Draft RevisedDraft RevisedINDIAN PUBLIC HEALTH INDIAN PUBLIC HEALTH

STANDARDS (IPHS) STANDARDS (IPHS)

IPHS TASK ForceBhopal-MP

Modifications in the

updated / Revised Standards

Proposed Categorization of Subcentres

3 categories, based upon

• population covered /catchment area,

• Location and Geographical terrain

• Health Seeking Behavior,

• caseload,

• epidemiological situation,

• other facilities PHC/CHC/FRU/Hospitals in nearby area

Category A• Remote, difficult, tribal area with poor

infrastructure with poor transport facility but population dependent on them, ANMs conducting deliveries mostly at homes.

• Providing labour room facilities and equipments not feasible.

• RCH and outreach services mainly

Staff recommended

• One ANM (Essential and SBA tr.), Desirable: 2

• One Health Worker (Male) (Essential)

Category A

• MPW on priority in areas endemic for malaria.

• Expected deliveries with a birth rate of 30 per

month in 5000 population is 150 per year i.e

about 12 deliveries in a month.

• If deliveries >15 per month- additional ANM

• State Government should focus on such sub-

centres for strengthening the infrastructure,

Category B• very low case load of deliveries

• in the vicinity of other health facilities like PHC/CHC/FRU/Hospital,

• headquarter area

• areas where good referral transport facilities are available

• may not be promoted for deliveries

• all other recommended services including NCD

• Staff to be provided training in these programmes.

Category B: Staff

• One ANM (Essential)

• One Health Worker (Male): (Essential)

• One contractual Safai-worker (part-time)

• Note: If there is shortage, Health worker

male should be posted on priority in areas

endemic for malaria.

Category C( MCH Center)• Centrally or better located with good

connectivity to catchment areas.

• good physical infrastructure preferably with own buildings, adequate space, residential accommodation, labour room facilities

• good case load

• no nearby higher level delivery facilities.

• should be developed as Delivery facility and cater also to adjacent 2 to 3 subcentre areas

• expected load >30 deliveries per month.

Category C( MCH Center)• Should be provided with all labour room facilities,

equipments, including Newborn care corner.

• ANMs -SBA trained.

• About 4 to 5 rooms including washroom facilities:– Waiting Room, – Labour Room with one labour table with New born

corner, – one room with four beds– Rooms for store & office cum clinic

• Residential Accommodation

• Extra equipments, drugs, supplies, materials and budget for smooth functioning.

Category C (MCH Centre)

Staff recommended

• Two ANM (Essential)

• One Health Worker (Male): (Essential)

• One LHV/Staff Nurse (Desirable)

• One contractual full-time Safai-worker

(Essential)

PHC : ModificationsInfrastructure: signage’s, barrier free access, disaster

prevention measures (desirable for new upcoming facilities),environmental friendly features, computer facility with internet for MIS,

• new born care corner • one room for counseling, • waste disposal pit, cold chain logistic and generator room,

boundary wall,

Manpower: Added

Essential: One data handler

Desirable: One AYUSH Doc. and one pharma

• One LHV, One Accounts Manager

Staff PHC

Essential Desirable Medical Officer- MBBS for OP services 1 MO -AYUSH 1  Accountant /Clerk 1  Pharmacist 1  Nurse-midwife (Staff-Nurse) 3* 1

Health workers (F) 1  Health Asstt (Male) 1  Health Asstt. (Female)/LHV 1

Data entry cum computer operator 1  

Laboratory Technician 1  

Cold Chain & Vaccine Logistic Assistant   1

Multi-skilled Group D worker 2  

Sanitary worker cum watchman 1  

Total 15 17

Manpower: CHCPersonnel Essential Desirable

Block Medical Officer 1  

General Surgeon 1

Physician 1

Obstetrician & Gynaecologist 1

Paediatrician 1

Anaesthetist 1

Public Health Specialist 1  

Dental Surgeon 1  

Medical Officer 7 ( with training in specialties)

Total 9 +1 

Medical Officer - AYUSH 1  

Staff Nurse 10  

Public Health Nurse (PHN) 1 1

Pharmacist 1 1

Pharmacist – AYUSH 1  Lab. Technician 2  

Radiographer 1  

Dietician   1Ophthalmic Assistant 1  

Dental Assistant 1  

Cold Chain & Vaccine Logistic Assistant 1  

Dresser (certified by Red Cross/ Johns Ambulance) 1  

Ward Boys / Nursing Orderly 5  

Registration Clerk 2  Statistical Assistant/Data Entry Operator 2  

Account Asst 1  Admin Assistant 1  OT Technician 1  

Multi Rehabilitation / Community Based Rehabilitation worker

1 1

Counsellor 1  Driver* 0 3 Total 45 75

All districts hospitals will have following specialties :- Essential

Medicine Surgery Gynecology

Paediatrics Anaesthesia Ophthalmology

Orthopedics Radiology

PathologyENT

Dental Science AyushDesirable

DermatologyMicrobiologyPsychiatry

.

DH Man Power -MedicalSpecialist 100 Beds 200 Beds 300 Beds 400 Beds 500 Beds

Medicine 2 2 3 4 5

Surgery 2 2 3 3 4

Gynae 2 3 4 5 6

Paed. 2 3 4 4 5

Anaesth 2 2 3 3 4

Optho 1 1 2 2 2

Ortho 1 1 2 2 2

Radio 1 1 2 2 2

Patho 1 2 3 3 4

ENT 1 1 2 2 2

Dental 1 1 2 3 3

MO 11 13 15 19 23

Dermo 1 1 1 1 1

Psych 1 1 1 1 1

Microbio 1 1 1 1 1

total 27 +3 33 + 2 48 55 65

DH Man Power -MedicalCadre 100 Beds 200 Beds 300 Beds 400 Beds 500 Beds

Doctors 27 32 48 55 65

Staff Nurse 45 90 135 180 225

Lab Tech 6 9 12 15 18

Pharmacist 4 6 8 10 12

Storekeeper 1 1 2 2 2

Radiographer 2 3 5 7 9

ECG Tech/Eco 1 2 3 4 5

Audiometrician - - 1 1 1

Optho. Asstt. 1 1 2 2 2

EEG Tech - - 1 1 1

Dietician 1 1 1 1 1

Physiotherapist 1 1 2 2 3

OT.technician 4 6 8 12 14

CSSD Asstt 1 1 2 2 3

Social Worker 2 3 4 5 6

Counsellor 1 1 2 2 2

DH Man Power -MedicalCadre 100 Beds 200 Beds 300 Beds 400 Beds 500 Beds

Dermatologist - - 1 1 1

Cyto Tech - - 1 1 1

PFT Technician - - - - 2

Dental Technician

1 1 2 2 3

Darkroom Asstt. 2 3 5 7 9

Rehabilitation Therepist

1 1 2 2 3

Biomedical Engineer

1 1 1 1 1

TOTAL MAN POWER STRENGTH

Doctors 27 32 48 55 65

Staff Nurse 45 90 135 180 225

Paramedical 30 41 65 80 99Total Srength 102 163 248 315 389

DH Man Power –Admn.Cadre 100

Beds200 Beds 300 Beds 400 Beds 500 Beds

Hospital Administrator

1 1 1 2 2

Housekeeper/manager

1 2 3 4 5

Medical Records officer

1 1 1 1 1

Medical Record Asstt.

1 2 3 3 3

Accounts/Finance

2 3 4 5 6

A.O. 1 1 1 1 1

Office Asstt. Gr I 1 1 2 2 2

Office Asstt. Gr II

1 1 2 3 4