurance
Periodic skill development training of
the staff of the PHC in the various
jobs/ responsibilities assigned to them
can ensure quality. Standard
Treatment Protocol for all national
programmes and locally common
disease should be made available at
all PHCs. Regular monitoring is
another important means. A few
aspects that need definite attention
are:
i)
Interaction and Information
Exchange with the client/
patient:
The PHC should have an ambulance
for transport of patients. This may
be outsourced.
be
should
Courtesy
extended to patients /
Referral Transport Facility: The
PHC should have an ambulance
for transportation of emergency
patients. Referral transport may
be outsourced.
providers .including the
support staff
Transport for Supervisory and
illness
other outreach activities: The
patient.
7.1
7.2
14
Adequate quantities of all drugs
should be maintained through
periodic
stock-checking,
appropriate record maintenance
and inventory methods. Facilities
for local purchase of drugs in
times of epidemics / outbreaks /
emergencies should be made
available
Waste Management at PHC level
"Guidelines for Health Care Workers
for Waste Management and Infection
Control in Primary Health Centres" to
be followed are being formulated.
by all patients.
c)
Laundry and Dietary facilities for
indoor patients
clients by all the health
All relevant information
should be provided as
regards the condition /
of
the
client/
IPHS for Primary Health Centre
ii)
Attitude of the health care
providers needs to undergo a
radical change so as to
incorporate the feeling that
client is important and needs to
be treated with respect.
iii)
Cleanliness
should
maintained at all points •
be
11. Monitoring
This is important to ensure that
quality is maintained and also to make
changes if necessary.
Internal
Mechanism:
Record
maintenance,
checking
and
supportive supervision
External Mechanism: Monitoring
through the PRI / Village Health
Committee / Rogi Kalyan Samiti (as
per
guidelines
of
GOI/State
Government). A checklist for the same
is given in Annexure 6. A format for
conducting facility survey for the
PHCs on Indian Public Health
Standards
to
have baseline
information on the gaps and
subsequently' to monitor the
availability of facilities as per IPHS
guidelines is given at Annexure 9.
12. Accountability
To ensure accountability, the Charter
of Patients' Rights should be made
available in each PHC (as per the
guidelines given in Annexure 8). Every
PHC should have a Rogi Kalyan
Samiti/ Primary Health Centre's
Management
Committee
for
improvement of the management and
service provision of the PHC (as per
the Guidelines of Government of
India). This committee will have the
authority to generate its own funds
(through users' charges, donation
etc.) and utilize the same for service
improvement of the PHC, including
payment of water and electricity bills.
The PRI/Village Health Committee /
Rogi Kalyan Samiti will also monitor
the functioning of the PHCs.
15
IPHS for Primary Health Centre
Annexure-1
-'C1 4*
4
Vaccine
Dose
When to give
Route
Site
For Pregnant Women
TT-1
Early in pregnancy
0.5 ml
Intra-muscular
UpperArm
TT-2
4 weeks after TT-t*
0.5 ml
Intra-muscular
UpperArm
TT-Booster
If pregnancy occur
0.5 ml
Intra-muscular
UpperArm
K
within three years of
last TT vaccinations*
For tnfants
BCG
OPV-o
Intra-dermal
Left Upper Arm
2 drops
Oral
Oral
2 drops
Oral
Oral
0.5 ml
Intra-muscular
Outer Mid-thigh
At birth (for institutional
0.1 ml (0.05 ml
deliveries) or along with
for infant up to
DPT-1
1 month)
At birth if delivery is
in institution
OPV 1,2&3
At 6 weeks, 10 weeks
& 14 weeks
DPT1.2&3
At 6 weeks, 10 weeks
(Antero-lateral
& 14 weeks
side of mid thigh)
Hep B1,
At 6 weeks, 10 weeks
2&3
& 14 weeks**
0.5 ml
Intra-muscular
Outer Mid-thigh
(Antero-lateral
side of mid-thigh)
Measles
9-12 months
0.5 ml
Sub-cutaneous Right upper Arm
Vitamin-A
At 9 months with
1 ml (1 lakh IU)
Oral
(181 dose)
measles
Oral
16
1
IPHS for Primary Health Centre
Vaccine
When to give
Dose
Route
Site
For Children
DPT booster
16-24 months
0.5 ml
Intra-muscular
Outer Mid-thigh
(Antero-lateral
side of mid-thigh)
OPV Booster
16-24 months
2 drops
Oral
Oral
Vitamin A
(2nd to 5th
16 months with
DPT/OPV booster.
24 months, 30
months & 36
months.
Oral
dose)
Oral
2 ml (2 lakh IU)
DT Booster
5 years
0.5 ml
Intra-muscular
Upper Arm
TT
10 years &
16 years
0.5 ml
Intra-muscular
UpperArm
#
TT-2 or Booster dose to be given before 36 weeks of pregnancy.
**
For institutional deliveries, give at birth, 6 weeks and 14 weeks.
A fully immunized infant is one who has received BCG, three doses of DPT, three
doses of OPV and Measles before one year of age.
17
TOILET
1500 x
1500/
00
ran
LAB DUR
ROC IM
380( X42 )0
r“
JU
*<
o
c
o
"D
X
o
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STERILISATIoS^~
3885X2100
LADIES WARD
5500X3500
^ra
NOTE:
STAFF C
KSENTS
LU
Q
_ STAey
GENTS WARD
5500 X 3500
S'
LOCATION AND SHAPE OF THE SITE, LEVELS OF
:
THE SITE AND CLIMATIC CONDITION
.Sr m
CD
Q)
o
o
co
or
o
Q
cr
a:
o
o
O
CD
MINOR O.T./
DRESSING/
INJECTION
4000 X 4500
REGISTRATION
& RECORD
3000X3000 _
o°n
M.D. □□
3500 X 4500
TOILET LINEN
DIRTY’'\ri
1500X
180CX
1800
2000
r
i
THIS DRAWING IS ONLY FOR REFERENCE
THE DESIGN SHALL BE PREPARED AS PER THE
wc
£
JL
TOILET
1500X
2100
DIRTY VJ
UTILITY
800X1500
DISPENSING
CUM STORE
3000X3500
OFFICE
3000 X 3500
wc
GENERAL wc
STORE
GENTS
2100 X
rTTOILET
3500
c
rw
T
2200 X 3500
CORRIDOR 1800 WIDE
lAl
NURSES
ROOM
3100X3500
LAB
3000 X
3500
ENTRANCE
3000 X
4500
M.D.
3500 X 4500
o
WAITING
3000X3500
IMMUNISATION/
FP/COUNSELLING
3000 X 3500
COLD
CHAIN
2100 X
3500
LADIES
TOILET
|
2200 X 3500]
wc|[wc I
O
PRIMARY HEALTH CENTER
TYPICAL PLAN
PLINTH AREA385.00S.M.
a
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I
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C 1ANGE
(MALE)
(2210X1500)
| DIRTY UTILITY
(1750X1500)
SCRUB
(1500X1500)
OPERATION THEATRE
^..£5750X46001........
Note:
The layout shown integrates the
O.T. with the existing facility
following the principles of
functional consistency. Care has
been taken to ensure that the
dirty utility remains accessible
from outside the building.
CD
C 1ANGE
(F EMALE)
122
o
—(--D2]
LI <Er I STORE
( 00 1X1500)
PC ST-O ’ERATIVE CAR E
(5 >65X3000
iTERILIf ATIO I
(1500X 000)
Q
03
oo
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PLUG-ON TO
MAIN HOSPITAL CORRIDOR
i
R.C.H. PROGRAM
OPERATION THEATRE UNIT
COVERED AREA - 84.00 SQ. MTS.
TYPICAL LAYOUT FOR OPERATION THEATRE
CD
GUIDE TO FACILITIES DESIGN
E.C.: PLUG-ON FACILITIES
3Q>
Drg. No.
2
3:
i
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CO
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*
IPHS for Primary Health Centre
Annexure-3
S
■ ure
jsted Equipments
leagents and Diagr •
Equipments under various National
Normal Delivery Kit
Equipment for assisted vacuum
Programmes
delivery
Radiant warmer for new borne baby
Equipment for assisted forceps
Baby scale
delivery
Table lamp with 200 watt bulb for
Standard Surgical Set (for minor
new borne baby
procedures like episiotomies stitching)
Phototherapy unit
Equipment for
Self inflating bag and mask-neonatal
Manual
Vacuum
Aspiration
size
Equipment for New Born Care and
Laryngoscope and
Neonatal Resuscitation
intubation tubes (neonatal)
IUD insertion kit
Mucus extractor with suction tube
and a foot operated suction machine
Equipment / reagents for essential
Endotracheal
laboratory investigations
Feeding tubes for baby
Refrigerator (165 litres)
Sponge holding forceps - 2
ILR and Deep Freezer
Volsellum uterine forceps - 2
Ice box
Tenaculum uterine forceps - 2
Computer with accessories including
MVA syringe and cannulae of sizes
4-8 (2 sets; one for back up in case
internet facility
of technical problems)
Baby warmer/incubator.
kidney tray for emptying contents of
Binocular microscope
MVA syringe
Equipments for Eye care and vision
Torch without batteries - 2
testing: Tonometers (Schiotz), direct
opthalmoscope, illuminated vision
testing drum, trial lens sets with trial
frames, snellen and near vision charts,
Battery operated torch
20
Battery dry cells 1.5 volt (large size)
-4
Bowl for antiseptic solution for
soaking cotton swabs
IPHS for Primary Health Centre
Tray containing chlorine solution for
keeping soiled instruments
PRIVACY of a woman in labour
should be ensured as a quality
assurance issue.
Residual chlorine in drinking water
testing kits
List of equipment for Pap smeE?
H2S Strip test bottles
1.
Requirements for a fuliy equipped and
operational labour room
Cusco's vaginal speculum (each of
small, medium and large size)
2.
Sim's vaginal speculum - single &
double ended - (each of small, medium
A fully equipped and operational labour
room must have the following:
and large size)
1.
A labour table
3.
Anterior Vaginal wall retractor
2.
Suction machine
4.
Sterile Gloves
3.
Facility for Oxygen administration
5.
Sterilised cotton swabs and swab
4.
Sterilisation equipment
5.
24-hour running water
6.
Electricity supply with back-up facility
(generator with POL)
7.
Bowl for antiseptic solution
7.
Attached toilet facilities
8.
Antiseptic solution: Chlorhexidine 1%
8.
An area earmarked for new-born care
9.
Emergency drug tray: This must have
the following drugs
sticks in a jar with lid
6.
Kidney
tray
for
keeping
used
instruments
*
*
*
10.
Inj. Oxytocin
Inj. Diazepam
Tab. Nifedepine
or Cetrimide 2% (if povidone iodine
solution is available, it is preferable
to use that)
9.
Chittie forceps
10.
Proper light source / torch
11.
For vaginal and Pap Smears:
Clean slides with cover slips
*
Magnesium sulphate
*
Inj. Lignocaine hydrochloride
*
Inj. Methyl ergometrine maleate
dropper
*
Sterilised cotton and gauze
Saline in bottle with dropper
Cotton swab sticks
KOH solution in bottle with
Delivery kits, including those for
normal
deliveries.
delivery
and
Ayre's spatula
assisted
Fixing solution / hair spray
21
IPHS for Primary Health Centre
Requirements of the laboratory
12.
H2S
Strip
test
kits
for
fecal
contamination of drinking water
Reagents
1.
2.
For Cyan meth - haemoglobin method
for Hb estimation
13.
Test kits for estimation of residual
chlorine in drinking water using
orthotoludine reagent.
Uristix for urine albumin and sugar
Glassware and other equipment
analysis
3.
ABO & Rh antibodies
4.
KOH solution for Whiff test
5.
Gram's iodine
6.
Crystal Violet stain
7.
Acetone-Ethanol
solution.
decolourising
1.
Calorimeter for Hb estimation
2.
Test tubes
3.
Pipettes
4.
Glass rods
5.
Glass slides
6.
Cover slips
8.
Safranine stain
9.
PH test strips
10.
RPR test kits for syphilis
7.
Light Microscope
11.
Rapid diagnostic test kits for Typhoid
8.
Differential blood cell counter
I
(Typhi dot)
22
••t
IPHS for Primary Health Centre
List of Furniture (inchiding surgical) at PHC
Examination table
4
Writing tables with table sheets
6
Plastic chairs (for in-patients' attendants)
6
Armless chairs
11
Full size steel almirah
5
Labour table
1
OT table
1
Arm board for adult and child
4
Wheel chair
2
Stretcher on trolley
2
Instrument trolley
2
Wooden screen
1
Foot step
5
Coat rack
2
Bed side table
6
Bed stead iron (for in-patients)
6
Baby cot
2
Stool
7
Medicine chest
1
Lamp
3
Shadowless lamp light (for OT and Labour
room)
2
Side Wooden racks
4
Fans
6
Tube light
8
Basin
2
Basin stand*
2
Buckets
4
23
r
r
IPHS for Primary Health Centre
Mugs
4
LPG stove
1
LPG cylinder
2
Sauce pan
with lid
Water receptacle
Rubber/plastic shutting
2
2
2 meters
Drum with tap for storing water
2
I V stand
4
Mattress for beds
12
Foam Mattress for OT table
2
Foam Mattress for labour table
2
Macintosh for labour and OT table
4 metres
Kelly's pad for labour and OT table
2 sets
Bed sheets
15
Pillows with covers
15
Blankets
12
Baby blankets
4
Towels
12
Curtains with rods
I
■
20 metres
Dustbin
4
Black Board/overhead projector
1
Public Address System
1
Blood Pressure Apparatus
1
Stethoscope
3
Tongue depressor
10
Torch
2
Thermometer
4
I
24
■
IPHS for Primary Health Centre
Annexure-4
DRUGS FOR PHCs including AYUSH drugs
Oxygen
Inhalation
Lignocaine Hydrochloride
Topical Forms 2-5%
Diazepam
Tablets 5 mg
Injection 5 mg / ml
Acetyl Salicylic Acid
Tablets 300mg & 50 mg
Ibuprofen
Tablets 400 mg
Paracetamol
Injection 150 mg / ml
Syrup 125 mg / 5ml
Adrenaline
Injection
Chlorpheniramine Maleate
Tablets 4 mg
Dexchlorpheniramine Maleate
Syrup 0.5 mg / 5 ml
Dexamethasone
Tablets 0.5 mg
Pheniramine Maleate
Injection 22.75 mg / ml
Promethazine
Tablets 10 mg, 25 mg
Syrup 5 mg / 5 ml
Capsules 250 mg, 500 mg
Ampicillin
Capsules 250 mg., 500 mg
Powder for suspension 125 mg / 5 ml
Injection 500 mg
Benzathine Benzylpenicillin
Injection 6 lacs, 12 lacs, 24 lacs units
Benzylpenicillin
Injection 5 lacs, 10 lacs units
Cloxacillin
Capsules 250 mg, 500 mg
Liquid 125 mg / 5 ml
Procaine Benzylpenicillin
Injection Crystalline penicillin (1 lac units)
+ Procaine penicillin (3 lacs units)
25
IPHS for Primary Health Centre
Cephalexin
Syrup 125 mg/5 ml
Capsules 250 mg., 500 mg*
Ciprofloxacin
Injection 200 mg / 100 ml
Hydrochloride
Tablets 250 mg., 500 mg
Co-Trimoxazole
Tablets 40 + 200 mg, 80 + 400 mg
(Trimethoprim + Sulphamethoxazole)
Suspension 40 + 200 mg / 5 ml
Doxycycline
Capsules 100 mg
Erythromycin Estolate
Syrup 125 mg / 5 ml
Tablets 250 mg, 500 mg
Gentamicin
Injection 10 mg / ml, 40 mg / ml
Metronidaozle
Tablets 2QP mg, 400 mg
Injection 500 mg / 100 ml
Activated Charcoal Powder
Atropine Sulphate
Injection 0.6 mg / ml
Antisnake Venom
Ampoule
(Lyophilyzed Polyvalent Serum)
Carbamazepine
Tablets 100 mg, 200 mg
Syrup 20 mg / ml
Phenytoin Sodium
Capsules or Tablets 50 mg, 100 mg
Syrup 25 mg / ml
Mebendazole
Tablets 100 mg
Suspension 100 mg/ 5 ml
Albendazole
Tablets 400mg
Diethylcarbamazine Citrate
Tablets 150 mg
Amoxicillin
Powder for suspension 125 mg / 5 ml
Capsules 250 mg, 500 mg
Acetyl Salicylic Acid
Tablets 75 mg,100mg,350mg.
Glyceryl Trinitrate
Sublingual Tablets 0.5 mg.
Injection 5 mg/ml
26
■I
V
IPHS for Primary Health Centre
Isosorbide 5 Mononitrate
Tablets 10 mg.
Propranolol
Tablets 10mg,40mg
Injection Img/ml.
Amlodipine
Tablets 2.5 mg, 5 mg, 10 mg
Atenolol
Tablets 50 mg, 100 mg
Enalapril Maleate
Tablets 2.5 mg, 5 mg, 10 mg
Injection 1.25 mg / ml
Methyldopa
Tablets 250 mg
Benzoic Acid + Salicylic Acid
Ointment or Cream 6% + 3%
Miconazole
Ointment or Cream 2%
Framycetin Sulphate
Cream 0.5%
Methylrosanilinium
Chloride (Gentian Violet)
Aqueous solution 0.5%
Neomycin + Bacitracin
Ointment 5 mg + 500 III
Povidone Iodine
Solution and Ointment 5%
Silver Nitrate
Lotion 10%
Nalidixic Acid
Tablets 250 mg, 500 mg
Nitrofurantoin
Tablets 100 mg
Norfloxacin
Tablets 400 mg
Tettracycline
Tablets or Capsules 250 mg
Clotrimazole
Pessaries 100 mg, 200 mg, Gel 2%
Griseofulvin
Capsules or Tablets 125 mg, 250 mg
Nystatin
Tablets 500,000 IU
Pessaries 100,000 IU
Metronidazole
Tablets 200 mg, 400 mg
Syrup
Tinidazole
Tablets 500 mg
Dextran
Injection6%
27
IPHS for Primary Health Centre
Silver Sulphadiazine
Cream 1 %
Betamethasone
Cream / Ointment 0.05%•
Dipropionate Calamine
Lotion
Zinc Oxide
Dusting Powder
Glycerin
Solutioh
Benzyl Benzoate
Lotion 25%
Benzoin Compound
Tincture
Cetrimide
Solution 20% (cone.for dilution)
Chlorhexidine
Solution 5% (cone, for dilution)
Ethyl Alcohol 70%
Solution
Gentian Violet
Paint 0.5°/^, 1 %
Hydrogen Peroxide
Solution 6%
Bleaching Powder
Powder
Formaldehyde IP
Solution
Potassium Permanganate
Crystals for solution
Furosemide
Injection, 10 mg/ ml,
■
Tablets 40 mg
Aluminium Hydroxide + Magnesium
Suspension
Hydroxide
Tablet
Omeprazole
Capsules 10 mg, 20 mg, 40 mg
Ranitidine Hydrocholoride
Tablets 150 mg, 300 mg
Injection 25 mg / ml
Domperidone
Tablets 10 mg
Syrup 1 mg / ml
Metoclopramide
Tablets 10 mg
Syrup 5 mg / ml
Injection 5 mg / ml
28
i
F
- . ........
IPHS for Primary Health Centre
Dicyclomine Hydrochloride
Tablets 10 mg,
Injection 10 mg / ml
Hyoscine Butyl Bromide
Tablets or 10 mg
Injection 20 mg / ml
Bisacodyl
Tablets/ suppository 5 mg
Isphaghula
Granules
Oral Rehydration Salts
Powder for solution As per IP
Oral Contraceptive pills
Emergency Contraceptive pills
Condoms (Nirodh)
Copper T (380 A)
Prednisolone
Tablets 5 mg, 10 mg
Glibenclamide
Tablets 2.5 mg, 5 mg
Insulin Injection (Soluble)
Injection 40 IU / ml
Metformin
Tablets 500 mg
Rabies Vaccine
Injection
Tetanus Toxoid
Injection
Chloramphenicol
4
Eye drops
Drops/Ointment 0.4%, 1%
Ciprofloxacin Hydrochloride Eye drops
Drops/Ointment 0.3%
Gentamicin Eye / Ear
Drops 0.3%
Miconazole
Cream 2%
Sulphacetamide Sodium Eye drops
Drops 10%, 20%, 30%
Tetracycline Hydrochloride Eye oint
Ointment 1 %
Prednisolone Sodium Phosphate
Eye Drops 1 %
Xylometazoline Nasal drops
Drops 0.05%, 0.1 %
Diazepam
Tablets 2 mg, 5 mg, 10 mg
Aminophylline
Injection 25 mg / ml
29
|
1
/PHS for Primary Health Centre
Beclomethasone Dipropionate
Inhaler 50 mg, 250 mg/dose
Salbutamol Sulphate
Tablets 2 mg, 4 mg
Syrup 2 mg / 5 ml
Inhaler 100 mg / dose
Dextromethorphan
Tablets 30 mg
Oral Rehydration Salts
Powder for Solution as per IP
Dextrose
IV infusion 5% isotonic 500 ml bottle
Dextrose with Sodium Chloride
IV infusion 5% + 0.9% 500 ml bottle
Normal Saline
IV infusion 0.9% 500 ml bottle
Potassium Chloride
Syrup 1.5 gm/5 ml, 200 ml
Ringer Lactate
IV infusion 500 ml
Sodium Bicarbonate
Injection
Water for Injection
Injection 2 ml, 5 ml, 10 ml
Ascorbic Acid
Tablets 100 mg, 500 mg
Calcium salts
Tablets 250 mg, 500 mg
Multivitamins
Tablets (As per Schedule V)
30.
I
IPHS for Primary Health Centre
Drugs under RCH for Pnmary Health Centre
(All the drugs available at the sub-centre level, should also be available at the PHC,
perhaps in greater quantities, if required)
S.
No.
Product
Strength
Formulation
Unit
Annual Quantity
Per Centre
1.
Diazepam Inj. IP
5 mg per ml
Inj. 2 ml Ampoule
50 Ampoules
2.
Lignocaine Hydrochloride Inj.
BP
2% per vial
Inj. 30 ml vial ,
10 vials
3.
Pethidine Hydrochloride Inj. IP
50 mg per ml
Inj. 1 ml Ampoule
10 ampoules
4.
Pentazocine Lactate Inj. IP
30 mg per ml
Inj. 1 ml Ampoule
50 Ampoules
5.
Dexamethasone
Phosphate inj. IP
Sodium
4 mg per ml
Inj. 2 ml ampoule
100 ampoules
6.
Promethazine Hydrochloride Inj.
IP
25 mg per ml
Inj. 2 ml asmpoule 50 Ampoules
7.
Methyl Ergometrine Maleate Inj.
0.2 mg per ml
Inj. 1 ml Ampoule
150 ampoules
100 ampoules
IP
8.
Ethophylline BP plus Anhydrous
Theophylline IP combination
169.4 mg50.6
mg per 2 ml
Inj. 2 ml ampoule
9.
Aminophylline Inj. BP
25 mg'per ml
Inj. 10 ml Ampoule 50 Ampoules
10.
Adrenaline Bitartrate Inj. IP
1 mg per ml
(1:1000
dilution)
Inj. 1 ml Ampoule
50 Ampoules
11.
Compound Sodium Lactate Inj.
IP
500 ml plastic
pouch
200 Pouches
12.
Methyl Ergometrine tab IP
0.125 mg
per tablet
Tablet
500 tablets
13.
Diazepam tab. IP
5 mg per
tablet
Tablet
250 tablets
14.
Paracetamol tab. IP
500 mg
per tablet
Tablet
1000 tablets
15.
Cotrimoxazole combination of
Per tablet
Tablet
2000 tablets
Trimethoprim IP
80 mg
Sulphamethoxazole IP
400 mg
31
IPHS for Primary Health Centre
S.
No.
Product
Strength
Formulation
Unit
Annual Quantity
Per Centre
16.
Amoxycillin Trihydrate IP
250 mg per
capsule
Capsule
2500 capsules
17.
Doxycycline hydrochloride
100 mg per
capsule
Capsule
500 capsules
18.
Tinidazole IP
500 mg per
tablet
Tablet
1000 tablets
19.
Salbutamol tab. IP
2 mg per
tablet
Tablet
1000 tablets
20.
Phenoxy Methyl Penicillin
Potassium IP (Penicillin V)
125 mg
per tablet
Tablet
2000 tablets
21.
Hemostatic capsule Branded
item - Gyne CVP
As per
Gyne-CVP
Capsul^
1000 capsules
22.
Vit. K3 (Menadione Inj.) IP
Inj. 10 mg
per ml
Inj. 1 ml
ampoule
200 ampoules
23.
Atropine sulphate inj. IP
Inj. 0.6 mg
per ml
Inj. 1 ml
Ampoule
50 Ampoules
24.
Nalidixic Acid tablet IP
500 mg
per tablet.
Tablet
1000 Ampoules
25.
Oxytocin
5 I.U. per ml
Inj. 1 ml Ampoule
100 Ampoules
26.
Phenytoin
50 mg per ml
Inj. 2 ml Ampoule
25 Ampoules
27.
Chlorpromazine
25 mg per ml
Inj. 2 ml Ampoule
50 Ampoules
28.
Cephalexin Cap. IP
250 mg per
capsule
Capsule
1000 Capsules
29.
Ritodrine Hydrocloride DSP
10 mg per ml
Inj. 5 ml
Ampoule
50 Ampoules
30.
Dextrose Inj. IP I.V. Solution
5%
Inj. 500 ml
plastic pouch
50 plastic pouches
31.
Sodium Chloride Inj. IP I.V.
solution
0.9% w/v
Inj. 500 ml
plastic pouch
100 plastic pouches
32
I
_________________
IPHS for Primary Health Centre
List, of RTI/ST1 Drugs under RCH Programme
SI.
No
Drug
Strength
Annual
Quantity/FRU
1
Ciprofloxacin Hydrochloride Tablets
500 mg / tablet
1000 Tablets
2
Doxycycline Hydrochloride Capsules
100 mg / cap
6000 Capsules
3
Erythromycin Estolate Tablets
250 mg / tablet
1000 Tablets
4
Benzathine Penicillin Injection
24 lakhs units/vial
1000 vials
5
Tinidazole Tablets
500 mg tablet
5000 Tablets
6
Clotrimazole Pessaries
100 mg pessary
6000 Pessaries
7
Clotrimazole Cream
2% w/w cream
500 Tubes
8
Compound Podophyllin
25% w/v
5 Bottles
9
Gamma Benzene Hexachloride
Application (Lindane Application)
1 % w/v
10 Bottles
10
Distilled Water
Drugs ant::
10001 Ampoules
forMVA:
Syringe for local anaesthesia (10 ml) and Sterile Needle (22-24 gauge)
Chlorine solution
Antiseptic solution (savlon)
Local Anaesthetic agent (injection 1 % Lignocaine, for giving para cervical
block)
Sterile saline/sterile water for flushing cannula in case of blockage
Infection prevention equipment and supplies
List of AYUSH DRUGS to be used by AYUSH doctor posted at PHCs (as pe? th
list provided by the department of AYUSH, Ministry of Health & FamHy Wfitn
Government of India):
List of Ayurvedic ■'
1.
Sanjivani Vati
2.
Godanti Mishran
i mesforPHCs:
33
IPHS for Primary Health Centre
3.
AYUSH-64
30.
Rajapravartini Vati
4.
Lakshmi Vilas Rasa (Naradeeya)
31.
Triphala guggulu
5.
Khadiradi Vati
32.
Saptamrit Louh
6.
Shilajatwadi Louh
33.
Kanchanara guggulu
7.
Swas Kuthara rasa
34.
Ayush Ghutti
8.
Nagarjunabhra rasa
35.
Talisadi Churna
9.
Sarpagandha Mishran
36.
Panchanimba Churna
10.
Punarnnavadi Mandura
37.
Avipattikara Churna
11.
Karpura rasa
38.
Hingvashtaka Churna
12.
Kutajaghan Vati
39.
Eladi Churna
13.
Kamadudha rasa
40.
Swadishta Virechan Churna
14.
Laghu Sutasekhar rasa
41.
Pushyanuga Churna
15.
Arogyavardhini Vati
- 42.
16.
Shankha Vati
43.
Triphala Churna
17.
Lashunadi Vati
44.
Balachaturbhadra Churna
18.
Kankayana Vati
45.
Trikatu Churna
19.
Agnitundi Vati
46.
Sringyadi Churna
20.
Vidangadi louh
47.
Gojihwadi kwath Churna
21.
Brahmi Vati
48.
Phalatrikadi kwath Churna
22.
Sirashooladi Vajra rasa
49.
54.Maharasnadi kwath Churna
23.
Chandrakant rasa
50.
Pashnabhedadi kwath Churna
24.
Smritisagara rasa
51.
Dasamoola Kwath Churna
25.
Kaishora guggulu
52.
Eranda paka
26.
Simhanad guggulu
53.
Haridrakhanda
27.
Yograj guggulu
54.
Supari pak
28.
Gokshuradi guggulu
55.
Soubhagya Shunthi
29.
Gandhak Rasayan
56.
Brahma Rasayana
34
Dasanasamskara Churna
/PHS for Primary Health Centre
'r
57.
Balarasayana
84.
Jatyadi Taila/Ghrita
58.
Chitraka Hareetaki
85.
Anu Taila
59.
Amritarishta
86.
Shuddha Sphatika
60.
Vasarishta
87.
Shuddha Tankan
61.
Arjunarishta
88.
Shankha Bhasma
62.
Lohasava
89.
Abhraka Bhasma
63.
Chandanasava
90.
Shuddha Gairika
64.
Khadirarishta
91.
Jahar mohra Pishti
65.
Kutajarishta
92.
Ashwagandha Churna
66.
Rohitakarishta
93.
Amrita (Giloy) Churna
67.
Ark ajwain
94.
Shatavari Churna
68.
Abhayarishta
95.
Mulethi Churna
69.
Saraswatarishta
96.
Amla Churna
70.
Balarishta
97.
Nagkesar Churna
71.
Punarnnavasav
98.
Punanrnava Churna
72.
Lodhrasava
- 99.
Dadimashtak Churna
73.
Ashokarishta
100. Chandraprabha Vati.
74.
Ashwagandharishta
List of Unani Medicines for PHCs:
75.
Kumaryasava
76.
Dasamoolarishta
77.
Ark Shatapushpa (Sounf)
78.
Drakshasava
79.
Aravindasava •
80.
Vishagarbha Taila
81.
Pinda Taila
82.
Eranda Taila
83.
Kushtarakshasa Taila
1.
Arq-e-Ajeeb
2.
Arq-e-Gulab
3.
Arq-e-Kasni
4.
Arq-e-Mako
5.
Barshasha
6.
Dawaul Kurkum Kabir
7.
Dawaul Misk Motadil Sada
8.
Habb-e-Aftimoon
9.
Habb-e-Bawasir Damiya
35
IPHS for Primary Health Centre
10.
Habb-e-Bukhar
37.
Habb-e-Tankar
11.
Habb-e-Dabba-e-Atfal
38.
Habb-e-Tursh Mushtahi
12.
Habb-e-Gule Pista
39.
Itrifal Shahatra
13.
Habb-e-Hamal
40.
Itrifal Ustukhuddus
14.
Habb-e-Hilteet
41.
Itrifal Zamani
15.
Habb-e-Hindi Qabiz
42.
Jawahir Mohra
16.
Habb-e-Hindi Sual
43.
Jawarish Jalinoos
17.
Habb-e-Hindi Zeeqi
44.
Jawarish Kamooni
18.
Habb-e-Jadwar
45.
Jawarish Mastagi
19.
Habb-e-Jawahir
46.
Jawarish Tamar Hindi
20.
Habb-e-Jund
47.
Khamira Gaozaban Sada
21.
Habb-e-Kabid Naushadri
48.
Khamira Marwareed
22.
Habb-e-karanjwa
49.
Kushta Marjan Sada
23.
Habb-e-Khubsul Hadeed
50.
Laooq Katan
24.
Habb-e-Mubarak
51.
Laooq Khiyarshanbari
25.
Habb-e-Mudirr
52.
Laooq
26.
Habb-e-Mumsik
53.
Majoon Arad Khurma
27.
Habb-e-Musaffi
54.
Majoon Dabeedulward
28.
Habb-e-Nazfuddam
55.
Majoon Falasifa
29.
Habb-e-Nazla
56.
Majoon Jograj Gugal
30.
Habb-e-Nishat
57.
Majoon Kundur
31.
Habb-e-Raal
58.
Majoon Mochras
32.
Habb-e-Rasaut
59.
Majoon Muqawwi-e-Reham
33.
Habb-e-Shaheeqa
60.
Majoon Nankhwah
34.
Habb-e-Shifa
61.
Majoon Panbadana
35.
Habb-e-Surfa
62.
Majoon Piyaz
36.
Habb-e-Tabashir
63.
Majoon Seer Alwikhani
36
Sapistan
IPHS for Primary Health Centre
64.
Majoon Suhag Sonth
91.
Raughan Qaranful
65.
Majbon Suranjan
92.
Raughan Surkh
66.
majoon Ushba
93.
Raughan Turb
67.
Marham Hina
94.
Roghan Luboob Saba
68.
Marham Kafoor
95.
Roghan Malkangni
69.
Marham Kharish .
96.
Roghan Oust
70.
Marham Quba
97.
Safoof Amla
71.
Marham Rai Safaid
98.
Safoof Chutki
72.
Qurs Aqaqia
99.
Safoof Dama Haldiwala
73.
Qurs Dawaul Shifa
74.
Qurs Deedan
75.
Qurs Ghafis
76.
Qurs Gulnar
77.
Qurs Habis
78.
Qurs Kafoor
79.
Qurs Mulaiyin
80.
Qurs Sartan Kafoori
81.
Qurs Zaranbad
82.
Qurs Ziabetus Khaas
83.
Qurs Ziabetus Sada
109. Sharbat Khaksi
84.
Qurs-e-Afsanteen
110. Sharbat Sadar
85.
Qurs-e-Sartan
111. Sharbat Toot Siyah
86.
Qutoor-e-Ramad
112. Sharbat Zufa
87.
Raughan Baiza-e-Murgh
113. Sunoon Mukhrij-e-Rutoobat
88.
Raughan Bars
114. Tiryaq Nazla
89.
Raughan Kahu
115. Tiryaq pechish
90.
Raughan Kamila
116. Zuroor-e-Qula
100. Safoof Habis
101. Safoof Muqliyasa
102. Safoof Mustehkam Dandan
103. Safoof Naushadar
104. Safoof Sailan
105. Safoof Teen
106. Sharbat Anjabar
107. Sharbat Buzoori Motadil
108. Sharbat Faulad
l
37
■
IPHS for Primary Health Centre
w Medic
1.
Amai otu parpam
For diarrhoea in children and indigestion
2.
Amukkarac curanam
For general debility, insomnia,
Hyper acidity.
3.
Anna petic centuramFor anaemia
4.
Antat Tailam
For febrile convulsions
5.
Atotataik kuti nir
cough and cold
6.
Aya Kantac centuram- aneamia
7.
Canku parpam
anti allergic
8.
Canta cantirotayam
fevers and jaundice
9.
Cilacattu Parpam
Urinary infection, white discharge
10.
Civanar Amirtam
anti allergic, bronchial asthma
11.
Comput Tinir
indigestion, loss of appetite
12.
Cuvacakkutori mathirai
asthma and cough
13.
Elatic curanam
allergy, fever in primary complex
14.
Incic Curanam
indigestion, flatulence
15.
Iraca Kanti Meluku
skin infections, venereal infections.
16.
Kantaka Racayanam
skin diseases and urinary infections.
17.
Kapa Curak Kutinir
fevers
18.
Karappan Tailam
eczema
19.
Kasturik karuppu
fever, cough, allergic bronchitis
20.
Korocanai mattirai
sinus, fits.
21.
Kunkiliya Vennay
external application for piles and scalds
22.
Manturati Ataik Kutinir
anaemia
23.
Mattan Tailam
ulcers and diabetic carbuncle
24.
Mayanat Tailam
swelling, inflammation
25.
Murukkan Vitai Mattiraiintestinal worms
38
IPHS for Primary Health Centre
26.
Nantukkal Parpam
diuretic
27.
Nellikkai llakam
tonic
28.
Neruncik Kutinir
diuretic
29.
Nilavakaic Curanam
constipation
30.
Nila Vempuk Kutinir
fever
31. OmatTinir
indigestion
32.
Parankip pattaic Curanam
skin diseases
33.
Pattuk karuppu
DUB, painful menstruation
34.
Tayirc Cuntic Curanam
diarrhea, used as ORS
35. Terran kottai llakam
tonic, used in bleeding piles
36. Tiripalaic Curanam
styptic and tonic
37. Visnu Cakkaram
pleurisy
Patent <
1.
9
777 Oil
List of Hr
for Psoriasis
i\,‘' PHC
S.No
Name of Medicine
1
Abrotanum
30
2
Abrotanum
200
3
Absinthium
Q
4
Aconite Nap.
6
5
Aconite Nap.
30
6
Aconite Nap.
200
7
Aconite Nap.
IM
8
Actea Racemosa
30
9
Actea Racemosa
200
10
Aesculus Hip
30
11
Aesculus Hip
200
Potency
39
/PHS for Primary Health Centre
S.No
Name of Medicine
12
Aesculus Hip
1M
13
Agaricus musca.
30
14
Agaricus musca
200
15
Allium cepa
• 6
16
Allium cepa
30
17
Allium cepa
200
18
Aloe soc.
6
19
Aloe soc.
30
20
Aloe soc.
200
21
Alumina
30
22
Alumina
200
23
Ammon Carb
30
24
Ammon Carb
200
25
Ammon Mur
30
26
Ammon Mur
200
27
Ammon Phos
30
28
Ammon phos
200
29
Anacardium Ori.
30
30
Anacardium Ori.
200
31
Anacardium Ori.
IM
32
Angustura vera
Q
33
Anthracinum
200
34
Anthracinum
IM
35
Antim Crud
30
36
Antim Crud
200
37
Antim Crud
IM
Potency
I?
40
■
IPHS for Primary Health Centre
S.No
Name of Medicine
Potency
38
Name of Medicine
Potency
39
Antimonium Tart
3X
40
Antimonium Tart
6
41
Antimonium Tart
30
42
Antimonium Tart
200
43
Apis mel
30
44
Apis mel
200
45
Apocynum Can
Q
46
Apocynum Can
30
47
Arg. Met
30
48
Arg Met.
200
49
Arg. Nit.
30
50
Arg. Nit.
200
51
Arnica Mont.
Q
52
Arnica Mont
30
53
Arnica Mont
200
54
Arnica Mont
55
Arsenicum Alb.
6
56
Arsenicum Alb.
30
57
Arsenicum Alb.
200
58
Arsenicum Alb.
IM
59
Aurum Met..'
30
60
Aurum Met.
200
61
Bacillinum
200
62
Bacillinum
IM
63
Badiagb
30
•>
!M
41
/PHS for Primary Health Centre
J;
S.No
Name of Medicine
64
Badiaga
200
65
Baptisia Tinct.
Q
66
Baptisia Tinct
30
67
Baryta Carb.
30
68
Baryta Carb.
200
69
Baryta Carb.
IM
70
Baryta Mur.
3X
71
Belladonna
30
72
Belladonna
200
73
Belladonna
IM
74
Bellis Perennis
Q
75
Bellis Perennis
30
76
Benzoic Acid
30
77
Benzoic Acid
200
78
Berberis Vulgaris
Q
79
Berberis Vulgaris
30
80
Berberis Vulgaris
200
81
Blatta Orientalis
Q
82
Blatta Orientalis
30
83
Blumea Odorata
Q
84
Borax
30
85
Bovista
30
86
Bromium
30
87
Bryonia Alba
3X
88
Bryonia Alba
6
89
Bryonia Alba
30
Potency
■
i
■
■
42
I-
IPHS for Primary Health Centre
S.No
Name of Medicine
90
Bryonia Alba
200
91
Bryonia Alba
IM
92
Bufo rana
30
93
Carbo veg
30
94
Carbo veg
200 ■
95
Cactus G.
Q
96
Cactus G.
30
97
Calcarea Carb
30
98
Calcarea ,Cafb
200
99
Calcarea Carb
IM
100
Calcarea Fluor
30
101
Calcarea Fluor
200
102
Calcarea Fluor
IM
103
Calcarea Phos
30
104
Calcarea Phos
200
105
Calcarea Phos
IM
106
Calendula Off.
Q
107
Calendula Off
30
108
Calendula Off
200
109
Camphora
6
110
Camphora
200
111
Cannabis Indica
6
112
Cannabis Indica
30
113
Cantharis
Q
114
Cantharis
30
115
Cantharis
200
Potency
43
IPHS for Primary Health Centre
S.No
Name of Medicine
116
Capsicum
30
117
Capsicum
200
118
Carbo Animalis
30
119
Carbo Animalis
200
120
Carbolic Acid
30
121
Carbolic Acid
200
122
Carduus Mar
Q
123
Carduus Mar
6
124
Carduus Mar
Potency
30
i
I
I
I
i
f
■
£
125
Carcinosinum
126
Carcinosinum
127
Cassia sophera
Q
128
Caulophyllum
30
129
Caulophyllum
200
130
Causticum
30
131
Causticum
200
132
Causticum
IM
133
Cedron
30
134
Cedron
200
135
Cephalendra Indica
Q
136
Chamomilla
6
137
Chamomilla
30
138
Chamomilla
200
139
Chamomilla
IM
140
Chelidonium
Q
141
Chelidonium
30
44
200
?
5
r
J
r
IPHS for Primary Health Centre
S.No
Name of Medicine
142
Chin Off.
Q
143
Chin Off
6
144
Chin Off
30
145
Chin Off
200
146
Chininum Ars
3X
147
Chininum Sulph
6
148
Cicuta Virosa
30
149
Cicuta Virosa
200
150
Cina
Q
151
Cina
3X
152
Cina
6
153
Cina
30
154
Cina
200
155
Coca
200
156
Cocculus Indicus
6
157
Cocculus Indicus
30
158
Coffea Cruda
30
159
Coffea Cruda
200
160
Colchicum
30
161
Colchicum
200
162
Colocynthis
6
163
Colocynthis
30
164
Colocynthis
200
165
Crataegus Oxy
Q
166
Crataegus Oxy
3X
167
Crataegus Oxy
30
Potency
45
IPHS for Primary Health Centre
S.No
Name of Medicine
168
Crataegus Oxy
200
169
Crotalus Horridus
200
170
Croton Tig.
6
171
Croton Tig.
30
• I
172
Condurango
30
I
173
Condurango
200
174
Cuprum met.
30
175
Cuprum met.
200
176
Cynodon Dactylon
Q
Potency
I
I
?'
177
Cynodon Dactylon
3X
178
Cynodon Dactylon
30
179
Digitalis
Q
180
Digitalis
30
181
Digitalis
200
182
Dioscorea
30
183
Dioscorea
200
184
Diphtherinum
200
185
Drosera
30
186
Drosera
200
187
Dulcamara
30
188
Dulcamara
200
189
Echinacea
Q
190
Echinacea
30
191
Equisetum
30
192
Equisetum
200
193
Eupatorium Perf.
3X
;•
■
£
I
46
Bi
BL
IPHS for Primary Health Centre
S.No
Name of Medicine
Potency
194
Eupatorium Perf.
30
195
Eupatorium Perf.
200
196
Euphrasia
Q
197
Euphrasia
30
198
Euphrasia
200
199
Ferrum Met.
200
200
Flouric Acid
200
201
Formica Rufa
6
202
Formica Rufa
30
203
Gelsimium
3X
204
Gelsimium
6
205
Gelsimium
30
206
Gelsimium
200
207
Gelsimium
IM
208
Gentiana Chirata
6
209
Glonoine
30
210
Glonoine
200
211
Graphites
30
212
Graphites
200
i
213
Graphites
IM
II
214
Guaiacum
6
215
Guaiacum
200
216
Hamamelis Vir
Q
217
Hamamelis Vir
6
218
Hamamelis Vir
200
219
Helleborus
6
'BF
I
i
II
!'
r
47
IPHS for Primary Health Centre
■ ■
Potency
I
Helleborus
30
I.
221
Hepar Sulph
6
222
Hepar Sulph
30
223
Hepar Sulph
200
224
Hepar Sulph
1M
225
Hippozaenium
6
226
Hydrastis
Q
227
Hydrocotyle As.
Q
228
Hydrocotyle As.
3X
229
Hyocyamus
200
230
Hypericum
Q
231
Hypericum
30
232
Hypericum
200
233
Hypericum
1m
234
Ignatia
30
235
Ignatia
200
236
Ignatia
1m
237
lodium
30
238
lodium
200
239
lodium
1m
240
Ipecacuanha
Q
241
Ipecacuanha
3X
242
Ipecacuanha
6
243
Ipecacuanha
30
244
Ipecacuanha
200
245
Iris Tenax
6
246
Iris Veriscolor
30
S.No
Name of Medicine
220
48
■
I
I
■
f
IPHS for Primary Health Centre
I
I
I'
I
Potency
S.No
Name of Medicine
247
Iris Veriscolor
200
248
Jonosia Ashoka
Q
249
Justicia Adhatoda
Q
250
Kali Bromatum
3X
251
Kali Carb
30
252
Kali Carb
200
253
Kali Carb
IM
254
Kali Cyanatum
30
255
Kali Cyanatum
200
256
Kali lod
30
257
Kali lopd
200
258
Kali Mur
30
259
Kali Mur
200
260
Kali Sulph
30
261
Kalmia Latifolium
30
262
Kalmia Latifolium
200
263
Kalmia Latifolium
IM
264
Kreosotum
Q
265
Kreosotum
30
266
Kreosotum
200
267
Lac Defloratum
30
268
Lac Defloratum .
200
269
Lac Defloratum
IM
270
Lac Can
30
271
Lac Can
200
272
Lachesis
30
49
■
IPHS for Primary Health Centre
S.No
Name of Medicine
273
Lachesis
200
274
Lachesis
IM
275
Lapis Albus
3X
276
Lapis Albus
30
277
Ledum Pal
30
278
Ledum Pal
200
279
Ledum Pal
1M
280
Lillium Tig.
30
281
Lillium Tig.
200
282
Lillium Tig.
1M
283
Lobelia inflata
Q
284
Lobelia inflata
30
285
Lycopodium
30
286
Lycopodium
200
287
Lycopodium
1M
288
Lyssin
200*
289
Lyssin
1M
''
290
Mag.Carb
30
I
291
Mag.Carb
200
292
Mag Phos
30
293
Mag Phos
200
294
Mag Phos
1M
295
Medorrhinum
200
296
Medorrhinum
1M
297
Merc Cor
6
298
Merc Cor
30
Potency
I
5i'
■
50
i
IPHS for Primary Health Centre
Potency
S.No
Name of Medicine
299
Merc Cor
200
300
Merc Sol
6
301
Merc Sol
30
302
Merc Sol
200
303
Merc Sol
Im
304
Mezerium
30.
305
Mezerium
200
306
Millefolium
Q
307
Millefolium
30
308
Muriatic Acid
30
309
Muriatic Acid
200
310
Murex
30
311
Murex
200
312
Mygale
30
313
Naja Tri
30
314
Naja Tri
200
315
Natrum Ars
30
316
Natrum Ars
200
317
Natrum Carb
30
318
Natrum Carb
200
319
Natrum Carb
IM
320
Natrum Mur
6
321
Natrum Mur
30
322
Natrum Mur
200,
323
Natrum Mur
1M
324
Natrum Phos
30
QV
)
■ s/
v
■O
t
51
/ <■,
A'//
HO
pen
IPHS for Primary Health Centre
*
!
S.No
Name of Medicine
325
Natrum Sulph
3Q
326
Natrum Sulph
200
327
Natrum Sulph
1M
328
Nitric Acid
30
329
Nitric Acid
200
330
Nitric Acid
I’M
331
Nux Vomica
6
332
Nux Vomica
30
333
Nux Vomica
200
334
Nux Vomica
1M
Potency
I
■
J:
f:
335
Nyctenthus Arbor
Q
336
Ocimum Sanctum
Q
337
Oleander
6
338
Petroleum
30
339
Petroleum
200
340
Petroleum
1M
341
Phosphoric Acid
Q
342
Phosphoric Acid
30
343
Phosphoric Acid
200
344
Phosphoric Acid
1M
345
Phosphorus
30
346
Phosphorus
200
347
Phosphorus
1M
348
Physostigma
30
349
Physostigma
200
350
Plantago Major
Q
I
i
I
I'f
I
y
■
52
I
I
§
f
r
L
IPHS for Primary Health Centre
S.No
Name of Medicine
351
Plantago Major
6
352
Plantago Major
30
353
Platina
200
354
Platina
IM
355
Plumbum Met
200
356
Plumbum Met
IM
357
Podophyllum
6
358
Podophyllum
30
359
Podophyllum
200
360
Prunus Spinosa
6
361
Psorinum
200
362
Psorinum
IM
363
Pulsatilla
30
364
Pulsatilla
200
I'i
365
Pulsatilla
IM
I
366
Pyrogenium
200
367
Pyrogenium
IM
368
Ranunculus bulbosus
30
369
Ranunculus bulbosus
200
370
Ranunculus repens
6
371
Ranunculus repens
30
372
Ratanhia
6
373
Ratanhia'
30
374
Rauwolfia serpentina
Q
375
Rauwolfia serpentina
6
376
Rauwolfia serpentina
30
I
i:
J
I'
r
I
"i'
I
Mi
Potency
53
IPHS for Primary Health Centre
!
Potency
B
Rhododendron
30
I
378
Rhododendron
200
379
Rhus tox
3X
380
Rhus tox
6
381
Rhus tox
30
382
Rhus tox
200
383
Rhus tox
1M
384
Robinia
6
385
Robinia
30
386
Rumex crispus
6
387
Rumex crispus
30
388
Ruta gr
30
389
Ruta gr
200
390
Sabal serreulata
Q
391
Sabal serreulata
6
392
Sabina
3X
393
Sabina
6
394
Sabina
30
395
Sang.can
30
396
Sang.can
200
397
Sarsaprilla
6
398
Sarsaprilla
30
399
Secalecor
30
400
Secalecor
401
Selenium
402
Selenium
S.No
Name of Medicine
377
J
I
I
Ii
I
■
54
200
I
f'.'
i
.
30
200
J
I
IPHS for Primary Health Centre
I
S.No
Name of Medicine
403
Senecio aureus
6
404
Sepia
30
405
Sepia
200
406
Sepia
IM
407
Silicea
30
408
Silicea
200
409
Silicea
1M
410
Spigellia
30
411
Spongia tosta
6
412
Spongia tosta
30
413
Spongia tosta
200
414
Stannum
30
415
Stannum
200
416
Staphisagria
30
417
Staphisagria
200
418
Staphisagria
1M
419
Sticta pulmonaria
420
Sticta pulmonaria
30
421
Stramonium
30
422
Stramonium
200
423
Sulphur
30
424
Sulphur
200
425
Sulphur
1M
426
Sulphuric acid
6
427
Sulphuric acid
30
428
Syphilinum
200
Potency
¥
6
55
IPHS for Primary Health Centre
S.No
Name of Medicine
429
Syphilinum
IM
430
Tabacum
30
431
Tabacum
200
432
Tarentula cubensis
6
433
Tarentula cubensis
30
434
Tellurium
6
435
Tellurium
30
436
Terebinthina
6
437
Terebinthina
30
438
Terminalia arjuna
Q
439
Terminalia arjuna
3X
440
Terminalia arjuna
6
441
Thuja occidentalis
Q
442
Thuja occidentalis
30
443
Thuja occidentalis
200
444
Thuja occidentalis
IM
445
Thyroidinum
200
446
Thyroidinum
1M
447
Tuberculinum bov
200
448
Uran.Nit
3X
449
Urtica urens
Q
450
Urtica urens
Potency
r
6
L/
451
Ustilago
452
Verat alb
6
453
Viburnan opulus
6
454
Viburnan opulus
30
455
Viburnan opulus
200
456
Vipera tor
56
I
6
200
IPHS for Primary Health Centre
S.No
Name of Medicine
457
Vipera tor
IM
458
Verat viride
30
459
Verat viride
200
460
Viscum album
6
461
Wyethia
6
462
Wyethia
30
463
Wyethia
200
464
Zinc met
200
465
Zinc met
IM
466
Zink phos
200
467
Zink phos
IM
468
Globules
20 no.
469
Sugar of milk
470
Glass Piles
5 ml
471
Glass Piles
10 ml
472
Butter Paper
473
Blank Sticker
Ointments
474
Aesculus Hip
475
Arnica
476
Calendula
477
Cantharis
478
Hamamelis Vir'
479
Rhus tox
480
Twelve Biochemic Medicines
481
Cineraria Eye Drop
482
Euphrasia Eye Drop
483
Mullein Oil (Ear Drop)
Potency
1/2 *3/2 inch
6x & 12x
57
IPHS for Primary Health Centre
Annexure-5
l
The universal precautions should be
understood and applied by all medical and
paramedical staff involved in providing
health services. The basic elements include:
Hand washing thoroughly with soap
and running water
Before carrying
procedure
out
the
Immediately if gloves are torn
and hand is contaminated with
blood or other body fluids
Soon after the procedure, with
gloves on and again after
removing the gloves
Barrier Precautions: using protective
gloves, mask, waterproof aprons and
gowns.
Strict asepsis during the operative
procedure and cleaning the operative
site. Practise the "no touch
technique" which is: any instrument
or part of instrument which is to be
inserted in the cervical canal must not
touch any non-sterile object / surface
prior to insertion.
Decontamination and cleaning of all
instruments immediately after each
use.
Sterilisation •
Instruments and gloves must be autoclaved
2.
In case autoclaving is not possible,
the instruments must be fully
immersed in water in a covered
container and boiled for at least 20
minutes.
Stenrsa'
instruments
I
t
msertion
Copper T is available in a pre-sterilised
pack
Ensure that the instruments and
gloves used for insertion are
autoclaved, or fully immersed in a
covered container and boiled for at
least 20 minutes
SterihsatSon f
equipment
.3 Of MVA
r.
The four basic steps are:
Decontamination of instruments,
gloves, cannulae and syringes in
0.5% chlorine solution
Cleaning in lukewarm water
using a detergent.
j
Sterilisation/High Level Disinfection
Sterilisation / high level disinfection
of instruments with meticulous
attention.
Storage and re-assembly of
instruments.
Appropriate waste disposal.
The person responsible for
cleaning must wear utility gloves.
58
| I
J k. *
IPHS for Primary Health Centre
Annexure-6
I
I
I
Check List
Monitoring by External Mechanism
(A simple check list that can be used by
NGOs/PRI. Information should be collected
by group discussion with people availing
of PHC service)
No information
Which medicines have to be bought
from the medical store? (If possible
give the doctor's prescription along
1
I
4
Number of patients used the out-patient
services in the past quarter:
How many of them are from SC, ST,
and other backward classes?
with the checklist.)
Availability of curative services
Is surgery for cataract done in the
PHC? Yes/No/No information
How many of them are women?
Is the primary management of wounds
How many of them are children?
Availability of Medicines in the PHC
Is the Anti-snake venom regularly available
in the PHC? Yes/No/No information
Is the anti-rabies vaccine regularly available in the PHC? Yes/No/No information
Are the drugs for Malaria regularly available
in the PHC? Yes/No/No information
Are the drugs for Tuberculosis regularly
available in the PHC?
Are all medicine given free of charge in the
PHC?:
Yes, all the medicines are given free
of charge
done at the PHC? (stiches, dressing,
etc.)
Is the primary management of fracture
done at the PHC?
Are minor surgeries like draining of
abscess etc done at the PHC?
Is the primary management of cases
of poisoning done at the PHC?
Is the primary management of burns
done at PHC?
Availability of Reproductive and Chiid
Health Services
Are Ante-natal clinics organized by
the PHC regularly?
Some medicines are given free of
charge while others have to be
brought from medical store
Most of the medicines have to be
bought from medical store
■■
Is the facility for normal delivery
available in the PHC for 24 hours?
Is the facility for tubectomy and
vasectomy available at the PHC?
59
1
IPHS for Primary Health Centre
All women given treatment for
, anaemia
Is the facility for internal examination
for
gynaecological
conditions
available at the PHC?
Only pregnant women given
treatment for anaemia
Is the treatment for gynaecological
disorders like leucorrhea, menstrual
disorders available at the PHC?
No women given treatment for
anaemia
Yes, treatment is available
Are the low birth weight babies
managed at the PHC?
No, women are referred to other
health facilities
Women do not disclose their
illness
No idea
If women do not usually go to the
If so,
How many deliveries conducting in
the past quarter?
PHC, then what is the reason behind
it?
How many of them belong to SC, ST,
and other backward classes?
Is the facility for Medical Termination
of Pregnancy (MTP) (abortion)
available at the PHC?
Is there a fixed immunization day?
I
Are BCG and Measles vaccine given
regularly at the PHC?
I
Is the treatment of children with
pneumonia available at the PHC?
I
Is the management of children
suffering from diarrhoea with severe
dehydration done at the PHC?
r
Availability of; aboratory ser vices at the
PHC
I’
Is there any pre-conditir-, for doing
MTP such as enforced
use of
contraceptives after MTP or asking for
husband's consent for MTP?
No precondition
Precondition only for some
women
Precondition for all women
No idea
Do women have to pay for
Medical
Termination
of
Pregnancy?
Is treatment for anaemia given
to both pregnant as well as non
pregnant women?
60
Is the PHC providing 24-hours service
for conducting deliveries?
Is blood examination for anaemia done at
the PHC?
Is detection of malaria parasite by blood
smear examination done at the PHC?
Is sputum examination done to diagnose
tuberculosis at the PHC?
Is urine examination for pregnant women
done at the PHC?
IPHS for Primary Health Centre
I
1
General questions
functioning of the PHC
about
the
Was there an outbreak of any of the
following diseases in the PHC area in the
last three years?
Malaria
Measles
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Gastroenteritis
vomiting)
(diarrhoea
and
Jaundice
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Fever with loss of consciousness /
convulsions
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If yes, did the PHC staff respond
immediately to stop the further spread of
the epidemic
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What steps did the PHC staff take?
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How is the behaviour of PHC staff with
the patient?
Courteous
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Casual / indifferent
Insulting / derogatory -
Is there corruption in terms of charging extra
money for any of the service provided?
Does the doctor do private practice during
or after the duty hours?
Are there instances where patients from a
particular social background (SC, ST,
minorities, villagers) have faced derogatory
or discriminatory behaviour or service of
poorer quality?
Have patients with specific health problems
(HIV/AIDS, leprosy suffered discrimination
in any form? Such issues may be recorded
in the form of specific instances.
Are women patients interviewed in an
environment that ensures privacy and
dignity?
Are examinations on women patients
conducted in the presence of a women
attendant and procedures conducted under
conditions that ensure privacy?
Is the PHC providing in patient care?
Do patients with chronic illness receive
adequate care and drugs for the entire
requirement?
If the PHC is not well equipped to provide
the services needed, are patient transported
immediately without delay, with all the
relevant papers, to a site where the desired
service is available?
Is there a publicly display mechanism,
whereby a complaint / grievance can be
registered?
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61
IPHS for Primary Health Centre
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Annexure-7
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Jobb Responsibilities of Medic Officer
and Other Staff at PHC
OUT’HS OF MEDICAL OFFICER,
- AVIARY HEALTH CENTRE
4.
The Medical Officer of Primary Health
Centre (PHC)
is responsible for
implementing all activities grouped under
Health and Family Welfare delivery system
5.
in PHC area. He/she is responsible in his
individual capacity, as well as over all in
charge. It is not possible to enumerate all
his tasks. However, by virtue of his
designation, it is implied that he will be 6.
solely responsible for the proper functioning
of the PHC, and activities in relation to
RCH, NRHM and other national programs.
The detailed job functions of Medical
Officer working in the PHC are as follows:
7.
Curative Work
1.
2.
3.
62
The Medical Officer will organize the
dispensary, outpatient department
and will allot duties to the ancillary
staff to ensure smooth running of the
OPD.
He/she
will
make
suitable
arrangements for the distribution of
work in the treatment of emergency
cases which come outside the normal
OPD hours.
He/she will organize laboratory
services for cases where necessary and
within the scope of his laboratory for
proper diagnosis of doubtful cases.
8.
9.
10.
He/she will make arrangements for
rendering services for the treatment
of minor ailments at community level
and at the PHC through the Health
Assistants, Health Workers and others.
K
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He/she will attend to cases referred
to him/her by Health Assistants,
Health Workers, ASHA / Voluntary
Health Workers where applicable, Dais
or by the School Teachers.
He/she will screen cases needing
specialized
medical
attention
including dental care and nursing
care and refer them to referral
institutions.
He/she will provide guidance to the
Health Assistants, Health Workers,
Health Guides and School Teachers
in the treatment of minor ailments.
He/she will cooperate and or
coordinate with other institutions
providing medical care services in his/
her area.
He/she will visit each Sub-centre in
his/her area at least once in a
fortnight on a fixed day not only to
check the work of the staff but also
to provide curative services.
Organize and participate in the
"health day" at Anganwadi Centre
once in a month.
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IPHS for Primary Health Centre
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Preventive am'? H emotive Work
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Reproduc •.
Cnik '■ ■ ■
Programm's
The Medical Officer will ensure that
all the members of his/her Health
Team are fully conversant with the
MCH Services
Prophylaxis Schemes
various National Health & Family
Welfare Programs including NRHM to
be implemented in the area allotted
to each Health functionary. He/she
Immunization Programme
Oral Rehydration Therapy in Diarrhoeal
Diseases
will further supervise their work
periodically both in the clinics and in
the community setting to give them
the necessary guidance and direction.
The MO will promote institutional
delivery and ensure that the PHO has
the facilities to act as 24x7 service
delivery PHO.
He/she will prepare operational plans
and ensure effective implementation
of the same to achieve the laid down
targets under different National
Health
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Family
and
Welfare
Programme's. The MO will provide
assistance in the formulation of
village health and sanitation plan
through the ANMs and coordinate
with the PRIs in his/her PHC area.
He/she will keep close liaison with
Block Development Officer and his/
her staff, community leaders and
'various social welfare agencies in his/
her area and involve them to the best
advantage in the promotion of health
programmes in the area.
Family Planning
He/she will provide leadership and
guidance for special programmes such
as in nutrition, prophylaxis against
nutritional anemia amongst mothers
and children (1-5 years) Prophylaxis
against blindness and Vitamin A
deficiency amongst children (1-5
years).
He/she will provide basic MCH
services.
He/she will plan and implement UIP
in line with the latest policy and
ensure maximum possible coverage of
the largest population in the PHC.
delineate local health problems for
He/she will ensure adequate supplies
of vaccine and miscellaneous items
required from time to time for the
effective implementation of UIP.
planning changes in the strategy of
the effective delivery of Health and
Family welfare services. He/she will
He/she will ensure proper storage of
vaccine and maintenance and cold
chain equipment.
Wherever possible, the MO will
conduct field
coordinate
investigations to
and
facilitate
the
functioning of ’AYUSH doctor in the
PHC.
He/she will ensure through his/her
health team early detection of
diarrhoea and dehydration.
63
IPHS for Primary Health Centre
He/she will arrange for correction of
moderate and severe dehydration
through appropriate treatment.
He/she will ensure through his/her
health team early detection of
pneumonia cases and provide
appropriate treatment.
He/she will supervise the work of
Health supervisors and Health workers
in treatment of mild and moderate
ARI.
He/she will visit schools in the PHC
area at regular intervals and arrange
for medical check ups immunization
and treatment with proper follow up
of those students found to have
defects.
He/she will be responsible for proper
and successful implementation of
Family Planning Programme in PHC
area, including education, motivation,
delivery of services and after care.
He/she will be squarely responsible
for giving immediate and sustained
attention to any complications the
acceptor develops due to acceptance
of Family Planning methods.
He/she will extend motivational advice
to all eligible patients he/she sees in
the OPD.
He/she will get himself trained in
tubectomy, wherever possible and
organize tubectomy camps.
He/she will organize and conduct
vasectomy camps.
He/she will seek help of other
agencies such as District Bureau,
64
Mobile Van and other association/
voluntary
organizations
for
tubectomy / IUD camps and MTP
services.
The following duties are common to
all the activities coming under
package of services for MCH:
a)
b)
He/she will provide leadership to
his/her
team
in
the
implementation of Family
Welfare Programme in the PHC
catchments area.
He/she will ensure adequate
supplies of equipment, drugs,
educational
material
and
contraceptives required for the
services programmes.
He/she will provide MCH services
such as ante-natal, intra-natal and
post-natal care of mothers and infants
and child care through clinics at the
PHC and Sub centres.
He/she will actively involve his health
team in the effective implementation
of the Nutrition Programmes and
administration of Vitamin 'A' an Iron
& Folic Acid Tablets and will
coordinate with ICDS.
Adequate stocks of ORS to ensure
availability
of
ORS
packets
throughout the year.
Monitor all cases of diarrhea
especially for children, between 0-5
years.
Recording and reporting of all details
due to diarrhea especially for children
between 0-5 years.
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IPHS for Primary Health Centre
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Organize wells to be chlorinated and
coordination with sewage agency for
sanitation.
Training of all health personnel like
ASHAs, Anganwadi Workers, Dais and
others who are involved in health care
regarding ORT programme.
I
2.
Universal
Immunization
Programme (UIP)
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ensure cent percent coverage of the
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target population in the PHC (i.e.
He/she will plan and implement UIP
in line with the latest policy and
pregnant mothers and new born
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infants).
He/she will ensure adequate supplies
of vaccines miscellaneous items
required from time to time for the
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effective implementation of UIP.
He/she will ensure proper storage of
vaccine and maintenance of cold
chain equipment, planning and
monitoring of performance and
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> training of staff.
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Malaria
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National Vector Borne Disease
Control Programme (NVBDCP)
He/she will be responsible for all
NVBDCP operations in his/her PHC
area and will be responsible for all
administrative and technical matters.
He/she should be completely
acquainted with all problems and
difficulties regarding surveillance and
spray operations in his/her PHC area
and be responsible for immediate
among whenever the necessity arises.
The Medical Officer will guide the
Health Workers and Health Assistants
on all treatment schedules, especially
radical treatment with primaquine. As
far as possible he/she should
investigate all malaria cases in the
area less than API 2 regarding their
nature and origin, and institute
necessary
measures
in
this
connection. He/she should ensure that
prompt remedial measures are carried
out by the Health Assistance, about
positive cases detected in areas with
API less than two. He/she should give
specific instructions to them in this
respect, while sending the result of
blood slides found positive.
He/she will check the microscopic
work of the Laboratory Technician
and dispatch prescribed per-centage
of such slides to the Zonal
Organization/Regional Office for
Health
and
Family
Welfare
(Government of India) and State
headquarters for cross checking as laid
down from time to time.
He/she should, during his/her monthly
meetings, ensure proper accounts of
slides and anti malaria drugs issued
to the Health Workers and Health
Assistant Male.
The publicity material and mass media
equipment received from time to time
will be properly distributed or affixed
as per the instructions from the district
organization.
He/she should consult the booklet on
Management and treatment of
65
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IPHS for Primary Health Centre
Cerebral malaria and treat cerebral
malaria cases as and when required.
He/she should ensure that all
categories of staff in the periphery
administering radical treatment to the
positive cases should observe the
instructions laid down under NVBDCP
on the subject and in case toxic
effects are observed in a patient who
is receiving primaquine the drug is
stopped by the peripheral worker and
such cases are brought to his/her
notice for follow up action/advice if
any.
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He/she will check the Microscopic/
Aldehyde test conducted by the
Laboratory Tech,nicians.
He/she will organize and supervise the * ’
Kala Azar search operations in his/her
area.
He should, during his monthly
meetings ensure proper accounts of
drugs, Chemicals, Glassware etc.
He/she will be responsible for all
Health Education activities in his/her
area.
He/she will be overall responsible for
all Kala Azar control activities in his/
her areas including spray operations.
For the purpose he/she may identify
one Medical Officer who can be made
solely responsible for Kala Azar
control.
He/she will be responsible for all anti
Kala Azar operations in his/her area
and will be responsible for all
administrative and technical matters.
He/she
should
be
Officer/Civil Surgeon, Monitoring,
Record Maintenance of adequate
provisions of Drugs, Chemicals, etc.
completely
acquainted with all problems and
difficult regarding surveillance,
diagnosis and treatment and spray
operations in his/her PHC areas and
be responsible for immediate action
whenever the necessity arises.
He/she will guide the health workers
and health assistants on all treatment
schedules, criteria for suspecting a
case to be of Kala Azar control
activities, complete treatment and to
approach from immediate medical
care.
66
He/she will be responsible for regular
reporting to the District Malaria
Japanese Enc
(Jt?
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He/she will be responsible for all anti
Japanese Emphalitis operations in his
/her area and will be responsible for
all administrative and technical
matters.
He/she should be completely
acquainted with all problems and
difficulties regarding surveillance,
diagnosis, treatment and spray
operations in his/her PHC areas and
be responsible for immediate action
whenever the necessity arises.
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IPHS for Primary Health Centre
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activities
for
increasing
compliance during MDA.
He/she will guide the Health Workers
and Health Assistants on all treatment
schedules, criteria for suspecting a
He or she will be responsible for
assessment of coverage in his area and
moping up operation.
case to be of J.E. and the approaches
for motivation of the people for
!
accepting J.E. control activities and
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to approach for immediate medical
care to prevent death.
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He/she will arrange to collect and
He/she will ensure that rapid response
team are well prepared to meet the
exigencies during MDA.
He/she will be responsible for regular
and prompt reporting of data
pertaining to ELF.
transport sera sample to the identified
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virology lab orders.
He/she will be responsible for all health
education activities in his/her area.
4.
He/she will be overall responsible for
all J.E. control activities in his/her
areas including spray operations for
the purpose, he/she may identify one
solely responsible for J.E. control.
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Comnwnicabie
He/she will be responsible for regular
He/she will take the necessary action
in case of any outbreak of epidemic
in his/her area.
reporting to the District Malaria
Officer, Civil Surgeon, Monitoring,
Record Maintenance of adequate
provisions for drugs etc.
Filariasis
He/she
should
be
•
Perform duties under the IDSP.
5.
Leprosy:
He/she will provide facilities for early
detection of cases of Leprosy and
confirmation of their diagnosis and
treatment.
completely
acquainted with all problems and
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Control of
Diseases.
He/she will ensure that all the steps
are being taken for the control of
communicable diseases and for the
proper maintenance of sanitation in
the villages.
Medical Officer who can be made
I
the
difficulties regarding microfilaria
survey (night blood survey), line;
listing of Lymphodema & Hydrocele
(
home based morbidity management,
Mass Drug Administration and serious
adverse experiences of DEC.
He/she will ensure that all cases of
Leprosy take regular and complete
treatment.
j6,
Tuberculosis:
Heshe will be responsible for ensuring
•
He/she will provide facilities for early
detection of cases of Tuberculosis,
cases in all the villages, diagnosis and
all behaviour change communication
67
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IPHS for Primary Health Centre
confirmation of their diagnosis and
treatment.
He/she will ensure that all cases of
Tuberculosis take regular and
He/she will extend support to mobile
eye care units.
He/she will organize training
programmes including continuing
education for the staff of PHC and
ASHA under the guidance of the
district health authorities and Health
& Family Welfare Training centres.
Ensure functioning of Microscopic
Centre (if the PHC is designated so)
and provision of DOTS.
Saxually Transmitted Diseases
(STD):
He/she will organize training programs
for ASHA.
He/she will ensure that all cases of
STD are diagnosed and properly
treated and their contacts are traced
for early detection.
He/she will also make arrangements/
provide guidance to the health
assistant female and health worker
female
He/she will provide facilities for RPR
He/she will visit schools in the PHC
area at regular intervals and arrange
for Medical Checkups, immunization
and treatment with proper follow up
of those students found to have
defects.
9.
National
Programme
for
Prevention of Visual impairment
and Control of Blindness:
He/she will make arrangements for
rendering:
Treatment for minor ailments
Testing of vision
He/she will refer cases to the
appropriate institutes for specialized
treatment.
68
in
organizing
training
programmes for indigenous dais
practicing in the area and ASHAs
where applicable.
test, for all pregnant women at the^
PHC.
School Health:
I
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complete treatment.
IV
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Administrative ,W®rk
He/she will supervise the work of staff
working under him/her.
He/her will ensure general cleanliness
inside and outside the premises of the
PHC and also proper maintenance of
equipment under his/her charge.
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He/she will ensure to keep up to date
inventory and stock register of all the
stores and equipment supplied to him/
her and will be responsible for its
correct accounting.
He/she will get indents prepared
timely for drugs, instruments,
vaccines, ORS and contraceptive etc.
sufficiently in advance and will submit
them to the appropriate health
authorities.
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He/she will check the proper
maintenance of the transport given
in his/her charge.
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He/she will scrutinize the programmes
of his/her staff and suggest changes
if necessary to suit the priority of
work.
He/she will get prepared and display
charts in his/her own room to explain
clearly the geographical areas,
location of peripheral health units,
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morbidity and mortality, health
statistics and other important
information about his/her area.
He/she will hold monthly staff
meetings with his/her own staff with
a view to evaluating the progress of
JOB RESPONS!BILniES Or 10:..; «
EDUCATOR
Working Rek-.o
The Health Educator will function under
the technical supervision and guidance of
the Block Extension Educator. However, he/
she will be under the immediate
administrative control of the PHC Medical
Officer. He/she will be responsible for
providing support to all health and family
welfare programmes in the block.
DuUes and Fourtfors
1)
information relevant to development
activities in the block, particularly
concerning health and family welfare,
work and suggesting steps to be
taken for further improvements.
He/she will ensure the regular supply
of medicines and disbursements of
honorarium to health guides.
and
He/she will keep notes of his/her visits
to the area and submit every month
his/her tour report to the CM0‘.
2)
utilize
the
same
for
He/she will develop his/her work plan
in consultation with the medical
officer of his/her PHC and the
concerned Block Extension Educator.
3)
He/she will collect analyses and
interpret the data in respect of
extension education work in his/her
PHC area.
4)
He/she will be responsible or regular
maintenance
of
educational
activities,
records
of
tour
programmes, daily dairies and other
He/she will discharge all the financial
duties entrusted to him/her.
He/she will discharge the day to day
administrative
duties
and
administrative duties pertaining new
schemes.
will
programme planning.
He/she will ensure the maintenance
of the prescribed records at PHC level.
He/she will receive reports from the
periphery, get them compiled and
submit them regularly to the district
health authorities.
He/she will have with him/her all
registers, and will ensure preparation
and display of relevant maps and
charts in the PHC.
5)
He/she will assist the Medical Officer,
PHC in conducting training of health
69
IPHS for Primary Health Centre
workers under the MPW and ASHA
and other schemes under NRHM.
6)
He/she will organize the celebration
family welfare for his/her own use and
for training purpose.
15)
of health days and weeks and
publicity programmes at local fairs,
on market days, etc.
7)
He/she will organize orientation
training for health and family welfare
workers, opinion leaders, local
medical
practitioners,
school
teachers, dais and other involved in
health and family welfare work.
8)
9)
10)
education and health education
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He/she will maintain a list of
prominent acceptors of family
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village wise and will try to involve
®
them in the promotion of health and
family welfare programmes.
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He/she will supervise the work of field
workers in the area of education and
motivation.
JOB RESPONSSBILITES OF HEALTH
ASSISTANT FEMALE (LHV - Lady
Health Visitor) (Female Supervisor)
He/she will supply education material
on health and family welfare to health
workers in the block.
Note: Under the Multipurpose Workers
Scheme a Health Assistant Female is
expected to cover a population of 30,000
(20,000 in tribal and hilly areas) in which
there are six Sub-centres, each with the
health, worker female. The health assistant
female will carry out the following duties:
12)
While on tour he/she will check the
available stock of conventional
contraceptive with the depot holders
and the kits with MPHWs and ASHAs.
He/she will help field workers in
winning over resistant cases and drop
outs in the health and family welfare
programmes.
He/she will maintain a complete set
of educational aids on health and
He/she will prepare a monthly report
on the progress of educational
activities in the block and send it to
the higher authority.
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Supervision and guidance:
Supervise and guide the Health
Worker (Female), Dais and guide
ASHA in the delivery of health care
service to the community.
Strengthen the knowledge and skills
of the health worker (female).
Helps the Health Worker (Female) in
improving her skills in working in the
community.
9
70
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planning methods and opinion leaders
17)
While on tour he/she will verify
entries in the eligible couple register
for every village and do random
checking of family welfare acceptors.
14)
f
He/she will assist the organizing mass
communication programmes like film
shows, exhibition, lecturers and
dramas, with the help of the DEMO
and Dy. DEMO.
ii)
13)
He/she will organize population
sessions in schools and for out-of
school youth.
16)
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IPHS for Primary Health Centre
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Help and guide the Health Worker
Assist the Medical Officer of the
(Female) in planning and organizing
primary
her programmes of activities.
organization of the different health
Visit each sub-centre at least once a
week on a fixed day to observe and
guide the Health Worker (Female) in
services in the area.
I
in
the
Participate as a member of the health
team in mass camps and campaigns
her day to day activities.
Assess fort nightly the progress of
work of the Health Worker (Female)
and submit with respect to their
duties under various National Health
Programmes.
centre
health
in health programmes.
3.
Supplies
equipment
maintenance of Sub-centree
In collaboration with the health
assistant (male), check at regular
Carry out supervisory home visits in
the area of the Health Worker
(Female) with respect to their duties
under various national health
programmes.
intervals the stores available at the
►
of
the
supplies
and
centre are properly stored and that
the equipment is well maintained.
Team: Work:
Ensure that the health worker (female)
maintains
Help the health workers to work as
her
general
kit
and
midwifery kit and Dai kit in the
part of the health team.
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procurement
in
Check that the drugs at the sub
women for RPR testing at PHC.
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and
equipment.
Supervise referral; of all pregnant
2.
help
sub-centre
proper way.
Coordinate her activities with those
of the health assistant (male) and
other health personnel including the
Ensure that the sub-centre is kept
clean and is properly maintained.
dais and ASHAs.
4.
Records and Reports*
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Coordinate the health activities in her
!
area with the activities of workers of
Scrutinize the maintenance of records
other departments and agencies and
by the Health Worker (Female) and
attend meeting at PHC level.
guide her in their proper maintenance.
Conduct regular staff meetings with
the health workers in coordination
with the Health Assistant (Male).
Review reports received from the
them and submit monthly reports to
Attend staff meetings at the primary
the medical officer of the primary
health centre.
health centre.
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Health Workers (Female), consolidate
71
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IPHS for Primary Health Centre
re Kaia*Azar is endemic, additional
- .u Cesare:
She will supervise the work of health
worker (female) during concurrent
visit and will check whether the
worker is performing her duties.
worker (female) and volunteers during
concurrent visit and will check
whether the worker is performing here
duties.
She should check minimum of 10%
of the house in a village to verify that
She should check minimum of 10%
the health worker (female) really
of the house in a village to verify that
visited those houses and carried her
the health worker (female) really
visited those houses and carried her
job properly. Her job of identifying
suspected Kala-Azar cases and
ensuring complete treatment has
been done properly.
job properly.
during MDA.
She will carry with her the proper
She will also undertake health
record forms, diary and guidelines for
identifying suspected Kala-Azar
cases.
education activities particularly
though interpersonal communication,
She will be responsible along with
and
Health Assistant (Male) for ensuring
complete treatment of Kala-Azar
patients in his area.
training of community leaders with
She will be responsible along with
health assistant (male) for ensuring
complete coverage during the spray
activities and search operation.
She will also undertake health
education activities particularly
through interpersonal communication,
arrange group meetings with leaders
and organizing and conducting
training of community leaders with
the assistance of health team.
■ Ha i ■' ■
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She will be responsible along with
Health Assistant (male) for ensuring
compliance of drug more than 80%
arrange group meetings with leaders
organizing
and conducting
the assistance of health team.
Where Japanese Encephalitis is
endemic her specific duties are as
below:
She will supervise the work of health
worker (female) during concurrent
visit and will check whether the
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worker is performing her duties.
She
should
check
along
with
minimum of 10% of the house in a
village to verify that the health worker
(female) really visited those houses
and carried her job properly. Her job
of identifying suspected JE cases and
ensuring complete treatment has
She will supervise the wok of health
72
I
been done properly.
1
a
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IPHS for Primary Health Centre
Conduct deliveries when required at
PHC level and provide domiciliary and
midwifery services.
She will carry with her the proper
record forms, diary and guidelines for
identifying suspected JE cases.
She will be responsible for ensuring
complete treatment of JE patients
in her area.
I
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7.
She will ensure through spot
checking that health worker (female)
She will be responsible along with
health assistant (male) for ensuring
complete coverage during the spray
activities and search operation.
maintains up-to date eligible couple
registers all the times.
Conduct weekly family planning
clinics along with the MCH clinics at
each Sub-centre with the assistance
of the health worker (female).
She will also undertake health
education activities particularly
through interpersonal communication,
arranging group meetings with
leaders
and
organizing
and
conduction training of community
leaders with the assistance of health
team.
5.
Personally motivate resistant case for
family planning
Provide information on the availability
of services for medical termination of
pregnancy and for sterilization. Refer
Training:
suitable cases for MTP to the
approved institutions.
Organize and conduct training for^
dais/ASHA with the assistance of the
health worker (female).
Guide the health worker (female) in
establishing female depot holders for
the distribution of conventional
contraceptives and train the depot
holders with the assistance of the
health workers (female).
Assist the medical dfficer of the
primary health centre in conducting
training programme for various
categories of health personnel.
6.
Provide IUD services and their follow
up.
Materna; and Cnsid Health:
Assist M.O. PHC in organization of
family planning camps and drives.
Conduct weekly MCH clinics at each
Sub-centre with the assistance of the
health worker (female) and dais
8.
I
Family Planning and Medical
Termination of Pregnancy:
fOritjon:
Respond to calls from the health
worker (female), the health worker
(male), voluntary health workers
(ASHAs) and the trained dais and
render the necessary help.
Ensure that all cases of malnutrition
among infants and young children (05years) are given the necessary
treatment and advice and refer serious
J
73
IPHS for Primary Health Centre
cases to the community health
centre.
Ensure that iron and folic acid tablets
as well as vitamin A solution are
distributed to the beneficiaries as
prescribed.
Educate
the
expectant
mother
12. Primary Medical Care:
Ensure treatment for minor ailments,
provide ORS & first aid for accidents
and emergencies and refer cases
beyond her competence to the
Medical Officer, in-charge of primary
health centre or nearest hospital /
CHC or Block PHC.
regarding breast feeding.
13. Health Education
Universal
Programme:
Immunization
Supervise the immunization of all
pregnant women and children (0-5
years).
She will also guide the Health Worker
Carry out educational activities for
MCH, Family Planning, Nutrition and
Immunization, Control of blindness,
Dental care and other National Health
Programmes like leprosy and
Tuberculosis with the assistance of
the Health Worker (Female).
I
(female) to procure supplies organize immunization camps provide guidance
for maintaining cold chain, storage
of vaccine, health education and also
in immunizations.
Follow the directions given in Manual
of Health Worker (female) under
universal immunization programme.
10.
Acute Respiratory Infection:
Ensure early diagnosis of pneumonia
cases.
Arrange group meetings with the
leaders and involve them in spreading
the message for various health
programmes.
Organize and conduct training of
women leaders with the assistance
of the Health Worker (Female).
Organize and utilize Mahila Mandal,
Teachers and other women in the
Community in the family welfare
programmes,
including
ICDS
personnel.
Provide suitable treatment to mild/
moderate cases of ARI.
Ensure early referral in doubtful/severe
cases.
11..
School Health:
Help medical officers in school health
services.
74
JOB RESPONSIBILITIES OF HEALTH
ASSISTANT M ALE
I
Under the Multipurpose workers scheme a
health assistant male is expected to cover
a population of 30,000 (20,000in tribal and
hilly areas) in which there are six Sub
centres, each with one health worker
(male).
L
I
IPHS for Primary Health Centre
The Health Assistant (Male) will carry
out the following duties:
1.
(Female) and other health
personnel including dais and
voluntary
health workers
(ASHAs).
Supervision and guidance:
Coordinate the health activities
in his area with the activities of
workers of other departments
and agencies and attend
meeting at PHC level.’
Supervise and guide the Health
Worker (male), in the delivery of
health care service to the
community
Strengthen the knowledge and
skills of the health worker
Conduct staff meetings fort
nightly with the health workers
in coordination with the Health
Assistant (Female) at one of the
Sub-centres by rotation.
(male).
Help the Health Worker (Male)
in improving his skills in working
in the community.
4
Attend staff meetings at the
Primary Health Centre
Help and guide the Health
Worker (Male) in planning and
organizing his programmes of
activities*.
f . '
Assist the medical officer of the
Primary Health Centre in the
organization of the different
health services.
Visit each Health Worker (Male)
at least once a week on a fixed
day to observe and guide him in
his day to day activities.
Participate as a member of the
health team in mass camps and
campaigns
in
health
programmes.
Assess monthly the progress of
work of the Health Worker
(Male)
and
submit with
assessment report to the Medical
Officer of the Primary Health
Centre.
I
Carry out supervisory home
visits in the area of the health
worker (male).
2.
Team Work:
Help the health workers to work
as part of the health team.
Coordinate his activities with
those of the Health Assistant
Assist the Medical Officer of the
Primary Health Centre in
conducting training programmes
for various categories of health
personnel.
3.
Supplies, equipment and
maintenance of Sub-centres:
In collaboration with the Health
Assistant (Female), check at
regular intervals the stores
available at the Sub-centre and
ensure timely placement of
indent for and procure the
75
I
IPHS for Primary Health Centre
supplies and equipment in good
time.
prescribed dosage of Antimalarial drugs.
Check that the drugs at the Sub
centre are properly stored and
that the equipment is well
maintained
He will be responsible for prompt
radical treatment to positive
Ensure that the Health Worker
(Male) maintains his general kit
in proper way.
Records and Reports:
Scrutinize the maintenance of
records by the Health Worker
(Male) and guide him in their
proper maintenance.
Review records received from the
Health
Worker
(Male), consolidate them and submit
reports to the medical officer of
the primary health centre.
cases of Malaria in his area. He
will plan, execute and supervise
the administration of radical
treatment in consultation with
PHC medical officer.
Supervise the spraying of
insecticides during local spraying
along with the Health Worker
(Male).
WhereKala-A7
duties are:
r additional
He will supervise the work of Health
Worker (Male) during concurrent visit
and will check whether the worker is
performing his duties.
He should check minimum of 10% of
He will supervise the work of
Health Worker (Male) during
concurrent visits and will check
whether
the
worker
is
performing his duty as laid down
in the schedule.
the house in a village to verify that
the Health Worker (Male) really visited
those houses and carried his job
properly. His job of identifying
suspected Kala-Azar cases and
ensuring complete treatment has
been done properly.
He should check minimum of
10% of the houses in a village
to verify the work of the Health
Worker (Male).
He will carry with him the proper
record forms, diary and guidelines for
identifying suspected Kala-Azar
cases.
He will carry with him a kit for
collection of blood smears
during his visit to the field and
collect thick and thin smears
from any fever case he comes
across and he will administer
presumptive treatment of
r
He will be responsible for ensuring
complete coverage treatment of KalaAzar patients in his area.
He will be responsible for ensuring
complete coverage during the spray
activities and search operation.
I
76
s
IPHS for Primary Health Centre
He
will
also
undertake
health
education activities particularly
through interpersonal communication,
arranging group meetings with
I
I
leaders
and
organizing
and
conducting training of community
leaders with the assistance of health
team.
Where Lymphatic Fiiariasis is ?-.•
her specific duhes are as foik
s-
He will supervise the work of Health
Worker (Male) and volunteers during
concurrent visit and will check
whether the work is performing his
duties.
He should check minimum 10% of
Where Je
sphalitis is
endemic hss sped k duties are as
below:
He will supervise the work of Health
I
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the houses in a village to verify that
the health worker (male) really visited
those houses and carried his job
properly.
Worker (Male) during concurrent visit
and will check whether the worker is
He will carry with him the proper
performing his duties.
MDA and drug distribution.
He should check minimum of 10% of
He will be responsible for ensuring
the houses in a village to verify that
coverage and compliance of drug
the health worker (male) really visited
above 80% during MDA.
record forms, diary and guidelines for
those houses and carried his job
properly. His job of identifying
suspected encephalitis cases and
ensuring motivation of community
through
,I
has been done properly.
communication, arranging group
I
He will carry with hirrr the proper
record forms, diary and guidelines for
identifying suspected encephalitis
meetings with leaders and organizing
and
conduction
training
of
community
leaders with the
assistance of health team.
I
He
will
education
also
undertake
activities
health
particularly
interpersonal
cases.
He will be responsible for ensuring
complete coverage during spray
activities and search operation.
Be alert to the sudden outbreak
of epidemics of diseases, such
as diarrhea/dysentery, fever with
He will also undertake health
education activities particularly
through interpersonal communication,
rash, jaundice, encephalitis,
diphtheria, whooping cough,
arranging group meetings with leaders
tetanus, poliomyelitis, tetanus
and organizing and conduction training
neonatarum,
of community leaders with the
assistance of health team.
infections and take all possible
remedial measures.
acute
eye
77
IPHS for Primary Health Centre
Take the necessary control
Sanitary latrines
measures when any noticeable
Smokeless chullas and
disease is reported to him.
supervise
their '
construction.
In cases suspected of having
water sources including wells.
leprosy take skin smears and
send them for examination
h
Supervise the chlorination of
10. Universe
. unzato; Programme
Ensure that all case of leprosy
take regular and complete
treatment and inform the
medical officer PHC about any
school going children with the
defaulters to treatment.
(Male).
Conduct immunization of all
help of the Health Workers
Supervise the chlorination of
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water sources including wells.
Check whether all cases under
treatment for Tuberculosis are- 11.
taking
regular
treatment,
motivate defaulters to take
regular treatment and bring them
to the notice of the Medical
Officer, PHC.
Ensure that all cases of
Tuberculosis take regular and
complete treatment and inform
the Medical Officer, PHC about
any defaulters to treatment.
I
Family P!
Personally motivate resistant
I
case for family planning.
Guide the Health Worker (Male)
in establishing (male) depot
holders with the assistance of
the Health Workers (Male) and
supervise the functioning.
Assist M.O. PHC in organization
of family planning camps and
drives.
’ronmental S^tatiorr
Provide information on the
Help the community sanitation
availability of services
termination
for
of
Safe water sources
medical
Soakage pits
Kitchen gardens
pregnancy and refer suitable
cases
to
the
approved
institutions.
Manure pits
Ensure follow up of all cases of
vasectomy, tubectomy, IUD and
Compost pits
78
other family planning acceptors.
f
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L
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IPHS for Primary Health Centre
1
OF
JOB
R
LABORTORY TECHNICIAN
NOTE: All primary health center and
subsidiary health center have been provided
with a post of laboratory technician/
assistant. The laboratory technician will be
2.
under the direct supervision of the Medical
Officer, PHC. The laboratory technician will
ii)
Test for glucose
iii)
Test for protein (albumen)
iv)
Microscopic examination
v)
Rapid test for pregnancy
Carry out examination of stools
i)
of stools
carry out the following duties:
Genenii Labwsr.ic: y Procedures
1.
2.
Microscopic examination
IH.
Carry out exam;; sation f ■>
Maintain the cleanliness and
safety of the laboratory
i)
Ensure that the glassware and
equipment are kept clean
ii)
Hemoglobin estimation
iii)
RBC count
iv)
WBC
maintain
finger prick technique
the
3.
Handle and
microscope
4.
Sterilize the equipment as
Collection of blood specimen by
count
(total
and
staining
and
differential)
required
5.
v)
Dispose of specimens and
infected material in a safe"
manner
Preparation,
examination of thick and thin
blood
smears
for
malaria
parasites and for microfilaria
6.
I*
I
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IL
of investigations done and
vi)
Erythrocyte sedimentation rate
submit the reports to the
Medical Officer, PHC
vii)
RPR test for Syphilis
reports
viii)
Rapid diagnostic
Typhoid (Typhi Dot)
7.
Prepare
monthly
regarding his work
8.
Indent for supplies for the
laboratory though the Medical
Officer, PHC and ensure the safe
storage of materials received
I
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Maintain the necessary records
La bo r to r y In
.j •• ions
IV.
test
for
Carry out examination spu; u
i)
Preparation, staining and
examination of sputum smears
for Mycobacterium tuberculosis
(wherever the PHC is recognized
1.
Carry out examination of urine
i)
Specific gravity .and PH
as microscopy centre under
RNTCP).
79
/PHS for Primary Health Centre
.- ii > y out examination of semen
i)
Microscopic examination
ii)
Sperm count and motility
Prepare throat swabs
i)
iii)
VIII. Under NVBDCP, in endemic areas,
he will also
i)
Collection of throat swab and
examination for diphtheria
wst samples of drinking water
i)
ii)
Testing of samples for gross
impurities
Rapid tests for detecting fecal
contamination by H2S strip test
ii)
I
Residual chlorine in drinking
water by testing kits.
Conduct
Aldehyde
test,
maintain all records of sera
samples drawn, aldehyde test
conducted, positive etc. He will
also assist in Kala-Azar search
operations
r
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!
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Collect sera samples from
suspected encephalitis cases and
maintain all records of sera
samples drawn and their results.
I
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80
1
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Aft
r
IPHS for Primary Health Centre
Annexure-8
Charter of Patients' Rights for
°Hmary Health Centr"8;
1.
Preamble
to provide emergency care, if
needed on reaching the PHC
Primary Health Centres exist to
provide health care to every citizen
to provide adequate number of
of India within the allocated resources
notice boards detailing the
and available facilities. The Charter
seeks to provide a framework, which
location of all the facilities and
the schedule of field visits..
enables citizens to know.
to provide written information
what services are available and
users' charges if any?
on diagnosis, treatment being
administered.
the quality of services they are
to
entitled to.
I
the
means
record
and
complaints
respond at an appointed time.
through
which
complaints regarding denial or
4.
Grievance redressal
poor qualities of services will be
grievances that citizens have will
addressed.
be recorded
2.
I
Objectives
to make available health care
services and the related facilities
complaint recorded would be
for citizens.
opinion at CHC.
to provide appropriate advice,
treatment, referral and support
that would help to cure the
ailment to the extent medically
possible.
I
I
aggrieved user after his/her
allowed to seek a second
5.
Responsibilities of the users
users of PHC would attempt to
understand the commitments
made in the charter
to redress any grievances in this
users would not insist on service
regard.
above the standard set in the
I
charter
3.
I
Commitments of the Charter
to provide access to available
facilities without discrimination,
I
because
it
could
negatively affect the provision
of the minimum acceptable level
of service to another user.
I
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81
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IPHS-for Primary Hea/t'h Centre
instruction of the PHC personnel
would be followed sincerely,
and
in case of grievances, the
redressal mechanism machinery
would be addressed by users
without delay.
6,
PerformanL':. audn ard review of
the chaner
performance audit may be
conducted through a peer
review every two or three years
after covering the areas where
the standards have been
specified
8
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82
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IPHS for primary Health Centre
Annexure-9
Performs for Facility Survey for PHC on IPHS
Identificatio-?
Name of the State:
District:
Tehsil/Taluk/Block
I
Location Name of PHC:
I
Is the PHC providing 24 hours and 7 days delivery facilities
Date of Data Collection
Day
Month
Year
Name and Signature of the Person Collecting Data
Services
Particulars
S.No.
I
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1.1.
Population covered (tn numbers)
1.2.
Assured Services available (Yes/No)
a.
OPD Services
b.
Emergency services (24 Hours)
c.
Referral Services
d.
In-patient Services
a.
Number of beds available
b.
Bed Occupancy Rate in the last 12 months
(1- less than 40%; 2 - 40-60%; 3 More than 60%)
1.3.
83
M
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IPHS for Primary Health Centre
1.4.
1.5.
I
Average daily OPD Attendence
g.
MTP
a.
Males
h.
Management of RTI / STI
b.
Females
Treatment of specific cases (Yes /
No)
a.
Is surgery for cataract done
in the PHC?
b.
Is the primary management
of wounds done at the PHC?
c.
Is the primary management
of fracture done at the PHC?
d.
e.
Are minor surgeries like
draining of abscess etc done
Facilities under
Suraksha Yojana
■' I
Janani
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1.6.2. Availability of specific services (Yes
/ No)
a.
antenatal
Are
organized
regularly?
b.
by
clinics
the
PHC
I
Is the facility for normal
delivery available in the PHC
I
for 24 hours?
c.
Is the facility for tubectomy
at the PHC?
and vasectomy available at
Is the primary management
of cases of poisoning / snake,
insect or scorpion bite done
at the PHC?
the PHC?
d.
Is the facility for internal
examination
for
gynaecological conditions
f.
Is the primary management
of burns done at PHC?
e.
1.6.
MCH
Care
Planning
including
Family
the
Is
treatment
for
gynecological disorders like
leucorrhoea,
menstrual
disorders available at the
1.6.1. Service availability (Yes / No)
PHC?
a.
Ante-natal care
b.
Intranatal care (24 - hour
delivery services both normal
and assisted)
c.
Post-natal care
d.
New born Care
e.
Child
care
immunization
f.
I
available at the PHC?
f.
If women do not usually go
to the PHC, then what is the
reason behind it?
g-
Is
the facility
for MTP
I
(abortion) available at the
Family Planning
PHC?
including
h.
Is there any precondition for
doing MTP such as enforced
use- of contraceptives after
I
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84
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1
IPHS for Primary Health Centre
d.
MTP or asking for husband's
locally endemic diseases
consent for MTP?
I
Do women have to pay for
e.
Disease surveillance and
control of epidemics
f.
Collection and reporting of
MTP?
Is treatment for anemia given
J-
vital statistics
to both pregnant as well as
non-pregnant women?
k.
I
g.
h.
I.
I
Is there a fixed immunization
change
National Health Programmes
day?
including HIV/AIDS control
programes
Is BCG and Measles vaccine
AYUSH services as per local
given regularly in the PHC?
preference
m.
I
!
Education about health /
behaviour
communication
Are the low birth weight
babies managed at the PHC?
I
Prevention and control of
How is the vaccine received
n.
I
J-
at PHC and distributed to Sub
Rehabilitation
services
(please specify)
Centres?
1.8.
Is the treatment of children
0.
I
Monitoring
and
Supervision
activities (Yes / No)
with pneumonia available at -
I
a.
the PHC?
I
p.
I
I
Is
the
Monitoring and supervision of
activities of sub-centres
management
through regular meetings /
of
children
suffering
from
diarrhea
with
severe
periodic visits, etc.
b.
dehydration done at the
Monitoring
of
National
Health Programmes
PHC?
c.
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1.7.
Other
factions
and
activities
of
ASHAs
services
performed (Yes / No)
Monitoring
d.
Visits of Medical Officer to
all sub-centres at least once
a.
Nutrition services
b.
School Health programmes
C.
Promotion of safe water
Visits of Health Assistants
(Male) and LHV to sub
supply and basic sanitation
centres once a week
in a month
e.
85
I
IPHS for Primary Health Centre
S.
Personnel
No.
Existing
pattern
Recommended
Current
Remarks /
Availability
atPHC
Suggestions/
Identified
Gaps
(Indicate
Numbers)
2.1.
Medical Officer
■ I
I
2 (one may be
i
from AYUSH
I
I
1
and one other
Medical Officer
preferrably
a Lady Doctor)
2.2.
Pharmacist
1
1
2.3.
Nurse - Midwife
(Staff Nurse)
1
3 (for 24 hour
PHCs; 2 may
I
be contractual)
2.4.
f
Health Worker
(Female)
1
2.5.
Health Educator
1
1
2.6.
Health Assistant
(One male and
One female
2
2
2.7.
Clerks
2
2
2.8.
Laboratory Technician
1
1
2.9.
Driver
1
Optional;
1
9
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vehicles may be
out-sourced
2.10. Class IV
Total
86
4
4
15
17/18
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IPHS for Primary Health Centre
!!!.
Trair J
3.1.
pc
d ring previous
Available training for
Number trained
I
T
I
a.
Tradition birth attendants
b.
Health Worker (Female)
c.
Health Worker (Male)
d.
Medical Officer
e.
Initial and periodic training of paramadics
in treatment of minor ailments
f.
Training of ASHAs
g.
Periodic training of Doctors through
Continuing Medical Education,
conferences, skill development
training etc. on emergency obstetric care
h.
Training of Health Workers in antenatal
care and skilled birth attandance
'I
I
IV,
s.
tVn • • n
Current Availability at PHC
No.
L
I
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4.1.
Routine urine, stookand blood tests
4.2.
Blood grouping
4.3.
Bleeding time, clotting time
3.4.
Diagnosis of RTI/STDs with wet
mounting, grams stain, etc.
4.5.
Sputum testing for TB
4.6.
Blood smear examination for malaria parasite
4.7.
Rapid tests for pregnancy
4.8.
RPR test for Syphilis / YAWS surveillance
4.9.
Rapid tests for HIV
4.10.
Others (specify)
Remarks / Suggestions
/ Identified Gaps
87
A k
IPHS for Primary Health Centre
r^/'Ucal kmastnF lure (As per specifications)
S.
No.
5.1.
Current
Availability
at PHC
If available,
area in
Sq. mts.)
Remarks /
Suggestions /
Identified
Gaps
Where is this PHC located?
a.
Within Village Locality
b.
Far from village locality
c.
If far from locality specify in km
5.2.
a.
b.
I
Building
Is a designated government
building available for the PHC?
(Yes / No)
r
I
If there is no designated
government building, then
where does the PHC located
Rented premises
Other government building
Any other specify
c.
d.
Area of the building
(Total area in Sq. mts.)
I
What is the present stage of
construction of the building
Construction complete
Construction incomplete
e.
Compound Wall / Fencing
(1-AII around; 2-Partial; 3-None)
f.
Condition of plaster on walls
(1- Well plastered with plaster
intact every where; 2- Plaster
coming off in some places;
3- Plaster coming off in many
places or no plaster)
i
88
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!PHS for Primary Health Centre
N I
Current
Availability
at PHC
S.
No.
g.
If available,
area in
Sq. mts.)
Remarks I
Suggestions I
Identified
Gaps
Condition of floor (1- Floor in
good condition; 2- Floor
coming off in some places;
3- Floor coming off in many
places or no proper flooring)
h.
Whether the cleanliness is
Good / Fair / Poor?(Observe)
OPD
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Rooms
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Wards
Toilets
*•J
Premises (compound)
I.
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Garbage dump
ii.
Cattle shed
iii.
Stagnant pool
iv.
Pollution from industry
J.
Is boundary wall with gate
existing? (Yes / No)
5.3.
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If
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Are any of the following close
to the PHC? (Observe) (Yes/No)
Location
a.
Whether located at an easily
accessible area? (Yes/No)
b.
Distance of PHC (in Kms.)
from the farthest village in
coverage area
89
IPHS for Primary Health Centre
S.
No.
C.
d.
Current
Availability
at PHC
Travel time (in minutes) to
reach the PHC from farthest
village in coverage area
If available,
area in
Sq. mts.)
Remarks /
Suggestions /
Identified
Gaps
i
Distance of PHC (in Kms.)
from the CHC
e.
Distance of PHC (in Kms.)
from District Hospital
5.4.
Prominent display boards
regarding service availability
in local language (Yes/No)
5.5.
Registration counters
(Yes/No)
I
5.6.
a.
Pharmacy for drug dispensing
and drug storage (Yes/No)
b.
Counter near entrance of PHC
to obtain contraceptives,
ORS packets, Vitamin A and
Vaccination (Yes / No)
5.7.
Separate public utilities for
males and females (Yes/No)
5.8.
Suggestion / complaint box
(Yes/No)
5.9.
ORD rooms / cubicles
(Yes/No) (Give numbers)
5.10
Adequate no. of windows in
the room for light and air
in each room (Yes/No)
5.11.
Family Welfare Clinic (Yes/No)
5.12.
Waiting room for patients
(Yes/No)
90
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IPHS for Primary Health Centre
f
Current
Availability
at PHC
S.
No.
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5.13.
Emergency Room / Casualty
(Yes/No)
5.14.
Separate wards for males and
females (Yes/No)
5.15
No. of beds : Male
5.16
No. of beds : Female
5.17.
Operation Theatre (if exists)
a.
Operation Theatre available
(Yes/No)
b.
If operation theatre is present,
are surgeries carried out in the
operation theatre?
If available,
area in
Sq. mts.)
Remarks /
Suggestions I
Identified
Gaps
Yes
I
No
Sometimes
I
If operation theatre is present,
but surgeries are not being
conducted there, then what
are the reasons for the same?
I
Non-availability of doctors /staff
Lack of equipment / poor
physical state of the operation
theatre
c.
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No power supply in the
operation theatre
Any other reason (specify)
d. . Operation Theatre used for
obstetric / gynaecological
purpose (Yes / No)
91
IPHS for Primary Health Centre
s.
Current
Availability
at PHC
No.
e.
5.18.
If available,
area in
Sq. mts.)
Remarks /
Suggestions /
Identified
Gaps
Has OT enough space (Yes/No)
Labour room
a.
Labour room available?
(Yes/ No)
b.
If labour room is present,
arc deliveries carried out in
the labour room?
Yes
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No
Sometimes
c.
If labour room is present, but
deliveries are not being
conducted there, then what
are the reasons for the same?
Non-availability of doctors /
staff Poor condition of the
labour room No power supply
in the labour room Any other
reason (specify)
d.
Is separate areas for septic
and aseptic deliveries
available? (Yes / No)
5.19.
Laboratory:
a.
Laboratory (Yes/No)
b.
Are adequate equipment and
chemicals available? (Yes/No)
c.
Is laboratory maintained in
orderly manner? (Yes / No)
92
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IPHS for Primary Health Centre
Current
Availability
at PHC
S.
No.
I
If available,
area in
Sq. mts.)
Remarks I
Suggestions /
Identified
Gaps
Ancillary Rooms - Nurses
5.20.
rest room (Yes/No)
5.21.
Water supply
a.
Source of water (1- Piped;
2- Bore well/ hand pump / tube
well; 3- Well; 4- Other (specify)
b. Whether overhead tank and
pump exist (Yes / No)
c.
I '
If overhead tank exist, whether
its capacity sufficient? (Yes/No)
d.
If pump exist, whether it is in
working condition? (Yes / No)
5.22
Sewerage,
Type of sewerage system
(1- Soak pit; 2- Connected to
Municipal Sewerage)
Waste disposal
5.23.
How the waste material is
being disposed (please specify)?
5.24.
Electricity
a.
Is there electric line in all parts
of the PHC? (1- In all parts;
2- Iq some parts; 3- None)
b.
I
Regular Power Supply
(1- Continuous Power Supply;
2- Occasional power failure;
3- Power cuts in summer only;
I
4- Regular power cuts;
5- No power supply
1
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IPHS for Primary Health Centre
S.
No.
Current
Availability
at PHC
Laundry facilities:
a.
Laundry facility available
(Yes/No)
b.
If no, is it outsourced?
5.26.
Communication facilities
a.
Telephone (Yes/No)
b.
Personal Computer (Yes/No)
c.
NIC Terminal (Yes/No)
d.
E.Mail (Yes / No)
e.
Is PHC accesible by
Rail (Yes / No)
5.27.
ii.
All whether road (Yes / No)
iii.
Others (Specify)
Vehicles
Vehicle (jeep/other vehicle)
available? (Yes / No)
5.28.
Office room (Yes/No)
5.29.
Store room (Yes/No)
5.30.
Kitchen (Yes / No)
5.31.
Diet:
94
Remarks /
Suggestions /
Identified
Gaps
Stand by facility (generator)
available in working condition
(Yes / No)
C.
5.25.
If available,
area in
Sq. mts.)
a.
Diet provided by hospital
(Yes/No)
b.
If no, how diet is provided
to the indoor patients?
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IPHS for Primary Health Centre
S.
No.
5.32.
Current
Availability
at PHC
If available,
area in
Sq. mts.)
Remarks /
Suggestions I
Identified
Gaps
Residential facility for the
staff with all amenities
Medical Officer
Pharmacist
Nurses
Other staff
5.33.
a.
Behavioral Aspects (Yes / No)
How is the behaviour of
the PHC staff with the
patient
Courteous
Casual/indifferent
Insulting / derogatory
b.
Any fee for service is
charged from the users?
(Yes / No). If yes, specify.
c.
Is there corruption in terms
of charging extra money
for any of the service
provided? (Yes / No)
d.
Is a receipt always given
for the money charged at
the PHC? (Yes / No)
e.
Is there any incidence of
any sexual .-advances, oral
or physical abuse, sexual
harassment by the
doctors or any other
paramedical? (Yes / No)
95
IPHS for Primary Health Centre
S.
No.
Current
Availability
at PHC
f.
Are woman patients
interviewed in an
environment that ensures
privacy and dignity? (Yes / No)
g.
Are examinations on woman
patients conducted in presence
of a woman attendant, and
procedures conducted under
conditions that ensure privacy?
(Yes / No)
h.
Do patients with chronic
illnesses receive adequate
care and drugs for the entire
duration? (Yes / No)
If the health centre is
unequipped to provide the
services how and where the
patient is referred and how
patients transported?
J-
Is there a publicly displayed
mechanism, whereby a
complaint/grievance can be
registered? (Yes / No)
k.
Is there an outbreak of any of
the following diseases in the
PHC area in the last three years?
If available,
area in
Sq. mts.)
Remarks /
Suggestions /
Identified
Gaps
f
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Malaria
Measles
I.
96
Gastroenteritis
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Jaundice
I
If yes, did the PHC staff
responded immediately to
stop the further spread of
the epidment
I
F
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IPHS for Primary Health Centre
S.
No.
.
[
m.
Does the doctor do private
practice during or after the
duty hours? (Yes/ No)
n.
Are there instances where
patients from particular social
background dalits, minorities,
villagers) have faced derogatory
or discriminatory behavior or
service of poorer quality?
(Yes / No)
o.
Have patients with specific
health problems (HIV/AIDS,
leprosy suffered discrimination
in any form? (Yes / No)
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VL
Equip
Equipment
VII. Drug;'
Drug
Current
Availability
at PHC
If available,
area in
Sq. mts.)
Functional
Remarks / Suggestions /
Identified Gaps
Remarks I
Suggestions /
Identified
Gaps
:
Available
dial drug list)
Available
Remarks / Suggestions /
Identified Gaps
97
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IPHS for Primary Health Centre
S.
No.
Item
8.1.
Examination Table
8.2.
Delivery Table
8.3.
Footstep
8.4.
Bed Side Screen
8.5.
Stool for patients
8.6.
Arm board for adult & child
8.7.
Saline stand
8.8.
Wheel chair
8.9.
Stretcher on trolley
Current
Availability
at PHC
If available,
numbers
Remarks /
Suggestions/
Identified Gaps
1
8.10. Oxygen trolley
8.11.
Height measuring stand
8.12.
Iron bed
8.13. Bed side locker
8.14.
Dressing trolley
8.15. Mayo trolley
8.16.
Instrument cabinet
8.17. Instrument trolley
8.18. Bucket
8.19. Attendant stool
8.20. Instrument tray
8.21. Chair
8.22. Wooden table
8.23. Almirah
8.24. Swab rack
8.25. Mattress
8.26.
3ilow
98
9
k
t
IPHS for Primary Health Centre
S.
No.
Item
Current
Availability
at PHC
If available,
numbers
Remarks /
Suggestions/
Identified Gaps
8.27. Waiting bench for patients/
attendants
8.28. Medicine cabinet
8.29. Side rail
8.30. Rack
8.31.
Bed side attendant chair
8.32. Others
I
I
S.No.
Particular
9.1.
Citizen's charter (Yes/No)
9.2.
Constitution of Rogi Kalyan Samiti
(Yes/No) (give a list of office order
notifying the members)
9.3.
Internal monitoring ^(Social
audit through Panchayati Raj
Institution / Rogi Kalyan Samitis,
medical audit, technical audit,
economic audit, disaster
preparedness audit etc.
(Specify)
9.4.
External monitoring /Gradation
by PRI (Zila Parishad)/ Rogi
Kalyan Samitis
9.5.
Availability of Standard Operating
Procedures (SOP) / Standard
Treatment Protocols (STP)/
Guidelines (Please provide a list)
Whether functional /
available as
per norms
Remarks
99
IPHS for Primary Health Centre
Order No. P. 17018/12/2005-RHS
Government of India
IWir fetry of Health & Family W
■ ■ rp •
’
I
(RHS Section)
An Expert Group to finalise the guidelines of Indian Public Health Standards (IPHS) for
I '
Primary Health Centres (PHCs) and Sub-centres has been constituted under the
Chairmanship of Dr. S P Agarwal, DGHS. The constitution of the Expert Group is as
follows:
1.
Dr. S. P. Agarwal, DGHS
Chairman
2.
Dr. Shivlal
Addl. DG & Director (NICD)
3.
Dr. C. S. Pandav
Prof, and Head, Community Medicine
(AllMS)
4.
Dr. S. Murugun
Director, Public Health, Tamil Nadu
5.
Dr. K. N. Patel
Addl. Director of Health, Gujarat
6.
Dr. Lal Bihari Prasad
Dir. General of Health Services, UP
7.
Dr. Dhruba Hojai
Dir. Of Health Services, Assam
8.
Dr. B. C. Dash
Dir. State Institute of Health & Family
Welfare, Orissa
9.
Dr. Dileep Mavlankar
Prof., Indian Institute of Management,
Ahmedabad
10.
Dr. V. K. Sudarshan
Foundation for Revitalization local health
tradition, Bangalore
11.
Dr. Tasleem
Manager Economics, HSCC, Noida
12.
Mr. J. P. Mishra
European Commission
13.
Dr. V. K. Manchanda
Deputy Commissioner (MCH)
14.
Mr. T. Dilip Kumar
Adviser, Nursing
15.
Dr. Mohanan Nair
Min. of Health & Family Welfare, Kerala
100
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IPHS for Primary Health Centre
16.
Dr. N. K. Sethi
Director, NIHFW
17.
Dr. M. P. Singh
CMO, Ghaziabad
18.
Dr. S. K. Satpathy, DC (ID/AP)
Member Secretary
The Terms of Reference (TOR) for the Expert Group is to finalise the guidelines of Indian
Public Health Standards (IPHS) for Primary Health Centres (PHCs) and Sub-centres.
The Expert Group will submit the guidelines by 29th October, 2005.
Sd/
Sushama Rath
Under Secretary to the Government of India
I
+
To All the members
Copy to: Director (AS)/DC (ID)/Director (ID)/Director (P/EAG)
I
1
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1
Y*'
(//
DH " Uo pun
)
1
/PHS for Primary Health Centre
List of Abbreviations
AllMS
:
All India Institute of Medical Sciences
ANC
Ante Natal Check-up
ANM
Auxiliary Nurse Midwife
ARI
Acute Respiratory Infections
ASHA
Accredited Social Health Activist
AYUSH
Ayurveda, Yoga & Naturopathy, Unani, Siddha and
I
Homeopathy
AWW
Anganwadi Worker
BCC
Behaviour Change Communication
BCG
Bacille Calmette Guerians Vaccine
BIS
Bureau of Indian Standards
CBHI
Community Based Health Insurance Schemes / Central
Bureau of Health Intelligence
CHC
Community Health Centre
CMC
DDK
Chief Medical Officer
:
Disposable Delivery Kit
DEC
Di Ethyle Carbamazine
DEMO
District Extension and Media Officer
DGHS
Director General of Health Services
DOT
Direct Observed Treatment
DPT
DT
9
Diphtheria, Pertussis and Tetanus Vaccine
Diphtheria and Tetanus Toxoid Vaccine
Dy. DEMO
Deputy District Extension and Media Officer
EAG
Empowered Action Group
FRU
First Referral Unit
102
IPHS for Primary Health Centre
HSCC
Hospital Services Consultancy Corporation
IDSP
Integrated Disease Surveillance Project
ID/AP
Infrastructure Division / Area Projects
IEC
Information, Education and Communication
IFA
Iron and Folic Acid
IPHS
Indian Public Health Standard
IUD
Intra-Urine Device
JSY
Janani Suraksha Yojana (JSY)
LHV
Lady Health Visitor
MCH
Maternal and Child Health
MO
Medical Officer
MTP
Medical Termination of Pregnancies
NVBDCP
National Vector Borne Disease* Control Programme
NACP
National AIDS Control Programme
NBCP
National Blindness Control Programme
NICD
National Institute of Communicable Diseases
NIHFW
National Institute of Health & Family Welfare
1
NLEP
National Leprosy Eradication Programme
i
NMEP
National Malaria Eradication Programme
I
NPCB
National Programme for Control of Blindness
NRHM
National Rural Health Mission
OPV
Oral Polio Vaccine
ORS
Oral Rehydration Solution
PHC
Primary Health Centre
PPTCT
Prevention of Parents to Child Transmission
PRI
Panchayati Raj Institution
I
1
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+
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T
J
103
IPHS for Primary Health Centre
RBC
Red Blood Corpuscle
I
RCH
Reproductive and Child Health
I
RHS
Rural Health Services
RKS
Rogi Kalyan Samiti
RNTCP
Revised National Tuberculosis Control Programme
RTI
Reproductive Tract Infections
STI
Sexually Transmitted Infections
TOR
Terms of Reference
VHC
Village Health Committee
WBC
White Blood Corpuscle
I
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h
h
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!•
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104
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/PHS for Primary -Health Centre
Refer ■
1.
2.
3.
I
4.
National Rural Health Mission 2005-
RCH Phase II, National Program
2012 - Reference Material (2005),
Implementation Plan (PIP) (2005),
Ministry of Health & Family Welfare,
Ministry of Health & Family Welfare,
Government of India.
Government of India.
Bulletin on Rural Health Statistics in
6.
Guidelines for Setting up of Rogi
India (2006), Infrastructure Division,
Kalyan Samiti I Hospital Management
Department of
Family Welfare;
Committee (2005) (unpublished),
Ministry of Health & Family Welfare,
Ministry of Health & Family Welfare,
Government of India.
Government of India.
Guidelines for Operationalising 24x7
7.
Indian Standard: Basic Requirements
PHC (2005) (unpublished). Maternal
for Hospital Planning , Part-1 up to
Health Division, Department of Family
30 Bedded Hospital, IS: 12433 (Part
Welfare, Ministry of Health & Family
D-1988, Bureau of Indian Standards,
Welfare, Government of India.
New Delhi
Guidelines for Ante-Natal Care and
8.
Indian Public Health Standards (IPHS)
Skilled Attendance at Birth by ANMs
for Community Health Centre (April
and LHVs (2005), Maternal Health
2005), Directorate General of Health
Department of Family
Services, Ministry of Health & Family
Division,
Welfare, Ministry of Health & Family
1
5.
Welfare, Government of India.
Welfare, Government of India.
1
1
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