Primary Health Centre (PHC)

The basic structural and functional unit of the public health services in

developing countries.PHCs were established to provide accessible,affordable & available primary health care to

people, in accordance with theAlma Ata Declaration of 1978 by the

member nations of the WHO.

In India,PHCs form a basic part of the health care system. The Medical Officer appointed to run the PHC must be a MBBS degree holder.

In addition to the provision of diagnostic and curative services, the Medical Officer acts as the primary administrator for the PHC.

Types of PHC

• Type A PHC

PHC with delivery load of less than

20 deliveries in a month

• Type B PHC

PHC with delivery load of 20 or more

deliveries in a month

The primary field staff, who provide outreach services, are called "ASHA (Accredited Social Health Activist)" or a village health nurse, depending upon the Indian state where the PHC is located.

The village health nurse provides service at the point of care, often in the patient's home. If additional diagnostic testing or clinical intervention is required, the patient is transported to the PHC to be evaluated by the Medical Officer.

Manpower: PHC

PHC Staff Type A Type BEssential Desirable Essential Desirable

• Medical Officer- MBBS 1 1 1#• Medical Officer –AYUSH 1^ 1^• Accountant cum Data Entry Operator 1 1• Pharmacist 1 1• Pharmacist AYUSH 1 1• Nurse-midwife (Staff-Nurse) 3 +1 4 +1• Health worker (Female) 1* 1*• Health Assistant. (Male) 1 1• Health Assistant. (Female)/Lady Health Visitor 1 1• Health Educator 1 1• Laboratory Technician 1 1• Cold Chain & Vaccine Logistic Assistant 1 1• Multi-skilled Group D worker 2 2• Sanitary worker cum watchman 1 1 +1• Total 13 18 14 21

Manpower: PHC

Objectives of IPHS for PHCs

To provide comprehensive primary health care

to the community through the Primary Health

Centres.

To achieve and maintain an acceptablestandard of quality of care.

To make the services more responsive and

sensitive to the needs of the community.

Services at the Primary HealthCentre

Medical care(opd,ipd-6beds,24hrs emergency & referral)

Maternal and Child Health Care Including Family Planning

Medical Termination of Pregnancies

Management of Reproductive Tract Infections/STI

Nutrition Services (coordinated with ICDS)

School Health

Adolescent Health Care

Promotion of Safe Drinking Water and Basic Sanitation

Prevention and control of locally endemic diseases

Services at the Primary HealthCentre continued…………..

RNTCP

National Leprosy Eradication Programme

Integrated Disease Surveillance Project (IDSP)

National AIDS Control Programme

National Programme for Control of Blindness (NPCB)

National Vector Borne Disease Control Programme(NVBDCP)

National Programme for Prevention & Control of Deafness

National Mental Health Programme (NMHP)

National Iodine Deficiency Disorders Control Programme

Services at the Primary HealthCentre continued…………..

National Programme for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS)National Programme for Prevention and Control of Fluorosis (NPPCF)National Tobacco Control Programme (NTCP)Physical Medicine and Rehabilitation (PMR) ServicesBasic Laboratory and Diagnostic ServicesTrainingMonitoring and SupervisionSelected Surgical Procedures

Infrastructure

PHC Building : own It should be centrally located in an easily accessible area.The area chosen should have facilities for electricity. all weather road communication. adequate water supply.and telephone . At a place, where a PHC is already located, another health centre/SC should not be established to avoid the wastage of human resources.PHC should be away from garbage collection, cattle shed, water logging area, etc. PHC shall have proper boundary wall and gate.should be well lit and ventilated with as much use of natural light and ventilation as possible.