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09/30/20 17:43 Yenepoya Nursing College 1
(
Presented by : Mr.Ananda.S,Asst.Professor, YNC
Reviewed by : Mrs.Savitha, Asst.Professor, YNC
Mrs.Shycil Mathew, Lecturer, YNC
Date of Review-11.08.2020
LEARNING OBJECTIVE
At the end of the class the students will be able to:-
define PHC
List down the function of PHC
Explain the staffing pattern of PHC
Define CHC
List down the function of CHC
Explain the staffing pattern CHC
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PRIMARY HEALTH CENTRE
INTRODUCTION
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.
In 2014, Total PHC = 25,020
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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.
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OBJECTIVES
• To provide comprehensive primary health care to the
community at PHCs.
• To achieve and maintain an acceptable standards of
quality of care .
• To make the services more responsive and sensitive
to the need of the community
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Functions of the PHC
The functions of the primary health center in India
cover all the elements of primary health care as
outlined in the Alma-Ata Declaration. They are :
1. Medical care
2. MCH including family planning
3. Safe water supply and basic sanitation
4. Prevention and control of locally endemic diseases
5. Collection and reporting of vital statistics
6. Education about health
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7. National Health Programmes - as relevant
8. Referral services
9. Training of health guides, health workers,
local dais
and health assistants
10. Basic laboratory services
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SERVICES PROVIDED AT PHC
1. MEDICAL CARE :
a) OPD services : 4 hours in the morning and 2 hours in
the afternoon/evening.
b) 24 hours emergency services: appropriate
management of injuries and accident, First-aid,
stabilization of the condition of patient before
referral, dog bite/snake bite/ scorpion bite cases,
and other emergency conditions
(c) Referral services
(d) In-patient services (6 beds).
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2. MATERNAL AND CHILD HEALTH CARE
Antenatal care
Intranatal care
Postnatal care
New born care
Care of the child
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3. Full range of family planning services including
counselling and appropriate referral for couples
having infertility.
4. Medical termination of pregnancy using manual
vacuum aspiration technique
5. Health education for prevention and management of
RTl/STI.
6. Nutrition Services : Diagnosis ·and management of
malnutrition, anaemia and vitamin A deficiency and
coordination with ICDS.
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7. School health services.
8. Adolescent health care.
9. Disease surveillance and control of epidemics
10. Collection and reporting of vital events.
11. Promotion of sanitation including use of toilet and
appropriate garbage disposal.
12. Testing of water quality and disinfection of water
sources.
13. National health programmes.
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14. Appropriate and prompt referral of cases needing
special care and providing transport facilities
15. Record of vital events, reporting of births and
deaths, and maintenance of all relevant records
concerning services provided in PHC.
16. Training
17. Basic laboratory services
18. Monitoring and supervision :
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19. Selected surgical procedures
The vasectomy, tubectomy (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.
20. Mainstreaming of AYUSH
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DRUGS AT PHC
• Inj.Diazepam
• Inj.Lignocaine
• Inj.Pethidine
• Inj.Pentazocine lactate
• Inj.Dexamethasone sodium phosphate
• inj.Promethazine
• Inj.Adrenaline
• Inj.Ethophylline , Theophylline and Inj.Aminophylline
• Inj.Methylergometrine etc.
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MANPOWER at PHC
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COMMUNITY HEALTH CENTRE
(CHCs)
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COMMUNITY HEALTH CENTRE
(CHCs)
• Health care delivery in India has three levels-
Primary, Secondary and Tertiary
• The secondary level of health care essentially
includes community health centres (CHCs) with First
referral Units (FRUs)
• CHCs designed to provide referral health care for
cases from the primary health centres.
• 4 PHCs are included under each CHCs
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• One CHC ---80000 populations in hilly /tribal areas
1,20,000 population in Plain areas
• CHC is a 30 Bedded hospital providing specialist care
in Medicine, Obstetrics and Gynecology, Surgery,
pediatrics, Dental and AYUSH.
• In 2014- total CHCs =5,363
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Objective
• To provide optimal, expert care to the community.
• To achieve and maintain an acceptable standards of
quality of care .
• To make the services more responsive and sensitive
to the need of the community
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Services provided at CHC
1. Care of routine and emergency cases in surgery:
a. This includes incision and drainage, and surgery for
hernia, hydrocele, appendicitis, haemorrhoids, fistula,
etc.
b. Handling of emergencies like intestinal obstruction,
haemorrhage, etc.
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2. Care of routine and emergency cases in medicine:
Handling of all emergencies in relation to the national
health programmes as per guidelines like
dengue/DHF, cerebral malaria, etc.
3. 24-hour delivery services, including normal and
assisted deliveries.
4. Essential and emergency obstetric care including
surgical interventions like caesarean sections and
other medical interventions.
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5. Full range of family planning services including
laproscopic services.
6. Safe abortion services.
7. Newborn care
8. Routine and emergency care of sick children.
9. Other management, including nasal packing,
tracheostomy, foreign body removal etc
10. All the national health programmes (NHP) should
be delivered through the CHCs
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11. Others:
a. Blood storage facility
b. Essential laboratory services
c. Referral (transport) services
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Manpower at CHC
Personnel Existing
Medical officer- Pediatric , Gynecologist ,Physician and Surgeon 4
Nurse mid-wives 7
Dresser 1
Pharmacist/Compounder 1
Lab. technician 1
Radiographer 1
Ward boys 2
Sweepers 3
Chowkidar 1
Mali 1
Dhobi 1
Aya 1
Peon 1
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( Total 25)
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DRUGS at CHC
• Lignocaine • Phenytoin
Hydrochloride
• Albendazole
• Diazepam
• Amoxicillin
• Pentazocine
• Ciprofloxacin
• Chloroquine
• Co-trimoxazole
• Adrenaline
• Norfloxacin
• Prednisolone
• Doxycycline
• Promethazine
• Methronidazole
• Phenobarbitone
• Oxygen etc.
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Summary
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Conclusion
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Evaluation
• Define PHC
• List down the function of PHC
• List down the function of CHC
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Reference
1. Park J E & K Park, Text Book of P & S.M., M/s
Banarsidasm Bhanot, Jabalpur
2. Mahajan B K and M/C.Gupta, Text Book of P & S.M.,
Jaypee Publications
3. Gulani K. K, community health nursing, principles and
practices .
4.S.Kamalam ,Essentials in Community Health Nursing
Practice,2nd edition .Jayapee Brothers Medical
Publishers.
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THANK YOU
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