IPHS Primary health Centre PHC Indian Public health standard

1. PRESENTED BY,
MR. KAILASH NAGAR
ASSIST. PROF.
DEPT. OF COMMUNITY HEALTH NSG.
DINSHA PATEL COLLEGE OF NURSING, NADIAD

2. Tier of health care in India
The health care services in India are organized at three levels, each
level supported by the higher level, to which the patient is referred.
Tertiary
State Hospital
Medical Colleges
Secondary
DH / CHC / Taluka Hospital
Primary
PHC / Sub Centre

3. Concept of Health and Wellness Centre
• The Government of India has launched
ambitious health insurance scheme —
Ayushman Bharat-National Health Promotion
Mission which will leverage on comprehensive
primary health care through health and
wellness centres for preventive, promotive
and curative care and will ensure seamless
continuum of care.

4. • The National Health Policy, 2017 has envisioned
Health and Wellness Centres as the foundation
of India’s health 22 system. Existing sub-centres
will be transformed into Health and Wellness
Centres.
• Under this 1.5 lakh centres will bring health
care system closer to the homes of people. These
centres will provide comprehensive health care,
including for non-communicable diseases and
maternal and child health services.
• These centres will also provide free essential
drugs and diagnostic services.

5. Indian Public Health Standards for Sub-
centre
• The overall objective of IPHS is to provide
health care that is quality oriented and
sensitive to the needs of the community.
• The objectives of IPHS for SubCentres are:
1. To provide basic Primary health care to the
community.
2. To achieve and maintain an acceptable
standard of quality of care.
3. To make the services more responsive and
sensitive to the needs of the community.

6. Minimum Requirement (Assured Services) to
be provided in a Sub-centre:
• SC are expected to provide promotive,
preventive and few curative primary health
care services as below:
1. Antenatal care: ·
2. Intra-natal care: · Promotion of institutional deliveries ·
3. Postnatal care:
4. Immunization Services
5. Vitamin A prophylaxis to the children as per guidelines. ·
6. Prevention and control of childhood diseases like
malnutrition, infections, ARI, Diarrhea, Fever, etc.
7. Family Planning and Contraception

7. 9. Assistance to school health services.
10. Control of local endemic diseases such as malaria, kala azar,
japanese encephalitis, filariasis, dengue etc and control of
epidemics
11. Disease surveillance
12. Water Quality Monitoring: (Disinfection of water sources
/Testing of water quality using Rapid Test (Bacteriological)
13. Promotion of sanitation including use of toilets and
appropriate garbage disposal.
14. Field visits Community level households will be visited by
appropriate health/voluntary workers (such as ASHA, ANM,
MPW – male) for disease surveillance, community need
assessment, family welfare services, including RTI/STI
awareness.

8. 15. Community needs assessment
16. Curative Services: Provide treatment for minor ailments including
fever, diarrhea, ARI, worm infestation and First Aid.
17. Appropriate and prompt referral
18. Organizing Health Day at Anganwadi centres at least once in a
month with the help of Medical Officer of PHC, ASHA, AWW, PRI,
self-help groups etc.
19. Implementation of National Health Programmes:
20. Record of Vital Events, Maintenance of all the relevant records
concerning mother, child and eligible couples in the area.

9. Minimum Requirements at PHC for
meeting IPHS :
• These standards would help monitor and
improve the functioning of PHCs.
• Objectives of IPHS:
• • To provide comprehensive health care (i.e.
preventive, promotive, curative services)
• • 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. • 1. Medical care:
(a) OPD services: 4 hours in the morning and 2 hours in
the afternoon / evening. Minimum OPD attendance
should be 40 patients per doctor per day.
• (b) 24 hours emergency services: Appropriate
management of injuries and accident, First Aid, Dog
bite/snake bite/scorpion bite cases, and other
emergency conditions
• (c) Referral services
•
• (d) In-patient services (6 beds)

11. • 2. Maternal and Child Health Care including
family planning:
• a) Antenatal care: Early registration of all pregnancies and
minimum 3 antenatal checkups with minimum laboratory investigations.
• b) Intra-natal care: (24-hour delivery services both normal and
assisted) Promotion of institutional deliveries, appropriate and prompt
referral for cases needing specialist care.
• (c) Postnatal Care: Two postpartum home visits, first within 48
hours of delivery, 2nd within 7 days through Sub-centre staff, essential new
born care, provision of facilities under Janani Suraksha Yojana (JSY).
• d) New Born care & Care of the child : Emergency care of sick
children including Integrated Management of Neonatal and Childhood
Illness (IMNCI), full Immunization of all infants and children against vaccine
preventable diseases, Vitamin A prophylaxis to the children

12. • 3. Medical Termination of Pregnancies
• 4. Management of Reproductive Tract Infections / Sexually
Transmitted Infections
• 5. Nutrition Services (coordinated with ICDS)
• 6. School Health :
• 7. Adolescent Health Care :
• 8. Promotion of Safe Drinking Water and Basic Sanitation
• 9. Prevention and control of locally endemic diseases like
malaria, Kala azar, JE
• 10. Disease Surveillance and Control of Epidemics :

13. • 11. Collection and reporting of vital events
• 12. Education about health / Behaviour
Change Communication (BCC)
• 13. National Health Programmes
• 14. Referral Services:
• 15. Training: (ASHA, AWW, TBA SBA, VHG,
LHV)
• 16. Basic Laboratory Services:
• 17. Monitoring and Supervision:
• 18. AYUSH services
• 19. Rehabilitation:

14. Duties of various health professionals engaged in
rendering services in public health system
1. Duties of Medical Officer, Primary Health Centre
• I. Curative work
• II. Preventive and promotive work
• III. Training:
• IV. Administrative Work:
• 2. Job Responsibilities of Health Educator
• 3. Job Responsibilities of Health Assistant Female /LHV – Lady Health
• Visitor/Female Supervisor
1. Supervise and guide
2. Team Work
3. Supplies, equipment and maintenance of Sub-centres:
4. Records and reports :
5. Training
6. Maternal and Child Health:

15. • d) Job Responsibilities of Health Assistant Male
(Supervisor)
1. Supervise and guide
2. Team work
3. Supplies, equipment and maintenance of sub-centres
4. Records and reports
5. Malaria
6. Communicable Disease
7. Leprosy
8. Tuberculosis
9. Environmental Sanitation
10. Universal Immunization Programme
11. Family Planning

16. • d) Job Responsibilities of Health Workers
Female.
1. Maternal and Child Health:
2. Family Planning:
3. Medical Termination of Pregnancy:
4. Nutrition:
5. Universal Programme on Immunization (UIP)
6. Dai Training :
7. Communicable Diseases:
8. Vital Events:
9. Record Keeping:

17. Job Responsibilities of Health Worker (Male)
1. Malaria and other diseases under
NVBDCP:
2. National Leprosy Eradication Programme
:
3. National Blindness Control Programm
4. Revised National Tuberculosis Control
Programme :
5. Universal Immunization Programme :
6. Reproductive and Child Health

18. Job responsibility of Mid-level
health care provider at sub-center
• The trained MLP would broadly be expected
to carry out public health functions,
ambulatory care, management and leadership
at the Health & Wellness Centers (H&WCs).
They would be expected to:
1. Implement National Programs
2. Administration and management at Health and Wellness
Centers (or Sub-centers)

19. 4. Preventive, promotive and curative care
5. Identification of Danger Signs and Referral after pre-referral
stabilization
6. Implement Biomedical waste disposal guidelines and
Infection Control policies
7. Supervision of health workers for Maternal and Child
Health, Family Planning and Nutrition related services.

20. •Thank you