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The revised IPHS proposes categorization of subcenters into 3 categories based on population coverage, location, health-seeking behavior, caseload, and other factors. Categories A, B, and C outline specific requirements and staffing recommendations to ensure efficient healthcare delivery. This includes essential services, facilities, and manpower allocation tailored to the subcenter's characteristics. Moreover, modifications in PHC and CHC infrastructure and manpower guidelines are highlighted, emphasizing the importance of specialized care in district hospitals.
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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.
