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Draft Revised INDIAN PUBLIC HEALTH STANDARDS (IPHS). IPHS TASK Force Bhopal-MP. Modifications in the updated / Revised Standards. Proposed Categorization of Subcentres. 3 categories , based upon population covered /catchment area, Location and Geographical terrain
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Draft RevisedINDIAN PUBLIC HEALTH STANDARDS (IPHS) IPHS TASK Force Bhopal-MP
Modifications in the updated / Revised Standards
Proposed Categorization of Subcentres 3 categories, based upon • population covered /catchment area, • Location and Geographical terrain • Health Seeking Behavior, • caseload, • epidemiological situation, • other facilities PHC/CHC/FRU/Hospitals in nearby area
Category A • Remote, difficult, tribal area with poor infrastructure with poor transport facility but population dependent on them, ANMs conducting deliveries mostly at homes. • Providing labour room facilities and equipments not feasible. • RCH and outreach services mainly Staff recommended • One ANM (Essential and SBA tr.), Desirable: 2 • One Health Worker (Male) (Essential)
Category A • MPW on priority in areas endemic for malaria. • Expected deliveries with a birth rate of 30 per month in 5000 population is 150 per year i.e about 12 deliveries in a month. • If deliveries >15 per month- additional ANM • State Government should focus on such sub-centres for strengthening the infrastructure,
Category B • very low case load of deliveries • in the vicinity of other health facilities like PHC/CHC/FRU/Hospital, • headquarter area • areas where good referral transport facilities are available • may not be promoted for deliveries • all other recommended services including NCD • Staff to be provided training in these programmes.
Category B: Staff • One ANM (Essential) • One Health Worker (Male): (Essential) • One contractual Safai-worker (part-time) • Note: If there is shortage, Health worker male should be posted on priority in areas endemic for malaria.
Category C( MCH Center) • Centrally or better located with good connectivity to catchment areas. • good physical infrastructure preferably with own buildings, adequate space, residential accommodation, labour room facilities • good case load • no nearby higher level delivery facilities. • should be developed as Delivery facility and cater also to adjacent 2 to 3 subcentre areas • expected load >30 deliveries per month.
Category C( MCH Center) • Should be provided with all labour room facilities, equipments, including Newborn care corner. • ANMs -SBA trained. • About 4 to 5 rooms including washroom facilities: • Waiting Room, • Labour Room with one labour table with New born corner, • one room with four beds • Rooms for store & office cum clinic • Residential Accommodation • Extra equipments, drugs, supplies, materials and budget for smooth functioning.
Category C (MCH Centre) Staff recommended • Two ANM (Essential) • One Health Worker (Male): (Essential) • One LHV/Staff Nurse (Desirable) • One contractual full-time Safai-worker (Essential)
PHC : Modifications Infrastructure:signage’s, barrier free access, disaster prevention measures (desirable for new upcoming facilities),environmental friendly features, computer facility with internet for MIS, • new born care corner • one room for counseling, • waste disposal pit, cold chain logistic and generator room, boundary wall, Manpower: Added Essential: One data handler Desirable: One AYUSH Doc. and one pharma • One LHV, One Accounts Manager
All districts hospitals will have following specialties :-EssentialMedicine Surgery GynecologyPaediatricsAnaesthesia Ophthalmology Orthopedics Radiology Pathology ENT Dental Science AyushDesirableDermatology Microbiology Psychiatry.
