Indian Public Health Standards (IPHS) for 101 to 200 bedded District Hospitals
January 2007

Directorate General of Health Services

Ministry of Health & Family Welfare
Government of India

District Hospital is an integral part of the District Health System (DHS), which is, the point of origin for implementing various health policies and delivery of health care. It fulfills the need of secondary level of health care acting as a centre for curative, preventive, and promotive health care services as well as interface with institutions controlled by non-government and private voluntary health organizations. The current functioning of most of the District Hospitals is below the level of expectations due to non-uniformity in staff/bed strength, equipments and service availability and population coverage. The National Rural Health Mission (NRHM) launched by the Hon’ble Prime Minister of India on 12 April, 2005 aims to restructure the delivery mechanism for health towards providing universal access to equitable, affordable and quality health care that is accountable and responsive to the peoples needs, reducing child and maternal deaths as well as stabilizing population and ensuring gender and democratic balance. As envisaged under NRHM, Sub-districts/Sub-divisional Hospitals would be upgraded from its present level to a level of set of Standards called ‘Indian Public Health Standards (IPHS)’.

The Indian Public Health Standards (IPHS) for District Hospitals has been worked out by constituting an Expert Group comprising of various stakeholders under the Chairmanship of Director General Health Services, Ministry of Health & Family Welfare, Government of India. These Standards have been prepared bed strength-wise for 101-200 beds, 201-300 beds and 301-500 beds. The Indian Public Health Standards (IPHS) for District Hospital has been prepared, keeping in view the minimum resources available and mention functional level of the Hospitals in terms of space, manpower, instruments, drugs and other basic health care services. Constitution of Rogi Kalyan Samittee /Management Committee with involvement of PRIs, Citizen Charter are expected to make improvement in the functioning and accountability of these Hospitals. Of course, setting Standards is a dynamic process and this document provides at this stage the standards for a minimum functional grade for a District Hospital. I hope that this document will be useful to all the stake holders. Any comment for further improvement is most welcome. I would like to acknowledge the efforts put in by the Director General of Health Services and Infrastructure Division in preparing the Guidelines.

New Delhi Dated : 16th May, 2007

(Naresh Dayal) Secretary (H&FW) Ministry of Health & Family Welfare Government of India


R. New Delhi Dated: 16th May. Setting Standards is a dynamic process and this document is not an end in itself. The Government of India through the National Rural Health Mission (NRHM) is committed to strengthen these Hospitals to a level of Indian Public Health Standards (IPHS). an effort has been made to prepare Indian Public Health Standards (IPHS) for District Hospitals in the country.K. Standards are a means of describing a level of quality that health care organizations are expected to meet or aspire to. and the efforts made by the Infrastructure Division of the Ministry of Health & Family Welfare in bringing out the first document of IPHS for District Hospitals is well appreciated. Srivastava) Director General of Health Services Ministry of Health & Family Welfare Government of India iv . 2007 (Dr. It is also the fundamental platform for implementing various health policies and delivery of healthcare and management of health services for defined geographical areas. Further revision of Standards will occur as and when these Hospitals achieve a minimum functional grade. For the first time under National Rural Health Mission (NRHM). I hope that this document will be of immense help to the State governments and other stakeholders in bringing up these Hospitals to the level of Indian Public Health Standards. preventive and promotive healthcare services to the people in the district. The performance of these Hospitals can then the assessed against the set of Standards prescribed. The Standards have been prepared in consultation with the Expert Group constituted for this purpose and taking in to consideration the minimum functional level needed for providing a set of assured services.Preface District Hospitals function as a secondary level of health care which provides curative. The contribution of the Expert Group members.

2007 (Dr. preventive and promotive healthcare services to the people in the district. Majumdar.Acknowledgements Indian Public Health Standards (IPHS) for the District Hospitals fulfill the needs of secondary level of healthcare providing curative. Addl D. Salhan. I also gratefully acknowledge the initiative. Sushma Rath. 201-300 and 301-500 bedded hospitals. Additional Secretary. Director General of Health Services and Smt. The assistance provided by the staff of Rural Health Section of the M/o Health & Family Welfare is duly acknowledged. and Director (NICD) and Shri S. Chief Architect. S. an attempt has been made to formulate IPHS for District Hospitals having different bed strengths such as 101-200. R.G. The help and encouragement provided by Shri Amarjeet Sinha. S. I gratefully acknowledge the valuable contribution made by all the members of the Expert Group constituted to formulate Indian Public Health Standards (IPHS) for the District Hospitals. Ministry of Health & Family Welfare for their valuable contribution and guidelines in formulating the IPHS for the District Hospitals. encouragement and guidance provided by Dr. Government of India is also gratefully acknowledged. Srivastava. Satpathy) Member Secretary – Expert Group Director Central Health Education Bureau Directorate General of Health Services Ministry of Health & Family Welfare Government of India v .N. Brij Mohan Singh Bhandari. I would specifically like to thank Dr.K. Joint Secretary(H&FW). Bureau of Design. Shivlal. The preparation of this document has been made possible by the assistance provided by Smt.K. Under Secretary (ID/PNDT) and the secretarial and typing assistance provided by Sh. New Delhi Dated: 16th May. This document contains the Standards set for 101-200 bedded hospital at district level. Dr. Additional D.G. As the population and geographical area of a district varies in different States and UTs. and Medical Superintendent (Safdarjang Hospital). M/o Health & Family Welfare. R. The document is the result of efforts put in by both the government and non-government organizations. I am thankful to them individually and collectively. Jalaja.

Introduction Objectives of IPHS for District Hospitals Definition of District Hospital Grading of District Hospital Functions Essential Services Physical Infrastructure Manpower Equipment Laboratory Services Recommended allocation of bed strength at various levels List of Drugs Capacity Building Quality Assurance in Services Rogi Kalyan Samities / Hospital Management Committee Citizen’s Charter 1 3 3 3 4 4 36 42 45 60 63 65 79 79 79 79 84 87 90 91 Annexure – I: Guidelines for Bio-Medical Waste Management Annexure – II: Reference Laboratory Networks List of Abbreviations References vii . 14. 4. 12. 16.Contents 1. 5. 9. 8. 10. 2. 11. 3. 6. 13. 15. 7.

interpersonal behaviour and decision making models to serve the system and improve its efficiency and effectiveness. The current functioning of the most of the district hospitals in the public sector are not up to the expectation especially in relation to availability. The staff strength. In the first changing scenario. Various specialists like surgeon. pediatrics. The bed strength also varies from 75 to 500 beds depending on the size. the objectives of a district hospital need to unify scientific thought with practical operations which aim to integrate management techniques. covering 370 district hospitals from 26 states have revealed that 59% of the surveyed district hospitals have tap water facility. beds strength.IPHS for 101 to 200 Bedded District Hospitals 1. However. A separate aseptic labor room is found in only 45% of the surveyed district hospitals. As regards manpower 10% of the district hospitals do not have O&G specialists and pediatricians.000 (Yanam in Pondicherry. obstetricians and gynecologists. The electricity facility is available in 97% of the districts with a stand by generator facility in 92% of the cases. namely primary. 80% of the DHs have at least one pathologist and 83% of the total DHs have at least . Every district is expected to have a district hospital linked with the public hospitals/health centres down below the district such as Sub-district/ Sub-divisional hospitals. ophthalmologists. physicians. orthopedic surgeon. 609 districts in the country at present are having about 615 district hospitals. Primary Health Centers and Sub-centres. management of health services for defined geographic area. Government of India. District Health System is the fundamental basis for implementing various health policies and delivery of healthcare. As per Census 2001. terrain and population of the district. accessibility and quality. About 73% of the surveyed district hospitals have laboratories. ENT specialists and dentists have been placed in the district headquarter hospitals. Amritsar districts). One such step is strengthening of referral services and provision of speciality services at district and sub-district hospitals. secondary and tertiary level of health care. preventive and promotive healthcare services to the people in the district. Community Health Centres. As per the information available. Few districts have also more than one district hospital. The district hospitals caters to the people living in urban (district headquarters town and adjoining areas) and the rural people in the district. A number of steps have been taken to that effect in the post independence era. 1 District hospital system is required to work not only as a curative centre but at the same time should be able to build interface with the institutions external to it including those controlled by non-government and private voluntary health organization. Lahaul & Spiti in Himachal Pradesh) to as high as 30 lakhs (Ludhiana. Introduction India’s Public Health System has been developed over the years as a 3-tier system. equipment supply and service availability and population coverage are not uniform among all the district hospitals. As per the second phase of the facility survey undertaken by the Ministry of Health & Family Welfare. The Government of India is strongly committed to strengthen the health sector for improving the health status of the population. District hospital is an essential component of the district health system and functions as a secondary level of health care which provides curative. Only half of the total number of district hospitals have OPD facility for RTI/STI. anesthetists. the population of a district varies from as low as 32. some of the medical college hospitals or a sub-divisional hospital is found to serve as a district hospital where a district hospital as such (particularly the newly created district) has not been established. Almost all the DHs in India have one operation theatre and 48% of them have an OT specifically for gynecological purpose.

staff nurses. medical records. The Bureau of Indian standards(BIS) have developed standards for hospitals services for 30 bedded and 100 bedded hospitals and standards for 250 bedded. increase awareness among common consumers. It has been observed that development of hospitals is not keeping pace with the scientific development. The key aim of the standard is to underpin the delivery of quality services which are fair and responsive to clients’ needs. which should be provided equitably and which deliver improvements in health and well being of the population. level of the use of the services. accountability. diagnostic procedures. There is lack of community participation and ownership. house keeping. management and accountability of district hospitals through hospital management committees. proper emergency services.IPHS for 101 to 200 Bedded District Hospitals one anesthetist. The National Rural Health Mission (NRHM) has provided the opportunity to set Indian Public Health Standards (IPHS) for various health institutions at various levels starting from Subcentres. these standards are considered very resource intensive and lack the processes to ensure community involvement. and constantly rising expectation . essential pharmaceuticals and supplies. dietary and management of nursing services. laundry. referral support and resources. There is an urgent need to provide guidance to those concerned with quality assurance in district hospitals services to ensure efficiency and effectiveness of the services rendered. Community Health Centres and so on up to the district level hospitals. Most of the district hospitals suffer from large number of constraints such as x Buildings are either very old and in dilapidated conditions or are not maintained properly. There is a lack of trained and qualified staff for hospitals management and for the management of other ancillary and supportive services viz. However. The position of general duty officers. Standards are the main driver for continuous improvements in quality. storage and retrieval of information. Standards are a means of describing the level of quality that health care organization are expected to meet or aspire to. central sterilization department. biomedical advancement. The need for evaluating the care being rendered through district hospitals has gained strength of late. A typical district hospital lacks modern diagnostics and therapeutic equipments. the hospital management. Only 68% of the district hospitals have linkage with the district blood banks. This is not to say that standards for various hospitals do not exist in the country. The present draft guidelines are an effort to prepare Indian Public Health Standards for the District Hospitals. The facilities at district hospitals require continuation upgradtion to keep pace with the advances in medical knowledge. resulting in the use of sophisticated and advanced technology in diagnosis and therapies. Primary Health Centres. female health workers and laboratory technicians are available in almost all district hospitals. 500 bedded teaching and non teaching and 750 bedded teaching and non teaching will be published by BIS later. In this context a set of standards are being recommended for district hospitals to be called as Indian Public Health Standards (IPHS) for 2 x x x x District Hospitals have come under constantly increasing pressure due to increased utilization as a result of rapid growth in population. intensive care units. The performance of district hospitals can be assessed against a set of standards. and citizens’ charter etc peculiar to the public hospitals.

Rationalisation of Service Norms for Secondary Care Hospitals prepared by Govt. WHO. To achieve and maintain an acceptable standard of quality of care. the number of beds required for a district having a population of 10 lakhs will be around 300 beds. Setting standards is a dynamic process.000 (Census 2001). it would be prudent to prescribe norms by grading the size of the hospitals as per the number of beds. 3. The expansions already done have resulted in construction touching the boundaries walls with no scope of further expansions. To provide comprehensive secondary health care (specialist and referral services) to the community through the District Hospital. Definition of District Hospital The term District Hospital is used here to mean a hospital at the secondary referral level responsible for a district of a defined geographical area containing a defined population. 4. Reference has been made to the BIS Standard for 100 bedded hospitals.IPHS for 101 to 200 Bedded District Hospitals District Hospitals. As far as possible. The specific objectives of IPHS for DHs are: i. the needs of the people of the district. of Tamil Nadu. The timeframe for implementation and achievement of these Standards could be extended for five years and to be done in phases. This document contains the standards to bring the District Hospitals to a minimum acceptable functional grade with scope for further improvement in it. as the population of the district varies a lot. It is not possible to 3 2. 1998 and Indian Public Health Standards (IPHS) for Community Health Centres. The current effort is only to workout standards for a minimum functional grade level district hospital. Most of the existing hospitals below district level (31-50 Bed category) are located in older buildings in urbanized areas / towns as compared to most Primary Health Centres / Sub-centres. Guidelines for Development and Operations. States should not dislocate the said hospitals to a new location (in case of dislocating to a new location. which in turn is a function of the size of the population it serves. District Health Facilities. However. iii. Based on the assumptions of the annual rate of admission as 1 per 50 populations and average length of stay in a hospital as 5 days. Setting standards is a dynamic process.000 to 30. In India the population size of a district varies from 35. Objectives of Indian Public Health Standards (IPHS) for District Hospitals: The overall objective of IPHS is to provide health care that is quality oriented and sensitive to . Grading of District Hospitals: The size of a district hospital is a function of the hospital bed requirement. the original client group will not be able to have same access to the desired health facilities). Grade I: District Hospitals norms for 500 beds Grade II: District Hospitals norms for 300 beds Grade III: District Hospitals norms for 200 beds Grade IV: District Hospital norms for 100 beds. These standards are flexible as per the requirements and resources available to the concerned State/UT Government. This document contains the standards to bring the District Hospitals to a minimum acceptable functional grade with scope for further improvement in it. The disease prevalence in a district varies widely in type and complexities.00. To make the services more responsive and sensitive to the needs of the people of the district and the hospitals/centers from which the cases are referred to the district hospitals ii.

It provides effective. 3. emergency services. affordable healthcare services (curative including specialist services. preventive and promotive) for a defined population.IPHS for 101 to 200 Bedded District Hospitals treat all of them at district hospitals. Functions A district hospital has the following functions: ENT Dermatology and Venerology including STI/ RTI Orthopaedics Radiology Dental care Public Health Management 6. Some may require the intervention of highly specialist services and use of sophisticated expensive medical equipments. Secondary level health care services regarding following specialties will be assured at hospital: 6. 6. has been given. equipment norms. A district hospital should however be able to serve 85-95% of the medical needs in the districts. 2. Community Health Centres. Function as a secondary level referral centre for the public health institutions below the district level such as Sub-divisional Hospitals. Primary Health Centres and Sub-centres. 4 . Patients with such diseases can be transferred to tertiary and other specialized hospitals. It covers both urban population (district headquarter town) and the rural population in the district. Essential Services Services include OPD.2 Paraclinical services Laboratory Services X-Ray Facility Sonography (Ultrasound) ECG Blood transfusion and storage facilities Physiotherapy Dental Technology (Dental Hygiene) Drugs and Pharmacy 1. The minimum functional grade of the different grades of district hospitals requiring the physical infrastructure. diagnostic and investigation facilities. manpower. with their full participation and in co-operation with agencies in the district that have similar concern. To provide wide ranging technical and administrative support and education and training for primary health care. It is expected that the hospital bed occupancy rate should be at least 80%.1 Consultation services with following specialists: General Medicine General Surgery Obs & Gyne Paediatrics including Neonatology Emergency (Accident & other emergency) (Casualty) Critical care (ICU) Anaesthesia Ophthalmology 5. indoor. drugs and other supportive services etc.

00 lakhs for repair/upgradating of impaired equipments/ instruments with the approval of executive committee of RKS. Financial accounting and auditing be carried out as per the rules along with timely submission of SOEs/UCs.IPHS for 101 to 200 Bedded District Hospitals 6. etc. 6. housekeeping and sanitation. adolescents. (i) Administrative services Medical records (Provision should be made 5 6. gender violence. ventilation and air-conditioning Transport Communication Medical Social Work Nursing Services Sterilization and Disinfection Horticulture (Landscaping) Lift and vertical transport Refrigeration (iii) (iv) (v) (vi) (ii) for computerized medical records with antivirus facilities whereas alternate records should also be maintained) Procurement Personnel Housekeeping and Sanitation Education and Training Inventory Management Finalcial powers of Head of the Institution Medical Superintendent to be authorized to incure and expenditure up to Rs. to be arranged by hospital itself.5.4. No equipment/instruments should remain non-functional for more than 30 days. waste disposal etc. Gender and socially sensitive service delivery be assured.17. It will amount to suspension of status of IPHS of the concerned institutions for absence period. Waste management Ware housing/central store Maintenance and repair Electric Supply (power generation and stabilization) Water supply (plumbing) Heating. 6. Following services mix of procedures in medical and surgical specialties would be available: . ambulance. dietary.3 Support Services Medico-legal/postmortem* Ambulance services Dietary services Laundry services Security services Counseling services for domestic violence. Outsourcing of services like laundry. Services under various National Health and Family Welfare Programmes Epidemic Control Preparedness and Disaster * Subject to location at District Headquarter.6. Manpower and outsourcing work could be done through local tender mechanism.

No. MEDICAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Pleural Aspiration Pleural Biopsy Bronchoscopy Lumbar Puncture Pericardial tapping Skin scraping for fungus / AFB Skin Biopsies Abdominal tapping Liver Biopsy Liver Aspiration Fibroptic Endoscopy Peritoneal dialysis Hemodialysis Bone Marrow Biopsy Name of Procedure OPD Procedures (Including IPD) 1 2 3 4 5 6 7 8 9 10 Dressing (Small. Medium and Large) Injection (I/M & I/V) Catheterisation Steam Inhalation Cut down (Adult) Enema Stomach Wash Douche Sitz bath CVP Line 6 .IPHS for 101 to 200 Bedded District Hospitals SERVICE MIX OF PROCEDURES IN MEDICAL AND SURGICAL SPECIALITIES S.

IPHS for 101 to 200 Bedded District Hospitals 11 12 13 Blood Transfusion Hydrotherapy Bowel Wash Skin Procedures 1 2 3 4 Chemical Cautery Electro Cautery Intra Lesional Injection Biopsy Paediatric Procedures 1 2 2.Cut down .Gases (oxygen) .Bone Marrow . DT) / Children Ward / ORT corner Services related to new borne care + all other procedures as mentioned in IMNCI .5 2.Plural/Acite Tap .Pulse Oxementer .Live Biopsy u/s guided Cardiology Procedures and Diagnostic Tests 1 2 3 4 ECG TMT Holter Thrombolytic Therapy 7 .4 2.9 2.3 2.8 2.Radiant Heat Warmer .13 Immunization (BCG.12 2.Incubator .Ventilator .Lum bar Puncture . DPT.6 2.7 2.10 2.1 2.Phototherapy .Exchange Transfusion .2 2. OPV. Measles.only cradle .11 2.

2 1.Electric Vibrator .1 With Electrical Equipments .9 1. deudenum) (Diagnostic and Therapeutic) Sigmoidoscopy and Colonoscopy Bronchoscopy and Foreign Body Removal Arthros copy (Diagnostic and Therapeutic) Laproscopy (Diagnostic and Therapeutic) Colposcopy Hysteroscopy Psychiatry Services 1 2 Modified ECT Narcoanalysis Physiotherapy Services 1 1.IPHS for 101 to 200 Bedded District Hospitals 5 6 7 8 C V P Line Defibrilator Shock NTG/Xylocard Infusion ECHO Cardiography Endoscopic Specialised Procedures and Diagnostic 1 2 3 4 5 6 7 Gastroscopy (Oesophagus.4 1.Computerised Tractions (Lumbar & Cervical) .Ultra Sonic Therapy .Vibrator Belt Massage With Mechanical Gadgets/Exercises .Electrical Stimulator .Paraffin Wax Bath .Mechanical Tractions (Lumber & Cervical) 8 .Infra Red Lamp (Therapy) .5 1.10 2 2.7 1. stomach.1 1.8 1.6 1.3 1.Short wave diathermy .U V (Therapeutic) .Electrical Stimulator with TENS .

Epilation .4 1.1 1.Wart Excision 9 .Refraction (by using snellen’s chart) .Syringing & Probing .Biometry / Keratometry .6 1.15 1.Foreign Body Removal (Corneal) .Gripper .Retrobular Injection (Alcohol etc.3 2.Foreign Body Removal (conjuctival) .Shoulder Wheel .12 1.2 1.10 1.10 2.Supinator Pronator Bar .) .13 1.Post Polio Exercise .Refraction (by auto refrectro meter) .IPHS for 101 to 200 Bedded District Hospitals 2.12 .6 2.9 1.Walking Bars .Obesity Exercises .9 2.Exercycle .11 2.I & C of chalazion .14 1.Syringing and Probing .2 2.Suture Removal .Automated Perimetry .11 1.Pterygium Excision .4 2.8 1.7 1.3 1.Visco Weight Cuffs .8 2.7 2.Tonometry .Cerebral Palsy – Massage .16 OPD Procedures .Subconj Injection .5 1.Breathing Exercises & Postural Drainage Eye Specialist Services (Ophthalmology) 1 1.Shoulder Pulley .5 2.

23 1.18 1.3 2.Paracentesis .Conjuctival Cyst .15 .Canthotomy .Small Lid Turnour Excision .Cauterization (Thermal) .Examination under GA .4 2.17 1.19 1.Conjuctival Resuturing .Retinoscopy IPD Procedures .2 1.3 OPD Procedures .Syringing of Ear .Enucleation with Implant .2 2.Stye .12 2.24 2 2.I & D Lid Abscess .10 2.5 2.6 2.IPHS for 101 to 200 Bedded District Hospitals 1.1 2.Cataract Extraction .20 1. Chamber Wash .Ant.Chemical Cauterization (Nose & Ear) 10 .9 2.Glaucoma (Trabeculectomy) .Perforating Coneo Scleral Injury Repair .8 2.13 2.Air Injection & Resuturing .7 2.1 1.Indirect Opthalmoscopy .22 1.21 1.Capsulotomy .11 2.Corneal Scarping .Uncomplicated Lid Tear .Foreign Body Removal (Ear and Nose) .Enucleaion without Implant .Evisceration ENT Services 1 1.14 2.Cutting of Iris Prolapse .

3 3 3. Aural & nasal) Nose Surgery .3 4.Myringotomy .1 3.5 3.Mastoidectomy .Fracture Reduction Nose .11 3.7 3.Eustachian Tube Function Test .7 4.Ear Piercing .Septoplasty .1 2.3 3.6 3.Tympanoplasty .Transantral Procedures (Biopsy.Mastoid Abscess I & D .6 4.Inter Nasal Antrostomy (nilateral & Bilateral) . Excision of cyst and Angiofibroma Excision) .Myringoplasty .4 4.8 3.9 .12 4 4.Transantral Biopsy .IPHS for 101 to 200 Bedded District Hospitals 1.Hearing Aid Analysis and Selection 11 .2 4.10 3.Septoplasty with reduction of terbinate (SMD) Ear Surgery .4 1.2 2.1 4.Stapedotomy .8 4.2 3.Therapeutic Removal of Granulations (Nasal.5 4.5 2 2.Rhinoplasty .4 3. Oropharynx) .Vestibular Function Test/Caloric Test Minor Procedures . Aural.Fracture Reduction Nose with Septal Correction .Examination under Microscope .I & D Septal Abscess (Unilateral & Bilateral) -SMR . Oropharynx.Cautrization (Oral.Packing (Anterior & Posterior Nasal) .9 3.Antral Punchure (Unilateral & Bilateral) .Punch Biopsy (Oral Cavity & Oropharynx) .

2 7.5 7 7.1 7.Adenoidectomy + Tonsillectomy .1 Throat Surgery .Tonsillectomy .Adenoidectomy .3 6.Direct Laryngoscopy .IPHS for 101 to 200 Bedded District Hospitals 5 5.Tongue Tie excision Endoscopic ENT Procedures .Tracheostomy Audiometry .4 6 6.3 8 8.1 6.4 6.Broncoscopic & F B Removal General ENT Surgery .Preauricular Sinus Excision .3 5.Audiogram (Pure tone and Impedence) Obstetric & Gynecology Specialist Services 1 2 3 4 5 6 7 8 9 10 11 Episiotomy Forceps delivery Craniotomy-Dead Fetus/Hydrocephalus Caeserean section Female Sterilisation ( Mini Laparotomy & Laparoscopic) D&C MTP Hysterectomy Bartholin Cyst Excision Suturing Perimeal Tears Ovarian Cystectomy / Oophrectomy 12 .2 5.1 5.Hypopharyngoscopy .2 6.Direct Laryngoscopy & Biopsy .Stiching of LCW (Nose & Ear) .Broncoscopic Diagnostic .

Impaction.IPHS for 101 to 200 Bedded District Hospitals 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Vaginal Hysterectomy Haematocolpes Drainage Colpotomy Casserian Hystrectomy Assisted Breech Delivery Cervical Biopsy Cervical Cautery Nomal Delivery Casserian EUA Midtrimestor Abortion Ectopic Pregnancy Ruptured Retain Placenta Suturing Cervical Tear Assisted Twin Delivery Dental Services 1 Dental Caries/Dental Abcess/Gingivitis Cleaning v 2 Periodontitis v Surgery 3 4 5 6 7 8 9 10 11 12 Minor Surgeries. Flap Malocclusion Prosthodontia (Prosthetic Treatment) Trauma including Vehicular Accidents Maxillo Facial Surgeries Neoplasms Sub Mucus Fibrosis (SMF) Scaling and Polishing Root Canal Treatment Extractions 13 .

IPHS for 101 to 200 Bedded District Hospitals 13 14 15 16 17 18 19 20 21 22 Light Cure Amalgum Filling (Silver) Sub Luxation and Arthritis of Temporomandibular Joints Pre Cancerous Lesions and Leukoplakias Intra oral X-ray Fracture wiring Apiscectomy Gingivectomy Removal of Cyst Complicated Extractions (including suturing of gums) SURGICAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Abcess drainage including breast & perianal Wound Debridement Appendicectomy Fissurotomy or fistulectomy Hemorrohoidectomy Circumcision Hydrocele surgery Herniorraphy Suprapubic Cystostomy Urethral Dilatation Cystoscopy Endoscopy Esophagoscopy Diagnostic Laparoscopy Colonoscopy Sigmoidoscopy Colposcopy 14 .

Mastectomy/Patey’s Operation Sectoral Mastectomy/Microdochectomy/Lumpectomy 15 .IPHS for 101 to 200 Bedded District Hospitals 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Breast 1 2 3 4 Hysteroscopy Arthroscopy Tonsillectomy Mastoidectomy Stapedotomy Craniotomy (Neurosurgical) Episiotomy Forceps delivery Craniotomy-Dead Fetus/Hydrocephalus Caeserean section Female Sterilisation ( Mini Laparotomy & Laparoscopic) Vasectomy D&C MTP Hysterectomy FNAC Total Parotidectomy Intra-oral removal of submandibular duct Calculous Excision Branchial Cyst or Fistula/sinus Lingual Throid Thyroid Adenoma Resection / Enucleation Hemithyroidectomy (Sub total Thyroidectomy/Lobectomy) Cysts and Benign Tumour of the Palate Excision Submucous Cysts Excision fibroadenoma – Lump Simple Mastectomy Halstead’s Radical.

IPHS for 101 to 200 Bedded District Hospitals 5 6 Hernia 1 2 3 4 5 6 7 8 9 Wadge Biopsy Excision Mammary Fistula Ingunial Hernia repair reinforcement Ingunial Hernia repair with mesh Femoral Hernia repair Epigastric/Ventral Hernia repair Recurrent Ingunial Hernia repair Ventral Hernia repair with mesh Strangulated Ventral or Incisional Hernia/Ingunial Recurrent Incisional Hernia Diaphargmatic Hernia Abdomen 1 2 3 4 5 6 7 8 9 10 11 Exploratory Laparotomy Gastrostomy or Jejuncstomy Simple Closure of Perforated Ulcer Reamstedt’s Operation Gastro-Jejunostomy Vagotomy & Drainage Procedure Adhesonolysis or division of bands Mesenteric Cyst Retroperitoneal Tumour Excision Intussuception (Simple Reduction) Burst Abdomen Repair Spleen and Portal Hypertension 1 Splenectomy Pancreas 1 2 Drainage of Pseudopancreatic Cyst Retroperitoneal Drainage of Abscess 16 .

Abscess/Perigastric Abscess Resection and Anastomosis Intussusception Intestinal Fistula Multiple Resection and Anaestomosis Intestinal Performation Biliary System 1 2 3 Cholecystostomy Cholecystectomy Cholecystectomy and Choledocholithotomy Colon. Rectum and Anus 1 2 3 4 5 6 7 8 9 10 11 Fistula in ane low level Fistula in ane high level Perianal Abscess Catheters IV Sets Colostomy Bags Ischiorectal Abscess Ileostomy or colostomy alone Sigmoid Myotomy Right Hemicolectomy Sigmoid & Descending Colectomy 17 .IPHS for 101 to 200 Bedded District Hospitals Appendix 1 2 3 Emergency Appendisectomy Interval Appendisectomy Appendicular Abscess Drainage Small Intestine 1 2 3 4 5 Liver 1 2 Open Drainage of liver abscess Drainage of Subdia.

Scrotum 1 2 3 4 5 6 7 8 Circumcision Partial amputation of Penis Total amputation of Penis Orchidopexy (Unilateral & Bilateral) Orchidectomy (Unilateral & Bilateral) Hydrocele (Unilateral & Bilateral) Excision of Multiple sebaceous cyst of scrotal skin Reduction of Paraphimosis Other Procedures 1 2 3 4 5 6 7 8 Suture of large laceration Suturing of small wounds Excision of sebaceous cyst Small superficial tumour Large superficial tumour Repair torn ear lobule each Incision and drainage of abscess Lymph node biopsy 18 .IPHS for 101 to 200 Bedded District Hospitals 12 13 14 15 16 17 18 19 20 21 22 Haemorroidectomy Sphincterotomy of Fissurectomy Tube Caecostomy Closure of loop colostomy Rectal Prolapse Repair Anal Sphincter Repair after injury Thiersch’s operation Volvulus of colon Resection anastomosis Imperforate anus with low opening Pilonidal Sinus Penis. Testes.

IPHS for 101 to 200 Bedded District Hospitals 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Excision Biopsy of superficial lumps Excision Biopsy of large lumps Injection Haemorrhoids/Ganglion/Keloids Removal of foreign body (superficial) Removal of foreign body (deep) Excision Biopsy of Ulcer Excision Multiple Cysts Muscle Biopsy Tongue Tie Debridment of wounds Excision carbuncle Ingroving Toe Nail Excision Soft Tissue Tumour Muscle Group Diabetic Foot Asnd carbuncle Urology 1 2 3 4 5 6 7 8 9 10 11 12 13 Pyelolithotomy Nephrolithotomy Simple Nephrostomy Implantation of ureters Bilateral Vesico-vaginal fistula Nephrectomy Uretrolithotomy Open Prostectomy Closure of Uretheral Fistula Cystolithotomy Superopubic Dialatition of stricture urethra under GA Dialation of stricture urethra without anaesthesia Meatotomy 19 .

Reduction Paraphimosis. Prepuceal Dilatation. Constriction brings) Reconstruction of Hand (Tendon) Polio Surgery Surgery concerning disability with Laprosy Surgery concerning with TB Paediatric Surgery 1 2 3 4 5 6 7 8 Minor Surgery. Syndactly.IPHS for 101 to 200 Bedded District Hospitals 14 15 Testicular Biopsy Trocar Cystostomy Plastic Surgery 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Burn Dressing Small. large 30% to 60%. small soft Tissue tumour (Benign) Rectal Polyp removal. Meatotomy Gland Bipsy. deep abscess Big soft tissue tumour Branchial cyst/fistula/sinus Ingunial Herniotomy (Unilateral & Bilateral) Orchidopexy 9Unilateral & Bilateral) Pyoric Stenosis Ramsteadt operation 20 . I & D. extensive > 60% Ear lobules repair one side (bilateral) Simple wound Complicated wound Face Scar – Simple Cleft Lip – One side Small wound skin graft Simple injury fingers Finger injury with skin graft Multiple finger injury Crush injury hand Full thickness graft Congenitial Deformity (Extra digit. medium (10% to 30%).

Phalanges carpals.1 2.5 2. Fixation bimaleolar fracture and fracture dialocation of ankle montaggia fracture dialocation Medical concyle of humerus fracture lateral condyle of humerus Olecranen fracture. colostomy Umbilical Hernia / Epigastric Hernia Sacrocaccygeal Teratoma Torsion of Testis Hypospadius single stage (first stage) Orthopaedic Surgery 1 1.6 2. Leg. DHS/Richard Screw Plate Synovial or bone biopsy from HIP Girdle stone Arthoplasty Fractures Open reductuin int. Foot bone and cervicle Forearm or Arm.1 3. Forarm Humerus inter-condylar fracture of humerus and femur and open reduction and int.8 2.9 3 3. head of radius lower end of radius.2 2.2 1.3 2 2. Metatarsals. Aknle 21 1.IPHS for 101 to 200 Bedded District Hospitals 9 10 11 12 13 14 15 Exploratory Laprotomy Neonatal Intestinal Obstruction / Resection / Atresia Gastrostomy. Bone. fixation or femur.4 2. Metacarples.7 2. Innominate Osteotomy/Open Reduction of Hip disclocation.2 . Thigh. excision head fibula. bone fracture External Fixation Appleication Pelvis femur. tibia humerus forearm Ext. B. tibia. Wrist.3 2.1 Hip Surgery Femoral Neck nailing with or without plating replacement prosthesis / Upper Femoral Osteotomy. lower and of Inia Drainage of fracture Interlocking nailing of long bones Debridement & Secondary closure Percutaneous Fixation (small and long bones) Closed Reduction Hand. medial malleolus patella fracture and fracture of calcaneum talus single forearm. fixation of hand & foot bones Tarsals.

femur forearm with fixation Tendon surgery soft tissue release in club foot Internal fixation of small bone (Single. Two . knee dislocation Acromiocalvicular or stemoclavicular Jt. digits) Disarticulation of hip or shoulder (Disarticulation of knee elbow/wrist/ankle. Ankle Trimalleolar open reduction Wrist dislocation on intercarpal joints MP & IP Joints Knee Synovectomy / Menisectomy Fasciotomy leg/forearm High Tibial Osteotomy Arthodesis (Shoulder/Knee Ankle.9 4.IPHS for 101 to 200 Bedded District Hospitals 3.22 4. feet or hand.24 4. Clavicle Ankle Bimalleolar Open reduction.20 4.Sequentrectomy of femur.4 4.1 4. Hand foot Amputation (Thigh or arm. single / two Currentage Bone Grafting of Bone Tumour of fumur/tibia Humerus & forearm Surgery tumours of small bone hand and foot Debridement primary closure of compounds fracture of tibia.7 4. Tibia) Fibula Radius Ulna (Clavicle) and Wrist. Knee Closed Fixation of hand / foot bone Open Reduction Shoulder dislocation.11 4.5 4.25 Dislocation elbow.16 4. shoulder.13 4.19 4.23 4. leg or forearm.17 4.10 4. Triple/elbow.15 4. Ankle. Wrist/Hip) Arthodesis – MP & IP Joints Excision Exostosis long bones. More than two) Tendon Surgery (Repair and Lengthening) Surgery of chronic Osteomlitis (Saucerization.3 3.8 4.3 4. femur forearm without fixation Debridement of hand/foot Debridement primary closure of compound fractures of tibia.12 4.14 4. Fore-quarter or hind-quarter) POP Aplication (Hip Spica. Shoulde spica POP Jacket. Hip.4 4 4. Humerus. A-K/A-E POP.2 4.21 4.18 4. B-K/B-E POP) Corrective Osteotomy of long bones 22 .6 4.

27 4. Screw.43 4.32 4. Calcanlum.40 4.30 4.IPHS for 101 to 200 Bedded District Hospitals 4.38 4.35 4.34 4. Elbow Bone Grafting (small grafting and long bone) Ingrowing toe-nail Soft tissue Biopsy Skin Graft (small.46 Excision Arthoplasty of elbow & other major joints. Axial Skelton.36 4. Wires Skeltal Traction Femur.26 4.39 4. Tibia. Ankle & Wrist Arthrotomy of hip/shoulder/elbow Carpal Tunnel Release Dupuytrens contracture Synovectomy of major joint shoulder/hip/ Elbow Repair of ligaments of knee Closed Nailing of long bones External fixator readjustment dynamisation removal of external fixation/removal of implant Excision of soft tissue tumour muscle group 23 .28 4.41 4.29 4. Excision Arthoplasty of small joints Operation of hallus valgus Bone Surgery (Needle biopsy. Non-Axial) Removal K Nail AO Plates Removal Forearm Nail. medium and large) Patellectomy Olacranon fixation Open Ligament repair of elbow.31 4.45 4.42 4.44 4.37 4.33 4.

ovarian masses) Initial investigation at PHC / Gr III level Breast Tumors Cancer Cervix screening Initial investigation at PHC / Grade III level 24 Treat Treat Treat Instigate and refer Collection of PAP SMEAR and biopsy 4 5 . prolonged labour. diabetes. No 1 2 3 4 5 NAME OF THE ILLNESS RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Treat and provide blood transfusion Treat and provide blood transfusion Treat and provide blood transfusion Yes Treat Bleeding during first trimester Bleeding during second trimester Bleeding during third trimester Normal Delivery Abnormal lablour (Mal presentation. hepatitis) Bronchial asthma 6 7 8 9 10 11 Treat Treat and refer if necessary Treat Treat and refer if necessary Treat Refer and follow up services Treat 12 Gynecology 1 2 3 RTI / STI DUB Benign disorders (fibroid.IPHS for 101 to 200 Bedded District Hospitals RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) FOR DIFFERENT ILLNESSES CONCERNING DIFFERENT SPECIALITIES: OBSTETRIC & GYNECOLOGY S. prolapse. PROM. Obstructed labour) PPH Puerperal Spesis Ectopic Pregnancy Hypertentive disorders Septic abortion Medical disorders complicating pregnancy (heart disease.

IPHS for 101 to 200 Bedded District Hospitals 6 Cancer cervix /ovarian Initial investigation at PHC / Gr III level Infertility Prevention Of MTCT Diagnose and refer 7 8 Investigate and refer Pretest and post test and couseling and treatment Treat Yes 9 10 MTP / MVA services Tubectomy GENERAL MEDICINE S. Ag +ve refer to tertiary care Refer to Gr-I / G-II District level Refer to Gr-I / G-II District 25 . ILLNESSES : Bronchial Asthma / Pleuraleffusion / Pneumonia / Allergic Bronchitis/COPD 3 COMMON CARDIAC PROBLEMS a) Chest pain (IHD) 4 a) b) G I TRACT G I Bleed / Portial hypertension / Gallblader disorder AGE / Dysentry / Diarrhoreas Emergencies .District Hospital Treat Treat and decide further management Diagnose and Treat (<1 week) (>1 week) RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Basic investigation and Treatment Investigation and treatment Refer if necessary Treat Treat Treat Treat If HBs. To Gr-II / Gr-I . f) Viral Hepatitis g) Leptospirosis / Menningitis and Haemorrhagic fever h) Malignancy 2 COMMON RESP. No 1 NAME OF THE ILLNESS Fever -a) Short duration Fever -b) Long duration c) Typhoid d) Malaria / Filaria e) Pulmonary Tuberculosis.Ref.

To Gr . emergency care and referral PAEDIATRICS S. To Gr . Treat Refer if no improvement Diagnose Treat Investigate Diagnose Treat Refer Investigate Dagnose 26 2 3 Diarrohoeal Diseases Protein Energy Malnutrition and Vitamin Deficiencies 4 Pyrexia of unknown origin .I / G-II district 8 PSYCHOLOGICAL DISORDERS Acute psychosis / Obsession / Anxiety neurosis Screening.I / G-II district Investigate. No 1 NAME OF THE ILLNESS ARI/ Bronchitis Asthmatic RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Investigate Diagnose with facility for nebulisation. treat & decide further Ref. To tertiary Ref.IPHS for 101 to 200 Bedded District Hospitals 5 a) b) 6 a) b) c) 7 NEUROLOGY Chronic Hpeadache Chronic Vertigo/CVA/TIA/Hemiplegia/ Paraplegi HAEMATOLOGY Anaemia Bleeding disorder Malignancy COMMUNICABLE DISEASES Cholera Measles Mumps Chickenpox Treat Basic investigation and Treatment Refer if necessary Stabilise Ref.

Treat and Refer if no improvement. kangaroo care. Treat Examine and refer 27 . feeding. Sting. Bites NEONATOLOGY S. No 1 2 3 4 5 6 7 8 9 10 11 NAME OF THE ILLNESS Attention at birth (to prevent illness) Hypothermia Birth asphyxia Hypoglycemia Meconium aspiration syndrome Convulsions (seizures) Neonatal Sepsis LBW Neonatal Jaundice Preterm Congenital malformations RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) 5 cleans warm chain Warm chain Resuscitation And Treatment Treat Treat & refer if no improvement. Investigate & Treat Treat Treat including exchange transfusion Warm chain.IPHS for 101 to 200 Bedded District Hospitals Treat Refer if no improvement 5 Bleeding Disorders Investigate diagnose Treat Refer if no improvement Investigate diagnose Treat Refer if no improvement Early Diagnosis and Refer Investigate diagnose Treat Refer if no improvement Investigate and Diagnose Refer Treat 6 Diseases of Bones and Joints 7 8 Childhood Malignancies Liver Disorders 9 10 Paediatric Surgical Emergencies Poisoning.

ARI Dangerously ill baby Feeding Problems Neonatal diarrhoea Birth injury Neonatal Meningitis Renal problems/Congenital heart disease/ Surgical emergencies HIV/AIDS Hypocalcemia Metabolic Disorders Hyaline Membrane diseases Neonatal Malaria Blood disorders Developmental Delays UTIs Failure to Thrive Manage and Refer Identify and manage & refer if needed.S.HIV . No 1 NAME OF THE ILLNESS Infections a) Viral .D.Verrucca Molluscum Contagiosa Pityriasis Rosea LGV HIV b) Bacteria Pyoderma Chancroid Gonorrhea Leprosy Tuberculosis 28 RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Treat Treat Treat Treat . Identify and manage Diagnosis and manage Minor -manage.IPHS for 101 to 200 Bedded District Hospitals 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 R. major -refer Manage Refer Exclusive breast feeding & refer to ART Centre Manage Identify & Refer Diagnose & refer Manage Manage CBR Manage& refer Manage & Refer DERMATOLOGY S.

Seb. Miliaria.Resistant/ Complications / reaction Allergy .IPHS for 101 to 200 Bedded District Hospitals c) Fungal Sup.Keratosis. Soft Fibroma.Toxin induced b) Leprosy . Nail disorder.Tumors / Cysts. Alopecia.Benign Surface. No 1 NAME OF THE ILLNESS Identify / Treat and refer Treat Diagnosis and Treat Treat 3 4 5 Treat Treat Treat / Refer Treat 6 7 Treat Treat / Refer Treat / Refer Refer RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Investigation and Treatment 29 Fever . Mycosis Subcut – Mycetoma d) Parasitic Infestation Scabies / Pediculosis/Larva Migrans e)Spirochaetes Syphilis 2 Papulosquamous Psoriasis (classical)-uncomplicated/ Lichen Planus Pigmentary Disorder Vitiligo Keratinisation Disorder Ichthyosis/Traumatic Fissures Autoimmune Collagen Vascular DLE.EMF / SJS / TEN Psoriasis/ Collagen Vascular/Auto immune Disorders c) Deep Mycosis. Appendageal Tumors Miscellaneous a) Acne Vulgaris. STD Complications d) Genetically Determined Disorders CHEST DISEASES S. Morphea Skin Tumors.

PFT Investigation and Treatment Chest Physiotherapy PSYCHIATRY S. No 1 2 3 4 5 6 7 8 NAME OF THE ILLNESS RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Schizophrenia Depression Mania Anxiety Disorders Mental Retardation Other Childhood Disorders Alcohol and Drug Abuse Dementia DIABETOLOGY S. Bronchoscopy Investigation Treatment Treatment.IPHS for 101 to 200 Bedded District Hospitals 2 3 4 5 6 Cough with Expectoration / Blood Stained Hemoptysis Chest Pain Wheezing Breathlessness Treatment Investigation and Treatment. No 1 2 3 4 5 6 NAME OF THE ILLNESS RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Diagnose and Treat Diagnose and Treat Diagnose and Treat Diagnose and Refer Diagnose and Treat Diagnose and Treat Screening for Diabetes Gestational Diabetes/DM with Pregnancy DM with HT Nephropathy/Retinopathy Neuropathy with Foot Care Emergency :i) Hypoglycemia ii)Ketosis iii)Coma 30 .

Seb-Cyst / Dermoid / Ear Lobe Repair / Circumcision 31 RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Treat .V.A.IPHS for 101 to 200 Bedded District Hospitals NEPHROLOGY S. Infections Trauma Chronic headache Chronic Progressive Neurological disorder GENERAL SURGERY S Major No Classification 1 Basic Techniques NAME OF THE ILLNESS a. Refer if necessary Investigate and Treatment Referral Epilepsy C.Children/ Acute Nephritis Nephrotic Syndrome . DM Asymptomatic Urinary Abnormalities Nephrolithiasis Acute renal Failure/ Chronic Renal Failure Tumors NEURO MEDICINE AND NEURO SURGERY S. Minor Cases under LA Abcess I&D/Suturing.Adults HT.Biopsy/ Excision of Lipoma / Ganglion / Lymph of Lipoma / Ganglion / Lymph Node. No 1 2 3 4 5 6 7 8 NAME OF THE ILLNESS RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Treat Treat Refer to Tertiary Treat Refer to the District Refer to District Hospital Suspect / Refer to District level Refer to Tertiary Uncomplicated UTI Nephrotic Syndrome . No 1 2 3 4 5 6 NAME OF THE ILLNESS RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Investigate and Treat Investigate and Treat Investigate and Treat Investigate and Treat.

Gastrointestinal disorder Appendicitis/Anorectal abscesses / Rectalprolapse/Liver abscess/ Haemorrhoids/Fistula 3 Emergency surgeries Benign/ Malignant Diseases Others Burns Assault injuries/Bowel injuries/ Head injuries/Stab injuries/Multiple injuries/ Perforation/Intestinal obstruction Breast/Oral/GI tract/Genitourinary (Penis. 1 2 3 4 5 6 7 NAME OF THE ILLNESS Superficial Infection Deep Infections Refractive Error Glaucoma Eye problems following systemic disorders Cataract Foreign Body and Injuries 32 Investigate/Diagnosis and Refer Treat Treat Treat Treat 4 5 6 Treatr Treat first and then Refer AR entry / Treat AR entry / Treat AR entry / Treat Done 7 Medico legal RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) Treatment with drugs Treat Treat Treat Treat Treat Treat . Prostate. No. Genitourinary tract Hydrocele. Varicose veins Burns < 15% >15% a) Assault / RTA b) Poisonings c) Rape d) Postmortem OPTHALMOLOGY S.IPHS for 101 to 200 Bedded District Hospitals b. Testis) Thyroid. Supra pubic cystostomy b. FNAC Thyroid. Circumcision. Lymphnodes. Breast Lumps. Swelling 2 Elective Surgeries a. Hernia.

IPHS for 101 to 200 Bedded District Hospitals

8 9 10

Squint and Amblyopia/Corneal Blindness (INF, INJ, Leucoma)/ Oculoplasty Malignancy/Retina Disease Paediatric Opthalmology

Refer Refer Refer

EAR, NOSE, THROAT S. No. NAME OF THE ILLNESS EAR 1 2 3 4 5 ASOM/SOM/CSOM Otitis External / Wax Ears Polyps Mastoiditis Unsafe Ear THROAT 1 2 3 4 Tonsillitis/Pharyngitis/Laryngitis Quinsy Malignancy Larynx Foreign Body Esophagus NOSE 1 2 3 4 5 Epistaxis Foreign Body Polyps Sinusitis Septal Deviation Treat Treat Treat (Removal) Treat (surgery if needed) Treat (surgery if needed) Treat Surgery Diagnose and Refer Diagnose and Refer Treat/Surgical if needed Treat Surgical Treatment Treatment (Medical), Surgery if needed Diagnose and Refer RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS)


IPHS for 101 to 200 Bedded District Hospitals

ORTHOPADICS S. No. 1 2 3 4 NAME OF THE ILLNESS Osteomyelitis Rickets /Nutritional Deficiencies Poliomyelitis with residual Deformities/JRA/RA RTA/Polytrauma RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) All Stabilisations Surgery Manage with Physiotherapy Corrective Surgery/ Physiotherapy Manage


CHILDREN 1 2 3 4 5 6 7 8 9 10 Hydronephrosis Urinary Tract Injuries PUV/ Posterior Urethral Valve Cystic Kidney Urinary Obstruction Undesended Testis Hypospadias and Epispadias Mega Ureter Extrophy Tumours - Urinary Tact Diagnose and refer Diagnose and refer Diagnose and refer Diagnose and refer Urethral Catheter Insertion Referral Diagnose and refer Diagnose and refer Diagnose and refer Diagnose and refer Diagnose and refer

ADULT All above and 1 2 3 Stricture Urethra Stone Diseases Cancer - Urinary and Genital Tract 34 Diagnose and refer Diagnose and refer Diagnose and refer

IPHS for 101 to 200 Bedded District Hospitals

4 5

Trauma Urinary Tact GUTB

Diagnose and refer Diagnose and refer

OLD AGE 1 2 3 4 Prostate Enlargement and Urinary Retention Stricture Urethra Stone Cancer (Kidney, Bladder, Prostate, Testis,Penis and Urethra) Trauma Urinary Tract Urethral Catheter Insertion Referral Diagnose and refer Diagnose and refer Diagnose and refer Diagnose and refer


DENTAL SURGERY S. No. 1 NAME OF THE ILLNESS Dental Caries/Dental Abcess/Gingivitis Cleaning Treat



Periodontitis Surgery


Minor Surgeries, Impaction, Flap

Cleaning Treat Surgery if necessary and refer Refer Treat with appliances Treat (wiring and planting) Refer Refer

4 5 6 7 8

Malocclusion Prosthodontia (Prosthetic Treatment) Trauma Maxillo Facial Surgeries Neoplasms


generating back-up.000 to 15. port. topography. Site selection criteria x x An area of 65-85 m2 per bed has been considered to be reasonable. noise. considered: size. etc.2.000 x 5 = 100. 7. maps of vicinity and landmarks or centers. Necessary environmental clearance will be taken. and planners arid architects are confronted with the job of assessing whether apiece of land is suitable for building a hospital. Infrastructure should be eco-friendly and disabled 36 A rational.IPHS for 101 to 200 Bedded District Hospitals 7. A room for horticulture to store garden implements. therefore. water and land pollution. major bus stand. It should be in an area free of pollution of any kind. In some cases. And average length of stay in a hospital as 5 days. In the case of either site selection or evaluation of adaptability. topography. such as a deep well for water. electricity. railway station. entrance hall. The area will include the service areas such as waiting space. surface area. drainage. 7.00.1. land used in adjoining areas. limitation of the site that would affect planning. fire proof and flood proof buildings. solar energy / power back-up. boundaries. In case of specific requirement of a hospital. sewage and storm-water disposal. including air. Site information: x x 7.3. the following items must be. Local agency Guidelines and By-laws should strictly be followed. In India the population size of a district varies from 50. Physical description of the area which should include bearings. Provision should be made for water harvesting. Physical infrastructure Size of the hospital: The size of a district hospital is a function of the hospital bed requirement which in turn is a function of the size of the population serve. soil . Area of the hospital: (physically and visually handicapped) friendly. seeds etc will be made available. 7. generators for electricity and radio communication for telephone.00.000 x 1/50 = 20. be sited at the lowest point of the district. the availability of a site outweighs other rational reasons for its selection. It must be serviced by public utilities: water. Based on the assumptions of the annual rate of admission as 1 per 50 populations. step-by-step process of site selection occurs only in ideal circumstances.000. registration counter. gas and telephone.000 Total number of beds required when occupancy is 100% = 100000/365 = 275 Total number of beds required when occupancy is 80% = 100000/365 x 80/100 7. flexibility in altering the area be kept. substitutes must be found. it must not. x x x Factors to be considered in locating a district hospital The location may be near the residential area. existing utilities. Hospital Management Policy should emphasize on quake proof. For the purpose of convenience the average size of the district is taken in this document as one million populations. and horticulture services including herbal garden. Disability Act will be followed. nearest city. rain fall and data on weather and climate. The number of beds required for a district having a population of 10 lakhs will be as follows: The total number of admissions per year = 10. In areas where such utilities are not available.5.4.000 Bed days per year = 20. Too old building may be demolished and new construction done in its place. It should be free from dangers of flooding. airport.

Floor Height The room height should not be less than approximately 3. injection room. laundry. toilets. in remote corner. adequate space be made available. utilities available. provided with independent access. The size of the room should depend on the type of instrument installed. if required. Film developing and processing (dark room) shall be provided in the department for loading.6 m measured at any point from floor to floor height. paediatrics. dental. store or workshop or for any other use of the district hospital. lifts. Circulation Areas Circulation areas like corridors. Clinics The clinics should include general. assistance and enquiry counter facility be made available in all the clinics. etc. Out of these half will be for acute and chronic patients. The clinics for infectious and communicable diseases should be located in isolation. 7. preferably. Separate Reporting Room for doctors should be there. And new construction should be put in place. Administrative Block: Administrative block attached to main hospital along with provision of MS Office and other staff will be provided. Nursing Station: On an average. side laboratory. ophthalmic. Entrance Area Physical Facilities Ambulatory Care Area (OPD) Waiting Spaces Registration. in the hospital should not be more than 55% of the total floor area of the building. one nursing station per ward will be provided. However. could they be converted to a motor pool. social service and treatment rooms. dermatology and venereology. Nursing Services Various clinics under Ambulatory Care Area require nursing facilities in common which include dressing room.IPHS for 101 to 200 Bedded District Hospitals conditions. developing and processing of X-ray films. Building and Space Requirements Main entrance. orthopaedic and social service department. unloading. . ENT. natural features and limitations. If they are too old and dilapidated then they must be demolished. If the existing structures are too old to become part of the new hospital. psychiatry. ramps. The department should be located at a place which is accessible to both OPD and wards and also to operation theatre department. neonatology. medical. surgical. 37 x x 7.6 x In the already existing structures of a district hospital It should be examined whether they fit into the design of the recommended structure and if the existing parts can be converted into functional spaces to fit in to the recommended standards. obsetetric and gynaecology. Diagnostic Services Imaging Role of imaging department should be radiodiagnosis and ultrasound along with hire facilities depending on the bed strength. general waiting and subsidiary waiting spaces are required adjacent to each consultation and treatment room in all the clinics.7. staircase and other common spaces etc. The room should have a sub-waiting area with toilet facility and a change room facility. it should be ensured that nursing station caters to about 40-45 beds. For National Health Programme.

they can be equally divided among ICU and . Separate Reporting Room for doctors should be there. Intermediate Care Area (Inpatient Nursing Units) General Nursing care should fall under following categories: General Wards: Male / Female Private Wards: Wards for Specialities Depending upon the requirement of the hospital and catchment area. pantry. Location Location of the ward should be such to ensure quietness and to control number of visitors. Blood Bank should follow all existing guidelines and fulfill all requirements as per the various Acts pertaining to setting up ofthe Blood Bank. It should be the ultimate medicare the hospital can provide with highly specialized staff and equipment. critically ill patients requiring highly skilled life saving medical aid and nursing care are concentrated. Ward unit will include nursing station. Pharmacy (Dispensary) The pharmacy should be located in an area conveniently accessible from all clinics. isolation room. kidney and respiratory catastrophe. Intensive Care Unit and High Dependency Wards General In this unit. The distances to be traveled by a nurse from bed areas to treatment room. Private ward: Depending upon the requirement of the hospital and catchment area appropriate beds may be allocated for private facilities. 10% of the total bed strength is recommended as private wards beds. should be 38 kept to the minimum. Out of these. However. The number of patients requiring intensive care may be about 2 to 5 percent total medical and surgical patients in a hospital. nursing store along with wards and toilets as per the norms. acute coronary occlusion. The unit shall not have less than 4 beds nor more than 12 beds. Blood Bank Blood bank shall be in close proximity to pathology department and at an accessible distance to operation theatre department. pantry etc. Number of beds will be restricted to 5% of the total bed strength.. etc. poisoning etc. head injuries. The size should be adequate to contain 5 percent of the total clinical visits to the OPD in one session. severe haemorrhage. It should be ensure that nursing station caters to above 40-45 beds. Pharmacy should have component of medical store facility for indoor patients and separate pharmacy with accessibility for OPD patients. 10% of the total bed strength is recommended as private wards beds. Separate Reporting Room for doctors should be there. urine. treatment room. out of which half will be for acute and chronic patients. These should include major surgical and medical cases.IPHS for 101 to 200 Bedded District Hospitals Clinical Laboratory For quick diagnosis of blood. Ward Unit The basic aim in planning a ward unit should be to minimize the work of the nursing staff and provide basic amenities to the patients within the unit. intensive care units and emergency and accident department. On an average one nursing station per ward will be provided. doctors’ duty room. appropriate beds may be allowed for private facility. a small sample collection room facility shall be provided.

total of 25 beds will be for critical care. It should have a single leaf door with self closing device and viewing window to communicate with the operation theatre. There should be an easy ambulance approach with adequate space for free passage of vehicles and covered area for alighting patients. This unit also need constant specialized services. piped suction and medical gases. Easy and convenient access from emergency and accident department is also essential. patients. Changing room should be provided for. heating. Zoning should be done to keep the theatres free from micro organisms. total of 25 beds will be for Critical Care. Facilities Nurses Station Clean Utility Area Equipment Room Critical Care Area (Emergency Services) It should preferably have a distinct entry independent of OPD main entry so that a very minimum time is lost in giving immediate treatment to casualities arriving in the hospital. such as. An Operation Theatre should also have Preparation Room. All these should be properly channelized. There may be four well defined zones of varying degree of cleanliness namely. Laminar flow of air be maintained in operation theatre. Out of these. namely. they can be equally divided among ICU and High Dependency Wards.IPHS for 101 to 200 Bedded District Hospitals High Dependency Wards. Clean Zone. Protective Zone. ventilation. gloves and other covers before entering the operation theatre. staff and supplies. in a 500bedded hospital. There should also be a Scrub-up room where operating team washes and scrub-up their hands and arms. Number of beds for both the units will be restricted to 5% of the total bed strength. X-ray and pathology so that the staff and ancillaries could be shared. if the theatres are located on upper floors. such as. Operating room should be made dust-proof and moisture proof. piped suction and medical gases. 13 may be ICU beds and 12 will be allocated for High Dependency Wards. Normally there are three types of traffic flow. ventilation and efficient life service. A pair of surgeon’s sinks and elbow or knee operated taps are essential. maximum protection from solar radiation and convenient relationship with surgical ward. The theatre should have sink / photo sensors for water facility. in a 500 bedded hospital. heating. For example. central air conditioning and efficient life services. electric supply. For example. Location This unit should be located close to operation theatre department and other essential departments. such as. Out of these 13 may be ICU beds and 12 will be allocated for high dependency wards. Aseptic or Sterile Zone and Disposal or Dirty Zone. air-conditioning. radiology. blood bank and CSSD. free from noise and other disturbances. free from contamination and possible cross infection. Pre-operative Room and Post Operative Resting Room. The location of Operation theatre should be in a quite environment. It should have a central air conditioning facility. intensive care unit. pathology. This unit will also need all the specialized services. . 39 Therapeutic Services Operation Theatre Operation theatre usually have a team of surgeons anesthetists. uninterrupted electric supply. nurses and sometime pathologist and radiologist operate upon or care for the patients. Out of these. A good natural light and pleasant environment would also be of great help to the patients and staff as well. Operation Theatre should also have a SubSterilizing unit attached to the operation theatre limiting its role to operating instruments on an emergency basis only. put on their sterile gown.

. used instruments and other disposable / non disposable items should be removed to a room after each operation. such as. Medical and General Stores There are of medical and general store should have vehicular accessibility and ventilation. gymnasium. pressing and storage of soiled and cleaned linens. office. security and fire fighting arrangements. Hospital Laundry It should be provided with necessary facilities for drying. Non-disposable instruments after initial wash are given back to instrument sterilization and rest of the disposable items are disposed off and destroyed. It should be located such that the noise and cooking odours emanating from the department do not cause any inconvenience to the other departments. The department is more frequently visited by out-patients but should be located at a place which may be at convenient access to both outdoor and indoor patients with privacy. 40 Hospital Services Hospital Kitchen (Dietary Service) The dietary service of a hospital is an important therapeutic tool. Delivery Suite Unit The delivery suit unit be located near to operation theatre. At the same time location should involve the shortest possible time in delivering food to the wards. Central Sterile and Supply Department (CSSD) As the operation theatre department is the major consumer of this service. Engineering Services Electric Engineering Sub Station and Generation Electric sub station and standby generator room should be provided. dirty linen. The room should be provided with sink. It should also have a physical and electrotherapy rooms. It should have a provision of hot water supply. It should easily be accessible from outside along with vehicular accessibility and separate room for dietician and special diet. It should be so located that the dead bodies can be transported unnoticed by the general public and patients. work bench and draining boards. Dirty linen is sent to laundry through a separate exit. it is recommended to locate the department at a position of easy access to operation theatre department. Normative standards will be followed.IPHS for 101 to 200 Bedded District Hospitals Theatre refuse. Mortuary It provides facilities for keeping of dead bodies and conducting autopsy. slop sink. store and toilets separate for male and female. The delivery Suit Unit should include the facilities of accommodation for various facilities as given below: Reception and admission Examination and Preparation Room Labour Room (clean and a septic room) Delivery Room Neo-natal Room Sterilizing Rooms Sterile Store Room Scrubbing Room Dirty Utility Physiotherapy The physiotherapy department provides treatment facilities to patients suffering from crippling diseases and disabilities.

Mechanical Engineering Air-conditioning and Room Heating in operation theatre and neo-natal units should be provided. Ventilation The ventilation in the hospital may be achieved by either natural supply or by mechanical exhaust of air. Call Bells Call bells with switches for all beds should be provided in all types of wards with indicator lights and location indicator situated in the nurses duty room of the wards. Committee Room: A meeting or a committee room for conferences. Emergency portable light units should be provided in the wards and departments. Public Health Engineering Water Supply Arrangement should be made for round the clock piped water supply along with an overhead water storage tank with pumping and boosting arrangements. Waste Disposal System National guidelines on Bio-Medical Waste Management and a Notification of Environment and Forests are at Annexure . Separate provision for fire fighting and water softening plants be made available. Drainage and Sanitation The construction and maintenance of drainage and sanitation system for waste water. Building Maintenance: Provision for building maintenance staff and an office-cum store will be provided to handle day to day maintenance work Parking: Sufficient parking place as per the norms will be provided Administrative Services: Two sections (i) General section to deal with overall upkeep of the hospital and welfare of its staff and patients (ii) Medical Records section. Hospital should be provided with water coolers and refrigerator in wards and departments depending upon the local needs. Prescribed standards and local guidelines shall be followed. 41 . Air coolers or hot air convectors may be provided for the comfort of patients and staff depending on the local needs.I Trauma Centre Guidelines to be followed Fire Protection Telephone and Intercom Medical Gas Cooking Gas: Liquefied petroleum gas (LPG) Laboratory Gas: Liquefied petroleum gas (LPG) and other specified gases. sub-soil water and sewerage shall be in accordance with the prescribed standards.IPHS for 101 to 200 Bedded District Hospitals Illumination The illumination and lightning in the hospital should be done as per the prescribed standards. trainings with associated furniture. Emergency Lighting Shadow less light in operation theatre and delivery rooms should be provided. Residential Quarters All the essential medical and para-medical staff will be provided with residential accommodation. surface water. Approximately 10000 litres of potable water per day is required for a 100 beded hospital.

IPHS for 101 to 200 Bedded District Hospitals 8. 8. MANPOWER REQUIREMENT MAN POWER – DOCTORS S. No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Staff Hospital Superintendent Medical Specialist Surgery Specialists O&G specialist Psychiatrist Dermatologist / Venereologist Paediatrician Anesthetist (Regular / trained) ENT Surgeon Opthalmologist Orthopedician Radiologist Microbiologist Casualty Doctors / General Duty Doctors Dental Surgeon Forensic Expert Public Health Manager1 AYUSH Physician2 Pathologists Total Note: 1 2 District HeadquartersHospital (101-200) bedded 1 3 2 4 1 1 2 2 1 1 1 1 1 6 1 1 1 2 2 34 May be a public Health Specialist or mangement specialist trained in public health Provided there is no AYUSH hospital/dispensary in the district haedquarter 42 .1.

2.IPHS for 101 to 200 Bedded District Hospitals 8. No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Staff Nurse* Hospital worker (OP/ward +OT+ blood bank) Sanitary Worker Ophthalmic Assistant / Refractionist Social Worker / Counsellor Cytotechnician ECG Technician ECHO Technician Audiometrician Laboratory Technician ( Lab + Blood Bank) Laboratory Attendant (Hospital Worker) Dietician PFT Technician Maternity assistant (ANM) Radiographer Dark Room Assistant Pharmacist1 Matron Assistant Matron Physiotherapist Statistical Assistant Medical Records Officer / Technician Electrician Plumber 12 4 1 6 2 1 5 1 2 1 1 1 1 1 Staff District Head quarters Hospital (101-200) bedded 75 to 100 20 15 1 1 1 1 1 *1 Staff Nurse for every eight beds with 25% reserve. MAN POWER – PARA MEDICAL S. 1 One may from AYUSH 43 .

MANPOWER.3.ADMINISTRATIVE STAFF S. 1 2 3 Staff Staff Nurse OTAssistant Sweeper Total District Headquarters Hospital 101-200 Bedded Hospitals Emergency / FW OT General OT 8 1 4 2 3 4 15 4 8. MAN POWER – BLOOD BANK / STORAGE S. MAN POWER – OPERATION THEATRE S. No.4.5. No 1 2 3 4 Staff Staff Nurse MNA/FNA Lab Technician Safar Karamchari Total Blood Bank 8 1 1 1 6 44 Blood Storage 1 1 1 1 3 . Driver will not be required if outsourced * The number would vary as per requirement and to be outsourced. 8.IPHS for 101 to 200 Bedded District Hospitals 8. No. Staff District Headquarters Hospital plus JD-HS Office 101-200 Bedded Hospitals 1 1 2 2 2 1 1 1 2 2 2 17 1 2 3 4 5 6 7 8 9 10 11 12 Manager (Administration) Junior Administrative Officer Office Superintendent Assistant Junior Assistant / Typist Accountant Record Clerk Office Assistant Computer Operator Driver Peon Security Staff* Total Note : Drivers post will be in the ratio of 1 Driver per 1 vehicle.

8. 15. 10. EQUIPMENT NORMS Equipment norms are worked out keeping in mind the assured service recommended for various grades of the district hospitals. 6. 4. 18. 11. 19. 7. 22. 5. 13. 16. 14. Imaging equipments X Ray Room Accessories Cardiac Equipments Labour ward & Neo Natal Equipments Ear Nose Throat Equipments Eye Equipments Dental Equipments Operation Theatre Equipment Laboratory Equipments Surgical Equipment Sets PhysioTherapy Equipments Endoscopy Equipments Anaesthesia Equipments Funriture & Hosptial Accessories PM equipments Linen Teaching Equipments Administration Refrigeration & AC Hospital Plants Hospital Fittings & Necessities Transport 45 . 12. 21. The equipments required are worked out under the following headings 1. 20. 17.IPHS for 101 to 200 Bedded District Hospitals 9. 9. 3. 2.

ray lobby single X. X-ray machine 100 M. No.ray lobby Multiple Lead Apron Intensifying screen X-ray District Headquarters Hospital 101-200 Bedded Hospitals 1 3 12 6 1 2 1 46 .A.A.ray dark room Cassettes X.A. department should be having a separate ultra-sound machine of its own) C. No. X-RAY ROOM ACCESSORIES S. 1 2 3 4 5 6 7 Name of the Equipment X.IPHS for 101 to 200 Bedded District Hospitals I. IMAGING EQUIPMENT S. II. X-ray machine* 300 M. Scan Mammography Unit * Echocardiogram* 1 1 1 District Headquarters Hospital 101-200 Bedded Hospitals 1+1 8 9 10 * To be provided as per need.T.ray X.ray developing tank Safe light X.A. X-ray machine (Mobile) C arm with accessories * Dental X ray machine Ultra Sonogram (Obs & Gyne. 1 2 3 4 5 6 7 Name of the Equipment 500 M. X-ray machine 60 M.

1 2 3 4 5 6 7 8 9 10 11 12 13 Name of the Equipment ECG machine computerized ECG machine ordinary 12 Channel stress ECG test equipments Tread Mill * Cardiac Monitor Cardiac Monitor with defibrillator Ventilators (Adult) Ventilators (Paediatrics) Pulse Oximeter Pulse Oximeter with NIB. IV.P. LABOUR WARD & NEO NATAL EQUIPMENTS S.IPHS for 101 to 200 Bedded District Hospitals III. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Name of the Equipment Baby Incubators Phototherapy Unit Emergency Resuscitation Kit-Baby Radiant Warmer Room Warmer Foetal Doppler CTG Monitor Delivery Kit Episiotomy kit Forceps Delivery Kit Crainotomy Vacuum extractor metal Silastic vacuum extractor Pulse Oximeter baby and adult Cardiac monitor baby Nebulizer baby Weighing machine adult Weighing machine infant 47 District Headquarters Hospital 101-200 Bedded Hospitals 1 2 2 2 2 2 2 10 2 2 1 2 2 1 each 1 2 3 3 . No.apparatus table model B.apparatus stand model Stethoscope District Headquarters Hospital 101-200 Bedded Hospitals 1 1 4 2 1 1 3 1 2 10 10 5 * To be provided as per need.P. CARDIAC EQUIPMENTS S.P* Infusion pump B.

Direct Slit Lamp Retino scope Perimeter IOL Operation set Laser Photocoagulometer* District Headquarters Hospital 101-200 Bedded Hospitals 1 2 1 1 1 2 * .to be supplied by Blindness Control Society 48 . 1 2 3 4 5 6 7 Name of the Equipment Cryo Surgery Unit Opthalmoscope . DNS. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Name of the Equipment Audiometer Operating Microscope (ENT) Head light (ordinary) (Boyle Davis) ENT Operation set including headlight. Polypetcomy. Rhinoplasty) Laryngoscope fibreoptic ENT Laryngoscope indirect Otoscope Oesophagoscope Adult Oesophagoscope Child Head Light (cold light) Tracheostomy Set Tuning fork 2 2 1 1 1 2 1 1 2 1 1 1 1 1 District Headquarters Hospital 101-200 Bedded Hospitals 1 VI.IPHS for 101 to 200 Bedded District Hospitals V. No. Septoplasty. EYE EQUIPMENTS S. No. EAR NOSE THROAT EQUIPMENT S. Tonsils Mastoid Set Micro Ear Set myringoplasty Stapedotomy Set Stapeidoplasty ENT Nasal Set (SMR.

IPHS for 101 to 200 Bedded District Hospitals VII. 49 . DENTAL EQUIPMENTS S.Electrical Suction Apparatus .Medium* Diathermy Machine (Electric Cautery) Suction Apparatus . 1 2 3 4 5 Name of the Equipment Air Rotor Dental Unit with motor for dental OP Dental Chair Dental Lab Dental Kit 2 District Headquarters Hospital 101-200 Bedded Hospitals 1 1 1 VIII. OPERATION THEATRE EQUIPMENT S.Foot operated Dehumidifier* Ultra violet lamp philips model 4 feet Ethylene Oxide sterilizer* Microwave sterilizer* District Headquarters Hospital 101-200 Bedded Hospitals 2 2 2 1 1 1 1 1 2 2 3 3 2 1 1 4 3 1 4 1 1 * To be provided as per need. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Name of the Equipment Auto Clave HP Horizontal Auto Clave HP Vertical (2 bin) Operation Table Ordinary Paediatric* Operation Table Hydraulic Major Operation table Hydraulic Minor Operating table non-hydraulic field type Operating table Orthopedic * Autoclave with Burners 2 bin* Autoclave vertical single bin Shadowless lamp ceiling type major* Shadowless lamp ceiling type minor* Shadowless Lamp stand model Focus lamp Ordinary Sterilizer big (Instrument) Sterilizer Medium (Instrument) Steriliser Small (Instruments) Bowl Steriliser . No.big* Bowl steriliser . No.

LABORATORY EQUIPMENTS S. table top Cell Counter Electronic Hot plates Rotor / Shaker Counting chamber PH meter Paediatric Glucometer / Bilirubinometer Glucometer Haemoglobinometer TCDC count apparatus ESR stand with tubes Test tube stands Test tube rack Test tube holders Spirit lamp Rotatry Microtome Wax Embel Bath Auto Embedic Station Timer stop watch Alarm clock Elisa Reader cum washer Blood gas analyser Electrolyte Analyser Glycosylated Haemoglobinometer 50 District Headquarters Hospital (101-200 bedded) 6 2 2 2 1 10 2 3 3 2 3 1 3 3 3 2 1 2 1 4 6 6 6 8 1 1 2 1 1 1 1 1 .IPHS for 101 to 200 Bedded District Hospitals IX. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 Name of the Equipment Binocular Microscope Chemical Balances Simple balances Electric Calorimeter Auto analyser Semi auto analyser Micro pipettes of different volumes Water bath Hot Air oven Lab Incubator Distilled water Plant Electricentrifuge.

D.set MTP Set Biopsy Cervical Set D & C Set I. Hydrocele Varicosevein etc 51 District Headquarters Hospital (101-200 bedded) 2 2 1 2 2 2 2 2 2 2 2 2 3 8 2 5 2 1 .U. SURGICAL EQUIPMENT SETS S.IPHS for 101 to 200 Bedded District Hospitals 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Blood Bank Refrigerator Haematology Analyser with 22 parameters Blood Collection Monitor Laboratory Autoclaves Blood Bank Refrigerator Ordinary Refrigerator Floatation Bath Emergency Drug Trolley with auto cylinder Dialected Tube Scaler Class – I Bio Safety Cabinet Knife Sharpner Air Conditioner with Stabilizer Cyto Spin RO Plant Computer with UPS and Printer 3 1 1 3 4 3 1 1 1 1 1 1 1 1 X.V. No. Tray Abdominal Hysterectomy set Laparotomy Set Formaline dispenser Kick Bucket General Surgical Instrument Set Piles.C.S. Fissure Knee hammer Hernia. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Name of the Equipment P. Fistula. Kit LSCS set MVA Kit Vaginal Hysterectomy Proctoscopy Set P.

No. PHYSIOTHERAPY EQUIPMENTS S.P.Tray Uretheral Dilator Set TURP resectoscope Haemodialysis Machine Amputation set Universal Bone Drill Crammer wire splints Heamo dialysis machine 1 8 5 1 1 1 1 1 7 1 2 1 2 2 5 4 1 1 8 XI.IPHS for 101 to 200 Bedded District Hospitals 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Gynaec Electric Cautery Vaginal Examination set Suturing Set MTP suction apparatus Thoracotomy set Neuro Surgery Craniotomy Set I M Nailing Kit SP Nailing Compression Plating Kit AM Prosthesis Dislocation Hip Screw Fixation Fixation Fracture Hip Spinal Column Back Operation Set Thomas Splint Paediatric Surgery Set Mini Surgery Set Urology Kit Surgical Package for Cholecystectomy Surgical package for Thyroid GI Operation Set Appendicectomy Set L. 1 2 3 Name of the Equipment Skeleton traction set Interferential therapy unit Short Wave Diathermy District Headquarters Hospital (101-200 bedded) 1 1 1 52 .

to be provided as per need 53 . No.T Tubes connecting for ETT Air way female* Air way male* Mouth prop* Tongue depressors* O2 cylyinder for Boyles N2O Cylinder for Boyles CO2 cylinder for laparoscope* PFT machine Boyles Apparatus with Fluotec and circle absorber Exchange Transfusion Sets* 1 1 District Headquarters Hospital (101-200 bedded) 3 2 6 6 6 10 20 8 10 10 10 * .laryngoscope magills with four blades Endo tracheal tubes sets Magills forceps (two sizes) Connector set of six for E. be provided as per need XIII.IPHS for 101 to 200 Bedded District Hospitals XII. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Name of the Equipment Anaesthetic . ANAESTHESIA EQUIPMENTS S.T. 1 2 3 4 5 6 7 Name of the Equipment Endoscope fibre Optic (OGD) * Arthroscope Laparoscope operating major with accessories * Laparoscope diagnostic and for sterilisation * Colonoscope and sigmoidoscope* Hysteroscope * Colposcope * District Headquarters Hospital (101-200 bedded) 1 1 1 * . ENDOSCOPY EQUIPMENTS S.

)* Bed Side Lockers (SS)* Examination Couch (SS) Instrument Trolley (SS) Instrument Trolley Mayos (SS) Surgical Bin Assorted Wheel Chair (SS) Stretcher / Patience Trolley (SS) 54 District Headquarters Hospital (101-200 bedded) 30 8 10 8 30 30 10 20 10 10 20 10 6 6 20 8 1 5 3 1 1 200 10 3 6 6 3 8 6 6 6 80 0 3 8 4 30 6 5 .S. Blood Bank. FURNITURE & HOSPITAL ACCESSORIES S.Requirements (record room use) * Paediatric cots with railings Cradle* Fowler’s cot Ortho Facture Table* Hospital Cots (ISI Model ) Hospital Cots Paediatric (ISI Model ) Wooden Blocks (Set)* Back rest* Dressing Trolley (SS) Medicine Almairah Bin racks (wooden or steel)* ICCU Cots Bed Side Screen (SS-Godrej Model) Medicine Trolley(SS) Case Sheet Holders with clip(S. Lab etc. No.R.D. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 Name of the Equipment Doctor’s chair for OP Ward. Doctor’s Table Duty Table for Nurses Table for Sterilisation use (medium) Long Benches(6 1/2' x 1 1/2') Stool Wooden Stools Revolving Steel Cup-board Wooden Cup Board Racks -Steel – Wooden Patients Waiting Chairs (Moulded) * Attendants Cots * Office Chairs Office Table Foot Stools * Filing Cabinets (for records) * M.IPHS for 101 to 200 Bedded District Hospitals XIV.

Trolley (SS) Linen Almirah Stores Almirah Arm Board Adult* Arm Board Child* SS Bucket with Lid Bucket Plastic* Ambu bags O2 Cylinder with spanner ward type Diet trolley .Assorted Basin Assorted (SS) Basin Stand Assorted (SS) (2 basin type ) ( 1 basin type) Delivery Table (SS Full) Blood Donar Table* O2 Cylinder Trolley(SS) Saline Stand (SS) Waste Bucket (SS)* Dispensing Table Wooden Bed Pan (SS)* Urinal Male and Female Name Board for cubicals* Kitchen Utensils* Containers for kitchen* Plate. Tumblers* Waste Disposal .Bin / drums Waste Disposal .to be provided as per need $ . 55 .stainless steel Needle cutter and melter Thermometer clinical * Thermometer Rectal* Torch light* Cheatles forceps assortted* Stomach wash equipment* Infra Red lamp* Wax bath* Emergency Resuscitation Kit-Adult* Enema Set* Ceiling Fan$ 50 50 50 8 10 8 1 10 30 50 1 30 30 1 10 2 3 3 10 15 8 10 6 30 2 20 25 4 10 10 4 5 1 2 6 As per requirement * .IPHS for 101 to 200 Bedded District Hospitals 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Instrument Tray (SS) Assorted Kidney Tray (SS) .One fan per four beds in the ward.

No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Name of the Equipment Bedsheets Bedspreads Blankets Red and blue Patna towels Table cloth Draw sheet Doctor’s overcoat Hospital worker OT coat Patients house coat (for female) Patients Pyjama (for male) Shirt Over shoes pairs Pillows Pillows covers Mattress (foam) Adult Paediatric Mattress Abdominal sheets for OT Pereneal sheets for OT Leggings Curtain cloth windows and doors Uniform / Apron Mortuary sheet Mats (Nylon) Mackin tosh sheet (in meters) Apron for cook 56 District Headquarters Hospital (101-200 bedded) 800 1200 50 300 60 100 60 250 600 300 80 300 600 200 20 150 150 100 50 100 200 .to be provided as per need XVI.IPHS for 101 to 200 Bedded District Hospitals XV. POST MORTEM EQUIPMENTS S. 1 2 3 4 5 6 7 8 9 Name of the Equipment Mortuary table (Stainless steel) * P. No.equipments (list) Weighing machines (Organs) Measuring glasses(liquids) Aprons* PM gloves ( Pairs )* Rubber sheets* Lens Spot lights District Headquarters Hospital (101-200 bedded) 2 4 2 3 10 10 2 2 * .M. LINEN S.

ADMINISTRATION S. TEACHING EQUIPMENT be provided as per need ** At least one for Medical Records and one for IDSP XIX. No. REFRIGERATION & AC Sl. No. Printer with Internet Connection** Xerox Machine Typewriter (Electronic )* Intercom (15 lines)* Intercom (40 lines)* Fax Machine Telephone Paging System* Public Address System* Library facility* District Headquarters Hospital (101-200 bedded) 4 1 1 1 1 1 1 * . 1 2 3 4 5 6 7 8 9 Name of the Equipment Slide Projector O. No. 1 2 3 4 5 6 7 Name of the Equipment Refrigerator 165 litres Blood Bank Refrigerator ILR Deep Freezer Coolers* Air conditioners Central A/C for OT District Headquarters Hospital (101-200 bedded) 4 1 1 1 As per requirement 8 1 * One cooler per 8 beds in the be provided as per need XVIII. 57 .P Screen White / colour boards Television colour Tape Recorder* ( 2 in 1 ) VCD Player Radio LCD Projectors District Headquarters Hospital (101-200 bedded) 1 1 1 1 1 1 1 1 * .IPHS for 101 to 200 Bedded District Hospitals XVII. 1 2 3 4 5 6 7 8 9 10 Name of the Equipment Computer with Modem with UPS.

No. Vacuum * Cold storage for mortuary * District Headquarters Hospital (101-200 bedded) 1 1 * . 1 2 3 4 5 6 7 8 Name of the Equipment Generator 40 / 50 KV Generator 75 KV Generator 125 KV Portable 2.IPHS for 101 to 200 Bedded District Hospitals XX.5 KV Solar Water heater * Incinerator* Central supply of 02. HOSPITAL FITTINGS & NECESSITIES S. HOSPITAL PLANTS be provided as per need XXI. be provided as per need 58 . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Name of the Equipment Ceiling Fans* Exhaust Fan* Pedestal Fan* Wall Fan* Hotwater geiser* Fire extinguishers* Sewing Machine* Lawn Mover* Vaccum cleaner* Aqua guard* Solar water heater * Neon sign for hospital* Garden equipment* Borewell motor OHT * Water dispenser / Water cooler* Laundry (steam) * Emergency lamp Emergency trauma set* Tube lights*m Drinking Water Fountain* District Headquarters Hospital (101-200 bedded) 50 10 2 3 2 2 2 2 2 70 3 * . No.

1 2 3 4 5 6 7 8 9 10 Name of the Equipment Ambulance Van (Family Welfare)* Pickup vehicles Maruti (Omni)* Mortuary Van Administrative vehicle (Car)* Minidor 3 wheeler* Bicycle* Camp Bus* Progamme vehicle* Motorcycle* 1 District Headquarters Hospital (101-200 bedded) 3 * To be provided as per need. No. TRANSPORT S. 59 .IPHS for 101 to 200 Bedded District Hospitals XXII.

R. Bleeding time Clotting time Prothrombin time Peripheral Blood Smear Malaria/Filaria Parasite Platelet count Packed Cell volume Blood grouping Rh typing Blood Cross matching ELISA for HIV. No. Sugar. I. No.IPHS for 101 to 200 Bedded District Hospitals 10. count 60 Yes Yes Yes Yes Yes .S. Stool Analysis Stool for Ovacyst (Eh) Culture and Sensitivity Hanging drop for V.Cholera Occultblood d. Haematology Haemoglobin estimation Total Leucocyte count Differential Leucocyte count Absolute Eosinophil count Reticulocyte count Total RBC count E. Deposits.Reaction (pH) c. HBS AG. Urine Analysis Urine for Albumin. for advanced diagnostic tests.specific gravity. LABORATORY SERVICES AT DISTRICT HOSPITAL: Following services will be ensured. Speciality CLINICAL PATHOLOGY a. Speciality b.bile salts. bile pigments. a list of National Reference Laboratories has been provided as annexure: S. and HCV Diagnostic Services/Tests Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes District Hospitals (101-200 bedded) Diagnostic Services/Tests District Hospitals (101-200 bedded) S.acetone. Semen Analysis Morphology.

culture sensitivity etc. No. KLB (Diphtheria Bacilli) Culture and sensitivity for blood. SEROLOGY Pregnancy test (Urine gravindex) Coomb’s tests. Haematology Cell count. Bacteriological analysis of water by Rapid H2S test to be done in districts where there is no separate public health laboratory IV. Stool culture for enteco pathogene Supply of different Specimen collection and transportation media for peripheral Laboratories KOH Study for Fungus Grams Stain for Throat swab. Aspirated fluids PATHOLOGY a. Biopsies Diagnostic Services/Tests Yes Yes II. sputum etc. Yes d.pus. Histopathology S. HBs Ag. Speciality MICROBIOLOGY District Hospitals (101-200bedded) Smear for AFB Bacilli). CSF Analysis f. III. sputum. Sputum c. Gram Staining Cell count cytology Cytology Sputum cytology Bone Marrow Aspiration Coagulation disorders Sickle cell anaemia Thalassemia All types of specimens. urine etc. PAP smear b. HCV RA factor test Yes Yes Yes Yes Yes Yes Yes 61 .IPHS for 101 to 200 Bedded District Hospitals e. Lepto spirosis (Rapid test / ELISA) WIDAL test RPR test Elisa test for HIV.

Abdomen. OPHTHALMO LOGY VIII. blood cholesterol Serum bilirubin Liver function tests Kidney function tests Lipid Profile Blood uric acid Serum calcium. sugar Blood gas analysis Estimation of residual chrorine in water by OT test Thyroid T3 T4 TSH CPK Chloride Iodometry Titration District Hospitals (101-200bedded) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes S. V. IX. ENT RADIOLOGY a) ECG b) Stress tests c) ECHO a) Refraction by using Snellen’s chart Retinoscopy Ophthalmoscopy Audiometry Endoscopy for ENT a) Xray for Chest. Skull. Speciality CARDIAC IN VESTIGATIONS Diagnostic Services/Tests District Hospitals (101-200bedded) Yes Yes VII. sodium. bones 62 Yes Yes Yes Yes Yes . VI.IPHS for 101 to 200 Bedded District Hospitals S. No. Speciality BIOCHEMISTRY Diagnostic Services/Tests Blood Sugar Glucose Tolerance Test Glycosylated Hemoglobin Blood urea. potassium Serum Phosphorous Serum Magnesium CSF for protein. No. Spine.

PHYSIOLOGY Yes 11. RECOMMENDED ALLOCATION OF BED STRENGTH AT VARIOUS LEVELS RECOMMENDED ALLOCATION OF BED STRENGTH S. X Speciality ENDOSCOPY Diagnostic Services / Tests Oesophagus Stomach Colonoscopy Bronchuscopy Arthros copy Laparoscopy (Diagnostic) Colposcopy Hysteroscopy Pulmonary function tests Yes Yes District Hospitals (101-200 bedded) Yes Yes XI. No.5 TESSLA Sl. No Item Type District Headquarters Hospitals (101-200 bedded) 15+15 5 5 10 5 4 1 2 3 4 5 6 7 8 9 General Medicine New born ward Mothers room with dining and toilets Paediatrics ward Critical care ward – IMCU Isolation Ward Dialysis unit (as per specifications) Thoracic medicine ward with room for pulmonary function test Blood bank Beds (M+F) Beds Beds Beds Beds Beds Beds Beds (M+F) Yes 63 .IPHS for 101 to 200 Bedded District Hospitals IITB X-Ray – CR Digital OPG d) HSG f) Ultrasonography Colour Doppler g) Spiral CT scan MRI 0.

Urology. ENT) Post – Operative Ward Accident and Trauma ward Labour room Labour room (Eclampsia) Septic Labour room Ante-natal ward Post-natal ward Postpartum ward Post operative ward Ophthalmology ward Burns Ward Beds (M+F) Beds (M+F) Beds Boards Beds Boards Beds Beds Beds Beds Beds Beds 15+15 10+16$ 10 3 15 15 20 - * including ophthalmic ward. No 1 2 3 Item Elective OT-Major Emergency OT/FW OT Ophthalmology /ENT OT District Headquarters Hospital (101-200 Bedded) 1 1 1 64 . $ including post – caesarean patients # including paediatric beds @ 10% Paying Wards REQUIREMENTS FOR OPERATION THEATRE: S.IPHS for 101 to 200 Bedded District Hospitals 10 11 12 13 14 15 16 17 18 19 20 21 General surgery ward (incl.

Erythromycin 250mg Tab.Trimethoprim+Sulphamethazol ss Tab.Crystalline penicillin 5 lac unit Inj.Gentamycin 40mg/2ml vial Inj.Dolonex DT 20mg Tab. No A) 1 2 3 4 5 6 B) 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Name of the item Analgesics/Antipyretics/Anti Inflamatory Tab.Ampicillin 500mg Inj.Cefoperazone 1Gm Inj.Ibuprofen Chemotherapeutics Inj.Ciprofloxacin 500mg Inj.Ciprofloxacin 250mg Tab.Tetracycline 250mg Tab.Diclofenac sodium Tab.cefotaxime 500mg Tab.Ampicillin 250mg Cap.Fortified procaine pen 4 lac Inj.Erythromycin 500mg Syrup Cotrimoxazole 50ml Syrup Ampicillin 125mg/5ml 60ml Inj.Paracetamol 500mg Inj.Ciprofloxacin 100ml Tab.Aspirin 300mg Tab.Diclofenac sod Tab.Ofloxacin 200mg 65 .IPHS for 101 to 200 Bedded District Hospitals 12.crystalline penicillin 10 lac unit Cap.Norfloxacin 200mg Tab.Norfloxacin 400mg Tab. LIST OF MEDICINES / INSTRUMENTS / EQUIPMENTS /LAB REAGENTS / OTHER CONSUMABLES AND DISPOSABLES FOR DISTRICT HOSPITALS Sr.

Amikacin sulphate 100mg Cap.Amikacin sulphate 500mg Inj.O.Amoxycillin 500mg Anti Diarrhoeal Tab.Tinidazole 300mg Dressing Material/Antiseptic lotion Povidone Iodine solution 500ml Phenyl 5litr jar(Black Phenyl) Benzalkonium chloride 500ml bottle Rolled Bandage a)6cm b)10cm c)15cm 42 43 44 45 46 Bandage cloth(100cmx20mm) in Than Surgical Guaze(50cmx18m) in Than Adhesive plaster 7.Diolaxanide Fuzate Tab.5cm x 5mtr Absorbent cotton I.P Bandage a) 10cm b)15cm 47 48 49 Framycetin skin oint 100 G tube Silver Sulphadiazene Oint 500gm jar Antiseptic lotion containing : a)Dichlorometxylenol 100ml bot b)Haffkinol 5litre jar 50 51 Sterilium lotion Bacillocid lotion 66 .IPHS for 101 to 200 Bedded District Hospitals 27 28 29 30 31 C) 32 33 34 35 36 37 D) 38 39 40 41 Inj.Metronidazole Tab.P 500gm Net P.Furazolidone 100mg Tab.Metronidazole 400mg Syrup.Metronidazole 200mg Tab.Vionocef(Ceffixime)250mg Inj.Cefodroxyl 250mg Inj.

22 e) No.24 g) No.19 b) No.25 h) No.26 66 Scalp vein sets no a) 19 b) 20 c) 21 d) 22 e) 23 67 .dextrose 5% 500ml Inj.Water for 5ml amp Inj.Dextrose in Normal saline 500ml bt Inj.23 f) No.Metronidazole 100ml Inj.Water for 10ml amp Inj.Normal saline (Sod chloride) 500ml Inj.Dextrose 25%100ml bot I.Plasma Substitute 500ml bot Inj.20 c) No.Lomodex Other Drugs & Material All Glass Syringes 2ml 5ml 10ml 20ml 65 Hypodermic Needle (Pkt of 10 needle) a) No.IPHS for 101 to 200 Bedded District Hospitals E) 52 53 54 55 56 57 58 59 60 61 62 63 F) 64 Infusion Fluids Inj.21 d) No.Mannitol 20% 300ml Inj.Ringer lactate 500ml Inj.Dextrose 10% 500ml bottle Inj.V.

B12 Folic acid Surgical Gloves a)6 “ s b)6.1/2x8.1/2" c)7" d)7.Complex NFI Therapeutic Tab.Dexamethasone 2mg/ml vial Inj. b)2 No.2.IPHS for 101 to 200 Bedded District Hospitals f) 24 g)25 h)26 67 68 69 70 71 72 73 Gelco all numbers Tab.1/2" b)8"x10" c)10"x12' d)12"x15" 79 80 81 82 83 84 Fixer Developer CT Scan film Ultrasound scan film Dental film Oral Rehydration powder 27.1/0.1 Sutupak 1. c)1-0 No d)2-0 N0 e)8-0 75 76 77 78 Vicryl No.5" 74 Catgut Chromic a)1 No.Polyvitamin NFI Therapeutic Inj.B.5g 68 .Vitamin B Complex 10ml Inj.2/0 Prolene X Ray film 50 film packet(in Pkt) size a)6.

Streptokinase 7.Antacid ARS Syp.2mg/amp Inj.Omeprazole Cough syrup 5litre Jar Cough syrup with Noscapine 100ml Coir Mattress Inj.Rabipur Inj.Streptokinase 15lac vial Inj.PAM Tab.MethylErgometrine 0.Ranitidine Tab.Lignocaine 1% Inj.5lac vial Inj.lignocaine 2% 69 .Antacid Inj.Ranitidine 2ML Tab.IPHS for 101 to 200 Bedded District Hospitals 85 86 G) 87 88 89 90 91 H) 92 93 94 Ether Anaesthetic 500ml Halothane Eye Drops Sulphacetamide eye drops 10% 5ml Framycetin with steroid eye drops 5ml Framycetin eye drops 5ml Ciprofloxacin eye drops Gentamycin eye drops Other Material Rubber Mackintosch Sheet in mtr Sterile Infusion sets(Plastic) Antisera I) A II)B III)D 5ml 5ml 5ml IV)AB 5ml 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Inj.

Pefloxacin 400mg Tab.Quinine Tab.Cetrizine Tab.Pheniramine maleate Tab.Ethambutol 400mg Cap.Diphenhydramine (eqv.Diethylcarbamazin 70 .Valdecoxib 20mg Tab.Protein(Provita) Antibiotics and Chemotherapeutics Tab.Erythromycine Tab.Amoxycillin250+cloxacillin 250 Inj.Chlorpheniramine maleate 4mg Tab.Gattifloxacin 400mg Tab.Chloroquine phosphate Inj.Lignocaine 5% Inj.Atrovastatin 10mg Sy.Chloroquine phosphate 250mg Inj.Erythromycine Esteararte 250mg Syp.Benzathine penicillin 12 lac Antihistaminics/anti-allergic Inj.Marcaine Inj.Benadryl) Tab.Phenoxymethyl Penicillin125mg Cap.Amoxycillin with clavutanite acid 600mg Cap.Rifampicin Tab.Neomycin Inj.Salbactum+Cefoperazone2Gm Inj.Diazepam Inj.Isoniazid 100mg Tab.Himalt-X Sy.IPHS for 101 to 200 Bedded District Hospitals 111 112 113 114 115 116 117 118 119 120 121 122 123 I) 1 2 3 4 5 6 7 8 9 10 11 J) 12 13 14 15 16 Inj.Cefuroxime 250/750 Tab.

Cyclopam Inj.IPHS for 101 to 200 Bedded District Hospitals K) 17 18 19 20 21 22 23 24 25 26 27 28 29 L) 30 31 M) 32 33 34 35 36 37 N) 38 39 40 41 42 43 44 Drugs acting on Digestive system Tab.Digoxine Inj.adrenaline Inj.Piperazine citrate Tab.Mebendazole Sy.Prochlorperazine(Stemetil) Tab.Furazolidone Inj.atropine sulphate Inj.Pyrantel Pamoate Tab.Ferrous sulphate200mg Inj.Iron Dextran/Iron sorbitol Eye ointment Chloramphenicol eye ointment & applicaps Chloramphenicol + Dexamethsone ointment Gentamycin eye/ear drops Dexamethasone eye drops Drosyn eye drops Atropine eye ointment Drugs acting on Cardiac vascular system Inj.Digoxine Tab.Atenolol Tab.Isoxuprine 71 .Belladona Drugs related to Hoemopoetic system Tab.Bisacodyl Tab.Piperazine Citrate Sy.Cyclopam Tab.Mephentine Tab.Perinorm syrup.Perinorm Inj.Mebendazole 100mg Syp.

Deriphylline Tab.Deriphylline 72 .Phenobarbitone 60mg Tab.Phenobarbitone 30mg Tab.Chlorpromazine 25mg(like Largactil) Inj.Isosorbide Dinitrate(Sorbitrate) Tab.Diazepam 5mg Tab.Haloperidol Tab.Pacitane Tab.Surmontil Syrup.Aminophylline Tab.Verapamil(Isoptin) tab.Methyldopa Tab.Propranolol Tab.Duvadilan Tab.Phenergan Syrup Paracetamol Ethyl chloride spray Lignocaine oint Gentamycin eye/ear drops Betnesol-N/Efcorlin Nasal drops Drugs acting on Respiratory system Inj.Diazepam 5mg Tab.Aminophylline Inj.Pavlon 2ml amp Inj.Pethidine Inj.Enalepril2.Largactil 25mg Tab.Haloperidol Inj.Pentazocine (Fortwin) Inj.IPHS for 101 to 200 Bedded District Hospitals 45 46 47 48 49 50 O) 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 P) 71 72 73 74 Inj.5/5mg Drugs acting on Central/peripheral Nervous system Inj.Promethazine Hcl Phenergan inj.

Mesoprosl Tab.Duvadilan Inj Duvadilan Tab.Insulin Rapid Insulin lente Besal Inj.Cry Insulin Inj.Salbutamol 2mg Syrup Tedral Syrup.Pyridicil Inj.Pitocin Inj.Testesterone plain 25mg Testesterone Depot 50mg Tab.Salbutamol Antiseptic Ointment Furacin skin oint Framycetin skin oint Drugs acting on UroGenital system Tab.Primolut-N Sysran N Haymycin vaginal tab Inj.Biguanide Tab.KCL Liquid KCL Tab.Mixtard Inj.Frusemide 40mg Inj.IPHS for 101 to 200 Bedded District Hospitals 75 76 77 Q) 78 79 R) 80 81 82 83 84 S) 85 86 87 88 89 90 91 92 93 94 T) 95 96 97 98 99 100 101 102 Tab.Prostodin Tab.Frusemide Drugs acting on Uterus and Female Genital Tracts Inj.Methyl Ergometrine Tab. Magsulph Hormonal Preparation Inj.Chlorpropamide 100mg 73 .

Iodine Tr.Vit “A” Inj.Sodabicarb Inj.Antirabies vaccine Inj.Glibenclamide Tab.Ascorbic acid 100mg Other drugs Inj.IPHS for 101 to 200 Bedded District Hospitals 103 104 105 106 U) 107 108 109 110 111 112 113 V) 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 Tab.Pyridoxin 50mg Inj.Tolbutamide 500mg Tab.Benzoin Glcial acetic caid Benedict solution Caster oil Liquid paraffin Glycerine Glycerine Suppositories Turpentine oil Potassium Permangnate Formaldehyde Dextrose Powder 74 .AntiDiphtheria Serum Inj.Cyclophosphamide Inj.Vit “A” & “D” Tab.Betamethasone Vitamins Inj.Prednisolone 5mg Tab.Antisnake venom Inj.Cholcalciferol16lac Inj.Calcium lactate Tr.Ascorbic acid Inj.Calcium Gluconate Tab.Vit K Tab.

Mentat Oint.Theophylline ECG Roll Burnion Oint Flemigel APC Ointment Syp.Dopamine Tab.Valethemide Bromide(Epidosyn) Inj. Others Tab.Isolyte-M Inj.IPHS for 101 to 200 Bedded District Hospitals 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 (W) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Methylated spirit Cotrimazole lotion Cotrimazole cream Tab.Dipyridamol(Like Persentine) Inj.Amitryptilline Tab.Nitrofurantine Inj. Septilin Tab.Isolyte-G Cap.Himobin APDYL Cough &Noscopin Tab.Cephalexin 250mg 75 . Cystone Tab.1000IU Tab.Isolyte-P Inj. Gasex Syp.Doxycycline 100mg Inj.Glyceryl Trinitrate Tab.Liv52 Syrup Liv52 Cap. Pilex Rumalaya Gel Pinku Pedratic Cough Syp.trifluoperazine(1mg) Tab.Heparin sod.

Metaclopramide Tab.Orciprenaline Suturing needles (RB. Nebasuef .Folic acid Inj.5% 1 Bacitrium powder 10mg botts Bleaching Powder 5 Kg Pkts(ISI Mark) Ether Solvent 76 .Pyridoxine Hydrogen peroxide Inj.stilboesteral Inj.Tetglobe Inj. Phenabarbitone 200mg Inj.Xylocaine 4% 30 ml Halothane Mixture Alkaline Inj.IPHS for 101 to 200 Bedded District Hospitals 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Tab. Soframycin Pow Magnasium Sulphate Powder Furacin Cream Xylocaine jelly Formaldehyde Lotion Cetrimide 100ml bott 3.Paracetamol Pilocarpine eye drops 1% Sy.Cutting) Inj.Taxim Inj.Nor adrenaline Betadine lotion Tab.magnesium sulphate Benzyl Benzoate GammaBenzene Hexachloride Inj.Calcium pantothernate Inj. 1.Lignocaine Hcl 2% Inj. B12 (Cynacobalamine) Neosporin.5%.

Ferrous sulphate200mg+Folic acid Tab.V Inj.U Inj.25mg Tab.1mg Warfarin sod 5mg Tab.Nefidipine 30mg Tab.Griseofulvin125mg Tab.Riboflavin 10mg Syp.Alprazolam 0.Quinine Dihydrochloride Tetanus Antitoxin 10000 I.Theophylline Etophylline Inj. Hydroxy Progesterone500mg/2ml Inj.Amlodipine 5mg Tab.Phenobarbitone 60mg Tab.Multivitamin I.Furazolidone Oint.IPHS for 101 to 200 Bedded District Hospitals 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 Sodium Hypochloride Sod.Ferrous Gluconate 100ml bottle Cream Fluconozole 15gm tube Sus. Diphthoria antition ADS)10000I. Gas gangrene Antitoxin(AGGS)1000 Inj.U Inj.isoniazid 100mg/5ml 100ml bot Liquid paraffin 77 .Potassium chloride Inj.Vitamin A Tab.Hydrocortisone acetate Syp. 5 ltrs/1 ltrs Inj.Phenobarbitone 30mg Tab.Tetanus Toxoid 5ml vial Inj. Methyl Prednisolon 500mg vial Inj.Amlodipine 10mg Tab.Nefidipine 20mg Tab.Pyridoxin 10mg Tab.Thyroxine sod 0.Ferrous sulphate 300mg Tab.

Gamabenzene hexachloride1% bt Glycerine Suppository USP 3gm bott/10 Cream Nitrofurazone 0.Complex Vit D-3 Granules Opthalmic & ear drops Glycerine Mag sulphate ear drops Pilocarpine eye drops 4% Oint Acyclovir 3% 5gm tube Benzyl Benzoate emulsion 50ml bot Oint.Betamethasone Cream Clotrimazole skin 1% 15gm Oint Dexamethasone 1%+ Framycetin Oint contain clotrimazole+Genta+Flucon Oint Flucanazole 10 mg Cream Framyctin 1% 20gm tube/100gm Lot.2% jar of 500g Oint Silversulpadiazene 1% 25g AIDS Protective kit 78 .Primaquine Suspension Pyrantel pamoate Sus Rifampicin Syp.Theophylline 100ml Syp.Salbutamol 100ml bot Syp.Norfloxacin Phenylepinephrine eye drops Pilocarpine eye drops 2% Syp.IPHS for 101 to 200 Bedded District Hospitals 79A 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 Linctus codein 500ml bot Cream Miconozole 2% 15gm tube Syp.Nalidixic acid Syp.Vitamin B.Pottassium chloride 400ml bot Syp.

QUALITY ASSURANCE SERVICE DELIVERY IN Quality of service should be maintained at all levels. Monitoring of laboratory Internal Quality Assessment Scheme External Quality Assessment Scheme Record Maintenance Computers have to be used for accurate record maintenance and with connectivity to the District Health Systems. Monitoring of Accessibility and equity issues.e. Secondly. Disaster Preparedness Audit. if any. user fees charged. on the job training must be provided to all categories of health care personnel to upgrade their knowledge and skills in technical and management fields. 14. infrastructure and software i. human resources are necessary but not sufficient. induction training of at least six months duration must be made mandatory for all categories of health care workers. management and knowledge about the drugs/ equipments and services offered at all levels of health care. Annual Jansamvad may also be held as a mechanism of monitoring. CITIZEN’S CHARTER Each District hospital should display a citizen’s charter for the district hospital indicating the services available. information exchange. Standard treatment protocols for locally common diseases and diseases covered under all national programmes should be made available at all district hospitals.IPHS for 101 to 200 Bedded District Hospitals 13. 16. These need to be guided by standard treatment protocols and Quality Assurance in Service Delivery Quality Control Internal Monitoring Social audit through Rogi Kalyan Samities / Panchayati Raj Institutions Medical Audit. State and National Level. CAPACITY BUILDING At the time of entry into service. This must be a comprehensive training and must have components of requisite skill enhancement. External Monitoring Monitoring by PRI / Rogi Kalyan Samities 15. Financial Audit. These RKS should be registered bodies with an account for itself in the local bank. The RKS / HMC will have authority to raise their own resources by charging user fees and by any other means and utilized the same for the improvement of service rendered by the District Hospital. All the efforts that are being made to improve hardware i. ROGI KALYAN SAMITIES (RKS) / HOSPITAL MANAGEMENT COMMITTEE (HMC) Each district hospital should have a Rogi Kalyan Samiti / Hospital Management Committee with involvement of PRIs and other stakeholders as per the guidelines issued by the Government of India. Technical Audit. 79 .e. at a duration of every two years. Service / performance evaluation by independent agencies District Monitoring Committees formed under NRHM shall monitor the upgradation of Hospitals to IPHS.

SERVICE WITH SMILE CITIZENS CHARTER This charter seeks to provide a framework which enables our users to know: q q q General Information Enquiry. Maternity OT Orthopaedic Emergency OT Burns and plastic OT Main OT for Neurosurgery cases Emergency Operation Theatre is functioned round the clock.. Specialist doctors are available on call from resident doctors. Doctors wear white aprons and nurses are in uniform. q OT located on …………. road in front of ………… This hospital hasDoctors: ………………… (including residents ………).. 80 . Fax: ………………………. treatment/management gets priority over paper work like registration and medicolegal requirements. Yet we insist that all our users receive courteous and prompt attention. Standards are influenced by patients load and availability of resources. A modal citizen’s charter is given as under. floor of ………… building. (including supervisory staff). q What services are available in this hospital. Location guide maps have been put up at various places in this hospital. The decision rests with the treating doctor.. Emergency services are available for all specialities as listed in the OPD Services. Telephone enquiries can be made over telephone numbers: ……………………. All Staff member wear identity cards. It provides medical care to all patients who come to the hospital. Beds: ……………………. OUR MOTTO . Nurses: …………………. Colour coded guidelines and directional signboards are fixed at strategic points for guidance. Casualty & Emergency Services: All Casualty Services are available round the clock. Emergency Operations are done in- q q q q Locations: It is located on ………. Sub-district/divisional hospital. The means through which complaints regarding denial or poor quality of services will be redressed. Reception and Registration Services: This counter is functioning round the clock.IPHS for 101 to 200 Bedded District Hospitals and a grievance redressal system. The quality of services they are entitled to. q Duty Doctor is available round the clock. Standards of Service: q This is a District. In serious cases. & …………………….

Eye ENT Skin Urology Cardiology Psychiatry Radiotherapy Neurology Orthopaedics Burns & plastics Dental OPD ISM Services: Homeopathic Ayurvedic Any other Place Time of Registration Time of OPD 81 .IPHS for 101 to 200 Bedded District Hospitals OPD Services: Various outpatient services available in the hospital are detailed below (as available): OPD General Medicine Paediatrics General Surgery Obstetric & Gynec.

CAT Scan services are also available round the clock. ……………………… Some specialities do not have indoor patients services: Psychiatry D-addiction Dental Nuclear Medicine Genetic Counselling Endochronology Geriatrics Laboratory Services: Routine: Laboratory Services are provided in the field of (as available): q q q q q q Radio Diagnostic Services: Routine: These services include: X-Rays Ultrasound and CAT Scan Routine X-Rays are done from 9:00 AM to 1:00 PM. ………………………. There is a —————— bedded Intensive Care Unit for care of seriously ill patients. In the Burns Department. Emergency ward A admits emergency cases for medical problems. 9:00 AM to 4:00 PM. treatment is given by doctor on duty and specialists are available on call. . A ——————— bedded Intensive Coronary Care Unit takes care of heart patients requiring intensive treatment. Emergency: Emergency Laboratory Services are available 24 hours for limited tests relating to clinical pathology and bio-chemistry. Emergency ward B admits emergency cases for surgical problems. There are ——————— labour rooms for conducting deliveries round the clock.e. On Saturdays. PM. The timings for receiving specimens are 9:00 AM to 11:30 AM. the hospital functions from ……………. All indoor patients receive treatment under the guidance and supervision during office hours i. Free diet is provided to all patients in the General Wards. ————————— nurseries provide necessary care to the newborns – normal as well those born with disease... Registration is done from 9:00 AM to 11:30 AM. Medical Facilities Not Available: Organ Transplantation ………………………. Wards providing free indoor patient care. there are ————— bedded Intensive Care Unit to treat seriously injured burns patients. Indoor Patient Services: There are total of ………. Ultrasound examination is done from 9:00 AM to 4:00 PM. OPD services are available on all working days excluding Sundays and Gazetted Holidays. Outside office hours. Emergency: Emergency X-Ray services are also available round the clock. 82 Bio-chemistry Microbiology Haematology Cytology Histopathology including FNAC Clinical Pathology There is a Central Collection Centre for receiving and collecting various specimens for testing.IPHS for 101 to 200 Bedded District Hospitals In OPDs specialists are available for consultation.. AM to …………….

Chemist Shops are available outside the hospital. Every grievance will be duly acknowledged. Please provide useful feedback & constructed suggestions. It will only help us serve you better. In case of emergency CMO (on duty) may waive off these charges. Visitors are allowed only between 5:00 PM to 7:00 PM. we will explain the reasons and the time we will take to resolve. Tele (O)……………… (M)…………………. Adequate toilet Facilities for use of patients and their attendants are available. Bariummeal. These may be addressed to the Medical Superintendent of the Hospital. For poor patients.. 83 We aim to settle your genuine complaints within 10 working days of its receipt.O. Please do not inconvenience other patients. Beware of Touts. ……………………. (R)…………………. Please use the facilities of this hospital with care. ————— Ambulances are available to pick up patients from their places (on payment of nominal charges) and also for discharged patients. Ultra Sound..IPHS for 101 to 200 Bedded District Hospitals Every patient is given one attendant pass. A Staff Nurse is on duty round the clock in the ward. Complaints & Grievances: There will be occasions when our services will not be upto your expectations. The Hospital is a “No Smoking Zone” and smoking is a Punishable Offence. Name. are charged for as per Government approved rates. TMT etc. Dr. Please try to appreciate the various constraints under which the hospital is functioning. designation and telephone number of the nodal officer concerned is duly displayed at the Reception. Meeting Hours…………… to …………………… Responsibilities of the Users: The success of this charter depends on the support we receive from our uses. Mortuary Van is available on payment between 9:00 AM to 4:00 PM. Canteen for patients and their attendants is available. Please do not hesitate to register your complaints. ECHO. Suggestions/Complaint boxes are also provided at various locations in the hospital. by the Additional Medical Superintendent. Admitted patients should contact the Staff Nurse for any medical assistance they need. Please help us in keeping the hospital and its surroundings neat and clean. On an average more than ———— lacs patients attend the OPD annually and more than ———— —— lacs patients are attended annually in the casualty and emergency wards. Stand-by Electricity Generators have been provided. Please refrain from demanding undue favours from the staff and officials as it encourages corruption. If we cannot. q “No Smoking Please” q Don’t split here & there q Use Dustbin q Keep Hospital Clean q Give regards to Ladies and Senior Citizens . these charges can be waived partially or fully on the recommendation of the H. Designation…………….D. Public Telephone Booths are provided at various locations. Lifts are available for access to higher floors. Investigations like CAT Scan. Other Facilities: Other facilities available include: Cold Drinking Water Wheel chairs and trolleys are available in the OPD and casualty.

a person who has the control over the institution and/or its premises. Incineration: The incinerator installed must meet the specification and emission standards as given in the Bio-Medical Waste (Management & Handling) Rules. it is incumbent on the occupier to ensure that the waste is treated within a period of 48 hours. i. Purchase of equipments such as: a) b) c) d) 2. The various options are: 1. In connection with the implementation of the Rules. microwave system for the treatment of waste. required to set in place the biological waste treatment facilities. Training IEC activities. Segregation must be done at the source of generation of waste. therefore. protective gears. The correct colour bag should be used for the particular treatment option. 5. to take all steps to ensure that the waste generated is handled without any adverse effect to human health and environment. dispensary. The hospitals. 1998. The Ministry of Environment & Forests notified the “Bio-Medical Waste (Management & Handling) Rules. The Rules further state that every Occupier. autoclave. 4.IPHS for 101 to 200 Bedded District Hospitals Annexure – I Guidelines for the Project providing financial support to the selected Government Hospitals for Hospital Waste Management. 1998. are. Civil and electrical works to house and operate the waste treatment facilities. Schedule VI of the rules also provides the time limits by which the waste treatment facilities are required to be in place. Hospital Waste Management System must be established in accordance with the Bio-Medical Waste (Management & Handling) Rules. 1998” in July.e. As 80-85% of waste generated in hospitals is non-hazardous or general waste. AIM: The aim of the scheme is to implement pilot projects to have a demonstration effect by providing financial assistance to identified hospitals/ institutions under Central/State Governments for: 84 1. clinic. In accordance with the rules (Rule 4). However. The categories for segregation of waste and colour coding and type of container should be as in Schedule 1 and 2 of the Bio-Medical Waste (Management & Handling) Rules. where required. etc. It is. nursing homes. 3. Incinerator Microwave Autoclave Shredder Other equipments including colour coded bags and puncture proof containers. it is the duty of every “Occupier”. 1998 (Annexure). not incumbent that every institution has to have its own waste treatment facilities. it has been decided to take up pilot projects in selected Government hospitals – Central and State. animal house. etc. 1998 and must meet the guidelines developed by . shall set up requisite bio-medical waste treatment facilities like incinerator. pathological lab. segregation will reduce the quantum of waste that needs special treatment to only 15-20% of the total waste. however. The various options for treatment of waste can be selected according to feasibility and type of waste as given in the Schedule – I. The rules also envisage that common facility or any other facilities can be used for waste treatment. No untreated bio-medical waste shall be kept stored beyond a period of 48 hours (Rules 5 & 6). or ensure requisite treatment of waste at a common treatment facility or any other treatment facility.

Waste category. 2.5. 1015 litrs) = Rs. 4. Z.1. The financial assistance will be limited to Rs. The wheeled container should be designed so that waste can be easily loaded.000. 1998. 6. 4.00 5. training. for Disposal of hospital wastes = Rs.00 lakhs Shredder (Approx. Civil and Electrical works = Rs. dated 18. Incinerator or Microwave = Rs.50 crore per State/UT. The equipment for autoclaving or microwaving waste should conform to these standards. 3. 4. Transportation of Waste: Within the hospital in dedicated wheeled containers.2. posters. 5. 1998. 100 kg to 360 kg.85 lakhs per hospital or Rs. & 6 as stated in the Schedule – I of the bio-Medical Waste (Management & Handling) Rules. IEC activities including preparation and publication of literature.IPHS for 101 to 200 Bedded District Hospitals Central Pollution Control Board for design and construction of bio-medical waste incinerator (circulated to all States/UTs vide letter no. Wherever common facilities for treatment and disposal of bio-medical waste are available. Procurement of equipments like needle shredder puncture proof containers for sharps. colour coded bags. The estimated costs are as under:1. protective gears for staff etc. installation of incinerators by individual hospitals may not be encouraged and such waste should be transported to the common facility for proper treatment. Vol./hour) = Rs. does not have sharp edges and is easy to clean and disinfect. 2. Needle and Syringe Destroyer: These units can be used for needles and syringes at the point of use. 6.00 lakhs Waste transportation: Onsite-wheel barrow/ wheeled = Upto max. trolleys or carts should be used to transport the bins or plastic bags to the site of storage/ 85 treatment. of container or similar carriage Rs. 5. 1. These will destroy the used needles reducing it to ashes and cut the syringe effectively preventing the re-use.11.50.00 lakhs Autoclave (Approx. The assistance will be given direct to the hospital/institute for purchase of equipments for waste treatment facilities/installation of equipment and civil/electrical works to house the waste treatment facilities.28015/50/2003-H. 1998. 1998. Shredder: Shredding will cause a reduction in the volume of waste and will also effectively prevent its re-use.2003) – a certificate may be taken from the State Pollution Control Board.2.50 lakhs Literature/IEC/Training of Staff = Rs. .30. It is required for waste category 4 and 7 of the Schedule – I of the Bio-Medical Waste (Management & Handling) Rules. Cap.00 lakhs The following eligibility conditions have to be fulfilled for availing of financial assistance: i. Autoclaving/Microwaving: Standards for autoclaving and microwaving are provided in the Bio-Medical Waste (Management & Handling) Rules. pamphlets. etc. 3. The application for financial assistance should be forwarded to this Ministry through the State Government/UT Administration concerned. it should be ensured that waste is disinfected by chemicals/microwaving/autoclaving before shredding. trolleys.10. These options can be selected for waste categories 3. 7 of Schedule – I of the Bio-Medical Waste (Management & Handling) Rules. remain secure during transportation.35. 2. 3.00 lakhs 7.

The grant will be subject to the condition that the State Government / UT Administration will give an undertaking that adequate arrangements for running the equipments and their maintenance for disposal of hospital waste shall be made. in the form of equipment should be.1. The cost of equipments to be purchased should be indicated. However. iii. iv. if any. The accounts of the hospital about purchase of equipment/maintenance of the equipments/transportation of thw waste/ expenditure incurred on civil/electrical works will be audited by the Accountant General of the State Government / UT Administration and its utilization certificate will be forwarded to the Ministry of Health & Family Welfare within a period of six months after the expiry of the financial year during which the grants is sanctioned. DDG level officer in the Dte. the Joint Secretary dealing with hospital matters. The Member Secretary of the Committee will be Director/Deputy Secretary dealing with hospital matters. vii. The Joint Secretary (Hospital). The financial assistance will be limited to Rs. Scrutiny of Applications: The applications received from the State Government/UT Administrations for setting up of facilities for disposal of hospital waste in the hospitals under their administrative control will be considered in the Ministry in a Committee headed by Additional Secretary and proposals cleared for giving financial assistance.GHS and one representative of Central Pollution Control Board/Ministry of Environment & Forests as members.1. The State/UTs will have the option to choose any equipment (s) from the list above to cover as many hospitals as possible. as far as possible. The proposal for additionalities. The equipments will be purchased as per prescribed procedure.5 crore.IPHS for 101 to 200 Bedded District Hospitals ii. DDG level officer dealing with hospitals in Dte.GHS concerned with hospitals matters will be the Nodal Officer for implementation of the scheme.5 crore per State/ UT.85 lakhs per hospital or Rs.GHS. Chairman. by way of complementary equipments supported by estimates of concerned authorities. Joint Secretary (FA) or his representative. v. The funds for setting up facilities for disposal of hospital waste will be sanctioned to the State Government/UT Administration/Occupier and it will be implemented by the concerned Government and to the concerned Head of the Hospital in case of Central Government Hospitals/Institutions. the financial assistance per State will be provided upto a maximum amount of Rs. vi. These will be entered into an Assets Register to be maintained by the hospital. 86 . The proposals then will be processed for sanction of financial assistance to the Government Hospitals/institutes. The proposals will be examined through a Committee consisting of Additional Secretary. the Head of the Institutions may send their proposal through Dte. The State Government/UT Administration should ensure that the existing facilities are inspected by a responsible officer and deficiencies pointed out. The grant will be subject to the condition that the State Government/UT Administration/ Hospital will give an undertaking that they will provide the required trained manpower for running of the equipments and their maintenance for proper treatment and disposal for the bio-medical waste. In the case of Central Government Hospitals/Institutions. The funds sanctioned will be utilized for the purpose for which it is sanctioned.

AFMC Pune NICED & NICD IDSP Level – 5 Labs North Zone East Zone South Zone Streptococcus pyogenes and S pneumoniae BJ MC CMC Vellore C. Allepey Tamil Nadu University. Chennai VCRC. Bubaneswar & Dibrugarh BJMC RMRC Port Blair 87 . Vellore PGIMER Chandigarh AIIMS Delhi CRI Kasauli VP. Cuttack Medical College KEM Mumbai. Delhi CMC Vellore & PGIMER Chandigarh NICD. Bangalore CMC.IPHS for 101 to 200 Bedded District Hospitals Annexure . gonorrheae Staphylococcus SN Medical College.4 Labs Central South Zone Zone Advance Diagnostic Facilities Bacterial diagnosis Enteric bacteria: Vibrio cholerae. Kolkata AFMC. Pune VP Chest Institute. John Medical College. Pondicherry RMRC. Salmonella CMC Vellore Trivandrum Medical College Indore Medical College St. Agra BHU State PH Lab Trivandrum MGR Medical University PGIMER Chandigarh - Surat Medical College AFMC. Delhi STM. Chest University of Delhi RMRC Dibrugarh. Delhi Neisseria meningitidIs and N. Kolkata Leptospirosis DRDE Virology Institute.diphtheriae BHU NICD. Delhi AIIMS IVRI STM. Shigella.II REFERRAL LABORATORY NETWORKS Referral Laboratory Network for Advanced diagnostic facilities IDSP Level . Pune Maulana Azad Medical College.

IPHS for 101 to 200 Bedded District Hospitals

Viral Diagnosis Enteric viruses DRDE CMC, Vellore AIIMS & Villupuram Chest Institute AIIMS & NICD Delhi Chest Institute AIIMS & NICD Delhi Chest Institute AIIMS ICGEB, Delhi AIIMS & NICD Delhi AIIMS NICED Kolkata EVRC, Mumbai, NIV & NICD



CMC, Vellore

NICED Kolkata





CMC, Vellore

NICED Kolkata



Hepatitis viruses


CMC, Vellore

NICED Kolkata



Neurotropic viruses


CMC, Vellore CMC, Vellore








Parasitic Diagnosis Malaria All State Public Health Laboratories MRC, Delhi ICGEB, Delhi NVBDCP, Delhi VCRC Pondicherry


All State Public Health Laboratories

Zoonoses Dengue DRDE VCRC, Pondicherry Institute of Virology, Aleppey CRME, Madurai & NIMHANS VCRC, Pondicherry AIIMS NICED NIV NIV ICGEB, Delhi








IPHS for 101 to 200 Bedded District Hospitals



NICD Bangalore CMC, Vellore

NICD, Delhi


Haffikins Institute AFMC

NICD, Delhi

Rickettsial diseases





Others of Public Health Importance Anthrax DRDE CMC, Vellore CMC Vellore, Trivandrum Medical College IGIB NICED, Calcutta RMRC, Dibrugarh, Cuttack Medical College BJMC NICD IVRI NICED & NICD

Microbial water quality monitoring

NEERI, Nagpur

PGIMER Chandigarh AIIMS Delhi CRI Kasauli

KEM Mumbai, HAFFKIN’s, Mumbai AFMC Pune

Unknown pathogens Outbreak investigation support Laboratory data management

Other laboratories to perform support functions


Medical Colleges and state public health laboratories NICD, NIV, NICED, VCRC as L3/ L4 Medical Colleges, state public health laboratories and all the L4 & L5 laboratories (in their area of expertise) All the L4 & L5 laboratories (in their area of expertise) All the L4 & L5 laboratories (in their area of expertise) NIV, NICDNIV, NICD

Capacity building


Quality assurance


Quality control of reagents All the L4 & L5 laboratories (in their area of & kits evaluation expertise)

Production & supply of reagents/ kits/ biological/ standard reference materials


Biosafety & biocontainment

Other laboratories to perform support function



IPHS for 101 to 200 Bedded District Hospitals

List of Abbreviations
BJMC CHC CME CSSD CRI CRME DRDE ICGEB EVRC FRU HSADL IGIB IPHS IVRI KEM MRC NARI NEERI NICED NIV NRHM PRI RKS/HMC RMRC STM VCRC BJ Medical College Community Health Centre Continuing Medical Education Central Sterile and Supply Department Central Research Institute Centre for Research in Medical Entomology Defense Research and Development Establishment International Centre for Genetic Engineering and Bio-technology Enterovirus Research Centre First Referral Unit High Security Animal Diseases Laboratory Institute of Genomics and Integrative Biology Indian Public Health Standards Indian Veterinary Research Institute King Edmund Memorial Hospital Malaria Research Centre National AIDS Research Institute National Environmental Engineering Institute National Institute of Cholera and Endemic Diseases National Institute of Virology National Rural Health Mission Panchayati Raj Institution Rogi Kalyan Samiti / Hospital Management Committee Regional Medical Research Centre School of Tropical Medicines Vector Control Research Centre 90

Ministry of Health & Family Welfare. Indian Standard Basic Requirement for Hospital Planning. India. Population Census of India. Bureau of Indian Standards. Office of the Registrar General. WHO. Directorate General of Health Services. Govt. New Delhi. 5. (Unpublished) District Health Facilities. Health & Family Welfare Department. 91 . Govt. 4. of Tamil Nadu. Indian Public Health Standards (IPHS) for Community Health Centres.IPHS for 101 to 200 Bedded District Hospitals References 1. 2001 Rationalisation of Service Norms for Secondary Care Hospitals. 2001. Part 2 Upto 100 Bedded Hospital. 2. January. 1998. 3. Guidelines for Development and Operations. of India.

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