Community Health Centres – It is also decided to recommend to sanction one CHC in each CD Block initially as first Phase and there after one CHC for every One lakhs population in the second phase, subsequently for rendering curative services for patients for getting them admitted and treated at these first level with the required minimum facilities.
While sanctioning the CHCs the CHCs shall be sanctioned only in CD Block and recommend to redesignate the THQH level CHCs as Taluk Hospitals.
Now every CD Block has at least one medical institution at the level of Block Primary Health Centre; some have more than one and even more than one Block PHCs with difference in bed strengths. We recommend there may be one CHC in every Block Panchayat with minimum of 50 beds and service delivery facility for health care of major specialities. In block Panchayaths having more than one such institution, one may be redesigned as Community Health Centre. The others may continue to provide service at a level that deems fit to the Local Self Government Institutions.
COMMUNITY HEALTH CENTRES
One in Every Block Panchayath
Ø Clinical care-with minimum in-patient service provision for: -
§ General ailments- Medical and Surgical,
§ 24 hour delivery service
§ Normal Delivery services, Assisted delivery services, Essential & Emergency Obstetric (including blood storage facilities) and Essential New-born care
§ Blood transfusion service
§ Essential diagnostic service with ECG and Ultra sound scan service
§ Paediatric case management
§ Trauma care – basic services
§ First aid management of Orthopaedic and other speciality cases.
§ Ambulance Services
Ø Preventive Care
Ø Prevention and control of communicable disease
Ø Prevention and control of Non-communicable diseases such as Cardio-vascular disease, Diabetes Mellitus, Cancer care (Palliative Cancer care), etc.,
Ø School Health Programme
Ø Geriatric Care
Ø Preventive / Rehabilitative services
Ø Implementation of national programs
Ø Maternal and child health services
Ø Community psychiatry
Ø Community dentistry
Ø RTI/STI and adolescent clinics
In certain Block Panchayaths there are more than one Block primary health centre/ Community Health Centre with or and without inpatient facility. In such cases we are of opinion that either of these institutions with more facilities may be declared as designated CHC of the Block Panchayath and remaining may continue as such limiting curative service delivery.
There are Govt hospitals, intermediary hospitals and dispensaries with or and without inpatient facilities. These institutions do not come under any of the categories recommended above.
i). The existing institution may be re-designated as primary health centre for the Panchayath where there is no primary health centre.
ii). The remaining may continue as such limiting curative services.
iii) These institutions may be considered for conversion as community health centre as and when the target of setting up of CHC for every one lakh population as per the GOI norms
COMMUNITY HEALTH CENTRES
· OP rooms with separate cabins for each speciality
· Office rooms
· Rooms for LHI/LHS and HS/HI
· Injection room
· Immunisation room / observation room
· Minor Operation theatre
· Major Operation theatre
· Post-mortem room
· Conference room
· Labour room with neonatal resuscitation facility
· Ward with minimum of 50 beds with male, female, Obstetrics and paediatric wards, room for infectious disease treatment and delivery care.
· Duty Doctors room
· Duty nurses’ room
· Pharmacy room
· Toilet facilities for patients and staff – all such rooms shall be provided with toilet facility
· Blood Storage
· Store room
· Ambulance with shed
1. Water supply & electricity
Ø Waste disposal and drainage system.
Ø Doctors’ quarters
Ø Nurses Quarters
Ø Para Medical Staff Quarters
Kurji Holy Family Hospital,Sadaquat Ashram P.O Patna 800 010
Tel NO: 0612-2262540/2264117/2262156
Fax : 0612-2268374
Email : email@example.com
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Last updated: August 17, 2012.