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Indian Public Health Standards (IPHS) Guidelines for Sub-Centres Revised 2012

Indian Public Health Standards (IPHS) Guidelines for Sub-Centres Revised 2012. Reshma S ougaijam. Background.

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Indian Public Health Standards (IPHS) Guidelines for Sub-Centres Revised 2012

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  1. Indian Public Health Standards (IPHS)Guidelines for Sub-CentresRevised 2012 Reshma Sougaijam

  2. Background • One of the important components of National Rural Health Mission(NRHM) is to strengthen the Sub-centres to the level of Indian Public Health Standards (IPHS), which were first prescribed in early 2007 • September 2005, a total of 1,46,027 sub-centres are functional in the country • There are 1,47,069 Sub-centers functioning in the country as on March 2010 as per Rural Health Statistics Bulletin, 2010.

  3. Objectives of the Indian PublicHealth Standards for Sub-Centre • To specify the minimum assured (essential) services that Sub-centre is expected to provide and the desirable services which the states/UT s should aspire to provide through this facility • To maintain an acceptable quality of care for these services • To facilitate monitoring and supervision of these facilities • To make the services provided more accountable and responsive to people’s needs

  4. Categorization of Sub-Centres • Type A: Type A Sub Centre will provide all recommended services except that the facilities for conducting delivery will not be available. • Type B:Type B Sub-centre, will provide all recommended services including facilities for conducting deliveries at the Sub-centre itself. They will be expected to conduct around 20 deliveries in a month. • They should be provided with all labour room facilities and equipment including Newborn care corner

  5. Manpower requirement (2012 guideline)

  6. Manpower requirement (2007 guideline)

  7. Services to be Provided in aSub-Centre 1.Maternal Health: Antenatal care: • Early registration of all pregnancies, within first trimester (before 12week of Pregnancy) • Minimum 4 ANC including Registration • Recording tobacco use by all antenatal mothers. • Urine Test for pregnancy confirmation and linkages with PHC for other required tests. • Name based tracking of all pregnant women for assured service delivery.

  8. Provide information about provisions under current schemes and programmeslike JananiSurakshaYojana. • Identification & basic management of STI/RTI. • Counselling & referral for HIV/AIDS • Intra natal care: • Essential for Type B Sub-centre • Managing labour using Partograph. • Identification and management of danger signs during labour. • Proficient in identification and basic fist aid treatment for PPH, Eclampsia, Sepsis and prompt referral

  9. Post natal care: • Ensure post- natal home visits on 0,3,7 and 42nd day for deliveries at home and sub-centre( both for mother & baby). • Ensure 3, 7 and 42day visit for institutional delivery (both for mother & baby) cases • In case of Low Birth weight Baby (less than 2500 gm), additional visits are to be made on 14, 21 and 28days • Tracking of missed and left out PNC

  10. 2.Child Health • Newborn Care Corner In The Labour Room to provide Essential Newborn Care( essential in type B) • Promotion of exclusive breast-feeding for 6 months. Appropriate and adequate complementary feeding from 6 months of age while continuing breastfeeding. • Assess the growth and development of the infants and under 5 children and make timely referral. • Immunization Services • Identification and follow up, referral and reporting of Adverse Events Following Immunization (AEFI).

  11. 3. Family Planning and Contraception • 4. Safe abortion services (MTP) • 5. Curative Services • Essential • Provide treatment for minor ailments including fever, diarrhea, ARI, worm infestation and first aid to animal bite cases, care of the wound assessment and referral). • Desirable • Once a month clinic by the PHC medical officer

  12. 6. Adolescent Health Care • 7.School Health Services: • Screening, treatment of minor ailments, immunization, de-worming, prevention and management of Vitamin A and nutritional deficiency anemia and referral services through fixed day visit of school by existing ANM/MPW • 8. Control of Local Endemic Diseases

  13. 9.Disease Surveillance, Integrated Disease Surveillance Project (IDSP) • Surveillance about any abnormal increase in cases and early reporting to concerned PHC as per IDSP guidelines • 10.Water and Sanitation Desirable : • Disinfection of drinking water sources • Testing of water quality using Rapid Test (Bacteriological) • Promotion of sanitation including use of toilets and appropriate garbage disposal

  14. 11.Out reach/Field Services • VHND should be organised at least once in a month in each village • Home Visits: • Essential :To check out on disease incidences reported to HW. Notify the M.O PHC immediately about any abnormal increase in cases of diarrhoea/dysentery, fever with rigors, fever with rash, flaccid paralysis of acute onset in a child <15 years (AFP), Tetanus, fever with jaundice or fever with unconsciousness, minor and serious AEFIs which she comes across during her home visits • Desirable :Visits to houses of eligible couples who need contraceptive services, but are not currently using them

  15. House-house survey: done once annually, preferably in April. The Male multipurpose worker would take the lead and be accountable for the organization of these surveys and the subsequent preparation of lists and referrals • 12.Coordination and Monitoring: • Coordinated services with AWWs, ASHAs, Village Health Sanitation and Nutrition Committee PRI etc

  16. National programmes • Communicable disease programmes • 1.National AIDS Control Programme (NACP) • 2.National Vector Borne Disease Control Programme (NVBDCP) • 3.National Leprosy Eradication Programme (NLEP) • 4.Revised National Tuberculosis Control Programme (RNTCP)

  17. National programmes Non-communicable Disease (NCD) Programmes • 1.National Programme for Control of Blindness (NPCB) • 2.National Programme for Prevention and Control of Deafness (NPPCD) • 3.National Mental Health Programme • 4.National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke • 5.National Iodine Deficiency Disorders Control Programme • 6.National Tobacco Control Programme • 7.National Programme for Health Care of Elderly

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