Indian Public Health Standards For

PHC AND CHC

What is a PHC?
“It is essential health care made universally accessible to
individuals and acceptable to them, through their full
participation and at a cost the community and country can
afford.”

Comprehensive Primary Health Care(CPHC)

Ayushman Bharath Programme (AB) - initiated to upgrade
all Health center's as Health and Wellness Centers
(HWCs)
Types of PHC’s
Objectives
1. High quality services that are accountable,
responsive, and sensitive to the needs of the
community.
2. To specify the minimum assured (essential) and
achievable (desirable) services.
3. To provide guidance on health systems
strengthening components
4. To achieve and maintain an acceptable standard of
the quality of care at public facilities
5. To facilitate monitoring and supervision of the
facilities
6. To provide guidance and tools for governance,
leadership and evaluation.
Infrastructure

Way-finding/Signage Circulation areas, corridors,

and ramps

Parking area Disaster and emergency

preparedness

Fire safety
Garden and green areas

Electric power supply

Environment friendly
features Illumination

Disabled and elder friendly Portable water supply

access
SERVICES
• Essential- General Services- 6 hrs OPD
• Emergency Services
• Antenatal clinic, NCD clinic
• Maternal and Child health care, Family welfare,
• Antenatal care, Intra natal care, Post natal care,
• Minor OT
• Management of Infectious diseases
• Management of Neonatal hypothermia
• Medical Termination of Pregnancy
• Basic Laboratory Tests
Bed capacity and Oxygen delivery system

Human Resources
MO MBBS -1
Staff Nurses-2
Pharmacist-1
Medical Lab Technologist -1
Health worker-1
Data entry Operator-1
INDIAN PUBLIC HEALTH
STANDARDS
COMMUNITY HEALTH CENTRE
2022
Objectives

• Provide optimal expert care to the community

• Achieve and maintain an acceptable standard of quality
of care
• Make the services more responsive and sensitive to the
needs of the community
Classification
Non-FRU CHCs (rural):
Essential services- preventive, promotive, curative,
palliative, and rehabilitative services

FRU CHCs (rural and urban):

• Specialized care (physicians, surgeons, obstetricians,
pediatricians, and anesthesiologists)
• Accompanying infrastructure (functional operation
theatre and blood storage unit)
• Elective and emergency surgical services of secondary
level care
Bed Capacity

CHC Beds

CHC Non- FRU 30

CHC FRU 80

UCHC Non- FRU 50

UCHC FRU 100

Population Norms For CHCs

Rural areas (CHC)

• Population norm of 80,000 (in hilly and tribal areas)
• 1,20,000 (in plains) and/or time to care approach

Urban areas (UCHC)

• Should be established at the:
Ward/Town/ULB/Block/City/District level to establish
effective convergence and linkages with citizen centric
services
• Metro cities with a population of 5 lakh and above
• Non-metro cities with a population of 2.5 lakh
Services
• Services should be offered & distributed across the
district
• Apart from curative services, there should a strong focus
on health promotion, prevention, palliation, and
rehabilitation at both primary and secondary levels of
facilities
• Non-FRU CHCs- services related to maternal and child
health, infectious diseases, nutritional disorders including
iron-deficiency anemia, mental health conditions, non-
communicable diseases, Eye, Oral and ENT care
• FRU CHCs include specialist care, operative services
and blood transfusion facilities in addition to maternal and
child health care services
Infrastructure
• Examination room • Inpatient wards.
• Adolescent friendly • Communication systems.
health clinic • Storeroom.
• Counselling room • Administrative Unit
• Clinical / Central
Laboratory
• Medical imaging
• Drug dispensing counter
• Operation theatre
complex
• Labour room complex
• Nutritional Rehabilitation
Centre(NRC) – Reception,
Play area, Counseling area,
Nurse station, Kitchen with
cooking demonstration aids,
Store, Toilet

• Others:- Blood storage units

Mechanized Laundry
Dietary Services
Residential quarters
Guest House
Toilets
HUMAN RESOURCES

The HRH for CHCs is summarized under the following

heads:
• 1. Administrative staff
• 2. Doctors (Medical Officers and Specialists)
• 3. Nursing staff
• 4. Allied and health professionals
• 5. Support staff
Human Resources
 Doctors (Specialists and Medical Officers)
• Non-FRU CHC - 1 Essential (preferably General
Medicine)
• FRU CHC and UCHC- 5 Essential specialists(General
Medicine, General surgery, OBG, pediatrician and
anesthesiologist) for specialized care.

 Nurses
• In Patient Services- 1 nurse for every 6 beds in the
general wards (3 shifts=3)
• Operation Theatre - 2 nurses per OT shift (3 shifts=6
nurses)
• Elective OT (1 shift= 2 nurses)
• Nurse in-charge of the OT complex
• Additional 2 nurses for the common pre- operative and
post-operative areas
Human Resources
• 1 nurse/midwife for every two LDR beds. In addition, 1
trained neonatal nurse every 4 neonates
• In OPD clinics, every patient will go to the nursing station
to get their vitals checked
• Assist the doctors in- examining the patients (female
patients)
• Nurses will explain treatment and prescription to the
patient

Allied Health Professionals

• The clinical psychologist and physiotherapists -
(essential) FRU & Non-FRUs
Human Resources

• Social worker -(essential) FRU-CHCs in urban and rural

areas
• Dieticians- advice & support in IPD/OPD and will also
need to provide dietary advice and guidance for NRCs
• Counsellors - cover requirements of the major national
health programmes
• Medical Laboratory Technologist/Lab technician
• Routine tests in the clinical/central lab, emergency unit,
programme tests, etc.
• Functions 24/7
Human Resources
 Pharmacist
• Dispense-120 prescriptions per day
• Maintain the drugs and equipment inventory

 Other Allied Health Professionals

• One OT technologist/OT Technician and TSSU assistant
per shift
• A Radiology and Imaging Technologist/Radiology
technician
• Dental Assistants
• Optometrist/Ophthalmic Assistant/Vision Technician

 Support staff
• Cleaning Staff (including ward attendants)
• Security Guards
• Food Trolley Bearer