SUB CENTRE – FUNCTIONS, STAFFING, PATTERNS OF ASSISTANCE, ROLES AND RESPONSIBILITIES OF DPHN

PREPARED BY:Fiyas.BI2ND yr MSc NursingGovt:CONTrivandrum

Sub center

*Sub-health Centre (Sub-centre) is the most

peripheral and first contact point between the primary

health care system and the community.

* 5000 population in plain areas and for every 3000

population in hilly/tribal/desert areas.

OBJECTIVES OF INDIAN PUBLIC HEALTH STANDARDS (IPHS) FOR SUB-CENTRES

*basic Primary health care to the community.

*achieve and maintain an acceptable standard of

quality of care.

* make the services more responsive and

sensitive to the needs ofthe community.

SERVICES TO BE PROVIDED IN A SUBCENTRE:

1 .Maternal and Child Health: i) Antenatal care (ii) Intra-natal care (iii) Postnatal care

2.Child Health3. Family Planning and Contraception4. Counselling and appropriate referral for safe abortion services

Contd………………….

5. Adolescent health care6. Assistance to school health services 7. Control of local endemic diseases such as Malaria, Kala azar, Japanese Encephalitis, Filariasis, Dengue etc and control of Epidemics8. Disease surveillance9. Water Quality Monitoring10.Promotion of sanitation including use of toilets and appropriate garbage disposal.

Contd…..

11.Field visits

12. Community needs assessment

13. Curative Services

14. Training, Coordination and Monitoring

Contd…………..

15. National Health Programmes: 1. National AIDS Control Programme (NACP) 2. National Vector Borne Disease Control Programme (NVBDCP) 3. National Leprosy Eradication Programme (NLEP) 4. Integrated Disease Surveillance Projects (IDSP)

Contd…………………..

15 .Record of Vital Events

16. Record maintenance and Reporting

STAFFING

Currently a Sub-centre is staffed by one Female Health Worker commonly known as Auxiliary Nurse Midwife (ANM) and one Male Health Worker commonly known as Multi Purpose Worker (Male).*the support of ASHA*The general norm is one ASHA per 1000 population.

Physical Infrastructure

*should have its own building

*in a central location with easy access to population.

JOB RESPONSIBILITIES OF DPHN

1. Maternal and Child Health 2. Family Planning3. Medical Termination of Pregnancy4. Nutrition5. Vital Events 6. Record Keeping

FUNCTIONS OF COMMUNITY HEALTH NURSE (WORKER)

1. Administration.

2. Communication.

3. Nursing.

4. Teaching.

5. Research

PATTERN OF ASSISTANCE

*Rs.700 as assistance to the expectant mothers/pregnant mothers and Rs. 600 for ASHA (Accredited Social Health Activist) / other equivalent worker after institutional delivery in rural area*Rs. 600 as assistance to the expectant mothers and Rs.200 for ASHA in urban area* It is duty of ANM/ASHA/AWW to make payment to expectant mother