INTRODUCTION

IPHS for sub-centres ,PHCs ,CHCs ,sub-district

and district hospitals were published in
january/february 2007 under National Rural
Health Mission[NRHM] which was launched in
the year 2005.
IPHS have been used as the reference point for
public health care infrastructure planning &
up-gradation
OBJECTIVES OF IPHS;
To ensure minimum package of assuredservices.
To achieve & maintain acceptable standardsof
quality of services.
To make the services more responsive & sensitive
to the needs of the community to enhance patient
satisfaction.
IPHS GUIDELINES FOR SUB-CENTRES
Sub-centres provide health care facilities for a
population of 5000 in plains & 3000 in hilly/tribal
areas.
Staff of sub-centre: Multi purpose Health worker[male
& female], who are in linkage with the anganwadi
workers, ASHA worker, village healthguide.
SERVICES PROVIDED:
Maternal & Child health:
1. Early registration of all pregnancies, antenatal, natal &
postnatal care, promotion of institutional deliveries.
2. Identification of cases forreferral.
3. Essential newborn care [maintain body temperature,
initiate breast feeding]
 Family planning & contraception: Education, motivation
& counseling to adopt appropriate family planning
methods.
 Curative services: Provide treatment for minor ailments
like diarrhea, fever, & first aid. Appropriate and prompt
referral..
Adolescent & school health services:
1. Education, counselling & referral.
2. Prevention of anemia.
3. Screening & treatment of minor ailments,
immunization, prevention & managementof
nutritional deficiencies in children.
 National Health Control Programmes:
1. National AIDS control programme[NACP]: IEC
activities to enhance awareness & preventive
measures about STIs & HIV/AIDS, & HIV-TB
coordination.
2. National vector borne disease control programme [NVBDCP]:
Collection of blood slides of fever patients. RDT for diagnosis in
endemic areas. Assistance for integrated vector control activities.
3. National leprosy eradication programme [NLEP]: Health
education to community regarding leprosy. Referral of suspected
cases to PHC.
4. Revised national TB control programme [RNTCP]: Referralof
suspected symptomatic cases toPHC.
5. National Programme for Control of blindness [NPCB]: Detection
of cases of impaired vision, spreading awareness regarding eye
problems.
6. National programme for prevention & control of cancer,
diabetes, cardiovascular diseases & stroke: IEC activitiesto
promote healthy lifestyle.
 Record of vital events.
IPHS GUIDELINES FOR PHC
PHC is health carecentre for a population of 20000-
30000.
Staff at PHC: Medical officer-MBBS-1
Medical officer-AYUSH Accountant
Pharmacist
Staff-nurse
Health worker [female]
Health assistant [male & female]
Laboratory technician
SERVICES PROVIDED
Medical care: OPD services- 4 hrs in morning & 2 hrs in
afternoon. 24 hrs emergency services. In-patientservices[6
beds].
Maternal & child health care:
1.Antenatal care: Early registration. Antenatal checkups.
Routine lab investigations. Nutrition & healthcounseling.
2. Intranatal care: Management of normal deliveries. Assisted
vaginal deliveries.
3. Postnatal care: Initiation of breast feeding. Counseling on
nutrition, hygiene, essential new born care.
4. New born care: Facilities for Essential new born care
[ENBC] & Resuscitation [Newborn care corner in labour
room/OT]. Management of neonatal hypothermia.
Family welfare: Education, motivation & counseling to
adopt appropriate family planning methods. Provision
of contraceptives.
Care of the child: Routine & emergency care of sick
children including Integrated management of
neonatal & childhood illnesses [IMNCI] strategy.
Assessment of growth & development.Full
immunization of children. Vitamin Aprophylaxis.
Prevention & management of routine childhood
diseases, infections.
School & adolescent health care: Screening of general
health, assessment of nutritional status. Mid-daymeal
scheme. IEC regarding reproductive health &
RTIs/STIs.
National Health Programmes:
1. RNTCP: Function as DOTS centres to deliver
treatment as perguidelines. Collection & transport
of sputum samples.
2. NLEP: Diagnosis & management of leprosy & it’s
complications. Training of patients having ulcers for
self-care.
3. Integrated disease surveillance project [IDSP]:
Weekly reporting of epidemic prone diseases.
Appropriate preparedness & first level action on out-
break situations.
4. NPCB: Early detection of visual impairment &
referral. Awareness generation through appropriate
IEC strategies.
5. NVBDCP: Diagnosis & management of vector borne
diseases.
6. National AIDS control programme: IEC activities to
enhance awareness & preventive measures about STIs&
HIV/AIDS. Help & guide patients receivingART.
7. NPCDCS: IEC services for prevention of cancer & early
detection. Health promotion services to modifylifestyle.
Early detection, management & referral of cases of non
communicable diseases.
 Training: of- undergraduate medical students & intern
doctors in basic health care.
- male & female health worker.
- ASHA worker.
- paramedics in treatment of minorailments
Basic lab & diagnostic services: Routine urine & blood
tests
- Diagnosis of RTI/STDs
- sputum testing for mycobacterium.
- blood smear examination formalaria
- rapid tests for pregnancy.
- blood sugar.
 Promotion of safe drinking water & basic sanitation.
 Monitoring & supervision of activities of sub-centre.
 Record of vital events including birth & deathrates.
IPHS GUIDELINES FOR CHC
A CHC caters a population of 80,000 in tribal/hilly areas &
1,20,000 in plains.
Staff of CHC: Block medical officer
-Public health specialist-1
- Public health nurse-1
- General surgeon-1
- General physician-1
- Obstetrician & gynaecologist-1
- Paediatrician-1
- Anaesthetist-1
- Dental surgeon-1
-General duty medical officer [MBBS]-6[atleast 2 female
doctors]
Continued…
- Medical officer- AYUSH-1
- General duty medical officer- AYUSH-1
- Staff nurse- 19
-Pharmacist-3
- Lab technician-3
- OT technician-1
- Accountant-1
- Group D staff
SERVICES PROVIDED
Care of routine & emergency cases in surgery:
Dressings & incision & drainage.
Care of routine & emergency cases in medicine
Maternal health: Antenatal checkups. 24 hr delivery
services. Management of complications. Postnatalcare
for 0 & 3rd day.
Newborn care & child health: Essential newborncare&
resuscitation in newborn corner in labour room & OT.
Newborn stabilization unit. Routine & emergency care
of sick children. Immunization & prevention &control
of childhood diseases. Management of malnutrition.
Family planning: Full range of family planning services
including sterilisation techniques. Safeabortion services as
per MTP.
National Health Programme:
1. RNTCP: All diagnostic services & treatment.
2. HIV/AIDS control programme: Integrated counseling &
testing centre. Sexually transmitted infection clinic.
3. NVBDCP: Diagnosis & treatment for routine&
complicated cases of vector bornediseases.
4. NLEP: Diagnosis , treatment & managementof
complications to preventdisabilities.
5. NPCB: Vision testing & early detection ofvisual
impairment. Awareness generation through IECactivities
6. NPCDCS: Early detection & referral of cancer cases.
Screening for cervical, breast & oral cancers.
Modification of lifestyle of people. Treatment & timely
referral of complicated cases. Assured investigations.
Other services:
1. School & adolescent health: Screening of general
health, nutritional assessment, immunization, Mid-
day meal. Education for reproductive health &STDs
to adolescents & management.
2. Blood storage facility.
3. Diagnostic services: In addition to lab facilities , X-
ray & ECG should be madeavailable.
4. Referral [transport] services.