COMMUNITY HEALTH CENTER VISIT REPORT

On 17 January ,2019 we 4 students of m.sc nursing 2 ndyear were taken for visiting community health
center ,Lohandiguda under the supervision of Ms. shradha Ashawan ,assistant professor ,HOD
department of community Health Nursing, and Mrs. shabiba Daharia MSc. Demonstrator ,Govt.
college of Nursing Jagdalpur.

I am very thankful and glad to write about the visit report on community
health center, Lohandiguda .It was the wonderful experience to visit CHC and here every department
are well organized and cleanliness was well maintained.

The population covered under this CHC ,ANC target is 57/month with
delivery target of annually ANC target is 687 and child is 618 in18 targets.

INTRODUCTION: A health care center ,health center or community health center is one of a network
of clinics staffed by a group of general practioner and nurses providing health care services to people
in a certain area .typical services covered are family practice ,and dental care ,but some clinics have
expanded greatly and can include internal medicine pediatric, women’s care ,family planning ,
pharmacy ,laboratory testing and more.

DEFINITION- Community health center are non-profit organization that provide primary health care
for individuals families and communities and have professionals such as doctors, nurses and nurses
practioner on staff.

AIMS AND OBJECTIVES

Its aim to improve the health and wellbeing of local residents by-

1. Encouraging people to actively participate in their own health care.

2. Working together with other primary health care providers such as general practioner to
provide coordinated care.
3. Lairing with other health agencies and service providers to fill service gaps.
4. Encouraging individuals and community groups to actively participate in the center activities,
including service planning fund raising and volunteer work.
5. Promoting prevention of life style related diseases and conditions.
6. Developing health care programs and activities to improve social and physical environment in
the community.

FUNCTIONS OF COMMUNITY HEALTH CENTRE-

1. To provide specialist services

2. Indoor patient care
3. RCH services
4. Services for national health programmes
5. Cold chain maintenance through deep-freezers, cold boxes and carriers.
6. Laboratory and x-ray services.
7. Blood storage facility
8. Referral services
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 9. Training and continuing education of health teams.
10. To elicit community participation

LOCATION OF CHC-

Community Health Center is located in the center of Lohandiguda village.

PHYSICAL INFRASTRUCTURE-

1. Entrance zone
2. Ambulatory zone
3. In patient zone
4. Critical zone
5. Administrative zone
6. OPD(Doctors)
7. Injection room
8. Dentist department
9. X-ray room
10. Laboratory room
11. Children ward
12. Labor room
13. Dressing room
14. PNC room
15. TB department
16. Cold chain room
17. General ward

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STAFFING PATTERN

S.N NAME OF THE POST RECOMMENDED ALLOTED

1. Medical officer (surgeon, obstetrics ,physician 4 4
and pediatrician)

2. Nurses midwife (staff nurse) 7 9

3. Dresser 1 1
4. Pharmacist 1 1

5. Laboratory technician 1 1

6. Radiographer 1 1

7. Ward boys 2 2

8. Dhobi 1 1

9. Sweepers 3 3

10. Amaya 1 1

11. Peon 1 1

12. Mali 1 1

13. Chowkidar 1 1
TOTAL - 25 27

SERVICES-

1. RCH (Reproductive and child health)

2. National immunization program
3. Janani SurakshaYojna
4. Polio eradication program
5. RNTCP (Revised national tuberculosis program)
6. National malaria control program
7. National filaria control program
8. National leprosy eradication program
9. National program for central of blindness

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RCH PROGRAMME-

1. It works for antenatal intranasal and postnatal care

2. Promotion of institutional delivery
3. Minimum 3 antenatal checkup
4. Provision of services under JananiSurakshaYojna
5. Newborn care
6. Management of neonatal hypothermia

NATIONAL IMMUNIZATION PROGRAMME

To prevent 6/7 vaccine preventable diseases

COLD CHAIN EQUIPMENT

1. Walk in cooler
2. Deep freezer
3. Cold boxes
4. Vaccine carrier
5. Day carrier

AD Syringe (auto disabled syringe)

 vaccine
 Hub cutter

JANANI SURAKSHA YOJNA

 Its aim to reduce MMR(/1, 00,000 live birth) and IMR (/100 live birth)
 Increases institutional deliveries in BPL families

TARGET GROUP

 All pregnant lady of BPL family of age 19 years or more and married up to two live births In
this way to promote institutional delivery cash benefit /assistance has been linked to
institutional delivery. Incentive is given to ASHA (Rs 600) and pregnant lady.

POLIO ERADICATION PROGRAMME

 Provision of oral polio vaccine to the children of age group 0-5 years
 survey also done to find out the cares in the community.

RNTCP

 Provide diagnostic services through the microscopy center which are established in the CHC
(1/1, 00,000 population)
 Provide treatment services by providing DOTS as per technical guidelines
 Treatment of common complication of TB and side effects of drugs
 Record and report on RNTCP activities as per guidelines.
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NATIONAL MALARIA ERADICATION PROGRAMME

The CHC are too provides diagnostic and treatment facilities for routine and complicated cases of
malaria, filarial ,dengue, Japanese encephalitis and kala-azar in the endemic zone

NATIONAL LEPROSY ERADICATION PROGRAMME

The minimum services that are to be available at the CHCs are for diagnostic and treatment of cares of
reactions of leprosy along with advice to patient on prevention of deformity.

NATIONAL CONTROL ON BLINDNESS

 Diagnostic and treatment of common eye disease

 refraction services

RECORD AND REPORT MAINTAINED IN CHCs

1. Attendance register

2. Diary

3. OPV Register

4. Visitor register

5. to and from register

6. Movement register

7. ANC register

8. Sterilization register

9. Oral pills

10. Immunization register

11. HEALTH day register

12. Birth register

13. High risk ANC REGISTER

14. JananiSurakshaYojna

15. Eye register

16. Vitamin A register

17. Stock register

18. Issue register

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19. Delivery register

20. Money report register

21. Malaria case

22. Record of Anganwadi worker

23. under 5records

24. yuearly report

25.laprosy case

JOB DISCRIPTION MEMBERS OF HEALTH CARE TEAM

MEDICAL OFFICER

It is the one who supervise the staff and organizing staff meeting at community health centre and to
discuss health activities. They supervise the program during community work.

SECOND MEDICAL OFFICER

He performs identical duties at the tree of community.

HEALTH WORKER FEMALE/MALE

Health worker are the assistance to the professional workers to provide care to the patient who are in
community health centre

.Health worker female

.CARE OF THE CLINIC

-The nurse provides care to the patient of all ages and assistance in helping the daily care.

-Educate mother patient and individual members for better living meet the daily nutritional activities.

CARE OF THE PEOPLE IN COMMUNITY-

Nurse provide immediate care by there who are in common for the growth and development of
health .she not only provides care to those who are ill but also providers care to all the people who are
in need to help.

.Health worker male-

.Record keeping-

-collect all the information about the patient, family and their community members

-prepare and maintain a record based on their lifestyle, sanitation, birth and death rate.

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Community disease-

Identify the cause of disease that are occurring in community .the nurses provide the immediate carefor
their improvement of health .educate the community members through the survey for the disease that
are occurring in our community.

DISTRIBUTION OF CENTRE FOR IMMUNIZATION PURPOSE

COLD CHAIN- It is under the vaccines are transported from the site of supply vaccines are supplied
from CHC to PHC level.The places where it is supplied are-

1. Karpawand PHC

2. Jaibel PHC

3. Malgaon PHC

4. Manghoor PHC

5. Palwar PHC

6. Kachnaar PHC

BIO-MEDICAL WASTE MANAGEMENT

Different Colour dustbins are present for discarding the waste

RED -Plastic waste like IV bottles or syringe

BLUE- Sharp waste like needles, scalpels etc.

BLACK- Normal disposable waste

YELLOW- Blood body fluids etc.

FACILITIES

1. Provides opportunity for people to be involved in a mix-range of learning social and physical
activities.

2. Promoting social inclusion for people for people with difficulties which prevent them becoming
involved

3. Promoting individual and community involvement and well being

4. Supporting the local management of services

5. Provide various other services for promotion of health, prevention of illness and restoration of
health.

SUBCENTERES COVERED Lohandiguda community health center covers 42 sub centers

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SUMMARY- Community health center of bakawand block is very well organized hospital with
various departments and infrastructure according to norms .It is functioning in a very good manner
with using appropriate services .its staffing pattern is also appropriate.

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GOVERNMENT COLLEGE OF NURSING,
JAGDALPUR C.G.
SUBJECT: COMMUNITY HEALTH
NURSING-II
VISIT REPORT ON :
‘’ OLD AGE HOME ‘’

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SUBMITTED TO SUBMITTED
BY
Ms. Shradha ashawan ms. Babita dhruw
assistant professor msc nsg final year
HOD of c.h.n. govt. Collge of nursing
jagdalpur
govt. Collge of nursing jagdalpur.

GOVERNMENT COLLEGE OF NURSING,

JAGDALPUR C.G.
SUBJECT: COMMUNITY HEALTH NURSING-
II
VISIT REPORT ON-
LOHANDIGUDA, JAGDALPUR

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SUBMITTED TO SUBMITTED BY
Ms. Shradha ashawan ms. Babita dhruw
assistant professor msc nsg final year
HOD of c.h.n. govt. Collge of nursing jagdalpur
govt. Collge of nursing jagdalpur.

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 SUBJECT- ADVANCE NURSING PRACTICE
CHC VISIT REPORT

SUBMITTED TO MSC. NSG 1ST YEAR

MRS. S. DAHARIA GCON JAGDALPUR
MSC. DEMONSTRATOR (CHN)
GCON JAGDALPUR

SUBMITTED BY
MS. SAVITA AHIRWAR

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