Primary health centers are the corner stone of rural health services .
It act as a referral unit for 6 sub centers and refer out cases to CHCs.
It covers a population of 30,000 in plain area and 20,000 in hilly and tribal area.
There are 4-6 beds for patients and some diagnostic facilities are also available.
2. Introduction
īŽ The Bhore 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.
Dr. Rahul Bhausaheb Pandit
3. Introduction
īļ Primary health centers are the corner stone of
rural health services .
īļ It act as a referral unit for 6 sub centers and refer
out cases to CHCs.
īļ It covers a population of 30,000 in plain area and
20,000 in hilly and tribal area.
īļ There are 4-6 beds for patients and some
diagnostic facilities are also available.
Dr. Rahul Bhausaheb Pandit
4. Definition
The primary health center (PHC) is the
basic structural and functional unit of the
public health services in developing countries,
to provide accessible, affordable, and
available primary health care to people. OR
âPrimary health centers some times referred to
as public health centers
Dr. Rahul Bhausaheb Pandit
5. Objectives
īļ To provide comprehensive primary health care
to the community at PHCs.
īļ To achieve and maintain an acceptable
standards of quality of care.
īļ To make the services more responsive and
sensitive to the need of the community.
Dr. Rahul Bhausaheb Pandit
6. Principles
īļ Reducing exclusion and social disparities in health.
īļ Organizing health services around people's needs and
expectations.
īļ Integrating health into all sectors .
īļ Pursuing collaborative models of policy dialogue
(leadership reforms).
īļ Health workforce developments.
īļ Community participation
Dr. Rahul Bhausaheb Pandit
7. Function
īļ Medical care
īļ Treatment and prevention of endemic
disease
īļ Maternal and child health care
īļ Health education
īļ Referral services
Dr. Rahul Bhausaheb Pandit
8. Function
īļ Basic laboratory test
īļ National health programme
īļ Training of ANM , ASHA paramedics
īļ Collection and reporting of vital events
Dr. Rahul Bhausaheb Pandit
9. Services provided by PHC
īļ Medical care 24 x 7
īļ Maternal and child health care including
family planning
īļ Medical termination of pregnancy
īļ Management of RTI and STI
Dr. Rahul Bhausaheb Pandit
10. Services provided by PHC
īļ Nutrition services
īļ School health
īļ Adolescent health care
īļ Promotion of safe drinking water and
basic sanitation
Dr. Rahul Bhausaheb Pandit
11. Services provided by PHC
īļ Prevention and control of locally endemic
disease.
īļ Collection and reporting of vital events.
īļ Health education and behavior change
communication.
Dr. Rahul Bhausaheb Pandit
12. Services provided by PHC
īļ National health programme
īļ Referral services
īļ Training
īļ Basic laboratory services
Dr. Rahul Bhausaheb Pandit
16. Responsibilities of Nurse in PHC
īļ Health promotion
īļ Illness prevention
īļ Healthy ageing
īļ Antenatal and postnatal care
īļ Child and family health nursing
īļ Treatment and care of sick people
Dr. Rahul Bhausaheb Pandit
17. Responsibilities of Nurse in PHC
īļ Rehabilitation and palliation
īļ Community development
īļ Population and public health
īļ Education and research
īļ Policy development and advocacy.
Dr. Rahul Bhausaheb Pandit
18. Community Health Centre
īļ CHCs are being established and
maintained by the State Government.
īļ It has 30 in-door beds with one OT, X-ray,
Labor Room and Laboratory facilities.
īļ It serves as a referral centre for 4 PHCs
īļ Provides facilities for obstetric care and
specialist consultations.
Dr. Rahul Bhausaheb Pandit
19. Community Health Centre
īļ Each community health centre covering
population of 1,00,000.
Dr. Rahul Bhausaheb Pandit
20. Objectives of CHC
īŽ To providing routine as well as specialized
health care services.
īŽ To making adequate provisions for
referral services.
Dr. Rahul Bhausaheb Pandit
22. Function of CHC
īļ Regular out patient services and In-patient
services,
īļ Comprehensive family welfare services
īļ Maternal and child health services
īļ Laboratory services
īļ X-ray facilities
Dr. Rahul Bhausaheb Pandit
23. Function of CHC
īļ National Health Programme
īļ Immunization services
īļ Provisions for safe drinking water
īļ Basic sanitation
īļ Prevention and control of endemic diseases
īļ Collection of vital statistics of the area
Dr. Rahul Bhausaheb Pandit
24. Function of CHC
īļ Health and nutrition
īļ Education and training of various health
personnel
Dr. Rahul Bhausaheb Pandit
25. Sub Centre
īŽ The sub-centre is the peripheral outpost of
the existing health delivery system in rural
areas.
īŽ They are being established on the basis of
one sub-centre for every 5000 population in
general and one for every 3000 population
in hilly, tribal and backward areas.
Dr. Rahul Bhausaheb Pandit
26. Function of Sub Centre
īŽ Immunization
īŽ Antenatal, Intranatal and postnatal care
īŽ Prevention of malnutrition and common
childhood diseases
īŽ Family planning services
īŽ Counseling
īŽ Drugs for minor ailments
Dr. Rahul Bhausaheb Pandit