SYMBIOSIS COLLEGE OF NURSING

COMMUNITY HEALTH NURSING

FIELD VISIT REPORT ON:

PRIMARY HEALTH CARE

SUBMITTED TO: SUBMITTED BY:

Mrs. Sheetal Barde Ms. Gloria Jehoash

Associate Professor M.Sc. Nursing 1st Year

SCON. PUNE SCON. PUNE

SUBMITTED ON:

14th March 2023

Definition of Primary health care:

According to Alma-Ata conference held in 1978 defined it as primary health care is essential
health care made universally accessible to individuals and acceptable to them, through their full
participation and at a cost that the community and country can afford.

Primary Health Care, or PHC refers to "essential health care" that is based on scientifically sound
and socially acceptable methods and technology.

Role of Community Health Nurse in Primary Health Care:

A WHO Expert Committee in 1984 defined the role of nurses in primary health care as follows:

 Assessing the health status of individuals and communities.

 Mobilizing community involvement.
 Providing integrated health care including the treatment of emergencies and making
referrals.
 Maintaining epidemiological surveillance.
 Training and supervising health workers.
 Collaborating with other development sectors and
 Monitoring progress in primary health care.
 Nurse takes patient samples, pulses, temperatures and blood pressures.

Principles of primary health care:

A WHO Expert Committee (1984) recognized that five principles are embodied in the definition
of primary health care. They are as follows:

 Equitable distribution: - health services should be accessible to all sections of the society,
with special attention to the needy, vulnerable groups.
 Community development: - local community must participate in the planning,
implementation and maintenance of health services.
 Appropriate technology: - reliance must be placed on scientifically sound materials and
methods which are socially acceptable.
  Focus on prevention: - the emphasis is on prevention.
 Multisectoral approach: - it requires the joint efforts of health-related sectors such as
agricultural, education, social welfare, etc.

Components of primary health care:

 Education of the people about prevailing health problems and methods of preventing and
controlling them.
 Promotion of food supply and proper nutrition.
 Adequate supply of safe water and basic sanitation.
 Maternal and child health care and family planning.
 Immunization against major infectious diseases.
 Prevention and control of locally endemic diseases.
 Appropriate treatment of common diseases and injuries.
 Provision of essential drugs.

Staffing pattern:

Staff Type A Ty pe B
Essential Desirable Essential Desirable
Medical Officer- MBBS 1 1 1#
Medical Officer –AyUSH 1^ 1^

Accountant cum Data Entry Operator 1 1

Pharmacist 1 1

Pharmacist AyUSH 1 1

Nurse-midwife (Staff-Nurse) 3 +1 4 +1
Health worker (Female) 1* 1*
Health Assistant. (Male) 1 1
Health Assistant. (Female)/Lady Health Visitor 1 1
Health Educator 1 1

Laboratory Technician 1 1
Cold Chain & Vaccine Logistic Assistant 1 1
Multi-skilled Group D worker 2 2
Sanitary worker cum watchman 1 1 +1
Total 13 18 14 21
REGISTERS MAINTAINED BY MEDICAL OFFICER
 Asset register
 Attendance register
 Movement register
 Telephone Register
 Inspection/Suggestion Register
 Rumor register
 Reports under various Acts.
 Birth and death returns
 Morbidity statistics
 Monthly report on ADD/Cholera / Notified infectious diseases
 Monthly activities report register
 Primary Health Centre monitoring report
 NRHM Registers.

BLOCK EXTENSION EDUCATOR

 Block level Drama, Exhibition register
 Higher order birth register
 IEC activities register
 Register for IEC equipment’s
 Block information register
 Monthly report/register
BLOCK HEALTH STATISTICIAN
 FW Activities Register
BLOCK HEALTH SUPERVISOR
 Disease Surveillance register
 Register of Sanitation
 Register of VS in each panchayat
 Enforcement of Health related Acts.
 D & O trade register
 Tobacco control related activities register
 IEC register
 Monthly activity register/report
COMMUNITY HEALTH NURSE
 Register of all activities
SECTOR HEALTH NURSE (LHV)
 SHN performance register
  Visit to Immunisation sessions & participation in IEC activities
 Monthly activity report/ Diary
MALE HEALTH WORKER (HI)
 Disease Surveillance register
 ADD/Cholera register
 Register of sanitation
 Register of Vital Statistics in each panchayat
 Enforcement of health related acts.
 Dangerous and offensive trade register
 School Health register
 Weekly review register
 Report on inspection & case sheets

SCHOOL HEALTH PROGRAMME

 Student health appraisal register
 Referral slip and follow up register
 Home visit register
 Monthly activity report
STAFF NURSE/ANM
 Nurse report book
 ARV/ASV injection register
 TT injection register
 AN clinic register
 PN clinic register
 IP referral register
 RTI/STI clinic register
 IUD register
 Under 5 clinic register
 Laundry register

PHC REGISTERS
 OP nominal register
 OP diagnosis and treatment register
 Referral slip register
 Monthly OP treatment register
 Drug/Injection register
  Minor surgery register
 IP general register
 IP Delivery register
 IP case sheets
 Diet Register
 Patient discharge summary
 Monthly morbidity register

Registers for Male Health Worker – HSC

 Family register
 Disease surveillance register
 Epidemic prevention activity registers
 Programme register
 School Health register
 Inspection register
 Drugs, consumables/equipment register
 HI monthly report register and Diary
 Birth and death issue register
 Tobacco control activity related registers
 IDSP Activities related reports (Residual Chlorine & H2S Monitoring) Disease
Surveillance register
 ADD/Cholera register
 Register of sanitation
 Register of Vital Statistics in each panchayat
 Enforcement of health related acts.
 Dangerous and offensive trade register
 Weekly review register
 Report on inspection & case sheets
H
 Essential equipment:
1. Normal Delivery Kit. 21. Radiant warmer for new born baby.
2. Equipment for assisted vacuum delivery. 22. Adult weighing scale.
3. Equipment for assisted forceps delivery. 23. Baby weighing scale.
4. Standard Surgical Set (for minor procedures 24. Height measuring Scale.
like episiotomies stitching). 25. Table lamp with 200 watt bulb for New born
5. Equipment for Manual Vacuum Aspiration. baby.
6. Equipment for New Born Care and Neonatal 26. Phototherapy unit (Desirable).
Resuscitation. 27. Self inflating bag and mask-neonatal size.
7. IUCD insertion kit. 28. Laryngoscope and Endotracheal intubation
8. Equipment/reagents for essential tubes ( neonatal ).
laboratory investigations. 29. Mucus extractor with suction tube and a foot
9. Refrigerator. operated suction machine.
10. ILR (Small) and DF (Small) with Voltage 30. Feeding tubes for baby.
Stabilizer. 31. Sponge holding forceps – 2.
11. Cold Boxes (Small & Large): Small- one, 32. Vulsellum uterine forceps – 2.
Large – two.
33. Tenaculum uterine forceps – 2.
12. Vaccine Carriers with 4 Icepacks: Two per
34. MVA syringe and cannulae of sizes 4-8 (2
SC (maximum 2 per polio booth) + 1 for
PHC. sets; one for back up in case of technical
13. Spare ice pack box: 8, 25 & 60 ice pack problems).
boxes per vaccine carrier, Small cold box &
35. Kidney tray for emptying contents of MVA
Large cold box respectively.
syringe.
14. Waste disposal twin bucket, hypochlorite
solution/ bleach: As per need. 36. Torch without batteries – 2.
15. Freeze Tag: 2 per ILR bimonthly. 37. Battery dry cells 1.5 volt (large size) – 4.
16. Thermometres Alcohol (stem): Need Based 38. Bowl for antiseptic solution for soaking
17. Ice box. cotton swabs.
18. Computer with accessories including 39. Tray containing chlorine solution for
internet facility. keeping soiled instruments.
19. Binocular microscope. 40. Kits for testing residual chlorine in drinking
20. Equipment under various National water.
Programmes. 41. H2S Strip test bottles.
42. Head Light.
43. Ear specula.
44. B.P. Apparatus table model – 2.
45. Stethoscope – 2.
46. 3 sets of NSV instruments.
47. Minilap kits –5.