Primary Health Care Outreach Clinic

1. Primary Health Care Outreach
BPH at pokhara university (2011-2015 )
MPH at parul university (2019-2021)
Binam Raj Shrestha
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2. Outline
 Introduction
 Services to be provided by PHC-ORCs according to PHC-ORC
strategy
 Service coverage
 Issues, constraints and recommendations
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3. Abbreviation
 PHC –ORCs =Primary Health Care Outreach services
 ANM =Auxiliary Nursing Midwifery
 FCHV=Female Community Health Volunteers
 IUCDs= Intra-uterine Contraceptive Device
 STI, HIV/AIDS = Sexually Transmitted Human
Immunodeficiency Virus / Acquired Immunodeficiency Syndrome
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4. Introduction
 Health facilities were extended to the village level under the
National Health Policy (1991).
 Primary health care outreach clinics (PHC-ORC) were therefore
initiated in 1994 (2051 BS) to bring health services closer to
communities.
 The aim of these clinics is to improve access to basic health services
including family planning, child health and safe motherhood.
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5.  These clinics are service extension sites of PHCCs and health posts.
The primary responsibility for conducting outreach clinics is of
ANM and paramedics.
 FCHVs and local NGOs and community based organisations
(CBOs) support health workers to conduct clinics including
recording and reporting.
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6.  Based on local needs, these clinics are conducted every month at
fixed locations, dates and times.
 They are conducted within half an hour’s walking distance for their
catchment populations.
 ANMs/AHWs provide the basic primary health care services listed.
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7. Services to be provided by PHC-ORCs
according to PHC-ORC strategy
Safe motherhood and newborn care:
 Antenatal, postnatal, and newborn care
 Iron supplement distribution
 Referral if danger signs identified.
Family planning:
 DMPA (Depo-Provera) pills and condoms
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8.  Monitoring of continuous use
 Education and counselling on family planning methods and
emergency contraception
 Counselling and referral for IUCDs, implants and VSC services
 Tracing defaulters.
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9. Child health:
Growth monitoring of under 3 years children
Treatment of pneumonia and diarrhoea.
Health education and counselling:
• Family planning
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10. Maternal and newborn care
• Child health
 STI, HIV/AIDS
 Adolescent sexual and reproductive health.
First aid:
• Minor treatment and referral of complicated cases.
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11. Service coverage
 A total of 131,382 clinic were run which represents 90 percent of the
targeted number (131,382 clinics x 12 = 1,576,584 in a year).
 the highest number of clinics was conducted in province 2 and the
highest peoples was served in province 5.
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12.  The number of people provided with deworming tablets ,iron tablets
and vitamin A for postpartum
 The services delivery of PHC-ORC clinics is in increasing trend
except Depo.
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13. Issues, constraints and recommendations
Issues /constraints Recommendation Responsibility
All the P HC - O RC s
are not functional
Functionalize all PHC-ORCs
by resolving all issues at
every levels
FWD,HO
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14. References
 https://dohs.gov.np/wp-content/uploads/2020/11/DoHS-Annual-
Report-FY-075-76-.pdf
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