Revised IPHS standards upto 2012

1. Dr Deepak Upadhyay
Assistant Professor
Department of Community Medicine

2. Objectives
 To provide comprehensive primary
health care to the community through
the Primary Health Centres.
 To achieve and maintain an acceptable
standard of quality of care.
 To make the services more responsive
and sensitive to the needs of the
community.

3. PHCs may be of two types, depending upon
the delivery case load
Type A PHC: PHC with delivery
load of less than 20 deliveries in a
month,
Type B PHC: PHC with delivery
load of 20 or more deliveries in a
month

4. Manpower

5. Infrastructure
The PHC should have its own building
– Out patient department
– Wards (4-6 beds in a Primary Health
Centre)
– Labour Room
– Minor OT/Dressing Room
– Laboratory
– Store room
– Infrastructure for AYUSH

6. – Cold Chain room
– Logistics Room
– Generator room
– Office room
– Dirty utility room for dirty linen and
used items
– Residential Accommodation

8. Functions• Medical Care
– OPD services: A total of 6 hours of
OPD services (4 hours in the morning
and 2 hours in the afternoon) for six
days in a week
– Emergency services: 24x7
emergency services with appropriate
management
– Referral services. •
– In-patient services (6 beds)

9. Maternal and Child Health Care
Including Family Planning
• Antenatal care
• Intranatal care
• Post natal care
• Care of Newborn
• Care of Child

10. Basic Laboratory and Diagnostic Services
Essential Laboratory services including
• Routine urine, stool and blood tests (Hb%, platelets
count, total RBC, WBC, bleeding and clotting time).
• Diagnosis with wet mounting, Grams stain, etc.
• Sputum testing for mycobacterium
• Blood smear examination malaria
• Blood for grouping and Rh typing.
• RDK for Pf malaria in endemic districts.
• Rapid tests for pregnancy.
• RPR test for Syphilis/YAWS surveillance (endemic
districts).
• Rapid test kit for fecal contamination of water.
• Estimation of chlorine level of water using
orthotoludine reagent.
• Blood Sugar.

11. Medical termination of pregnancy using
manual vacuum aspiration technique &
other Contraceptive services
Essential
• Counseling and appropriate referral for
safe abortion services (MTP) for those
in need.
Desirable
• •MTP using Manual Vacuum Aspiration
(MVA)
• Medical Method of Abortion
• Other methods of contraception to
women in reproductive age group

12. Management of Reproductive Tract
Infections/Sexually Transmitted Infections
– Health education for prevention of
RTI/STIs.
– Treatment of RTI/STIs
Nutrition Services
– Diagnosis of and nutrition advice to
malnourished children, pregnant
women and others
– Diagnosis and management of
anaemia and vitamin A deficiency.
– Coordination with ICDS

14. School Health
• Teachers screen students on a
continuous basis
• ANMs/HWMs (a team of 2 workers)
visit the schools (one school every
week)
• Doctor from CHC/PHC will also visit one
school per week
• Screening
• Immunization
• Micronutrient management
• De-worming
• Capacity building
• Monitoring & Evaluation

15. Adolescent health care
• Through adolescent friendly clinic for 2
hours once a week on a fixed day
• Adolescent and Reproductive Health:
• Information, counseling and services
related to sexual concerns, pregnancy,
contraception, abortion etc.
• •Services for tetanus immunization
• •Nutritional Counseling, Prevention and
management of nutritional anemia
• •Referral Services for VCTC and PPTCT
services

16. Promotion of Safe Drinking Water and
Basic Sanitation
Essential
• •Disinfection of water sources and
Coordination
• With Public Health Engineering
department for safe water supply.
• •Promotion of sanitation including use of
toilets and appropriate garbage
disposal.
Desirable
• •Testing of water quality using H2S -
Strip Test (Bacteriological).

17. National health programmes.
Various training programmes.
Selected surgical procedures which includes
vasectomy, tubectomy, MTP, cataract surgery.
Mainstreaming of AYUSH.
Monitoring & Evaluation
Record keeping
Health Education and Behaviour Change
Communication (BCC)