Health & Wellness Centre – Sub
Health Centre / Ayushman
Arogya Mandir
Moderator: Presented by:
• Dr. Anita Punia • Anushika
(22012) Department of Community Medicine
BPS Government Medical College,
Khanpur Kalan, Sonipat
Health & Wellness Centre - Sub Health Centre,
Gamri
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Ayushman
Bharat
Health &
Wellness Centres
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Learning To learn the functioning of Health and
Objective Wellness Centre – Sub Health Centre
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INDEX
❑ Introduction
❑ Objectives of IPHS for HWC – SHC (2022)
❑ Types of Health & Wellness Centre
❑ Services Provided
❑ Lab Services
❑ Drugs Available
❑ Registers Available
❑ Waste Disposal
❑ Conclusion
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Introduction
➢ Sub-centre is the lowest referral pyramid and first contact between community people and
services for promotion the health of the people.
➢Sub-centre is the first point of contact between primary health system and community
people. It is the first unit of health system for village people. It provides the primary health
services to the community people. Nowadays it is known as health and wellness centre
(HWCs).
➢It covers the population of 5000 in plain area and 3000 in hilly areas.
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▪ To define uniform benchmark to ensure high quality
services that are accountable, responsive &
sensitive to the needs of community.
▪To specify the minimum assured (essential) &
Objectives of achievable (desirable) services that are expected to
be provided at different levels of public health
IPHS for facilities.
HWC – SHC ▪To achieve & maintain an acceptable standard of
(2022) quality of care at public health facility.
▪To facilitate monitoring & supervision of the
facilities.
▪To provide guidance and tools for governance,
leadership & evaluation.
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Types of Health & Wellness Centre
Health & Wellness Centre – Sub Health Centre
a) Health & Wellness Centre – Sub Health Centre in rural areas.
b) Urban Health & Wellness Centre in urban areas.
Population norm for HWC-SHC/UHWC
Sr. No. Type of PHC facility Plain (population) Hilly/Tribal(population)
1 HWC-SHC 5000 3000
2 UHWC 15,000- 20,000 -
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SHC Gamri
❖ Location : Gamri, Sonepat
❖ Population covered : 3,685
❖ Under CHC : Bhainswal, Sonepat
❖ Under PHC : Khanpur Kalan
❖ Staff : 1 CHO, 1 MPW (Male), 2 MPW (Female), 1 Sweeper
❖ OPD Timings : 9AM – 4PM
❖ Number of OPD Patients per month : 150 - 200
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Services Provided
➢ For pregnancy & child birth :
Early registration of pregnancy & issuing of MCP Card.
Ensure 4 antenatal checkups.
Screen for High Risk Pregnancy.
Immunization for pregnant female i.e., Td
Provision of Iron & Folic Acid tablets & Calcium supplementation.
Antenatal camp is conducted every Tuesday
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Services Provided
➢ For neonatal & infant health :
Complete immunization.
Management of ARI / Diarrhea & other common illness.
Vitamin supplementation.
➢ For childhood & adolescent :
Complete immunization.
Prompt management of ARI / Diarrhea & Fever with referral as needed.
Immunization : All vaccines are available according to the national immunization schedule.
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Services Provided
▪ Vaccination is conducted every Wednesday.
▪ Vaccines are stored in vaccine carriers.
▪ For vaccine registration due list is made by the MPW Female.
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Services Provided
➢For family planning :
Insertion of CuT
Mala-N
Antara Injection
E-Pill
➢For non-communicable disease :
Screening & Treatment compliance for Hypertension, Diabetes, Cancer.
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Services Provided
➢For communicable disease :
Treatment & follow up care for TB.
HRZE Regimen is followed.
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Services Provided
➢ For vector-borne diseases :
• Survey of houses & slide formation.
• Active case detection is done fortnightly.
• Sources of water are also checked.
• Treatment & follow up care is also done.
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Lab
Services
▪ Hb estimation
▪ Blood Sugar
▪ Malaria Test
▪ Dengue Test
▪ HbsAg Test
▪ HIV Test
▪ HCV Test
▪ UPT
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Paracetamol
Albendazole
ORS
Iron and Folic Acid
Calcium
Drugs Zinc
Domperidone
Available Amlodipine
Metronidazole
Ibuprofen
Amoxicillin
Cotrimoxazole
Labetalol
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Registers
Available
1. Eligible couple register including
contraception
2. Maternal and child health register
a.) Antenatal and post natal register
b.) under five register
c.) growth monitoring register
d.) number of HIV/STI screening and referral
3. Birth and Death register
4. Drug register
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Waste Disposal
Then this waste is
transported to PHC,
Waste disposal in done
Khanpur Kalan for
using different coloured
biomedical waste
polyethene for disposing
management as there are
different type of waste
no provisions present in the
sub centre itself
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To conclude, our visit to the Sub-Health
Center provided us with valuable insights into
the grassroots functioning of India's public
Conclusion health system. Despite limited resources, the
SHC staff are actively delivering essential
health services, including maternal and child
care, immunization, family planning
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Thank You
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