EQUIPMENT AND

SUPPLIES FOR PRIMARY

HEALTH CENTRES

INTRODUCTION:

• 20,000 in hilly, tribal, or difficult areas &

• 30,000 populations in plain areas with 4-6

indoor/observation beds

• P e e ti e child health

• Rep oducti e a d se ual health –

• T eat e t of i ju ies

• E e ca e

• Health educatio a d health promotion.

Functions of PHC:

Standard lists for equipments:

• Providing a framework for budgeting

• • A oidi g p ocu e e t of ite s

• • Reduci g duplicatio of ite s

• • P e e ti g o e -ordering and over-stocking.

• • P io itise e ac uisitio s.

The VEN system

• ■ Vital – items that are crucial for providing basic

health services.

• ■ Essential – items that are important but not

absolutely crucial for providing basic health

services.

• ■ Not so essential – items that are used for minor

or self-limiting problems

Issues in using equipment i • • Public health

• • Technical

• • Economic

• • Clinical

Appropriateness of equipment:

• • Local conditions

• • Compatibility

• • Acceptability

Types of equipments: • Consumables – are essential for an item to perform

its basic function.

• Accessories – are complementary and add to the

functions of an item of equipment, but are not

always essential.

Safety and performance standards

• IEC

• ISO

• CE mark

• Pharmacopoeia specifications

• Quality certificates or export certificates

• Check facility & utility

• Easy for the staff to handle

• Check for service and user manuals

• Consider the availability of consumables,

accessories and spare parts

Use and maintenance

• National policy

• Sterilisation

• Supply

Disposable or reusable

LIST OF SUGGESTED EQUIPMENTS AND

FURNITURE FOR PHC:

• • No al Deli e y Kit • • E uip e t fo assisted a uu & fo eps deli e y

• • Sta da d Su gi al Set fo episioto ies stit hi g

• • E uip e t fo Ma ual Va uu Aspi atio

• • E uip e t fo Ne Bo Ca e a d Neo atal Resuscitation

• • IUD i se tio kit • • E uip e t / eage ts fo esse tial la o ato y

investigations

• • Ref ige ato s.

• ILR/Deep Freezer

• Ice box

• Computer with accessories including internet facility

• Baby warmer/incubator.

• Binocular microscope

• Equipments for Eye care and vision testing:

• Equipments under various National Programmes

• Radiant warmer for new borne baby

• Baby scale

• Phototherapy unit

• Self inflating bag and mask-neonatal size

• Laryngoscope and Endotracheal intubation tubes

• Mucus extractor with suction tube and a foot

operated suction machine

• Feeding tubes for baby

• All kinds of forceps

• • MVA sy i ge a d a ulae of diffe e t sizes

• Kidney tray for emptying contents of MVA syringe

• Trainer for tissues

• Torch without batteries – 2

• Tray containing chlorine solution for keeping soiled

instruments

• Residual chlorine in drinking water testing kits

• H2S Strip test bottles

• A labour table

• Suction machine

• Facility for Oxygen administration

• Sterilisation equipment

• 24-hour running water

• Electricity supply with back-up facility (generator with POL)

• Attached toilet facilities

• An area earmarked for new-born care

• Emergency drug tray: This must have the following drugs

* Inj. Oxytocin

* Inj. Diazepam

* Tab. Nifedepine

* Magnesium sulphate

* Inj. Lignocaine hydrochloride

* Inj. Methyl ergometrine maleate

* Sterilised cotton and gauze

• 10. Delivery kits

• List of equipment for Pap smear

• Cus o’s agi al spe ulu

• Si ’s vaginal speculum – single & double ended

• Anterior Vaginal wall retractor

• Sterilised cotton swabs and swab sticks in a jar with lid

• 8. Antiseptic solution: Chlorhexidine 1% or Cetrimide 2% (if povidone iodine solution is available)

• Clean slides with cover slips

• Cotton swab sticks

• KOH solution in bottle with dropper

• Saline in bottle with dropper

• Ay e’s spatula

• Fixing solution / hair spray

• Requirements of the laboratory Reagents

• 1. For Cyan meth - haemoglobin method for Hb

estimation

• 2. Uristix

• 4. KOH solution for Whiff test

• 5. G a ’s iodi e

• 6. Crystal Violet stain

• 7. Acetone-Ethanol decolourising solution

• 9. PH test strips

• Glassware and other equipment

1. Colorimeter for Hb estimation

2. Test tubes

3. Pipettes

4. Glass rods

5. Glass slides

6. Cover slips

7. Light Microscope

• Examination table 3

• Plastic chairs (for in-patie ts’ atte da ts) 6

• Armless chairs 8

• Full size steel almirah 4

• Labour table 1 & OT table 1

• Arm board for adult and child 4

• Wheel chair 1 & Stretcher on trolley 1

List of Furniture (including surgical) at

PHC

• Instrument trolley 2

• Wooden screen 1 & Foot step 5

• Coat rack 2 & Bed side table 6

• Bed stead iron (for in-patients) 6

• Baby cot 1 & Stool 6

• Medicine chest 1 & Lamp 3

• Shadowless lamp light (for OT and Labour room) 2

• Side Wooden racks, Fans 6 & Tube light 8

• Buckets & Mugs 4

• LPG stove 1 & LPG cylinder 2

• Sauce pan with lid 2 & Water receptacle 2

• Rubber/plastic shutting 2 meters

• Drum with tap for storing water 2

• I V stand 4 & Mattress for beds 6

• Foam Mattress for OT & for labour table 1

• Mackintosh for labour and OT table 4 metres

• Kell ’s pad fo labour and OT table 2 sets

• Bed sheets 6,Pillows with covers 8 & Blankets 6