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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)

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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

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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

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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

I
I

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

i
I

*

I

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i

a?
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

co

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

£

CO
Q>

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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

I
I

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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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.

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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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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.

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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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3.

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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

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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

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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:

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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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IPHS for Primary Health Centre

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.

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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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71



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

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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

I
I

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

I
I
I

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

I
I

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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

i
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

I
I

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

I
I

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
I
I
!

I

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
I
Aft

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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

I
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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

I

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I

I
I

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

I

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

r
I
f

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

I
84

L
!
HU

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.

I

f

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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

I

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

r

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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

1

I

Rooms

I

Wards

Toilets
*•J

Premises (compound)

I.

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.

I

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I

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.

I

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!

J

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
93

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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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I

I

Malaria
Measles

I.

96

Gastroenteritis

I

Jaundice

I

If yes, did the PHC staff
responded immediately to
stop the further spread of
the epidment

I

F
I

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)

I

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
k

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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I

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

I
I
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

I

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+
I

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
I

h
h
I

!•

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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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