PHC , CHC AND SUB CENTRE - ENGLISH

HEALTH CARE DELIVERY SYSTEM IN RURAL INDIA
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Health care in rural areas can be divided in following levels

Village level,  Sub center level, PHC level and CHC level

Village level-

At village level to provide health services we have two personnel in the village. These are Asha Worker and Anganwadi worker. Asha Worker is connected to the health department while anganbadi worker is connected to the ICDS scheme.  Both the workers work in the village up to the population of 1000.  They provide necessary help to ANM and work as a link between health system and community. Anganbadi worker and Asha both are selected from the same community where they work.  So they are the person whom people trust. They help ANM in immunization and health related survey in the village. they also so help in providing and registering antenatal mother providing antenatal care and postnatal care to the mothers. Anganwadi worker is also concerned with nutrition to pregnant mothers and children.

At sub Centre level –

sub health Centre is the Grass root level health setup of health department of the government. sub health center have one health worker female and one worker male but nowadays health worker male post is abolished and under NRHM each sub Centre is  having 2  ANM. ANM provide Primary Health Care to the community .each sub center covers 3000 to 5000 population. 3000 in hilly, tribal and backward areas while 5000 population in in plain areas .

Functions of sub Centre includes maternal and child health services. Immunization services. family planning services including safe abortion. Implementation of national health programs. Survey and data collection and community need assessment.

At Primary Health Centre level- Primary Health Centre is a health facility which covers a population of 20000 to 30000. 20000 population in hilly, tribal and backward areas while 30,000 population in plain areas.

A medical officer is the in charge of PHC . Each PHC have a proximately 15 staff which includes medical officer, pharmacist, staff nurse, ANM, block extension educator, health assistant male and female, LDC, LDC lab technician, driver and 4 MTS staff .

functions of PHC – Basic medical care. maternal and Child Health Care. family planning services. Immunization services, provision for sanitation and safe water supply, prevention and control of local endemic diseases, survey and data collection, health education, nutritional , National Health Programme implementation, referral services, basic laboratory services and training for Asha and other local staff.

At Community Health Centre level- Community Health Centre covers the population of 80000 to 120000. Community Health Centre have up to 30 beds capacity and provide both OPD and IPD services. Community Health Centre has 3 to 5 doctors 7 staff nurse 2 ANMs, one pharmacist, one lab technician, one radiographer, 10 MTS staff.

Functions of Community Health Centre -Community Health Centre provides specialist services which includes routine and emergency care in medicine. Routine and emergency care in surgery. 24 hour delivery services which includes normal and assisted deliveries. Obstetric care including lscs operation. Full range of family planning services. Child care routine as well as emergency. Basic laboratory services including x-ray. Ambulance and transportation services, and implementation of all National Health programs. community health Centre is also known as first referral unit

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