2. Objectives
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.
3. PHCs may be of two types, depending upon
the delivery case load
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
5. Infrastructure
The PHC should have its own building
– Out patient department
– Wards (4-6 beds in a Primary Health
Centre)
– Labour Room
– Minor OT/Dressing Room
– Laboratory
– Store room
– Infrastructure for AYUSH
6. – Cold Chain room
– Logistics Room
– Generator room
– Office room
– Dirty utility room for dirty linen and
used items
– Residential Accommodation
7.
8. Functions• Medical Care
– OPD services: A total of 6 hours of
OPD services (4 hours in the morning
and 2 hours in the afternoon) for six
days in a week
– Emergency services: 24x7
emergency services with appropriate
management
– Referral services. •
– In-patient services (6 beds)
9. Maternal and Child Health Care
Including Family Planning
• Antenatal care
• Intranatal care
• Post natal care
• Care of Newborn
• Care of Child
10. Basic Laboratory and Diagnostic Services
Essential Laboratory services including
• Routine urine, stool and blood tests (Hb%, platelets
count, total RBC, WBC, bleeding and clotting time).
• Diagnosis with wet mounting, Grams stain, etc.
• Sputum testing for mycobacterium
• Blood smear examination malaria
• Blood for grouping and Rh typing.
• RDK for Pf malaria in endemic districts.
• Rapid tests for pregnancy.
• RPR test for Syphilis/YAWS surveillance (endemic
districts).
• Rapid test kit for fecal contamination of water.
• Estimation of chlorine level of water using
orthotoludine reagent.
• Blood Sugar.
11. Medical termination of pregnancy using
manual vacuum aspiration technique &
other Contraceptive services
Essential
• Counseling and appropriate referral for
safe abortion services (MTP) for those
in need.
Desirable
• •MTP using Manual Vacuum Aspiration
(MVA)
• Medical Method of Abortion
• Other methods of contraception to
women in reproductive age group
12. Management of Reproductive Tract
Infections/Sexually Transmitted Infections
– Health education for prevention of
RTI/STIs.
– Treatment of RTI/STIs
Nutrition Services
– Diagnosis of and nutrition advice to
malnourished children, pregnant
women and others
– Diagnosis and management of
anaemia and vitamin A deficiency.
– Coordination with ICDS
13.
14. School Health
• Teachers screen students on a
continuous basis
• ANMs/HWMs (a team of 2 workers)
visit the schools (one school every
week)
• Doctor from CHC/PHC will also visit one
school per week
• Screening
• Immunization
• Micronutrient management
• De-worming
• Capacity building
• Monitoring & Evaluation
15. Adolescent health care
• Through adolescent friendly clinic for 2
hours once a week on a fixed day
• Adolescent and Reproductive Health:
• Information, counseling and services
related to sexual concerns, pregnancy,
contraception, abortion etc.
• •Services for tetanus immunization
• •Nutritional Counseling, Prevention and
management of nutritional anemia
• •Referral Services for VCTC and PPTCT
services
16. Promotion of Safe Drinking Water and
Basic Sanitation
Essential
• •Disinfection of water sources and
Coordination
• With Public Health Engineering
department for safe water supply.
• •Promotion of sanitation including use of
toilets and appropriate garbage
disposal.
Desirable
• •Testing of water quality using H2S -
Strip Test (Bacteriological).
17. National health programmes.
Various training programmes.
Selected surgical procedures which includes
vasectomy, tubectomy, MTP, cataract surgery.
Mainstreaming of AYUSH.
Monitoring & Evaluation
Record keeping
Health Education and Behaviour Change
Communication (BCC)