IPHS Guidelines Health Centres

Indian Public Health Standards (IPHS)
Guidelines for
Community Health Centres
Revised 2011
Directorate General of Health Services
Ministry of Health & Family Welfare
Government of India
Ministry of Health & Family Welfare
Government of India
Indian Public Health Standards (IPHS)
Guidelines for
Community Health Centres
Revised 2011
Message v
Foreword vi
Preface vii
Acknowledgements viii
Executve Summary 1
Indian Public Health Standards (IPHS) for Community Health Centres 3
Introducton 3
ObjectvesofIndianPublicHealthStandards(IPHS)forCHCs 3
ServiceDeliveryinCHCs 3
Manpower 7
Equipment 10
Drugs 10
PhysicalInfrastructure 10
QualityAssuranceinServiceDelivery 15
PatentsafetyandInfectonControl 16
StatutoryandRegulatoryCompliance 17
RecordMaintenance 17
Checklists 17
ListofAnnexures:
Annexure-1A NewbornCornerinOT/LabourRoom 19
Annexure-1B NewbornCareStabilizatonUnit 21
Annexure-2 RequirementswithregardtoRevisedNatonalTBControlProgramme
forIndianPublicHealthStandardsatCHCLevel 23
Annexure-3 NatonalAIDSControlProgramme:HivGuidelines 25
CONTENTS
Annexure-4 NatonalVectorBorneDiseaseControlProgramme 26
Annexure-5 NatonalLeprosyEradicatonProgramme 28
Annexure-6 NatonalProgrammeforControlofBlindness 29
Annexure-7 IntegratedDiseaseSurveillanceProject 30
Annexure-7A FormP(WeeklyReportngFormat-IDSP) 31
Annexure-7B FormL(WeeklyReportngFormat-IDSP) 32
Annexure-7C FormatforinstantaneousreportngofEarlyWarningSignal/outbreaks
assoonasitisdetected 33
Annexure-8 FacilityBasedMaternalDeathReviewForm 34
Annexure-9 ListOfEquipmentsInCHC 38
Annexure-10 ListofDrugs 46
Annexure-11 ExtractsfromNatonalGuidelinesonBloodStorageFacilitesatFRUs 64
Annexure-12 ListofDiagnostcServices 67
Annexure-13 ModelCitzensCharter 70
Annexure-14 ListofStatutoryCompliances 72
Annexure-15 StepsforSafetyinSurgicalPatents(inthePre-operatveWard) 73
Annexure-16 ListofAbbreviatons 75
Reference 77
Members of Task Force for Revision of IPHS 78
MESSAGE
Natonal Rural Health Mission (NRHM) is a genuine measure to strengthen the Rural Public Health System
and has aroused many hopes and expectatons. The Mission seeks to provide efectve health care to the rural
populace throughout the country, with special focus on States/Union Territories (UTs), which have weak public
health indicators and/or weak infrastructure. Towards this end, the Indian Public Health Standards (IPHS) for
Sub-centres,PrimaryHealthCentres(PHCs),CommunityHealthCentres(CHCs),Sub-DistrictandDistrictHospitals
weredevelopedandlastreleasedinJanuary/February,2007.Thesehavesincebeenusedasthereferencepointfor
publichealthcareinfrastructureplanningandupgradatonintheStates/UTs.IPHSareasetofstandardsenvisaged
toimprovethequalityofhealthcaredeliveryinthecountry.
These IPHS documents have been revised keeping in view the changing protocols of the existng programmes
and incorporatng new needs, protocols and programmes, especially for providing due emphasis to the Non-
CommunicableDiseases.Flexibilityisallowedtosuitthediverseneedsofthestatesandregions.
OurcountryhasalargenumberofpublichealthinsttutonsinruralareasfromSub-centresatthemostperipheral
leveltotheDistrictHospitalattheDistrictlevel.Itishighlydesirablethattheyshouldbefullyfunctonalanddeliver
qualitycareinasafemanner.IstronglybelievethattheseIPHSguidelineswillactasthemaindriverforcontnuous
improvementinqualityandserveasbenchmarksforassessingthefunctonalstatusofhealthfacilites.
IcalluponallStates/UTstoadopttheseIPHSguidelinesforstrengtheningthePublicHealthCareinsttutons,and
putintheirbestefortstoachievehighqualityofhealthcareforourpeopleacrossthecountry.
NewDelhi (Ghulam Nabi Azad)
IndianPublicHealthStandards(IPHS)GuidelinesforCOMMUNITyHEALTHCENTRES
vi
AsenvisagedunderNatonalRuralHealthMission(NRHM),thepublichealthinsttutonsinruralareasaretobe
upgradedfromitspresentleveltoalevelofasetofstandardscalledIndianPublicHealthStandards(IPHS).The
IndianPublicHealthStandardsarethebenchmarksforqualityexpectedfromvariouscomponentsofPublichealth
careorganizatonsandmaybeusedforassessingperformanceofhealthcaredeliverysystem.
The Community Health Centres (CHCs) which consttute the secondary level of health care were designed to
providereferralaswellasspecialisthealthcaretotheruralpopulaton.IndianPublicHealthStandards(IPHS)for
CHCswerefrstreleasedunderNatonalRuralHealthMission(NRHM)inearly2007.
Assetngstandardsisadynamicprocess,sotheneedwasfelttoupdatetheIPHSkeepinginviewthechanging
protocols of existng Natonal Health Programmes, development of new programmes especially for non-
communicablediseasesandtheprevailingepidemiologicalsituatoninthecountryanddiferentStates/UTsofthe
country.TheIPHSforCHChasbeenrevisedbyconsttutngataskforcecomprisingofvariousstakeholdersunder
the chairmanship of Director General of Health Services. Subject experts, NGOs, State representatves, health
workersworkinginthehealthfaciliteshavealsobeenconsultedatdiferentstagesofrevision.
ThenewlyrevisedIPHS(CHC)hasconsideredtheservices,infrastructure,manpower,equipmentsanddrugsintwo
categoriesofEssental(minimumassuredservices)andDesirable(theideallevelserviceswhichthestatesandUT
shalltrytoachieve).UnlikeSub-centreandPHCs,CHCswillbeofonetypeonlyandwillactasBlocklevelhealth
administratveunitandGatekeeperforreferralstohigherleveloffacilites.
ThisdocumentwillhelptheStateandCentralGovernments,andPanchayatRajInsttutons,tomonitorefectvely
astohowmanyoftheCHCsareconfrmingtoIPHS.InordertobringtheCHCstoIPHSlevel,additonalfundingthat
mayberequiredwillcontnuetobeconsideredunderNRHM.
I would like to acknowledge the eforts put by the Directorate General of Health Services in preparing the
guidelines. It is hoped that this document will be useful to all the stakeholders. Comments and suggestons for
furtherimprovementsaremostwelcome.
(K. Chandramouli)
Secretary(H&FW)
26thOctober2010 MinistryofHealth&FamilyWelfare
NewDelhi GovernmentofIndia
FOREWORD
vii
PREFACE
Standards are a means of describing a level of quality that the health care organizatons are expected to meet
oraspireto.ForthefrsttmeunderNatonalRuralHealthMission(NRHM),aneforthadbeenmadetodevelop
IndianPublicHealthStandards(IPHS)foravastnetworkofperipheralpublichealthinsttutonsinthecountryand
the frst set of standards was released in early 2007 to provide optmal specialized care to the community and
achieveandmaintainanacceptablestandardofqualityofcare.
TheIPHSforCommunityHealthCentreshasbeenrevisedkeepinginviewtheresourcesavailablewithrespectto
functonalrequirementforCommunityHealthCentrewithminimumstandardsforsuchasbuilding,manpower,
instruments,andequipments,drugsandotherfacilitesetc.TherevisedIPHShasalsoincorporatedthechanged
protocols of the existng health programmes and new programmes and initatves especially in respect of Non-
communicablediseases.Thetaskofrevisionwascompletedasaresultofconsultatonsheldovermanymonths
withtaskforcemembers,programmeofcers,RegionalDirectors,experts,healthfunctonaries,Non-Governmental
representatves, development partners, State/UT Government representatves etc and reaching a consensus.
Thecontributonofallofthemiswellappreciated.Severalinnovatveapproacheshavebeenincorporatedinthe
managementprocesstoensurecommunity/PRIinvolvementandaccountability.
Under the revised IPHS, CHC serves as a First Referral Unit, Block level administratve and a Block level Public
HealthUnit.ThisdocumentprovidestheessentalrequirementsforaMinimumFunctonalGradeofaCommunity
HealthCentreandthedesirablerequirementsneededforanidealsituaton.
Setngstandardsisadynamicprocessandthisdocumentisnotanendinitself.Furtherrevisionofthestandards
willoccurasandwhentheCommunityHealthCentreswillachieveaminimumfunctonalgrade.Itishopedthat
thisdocumentwillbeofimmensehelptothestategovernmentsandotherstakeholdersinbringingupCommunity
healthCentrestothelevelofIndianPublicHealthStandards.
(Dr. R.K. Srivastava)
DirectorGeneralofHealthservices
26
th
October2010 MinistryofHealth&FamilyWelfare
viii
ACkNOWLEDGEMENTS
The revision of the existng guidelines for Indian Public Health Standards (IPHS) for diferent levels of Health
Facilites from Sub-centre to District Hospitals was started with the formaton of a Task Force under the
ChairmanshipofDirectorGeneralofHealthServices(DGHS).Thisreviseddocumentisaconcertedefortmade
possible by the advice, assistance and cooperaton of many individuals, Insttutons, government and non-
governmentorganizatons.
IgratefullyacknowledgethevaluablecontributonofallthemembersoftheTaskForceconsttutedtoreviseIndian
PublicHealthStandards(IPHS)forSub-centresandPrimaryHealthCentres.ThelistofTaskForceMembersisgiven
attheendofthisdocument.Iamthankfultothemindividuallyandcollectvely.
IamtrulygratefultoMr.k.Chandramouli,Secretary(H&FW)fortheactveencouragementreceivedformhim.
I also gratefully acknowledge the initatve, inspiraton and valuable guidance provided at every step by
Dr. R.k. Srivastava, Director General of Health Services, Ministry of Health and Family Welfare, Government of
India.Hehasalsoextensivelyreviewedthedocumentwhileitwasbeingdeveloped.
IsincerelythankMissk.SujathaRao,Ex-Secretary(H&FW)forhervaluablecontributonandguidanceinratonalizing
themanpowerrequirementsforHealthFacilites,andalsoforherhelpinthefnalizatonofthisdocument.Iwould
speciallyliketothankDr.ShivLal,formerSpecialDGandAdvisor(PublicHealth),Dr.Ashokkumar,CBHIDirector,Dr.
N.S.DharmShaktu,DDG,Dr.P.L.JoshiformerDDG,expertsfromNHSRCnamelyDr.T.Sunderraman,Dr.J.N.Sahai,
Dr.P.Padmanabhan,Dr.J.N.Srivastava,expertsfromNCDCDr.R.L.Ichhpujani,Dr.A.C.Dhariwal,Dr.Shashikhare,
Dr.S.D.khaparde,Dr.SunilGupta,Dr.R.S.Gupta,expertsfromNIHFWProf.B.DeokiNandan,Prof.k.kalaivani,
Prof.M.Bhatacharya,Prof.J.k.Dass,Dr.Vivekadish,programmeofcersfromMinistryofHealthFamilywelfare
andDirectorateGeneralofHealthServicesespeciallyDr.HimanshuBhushan,Dr.ManishaMalhotra,Dr.B.kishore,
Dr. Jagdish kaur and Dr. D.M. Thorat for their valuable contributon and guidance in formulatng the IPHS for
Sub-centres.
IamgratefultothefollowingStateleveladministrators,healthfunctonariesworkinginthehealthfacilitesand
NGOrepresentatveswhosharedtheirfeldexperienceandgreatlycontributedintherevisionworknamely
Dr.ManoharAgnani,MDNRHMfromStateofMPDr.JunaidRehmanfromkerala.
Dr.kamleshkumarJainfromChhatsgarh.
ix
Dr. y.k. Gupta, Dr. kiran Malik, Dr Avdesh kumar, Dr. Naresh kumar, Smt. Prabha Devi Panwar, ANM and
Ms.PushpaDevi,ANMfromUP.
Dr.P.N.S.ChauhanandDr.JayashreeChandraJointDirectors,Dr.S.A.S.kazmiandDr.L.B.AsthanaDeputy
Directors,Dr.R.P.Maheshwari,Dr.(Mrs.)PushpaGupta,Div.JointDirector,Ujjain,Dr.RameshMakwanaand
Dr.(Mrs.)BhusanShrivastavafromStateofMP.
Dr.R.S.Gupta,Dr.S.k.Gupta,Ms.MamtaDevi,ANMandMs.SangeetaSharma,ANMfromRajasthan.
Dr.RajeshBalifromHaryana.
NGOrepresentatvesDr.P.k.JainfromRkMissionandDr.SunitaAbrahamfromChristanMedicalAssociaton
ofIndia.
Tmt.C.Chandra,VillageHealthNurse,andTmt.k.Geetha,VillageHealthNursefromTamilNadu,
I express my sincere thanks to Dr. T.S. Siddhu, Medical Superintendent and other subject experts from Dr. RML
Hospital, Dr. N.k. Mohanty, Medical Superintendent and other subject experts from Safdarjung Hospital and
ArchitectsofCentralDesignBureaunamelySh.S.Majumdar,Dr.Chandrashekhar,Sh.SridharandSh.M.Bajpaifor
providinginputsinrespectofphysicalinfrastructureandbuildingnorms.
I am also extremely grateful to Regional Directors of Health and Family Welfare, State Health Secretaries, State
MissiondirectorsandStateDirectorsofHealthServicesfortheirfeedback.
IshallbefailinginmydutyifIdonotthankDr.P.k.Prabhakar,AssistantCommissioner(ID),forprovidingsuggestons
andsupportateverystageofrevisionofthisdocument.
LastbutnottheleasttheassistanceprovidedbymysecretarialstafandtheteamatMacroGraphicsPvt.Ltd.is
dulyacknowledged.
(Dr. Anil Kumar)
MemberSecretary-Taskforce
CMO(NFSG)
DirectorateGeneralofHealthServices
26
th
October2010 MinistryofHealth&FamilyWelfare
1
The Community Health Centres (CHCs) consttute
the secondary level of health care, were designed to
providereferral as well as specialist health care to the
ruralpopulaton.Indian Public Health Standards (IPHS)
for CHCs have been prescribed under Natonal Rural
Health Mission (NRHM) since early 2007 to provide
optmalspecializedcaretothecommunityandachieve
andmaintainanacceptablestandardofqualityofcare.
Assetngstandardsisadynamicprocess,theneedwas
felt to update the IPHS keeping in view the changing
protocols of existng Natonal Health Programmes,
development of new programmes especially for non-
communicablediseasesandprevailingepidemiological
situatoninthecountryanddiferentStates/UTsofthe
country;accordinglytherevisionhasbeencarriedout.
These standards would act as benchmarks and help
monitorandimprovethefunctoningoftheCHCs.
ServiceDelivery
UnlikeSub-centreandPHCs,CHCshavebeen
envisaged as only one type and will act both
as Block level health administratve unit and
gatekeeper for referrals to higher level of
facilites.
The revised IPHS (CHC) has considered
the services, infrastructure, manpower,
equipments and drugs in two categories of
Essental (minimum assured services) and
Desirable (the ideal level services which the
statesandUTshalltrytoachieve).
AllessentalservicesasenvisagedintheCHC
should be made available, which includes
routne and emergency care in Surgery,

Medicine, Obstetrics and Gynaecology,
Paediatrics, Dental and AyUSH in additon to
alltheNatonalHealthProgrammes.
Standards of services under existng
programmes were updated and standards
addedfornewlydevelopednoncommunicable
diseaseprogrammesbasedontheinputsfrom
variousprogrammedivisions.
Standards for New born stabilizaton unit,
MTPfacilitesforsecondtrimesterpregnancy
(desirable), The Integrated Counselling and
Testng Centre (ICTC), Blood storage and link
Ant Retroviral Therapy centre have been
added.
MinimumRequirementfor
DeliveryoftheAbove-Mentoned
Services
The following requirements are being projected
based on the assumpton that there will be average
bed occupancy of 60%. The strength may be further
increased if the occupancy increases with subsequent
upgradaton.WithregardstoManpower,2specialists,
namely, Anesthetst and Public Health Specialist will
be provided in additon to the available specialists,
namely, Surgery, Medicine, Obstetrics and Gynecology
andPediatrics.
ABlockPublicHealthUnitisenvisagedattheCHChaving
a Block Medical Ofcer/Medical superintendent, one
ExECUTIVESUMMARy
2
Public Health specialist and at least one Public Health
Nurse. The support manpower will include a Dental
Assistant, Mult Rehabilitaton Worker, Cold Chain and
VaccineLogistcAssistantinadditontotheexistngstaf.
ThemanpoweratCHChasbeenratonalizedinorderto
ensureoptmalutlizatonofscarcemanpower.
Facilites
The lists of equipment and essental drugs have been
updated; the drug list for obstetric care and sick
newborn&childcare(forFirstReferralUnit(FRU)/CHC)
hasbeenincorporatedintheseguidelines.
PhysicalInfrastructurewillberemodeledorrearranged
tomakebestpossibleuseforoptmalutlizatonasper
givenguidelinesintherelevantsecton.
HumanResourceManagement
CapacityBuildingwillbeensuredatalllevelsbyperiodic
trainingofallcadres.
Accountability
It is mandatory for every CHC to have functional
Rogi kalyan Samiti (RkS) to ensure accountability
and also shall have the Charter of Patients Rights
displayed prominently at the entrance. A grievance
redressal mechanism under the overall supervision
ofRkSwouldalsobesetup.
QualityofServices
StandardOperatngProceduresandStandardTreatment
ProtocolsforcommonailmentsandtheNatonalHealth
Programmes should be available and followed. To
maintainqualityofservices,externalmonitoringthrough
Panchayat Raj Insttutons and internal monitoring at
appropriateintervalsisadvocated.Guidelinesarebeing
provided for management of routne and emergency
cases under the Natonal Health Programmes so as to
maintain uniformity in Management in tune with the
NatonalHealthPolicy.
3
is bound to be a groundswell of demands for health
servicesandthesystemneedstobegearedtofacethe
challenge.Notonlydoesthesystemrequireup-gradaton
to handle higher patent load, but emphasis also needs
to be given to quality aspects to increase the level of
patentsatsfacton.Inordertoensurequalityofservices,
the Indian Public Health Standards (IPHS) are being set
upforCHCssoastoprovideayardstcktomeasurethe
services being provided there. This document provides
the essental requirements for a Minimum Functonal
GradeofaCommunityHealthCentreandthedesirable
requirementsneededforanidealsituaton.
ObjectvesofIndianPublicHealth
Standards(IPHS)forCHCs
To provide optmal expert care to the
community.
To achieve and maintain an acceptable
standardofqualityofcare.
To ensure that services at CHC are
commensurate with universal best practces
andareresponsiveandsensitvetotheclient
needs/expectatons.
ServiceDeliveryinCHCs
OPD Services and IPD Services: General,
Medicine,Surgery,Obstetrics&Gynaecology,
Paediatrics,DentalandAyUSHservices.
Introducton
Health care delivery in India has been envisaged at
threelevelsnamelyprimary,secondaryandtertiary.
The secondary level of health care essentially
includes Community Health Centres (CHCs),
constituting the First Referral Units (FRUs) and the
Sub-district and District Hospitals. The CHCs were
designed to provide referral health care for cases
from the Primary Health Centres level and for cases
in need of specialist care approaching the centre
directly. 4 PHCs are included under each CHC thus
catering to approximately 80,000 populations in
tribal/hilly/desertareasand1,20,000populationfor
plain areas. CHC is a 30-bedded hospital providing
specialistcareinMedicine,ObstetricsandGynecology,
Surgery, Paediatrics, Dental and AyUSH. There are
4510 CHCs functioning in the country as per Rural
Health Statistics Bulletin 2009. These centres are
however fulfilling the tasks entrusted to them only
toalimitedextent.ThelaunchoftheNationalRural
Health Mission (NRHM) gives us the opportunity to
haveafreshlookattheirfunctioning.
NRHM envisages bringing up the CHC services to the
level of Indian Public Health Standards. Although there
are already existng standards as prescribed by the
BureauofIndianStandardsfor30-beddedhospital,these
areatpresentnotachievableastheyareveryresource-
intensive.UndertheNRHM,theAccreditedSocialHealth
Actvist (ASHA) is being envisaged in each village to
promotethehealthactvites.WithASHAinplace,there
INDIANPUBLICHEALTHSTANDARDS(IPHS)FOR
COMMUNITyHEALTHCENTRES
4
EyeSpecialistservices(atoneforevery5CHCs)
EmergencyServices
LaboratoryServices
NatonalHealthProgrammes
Every CHC has to provide the following services which
have been indicated as Essental and Desirable. All
States/UTs must ensure the availability of all Essental
services and aspire to achieve Desiable services which
are the ideal that should be available.
I. CareofRoutneandEmergencyCases
inSurgery
Essental
This includes dressings, incision and
drainage, and surgery for Hernia, Hydrocele,
Appendicits, Haemorrhoids, Fistula, and
sttchingofinjuries.
Handling of emergencies like Intestnal
Obstructon,Haemorrhage,etc.
Other management including nasal packing,
tracheostomy,foreignbodyremovaletc.
Fracturereductonandputngsplints/plaster
cast.
ConductngdailyOPD.
II. CareofRoutneandEmergencyCases
inMedicine
Essental
Specifc menton is being made of handling
ofallemergencieslikeDengueHaemorrhagic
Fever,CerebralMalariaandotherslikeDog&
snakebitecases,Poisonings,CongestveHeart
Failure, Lef Ventricular Failure, Pneumonias,
meningoencephalits, acute respiratory
conditons, status epileptcus, Burns, Shock,
acute dehydraton etc. In case of Natonal
Health Programmes, appropriate guidelines
are already available, which should be
followed.
ConductngdailyOPD.
III. MaternalHealth
Essental
Minimum 4 ANC check ups including
Registraton & associated services :Assome
antenatalcasesmaydirectlyregisterwithCHC,
the suggested schedule of antenatal visits is

reproducedbelow
1
st
visit: Within 12 weekspreferably
as soon as pregnancy is suspectedfor
registratonofpregnancyandfrstantenatal
check-up
2
nd
visit: Between14and26weeks
3
rd
visit: Between28and34weeks
4
th
visit: Between36weeksandterm
24-hour delivery services including normal
andassisteddeliveries.
ManaginglabourusingPartograph.
All referred cases of Complicatons in
pregnancy,labourandpost-natalperiodmust
beadequatelytreated.
Ensure post-natal care for 0 & 3
rd
day at the
health facility both for the mother and new-
bornandsendingdirectontotheANMofthe
concerned area for ensuring 7
th
& 42
nd
day
post-natalhomevisits.
Minimum 48 hours of stay afer delivery,
3-7 days stay post delivery for managing
Complicatons.
ProfciencyinidentfcatonandManagement
ofallcomplicatonsincludingPPH,Eclampsia,
Sepsisetc.duringPNC.
Essental and Emergency Obstetric Care
includingsurgicalinterventonslikeCaesarean
Sectonsandothermedicalinterventons.
IV. NewBornCareandChildHealth
Essental
EssentalNewBornCareandResuscitatonby
providingNewbornCornerintheLabourRoom
and Operaton Theatre (where caessarian
takesplace).DetailsofNewBornCornergiven
atAnnexure 1A.
Earlyinitatonofbreastfeedingwithinone
hour of birth and promoton of exclusive
breast-feedingfor6months.
New Born Stabilizaton Unit (Details given at
Annexure 1B).
CounselingonInfantandyoungchildfeeding
asperIyCFguidelines.
Routne and emergency care of sick children
includingFacilitybasedIMNCIstrategy.
Full Immunizaton of infants and children
against Vaccine Preventable Diseases and
Vitamin-A prophylaxis as per guidelines of
i.
5
Govt. of India. Tracking of vaccinaton drop
outsandlefouts.
Preventon and management of routne
childhooddiseases,infectonsandanemiaetc.
V. FamilyPlanning
Essental
Fullrangeoffamilyplanningservicesincluding
IEC, counseling, provision of Contraceptves,
Non Scalpel Vasectomy (NSV), Laparoscopic
SterilizatonServicesandtheirfollowup.
Safe Aborton Services as per MTP act and
AbortoncareguidelinesofMOHFW.
Desirable
MTP Facility approved for 2
nd
trimester of
pregnancy.
VI. OtherNatonalHealthProgrammes
(NHP):(EssentalExceptasIndicated)
All NHPs should be delivered through the CHCs.
Integraton with the existng programmes is
vital to provide comprehensive services. The
requirements for the important NHPs are being
annexedasseparateguidelinesandfollowingare
theassuredservicesundereachNHP.
CommunicableDiseasesProgrammes
RNTCP: CHC should provide diagnostc
services through the microscopy centres
which are already established in the CHCs
and treatment services as per the Technical
and Operatonal Guidelines for Tuberculosis
Control(Annexure 2).
HIV/AIDS Control Programme: The
services to be provided at the CHC level
are(Annexure 3).
Integrated Counselling and Testng
Centre;
BloodStorageCentre
1
;
SexuallyTransmitedInfectonclinic.
Desirable
LinkAntRetroviralTherapyCentre.
Natonal Vector Borne Disease Control
Programme: The CHCs are to provide
1 BloodstorageunitsshouldhaveatleastnumberofunitsofBloodequal
todoubleoftheaveragedailyrequirement/consumpton.
diagnostc/linkages to diagnosis and

treatmentfacilitesforroutneandcomplicated
cases of Malaria, Filaria, Dengue, Japanese
Encephalits and kala-azar in the respectve
endemiczones(Annexure 4).
Natonal Leprosy Eradicaton Programme
(NLEP): The minimum services that are to
be available at the CHCs are for diagnosis
and treatment of cases and complicatons
including reactons of leprosy along with
conselling of patents on preventon of
deformityandcasesofuncomplicatedulcers
(Annexure 5).
Natonal Programme for Control of
Blindness:Theeyecareservicesthatshould
be made available at the CHC are as given
below.
Essental
Vision Testng with Vision drum/Vision
Charts.
Refracton.
The early detecton of visual impairment
andtheirreferral.
Awareness generaton through
appropriate IEC strategies and involving
community for primary preventon and
early detecton of impaired vision and
othereyeconditons.
Desirable
Intraocular pressure measurement by
Tonometers.
Syringingandprobing.
The provision for removal of Foreign
Body.
Provision of Basic services for Diagnosis
andtreatmentofcommoneyediseases.
SurgicalservicesincludingcataractbyIOL
implantaton.
Oneophthalmologistisbeingenvisagedforevery5lakh
populatoni.e.oneophthalmologistwillcaterto5CHCs.
(Annexure 6).
Under Integrated Disease Surveillance
Project, CHC will functon as peripheral
surveillance unit and collate, analyse and
report informaton to District Surveillance
Unitonselectedepidemicpronediseases.In
outbreak situatons, appropriate acton will
beinitated(Annexure 7).
NatonalProgrammeforPreventonandControlof
Deafness(NPPCD)
CHCwillprovidefollowingservices:
The early detecton of cases of hearing
impairmentanddeafnessandreferral.
Provision of Basic Diagnosis and treatment
servicesforcommoneardiseases.
Awareness generaton through appropriate
IEC strategies and greater partcipaton/
role of community in primary preventon
and early detecton of hearing impairment/
deafness.
NatonalMentalHealthProgramme(NMHP)
Essental
Early identfcaton, Diagnosis and treatment
of common mental disorders (anxiety,
depression, psychosis, schizophrenia, Manic
DepressivePsychosis).
IECactvitesforpreventon,removalofstgma
andearlydetectonofmentaldisorders.
Followup care of detectedcases who are on
treatment.
Desirable
With short term training the medical ofcers
would be trained to deliver basic mental
healthcareusinglimitednumberofdrugsand
toprovidereferralservice.Thiswouldresultin
earlyidentfcatonandtreatmentofcommon
mentalillnessesinthecommunity.
NatonalProgrammeforPreventonandControl
ofCancer,Diabetes,CardiovascularDiseasesand
Stroke(NPCDCS)
CancerControl
Essental
Facilites for early detecton and referral of
suspectedcancercases.
ScreeningforCervical,Breast&OralCancers.
Educaton about Breast Self Examinaton and
OralSelfExaminaton.
Desirable
PAPsmearforCancerCervix.
Basic equipment (Magna Visualiser, Indirect
Laryngoscope, Punch biopsy forceps) and
consumables for early detecton of common

cancers.
Public private partnership for laboratory
investgatons (biochemical, pathological
(including biopsy), microbiological, tumor
markers,mammographyetc.whicharerelated
tocancerdiagnosis).
Investgatons to confrm diagnosis of cancer
inpatentswithearlywarningsignalsthrough
PublicPrivatePartnershipmode.
Diabetes,CVDandStrokes
Essental
Promoton & Preventon
Health Promoton: Focus will be on
healthypopulaton.
Modify individual, group and community
behaviourthroughinterventonlike,
PromotonofHealthyDietaryHabits.
Promotonofphysicalactvity.
Avoidanceoftobaccoandalcohol.
StressManagement.
Treatment & Timely Referral (Complicated
cases)ofDiabetesMellitus,Hypertension,
IHD,CHFetc.
Assured investgatons: Urine Albumin
andSugar,BloodSugar,BloodLipidProfle,
kFT(Bloodurea,creatnine)ECG.
Desirable
Early detecton
Survey of populaton through simple
measures like history taking of symptoms,
measuringbloodpressure,checkingforsugar
inurineandbloodetc.andtheirsegregaton
into normal, vulnerable, high risk and those
suferingfromdisease.
NatonalIodineDefciencyDisordersControl
Programme(NIDDCP)
IEC actvites in the form of posters,
pamphlets, Interpersonal communicaton
to promote the consumpton of iodised salt
bythepeopleandmonitoringofiodisedsalt
throughsalttestngkits.
7
NatonalProgrammeforPreventonandControl
ofFluorosis(NPPCF)EssentalinFluorosisafected
Villages
Clinical examinaton and preliminary
diagnostc parameters assessment for cases
ofFluorosisiffacilitesareavailable.
Monitoring of village/community level
FluorosissurveillanceandIECactvites.
Referral Services. IEC actvites in the
form of posters, pamphlets, Interpersonal
communicatontopreventFluorosis.
NatonalTobaccoControlProgramme(NTCP)
Essental
Health educaton and IEC actvites regarding
harmful efects of tobacco use and second
handsmoke.
Promotng quitng of tobacco in the
community and ofering brief advice to all
smokersandtobaccousers.
MakingthepremisesofCHCtobaccofreeand
displayofmandatorysignages.
Desirable
Setng up a Tobacco cessaton Clinic, by training
thecouselorintobaccocessaton.
NatonalProgrammeforHealthCareofElderly
Desirable
Medicalrehabilitatonservices.
Compilaton of elderly data from PHC &
forwardingthesametodistrictnodalofcers.
Visits to the Homes of disabled/bed ridden
personsbyrehabilitatonworkeronreceiving
informatonfromPHC/Sub-centre.
Geriatric Clinic:twiceaweek.
PhysicalMedicineandRehabilitaton(PMR)
Essental
PrimarypreventonofDisabilites.
Screening,earlyidentfcatonanddetecton
Counselling.
Issue of Disability Certfcate for obvious
DisabilitesbyCHCdoctors.
CommunitybasedRehabilitatonServices.
Desirable
Basic treatments like Exercise and Heat
therapy, ROM exercises, cervical and Lumbar
Tracton,referraltohighercentersandfollow
up.
OralHealth
Essental
Dental care and Dental Health educaton
services as well as root canal treatment and
flling/extracton of routne and emergency
cases.
OralHealtheducationincollaborationwith
other activities e.g. Nutritional education,
schoolhealthandadolescenthealth.
VII. OtherServices
Essental
BloodStorageFacility
DiagnostcServices (Annexure 12)
Referral(transport)Services
MaternalDeathReview (MDR). FacilityBasedMDR
formis at Annexure 8.
MinimumRequirementforDeliveryoftheAbove-
mentonedServices
The following requirements are being projected
based on the assumpton that there will be average
bed occupancy of 60%. The strength may be further
increased if the occupancy increases with subsequent
upgradaton.
Manpower
in order to provide round the clock clinical services,
there is likelihood of shortage of doctors in 8-hourly
shif dutes. This shortage can be compensated by
resource pooling (Block Pooling Concept) of available
doctors posted at Primary Health Centres covered
undertheCHC.
Under the present scenario of shortage of clinical
manpower, it is suggested that doctors of PHCs, in
additon to atending to routne OPD dutes at PHCs
mayalsodoshifdutestoprovideemergencyservices
atCHCs.
8
Manpower:CHC
PERSONNEL ESSENTIAL DESIRABLE QUALIFICATIONS REMARKS
BlockPublicHealthUnit
BlockMedical
Ofcer/Medical
Superintendent
1 Seniormostspecialist/
GDMOpreferably
withexperiencein
PublicHealth/Trained
inProfessional
DevelopmentCourse
(PDC)
Willberesponsiblefor
coordinatonofNHPs,
managementofASHAs
Trainingandother
responsibilitesunder
NRHMapartfrom
overalladministraton/
Managementof
CHCetc.Hewill
beresponsiblefor
quality&protocolsof
servicedeliverybeing
deliveredinCHC.
PublicHealthSpecialist 1 MD(PSM)/MD(CHA)/
MDCommunity
MedicineorPost
GraduatonDegree
withMBA/DPH/MPH
PublicHealthNurse
(PHN)#
1 +1
Specialty Services
GeneralSurgeon 1 MS/DNB,(General
Surgery)
Physician 1 MD/DNB,(General
Medicine)
Obstetrician&
Gynaecologist
1 DGO/MD/DNB
Paediatrician 1 DCH/MD(Paediatrics)/
DNB
Anaesthetst 1 MD(Anesthesia)/DNB/
DA/LSAStrainedMO
Essentalforutlizaton
ofthesurgical
specialites.Theymay
beoncontractual
appointmentorhiring
ofservicesfrom
privatesectorsonper
casebasis
General Duty Ofcers
DentalSurgeon 1 BDS
GeneralDutyMedical
Ofcer
2 MBBS
MedicalOfcer-
AyUSH
1 GraduateinAyUSH
Nurses and Paramedical
StafNurse 10
Pharmacist 1 +1
PharmacistAyUSH 1
9
PERSONNEL ESSENTIAL DESIRABLE QUALIFICATIONS REMARKS
Lab.Technician 2
Radiographer 1
Dietcian 1
OphthalmicAssistant 1
DentalAssistant 1
ColdChain&Vaccine
LogistcAssistant
1
OTTechnician 1
MultRehabilitaton/
CommunityBased
Rehabilitatonworker
1 +1
Counsellor 1
Administratve Staf
RegistratonClerk 2
StatstcalAssistant/
DataEntryOperator
2
AccountAssistant 1
Administratve
Assistant
1
Group D Staf
Dresser(certfed
byRedCross/Johns
Ambulance)
1
WardBoys/Nursing
Orderly
5
Driver* 1* 3
Total 46 52
Note:
Ifpatentloadincreases,thennumberofGeneralDutyDoctorsmaybeincreased.
Fundswouldbeprovidedforout-sourcingandprovidingsupportservicesasperneed.
OneofnursingorderliescouldbetrainedinCSSDprocedures.
BudgettobeprovidedforoutsourcingClassIVserviceslikeMali,Aya,Peon,OPDAtendant,SecurityandSanitaryworkers.
*Maybeoutsourced.
#GraduateorDiplomainNursingandwillbetrainedfor6monthsinPublicHealth.
Note:
As a short term arrangement, MBBS doctors who have received short term training or having experience of at least two years
in the partcular speciality can be utlized against the spciality post. However, in such cases a specifc order afer postng such
doctors must be issued.
OneoftheClassIVemployeescanbeidentfedasahelpertoColdChain&VaccineLogistcAssistantandtrainedasColdChain
Handler.
StatesshallasperprovisionunderNRHMexplorekeepingparttme/contractualstafwhereverdefcient.Outsourcingofservices
maybedoneasperStatespolicy.
Onenursingstaf/LabtechnicianmaybetrainedforECG.
OneOphthalmologistisrecommendedfor5CHCs.
TheHealthEducatoratPHCshouldworkincoordinatonwithblockpublichealthunitfororganizinghealtheducatonservices.
1.
2.
3.
4.
5.
6.
1
Equipment
The list of equipment provided under the
CSSMmaybereferredtoastheyaredeemed
tobeadequateforprovidingallservicesinthe
CHC (Annexure 9).Beforeorderingnewsets,
the existng equipment should be properly
assessed.
For ophthalmic equipment wherever the
servicesareavailable,Annexureno.6maybe
referredto.
Maintenance of equipment. It is estmated
that10-15%oftheannualbudgetisnecessary
formaintenanceofeuipments.
Refrigerators[3(Essental),4(Desirable)],one
foreachward,oneforOT,Oneforlaboratory,
shouldbeavailableintheCHC.NoSharingof
Refrigeratorwiththelabshouldbedone.
Appropriate standards for equipments are
already available in the Bureau of Indian
Standards.Ifstandardsforanyequipmentare
not available, technical specifcatons for the
equipmentmaybepreparedbythetechnical
commitee of the State for the process of
tenderingandprocurement.
Drugs
The list of essental drugs and emergency drugs are
providedat Annexure 10.
ProgrammespecifcdrugsaredetailedintheGuidelines
under each programme. AyUSH drugs are being
included.
InvestgatveFacilitesattheCHC
Inadditontothelabfacilitesandxray,ECG
should be made available in the CHC with
appropriate training to a nursing staf/Lab.
Technician.
All necessary reagents, glass ware and
facilites for collectng and transport of
samplesshouldbemadeavailable.
PhysicalInfrastructure
TheCHCshouldhave30indoorbedswithoneOperaton
theatre,labourroom,x-ray,ECGandlaboratoryfacility.
In order to provide these facilites, following are the
guidelines:
Locaton of the centre: All the guidelines as below

underthissub-headmaybeapplicableonlytocentres
that are to be newly established and priority is to be
giventooperatonalisetheexistngCHCs.
To the extent possible, the centre should
be located at the centre of the block
headquarter in order to improve access to
thepatients.
The area chosen should have the facility for
electricity, all weather road communicaton,
adequatewatersupply,telephoneetc.
It should be well planned with the entre
necessary infrastructure. It should be well lit
and ventlated with as much use of natural
lightandventlatonaspossible.
CHCshouldbeawayfromgarbagecollecton,
catleshed,waterloggingarea,etc.
Disaster Preventon Measures: (For all new upcoming
facilites in seismic zone 5 or other disaster prone
areas)
Building structure and the internal structure should
be made disaster proof especially earthquake proof,
flood proof and equipped with fire protection
measures.
Quake proof measures Structuralandnon-structural
elements should be built in to withstand quake as per
geographical/state govt. guidelines. Non-structural
featureslikefasteningtheshelves,almirahs,equipments
etc are even more essental than structural changes
in the buildings. Since it is likely to increase the cost
substantally, these measures may especially be taken
onpriorityinknownearthquakeproneareas.
CHCshouldnotbelocatedinlowlyingareatoprevent
fooding.
CHC should have dedicated, intact boundary wall with
a gate. Name of the CHC in local language should be
prominentlydisplayedattheentrancewhichisreadable
innighttoo.
Fire fighting equipments Fire extinguishers, sand
buckets, etc. should be available and maintained to
be readily available when needed. Staff should be
trained in using fire fighting equipment. Each CHC
should develop a fire fighting and fire exit plan with
the help of Fire Department. Regular mock drills
shouldbeconducted.
11
AllCHCsshouldhaveaDisasterManagementPlaninline
withtheDistrictDisastermanagementPlan.Allhealth
stafshouldbetrainedandwellconversantwithdisaster
preventon and management aspects Surprise mock
drills should be conducted at regular intervals. Afer
eachdrilltheefcacyoftheDisasterPlan,preparedness
oftheCHC,andthecompetenceofthestafshouldbe
evaluated followed by necessary changes in the Plan
andtrainingofthestaf.
TheCHCshouldbe,asfaraspossible,environmentfriendly
andenergyefcient.Rain-Waterharvestng,solarenergy
use and use of energy-efcient CFL bulbs/equipments
should be encouraged. Provision should be
madeforhortcultureservicesincludingherbalgarden.
The building should have areas/space marked for the
following:
EntranceZone
Signage
Prominent display boards in local language
providing informaton regarding the services
availableandthetmingsoftheinsttute.
Directonal and layout signages for all the
departments and utlites (toilets, drinking
wateretc.)shallbeappropriatelydisplayedfor
easyaccess.Allthesignagesshallbebilingual
andpictorial.
Citzen chartershall bedisplayed atOPDand
Entranceinlocallanguageincludingpatents
rightsandresponsibilites.
On-the-way signages of the CHC & locaton
should be displayed on all the approach
roads.
Safety, hazards and cauton signs shall be
displayed prominently at relevant places,
e.g.radiatonhazardsforpregnantwomanin
x-Ray.
Fluroscent Fire-Exit signages at strategic
locatons.
Barrier free access environment for easy
access to non-ambulant (wheel-chair
stretcher), semi-ambulant, visually disabled
and elderly persons as per Guidelines
and Space Standards for barrier-free built
environmentforDisabledandElderlyPersons
ofGovernmentofIndia.
Ramp as per specifcaton, Hand-railing,

proper lightning etc must be provided in all
health facilites and retrofted in older one
whichlackthesame.
Registratoncounters.
Pharmacyfordrugdispensingandstorage.
Clean Public utlites separate for males and
females.
Suggeston/complaint boxes for the patents/
visitors and also informaton regarding
the person responsible for redressal of
complaints.
OutpatentDepartment
The facility shall be planned keeping in mind the
maximum peak hour load and shall have scope for
futureexpansion.
NameofDepartmentanddoctor,tmingsanduserfees/
chargesshallbedisplayed.
Layout of the Out Patent Department shall follow the
functonalfowofthepatents:e.g.
EnquiryRegistrationWaitingSubWating
ClinicDressing room/Injecton RoomBilling
Dignostcs(lab/x-ray)pharmacyExit
Clinics for Various Medical Disciplines :Theseclinics
include general medicine, general surgery, dental,
obstetric and gynaecology, paediatrics and family
welfare. Separate cubicles for general medicine and
surgery with separate area for internal examination
(privacy) can be provided if there are no separate
rooms for each. The cubicles for consultation and
examinationinallclinicsshouldprovidefordoctors
table, chair, patients stool, followers seat, wash
basinwithhandwashingfacilities,examinationcouch
andequipmentforexamination.
Roomshallhave,fortheadmissionoflight
and air, one or more apertures, such as
windowsandfanlights,openingdirectlyto
the external air or into an open verandah.
The windows should be in two opposite
walls.
Family Welfare Clinic : The clinic should
provide educative, preventive, diagnostic
and curative facilities for maternal, child
health,schoolhealthandhealtheducation.
Importance of health education is being
increasinglyrecognizedasaneffectivetool
12
of preventive treatment. People visiting
hospital should be informed of personal
and environmental hygiene, clean habits,
need for taking preventive measures
against epidemics, family planning, non-
communicable diseases etc. Treatment
room in this clinic should act as operating
room for IUCD insertion and investigation,
etc. It should be in close proximity to
Obstetric & Gynaecology. Family Welfare
counsellingroomshouldbeprovided.
Waitingroomforpatients.
ThePharmacyshouldbelocatedinanarea
conveniently accessible from all clinics.
The dispensary and compounding room
should have two dispensing windows,
compounding counters and shelves. The
pattern of arranging the counters and
shelves shall depend on the size of the
room. The medicines which require cold
storage and blood required for operations
and emergencies may be kept in
refrigerators.
Emergency Room/Casualty:Atthemoment,
the emergency cases are being attended
in OPD during OPD hours and in inpatient
units afterwards. It is recommended to
haveaseparateearmarkedemergencyarea
to be located near the entrance of hospital
preferalbly having 4 rooms (one for doctor,
one for minor OT, one for plaster/dressing)
and one for patient observation (At least 4
beds).
TreatmentRoom
MinorOT
InjectonRoomandDressingRoom
Observatonroom
Wards:SeparateforMalesandFemales
Nursing Staton : The nursing staton shall
be centered such that it serves all the clinics
fromthatplace.Thenursingstatonshouldbe
spaciousenoughtoaccommodateamedicine
chest/aworkcounter(forpreparingdressings,
medicines), hand washing facilites, sinks,
dressing tables with screen in between and
colour coded bins (as per IMEP guidelines
for community health centres). It should
have provision for Hub cuters and needle
destroyers.
Examinatonanddressingtable.
Patent Area
Enoughspacebetweenbeds.
Toilets;separateformalesandfemales.
Separatespace/roomforpatentsneeding
isolaton.
Ancillary rooms
Nursesrestroom.
There should be an area separatng OPD
andIndoorfacility.
Operaton theatre/Labour room
PatentwaitngArea.
Pre-operatve and Post-operatve
(recovery)room.
Stafarea.
Changing room separate for males and
females.
Storageareaforsterilesupplies.
Operatngroom/Labourroom.
Scrubarea.
Instrumentsterilizatonarea.
Disposalarea.
NewBorncareCorner(Annexure 1A).
NewBornCareStabilizatonUnit:
Annexure1B
Public utlites: Separate for males and female; for
patent as well as for paramedical & Medical staf.
Disabled friendly, WC with wash basins as specifed
under Guidelines for disabled friendly environment
shouldbeprovided.
PhysicalInfrastructureforSupportServices
CentralSteritzatonSupplyDepartment(CSSD).
SterilizatonandSterilestorage.
Laundry.
Storage: separate for dirty linen and clean
linen.
Outsourcing is recommended afer
appropriatetrainingofwashermanregarding
segregaton and separate treatment for
infectedandnon-infectedlinen.
Services: Electricity/telephones/water/
civil Engineering may be outsourced.
13
Maintenance of proper sanitaton in toilets
and other public utlites should be given
utmost atenton. Sufcient funding for this
purposemustbekeptandtheservicesmay
beoutsourced.
Water Supply :Arrangementsshallbemadetosupply
10,000 litres of potable water per day to meet all the
requirements (including laundry) except fre fghtng.
Storage capacity for 2 days requirements should be
on the basis of the above consumpton. Round the
clockwatersupplyshallbemadeavailabletoallwards
and departments of the hospital. Separate reserve
emergency overhead tank shall be provided for
operaton theatre. Necessary water storage overhead
tanks with pumping/boostng arrangement shall be
made. The laying and distributon of the water supply
systemshallbeaccordingtotheprovisionsofIS:2065-
1983(aBISstandard).Coldandhotwatersupplypiping
should be run in concealed form embedded into wall
with full precautons to avoid any seepage. Geyser
in O.T./L.R. and one in ward also should be provided.
Wherever feasible solar installatons should be
promoted.
Emergency Lightng : Emergency portable/fxed
light units should also be provided in the wards and
departments to serve as alternatve source of light in
case of power failure. Generator back-up should be
available in all facilites. Generator should be of good
capacity.Solarenergywhereverfeasiblemaybeused.
Generator - 5 kVA with POL for Immunizaton Cold
Chainmaintenance.
Telephone: minimum two direct lines with intercom
facilityshouldbeavailable.
Administratve zone: Separate rooms should be
availablefor
Ofce
Stores
ResidentalZone
Minimum8quartersforDoctors
Minimum 8 quarters for staf nurses/
paramedicalstaf
Minimum2quartersforwardboys
Minimum1quarterfordriver
If the accommodaton can not be provided due to
any reason, then the staf may be paid house rent
allowance, but in that case they should be staying in
nearvicinityofCHCsothattheyareavailablefor24x
7incaseofneed.
Functon&SpaceRequirementfor
CommunityHealthCentre
Itissuggestedconsideringthelandcost&availabilityof
land,CHCbuildingmaybeconstructedintwofoors.
Functon&SpaceRequirementforDiferentZones
Zone Functons Size for Each Sub-functon
in Mtrs.
Total Areas in Sq Mtrs
EntranceZone Registraton&Record
storage,Pharmacy(Issue
counter/Formulaton/Drug
storage)Publicutlites&
circulatonspace
Registraton/RecordRoom
3.2x3.2x2
Queueareaoutside
registraton room 3.5 X 3
Pharmacycumstore6.4x3.2
Pharmacy cum store for
AYUSH 6.4 X 3.2
20.48SqMtrs
10.5 Sq Mtrs
20.48SqMtrs
20.48 Sq Mtrs
AmbulatoryZone(OPD) Examinaton&Workup
(ExaminatonRoom,sub
waitng),Consultaton
(consultatonroomToilets,
subwaitng)Nursingstaton
(Nursesdesk,cleanutlity,
Spacefor4GeneralDoctor
Room3.2x3.2x4
Space for 2 AYUSH doctors
Room 3.2 X 3.2 X 2
8specialistroomwithatach
toilets = 3.7 X 3.2 X 8
40.96SqMtrs
20.48 Sq Mtrs
94.72 Sq Mtrs
14
Zone Functons Size for Each Sub-functon
in Mtrs.
dirtyutlity,treatment
rooms,injecton&dressing
room),ColdChain,Vaccines
andLogistcsarea,ECG
(withsubwaitng)Casualty/
Emergency,publicutlites,
circulatonspace
Treatmentroom3.7x3.2
Refracton room 3.2 X 3.2
NursingStaton6.4x3.2
Casualty6.4x6.4
DressRoom3.2x3.2
InjectonRoom3.2x3.2
Female injecton room
3.2 X 3.2
Public Utlity/Common
Toilets
Waitng Area
Cold Chain Room 3.5 x 3
Vaccine and Logistcs Room
3.5 x 3
11.84SqMtrs
10.24 Sq Mtrs
20.48SqMtrs
40.96SqMtrs
10.24SqMtrs
10.24SqMtrs
10.24 Sq Mtrs
9.5 Sq Mtrs
31.5 Sq Mtrs
10.5 Sq Mtrs.
10.5 Sq Mtrs
DiagnostcZone Pathology(Optonal)
Laboratory,sample
collecton,bleedingroom,
washingdisinfectants
storage,subwaitng,Imaging
(radiology,radiography,ultra-
sound),Preparaton,room,
changeroom,toilet,control,
Darkroom,treatmentroom,
subwaitng,publicutlites
Areaspecifcatonis
recommended
180SqMtrs
Zone Functons AreaRequirement
for Each Sub-functon
Intermediate
Zone
(inpatent
Nursing
units)
Nursingstaton(Nurse
desk,cleanutlity,treatment
room,pantry,store,sluice
room,trollybay)patent
area(bedspace,toilets,
Dayspace,IsolatonSpace)
Ancillaryrooms(Doctors
restroom,Nursesduty
room,Publicutlites,
circulatonspace.
Nursingstaton6.4x6.4
4wardseachwith6beds
(2malewards&2female
wards)size(6.2x6.2)x4
4privateroom(2eachfor
male&females)withtoilets
6.2x3.2x42
isolatonroomswithtoilet
(oneeachformale&female)
6.2x3.2x2
40.96SqMtrs
153.76SqMtrs
79.36SqMtrs
39.68SqMts
CritcalZone(Operatonal
Theater/Labourroom
Patentarea(Preparaton,
Preanaesthesia,post
operatverestng)Stafarea
(ChangingRestng)Supplies
area(trolleybay,equipment
storage,sterilestorage)OT/
LRarea(Operatng/Labour
room,scrub,instrument
sterilizaton,Disposal)public
utlites,circulatonspace
Areaspecifcatonis
recommended
240SqMtrs
15
CapacityBuilding
Trainingofallcadresofworkeratperiodicintervalsisan
essentalcomponent.MultskilltrainingforDoctors,Staf
Nursesandparamedicalworkersisrecommended.
QualityAssuranceinService
Delivery
QualityofServiceShouldbeMaintainedat
allLevels
Standard Treatment protocol is the Heart of
quality and cost of care. Standard treatment
protocol for all natonal programmes and locally
common diseases should be made available at
all CHCs. All the eforts that are being made to
improve hardware i.e. infrastructure and sofware
i.e.humanresourcearenecessarybutnotsufcient.
These need to be guided by Standard Treatment
Protocols. Some of the states have already prepared
these guidelines. For all ailments covered by
Natonal Health Programmes an agreed treatment/
case management protocol need to be adhered to
voluntarilybythephysicians.
Diet:Dietmayeitherbeoutsourcedoradequatespace
forcookingshouldbeprovidedinaseparatespace.The
diet within the budget/funds and afordability should
be healthy food, nutritous and full of minerals and
vitamins.
CSSD: Adequate space and standard procedures for
sterilizationandSterilestorageshouldbeavailable.A
practicalprotocolforqualityassuranceofCSSDmay
bedevelopedincoordinationwithDistrictHospitallab
andimplementedtoensuresterilizationquality.
Zone Functons AreaRequirement
for Each Sub-functon
ServiceZone Dietary(DryStore,Day
Store,Preparaton,Cooking,
Delivery,potwash,Utensil
wash,Utensilstore,trolley
park)C.S.S.D.(Receipt,wash,
assembly,sterilizaton,sterile
storage,Issue)Laundry
(Receipt,weigh,sluice/wash,
Hydroextracton,tumble,
calender,press)Laundry
(cleanstorage,Issue),
Civilengineering(Building
maintenance,Hortculture,
watersupply,drainage
andsanitaton),Electrical
engineering(substaton&
generaton,Illuminaton,
ventlaton),Mechanical
engineering,Spacefor
otherserviceslikegasstore,
telephone,intercom,fre
protecton,wastedisposal,
Mortuary.
ServiceslikeElectrical
engineering/Mechanical
engineering&Civil
engineeringcanbeprivately
hiredtoavoidpermanent
spaceintheCHCbuilding
Areaspecifcatonis
recommended
Administratvezone GeneralAdministraton,
generalstore,publicutlites
circulatonspace
Areaspecifcatonis
recommended
60SqMtrs
Total Circulaton Area/Corridors 191.15 Sq Mtrs
TotalArea 1503.32 Sq Mtrs
1
Laundry
Storage: Separate for dirty linen and clean
linen
Outsourcingisrecommendedaferappropriate
training of washer man regarding separate
treatmentforinfectedandnon-infectedlinen.
Services:MaintenanceofElectricity/telephones/water
supply/civilengineeringetc.maybeoutsourced.
Blood Storage Units: The GOI guidelines as given in
Annexure 11maybereferredto.
Waste Disposal: Guidelines for Health Care Workers
for Waste Management and Infecton Control in
Community Health Centres are to be followed. A
central storage point should be made for biomedical
wastecollectedfromallpointsofCHCwhichshouldbe
locatedawayfromOPD&IPD.
Charter of Patent Rights: It is mandatory for every
CHCtohavetheCharterofPatentRightsprominently
displayed at the entrance. Details are provided in the
Annexure 13.
QualityControl
InternalMonitoring
RoutneMonitoringbyDistrictHealthAuthority.
Social Audit: Through Rogi Kalyan Samits/Panchayat
Raj Insttuton etc.
Medicalaudit
OtherslikeDeathaudit,technicalaudit,economicaudit,
disasterpreparednessauditetc.
Patent Satsfacton Surveys
Out Patent care:Thisshallinclude:
Accesstopatents
Registratonandadmissionprocedures
Examinaton
Informaton exchange: complaints &
suggestonsandtheirremedicalmeasuresby
hospital,authorites.
Treatment
Other facilites: waitng, toilets, drinking
water
In Patent Care
Linen/beds
Staying facilites for relatves with respect to
Diet,drinkingwaterandToilets
ExternalMonitoring
GradatonofthecentrebyPRI(ZillaParishad)/
RogikalyanSamits/
communitymonitoring
Monitoringoflaboratory:
InternalQualityAssessmentscheme
ExternalQualityAssessmentscheme
PatentSafetyandInfecton
Control
Essental
HandwashingfacilitesinallOPDclinics,wards,
emergencyandOTareas.
Safeclinicalpractcesasperstandardprotocols
to prevent health care associated infectons
andotherharmstopatents.
There shall be proper writen handing over
systembetweenhealthcarestaf.
Safe Injecton administraton practces as per
theprescribedprotocol.
Safe Blood transfusion practces need to be
implementedbythehospitaladministrators.
EnsuringSafedisposalofBio-medicalWasteas
perrules(NatonalGuidelinestobefollowed).
Regular Training of Health care workers in
Patentsafety,infectoncontrolandBio-medical
wastemanagement.
Desirable
UseofsafeSurgerychecklistsinthewardand
operatonTheatretominimizetheerrorsduring
surgical procedures. (for the detailed checklist
refertoAnnexure 15.)
Antbiotc Policy : CHC shall develop its own
antbiotc policy to check indiscriminate use
of antbiotcs and reduce the emergence of
resistantstrains.
HealthCareWorkersSafety
ProvisionofProtectvegearslikegloves,masks,
gowns,caps,personalprotectveequipments,
lead aprons, dosimeters etc and their use
by Health Care workers as per standard
protocols.
1.
2.
3.
4.
5.
6.
7.
1.
2.
1.
17
Display Standard operatng procedures at
strategiclocatonsinthehospitals.
Implementaton of Infecton control practces
andSafeBMWManagement.
Regular Training of Health care workers
in Universal precautons, Patent safety,
infecton control and Bio-medical waste
management.
Desirable
Immunizaton of Health care workers against
TetanusandHepattsB.
Provision of round the clock Post exposure
prophylaxisagainstHIVincasesofneedlestcks
injuries.
2.
3.
4.
1.
2.
StatutoryandRegulatory
Compliances
CHC shall fulfl all the statuary and regulatory
requirements andcomply to all the regulatons
issued by local bodies, state, and union of India. CHC
shallhavecopyoftheseregulatons/acts.Listofstatuary
andregulatorycompliancesisgiveninAnnexure 14.
RecordMaintenance
It is desirable that Computers should be used for
accuraterecordmaintenance.
Services Existng Remarks
Populaton covered
Specialist services available
Medicine
Surgery
OBG
Paediatrics
NHPs
Emergency services
Laboratory
Blood Storage
ChecklistforMinimumRequirementofCHCs
Infrastructure
(As per Specifcatons)
Existng Remarks
AreaoftheBuilding
OPDrooms/cubicles
Waitng room for patents
No. of beds: Male
No. of beds: Female
Operaton theatre
Labourroom
Laboratory
X-ray Room
Blood Storage
Pharmacy
Water supply
Electricity
Garden
Transport facilites
Checklist
18
Equipment
(As per List)
Available Functonal Remarks
ChecklistforEquipment
ChecklistforDrugs
Drugs
(As per Essental Drug list)
Existng Remarks
ChecklistforAudit
Partculars Available Whether Functonal as per Norms
Patent's charter
Rogi Kalyan Samit
Internalmonitoring
ExternalMonitoring
Availability of SOPs/STPs*
*StandardOperatngProcedures/StandardTreatmentProtocols
Checklist for Monitoring Maternal Health
ANC
Minimum4ANC
High Risk pregnancy
CaseswithDangersignandsymptomstreated.
NoofCaesarianSecton(CS)done
ProportonofCaesariansectonsoutoftotaldeliveries
PNC Visit
Minimum3PNCVisitswithin1
st
weekofdeliveryi.e.on0,
3,7
th
day.
Are deliveries being monitored through Partograph?
19
NewbornCornerinOT/Labour
Room
DeliveryroomsinOperatonTheatres(OT)andinLabour
rooms are required to have separate resuscitaton
spaceandoutletsfornewborns.Someterminfantsand
most pre-term infants are at greater thermal risk and
ofen require additonal personnel (Human Resource),
equipment and tme to optmize resuscitaton.
Anappropriateresuscitaton/stabilizatonenvironment
should be provided as provision of appropriate
temperaturefordeliveryroom&resuscitatonofhigh-
riskpre-terminfantsisvitaltotheirstabilizaton.
ServicesattheCorner
This space provides an acceptable environment for
mostuncomplicatedterminfants,butmaynotsupport
theoptmalmanagementofnewbornswhomayrequire
referraltoSNCU.ServicesprovidedintheNewbornCare
Cornerare;
Careatbirth
Resuscitaton
Provisionofwarmth
Earlyinitatonofbreastfeeding
Weighingtheneonate
ConfguratonoftheCorner
Clear foor area shall be provided for in the
roomfornewborncorner.Itisaspacewithin
the labour room, 20-30 sq f in size, where a
radiantwarmerwillbekept.
Oxygen,suctonmachineandsimultaneously-
accessibleelectricaloutletsshallbeprovided
for the newborn infant in additon to the
facilitesrequiredforthemother.
Clinical procedures: Standard operatng
procedures including administraton of
oxygen,airwaysuctonwouldbeputinplace.
Resuscitaton kit should be placed as part of
radiantwarmer.
Provision of hand washing and containment
of infecton control if it is not a part of the
deliveryroom.
The area should be away from draught of
air, and should have power connecton for
pluggingintheradiantwarmer.
Annexure1
NEWBORNCAREFACILITIESATCHC
Annexure-1A
ANNExURES
2
Item
No.
Item Descripton
E
s
s
e
n
t
a
l
D
e
s
i
r
a
b
l
e
Q
u
a
n
t
t
y

I
n
s
t
a
l
l
a
t
o
n
T
r
a
i
n
i
n
g
C
i
v
i
l
M
e
c
h
a
n
i
c
a
l
E
l
e
c
t
r
i
c
a
l
1
Opencaresystem:radiantwarmer,fxedheight,withtrolley,
drawers,O2-botles
E 1 X X X X X
2
Resuscitator(siliconeresuscitatonbagandmaskwith
reservoir)hand-operated,neonate,500ml
E 1 X
3 WeighingScale,spring E 1 X
4 Pumpsucton,footoperated E 1 X
5 Thermometer,clinical,digital,32-34
0
C E 2
6 Lightexaminaton,mobile,220-12V E 1 X X
7 HubCuter,syringe E 1 X
Consumables
8 I/VCannula24G,26G E
9 Extractor,mucus,20ml,ster,dispDeeLee E
10 Tube,feeding,CH07,L40cm,ster,disp E
11 Oxygencatheter8F,OxygenCylinder E
12 SterileGloves E
EquipmentsandConsumablesRequiredfortheCorner
21
Annexure-1B
NEWBORNCARESTABILIZATIONUNIT
SetngofStabilizatonUnitat
FirstReferralUnits
Every frst referral unit, whether or not care of sick
babies is undertaken, must have clearly established
arrangements for the prompt, safe and efectve
resuscitaton of babies and for the care of babies
tll stabilized, either in the maternity ward or by safe
transferelsewhere.
ServicesattheStabilizatonUnit
FRUs are not intended to provide any intensive care,
a newborn that has problems identfed immediately
afer birth, or who becomes ill subsequently, may
have a requirement for one or more of the following
services.Theseshouldthereforebeavailabletoensure
safecareofthebabypriortoappropriatetransfer:
Provisionofwarmth.
Resuscitaton.
Supportve care including oxygen, drugs,
IVfuids.
Monitoring of vital signs, including blood
pressure.
Breastfeeding/feedingsupport.
ReferralServices.
ConfguratonoftheStabilizaton
Unit
Stabilizaton unit should be located within or in
closeproximityoftheemergencywardwheresick
andlowbirthweightnewbornsandchildrencan
becared.
Space of approximately 40-50 sq f per bed
is needed, where 4 radiant warmers will be
kept.
Provision of hand washing and containment
ofinfectoncontrol.
HumanResource
Stafng
ONE STAFF NURSE SHOULD PROVIDE COVER FOR
NEONATES AND CHILDREN ROUND THE CLOCk
Additional nursing staff may be required for
newborn care at the Stabilization Unit. Pediatrician
posted at FRU will be in charge of the Stabilization
Unit.
Training
Doctors and Nurses posted at Stabilizaton Unit will
undergoFacilitybasedcaretraining.
ReferralServices
Each Unit acceptng neonatal and sick child referrals
shouldhave,orhaveaccessto,anappropriatelystafed
andequippedtransportservice.
22
Item
No.
Item Descripton
E
s
s
e
n
t
a
l
D
e
s
i
r
a
b
l
e

Q
u
a
n
t
t
y

I
n
s
t
a
l
l
a
t
o
n
T
r
a
i
n
i
n
g
C
i
v
i
l
M
e
c
h
a
n
i
c
a
l
E
l
e
c
t
r
i
c
a
l
1
Open care system:radiantwarmer,fxedheight,withtrolley,
drawers,O
2
-botles
E 4 X X X X X
2 Resuscitator,hand-operated,neonateandchild,500ml E 2 X
3 Laryngoscopeset E 2 X
4 Scale,baby,electronic,10kg<5kg> E 1 X
5 Pumpsucton,footoperated E 1 X
6 Thermometer,clinical,digital,32-34C E 4
7 Lightexaminaton,mobile,220-12V E 4 X X
8 HubCuter,syringe E 1 X
Consumables
9 I/VCannula24G,26G E
10 Extractor,mucus,20ml,ster,dispDeeLee E
11 Tube,feeding,CH07,L40cm,ster,disp E
12 Oxygencylinder8F E
13 SterileGloves E
14 Tube,sucton,CH10,L50cm,ster,disp E
15 Cotonwool,500g,roll,non-ster E
16 Disinfectant,chlorhexidine,20% E
EquipmentsandConsumablesRequiredfortheStabilizatonUnit
23
DiagnostcServices
A Microscopy Centre (MC) is established for 1,00,000
populaton. For hilly, tribal and difcult areas MC is
established for 50,000 populatons. The Microscopy
CentresareestablishedatPHC,CHCorDistrictHospital.
Inputs
RNTCP has provided inputs to upgrade the
infrastructurethroughminorcivilworksofthe
existng laboratories to be able to come up to
the minimum standard required to carry out
sputummicroscopy.Atpresent,entrecountry
iscoveredunderRNTCP.
Manpower: Existng Laboratory Technicians
(LTs)areprovidedtrainingandtheyfunctonas
LTs to carry out sputum microscopy. For up to
20%oftherequirementsoftheLTsatdesignated
MicroscopyCentresattheDistrictlevel,LTsare
providedbyRNTCPoncontractualbasis.
Equipment: Binocular Microscopes are
providedtotheMicroscopyCentresforsputum
microscopy.
Laboratory Consumables: Funds are provided
to the District TB Control Societes for
procurementandsupplyofalltheconsumables
required to carry out sputum microscopy. For
listofLaboratoryconsumables,refertoRNTCP
guidelines.
TreatmentServices
Medical Ofcers:AllMedicalOfcersaretrained
inRNTCPtosuspectchestsymptomatcs,refer
1.
1.
2.
3.
i.
them for sputum microscopy and be able to
categorizethepatentsandhandlesideefects
ofantTBdrugs.
DOTS Centres: All sub-centres, PHCs, CHCs
and District Hospitals work as DOTS Centres.
Inadditon,thecommunityDOTSprovidersare
alsotrainedtodeliverDOTS.AroomoftheCHC
isusedtofunctonasDOTScentre.Facilitesfor
seatng and making available drinking water
to the patents for consumpton of drugs are
providedundertheProgramme.
DOTS Providers: The Mult Purpose Workers
(MPWs), Pharmacists and Staf Nurses are
trained in to monitor consumpton of ant TB
drugsbythepatents.
AlltheDOTSproviderstodelivertreatment
aspertreatmentguidelines.Allthedoctors
to categorize patents as per treatment
guidelines(referTechnicalGuidelines).
Drugs in patent wise boxes and loose
drugsareprovidedatDOTCentresthrough
District TB Centre (DTC). Details of the
drugsgiveninRNTCPguidelines.
Recordingandreportngtobedoneasper
Operatonal Guidelines (refer Operatonal
Guidelines).
TreatmentofComplicatedCases
For patents who require admission (Pleural
Efusion, Emphysema etc.) drugs are provided
in the form of prolongaton pouches through
DistrictTBCentreforindoortreatment.
ii.
iii.
a.
b.
c.
1.
Annexure2
REQUIREMENTSWITHREGARDTOREVISEDNATIONAL
TBCONTROLPROGRAMME
24
ThecommoncomplicatonsofTBcanbetreated
by the Medical Ofcers/Specialists at CHC and
sideefectsofdrugscanalsobehandledbythe
doctorsatCHC.
QualityAssurance
Diagnosis: The diagnostic services are
supervisedbySeniorTBLaboratorySupervisor
2.
i.
(STLS) for all the Microscopy Centres at the
sub-district level (5,00,000 population or
2,50,000populationinthehilly,difficultand
tribalareas).
Treatment: All major drugs are procured at
theCentrethroughWorldBankrecommended
proceduresandprovidedtotheStates,thereby
assuringqualityofthedrugs.
ii.
25
Atpresentthepreventiveandcareinterventionsfor
the control of HIV/AIDS are being provided below
district level through integrated Health Care System
using the available staff. There is also a provision
of training of health care providers and generating
awareness through intensive IEC campaign. The
programme is being further strengthened by
converging the activities under NACP with RCH
programme, which is underway. The following
activitiesarebeingproposedtobeintegratedatCHC
level.
Consumables/Logistcs
3000NosWholeBloodFingerPrickHIVRapidTestand
STIScreeningTesteach;STIsyndromicdrugkit.
IEC/Jobaids
CounselingFlipChart,Postersetc.
Reportng
RegistersandMonthlyformatsasperNACOguidelines.
Annexure3
NATIONALAIDSCONTROLPROGRAMME:GUIDELINES
Sl.
No.
Actvites Proposed
1 STIclinic:RTI/STDmanagementservices ExpansionofservicesuptoCHC&24hoursPHC.Basic
screeningtestforRTI/STDtobemadeavailableattheCHCs.
2 IntegratedCounselingandTestngCentre(ICTC),Link
ARTCentre&youthinformatoncentres
ExpansionofservicesuptoCHCsinallStates
3 Preventonofparent-to-ChildTransmission(PPTCT) ServicestobeprovidedatallCHCs
4 BehaviourChangeCommunicaton(BCC) Jointcommunicatonstrategymessages&medium
developmenttobedone
5 Condompromoton Jointcondomprocurement&distributonofcondomsto
meettheneedsofsexuallyactvewomenandmenasa
methodofdualprotecton
6 Bloodsafety BloodstoragecentresplannedatFRUswillprocureblood
fromlicensedbloodbanksbutwillbesupportedbyRCH
7 Trainings Aspecifcplanwillbedevelopedjointlybyboththe
departmentstotraintheperipheralstafatCHC
8 ManagementInformatonSystem AllfacilitestoreportserviceperformanceonRTI/STI,ICTC,
LinkARTservices,PPTCTasapartofroutnereportng
9 Operatonalisaton AconvergencefacilitatortobeappointedunderNACP
toensurecoordinatedinputsbetweentheactvites
implementedbyNACPandRCH
2
TheNatonalVectorBorneDiseaseControlProgramme
(NVBDCP),erstwhileNatonalAntMalariaProgramme
(NAMP)isthecountrysmostcomprehensiveandmult-
facetedpublichealthactvity.DirectorateofNVBDCPis
the nodal agency for preventon and control of major
vector borne diseases of public health importance
namely Malaria, Filariasis, Japanese Encephalits (JE),
kala-Azar,ChikungunyaandDengue.
Following are the strategies for control of these
diseases:
Malaria
Early Diagnosis and prompt treatment of
malariacases.
Integratedvectorcontrol.
Early Detecton and Containment of malaria
outbreak.
Informaton, Educaton and Communicaton
(IEC) for personal protecton and community
involvementformalariacontrol.
TrainingandCapacityBuildingofMedicaland
Para-medicalworkers.
Monitoring and evaluaton of Efcient
ManagementInformatonSystem(MIS).
Dengue:
EpidemiologicalSurveillanceofDenguecases.
Entomological surveillance of Aedes aegypt
mosquitoes.
Clinicalmanagementofreportedcases.
Control of mosquitoes through Integrated
Annexure4
NATIONALVECTORBORNEDISEASECONTROL
PROGRAMME
Vector Management including source
reducton, use of larvivorous fshes,
impregnated bednets and selectve fogging
withPyrethrum.
Behaviour change communicaton to change
behaviorofthecommunityaboutpreventon
ofbreedingofmosquitoes.
kala-azar
Earlydiagnosis&completetreatmentthrough
PrimaryHealthCareSystem.
Interrupton of transmission through vector
control by undertaking residual insectcidal
sprayinginafectedareas.
Health Educaton and community
partcipaton.
JapaneseEncephalits
Vector control by insectcidal spraying
with appropriate insectcide for outbreak
containment.
Early diagnosis and prompt clinical
managementtoreducefatality.
HealthEducaton.
Training of Medical Personnel and
Professionals.
Filariasis
ForeliminatonofLymphatcFilariasis,followingarethe
strategies:
AnnualMassDrugAdministraton(MDA)with
singledoseofDECtoalleligiblepopulatonat
riskofLymphatcFilariasis.
27
Home based management of Lymphodema
cases,and.
Hydrocelectomy.
Thediagnosis,treatmentandexaminatonareperformed
at CHCs as per the patern of PHC. In additon, CHCs
are the frst referral units for treatment of severe and
complicatedmalariacases.
Servicestobeprovidedare:
Diagnosis of malaria cases, microscopic
confrmatonandtreatment.
Cases of suspected JE and Dengue to
be provided symptomatc treatment,
hospitalizatonandcasemanagements.
Completetreatmenttokala-azarcasesinkala-
azarendemicareas.
Complete treatment of micro-flaria positve
caseswithDECandpartcipaton&arrangement
for Mass Drug Administraton (MDA) along
with preparedness of management of side
reactons.
Standards
The CHC Medical Ofcer should be well-trained in
preventon and control of the Vector Borne. Diseases
andshouldcarryoutthefollowingactvites:
He will refer all fever cases to malaria
laboratory for blood smear collecton and
examinatonbeforegivingfnalprescripton/
medicines.
He will supervise all Malaria Clinics and PHC
laboratory in his area, see the quality of
bloodsmearcollecton,staining,efciencyof
microscopic examinaton and check whether
thestainisfltereddaily.
Hewillalsoensure/supervisethatallpositve
casesgetradicaltreatmentwithin48hoursof
examinaton.
He will also ensure that sufcient stocks of

Antmalarial including Quinine tablets and
injectable Quinine and Artemisenine are
availableinCHCandalsoPHCs.
Hewillensurethatmalarialaboratoryiskept
in proper conditon along with microscope
andotherequipments.
He will provide referral services to severe
casesofmalaria.
He will refer severe and complicated cases
to District Hospital in case of emergency and
drugfailure.
He will also ensure that Filaria cases are
managed at CHC and the Hydrocele cases are
operated.
Drugs
Chloroquine, Primaquine, Sulphadoxin
Pyremethamine Combinaton, Artemisinine
Derivatves,QuinineInjectons,Quininetablets
and 5% Dextrose saline and DEC tablets.
Equipment
Microscope, Slides, Pricking Needles, Coton,
Stains, Staining Jars, Filter paper, Glass
markingpencil,LintclothandGlasswaresfor
preparatonofstainsandstorage.
IECMaterial
Display material like posters, banners and
permanenthoardingsetc.
Distributonmateriallikehandbills,pamphlets,
bookletsdisplaycardsetc.
TrainingMaterialslikeGuidelinesonprogramme
strategies,dose-schedulecardsetc.
DiagnosisandManagementofVectorborneDiseases
is to be done as per NVBDCP guidelines for PHC/
CHC.
28
MinimumServicestobeAvailable
atCommunityHealthCentres
(CHC)
DiagnosisofLeprosy.
Treatment.
ManagementofReactons.
Counsellingofpatentontreatment,possible
sideefects&leprareactons.
AdvisetoPatentonpreventonofdisabilites
andselfcare.
ManpowerRequired
MedicalOfcertrainedinleprosydiagnosis.
Pharmacist to issue medicine and manage

MDTStock.
Health Worker trained in identfcaton
of leprosy lesions, its complicatons and
maintenanceofrecords/reports.
Diagnosis, classification and treatment of Leprosy
shouldbemadeaccordingtoprogrammeguidelines.
StandardMDTRegimens
MDT should be is available in separate blister packs for
MultBacillary(MB)-Adult,MB-Child,PauciBacillary(PB)
-Adult&PB-Child.EachBlisterPackcontainstreatmentfor
4weeks.
Annexure5
NATIONALLEPROSyERADICATIONPROGRAMME
29
StandardsatCommunityHealth
Centres
PhysicalStructureforEyeCareatCHC
RefractonRoom.
Eye OT with Eye Ward, only if eye surgeon
is posted. (number of beds based on
workload.)
Equipment
ForIOLSurgery
Operatngmicroscope
A-ScanBiometer
keratometer
SlitLamp
AutoRefractometer
FlashAutoclave
StreakRetnoscope
Tonometers(Schiotz)
DirectOphthalmoscope
ForPrimaryEyeCare&VisionTestng
Tonometers(Schiotz)
DirectOphthalmoscope
IlluminatedVisionTestngDrum
TrialLensSetswithTrialFrames
Snellen&NearVisionCharts
BateryOperatedTorch(2)
a.
b.
Drugs
EyeOintments
Atropine(1%)
Localantbiotc:Framycetn/Gentamicinetc.
Localantbiotcsteroidointment
OphthalmicDrops
xylocaine4%(30ml)
Localantbiotc:Framycetn/Gentamicinetc.
Localantbiotcsteroiddrops
PilocarpineNitrate2%
Timolol0.5%
Homatropine2%
Tropicamide1%
Injectons
xylocaine2%(30ml)
InjHyalase(Hyaluronidase)
Gentamycin
Betamethasone/Dexamethasone
Inj.Maracaine(0.5%)(Forregoinalanesthesia)
Inj.Adrenaline
RingerLacate(540ml)fromreputedfrm
SurgicalAccessories
Gauze
GreenShades
Blades(CarbonSteel)
Opsitesurgicalgauze(10x14c.m.)
DoubleneedleSuture(commodityasst.GOI)
Visco-elastcsfromreputedfrm
Annexure6
NATIONALPROGRAMMEFORCONTROLOFBLINDNESS
3
Services and Standards at Community Health Centres
CHC will functon as peripheral surveillance unit and
coallate, analyse and report informaton to District
Surveillance Unit as per IDSP reportng format at
Annexure 7A, 7B and 7C. In out-break situatons,
appropriateactonwillalsobeinitated.
Annexure7
INTEGRATEDDISEASESURVEILLANCEPROJECT
31
NameofReportngInsttuton: I.D.No.:
State: District: Block/Town/City:
Ofcer-in-Charge Name: Signature:
IDSPReportngWeek: StartDate: EndDate: DateofReportng:
__/__/____ __/__/____ __/__/____
Sl. No. Diseases/Syndromes No. of cases
1 AcuteDiarrhoealDisease(includingacutegastroenterits)
2 BacillaryDysentery
3 ViralHepatts
4 EntericFever
5 Malaria
6 Dengue/DHF/DSS
7 Chikungunya
8 AcuteEncephalitsSyndrome
9 Meningits
10 Measles
11 Diphtheria
12 Pertussis
13 ChickenPox
14 FeverofUnknowOrigin(PUO)
15 AcuteRespiratoryInfecton(ARI)InfuenzaLikelllness(ILI)
16 Pneumonia
17 Leptospirosis
18 AcuteFlaccidParalysis<15yearofAge
19 Dogbite
20 Snakebite
21 AnyotherStateSpecifcDisease(Specify)
22 UnusualSyndromesNOTCapturedAbove(Specifyclinicaldiagnosis)
TotalNewOPDatendance(Nottobeflledupwhendatacollectedforindoorcases)
Actontakeninbriefifunusualincreasenotcedincases/deathsforanyoftheabove
diseases
Annexure7A
FORMP
(WEEkLyREPORTINGFORMAT-IDSP)
32
NameoftheLaboratory: Insttuton:
State: District: Block/Town/City:
Ofcer-in-Charge Name: Signature:
IDSPReportngWeek: StartDate: EndDate: DateofReportng:
__/__/____ __/__/____ __/__/____
Diseases No. Samples Tested No. Found Positve
Dengue/DHF/DSS
Chikungunya
JE
MeningococcalMeningits
TyphoidFever
Diphtheria
Cholera
ShigellaDysentery
ViralHepattsA
ViralHepattsE
Leptospirosis
Malaria PV: PF:
Other(Specify)
Other(Specify)
Name Age
(Yrs)
Sex
(M/F)
Address:
Village/Town
Name of
TestDone
Diagnosis
(Lab confrmed)
LineListofPositveCases(ExceptMalariacases)
Annexure7B
FORML
(WEEkLyREPORTINGFORMAT-IDSP)
33
State: District: Date of reportng:
IsthereanyunusualincreaseinCases/Deathsorunusualeventinanyarea? yes/no
Ifyes,providethefollowinginformaton:
Disease/Syndrome(Provisional/Confrmed)
Areaafected(Block,PHC,Sub-centre,Village)
No.ofcases
No.ofdeaths
Dateofstartoftheoutbreak
Totalpopulatonofafectedarea(Village)
Salientepidemiologicalobservatons
Labresults(typeofsample,numberofsamplescollectedandtested,Whattest,
where,results)
Controlmeasuresundertaken(InvestgatedbyRRTornot)
Presentstatus
Anyotherinformaton
*StateSSUneedtoreportinstantaneouslyaswellasweeklycompilatononeveryMondaytotheCSUincludingNILreports.
Annexure7C
FORMATFORINSTANTANEOUSREPORTINGOFEARLy
WARNINGSIGNAL/OUTBREAkSASSOONASITIS
DETECTED
34
Note: This form must be completed for all deaths, including abortons and ectopic gestaton related deaths, in
pregnantwomenorwithin42daysaferterminatonofpregnancyirrespectveofduratonorsiteofpregnancy.
Atachacopyofthecaserecordstothisform.
Completetheforminduplicatewithin24hoursofamaternaldeath.Theoriginalremainsattheinstitutionwhere
thedeathoccurredandthecopyissenttothepersonresponsibleformaternalhealthintheState.
FOR OFFICE USE ONLY:
FB-MDRno: year:
1. GeneralInformaton
AddressofContactPersonatDistrictandState:
ResidentalAddressofDeceasedWoman:
AddresswhereDied:
NameandAddressoffacility:
Block:
District: State:
Annexure8
FACILITyBASEDMATERNALDEATHREVIEWFORM
35
2. DetailsofDeceasedWoman
Name: /Age(years): /Sex: /InpatentNumber:
Gravida: /LiveBirths(Para): /Abortons: /No.ofLivingchildren:
Timingofdeath: Duringpregnancy/ duringdelivery/ within42daysofdelivery/
Dayssincedelivery/aborton:
Dateandtmeofadmission:
Date/Timeofdeath:
3. AdmissionatInsttutonWhereDeathOccurredorfromWhereItwasReported
i. Typeoffacilitywheredied:
ii. Stageofpregnancy/deliveryatadmission:
iii. Stageofpregnancy/deliverywhendied:
iv. Duratonoftmefromonsetofcomplicatontoadmission:
v. ConditononAdmission:Stable/Unconscious/Serious/Broughtdead/
vi. Referralhistory: Referredfromanothercentre? Howmanycentres?
Typeofcentre?
4. AntenatalCare
ReceivedAntenatalcareornot/
Reasonsfornotreceivingcare/
Typeofantenatalcareprovided/
Highriskpregnancy:awareofriskfactors?/whatriskfactors?
i.
ii.
iii.
iv.
v.
vi.
PHC 24x7PHC SDH/RURAL
HOSPITAL
DISTRICT
HOSPITAL
MEDICAL
COLLEGE/
TERTIARy
HOSPITAL
PRIVATE
HOSPITAL
PVTCLINIC OTHER
Aborton EctopicPregnancy NotInLabour InLabour Postpartum
Aborton EctopicPregnancy NotInLabour InLabour Postpartum
3
5. Delivery,PuerperiumandNeonatalInformaton
i. Detailsoflabor:/ had labor pains or not/ stage of labor when died/ duraton of labor
ii. Detailsofdelivery:/undelivered/normal/assisted (forceps or vacuum)/
surgical interventon (C-secton)
iii. Puerperium:/Uneventul/Eventul(PPH/Sepsisetc.)
Comments on labour, delivery and puerperium: (in box below)
iv. Neonatal Outcome :/stllborn/neonataldeathimmediatelyaferbirth/aliveatbirth/aliveat7days/
Commentsonbabyoutcomes(inboxbelow)
6. Interventons
Specifc medical/surgical procedures/rescuscitaton procedures undertaken
7. CauseofDeath
Probable direct obstetric (underlying) cause of death: Specify:
Indirect Obstetric cause of death: Specify:
Other Contributory (or antecedent) cause/s: Specify:
Final Cause of Death: (afer analysis)
8. Factors
(otherthanmedicalcauseslistedabove)
Personal/Family
Logistcs
Facilites available
Health personnelrelated
9. CommentsonPotentalAvoidableFactors,MissedOpportunitesandSubstandard
care
a.
b.
c.
d.
a.
b.
c.
d.
10. Autopsy
Performed/Not Performed
If performed please report the gross fndings and send the detailed report later
11. CaseSummary
(pleasesupplyashortsummaryoftheeventssurroundingthedeath):
12. Formflledby
13. Name
14. Designaton
15. Insttutonandlocaton
16. SignatureandStamp
17. Date
37
10. Autopsy
Performed/Not Performed
If performed please report the gross fndings and send the detailed report later
11. CaseSummary
(pleasesupplyashortsummaryoftheeventssurroundingthedeath):
12. Formflledby
13. Name
14. Designaton
15. Insttutonandlocaton
16. SignatureandStamp
17. Date
38
1 Tray,instrument/dressingwithcover,310x200x600mm-ss 1
2 Glovessurgeon,latexsterilizable,size6 12
3 Glovessurgeon,latexsterilizable,size6-1/2 12
5 Glovessurgeon,latexsterilizable,size7-1/2 12
7 Forceps,backhaustowel,130mm 4
8 Forceps,spongeholding,228mm 6
9 Forceps,artery,peanstraight,160mm,stainlesssteel 4
10 Forcepshysterectomy,curved,22.5mm 4
11 Forceps,hemostatc,halsteadsmosquito,straight,125mm-ss 6
12 Forceps,tssue,all/is6x7teeth,straight,200mm-ss 6
13 Forceps,uterine,tenaculum,280mm,stainlesssteel 1
14 Needleholder,mayo,straight,narrowjaw,175mm-ss 1
15 knife-handlesurgicalforminorsurgery#3 1
16 knife-handlesurgicalformajorsurgery#4 1
17 knife-bladesurgical,size11,forminorsurgery,pktof5 3
18 knife-bladesurgical,size15forminorsurgery,pktof5 4
19 knifebladesurgical,size22,formajorsurgery,pktof5 3
20 Needles,suturetriangularpoint,7.3cm,pktof6 2
21 Needles,suture,roundbodied,3/8circleNo.12pktof6 2
22 Retractor,abdominal,Deavers,size3,2.5cmx22.5cm 1
23 Retactor,double-endedabdominal,Beltouis,setof2 2
24 Scissors,operatngcurvedmayo-bluntpointed170mm 1
25 Retractorabdominal,Balfour3bladeself-retaining 1
26 Scissors,operatng,straight,bluntpoint,170mm 1
27 Scissors,gauze,straight,230mm,stainlesssteel 1
StandardSurgicalSet-I(Instruments)FRU(Essental)
Annexure9
LISTOFEQUIPMENTSINCHC
39
28 Suctontube,225mm,size23F 1
29 Clampintestnal,Doyen,curved,225mm,stainlesssteel 2
30 Clampintestnal,Doyenstraight,225mm,stainlesssteel 2
31 Forceps,tssuespringtype,160mm,stainlesssteel 2
32 Forceps,tssuespringtype,250mm,stainlesssteel. 1
Standard Surgical Set II (Essental)
1 Forceps,tssue,6x7teeth,Thomas-Allis,200mm-ss 1
2 Forceps,backhaustowel,130mm,stainlesssteel 4
3 Syringe,anaesthetc(control),10ml,luer-glass 1
4 Syringe,hypodermic,10mlglass,spareforitem3 4
5 Needles,hypodermic20Gx1-1/2boxof12 1
6 Forceps,tssue,springtype,145mm,stainlesssteel 1
7 Forceps,tssuespringtype1x2teeth,Semkins,250mm 1
8 Forceps,tssuespringtype,250mm,stainlesssteel 1
9 Forceps,hemostatcurvedmosquitohalsteads,130mm 6
10 Forceps,artery,straightpean,160mm,stainlesssteel 3
11 Forcepsartery,curvedpean,200mm,stainlesssteel 1
12 Forceps,tssue,Babcock,195mm,stainlesssteel 2
13 knifehandleforminorsurgeryNo.3 1
14 knifebladeforminorsurgeryNo.10,pktof5 8
15 Needleholder,straightnarrow-jawMayo-Heger,175mm 1
16 Needlesuturestraight,5.5mm,triangularpoint,pktof6 2
17 Needle,Mayo,%circle,taperpoint,size6,pktof62 2
18 CatheterurethralNelatonsolid-tpone-eye14Fr 1
21 Forcepsuterinetenaculumduplaydbl-cvd,280mm 1
22 Uterineelevator(Ranathlbod),stainlesssteel 1
23 Hook,obstetric,Smellie,stainlesssteel 1
24 ProctoscopeMcevedycompletewithcase 1
25 Bowl,sponge,600ml,stainlesssteel 1
26 RetractorabdominalRichardson-Eastman,dbl-ended,set2 1
27 RetractorabdominalDeaver,25mmx3cm,stainlesssteel 1
28 Speculumvaginalbi-valvegraves,medium,stainlesssteel 1
29 Scisssorsligature,spencerstraight,130mm,stainlesssteel 1
30 Scissorsoperatngstraight,140mm,blunt/bluntss 1
31 Scissorsoperatngcurved,170mm,blunt/bluntss 2
32 Trayinstrumentcurved,225x125x50mm,stainlesssteel 1
33 Baterycellsforitem24 2
IUD Inserton Kit (Essental)
1 Setalsterilizatontraywithcoversize300x220x70mm,S/S,RefIS:3993 1
2 GlovesSurgeon,latex,size6-1/2Ref.4148 6
3 Glovessurgeonlatex,size7-1/2Ref.4148 6
4 Bowl,metalsponge,600ml,Ref.IS:5782 1
5 Speculumvaginalbi-valvecuscosgravessmallss 1
4
6 Forcepsspongeholding,straight228MMHSemken200mm 1
7 Sounduterinesimpson,300mmgraduatedUB20mm 1
8 ForcepsuterinetenaculumduplayDBL-CVD,280mm 1
9 Forcepstssue-160mm 1
10 Anteriorvaginalwallretractorstainless 1
11 Torchwithoutbateries 1
12 Glovessurgeon,latex,size7,Ref:4148 6
13 Glovessurgeon,latexsize6Ref.IS:4148 6
14 Baterydrycell1.5VDTypeforItem7G 1
15 Speculumvaginalbi-valvecuscos/GreaVesMediumss 1
16 Forcepsartery,straight,Pean,160mm 1
17 Scissorsoperatng,straight,145mm,Blunt/Blunt 1
18 Forcepsuterinevulsellumcurved,Museux,240mm 1
19 Speculumvaginaldouble-ended#3 1
CHC Standard Surgical Set III (Essental)
Tray,instrument/dressingwithcover,310x195x63mm 1
Forceps,backhaustowel,130mm,stainlesssteel 4
Forceps,hemostat,straight,kelly,140mm,stainlesssteel 4
Forceps,hemostat,curved,kelly,125mm,stainlesssteel 2
Forceps,tssueAllis,150mm,stainlesssteel,4x5teeth 2
knifehandleforminorsurgeryNo.3 1
knifebladeforminorsurgery,size11,pktof5 10
Needlehypodermic,Luer22Gx11/4,boxof12 1
Needlehypodermic,Luer250Gx3/4,boxof12 1
Needle,suturestraight5.5cm,triangularpoint,pktof6 2
Needle,suture,Mayocircle,taperpointNo.6,pktof6 2
Scissors,ligature,angledonfat,140mm,stainlesssteel 1
Syringeanaesthetccontrol,Luer-5ml,glass 4
Syringe5ml,spareforitem13 4
Sterilizer,instrument200x100x60mmwithburnerss 1
Syringe,hypodermic,Luer5ml,glass 4
Forceps,sterilizer,Cheatle,265mm,stainlesssteel 1
Normal Delivery Kit (Essental)
Trolley,dressingcarriagesize76C,longx46cmwideand84cmhigh.Ref.IS4769/1968 1
Towel,trolley84cmx54cm 2
Gown,operaton,coton 1
Cap.operaton,surgeons36x46cm 2
Gauzeabsorbentnon-sterile200mmx6masperIS:171/1985 2
Trayinstrumentwithcover450mm(L)x300mm(W)x80mm(H) 1
Macintosh,operaton,plastc 2
Mask,face,surgeonscapofreartes:B)Berettypewithelastchem 2
Towel,glove 3
Cotonwoolabsorbentnon-sterilize500G 2
Drum,sterilizingcylindrical-275mmDiax132mm,ssasperIS:3831/1979 2
Tableinstrumentadjustabletypewithtrayss 1
41
Standard Surgical Set IV (Essental)
Vaccumextractor,Malastrom 1
Forcepsobstetric,Wrigley's,280mm,stainlesssteel 1
Forceps,obstetric,Barnes-Neville,withtracton,390mm 1
Forceps,spongeholding,straight228mm,stainlesssteel 4
Forceps,artery,Spencer-Wells,straight,180mm-ss 2
Holder,needlestraight,Mayo-Hegar,175mm-ss 1
Scissors,ligature,Spencer,130mm,stainlesssteel 1
Scissors,episiotomy,angular,Braun,145mm,stainlesssteel 1
Forceps,tssue,spring-type,1x2teeth,160mm-ss 1
Forceps,tssue,spring-type,serratedups,160mm-ss 1
Catheter,urethral,rubber,Foley's14ER 1
Catheter,urethral,Nelaton,setoffve(Fr12-20)rubber 1
Forceps,backhaustowel-130mm-ss 4
Speculum,vaginal,Sim's,double-ended#3-ss 1
Speculum,vaginal,Hamilton-Bailey 1
Standard Surgical Set V (Essental)
Forceps,obstetric,Neville-Barnes,W/tracton390mm 1
Hook,decapitaton,Braun,300mm,stainlesssteel 1
Hook,crochet,obstetric300mm,Smellie,stainlesssteel 1
Bone,forceps,Mesnard280mm,stainlesssteel
Perforator,Smellie,250mm,stainlesssteel 1
Forceps,cranial,Gouss,straight,295mm-ss 1
Cranioclast,Braun,stainlesssteel,365mmlong 1
ScissorsligatureSpencer130mm,stainlesssteel 1
Forcepsspongeholding,22.5cmstraight-ss 1
Forceps,tssue,spring-type,1x2teeth,160mm,stainlesssteel 1
Forceps,tssue,spring-type,serratedtps,160mm-ss 1
Forceps,scalpfap,Willet's190mm-ss 4
Forceps,Vulsellum,duplaydoublecurved,280mm-ss 4
Forceps,Vulsellum,duplaydoublecurved,240mm-ss 1
Catheter,urethral,14Fr.solidtp,oneeye,sofrubber 3
Holder,needle,Mayo-Hegar,narrowjaw,straight,175mm-ss 1
Speculumvaginalbi-valve,Cusco-medium,stainlesssteel 1
Speculum,vaginalsim'sdouble-ended,size#3-ss 1
Forceps,backhaustowel,130mm,stainlesssteel 4
Standard Surgical Set VI (Essental)
Forceps,spongeholding,straight,225mm,stainlesssteel 4
Speculum,vaginal,Sim'sdouble-endedsize#3-ss 1
Speculum,vaginal,weightedAuvard,38x75mmblade-ss 1
Forceps,tenaculum,Teale's,230mm-ss 3x42
Sound,uterine,Simpson,300mmwith200mmgraduatons 1
42
Dilator,uterine,double-endedhegar,setof5-ss 1
Curete,uterine,sim'sblunt,26cmx11mmsize#4-ss 2
Curete,uterine,sim'ssharp,26cmx9mmsize#3-ss 2
Forceps,artery,Spencer-Well'sstraight,140mm-ss 1
Forceps,tssue,spring-type,serratedtps,160mm-ss 1
Forceps,ovum,krantz,290mm,stainlesssteel 1
Miscellaneous
NSVkit 2
Laproscope 1
Equipment for Anaesthesia (Essental)
Facemask,plastcw/rubbercushion&headstrap,setof4 4
AirwayGuedelorBerman,autoclavablerubber,setof6 2
Laryngoscope,setwithinfant,child,adolescentblades 3
Catheter,endotrachealw/cuf,rubbersetof4 3
Catheter,urethral,stainlesssteel,setof8incase 2
Forceps,catheter,Magill,adultandchildsizes,setof2 1
Connectors,catheter,straight/curved,3,4,5mm(setof6) 3
Cufsforendotrachealcatheters,spareforitem4 4
Breathingtubes,hoses,connectorsforitem1,ant-statc 4
Valve,inhaler,chrome-platedbrass,y-shape 3
Bag,breathing,selfinfatng,ant-statcrubber,setof4 2
Vaporiser,halothane,dialsetng 2
Vaporiser,etherormethoxyfurane,wicktype 2
Intravenoussetinbox 6
Needle,spinal,stainlesssetof4 2
Syringe,anesthetc,control5mlLuermountglass 2
Cellsforitem3 2
Equipment for Neo-natal Resuscitaton (Essental)
Catheter,mucus,rubber,openendedtp,size14FR 2
Catheter,nasal,rubber,opentp,funnelend,size8Fr 2
Catheter,endotracheal,opentp,funnelendrubber,12Fr 3
Stlete,curved,forstfeningtrachealcatheterSS 1
Catheter,sucton,rubber,size8Fr 3
Laryngoscope,infant,w/threebladesandsparebulbs. 1
Lateralmask,withventllatorybag,infantsize 2
Resuscitator,automatc,basinettype 1
Lamp,ultra-violet(heatsource)withfoorstand 1
Cellsforitem6(Laryngoscope) 2
OxygenCylinders 1
NasalProngs 5
Thermometers 5
Infantometer:Measuringrange33-100cm 2
Stadiometer:Measuringrange60-200cm 1
PhototherapyUnit 1
43
Radiantwarmers 2
Dextromstcks 100stcks
Nebulisers/MDI 1
IVCanulas(22Gand24G) 100each
ScalpveinsetNo.22and24 100each
Nasogastrictube(8,10,12FG) 20
Oropharyngealairway(000-4Guydelsize)
Plastc/disposablesyringesincludingtuberculin 100
IVinfusionsets(adultandpediatric) 100
EquipmentforOperatonTheatre
(Essental)
Diathermymachine
Dressingdrumallsizes
Lampsshadowless:
Ceilinglamp
Portabletype
Sterilizer
SuctonApparatus
Standwithwheelforsinglebasin
Tableoperaton,hydraulic:
Major
Minor
MaterialskitforBloodTransfusion(Essental)
Bovinealbumin20%testngagent,boxof10x5mlvials 5
Centrifuge,angleheadfor6x15mltubes,240volt 1
Bath,water,serological,withracks,cover,thermostat,240v 1
Pipete,volumetric,setofsix1mol/2ml/3ml/5ml/10ml/20ml 1
Test-tubewithoutrim75x12mmHRG 12
Test-tubewithoutrim150x16mm,HRG 12
Cuf,sphygmomanometer,setoftwosizesChild/Adult 1
Needle,bloodcollectondisposable,17gx1-1/3boxof100 1
Ball,donorsqueeze,rubber,dia,60mm 1
Forceps,artery,Spencer-Wells,straight140mm,stainlesssteel 1
Scissors,operatng,straight140mm,blunt/jpoints,ss 1
CPDAant-coagulent,pilotbotle350milforcollecton 20
Microscope,binocular,inclined,10x40x100xmagnifcent 1
Illuminator 1
Slides,microscope,plain25x75mm,clinical,boxof100 1
Trolleyforpatents
Trolleyforinstruments
x-rayviewbox
Wheelchairs
EquipmentforLabourRoom
Apronsrubber
Cradlesbaby
WheelChair
CabinetInstrument
Dressingdrum
Shadowlesslamps
Tablefor
Obstetriclabour
Examinaton
44
Trolleyfor
Patents
Dressing
Torch(fashlight)
Trays
VacuumExtractor
Weighingmachinebaby
Wheelchairs
EquipmentforRadiology
Apronsleadribber
Diagnostc x-ray Unit 20 C 7300 m A with automatc
device
Darkroomaccessories
Darkroomtmer
Filmclips
Leadsheets
x-rayviewbox
x-ayprotectonscreen
x-rayflmprocessingtank
ImmunizatonEquipments(Essental)
ILR(Large)&DF(Large)withVoltageStabilizer
Assuming 30,000 population directly served
by CHC, 25/1000 live birth, 19.5 mixed
antigens, 25% wastage & 25% buffer stock,
80.6cubiccmperchild,and33%spaceforair
circulation, the ILR storage volume required
is=11.4L.
IcepackmakingbyDF.
StabilizertoprotecttheColdChainEquipments
fromvoltagefuctuaton.
However considering contngency plan Large
ILR&ILRDFmaybeprovidedtotheCHC.
ColdBoxes(Large&Small):
Smallone,Largetwo
VaccineCarrierswithIcepacks
Two per SC (maximum 2 per booth) + 1 for
CHC: Transport of vaccines to session sites.
For campaign, more vaccine carrier will be
required
1.
2.
3.
4.
SpareicePackBox
8,25&60icepackboxspervaccinecarrier,5Lcoldbox
&20Lcoldboxrespectvely
Room Heater/Cooler for immunizaton clinic with
electricalftngs
ThermometersAlcohol(stem)2
AD syringes ADsyringes(0.5ml&0.1ml)-needbased
Reconsttuton syringes Reconsttuton syringes (5ml)
-needbased
Full size steel Almirah for FW Clinic For storage of
registersandreportsandLogistcs
FreezeTag:MonitoringFreezingofvaccine
Waste disposal twin bucket, hypochlorite soluton/
bleach
Chairfornewstafsproposed-4
Dustbinwithlid-2
Waterreceptacle-1
Hubcuters-2
ComputerwithModemwithUPS,PrinterwithInternet
connecton
Immunizatonscheduleprintedonatnplate
Posters/Paintngsonkeymessages
RecordsandReports
Immunizatonregister-1
Vaccinestock&issueregister-1
Tallysheets
Temperaturemonitoringregisters/chart
ADsyringes,Reconsttutonsyringes,otherlogistcstock
&issueregister
MonthlyUIPreports
RIMonitoringChart
Weeklysurveillancereports(AFP,Measles)
SeriousAEFIreports
Outbreakreports
TrackingBagandTicklerBox
45
Equipments under Natonal Health Programmes (as listed under each NHP) and Blood Storage equipment as at
Annexure - 11.
Equipments and Renewable required for the New Born Corner and New Born Stabilizaton Unit (Essental): given
in Annexure 1A and 1B respectvely
EquipmentRequiredforNon-CommunicableDiseases
(EssentalwherevertheProgrammeisBeingImplemented)
NPPCD HeadLight
Earspecula
EarSyringe
Otoscope
JobsonHorneProbe
Tuningfork
NoiseMaker
Forscreeningofpatentsofhearing
impairment/deafness
FordiagnosisofcommonearProblems
Forearlydetectonofhearingloss
Removalofforeignbodyfromearandnose
Natonal
Programme
for Preventon
and Control of
Cancer, Diabetes,
Cardiovascular
Diseases & Stroke
(NPCDCS)
Consumableforscreeningofcervicalcancer
Disposabletonguedepressor
PAPsmearkit
ECGmachineordinary1
CardiacMonitorwithdefbrillator1
PulseOximeter1
Infusionpump1
Ophthalmoscope(direct)1
SlitLamp1
B.P.apparatustablemodel4
Stethoscope4
Forearlydetectonofcommoncancers
PAPsmear
Forscreeningofpatents
FordiagnosisandearlydetectonofCVD,DM,
Stroke
PMR Shotwavediathermy
Ultrasoundtherapy
Infra-redlamp(therapy)
NeuromuscularStmulator
PocketTENS
ParafnWaxbath
Hotpackswithhydrocollators.
ExerciseTable2nos
StatcCycle
ShoulderWheel
Cervical&Lumbertracton
Medicineball
QuadricepsExerciser
Coordinatorboard
Handgripsstrengthmeasurementkit.
kitforNeuro-Developmentassessment.
CBRManuals
Assortedtoyslikesoundmaking/colorful
gadgets/buildingblocks/pegboards/pictorial
chartsandmanuals
AsPMRserviceswouldbeprovidedwiththe
postngofqualifedparamedicaltheseareall
requiredequipment
OralHealth DentalUnitconsistngofDentalChairandsetof
dentalEquipmentforexaminaton,extracton
andmanagementofDental&relatedproblems.
Necessaryfordentalcareservices
4
List of the drugs given under is not exhaustve and exclusive but has been provided for delivery of minimum
assuredservices.
Sl. No. Name of the Drug/Form Dosage Quantty/Kit
1 HalothaneBP Containing0.01%w/wthymolIP;200ml
ineachBotles
5Botles
2 AtropineInjectonIP AtropineSulphateIP600mg/ml;02mlin
eachampoule
50ampoules
3 ThiopentoneInjectonIP EachvialcontainingThiopentoneSodium
IP500mg;Capacityofvial20ml
100Vials
4 BupivacaineInjectonIP BupivacaineHydrochlorideIPeq.to
Bupivainehydrochlorideanhydrous
5mg/ml;20mlineachvial
50vials
5 LignocaineInjectonIP LignocaineHydrochlorideIP5%w/v;02ml
ineachampoule
50ampoules
6 LignocaineInjectonIP LignocaineHydrochlorideIP2%w/v;30ml
ineachvial
50vials
7 DiazepamInjectonIP DiazepamIP5mg/ml;2mlineach
ampoule
100ampoules
8 PentazocineInjectonIP PentazocineLactateIPeq.toPentazocine
30mg/ml;01mlineachampoule
100ampoules
9 DexmethasoneInjectonIP DexamethasoneSodiumPhosphateIPeq.
toDexamethasonePhosphate,4mg/ml.;
02mlineachampoule
100ampoules
10 PromethazineInjectonIP PromethazinehydrochlorideIP,25mg/ml;
02mlineachampoule
50ampoules
11 NifedipineCapsulesIP NifedipineIP10mg 500capsules
12 DopamineInjectonUSP DopamineHydrochlorideUSP40mg/ml;
05mlineachvial
25vials
EmergencyObstetricCareDrugskitforCHC/FRU(Essental)
Annexure10
LISTOFDRUGS
47
13 DigoxinTabletsIP DigoxinIP250mg/tab 500tablets
14 MethyldopaTabletsIP MethyldopaIPeq.toMethyldopa
anhydrous250mg
500tablets
15 FrusemideTabletsIP FrusemideIP40mg 500tablets
16 FrusemideInjectonIP FrusemideIP10mg/ml;02mlineach
ampoule
100ampoules
17 AmpicillinInjectonIP AmpicillinSodiumIPeq.toAmpicillin
anhydrous250mg/vial
1000vials
18 GentamycinInjectonIP GentamycinSulphateeq.togentamycin
1000vials
19 AmoxycillinCapsulesIP AmoxycyllineTrihydrateIPeq.to
amoxycylline250mg
2000capsules
20 NorfoxacinTabletsIP NorfoxacinIP400mg 2000tablets
21 DoxycyclineCapsulesIP DoxycyclineHydrochlorideeq.to
Doxycycline100mg
1000capsules
22 MetronidazoleTabletsIP MetronidazoleIP400mg 2000tablets
23 MethylergometrineInjectonIP MethylergometrinemaleateIP,0.2mg/ml;
01mlineachampoule
500ampoules
24 OxytocinInjectonIP OxytocinIP5.0I.U./ml;02mlineach
ampoule
500ampoules
25 EtofyllineBPplusAnhydrousTheophylline
IPCombinatonInjecton(Asperstandards
provided)
EtofyllineBP84.7mg/ml&TheophyllineIP
eq.toTheophyllineanhydrous,
25.3mg/ml;02mlineachampoule
100ampoules
26 HydrocortsoneAcetateInjectonIP HydrocortsoneAcetateIP25mg/ml;02ml
ineachvial
100vials
27 SalbutamolTabletsIP Salbutamolsulphateeq.toSalbutamol
2mg
1000tablets
28 AdrenalineInjectonIP 0.18%w/vofAdrenalineTartrateor
AdrenalineTartrateIPeq.toadrenaline
1mg/ml;01mlineachampoule
100ampoules
29 SuccinylcholineInjectonIP SuccinylcholineChlorideIP50mg/ml;
10mlineachvial
30vials
30 ketamineInjectonIP ketamineHydrochlorideeq.toketamine
base10mg/ml;10mlineachvial
50vials
31 DiazepamTabletsIP DiazepamIP5mg 250tablets
32 VecuroniumBromideInjecton(asper
standardsprovided)
VecuroniumBromideUSP4mgper
ampoule
500ampoules
33 PancuroniumBromideInjectonBP PancuroniumBromideBP2mg/ml;02ml
ineachampoules
500ampoules
34 NeostgmineInjectonIP Neostgminemethylsulphate0.5mg/ml
(??);01mlineachampoule
500ampoules
35 BenzylpenicillinInjectonIP BenzylpenicillinSodiumIPeq.to
Benzylpenicillin300mg/vial.
2000vials
36 FortfedProcainePenicillinInjectonIP ProcainePenicillinIP300mgand
BenzylpenicillinSodium/PotassiumsaltIP
eq.toBenzylpenicillin60mgpervial
1000vials
37 BenzathinePenicillinInjectonIP BenzathinepenicillinIP450mg
(6lakhunits)/vial
100vials
48
38 Trimethoprim&Sulphamethoxazole
TabletsIP
TrimethoprimIP80mg/Sulphamethoxzole
IP400mg
5000tablets
39 PhenoxymethylpenicillinPotassium
TabletsIP
PhenoxymethylpenicillinPotassium
250mg
3000tablets
40 FluconazoleTablets
(asperthestandardsprovided)
FluconazoleUSP150mg 1500tablets
41 CloxacillinInjectonIP CloxacillinSodiumIP250mg/vial 100vials
42 MetronidazoleInjectonIP(IVinfusion) MetronidazoleIP5mg/ml:100mlineach
botle
100botles
43 ErgometrineTabletsIP ErgometrinemaleateIP250mcg 2000tablets
44 PhenytoinTabletsIP PhenytoinSodiumIP100mg 150tablets
45 HydroxyprogestroneInjectonIP HydroxyprogesteroneHexanoateIP
100vials
46 NorethisteroneAcetateTablets
(asperthestandardsprovided)
NorethisteroneAcetateBP5mg 1000tablets
47 InsulinInjectonIP InsulinIP(porcine/bovine/human)
40units/ml;10mlineachvial
20vials
48 InsulinZincSuspensionInjectonIP InsulinZincSuspensioneq.toInsulin
40units/ml;10mlineachvial
10vials
49 SodiumBicarbonateInjectonIP
(IVinfusion)
SodiumBicarbonate7.5%w/v;10mlin
eachampoule
100ampoules
50 MagnesiumSulphateInjectonIP MagnesiumSulphate50%w/v;02mlin
eachvial
50vials
51 PhenytoinInjectonBP PhenytoinSodiumIP50mg/ml;02mlin
eachampoule
50ampoules.
52 OxygenIP MedicalOxygeninsteeloraluminium,
cylinder(10litreswatercap).withgas
specifcPINsystem
2Cylinders
53 SodiumChlorideInjectonIP(I.V.Soluton) SodiumChlorideIP0.9%w/v;500mlin
eachbotle/pouch
1000FFSpouches/BFS
botles
54 DextroseInjectonIP(I.V.Soluton) Dextroseeq.toDextroseanhydrous
5%w/v
250FFSpouches/BFS
botles
55 NitrousOxideGasIP MedicalNitrousOxideBTypeinsteelor
aluminium,Cylinder(10litreswatercap.)
withgasspecifcPINsystem
2Cylinders
56 Dextran40InjectonIP
(PlasmaVolumeexpander)
Dextrans10w/v;500mlineachbotle 10botles
57 SterileWaterforinjectonsIP 05mlineachampoule 1000ampoules
58 InfusionEquipmentBIS IVsetwithhypodermicneedle21Gof1.5
length
900nos.
59 IntracathCannulasforSingleuse
(IntravascularCatheters)BIS
Gauze18,length45mm,Flowrate90ml/
minute
12nos.
60 IntracathCannulaforSingleuse
(IntravascularCatheters)BIS
Size22,Length25mm,Flowrate35ml/
minute
12nos.
61 HypodermicSyringeforSingleuse-2ml
BP/BIS
Cap.2ml+-1.5% 500nos.
BP/BIS
Cap.5ml+-1.5% 500nos.
49
BP/BIS
Cap.10ml+-1.5% 500nos.
BP/BIS
Cap.50ml+-1.5% 20nos.
65 HypodermicNeedleforSingleuseGauze
22BIS
Length,25+1/-2 550nos.
23BIS
24BIS
68 CompoundSodiumLactateInjectonIP 0.24%V/VofLactcAcid(eq.to0.32%
w/vofSodiumLactate),0.6%w/vSodium
Chloride,0.04%w/vPotassiumChloride
and0.027%w/vCalciumChloride;500ml
ineachbotle/pouch.
1000FFSpouches/BFS
botles
69 SurgicalGloves,SterileBIS Size6 500pairs.
70 SurgicalGloves,SterileBIS Size6.5 500pairs
71 SurgicalGloves,SterileBIS Size7 100pairs.
1 DiazepamInj.IP 5mgperml Inj.2mlAmpoule 60Ampoules(Forper
rectallyuseonly)
2 Inj.Cefotaxime 1gm Vial 100Vial
3 Inj.Cloxacillin 1gm Vial 100Vial
4 DexamethasoneSodium
Phosphateinj.IP
4mgperml Inj.2mlampoule 300Ampoules
5 AminophyllineInj.BP 25mgperml Inj.10mlAmpoule 60Ampoules
6 AdrenalineBitartrate
Inj.IP
1mgperml(1:1000
diluton)
Inj.1mlAmpoule 60mpoules
7 RingerLactate 500ml 500mlplastcpouch 300Pouches
8 DoxycyclineHydrochloride dispersible Tablets 300Tablets
9 Vit.k3(MenadioneInj.)IP Inj.10mgperml Inj.1mlampoule 100Ampoules
10 Phenytoin 50mgperml Inj.2mlAmpoule 60Ampoules
11 DextroseInj.IPI.V.Soluton 5% Inj.500mlplastcpouch 60Plastcpouches
12 Inj.Gentamycin 10mg/ml Ampoule 150Ampoules
13 Waterforinjecton 2ml/5ml Ampoule 300Ampoules
14 Inj.Lasix 20mg/2ml 2mlAmpoule 300Ampoule
15 Inj.Phenobarbitone 100mg/ml 2mlAmpoule 60Ampoule
16 Inj.Quinine 150mg/ml 2mlAmpoule 60Ampoule
17 NormalSaline 500ml 500mgPlastcpouch 60Plastcpouches
18 Inj.Ampicillin 500mg/5ml Vial 150Vial
19 Inj.Chloramphenicol 1gm/10ml Vial 150Vial
20 Inj.CalciumGluconate 10% 10mlAmpoule 60Ampoules
21 Ciprofoxacin 100mgdispersible Tablet 500tablets
22 NebulisableSalbutamol
nebusolsoluton(tobe
usedwithnebuliser)
15ml 100(Nebuliserequipment
tobeprovidedwith
NubulisableSalbutamol)
DrugkitforSickNewBorn&ChildCare-FRU/CHC
5
Sl. No. Name of the Drug Route of administraton/dosage
form
Strength
1 LignocaineHydrochloride TopicalForms 2-5%
2 AcetylSalicylicAcid Tablets 75mg,100mg300mg350mg
3 Ibuprofen Tablets 200mg,400mg
4 Paracetamol Injecton 150mg/ml
Syrup 125mg/5ml
Tablets 500mg
5 ChloroquinePhosphate Tablets 150mg
Injecton 40mg/ml
Syrup 50ml/5ml
6 ChlorpheniramineMaleate Tablets 4mg
7 Prednisolone Tablets 5mg,10mg
8 PromethazineHCL Tablets 25mg
9 Phenobarbitone Tablets 30mg.60mg
10 PhenytoinSodium CapsulesorTablets 50mg,100mg
Syrup 25mg/ml
11 Albendazole Tablets 400mg
Suspension 200mg/5ml
12 AmoxicillinPowder forsuspension 125mg/5ml
13 CiprofoxacinHydrochloride Tablets 250mg,500mg
Suspension 40+200mg/5ml
14 Clotrimazole Pessaries 100mg,200mg
Gel 2%
15 Sulfadoxine+Pyrimethamine Tablets 500mg+25mg
16 FerrousSalt Tablets 60mg
Oralsoluton 25mg
17 FolicAcid Tablets 1mg,5mg
18 IsosorbideMononitrate/Dinitrate Tablets 10mg,20mg
19 Amlodipine Tablets 2.5mg,5mg,10mg
20 Digoxin Injecton 0.25mg/ml
Elixir 0.05mg/ml
21 BenzoicAcid+SalicylicAcid OintmentorCream 6%+3%
22 Miconazole OintmentorCream 2%
23 Neomycin+Bacitracin Ointment 5mg+500IU
24 SilverSulphadiazine Cream 1%
ListofOtherEssentalDrugsforCHC
23 Inj.Dopamine 200mg/5ml Ampoule 20Ampoule
24 Needles 23G 750
25 DisposableSyringe 1ml/2ml/5ml 1ml-200
2ml-500
5ml-500
51
form
Strength
25 BenzylBenzoate Loton 25%
26 Acrifavin+Glycerin Soluton
27 GentanViolet Paint 0.5%,1%
28 HydrogenPeroxide Soluton 6%
29 PovidoneIodine Soluton 5%,10%
30 BleachingPowder Powder
31 PotassiumPermanganate Crystalsforsoluton
32 AluminiumHydroxide+Magnesium
Hydroxide
Tablet
Suspension
33 Domperidone Tablets 10mg
Syrup 1mg/ml
34 LocalAnaesthetc,Astringentand
AntinfammatoryMedicine
Ointment
/suppository
35 DicyclomineHydrochloride Tablets 10mg
Injecton 10mg/ml
36 OralRehydratonSalts Powderforsoluton AsperIP
37 CiprofoxacinHydrochloride Drops/Ointment 0.3%
38 TetracyclineHydrochloride Ointment 1%
39 Alprozolam Tab 0.25mg
40 SalbutamolSulphate Tablets 4mg
Syrup 2mg/5ml
Inhalaton 100mg/dose
41 Glucose Injecton 50%hypertonic
42 GlucosewithSodiumChloride Injecton 5%+0.9%
43 RingerLactate Injecton
44 AscorbicAcid Tablets 100mg,500mg
45 Calciumsalts Tablets 250mg,500mg
46 Multvitamins(AsperScheduleV) Tablets
47 Atenolol Tablets 50mg
48 Fluoxetne Tablets 20mg
49 AmitryptlineHcl Tablets 25mg
50 Bisacodyl Tablets 05mg
51 Tinidazole Tablets 300mg,
52 Daonil Tablets 5mg
53 Haloperidol Tablets 1,2,5mg
54 Sulphacetamideeyedrops Drops
55 Tab.Metoprolol
Hydrochlorthiazide
Tablets 12.5,25mg,100mg
56 TabCaptopril Tablets 25mg
57 GlycerylTrinitrateInj. Inj
58 Carbamazepine Tabs,syrup 100mg,200mg
59 Tab.Methyldopa Tablets 250mg
52
form
Strength
60 Tab.Enalapril Tablets 2.5/5mg
61 AtorvastatnTab Tablets 10mg
62 Inj.Streptokinase15lacvial
Inj.Streptokinase7.5lacvial
Inj.
Inj.
15lacvial
7.5lacvial
63 Inj.Heparinsod.1000IU Inj. 1000IU
64 Inj.InsulinRegular
InsulinIntermediate
Inj.
Inj.
65 Tab.Metormin Tablets 500mg
66 Inj.Crocin Inj.
67 Inj.Potassiumchloride Inj.
68 Inj.Buscopan Inj.
69 Inj.Duvadilan Inj.
70 Inj.Chlormycetn Inj.
71 Inj.Manitol Inj.
72 Inj.Chloroquine Inj.
73 Inj.Pethidine Inj.
74 Inj.Chlorpromazine Inj.
75 Inj.Pheniramine(Avil) Inj.
76 Inj.Dextrose(10%) Inj.
77 Inj.SalbutamolMDI Inj.
78 Inj.AntRabiesVaccine Inj. 1ml
79 Inj.AntRabiesSenem Inj.
80 Inj.AntSnakeVenom(Polyvalent) Inj. 10ml
Apart from drugs mentoned above, Drugs under various Natonal Health Programmes and Vaccines as under
ImmunizatonProgrammearetobeprovided.
53
1 SanjivaniVat
2 GodantMishran
3 AyUSH-64
4 LakshmiVilasRasa(Naradeeya)
5 khadiradiVat
6 ShilajatwadiLouh
7 Swaskuthararasa
8 Nagarjunabhrarasa
9 SarpagandhaMishran
10 PunarnnavadiMandura
11 karpurarasa
12 kutajaghanVat
13 kamadudharasa
14 LaghuSutasekharrasa
15 ArogyavardhiniVat
16 ShankhaVat
17 LashunadiVat
18 kankayanaVat
19 AgnitundiVat
20 Vidangadilouh
21 BrahmiVat
22 SirashooladiVajrarasa
23 Chandrakantrasa
24 Smritsagararasa
25 kaishoraguggulu
26 Simhanadguggulu
27 yograjguggulu
28 Gokshuradiguggulu
29 GandhakRasayan
30 RajapravartniVat
31 Triphalaguggulu
32 SaptamritLouh
33 kanchanaraguggulu
34 AyushGhut
35 TalisadiChurna
36 PanchanimbaChurna
37 AvipatkaraChurna
38 HingvashtakaChurna
39 EladiChurna
40 SwadishtaVirechanChurna
ListofAyurvedicMedicinesforCHCs
41 PushyanugaChurna
42 DasanasamskaraChurna
43 TriphalaChurna
44 BalachaturbhadraChurna
45 TrikatuChurna
46 SringyadiChurna
47 GojihwadikwathChurna
48 PhalatrikadikwathChurna
49 54.MaharasnadikwathChurna
50 PashnabhedadikwathChurna
51 DasamoolakwathChurna
52 Erandapaka
53 Haridrakhanda
54 Suparipak
55 SoubhagyaShunthi
56 BrahmaRasayana
57 Balarasayana
58 ChitrakaHareetaki
59 Amritarishta
60 Vasarishta
61 Arjunarishta
62 Lohasava
63 Chandanasava
64 khadirarishta
65 kutajarishta
66 Rohitakarishta
67 Arkajwain
68 Abhayarishta
69 Saraswatarishta
70 Balarishta
71 Punarnnavasav
72 Lodhrasava
73 Ashokarishta
74 Ashwagandharishta
75 kumaryasava
76 Dasamoolarishta
77 ArkShatapushpa(Sounf)
78 Drakshasava
79 Aravindasava
80 VishagarbhaTaila
54
81 PindaTaila
82 ErandaTaila
83 kushtarakshasaTaila
84 JatyadiTaila/Ghrita
85 AnuTaila
86 ShuddhaSphatka
87 ShuddhaTankan
88 ShankhaBhasma
89 AbhrakaBhasma
90 ShuddhaGairika
91 JaharmohraPisht
92 AshwagandhaChurna
93 Amrita(Giloy)Churna
94 ShatavariChurna
95 MulethiChurna
96 AmlaChurna
97 NagkesarChurna
98 PunanrnavaChurna
99 DadimashtakChurna
100 ChandraprabhaVat.
101 DhanwantaraTaila
102 BalaswagandhadiTaila
103 MahanarayanaTaila
104 SahacharadiTaila
105 ksheerabalaTaila
106 kaseesadiTaila
107 kolakulathadiUdvarthanaChurna
108 JatamayadiUdvarthanaChurna
109 UpanahaChurna
110 ShadpalaGhrita
111 PanchthikthaGugguluGhrita
112 PanchagavyaGhrita
113 MadanapippaliChurna
114 SaindhavaLavana
115 Madhu
116 PippaliChurna
117 ShuddhaGhrita
118 TrivritLeha
119 DashmoolaorRansnadikwathChurna
120 ManibhadraGuda
121 GandharvahastadikwathChurna
122 BalaguluchyadikwathChurna
123 AragwadadikwathChurna
124 PureGhrita
125 IcchabhediRasa
ListofUnaniMedicinesforCHCs
1 Arq-e-Ajeeb
2 Arq-e-Gulab
3 Arq-e-kasni
4 Arq-e-Mako
5 Barshasha
6 Dawaulkurkumkabir
7 DawaulMiskMotadilSada
8 Habb-e-Afimoon
9 Habb-e-BawasirDamiya
10 Habb-e-Bukhars
11 Habb-e-Dabba-e-Atal
12 Habb-e-GulePista
13 Habb-e-Hamal
14 Habb-e-Hilteet
15 Habb-e-HindiQabiz
16 Habb-e-HindiSual
17 Habb-e-HindiZeeqi
18 Habb-e-Jadwar
19 Habb-e-Jawahir
20 Habb-e-Jund
21 Habb-e-kabidNaushadri
22 Habb-e-karanjwa
23 Habb-e-khubsulHadeed
24 Habb-e-Mubarak
25 Habb-e-Mudirr
26 Habb-e-Mumsik
27 Habb-e-Musaf
28 Habb-e-Nazfuddam
29 Habb-e-Nazla
30 Habb-e-Nishat
31 Habb-e-Raal
32 Habb-e-Rasaut
33 Habb-e-Shaheeqa
34 Habb-e-Shifa
55
35 Habb-e-Surfa
36 Habb-e-Tabashir
37 Habb-e-Tankar
38 Habb-e-TurshMushtahi
39 ItrifalShahatra
40 ItrifalUstukhuddus
41 ItrifalZamani
42 JawahirMohra
43 JawarishJalinoos
44 Jawarishkamooni
45 JawarishMastagi
46 JawarishTamarHindi
47 khamiraGaozabanSada
48 khamiraMarwareed
49 kushtaMarjanSada
50 Laooqkatan
51 Laooqkhiyarshanbari
52 LaooqSapistan
53 MajoonAradkhurma
54 MajoonDabeedulward
55 MajoonFalasifa
56 MajoonJograjGugal
57 Majoonkundur
58 MajoonMochras
59 MajoonMuqawwi-e-Reham
60 MajoonNankhwah
61 MajoonPanbadana
62 MajoonPiyaz
63 MajoonSeerAlwikhani
64 MajoonSuhagSonth
65 MajoonSuranjan
66 MajoonUshba
67 MarhamHina
68 Marhamkafoor
69 Marhamkharish
70 MarhamQuba
71 MarhamRalSafaid
72 QursAqaqia
73 QursDawaulShifa
74 QursDeedan
75 QursGhafs
76 QursGulnar
77 QursHabis
78 Qurskafoor
79 QursMulaiyin
80 QursSartankafoori
81 QursZaranbad
82 QursZiabetuskhaas
83 QursZiabetusSada
84 Qurs-e-Afsanteen
85 Qurs-e-Sartan
86 Qutoor-e-Ramad
87 RaughanBaiza-e-Murgh
88 RaughanBars
89 Raughankahu
90 Raughankamila
91 RaughanQaranful
92 RaughanSurkh
93 RaughanTurb
94 RoghanLuboobSaba
95 RoghanMalkangni
96 RoghanQust
97 SafoofAmla
98 SafoofChutki
99 SafoofDamaHaldiwala
100 SafoofHabis
101 SafoofMuqliyasa
102 SafoofMustehkamDandan
103 SafoofNaushadar
104 SafoofSailan
105 SafoofTeen
106 SharbatAnjabar
107 SharbatBuzooriMotadil
108 SharbatFaulad
109 Sharbatkhaksi
110 SharbatSadar
111 SharbatTootSiyah
112 SharbatZufa
113 SunoonMukhrij-e-Rutoobat
114 TiryaqNazla
115 Tiryaqpechish
116 Zuroor-e-Qula
5
ListofSiddhaMedicinesforCHCs
1 Amaiotuparpam Fordiarrhoeainchildren
andindigeston
2 Amukkaraccuranam Forgeneraldebility,
insomnia
3 Annapetccenturam Foranaemia
4 AntatTailam Forfebrileconvulsions
5 Appirakaccenturam Diabetesmellitus
6 ArakkutTailam Headacheandsinus
infecton
7 ArumukacCenturam Arthrits
8 Atotataikkutnir coughandcold
9 Atatotaimanappaku coughandcold
10 Atatotainei coughandwheeze
11 Ayajampirackarpam anaemia
12 Ayakantaccenturam aneamia
13 Cankuparpam antallergic
14 CantamarutacCenturam arthrits
15 Cantacantrotayam feversandjaundice
16 CarapunkaVilvatilakam nervinetonic
17 CatCampirakkulampu Nauseaandvomitng
18 CempuParpam peptculcer
19 CilacatuParpam Urinaryinfecton,white
discharge
20 CilntlCuranam Diabetesmellitus
21 CiroparaNivaranaTailam Headacheandsinus
22 CirraMuttTailam Neurits,uterine
problems
23 CivanarAmirtam Ant-allergic,bronchial
asthma
24 ComputTinir Indigeston,lossof
appette
25 CukkutTailam Headacheandearache
26 Cuvacakkutorimathiral Asthmaandcough
27 Elatccuranam Allergy,feverinprimary
complex
28 IIakuViamuttTailam Hemiplegia
29 ImpuralIIakam Bleedings
30 ImpuralVatakam Bloodvomitng
31 InicicCuranam Indigeston,fatulence
32 IracakantMeluku Skininfectons,venereal
infectons
33 ItVallat Venerealuncer
34 kaiyanTailam Coughwithexpectoraton
35 kantakaRacayanam Skindiseasesandurinary
infectons
36 kapaCurakkutnir Fevers
37 karappanTailam Eczema
38 karunaiIlakam Piles
39 kasturikkaruppu Fever,cough,allergic
bronchits
40 kauriCintamanic
Centuram
Liverdisorders,fever,
fstula
41 kecariIlakam Dropsy,amoebic
dysentery
42 kilanellitTailam Jaundice,giddiness,
neurits
43 kilincilMeluku Cracksontheheeland
sole
44 korocanaimatrai Sinus,fts
45 kunkiliyaparpam Urinaryinfecton,white
discharge
46 kunkumappuMatrai Peptculcer,habitual
constpaton
47 kunkiliyaVennay Externalapplicatonfor
pilesandscalps
48 kumakkutori Peptculcer
49 kuntarikatTailam Swellingand
infammaton
50 MankompupParpam Chestpain
51 ManturatAtaikkutnir Anaemia
52 MatanTailam Ulers,carbuncleand
gangrence
53 MatulaiManappaku Nausea,vomitng,
anaemia
54 MayanatTailam Swelling,infammaton
55 MayilirakatcCuranam Hiccup
56 Mekanatakkulikai Constpaton
57 MurukkanVitaiMatrai Intestnalworms
58 MutuccippiParpam Diarrheainchildren
59 NacirokaNacatTailam Nasalproblems
60 NakaParpam Diuretc
61 NantukkalParpam Diuretc
62 NataiParpam Bleedingpiles
63 NellikkaiIlakam Tonic
57
64 Neruncikkutnir Diuretc
65 NilavakaicCuranam Constpaton
66 NilaVempukkutnir Fever
67 NoccitTailam Sinus
68 OmatTinir Indigeston
69 Palacancivimatrai Feverinchildren,
indigeston
70 PalakaraiParpam Ant-allergic
71 PancaLavanaParpam Hyperacidity
72 Parankippataic
Curanam
Skindiseases
73 PaankipPatai
Iracayanam
Skindiseases
74 ParankipPataip
Patankam
Skindiseases
75 Patkaraparpam Urinaryinfecton,
stomatts
76 Patukkaruppu DUB,painful
menstruaton
77 PavalaParapam Coughandfever
78 PerantaParpamNo.1 Fits
79 Pinacattailam Sinus
80 PiramiNey Nervinetonic
81 Pirammantapairavam Fevers
82 PunkatTailam Injuryandulcers
83 Talampumatrai Toxicfever
84 TalicatVatakam Cough
85 TayircCuntcCuranam Diarrhea,usedasORS
86 TerrankotaiIlakam Tonic,usedinbleeding
piles
87 TiripalaicCuranam Styptcandtonic
88 TippliliIracayanam Cough
89 UluntutTailam Musclaratrophy,
deafness
90 Vacantakucumakaram Fever,cough,andcoldin
child
91 VetAnnaPetc
Centuram
Dropsy
92 VilvatIlakam Tonic
93 VisnuCakkaram Pleurisy
Patent & Proprietary Drug
1 777Oil forPsoriasis
ListofHomeopathyMedicinesforCHCs
Sl. No. Name of Medicine Potency
1 Abrotanum 30
2 Abrotanum 200
3 Absinthium Q
4 AconiteNap. 6
5 AconiteNap. 30
6 AconiteNap. 200
7 AconiteNap. 1M
8 ActeaRacemosa 30
9 ActeaRacemosa 200
10 AesculusHip 30
11 AesculusHip 200
12 AesculusHip 1M
13 Agaricusmusca. 30
14 Agaricusmusca 200
15 Alliumcepa 6
16 Alliumcepa 30
17 Alliumcepa 200
18 Aloesoc. 6
19 Aloesoc. 30
20 Aloesoc. 200
21 Alumina 30
22 Alumina 200
23 AmmonCarb 30
24 AmmonCarb 200
25 AmmonMur 30
26 AmmonMur 200
27 AmmonPhos 30
28 Ammonphos 200
29 AnacardiumOri. 30
30 AnacardiumOri. 200
31 AnacardiumOri. 1M
32 Angusturavera Q
33 Anthracinum 200
34 Anthracinum 1M
35 AntmCrud 30
36 AntmCrud 200
37 AntmCrud 1M
39 AntmoniumTart 3x
40 AntmoniumTart 6
41 AntmoniumTart 30
58
42 AntmoniumTart 200
43 Apismel 30
44 Apismel 200
45 ApocynumCan Q
46 ApocynumCan 30
47 Arg.Met 30
48 ArgMet. 200
49 Arg.Nit. 30
50 Arg.Nit. 200
51 ArnicaMont. Q
52 ArnicaMont 30
53 ArnicaMont 200
54 ArnicaMont 1M
55 ArsenicumAlb. 6
56 ArsenicumAlb. 30
57 ArsenicumAlb. 200
58 ArsenicumAlb. 1M
59 AurumMet. 30
60 AurumMet. 200
61 Bacillinum 200
62 Bacillinum 1M
63 Badiaga 30
64 Badiaga 200
65 BaptsiaTinct. Q
66 BaptsiaTinct 30
67 BarytaCarb. 30
68 BarytaCarb. 200
69 BarytaCarb. 1M
70 BarytaMur. 3x
71 Belladonna 30
72 Belladonna 200
73 Belladonna 1M
74 BellisPerennis Q
75 BellisPerennis 30
76 BenzoicAcid 30
77 BenzoicAcid 200
78 BerberisVulgaris Q
79 BerberisVulgaris 30
80 BerberisVulgaris 200
81 BlataOrientalis Q
82 BlataOrientalis 30
83 BlumeaOdorata Q
84 Borax 30
85 Bovista 30
86 Bromium 30
87 BryoniaAlba 3x
88 BryoniaAlba 6
89 BryoniaAlba 30
90 BryoniaAlba 200
91 BryoniaAlba 1M
92 Buforana 30
93 Carboveg 30
94 Carboveg 200
95 CactusG. Q
96 CactusG. 30
97 CalcareaCarb 30
98 CalcareaCarb 200
99 CalcareaCarb 1M
100 CalcareaFluor 30
101 CalcareaFluor 200
102 CalcareaFluor 1M
103 CalcareaPhos 30
104 CalcareaPhos 200
105 CalcareaPhos 1M
106 CalendulaOf Q
107 CalendulaOf 30
108 CalendulaOf 200
109 Camphora 6
110 Camphora 200
111 CannabisIndica 6
112 CannabisIndica 30
113 Cantharis Q
114 Cantharis 30
115 Cantharis 200
116 Capsicum 30
117 Capsicum 200
118 CarboAnimalis 30
119 CarboAnimalis 200
120 CarbolicAcid 30
121 CarbolicAcid 200
122 CarduusMar Q
123 CarduusMar 6
124 CarduusMar 30
125 Carcinosinum 200
126 Carcinosinum 1M
127 Cassiasophera Q
59
171 CrotonTig. 30
172 Condurango 30
173 Condurango 200
174 Cuprummet. 30
175 Cuprummet. 200
176 CynodonDactylon Q
177 CynodonDactylon 3x
178 CynodonDactylon 30
179 Digitalis Q
180 Digitalis 30
181 Digitalis 200
182 Dioscorea 30
183 Dioscorea 200
184 Diphtherinum 200
185 Drosera 30
186 Drosera 200
187 Dulcamara 30
188 Dulcamara 200
189 Echinacea Q
190 Echinacea 30
191 Equisetum 30
192 Equisetum 200
193 EupatoriumPerf. 3x
194 EupatoriumPerf. 30
195 EupatoriumPerf. 200
196 Euphrasia Q
197 Euphrasia 30
198 Euphrasia 200
199 FerrumMet. 200
200 FlouricAcid 200
201 FormicaRufa 6
202 FormicaRufa 30
203 Gelsimium 3x
204 Gelsimium 6
205 Gelsimium 30
206 Gelsimium 200
207 Gelsimium 1M
208 GentanaChirata 6
209 Glonoine 30
210 Glonoine 200
211 Graphites 30
212 Graphites 200
213 Graphites 1M
128 Caulophyllum 30
129 Caulophyllum 200
130 Caustcum 30
131 Caustcum 200
132 Caustcum 1M
133 Cedron 30
134 Cedron 200
135 CephalendraIndica Q
136 Chamomilla 6
137 Chamomilla 30
138 Chamomilla 200
139 Chamomilla 1M
140 Chelidonium Q
141 Chelidonium 30
142 ChinOf Q
143 ChinOf 6
144 ChinOf 30
145 ChinOf 200
146 ChininumArs 3x
147 ChininumSulph 6
148 CicutaVirosa 30
149 CicutaVirosa 200
150 Cina Q
151 Cina 3x
152 Cina 6
153 Cina 30
154 Cina 200
155 Coca 200
156 CocculusIndicus 6
157 CocculusIndicus 30
158 CofeaCruda 30
159 CofeaCruda 200
160 Colchicum 30
161 Colchicum 200
162 Colocynthis 6
163 Colocynthis 30
164 Colocynthis 200
165 CrataegusOxy Q
166 CrataegusOxy 3x
167 CrataegusOxy 30
168 CrataegusOxy 200
169 CrotalusHorridus 200
170 CrotonTig. 6

214 Guaiacum 6
215 Guaiacum 200
216 HamamelisVir Q
217 HamamelisVir 6
218 HamamelisVir 200
219 Helleborus 6
220 Helleborus 30
221 HeparSulph 6
222 HeparSulph 30
223 HeparSulph 200
224 HeparSulph 1M
225 Hippozaenium 6
226 Hydrasts Q
227 HydrocotyleAs. Q
228 HydrocotyleAs. 3x
229 Hyocyamus 200
230 Hypericum Q
231 Hypericum 30
232 Hypericum 200
233 Hypericum 1M
234 Ignata 30
235 Ignata 200
236 Ignata 1M
237 Iodium 30
238 Iodium 200
239 Iodium 1M
240 Ipecacuanha Q
241 Ipecacuanha 3x
242 Ipecacuanha 6
243 Ipecacuanha 30
244 Ipecacuanha 200
245 IrisTenax 6
246 IrisVeriscolor 30
247 IrisVeriscolor 200
248 JonosiaAshoka Q
249 JustciaAdhatoda Q
250 kaliBromatum 3x
251 kaliCarb 30
252 kaliCarb 200
253 kaliCarb 1M
254 kaliCyanatum 30
255 kaliCyanatum 200
256 kalilod 30
257 kalilopd 200
258 kaliMur 30
259 kaliMur 200
260 kalSulph 30
261 kalmiaLatfolium 30
262 kalmiaLatfolium 200
263 kalmiaLatfolium 1M
264 kreosotum Q
265 kreosotum 30
266 kreosotum 200
267 LaeDeforatum 30
268 LaeDeforatum 200
269 LacDeforatum 1M
270 LacCan 30
271 LacCan 200
272 Lachesis 30
273 Lachesis 200
274 Lachesis 1M
275 LapisAlbus 3x
276 LapisAlbus 30
277 LedumPal 30
278 LedumPal 200
279 LedumPal 1M
280 LilliumTig. 30
281 LilliumTig. 200
282 LilliumTig. 1M
283 Lobellainfata Q
284 Lobellainfata 30
285 Lycopodium 30
286 Lycopodium 200
287 Lycopodium 1M
288 Lyssin 200
289 Lyssin 1M
290 Mag.Carb 30
291 Mag.Carb 200
292 MagPhos 30
293 MagPhos 200
294 MagPhos 1M
295 Medorrhinum 200
296 Medorrhinum 1M
297 MercCor 6
298 MercCor 30
299 MercCor 200
1
300 MercSol 6
301 MercSol 30
302 MercSol 200
303 MercSol 1m
304 Mezerium 30
305 Mezerium 200
306 Millefolium Q
307 Millefolium 30
308 MuriatcAcid 30
309 MuriatcAcid 200
310 Murex 30
311 Murex 200
312 Mygale 30
313 NajaTri 30
314 NajaTri 200
315 NatrumArs 30
316 NatrumArs 200
317 NatrumCarb 30
318 NatrumCarb 200
319 NatrumCarb 1M
320 NatrumMur 6
321 NatrumMur 30
322 NatrumMur 200
323 NatrumMur 1M
324 NatrumPhos 30
325 NatrumSulph 30
326 NatrumSulph 200
327 NatrumSulph 1M
328 NitricAcid 30
329 NitricAcid 200
330 NitricAcid 1M
331 NuxVomica 6
332 NuxVomica 30
333 NuxVomica 200
334 NuxVomica 1M
335 NyctenthusArbor Q
336 OcimumSanctum Q
337 Oleander 6
338 Petroleum 30
339 Petroleum 200
340 Petroleum 1M
341 PhosphoricAcid Q
342 PhosphoricAcid 30
343 PhosphoricAcid 200
344 PhosphoricAcid 1M
345 Phosphorus 30
346 Phosphorus 200
347 Phosphorus 1M
348 Physostgma 30
349 Physostgma 200
350 PlantagoMajor Q
351 PlantagoMajor 6
352 PlantagoMajor 30
353 Platna 200
354 Platna 1M
355 PlumbumMet 200
356 PlumbumMet 1M
357 Podophyllum 6
358 Podophyllum 30
359 Podophyllum 200
360 PrunusSpinosa 6
361 Psorinum 200
362 Psorinum 1M
363 Pulsatlla 30
364 Pulsatlla 200
365 Pulsatlla 1M
366 Pyrogenium 200
367 Pyrogenium 1M
368 Ranunculusbulbosus 30
369 Ranunculusbulbosus 200
370 Ranunculusrepens 6
371 Ranunculusrepens 30
372 Ratanhia 6
373 Ratanhia 30
374 Rauwolfaserpentna Q
375 Rauwolfaserpentna 6
376 Rauwolfaserpentna 30
377 Rhododendron 30
378 Rhododendron 200
379 Rhustox 3x
380 Rhustox 6
381 Rhustox 30
382 Rhustox 200
383 Rhustox 1M
384 Robinia 6
385 Robinia 30
2
386 Rumexcrispus 6
387 Rumexcrispus 30
388 Rutagr 30
389 Rutagr 200
390 Sabalserreulata Q
391 Sabalserreulata 6
392 Sabina 3x
393 Sabina 6
394 Sabina 30
395 Sang.can 30
396 Sang.can 200
397 Sarsaprilla 6
398 Sarsaprilla 30
399 Secalecor 30
400 Secalecor 200
401 Selenium 30
402 Selenium 200
403 Senecioaureus 6
404 Sepia 30
405 Sepia 200
406 Sepia 1M
407 Silicea 30
408 Silicea 200
409 Silicea 1M
410 Spigellia 30
411 Spongiatosta 6
412 Spongiatosta 30
413 Spongiatosta 200
414 Stannum 30
415 Stannum 200
416 Staphisagria 30
417 Staphisagria 200
418 Staphisagria 1M
419 Stctapulmonaria 6
420 Stctapulmonaria 30
421 Stramonium 30
422 Stramonium 200
423 Sulphur 30
424 Sulphur 200
425 Sulphur 1M
426 Sulphuricacid 6
427 Sulphuricacid 30
428 Syphilinum 200
429 Syphilinum 1M
430 Tabacum 30
431 Tabacum 200
432 Tarentulacubensis 6
433 Tarentulacubensis 30
434 Tellurium 6
435 Tellurium 30
436 Terebinthina 6
437 Terebinthina 30
438 Terminaliaarjuna Q
439 Terminaliaarjuna 3x
440 Terminaliaarjuna 6
441 Thujaoccidentalis Q
442 Thujaoccidentalis 30
443 Thujaoccidentalis 200
444 Thujaoccidentalis 1M
445 Thyroidinum 200
446 Thyroidinum 1M
447 Tuberculinumbov 200
448 Uran.Nit 3x
449 Urtcaurens Q
450 Urtcaurens 6
451 Ustlago 6
452 Veratalb 6
453 Viburnanopulus 6
456 Viperator 200
457 Viperator 1M
458 Veratviride 30
459 Veratviride 200
460 Viscumalbum 6
461 Wyethia 6
462 Wyethia 30
463 Wyethia 200
3
464 Zincmet 200
465 Zincmet 1M
466 Zinkphos 200
467 Zinkphos 1M
468 Globules 20no.
469 Sugarofmilk
470 GlassPiles 5ml
471 GlassPiles 10ml
472 ButerPaper
473 BlankStckerOintments 1/2*3/2inch
474 AesculusHip
475 Arnica
476 Calendula
477 Cantharis
478 HamamelisVir
479 Rhustox
480 TwelveBiochemic
Medicines
6x&12x
481 CinerariaEyeDrop
482 EuphrasiaEyeDrop
483 MulleinOil(EarDrop)
4
Requirements
Space:Thearearequiredforsetngupthefacilityisonly
10 square meters, well-lighted, clean and preferably
air-conditoned.
Manpower:Oneoftheexistngdoctorsandtechnicians
shouldbedesignatedforthispurpose.Theyshouldbe
trained in the operaton of blood storage centers and
other basic procedures like storage, grouping, cross-
matchingandreleaseofblood.
Themedicalofcerdesignatedforthispurposewillbe
responsibleforoverallworkingofthestoragecenter.
Electricity: 24 hours supply is essental. Provision of
back-upgeneratorisrequired.
Equipment:EachFRUshouldhavethefollowing:
Blood Bank refrigerators having a storage
capacityof50unitsofblood.
Deep freezers for freezing ice packs required
for transportaton. The deep freezers
availableintheFRUsundertheImmunizaton
Programmecanbeutlizedforthispurpose.
Insulated carrier boxes with ice packs for
maintainingthecoldchainduringtransportaton
ofbloodbags.
Microscope and centrifuge:sincethesearean
integral part of any existng laboratory, these
wouldalreadybeavailableattheFRUs.These
shouldbesuppliedonlyiftheyarenotalready
available.
1.
2.
3.
4.
Consumables: There should be adequate provision
for consumables and blood grouping reagents.
The following quanttes would sufce the annual
requirementofanFRUwithupto50beds.
ConsumablesQuantty
Pasteurpipete12dozens/year
Glasstubes7.5to10mm-100dozens/year
Glassslides1x2boxesof20or25each/year
Testtuberacks6racks,eachfor24tables
Rubberteats6dozens/year
GlovesDisposablerubbergloves500pairsperyear
BlotngtssuepaperAsrequired
Markerpencil(alcoholbased)Asrequired
ToothpicksAsrequired
Reagents: All the reagents should come from the
MotherBloodBank.
Ant-A2-vialseachpermonth
Ant-B2-vialseachpermonth
Ant-AB2-vialseachpermonth
Ant-D(BlendofIgM&IgG)2vialseachpermonth
AnthumanGlobulin1vialpermonth
(PolyclonalIgG&Complement)
Sincequalityofthereagentsisanimportantissue,the
suppliesoftheseshouldbemadefromthesameblood
Annexure11
ExTRACTSFROMNATIONALGUIDELINESONBLOOD
STORAGEFACILITIESATFRUs
5
bank/centre from where blood is obtained. For this
purpose, State Governments/Union Territories should
provide the additonal budgetary requirements to the
motherbloodbank/centre.
Disinfectants: Bleach & Hypochlorite Soluton - As
required.
SuggestedQuanttesofWhole
BloodUnitstoheAvailableata
BloodStorageUnit
5unitseachofA,B,O(Positve)
2unitsofAB(Positve)
1unitseachofA,B&O(Negatve)
This can be modifed according to the actual
requirement.
Storage&Transportaton
Cold chain: It is necessary to maintain the cold chain
at all levels i.e. from the mother centre to the blood
storage centre to the issue of blood. This can be
achieved by using insulated carrier boxes. During
transportaton, the blood should be properly packed
intocoldboxessurroundedbytheicepacks.Ice,ifused
shouldbecleanandshouldnotcomeindirectcontact
withthebloodbags.Thebloodshouldbekeptinblood
bank refrigerator at 4- 6c 2c. The temperature of
thebloodshouldbemonitoredcontnuously.
Storage:Thestoragecentershouldchecktheconditon
of blood on receipt from the mother center and also
during the period of storage. The responsibility of any
problem arising from storage, cross matching, issue
and transfusion will be of the storage center. Any unit
of blood showing hemolysis, turbidity or change in
colourshouldnotbetakenonstockfortransfusion.Due
care should be taken to maintain sterility of blood by
keepingallstorageareasclean.Theexpiryoftheblood
isnormally35/42daysdependingonthetypeofblood
bagsused.TheMedicalOfcerin-chargeshouldensure
that unused blood bags should be returned to the
mothercenteratleast10daysbeforetheexpiryofthe
bloodandfreshbloodobtainedinitsplace.Theblood
storage centers are designed to ensure rapid and safe
deliveryofwholebloodinanemergency.Thedetailof
storageofpackedcells,freshfrozenplasmaandplatelets
concentratearethereforenotgivenintheseguidelines.
In case, however, these are required to be stored, the
storage procedures of the mother blood bank should
befollowed.
IssueofBlood
Patents blood grouping and cross matching should
invariablybecarriedoutbeforeissueofblood.Aproper
recordofthisshouldbekept.
FirstInandFirstOut(FIFO)policy,wherebybloodcloser
toexpirydateisusedfrst,shouldbefollowed.
Disposal
Since all the blood bags will already be tested by the
mothercenter,disposalofemptybloodbagsshouldbe
donebylandfll.Glovesshouldbecutandputinbleach
for at least one hour and then disposed as normal
waste.
Documentaton&Records
The center should maintain proper records for
procurement, cross matching and issue of blood and
bloodcomponents.Theserecordsshouldbekeptforat
least5years.
Training
Training of doctors and technicians, who will be
responsible for the Blood Storage Center, should be
carriedoutfor3daysinanidentfedcenterasperthe
guidelines.Trainingwillinclude:
Pre-transfusion checking. i.e. patent identty
andgrouping
Crossmatching
Compatbility
Problemsingroupingandcrossmatching
Troubleshootng
Issueofblood
Transfusionreactonsanditsmanagement
Disposalofbloodbags
The states will have to identfy the insttutons where

training of the staf responsible for running the blood
storagecentreistobeheld.Thesecouldbetheblood
banks at Medical Colleges, Regional Blood Banks,
Indian RedCrossBlood Banks,oranyotherwellsetup
licensedBloodBank,providedtheyhavethenecessary
infrastructureforundertakingtraining.
The training will be for three-days duraton during
which the Medical Ofcer and the technician from
the identfed FRUs will be posted at the training
insttuton.
A Standard Operatng Procedures Manual (SOPM)
has been developed and is part of these guidelines.
This SOPM will be used as the training material.
A copy of this SOPM will be made available to the
MedicalOfcerforuseinhisBloodStorageCenterfor
undertaking storage, grouping, cross matching and
transfusion.
InadditontothetrainingoftheaboveMedicalStaf,
it is considered necessary that the clinicians who
will be responsible for prescribing the use of blood
are also sensitzed on the various parameters of
blood transfusion. For this the Clinicians Guide to
Appropriate Use of Blood has been developed. It
is suggested that one-day sensitzaton programme
for the clinicians may be organized at the District
Hospital/MedicalCollege.
GovernmentofIndiawillmaketheexpenditureforthe
above-mentonedtrainings,availableasperthenorms
oftrainingundertheRCHProgramme.Thistrainingwill,
however, be coordinated by the Training Division of
DepartmentofFamilyWelfare.Thestatesarerequired
to include training as part of the overall State Acton
PlanforestablishingBloodStorageCenters.
EquipmentsforLaboratoryTests&Blood
Transfusion
Rod,fint-glass,1000x10mmdia,setoftwo2.
Cylinder, measuring, graduated W/pouring lip, glass,
50ml2.
Botle, wash, polyethylene W/angled delivery tube,
250ml1.
Timer, clock, interval, spring wound, 60 minutes
x1minute1.
Rack,slidedryingnickel/silver,30slidecapacity1.
Tray,staining,stainlesssteel450x350x25mm1.
Chamber,countng,glass,doubleneubauerruling2.
Pipete,serologicalglass,0.05mlx0.0125ml6.
Pipete,serologicalglass,1.0mlx0.10ml6.
Counter,diferental,bloodcells,6unit1.
Centrifuge,micro-hematocrit,6tubes,240v1.
Coverglassforcountngchamber(item7),Boxof121.
Tube, capillary, heparinized, 75 mm x 1.5 mm, vial of
10010.
Lamp,spiritW/screwcap.Metal60ml1.
Lancet, blood (Hadgedorn needle) 75 mm pack of
10ss10.
Benedicts reagent qualitatve dry components for
soln1.
Pipete measuring glass, set of two sizes 10 ml,
20 ml 2 Test tube, w/o rim, heat resistant glass, 100 x
13mm24.
Clamp, test-tube, nickel plated spring wire, standard
type3.
Beaker, HRG glass, low form, set of two sizes, 50 ml,
150ml2.
Rack,test-tubewoodenwith12x22mmdiaholes1.
7
Sl. No. Speciality Diagnostc Services/Tests
I. CLINICAL PATHOLOGY
a) Haematology Haemoglobinestmaton
TotalLeucocytecount
DiferentalLeucocytecount
AbsoluteEosinophilcount
Retculocytecount
TotalRBCcount
E.S.R.
PeripheralBloodSmear
Malaria/FilariaParasite
Plateletcount
PackedCellvolume
Bloodgrouping
Rhtyping
BloodCrossmatching
b) UrineAnalysis UrineforAlbumin,Sugar,Deposits,bilesalts,bilepigments,acetone,
specifcgravity,Reacton(pH)
c) StoolAnalysis StoolforOvacyst(Eh)
HangingdropforV.Cholera
Occultblood
II. PATHOLOGY
a) Sputum Sputumcytology
III. MICROBIOLOGY SmearforAFB,kLB
GramsStainforThroatswab,sputumetc.
Annexure12
LISTOFDIAGNOSTICSERVICES
ListofDiagnostcServices
8
Sl. No. Speciality Diagnostc Services/Tests
IV. SEROLOGY VDRL
Pregnancytest(Urinegravindex)
WIDALtest
V. BIOCHEMISTRY BloodSugar
Bloodurea
Liverfunctontests
kidneyfunctontests
Bloodlipidprofle
VI. CARDIAC INVESTIGATIONS a) ECG
VII. OPHTHALMOLOGY a) RefractonbyusingSnellen'schart
Retnoscopy
Ophthalmoscopy
IX. RADIOLOGY a) xrayforChest,Skull,Spine,Abdomen,bones
b) Dentalxray
c) Ultrasonography(Desirable)
Sl. No. Item No. at CHC Level
1 Marble/StoneTableTopforPlatorm 1
2 Wash-basins(Steel/Porcelain) 1
3 WaterTaps 1
4 ElectricFitngs Asperrequirement
5 OfceTable 1
6 OfceChairs 3
7 RevolvingStools 2
8 Almirah(Steel/Wooden) 1
9 Wooden/SteelRacks 1
PhysicalStructureforLaboratoryatCHC
1 BinocularMicroscopewithoilimmersion
2 Lancet
3 Icebox
4 Stooltransportcarrier
5 Testtuberack
6 Tabletopcentrifuge
7 Refrigerator
8 Spiritlamp
9 Smeartransportngbox
10 Sterileleakproofcontainers
LaboratoryEquipments
9
LaboratorySupplies
1 Cleanslides
2 Slidemarkers
3 Gloves
4 Transportmedium(CaryBlair)
5 Steriletesttubes
6 Plastcvials
7 Sterilecotonwoolswabs
8 RapidDiagnostckitTyphoid
9 Rapidtestkitforfaecalcontaminaton
10 Bloodculturebotleswithbroth
11 ZeilNeelsenAcidfaststain
12 AluminiumFoil
13 Coton
14 Sealingmaterial
15 Extraplastcvialsfor
7
MissionStatement
Accesstoservices
This CHC provides medical care to all patents
without any discriminaton of gender/cast/religion/
status. Emergency services are available 24 x 7. The
managementofthishospitalisresponsibleforensuring
thedeliveryofservices.
StandardsofServices
Thishospitalprovidesqualityminimumassuredservices
setbyIndianPublicHealthStandards(IPHS).
yourRightsintheHospital
Right to access to all the services provided by
theHospital.
1.
Right to Informaton - including informaton
relatngtoyourtreatment.
Rightofmakingdecisionregardingtreatment.
Rightforprivacyandconfdentality.
Righttoreligiousandculturalfreedom.
RightforSafeandSecureTreatment.
Rightforgrievanceredressal.
GeneralInformaton
No.ofBeds.....................................................................
No.andspecializatonofDoctors....................................
No.ofNurses...................................................................
No.ofAmbulances..........................................................
2.
3.
4.
5.
6.
7.
OPD Indoor Treatment/Wards 24 hrs Emergency and
Medicolegal
MCH Services
(includingHighRiskPregnancy
&Newbornstabilizatonunit)
Radiology
x-Ray,Ultrasound(ifavailable)
Laboratory Pharmacy Dentstry
Family Planning Services Immunizaton Bloodstorage Operaton Theatre
AYUSH ECG 24 Hrs Ambulance
ServicesAvailable
Annexure13
MODELCITIZENSCHARTER
71
EnquiriesandInformaton
Enquirycounterislocatedat...............
Timingsforworkingcounterare............
Phoneno.fortelephonicenquiry(24hoursservice)......
Locatonguidemapsanddirectonalsignageshavebeen
putupatstrategicpointsinthehospital.
Casualty&EmergencyServices
Facilites
All Emergency Services are available round
theclock.
Medicolegalservicesareavailable.
Referral Services to higher centre in case
facilitesfortreatmentarenotavailableinthe
hospital.
Round the clock ambulance services with
basiclifesupport.
Inseriouscases,treatment/managementgets
priority overpaper worklikeregistraton and
medico-legalrequirements.Thedecisionrests
withthetreatngdoctor.
OPDServices
OPDservicesareavailableonallworkingdaysexcluding
SundaysandGazetedHolidays.
Timings-
Morning-............amto..........am/pm
Evening-.............pmto..........pm.
Various outpatent services available in the CHC are
detailedbelow(asavailable):
Department Room no. Timings
GeneralMedicine
GeneralSurgery
Obstetrics&Gynaecology
Paediatrics
Eye
Dentstry
AyUSHServices
Homeopathic
Ayurvedic
Others
MedicalFacilitesNotAvailable
DiagnostcServices
Timings
Listsoftestsandchargesareavailableintherespectve
department.
x-Rays
Ultrasound
ECG
Complaints&Grievances
Everycomplaintwillbedulyacknowledged.
Weaimtosetleyourcomplaintswithin..........
daysofitsreceipt.
Suggestons/Complaint boxes are also
providedatenquirycounterand...........inthe
hospital.
Ifwecannot,wewillexplainthereasonsand
thetmewewilltaketoresolve.
youcanaddressyourcomplaintsto
Name.
Designaton.
Tele(O)(R)(M)................
MeetngHours.....to
youreResponsibilites
Pleasedonotinconvenienceotherpatents.
Pleasehelpusinkeepingthehospitalandits
surroundingsneatandclean.
BewareofTouts.Ifyoufndanysuchpersonin
premisestellthehospitalauthorites.
The Hospital is a No Smoking Zone and
smokingisaPunishableOfence.
Pleaserefrainfromdemandingunduefavours
from the staf and ofcials as it encourages
corrupton.
Pleaseprovideusefulfeedback&constructve
suggestons. These may be addressed to the
MedicalSuperintendentoftheHospital.
72
1. No objecton certfcate from the Competent
FireAuthority.
2. Authorisaton under Bio-medical Waste
(ManagementandHandling)Rules,1998.
3. Authorisaton from Atomic Energy Regulaton
Board.
4. ExcisepermittostoreSpirit.
5. VehicleregistratoncertfcatesforAmbulances.
6. ConsumerProtectonAct.
7. Drug&CosmetcAct1950.
8. FatalAccidentsAct1855.
9. IndianLunacyAct1912.
10. IndianMedicalCouncilActandcodeofMedical
Ethics.
11. IndianNursingCouncilAct.
12. MaternityBeneftAct1961.
13. BoilersActasamendedin2007.
14. MTPAct1971.
15. PersonswithDisabilityAct1995.
16. PharmacyAct1948.
17. PNDTAct1996.
18. RegistratonofBirthsandDeathsAct1969.
19. License for Blood Bank or Authorisaton for
BloodStoragefacility.
20. RighttoInformatonact.
21. Narcotcs and psychotropic substances
Act1985.
22. Clinical Establishments (Registraton and
Regulaton)Act2010.
Annexure14
LISTOFSTATUTORyCOMPLIANCES
73
A
n
n
e
x
u
r
e
1
5
S
T
E
P
S
F
O
R
S
A
F
E
T
y
I
N
S
U
R
G
I
C
A
L
P
A
T
I
E
N
T
S
(
I
N
T
H
E
P
R
E
-
O
P
E
R
A
T
I
V
E
W
A
R
D
)
T
o
b
e
d
o
n
e
b
y
S
u
r
g
e
o
n
H
i
s
t
o
r
y
,
e
x
a
m
i
n
a
t
o
n
a
n
d
i
n
v
e
s
t
g
a
t
o
n
s
P
r
e
-
o
p
o
r
d
e
r
s
C
h
e
c
k
a
n
d
r
e
c
o
n
f
r
m
P
A
C
f
n
d
i
n
g
s
A
s
s
e
s
s
a
n
d
m
e
n
t
o
n
a
n
y
c
o
-
m
o
r
b
i
d
c
o
n
d
i
t
o
n
R
e
c
o
r
d
b
o
l
d
l
y
o
n
1
s
t
p
a
g
e
o
f
c
a
s
e
s
h
e
e
t
H
i
s
t
o
r
y
o
f
d
r
u
g
a
l
l
e
r
g
i
e
s
B
l
o
o
d
t
r
a
n
s
f
u
s
i
o
n
S
a
m
p
l
e
f
o
r
g
r
o
u
p
i
n
g
a
n
d
c
r
o
s
s
-
m
a
t
c
h
i
n
g
t
o
b
e
s
e
n
t
C
h
e
c
k
a
v
a
i
l
a
b
i
l
i
t
y
&
d
o
n
a
t
o
n
R
i
s
k
o
f
t
r
a
n
s
f
u
s
i
o
n
t
o
b
e
e
x
p
l
a
i
n
e
d
t
o
r
e
l
a
t
v
e
s
W
r
i
t
e
n
w
e
l
l
i
n
f
o
r
m
e
d
c
o
n
s
e
n
t
f
r
o
m
p
a
t
e
n
t
(
C
o
u
n
t
e
r
s
i
g
n
b
y
s
u
r
g
e
o
n
)
S
i
s
t
e
r
i
n
c
h
a
r
g
e
o
f
O
.
T
.
t
o
b
e
i
n
f
o
r
m
e
d
i
n
a
d
v
a
n
c
e
r
e
g
a
r
d
i
n
g
t
h
e
n
e
e
d
f
o
r
s
p
e
c
i
a
l
e
q
u
i
p
m
e
n
t
s
S
i
g
n
a
t
u
r
e

o
f

S
u
r
g
e
o
n

T
o
b
e
d
o
n
e
b
y
S
t
a
f
N
u
r
s
e
P
a
t
e
n
t
c
o
n
s
e
n
t
t
o
b
e
t
a
k
e
n
(
C
o
u
n
t
e
r
s
i
g
n
b
y
s
u
r
g
e
o
n
)
P
a
r
t
p
r
e
p
a
r
a
t
o
n
a
s
o
r
d
e
r
e
d
I
d
e
n
t
f
c
a
t
o
n
t
a
g
o
n
p
a
t
e
n
t
w
r
i
s
t
N
a
m
e
/
A
g
e
/
S
e
x
/
C
.
R
.
N
o
/
S
u
r
g
i
c
a
l
u
n
i
t
/
D
i
a
g
n
o
s
i
s
F
o
l
l
o
w
p
r
e
-
o
p
o
r
d
e
r
s
A
n
t
b
i
o
t
c
s
e
n
s
i
t
v
i
t
y
t
e
s
t
d
o
n
e
S
i
g
n
a
t
u
r
e

o
f

S
t
a
f

N
u
r
s
e

T
o
b
e
d
o
n
e
b
y
A
n
e
s
t
h
e
t
s
t
C
h
e
c
k
P
A
C
f
n
d
i
n
g
s
A
s
s
e
s
s
c
o
m
o
r
b
i
d
c
o
n
d
i
t
o
n
s
H
/
O
a
n
y
d
r
u
g
a
l
l
e
r
g
y
C
h
e
c
k
C
o
n
s
e
n
t
S
i
g
n
a
t
u
r
e

o
f

A
n
a
e
s
t
h
e
t
s
t

74
S
U
R
G
I
C
A
L
S
A
F
E
T
y
C
H
E
C
k
L
I
S
T
I
N
T
H
E
O
P
E
R
A
T
I
O
N
T
H
E
A
T
R
E
S
I
G
N

I
N
(
P
e
r
i
o
d
b
e
f
o
r
e
i
n
d
u
c
t
o
n
o
f
a
n
e
s
t
h
e
s
i
a
)
P
a
t
e
n
t

h
a
s

c
o
n
f
r
m
e
d
I
d
e
n
t
t
y
S
i
t
e
P
r
o
c
e
d
u
r
e
C
o
n
s
e
n
t
S
i
t
e

m
a
r
k
e
d
/
N
o
t

A
p
p
l
i
c
a
b
l
e
A
n
e
s
t
h
e
s
i
a

S
a
f
e
t
y

C
h
e
c
k

C
o
m
p
l
e
t
e
d
A
n
e
s
t
h
e
s
i
a
E
q
u
i
p
m
e
n
t
A
E
P
u
l
s
e

O
x
y
m
e
t
e
r

o
n

P
a
t
e
n
t

a
n
d

f
u
n
c
t
o
n
i
n
g
D
O
E
S

P
A
T
I
E
N
T

H
A
V
E

A
:
K
n
o
w
n

A
l
l
e
r
g
y
N
o
y
e
s
D
i
f
c
u
l
t

A
i
r
w
a
y
/
A
s
p
i
r
a
t
o
n

R
i
s
k
?
N
o
y
e
s
,
a
n
d
a
s
s
i
s
t
a
n
c
e
a
v
a
i
l
a
b
l
e
R
i
s
k

o
f

>
5
0
0

m
l

B
l
o
o
d

l
o
s
s
(
7

m
l
/
k
g

i
n

c
h
i
l
d
r
e
n
)
N
o
y
e
s
a
n
d
a
d
e
q
u
a
t
e
I
.
V
.
a
c
c
e
s
s
&
B
l
o
o
d
/
F
l
u
i
d
s
P
l
a
n
n
e
d
.
S
i
g
n
a
t
u
r
e

o
f

N
u
r
s
e

T
I
M
E
O
U
T
(
P
e
r
i
o
d
a
f
e
r
i
n
d
u
c
t
o
n
&
b
e
f
o
r
e
s
u
r
g
i
c
a
l
i
n
c
i
s
i
o
n
)
C
o
n
f
r
m

a
l
l

t
e
a
m

m
e
m
b
e
r
s

h
a
v
e

i
n
t
r
o
d
u
c
e
d

t
h
e
m
s
e
l
v
e
s

b
y

n
a
m
e

&

r
o
l
e
S
u
r
g
e
o
n
,

A
n
e
s
t
h
e
t
s
t

&

N
u
r
s
e

v
e
r
b
a
l
l
y

C
o
n
f
r
m
P
a
t
e
n
t
S
i
t
e
P
r
o
c
e
d
u
r
e
A
N
T
I
C
I
P
A
T
E
D

C
R
I
T
I
C
A
L

E
V
E
N
T
S
S
u
r
g
e
o
n
s

r
e
v
i
e
w
s
:
W
h
a
t
a
r
e
t
h
e
c
r
i
t
c
a
l
o
r
u
n
e
x
p
e
c
t
e
d
s
t
e
p
s
,
o
p
e
r
a
t
v
e
d
u
r
a
t
o
n
&
a
n
t
c
i
p
a
t
e
d
b
l
o
o
d
l
o
s
s
A
n
e
s
t
h
e
t
s
t

r
e
v
i
e
w
s
:
A
r
e
t
h
e
r
e
a
n
y
p
a
t
e
n
t
s
p
e
c
i
f
c
c
o
n
c
e
r
n
s
N
u
r
s
i
n
g

T
e
a
m

r
e
v
i
e
w
s
:
H
a
s
s
t
e
r
i
l
i
t
y
b
e
e
n
c
o
n
f
r
m
e
d
?
I
s
t
h
e
r
e
e
q
u
i
p
m
e
n
t
i
s
s
u
e
o
r
a
n
y
c
o
n
c
e
r
n
?
H
a
s

A
n
t
b
i
o
t
c

p
r
o
p
h
y
l
a
x
i
s

b
e
e
n

g
i
v
e
n

w
i
t
h

i
n

t
h
e

l
a
s
t

6
0

m
i
n
u
t
e
s
?
y
e
s
N
o
t
A
p
p
l
i
c
a
b
l
e
I
s

E
s
s
e
n
t
a
l

I
m
a
g
i
n
g

D
i
s
p
l
a
y
e
d
?
y
e
s
N
o
t
A
p
p
l
i
c
a
b
l
e
S
i
g
n
a
t
u
r
e

o
f

S
u
r
g
e
o
n

S
I
G
N

O
U
T
(
P
e
r
i
o
d
f
r
o
m
w
o
u
n
d
c
l
o
s
u
r
e
t
l
l
t
r
a
n
s
f
e
r
o
f
p
a
t
e
n
t
f
r
o
m
O
T
r
o
o
m
)
N
u
r
s
e

V
e
r
b
a
l
l
y

c
o
n
f
r
m

w
i
t
h

t
h
e

t
e
a
m

:
T
h
e

n
a
m
e

o
f

t
h
e

p
r
o
c
e
d
u
r
e

r
e
c
o
r
d
e
d
T
h
a
t

i
n
s
t
r
u
m
e
n
t
,

s
p
o
n
g
e
,

n
e
e
d
l
e

c
o
u
n
t
s

a
r
e
c
o
r
r
e
c
t
(
o
r
n
o
t
a
p
p
l
i
c
a
b
l
e
)
H
o
w

t
h
e

s
p
e
c
i
m
e
n

i
s

l
a
b
e
l
e
d
(
i
n
c
l
u
d
i
n
g
P
a
t
e
n
t
n
a
m
e
)
W
h
e
t
h
e
r

t
h
e
r
e

a
r
e

a
n
y

e
q
u
i
p
m
e
n
t

p
r
o
b
l
e
m
s

t
o

b
e

a
d
d
r
e
s
s
e
d
?
S
u
r
g
e
o
n
,

A
n
e
s
t
h
e
t
s
t

&

N
u
r
s
e

r
e
v
i
e
w

t
h
e

k
e
y

c
o
n
c
e
r
n
s

f
o
r

r
e
c
o
v
e
r
y

a
n
d

m
a
n
a
g
e
m
e
n
t

o
f

p
a
t
e
n
t

&

p
o
s
t
-
o
p

o
r
d
e
r
s

t
o

b
e

g
i
v
e
n

a
c
c
o
r
d
i
n
g
l
y
I
n
f
o
r
m
a
t
o
n

t
o

p
a
t
e
n
t
s

a
t
e
n
d
a
n
t
a
b
o
u
t
p
r
o
c
e
d
u
r
e
p
e
r
f
o
r
m
e
d
,
c
o
n
d
i
t
o
n
o
f
t
h
e
p
a
t
e
n
t
&
s
p
e
c
i
m
e
n
t
o
b
e
s
h
o
w
n
H
i
s
t
o
p
a
t
h
o
l
o
g
y

f
o
r
m
t
o
b
e
f
l
l
e
d
p
r
o
p
e
r
l
y
&
r
e
t
u
r
n
a
l
l
t
h
e
r
e
c
o
r
d
s
&
i
n
v
e
s
t
g
a
t
o
n
t
o
a
t
e
n
d
a
n
t
/
p
a
t
e
n
t
S
i
g
n
a
t
u
r
e

o
f

A
n
e
s
t
h
e
t
s
t

75
Annexure16
LISTOFABBREVIATIONS
AD : AutoDisabled
ANC : AnteNatalCare
ANM : AuxiliaryNurseMidwife
ASHA : AccreditedSocialHealthActvist
AyUSH : Ayurveda,yoga&Naturopathy,Unani,SiddhaandHomoeopathy
BCC : BehaviourChangeCommunicaton
BP : BloodPressure
CBR : CommunityBasedRehabilitaton
CHC : CommunityHealthCentres
CS : CaesarianSecton
CSSD : CentralSterileandSupplyDepartment
CSSM : ChildSurvivalandSafeMotherhood
DEC : DiEthylCarbamazine
DF : DeepFreezer
DOTS : DirectlyObservedTreatmentShortCourse
DTC : DistrictTuberculosisCentre
ECG : ElectroCardioGraphy
ESR : ErythrocyteSedimentatonRate
FRU : FirstReferralUnit
ICTC : IntegratedCounsellingandTestngCentre
IEC : Informaton,EducatonandCommunicaton
ILR : IceLinedRefrigerator
Inj : Injecton
IPHS : IndianPublicHealthStandards
I/V : Intravenous
IUCD : Intra-urineContraceptveDevise
7
IyCF : InfantandyoungChildFeeding
JE : JapaneseEncephalits
LR : LabourRoom
LTs : LaboratoryTechnicians
MC : MicroscopicCentre
MDT : MultDrugTherapy
MIS : ManagementInformatonSystem
MO : MedicalOfcer
MPWs : MultPurposeWorkers
NACP : NatonalAIDSControlProgramme
NAMP : NatonalAntMalariaProgramme
NHP : NatonalHealthProgramme
NLEP : NatonalLeprosyEradicatonProgramme
NPCDCS : NatonalProgrammeforPreventonandControlofCancer,Diabetes,
CardiovascularDiseases&Stroke
NRHM : NatonalRuralHealthMission
NSV : NonScalpelVasectomy
NVBDCP : NatonalVectorBorneDiseaseControlProgramme
OPD : OutPatentDepartment
OT : OperatonTheatre
PDC : ProfessionalDevelopmentCourse
PHC : PrimaryHealthCentre
PMR : PhysicalMedicineandRehabilitaton
PNC : PostNatalCare
POL : PetrolOilandLubricant
PPH : PostPartumHaemorrhage
PPTCT : PreventonofParenttoChildTransmission
PRI : PanchayatRajInsttuton
RCH : Reproductve&ChildHealth
RNTCP : RevisedNatonalTuberculosisControlProgramme
RTI/STI : ReproductveTractInfectons/SexualTractInfectons
SNCU : SpecialNewBornCareUnit
SOPs : StandardOperatngProcedures
STLS : SeniorTuberculosisLaboratorySupervisor
STPs : StandardTreatmentProtocols
TENS : TranscutaneousElectricalNerveStmulaton
UT : UnionTerritory
WC : WaterCloset(i.e.afushtoilet)
77
1. Natonal Rural Health Mission 2005-2012 Reference Material (2005),MinistryofHealth&FamilyWelfare,
GovernmentofIndia.
2. Bulletn on Rural Health Statstcs in India (2005),InfrastructureDivision,DepartmentofFamilyWelfare;
MinistryofHealth&FamilyWelfare,GovernmentofIndia.
3. Guidelines for Operatonalising 24 x 7 PHC (2005) (unpublished),MaternalHealthDivision,Departmentof
FamilyWelfare,MinistryofHealth&FamilyWelfare,GovernmentofIndia.
4. Guidelines for Ante-Natal Care and Skilled Atendance at Birth by ANMs and LHVs (2005),MaternalHealth
Division,DepartmentofFamilyWelfare,MinistryofHealth&FamilyWelfare,GovernmentofIndia.
5. RCH Phase II, Natonal Programme Implementaton Plan (PIP) (2005),MinistryofHealth&FamilyWelfare,
GovernmentofIndia.
6. Guidelines for Setng up of Rogi Kalyan Samit/Hospital Management Commitee (2005), Ministry of
Health&FamilyWelfare,GovernmentofIndia.
7. Indian Standard: Basic Requirements for Hospital Planning, Part-1 up to 30 Bedded Hospital, IS: 12433
(Part 1)-1988, Bureau of Indian Standards,NewDelhi.
8. Indian Public Health Standards (IPHS) for Community Health Centre (April 2005),DirectorateGeneralof
HealthServices,MinistryofHealth&FamilyWelfare,GovernmentofIndia.
REFERENCES
78
MEMBERSOFTASkFORCEFORREVISIONOFIPHS
1. Dr.R.k.Srivastava,DirectorGeneralOfHealthServicesChairman.
2. Dr.ShivLal,FormerSpecialDG(PH)andAdvisor(PH)Co-Chairman.
3. Sh.AmarjitSinha,FormerJointSecretary,NRHM,MinistryofHealth&F.W.
4. Dr.AmarjitSingh,ExecutveDirector,JansankhyaSthiratakosh.
5. Prof.(Dr.)DeokiNandan,Director,NIHFW.
6. Dr. T. Sunderraman, Executve Director, NHSRC NIHFW Campus, Baba Gang Nath Marg, Munirka,
NewDelhi-110067.
7. Dr.N.S.Dharmshaktu,DDG,DirectorateGeneralofHealthServices.
8. Dr.A.C.Dhariwal,DirectorNVBDCP,22,ShamNathMarg,NewDelhi-110054.
9. Dr.S.D.khaparde,DDG,NACOandEx-DC(ID),MinistryofHealth&F.W.
10. Dr.C.S.Pandav,Prof.andHead,CommunityMedicine,AIIMS,NewDelhi.
11. Dr.J.N.Sahay,AdvisoronQualityimprovement,NHSRC.
12. Dr.BirSinghProf.DepartmentofCommunityMedicine,AIIMSandSecretaryGeneralIndianAssociaton
ofPSM.
13. Dr.Jugalkishore,ProfessorofCommunityMedicine,MAMC,NewDelhi.
14. Mr.J.P.Mishra,HealthSectorReformsFacilitator&(Hon)AdvisertotheCommssionersoftheSupreme
CourtonRighttoFood.
15. Dr.S.kulshreshtha,ADG,Dte.GHS.,NirmanBhawan,NewDelhi.
16. Dr.A.C.Baishya,Director,NorthEasternRegionalResourceCentre.
17. Dr.S.k.Satpathy,PublicHealthFoundatonofIndia.
18. Dr.V.k.Manchanda,WorldBank,NewDelhi.
19. Sh.Dilipkumar,NursingAdvisor,Dte.G.H.S.,NirmanBhawan,NewDelhi.
20. Dr.Anilkumar,CMO(NFSG),Dte.G.H.S.Member Secretary.
8
MinistryofHealth&FamilyWelfare
GovernmentofIndia

IPHS Guidelines Health Centres

Caricato da

Informazioni sul documento

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

IPHS Guidelines Health Centres

Caricato da

Copyright:

Formati disponibili

Indian Public Health Standards (IPHS)

routne and emergency care in Surgery,

the suggested schedule of antenatal visits is

diagnostc/linkages to diagnosis and

consumables for early detecton of common

Locaton of the centre: All the guidelines as below

Ramp as per specifcaton, Hand-railing,

He will also ensure that sufcient stocks of

Pharmacist to issue medicine and manage

Sl. No. Name of Medicine Potency

The states will have to identfy the insttutons where

Potrebbero piacerti anche