INSTITUTIONAL PROFILE

COMMUNITY HEALTH CENTRE ABHANPUR, RAIPUR

INTRODUCTION

We the five students of Masters in Nursing in community health nursing

speciality were posted at Community Health Centre in Abhanpur, Raipur from
03-09-2014. These working days i.e.63 hours, we were in the field. The learning
objectives for the field experience were set as under:

 Identifying a defined community.

 Describing a defined community being identified.
 Identifying health needs and health problems.
 Providing need bases comprehensive health care to family utilizing
resources from within and without the family.
 Preparing a professional reports and share information with relevant
community /professional groups for further actions to deal with the most
crucial needs/problems within a target period.
 Conducting clinical teaching.

To fulfil these objectives we worked in Community Health Centre at Abhanpur,

Raipur participated in various activities, The schedule which we followed
during the posting is shown.

HISTORICAL BACKGROUND

The Primary Health Centre in Bhatagaon was established in the year 1986. It
was inaugurated by the Dean of Medical College who looked after the
administration of Community health centre later on in 1994 the administration
was handed over to the Block Medical Officer. The total population covered
under this PHC is 84,000. Services provided by the CHC to the people were
treatment of minor ailments such as fever, cold, cough, dressing of wounds, &
immunization, family planning, maternal and child health care etc. All the staff
members worked together cooperatively to fulfil its aims and objectives.
 ORGANIZATIONAL SETUP

CENTERAL GOVERNMENT

HEALTH AND FAMILY WELFARE DEPARTMENT

HEALTH SECRETARY

DIRECTOR OF HEALTH SERVICES

CHIEF MEDICAL OFFICER

BLOCK MEDICAL OFFICER.

MEDICAL OFFICER (MO)

SENIOR NURING STAFF

ORGANIZATIONAL SETUP OF COMMUNITY HEALTH CENTER
ABHANPUR, RAIPUR

CHEIF MEDICAL OFFICER (1)

BLOCK MEDICAL OFFICER (1)

MEDICAL OFFICER INCHARGE (4)

IN PHC IN FIELD

PHARMACIST (1) ANM (7)

LABORATORY TECHNICIAN (1) MPW (4)

OPTHALMIC ASSISTANT (1)

STAFF NURSE (1)

ANM (1)

DRESSOR (1)
 WARDBOY (1)

AYA BAI (1)

SWEEPER (3)

POPULATION SIZE AND GEOGRAPHICAL AREA:

The Community Health Centre is situated right side Dhamtari road. The
population covered by the Community Health Centre is 84,000 Population. The
Community Health Centre is located in southn zone of Abahapur.

PHYSICAL SETUP OF PHC CENTRE

Physical setup of CHC is shown in floor plan.

STAFFING AND MANAGEMENT:

Staff strength is 25. CHC is headed by Chief Medical Officer In charge Dr. R.
K. Sonwani (Paediatrician) & Dr. Amita Jha (Gynaecologist). Under them they
have 4 medical officer, & 1 lady health visitor who supervises the work of field
as well as the CHC also, In the field she have 7 Female Health Workers (ANM)
& 4 MPW who work in the field for the whole week and submit their weekly
report on Saturday to LHV. For the function of CHC she have 5-Staff Nurse, 1-
Pharmacist, 1-laboratory technician, 1-Opthalmic Assistant, 1-ANM, 1-Dressor,
1-Wardboy, 1-Aayabai, 4- Sweeper. All the report is submitted to the LHV. She
conducts the meeting of staff on every Saturday to provide guidelines and
discuss about the achievements obtained. Further all these reports are been
handed over to the Community Health Centre (CHC).

CHANNEL OF COMMUNICATION AND COORDINATION:

There is direct communication among the staff members. They have good
working relations among themselves. They cooperate with each other in date
compilation and analysis. Where ever required ANMs seek the help from LHVs
in problem solving. They even approach the medical officer whenever required.
As per the state health policies medical officer keeps staff informed about
various national and state health programmes and accordingly give them
guidelines. Once in a week they formerly meet together and put forward their
report/problems representatives of all the Sub-centre meet monthly. Another
monthly feature is the meeting of Anganbadi supervisors with the staff of PHC
at 10th of each month and from 23rd -25th of each month at Rajim. and every
month in Abhanpur CHC.

FUNCTIONS OF LADY HEALTH VISITORS (LHV)

 SUPERVISION AND GUIDANCE:

a) Supervise and guide the ANM in the delivery of health care
services to the community.
b) Health the ANM in improving her knowledge and skill in working
in the community.
c) Help and guide the ANM in planning and organizing her
programme of activities.
d) Visit each sub centre at least once in a week on a fixed day to
observe and guide the ANM in her day to day activities.
e) Asses periodically the progress of work of the ANM and submit an
assessment report to the medical officer of the primary health
centre.
f) Carry out supervisory home visits in the area of ANM.
 TEAM WORKER:
a) As a part of the health team (LHV) helps ANM.
b) Coordinate the health activities in her area with the activities of
worker of other departments, agencies and attend meeting at block
level.
c) Attend staff meetings at the PHC.
d) Assist the medical officers of PHC. In organizing various health
services in the area.
e) Participated as a team member in mass camps and campaigns in
health programme.
 SUPPLIES, EQUIPMENT AND MAINTAINANCE OF SUB-
CENTER:
 a) In collaboration with ANM, check at regular intervals the stores
available at the sub centre and help in the procurement of supplies
and equipment.
b) Check the proper storage of drugs and maintenance of equipment.
c) Ensure that the sub centre is kept clean and is properly maintained.
 RECORDS AND REPORTS:
a) Maintained the prescribed records and prepare the necessary
reports.
b) Review reports received from the ANM, consolidate and submit
periodical reports to the medical officer of PHC.
 MATERNAL AND CHILD HEALTH :
Respond to call from the ANM and trained dais and render necessary
help.
 FAMILY WELFARE AND MTP:
a) Personally motivate resistant cases for family planning.
b) Inform on available services or MTP and refer suitable cases to the
approved institution.
c) Inform on available services or MTP and refer suitable cases to the
approved institutions.
d) Guide the ANM in establishing female depot holders for the
distributions of conventional contraceptive and train the depot holders
with the assistance of the ANM.
 NUTRITION:
a) Identify cases of malnutrition among infant and young children,
given health education and refer serious cases to the CHC.
 IMMUNIZATION:
a) Supervise the immunization of all pregnant women, infant and 0-5
years of children’s.
 PRIMARY MEDICAL CARE:
a) Provide treatment for minor ailments.
b) Refer to adjacent district (colony) hospital in case of accidents and
emergencies.
 HEALTH EDUCATION:
Carry out educational activities for MCH, family planning, nutrition and
immunization with the assistance of ANM.
Arrange group meeting with leaders and involve them in spreading the
message for various health programmes.
FUNCTIONS OF ANM- GENERAL

 Maternal and child health:

I. Register and provide care to pregnant women throughout the
period of pregnancy.
II. Conduct deliveries in her area and refer cases of difficult
labour and newborn with abnormalities to get them
institutional care.
III. Supervise deliveries conducted by dais and assist them
whenever called in.
IV. Help the medical officer and LHV in conducting MCH and
family planning clinic as a team member.
V. Health education to mothers (individual and groups).

 Family planning:
I. Spread message of family planning to couple and motivate
them for family planning.
II. Distribute conventional contraceptive to the couples help the
prospective acceptors in getting family planning services.
III. Provide follow up services to family planning adopters.
IV. Establish female depot holders, help LHV in training them.
V. Identifying women leaders and help the LHV to train them.

 Medical termination of pregnancy:

I. Identify the women requiring help for medical termination
of pregnancy and refer them to the nearest approved
institution and inform community of the available services
for MTP.

 Nutrition:
I. Identify cases of malnutrition and refer serious cases.
II. Distribute iron and folic acid tablets as prescribed to
pregnant and nursing mothers, infants and young children.
 III. Health education about balanced diet for mothers and
children.

 Communicable Diseases:
I. Identify cases of notifiable diseases i.e. cholera, polio, etc.
And cases of prolonged fever and notify to LHV.

 Immunization
 Immunize pregnant women and children.
 FUNCTIONS OF THE MEDICAL OFFICER
 Administrator
Looking after the duty roster, assign duties to the workers under
her.
 Organizer
Organizes various clinics and supervise activities of various
workers for difference clinics.
Hold OPD, serious cases and refer difficult cases to hospital.

Arrange meetings with staff members to see their progress and guide to solve
problems faced.

 DUTIES AND RESPONSIBILITIES OF CHIEF MEDICAL

OFFICER

The Chief Medical Officer is the officer of the Block, And in charge of its
Medical Department and shall report to the Deputy Chairman And
Chairman.
Chief Medical Officer is the overall in charge of the general
administration and Discipline of the Medical Department.
He is responsible for ensuring the smooth delivery of health care to the
Employees of the Trust and their families.
He is responsible for preparing the Budget Estimate and the Revised
Budget Estimate of the Department every year.
He is responsible for taking action for procurement of Medical and
Surgical stores every year.
He is responsible for preparing plan and non-plan proposals for hospital
buildings and hospital equipments, etc. and submit it to Chairman.
He will submit annually an administration report on the working of the
Department.
 He will conduct surprise inspection of the Hospital and Dispensaries
Attached to the Department.
He will accompany the Deputy Chairman/Chairman On his inspection
whenever required. He will conduct periodical progress and
reviewMeetings of the Medical Department.

MANAGEMENT OF FUNCTIONS:

WORK DISTRIBUTION:

All the ANMs and LHVs are assigned a population of 5000 each.
They go to different communities individually and deliver health
services in the form of organizing ANCs well baby clinics,
distributing medicines etc.

AREA ALLOCATION:

They are assigned different areas around the health centres. They
regularly go for field visits. They try to make a minimum of 3-4
visits per week, and the rest of the workers see the work at the
centre. They have divided different blocks of bhatagaon among
themselves.

GENERAL OBJECTIVES:

 To provide medical care.

 To provide treatment for minor ailments.
 To provide MCH care.
 To give health education.
 To provide referral services.
 To go for family visits in the assigned community.
 To participate in National Health Programme.

WORKING SCHEDULE:

Monday : OPD day and Field work.

Tuesday : Tubectomy Camp.

Wednesday : ANC visit, and checkups

Thursday : Follow up field visit.

Friday : Immunization.

Saturday : ANC visits and Checkups.

FINANCIAL SUPPORT:

The administration of Community Health Centre (CHC) comes under the Chief
Medical Officer so the financial support is by the Chief Medical Officer which
in turn is funded by State Government of Raipur for most of its activities, but
National Health Programme is funded by Central Government.

DRUG EQUIPMENT AND SUPPLIES:

The administration of Community Health Centre is under the Chief Medical

Officer, so the supply of Drugs and Medicines, and equipment is from the Chief
Medical Officer. Usually they are procured on Monthly basis, Vaccines are
brought fortnightly. Cold chain is maintained throughout transportation and
storage. While going to the Field for Immunization, Vaccines are carried in
vaccine carriers, and the required temperature of vaccines is maintained by ice
trays.

Drugs available at the Community Health Centre include Antipyretic,

Antibiotics, Analgesics, Antifungal, Antidiarrhoeals, Antihistamines, Cough
Syrups, Vitamins, Iron, Calcium Supplements’, local ointments, etc.

RECORDS AND REPORTS:

The Primary Health Centre staffs maintain a variety of records. They are as
under:

They maintain ANC and PNC register labour register, medication Register, JSY
(Janani suraksha yojna) Register.
 They maintain immunization register.

FORMATS OF RECORDS AND REPORTS MAINTAINED IN

PRIMARY HEALTH CENTRE AT BHATAGAON, RAIPUR

FORMAT OF ANC INJECTION REGISTER

Sno. Date Pt Age/sex Husband Address Cause for refer Remark
name name

FORMAT OF IMMUNIZATION REGISTER

Table part –I
Sno. Name Father’s Mother’s Phone Own Mother’s Child Baby DOB
of name name No. no. or computer ’computer Register
child others ID No. ID No. ration

Table part –II

Sex R Caste B O Polio DPT Booster Hepatitis Measles Vit Iron Rema
h C P B .A syru rk
G V p

FORMAT OF OPD REGISTER

OPD Pt.Na W/O Age Caste Addre Diagnosi Amount Treatme Medications
No. me D/O /sex ss s nt
S/O
 FORMAT OF STOCK REGISTER
Date Particulars Invoice Rate Receipt Sign of Issue Balance Sign Of
V. No /unit Qt/Amt officer Qt Qt Officer
&Date

FORMAT OF DELIVERY REGISTRATION

Table part -I
S.no Date of Time Pt Husband Address Age Caste APL/BPL
Admission Name Name

Table part -II

Information Before delivery Information of present Full detail of Breast
delivery Child birth feeding
within
1hour
Type of No of Abortion/No.of Date Time Type of Live/d S Wt Yes/no
labour Live dead baby delivery ead e
Birth x

Table part-III
Vaccination Yes/no After Discharge JSY Dis Dischar Refferal Retur
delivery After 48 Amount Date ge time informa n to
 IUCD hour of tion home
delivery
BCG OPV H Yes/No Yes/no
e
p
B

FORMAT OF Cu-T REGISTER

Table part-I
Yearl Mont Size Husband’ Age of Address Educati No. of live Age LM
y no. h No. CR No. s Couple on birth of P
name youn
ger
child

Table part-II
Date of Dr.name Sign Patient’s Follow up
insertion Sign

FORMAT OF ANC CHECKUP REGISTER

Table Part-I
Sno Husband’s Address Age Caste APL BPL Gestational Para Gravida
Name Age

Table Part-II
LMP EDD BP TT ANC checkups Investigations
 1/2 1/2/3/4

FORMAT OF ANC REGISTER MAHTARI –LAIKA

Table part-I
Sno. Name of Computer Husband’s Caste Age BPL Address Phone Ow
pregnant Id no. Name Yes/no No. n or
lady othe
rs

Table Part –II

Reg. no Mitanin LMP EDD First trimester
registration
Name Phone no Yes/No

Table Part-III
Gravida Para Rh All RTI/STI Any HIV Institutio Na Tast
delivery diseased test n for me date
are condition done delivery of
normal Yes/no inst
itut
ion

Table Part IV
Test Throug Wt Abdominal BP Hb No.of Result TT Alert Ref R
place h whom .girth Iron of er e
 & glucose m
folic in Urine ar
acid k

WHY RECORDS AND REPORTS ARE MAINTAINED

a. To have an idea about the services provided by the Centre at a glance.

b. To evaluate the efficiency of the services of the center.
c. To know the morbidity and immunization status of the community.
d. To improve the health care services.
e. To know the general health status of the community.

HOW REPORTS ARE MAINTAINED

a. The Health centre workers maintain different reports and summarise

these at various duration.
b. Medical records are maintained on daily basis as and when the patient
comes.
c. OPD Register is also updated and summarised daily.
d. Antenatal register are maintained on Tuesday and Friday i.e. on Antenatal
Clinic Day.
e. Immunization register are maintained on Tuesday and Friday i.e. in well
baby clinic day.

ANALYTICAL GENES

Like all the institution, this health centre also maintain various kinds of records
and reports. The records give brief accounts of personnel and medical history of
the catering community. These records immunization, family planning, fertility
and morbidity status. The record serves as a reference material for compilation
of vital statistics at national level. These also give information needed to
evaluate the services rendered by the health centre to the community. These
records and reports point out the health problems of the community, which
provide a baseline to plan the health care services.

The staffs of health centre adequately maintain these records. They prepare
summary of the information regularly. This information is disseminated during
the monthly meeting of all the staff members and Medical Officers of all centres
falling under zone.