Presentation1 phc
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Primary Health Centres (PHCs) were established in India to provide accessible and affordable primary healthcare according to the Alma Ata Declaration of 1978. PHCs are run by a Medical Officer with a MBBS degree and provide both diagnostic and outreach services. They are classified as Type A or Type B based on delivery load. PHCs aim to provide comprehensive primary care through services such as maternal and child health, family planning, immunization, treatment of endemic diseases, and referrals to higher-level facilities as needed. Staffing and infrastructure guidelines help PHCs achieve quality standards.
Presentation1 phc
- 2. Primary Health Centre (PHC) The basic structural and functional unit of the public health services in developing countries. PHCs were established to provide accessible, affordable & available primary health care to people, in accordance with the Alma Ata Declaration of 1978 by the member nations of the WHO.
- 3. In India, PHCs form a basic part of the health care system. The Medical Officer appointed to run the PHC must be a MBBS degree holder. In addition to the provision of diagnostic and curative services, the Medical Officer acts as the primary administrator for the PHC.
- 4. Types of PHC • Type A PHC PHC with delivery load of less than 20 deliveries in a month • Type B PHC PHC with delivery load of 20 or more deliveries in a month
- 6. The primary field staff, who provide outreach services, are called "ASHA (Accredited Social Health Activist)" or a village health nurse, depending upon the Indian state where the PHC is located. The village health nurse provides service at the point of care, often in the patient's home. If additional diagnostic testing or clinical intervention is required, the patient is transported to the PHC to be evaluated by the Medical Officer.
- 7. Manpower: PHC PHC Staff Type A Type B Essential Desirable Essential Desirable • Medical Officer- MBBS 1 1 1# • Medical Officer –AYUSH 1^ 1^ • Accountant cum Data Entry Operator 1 1 • Pharmacist 1 1 • Pharmacist AYUSH 1 1 • Nurse-midwife (Staff-Nurse) 3 +1 4 +1 • Health worker (Female) 1* 1* • Health Assistant. (Male) 1 1 • Health Assistant. (Female)/Lady Health Visitor 1 1 • Health Educator 1 1 • Laboratory Technician 1 1 • Cold Chain & Vaccine Logistic Assistant 1 1 • Multi-skilled Group D worker 2 2 • Sanitary worker cum watchman 1 1 +1 • Total 13 18 14 21
- 9. Objectives of IPHS for PHCs To provide comprehensive primary health care to the community through the Primary Health Centres. To achieve and maintain an acceptable standard of quality of care. To make the services more responsive and sensitive to the needs of the community.
- 10. Services at the Primary Health Centre Medical care(opd,ipd-6beds,24hrs emergency & referral) Maternal and Child Health Care Including Family Planning Medical Termination of Pregnancies Management of Reproductive Tract Infections/STI Nutrition Services (coordinated with ICDS) School Health Adolescent Health Care Promotion of Safe Drinking Water and Basic Sanitation Prevention and control of locally endemic diseases
- 11. Services at the Primary Health Centre continued………….. RNTCP National Leprosy Eradication Programme Integrated Disease Surveillance Project (IDSP) National AIDS Control Programme National Programme for Control of Blindness (NPCB) National Vector Borne Disease Control Programme(NVBDCP) National Programme for Prevention & Control of Deafness National Mental Health Programme (NMHP) National Iodine Deficiency Disorders Control Programme
- 12. Services at the Primary Health Centre continued………….. National Programme for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS) National Programme for Prevention and Control of Fluorosis (NPPCF) National Tobacco Control Programme (NTCP) Physical Medicine and Rehabilitation (PMR) Services Basic Laboratory and Diagnostic Services Training Monitoring and Supervision Selected Surgical Procedures
- 13. Infrastructure PHC Building : own It should be centrally located in an easily accessible area. The area chosen should have facilities for electricity. all weather road communication. adequate water supply. and telephone . At a place, where a PHC is already located, another health centre/SC should not be established to avoid the wastage of human resources. PHC should be away from garbage collection, cattle shed, water logging area, etc. PHC shall have proper boundary wall and gate. should be well lit and ventilated with as much use of natural light and ventilation as possible.