TRAINING COURSE ON COMMUNITY MEDICAL SERVICES (C.M.

S)
INSTITUTIONAL /CORRESPONDENCE) C. M. S & ED (P) COMMUNITY MEDICAL SERVICES & ESSENTIAL DRUG (PRIMARY)

ED NO. _________ PRIMARY HEALTH CARE CENTRE MPD NO. _______

NAME: ………………………………..
TIME…………………………………..

SIZE: 3’ X 3’, BASE: YELLOW, LETTERS: RED & BLACK

(FIRST SEMESTER) PART (A) (MARKS 600)

PART I:
Cell, tissue, Cardiovascular Nervous Excretory Respiratory Digestive
muscles and system System System System System
skeleton
PART II
Sensory organs (Ear Nose &Throat) Reproductive organs Endocrine system Food & Nutrition
PART: III
Bacteriology/Parasitology Collection of urine, sputum & blood Infections Antiseptic & disinfectants
specimen
PART: IV
Immunity Immunization (Vaccination) Health & Hygiene Sanitation & Community Health
PART V:
ORS, Breast feeding, weaning food, ARI Child Psychology Superstition & Health
PART VI:
Prevention control and treatment of Deficiency diseases Endocrine Home remedies
communicable diseases diseases
C. M. S. SECOND SEMESTER (MARKS 600)
PART VII
History writing /Examination Juris (Wounds, Burn, Rape, Death, Asphyxial death )
PART VIII
First aid Drug addiction Home nursing Mental diseases
PART IX
Family welfare Investigation of sterility Temporary methods Permanent methods
PART X
Gynecology & Obstetrics Antenatal care & infections of reproductive tract Natal care
PART XI
Health education
PART XII
Special diseases: TB, Leprosy, Malaria, AIDS, STD etc.
THIRD SEMESTER TRAINING OF ESSENTIAL DRUGS (PRIMARY) (MARKS 600)
QUALIFICATION CMS PASSED ALL STUDENTS WILL HAVE TO PURCHASE E.D (P) BOOKS PUBLISHED BY
W.H.O.
For the completion of this training semester of essential drugs student join to any doctor and he had to get a
certificate from concerned centre to appear in final examination for the clearance of last semester.
E. D. (P) (PART -A)
A. GENERAL: 1. Health for all primary health care & national Health policy
2. Essential drugs: Definition Rational and concept, morbidity & mortality pattern
B. 3. Drugs – Definition, action, sources, routes & adverse reaction, absorption & excretion
PHARMACY 4. Classification of drugs
5. Dosage for adult and children and tips of medicinal preparation
6. Essential drugs- description of each with preparation, dosage, category, therapeutic
indications, contraindications and precautions
BASIC DISEASES AND MEDICINES
1. 2. Malaria 3. Tuberculosis 4. Eye infections 5. Breathlessness 6. cough
Hyperpyrexia
7. Ear infection 8. Wounds 9. Burns 10. Haemorrhages 11. leprosy 12. Pediculosis
13. Pain 14. Anaemia 15. Diarrhoea & 16. Vomiting 17. Constipation Scabies, Ring
Dysentery worm
19. AIDS 20. Emergencies- Snake bite, Dog bite, insect bite, Sore throat & Infections
ESSENTIAL DRUGS (PRIMARY) PART (B) BASIC MEDICINES
Activated charcoal Antacids Asprine Tab. Atropine Benzyl benzoate
lotion
Gamma Benzene Calamine lotion Centrimide & Chloroquine tablet Chlorpheniramine
Hexachloride Chlorhexidine
Codine Co- Trimoazole Ferrous Sulphate Folic Acid Gention Violet
Solution
Ispaghula Magnesium Mebendazole Metronidazole Neomycin –
Trisilicate Bactracin Ointment
/Alurn.Hydroxide
Oral rehydration Oral Contraceptive Pills Paracetamol tablet & Tab. Phenoxymethyl Amoxicillin &
salt (ORS) Syrup Pencil/Amoxacillin/Ampicilli Ampicillin
n
Pyrantel Povidone –Iodine Primaquine Whit field oint(Ringworm Salbutamol
oint
Senna Sulphadimidine Tetracycline eye Oint. Vitamin “A” Vitamin B Complex
Vitamin D Vitamin C Vitamin K Vitamin E, Simple cough
Linctus
OTHER DRUGS
Anti piles Ointment Ephidrine Ergometrine Glycerine Suppository Iodised Salt
Lignocain Lysol Solution Pierazine Sodium - Bicarbonate
LIST OF ESSENTIAL DRUGS
1. DDS, Rifampicin 2. Clofazirin 3. Isoniazid 4. Thioacetanzone
e
ADDITIONAL DRUGS USED UNDER THE SUPERVISION OF EXPERT
This course is conducted for the coverage of health educational approach to all the Components of primary health
Care to achieve the goal of Alma-Ata declaration of
“HEALTH FOR ALL BY 2010 AD AS ENVISAGED IT BY W.H.O”.
The components are:
 Treatment for Minor Ailments & First Aid
 Prevention and Control of Communicable diseases
 Immunization, Nutrition, Family Welfare & Reproductive Health
 Environmental Sanitation
 Safe Water supply
 Behavioral Science
 Geriatric problems, Drug problems, AIDS, RTI, BF, ORT, IDD, and other Socio-Health problems etc.

TITLE OF COURSE: COMMUNITY MEDICAL SERVICE & ESSENTIAL DRUGS (P)

ABBRIVATION: C .M. S. & E. D. (P)
ELIGIBILITY: MATRIC OR HIGHER QUALIFICATION, HEALTH WORKERS, RURAL PHYSICIANS
DURATION: 18 MONTHS (3 SEMESTERS) DURATION OF EACH SEMESTER IS 6 MONTH

SERO Regional Health Paper No. 16, Edition: Sep. 2000

ESSENTIAL DRUGS FOR PRIMARY HEALTH CARE PUBLISHED BY: WORLD HEALTH ORGANIZATION
Regional Office for South East Asia, Inderprastha Estate, Mahatma Gandhi Marg, New Delhi 110002
Web site: http://w3.whosea.org/rdoc/
, First Edition published in India in 1988, Second edition in 1992, Third edition in 2000
 CONTENTS
PART – I ESSENTIAL DRUGS
HOW AND WHEN TO USE
1. Asprine
2. Atropine
3. Benzile Benzoate
4. Gamma Benzene Hexachloride (Linden)
5. Calamine Lotion
6. Chlorhexidine
7. Chloroquine
8. Chlorphenramine
9. Codeine
10. Co-Trimexazole
11. Ferrous Sulphate
12. Folic Acid
13. Gentian (Crystal) Violet
14. Ispaghula
15. Magnesium – Hydroxide
16. Mebendazole
17. Metronidazole
18. Neomycin – Bacterial Ointment
19. ORS (Oral Rehydration Salt)
20. Oral Contraceptive Pills
21. Paracetamol
22. Penicillin
23. Amoxicillin and ampicillin
24. Pyrantel
25. Povidon Iodine
26. Primaquine
27. Ringworm Ointment (Whitfield’s Ointment)
28. Salbutamol
29. Tetracycline Eye Ointment
30. Vitamin A
31. Vitamin B Complex
32. Vitamin D
COMMON MEDICAL PROBLEMS
How to treat and when to refer cases to physician
1. Anemia
2. Breathlessness (Dyspnoea)
3. Constipation
4. Contraception
5. Cough
6. Diarrhoea
7. Ear Problem
8. Eye Problem
9. Fever
10. HIV/AIDS
11. Leprosy
12. Malaria
13. Pain
14. Pediculosis (Lice)
15. Poisoning
16. STD (Sexually Transmitted Diseases)
17. Snake bite or Insect bite
18. Skin problems including Allergic reaction
 19. Tooth problem
20. Vomiting
21. Wounds, Burns and Shock
PREFACE FROM ORIGINAL BOOK PUBLISHED BY WHO
Primary Health Care is the key approach for achieving HEALTH FOR ALL. At primary health
care level community Health workers and other paramedical personnel are playing an important
role in the delivery of health care. Although the emphasis is on health promotion and prevention
of diseases, Health workers must learn how to use simple drugs to treat common illnesses and thus
gain the confidence of the community. They also need to learn when to refer the patient to a
doctor.
Countries in WHO’s South – East Region (include Bangladesh, Bhutan, DPR Korea, India,
Indonesia, Maldives, Myanmar, Nepal, Sri Lanka and Thailand) have now prepared list of
essential drugs tobe used by Priary health Workers. The drugs have been selected on the behalf of
their proven quality, efficacy, safety, availability and low cost and bases of WHO model list of
essential drugs.
For the proper management of some common illnesses, it is not only necessary to know about the
properties, uses and possible adverse affects of essential drugs, but also to have a reasonable
knowledge about the ailments. The health workers should also be able to identify the stages of
illness that call for assistance from a doctor.
The manual is intended to provide guidelines for the use of essential drugs by community health
workers and auxiliary health personnel. It also gives guidelines for treating certain common
illnesses and identifying patient who should be referred to a doctor. Furthermore, it provides
information regarding the management of injuries due to accident, burns and poisoning, including
snake bite. The manual should prove useful to trainers of paramedical and health workers.
An attempt has been made to write the manual in a simple language, and to give clear and
practical instructions to help the making decisions when faced with a specific situation. Wherever
necessary, illustrations have been included to amplify the technical information.
Te responsibility given to community health workers and paramedical personnel vary from
country to country, and also number of drugs allowed to be used by such persons. Although a
single manual may not be able to fulfill the need of all countries, it is hoped that this manual will
serve as a core book to which additions or deletions can be made depending upon specific needs
of a country. It is essentially a purposely been kept large in order to facilitate the work of those
who will be selected material and adapting it to suit specific needs at the country level.
(These all content mentioned on page no V of WHO publication
ESSENTIAL DRUGS FOR PRIMARY HEALTH WORKERS)
For more detail send email on: matteiep@yahoo.com

Copy file & enlarge scanned copies

COPY FROM COURT CASE

SUBHASIS BAKSHI V/S W.B. MEDICAL COUNCIL
(2003)9 SUPREME COURT CASE 269
(Before S. RAJENDRA BABU AND SHIVRAJ V. PATIL, JJ)
a
SUBHASIS BAKSHI
Versus
W. B. MEDICAL COUNCIL AND OTHERS
CIVIL APPEAL No. 152 OF 1994, DECIDED ON FEBRUARY 14, 2003
b Medical Practice – Right to practice – Qualification – Holder of Diploma in Community Medical services in
W.B. – Held entitled to be registered in state Medical Register for practice in Allopathic medicines to treat
common diseases among rural population – also entitled to prescribe and issue sickness certificate and death
certificates, such right being imbibed in the right to treat.
C
D
E
F Held
Allowing the appeal, the supreme Court
Held:
In view of the ruling in MUKHTIAR CHAND (Dr.) Case (1998) 7 Sec 579, there is no bar to register the appellant
holder of “ DIPLOMA IN COMMUNITY MEDICAL SERVICES“ (CMS) IN THE STATE MEDICAL
REGISTER.
Mukhtiar Chand (Dr) Case (1998) 7 Sec. 579, followed
A. K. Sabapathy (Dr.) case 1992 Supp (3) Sec 147: AIR 1992 SC 1310
Medical Council of India V State of Rajasthan (1996) 7 Sec 731, impliedly overruled
Further since the appellants are validity holding right to treat certain diseases their right to issue prescriptions or
certificates cannot be detached from their right to treat. Such right to issue certificates or prescription is imbibed in
the right to treat. One cannot and shell not be separated from the other. Once the right to treat is recognized, then
right to prescribe medicine or issue necessary certificate flow from it. Or else the right to treat cannot be
completely protected. Hence, even assuming Notification No. 1076 – Medical dated 17 – 5 – 1915 issued by the
then financial department, Government of Bengal is not there, still the applicants’ right to prescribe medicine
cannot be denied.
CASE REFERENCES:
MUKHTIAR CHAND Vs STATE OF PUNJAB (1998) 7 Sec 579,
R-M-ACNSZ/27490/Corr – 78/03/S
ADVOCATE WHO APPEARED IN THIS CASE

R. F. Nariman, B. Sen and Tapas Ray, Senior Advocate (Arunabh Chowdhury, Ms Avantika Keswani, R. N.
Karanjawala, Ms Manik Karanjawala, G. K. Benerji, Dilip Sinha, D. Krishanan, D. P. Mohanty, Sinha & Dass,
Ranjan Mukerjee, L.R. Singh, Amitesh Kumar, Ms Bharati Anand, Advocates with Them) for the preparing
parties.

FOR MORE DETAIL REGARDING CASES SEARCH ON Web Site OF www. Supreme Court of India
Also watch new paper for news regarding CMS & ED (P)
AMAR UJALA Chandigarh Wednesday 19 Feb. 2003 (TITLE IS DIPLOMA DHARI BE DAWAYA LIKH
SAKAE GAE: SUPREME COURT)
THE TIMES OF INDIA Wednesday 19 Feb. 2003 (RURAL DIPLOMA HOLDER CAN PRESCRIBE
MEDICINES: SC