Indian Public Health Standards for

Community Health Centres

Infrastruture• CHC should have

• 30 indoor beds• 1 Operation theatre• 1 labour room• X-ray facility and laboratory facility• Transport facilities

• The centre should be located at the centre of the block head quarter in order to improve access to the patients. (This may be applicable only to centers that are to be newly established.

• Common entrance zone with registration facility and patients waiting hall.

• OPD Zone– Separate OPD rooms for different

specialists for OPD.– 1 minor OT– Injection / dressing room– Observation room– One pharmacy including AYUSH drugs

• Emergency area– 1 room for doctors– 1 room for minor OT– 1 for plaster/dressing – 1 for patient observation (At least 4 beds)

• Critical care zone– 1 labour room– Newborn care corner– 1 Operation theater

• Residential Zone– Minimum 8 quarters for Doctors.– Minimum 8 quarters for staff nurses/

paramedical staff.– Minimum 2 quarters for ward boys.– Minimum 1 quarter for driver

• Wards – 4 wards each with 6 beds ( 2 male wards &

2 female wards) – 4 private room – 2 isolation rooms

• Diagnostic Zone– Laboratory services– Imaging services– Other investigations like ECG

• Administrative area– Offices – Stores

Provision for– Adequate equipments– Adequate drugs• Essential drugs• Emergency drugs• Drugs under national programmes

– Investigations • Routine investigations• Emergency investigations• Specific investigations under national

programmes

Staff PatternBlock Public Health Unit

Personnel Essential Desirable

Block Medical officer/Medical Superintendent 1

Public Health Specialist 1Public Health Nurse 1 +1

Specialty services Physician 1

General Surgeon 1Obstetrician & Gynecologist 1

Pediatrician 1Anesthetist 1

General Duty OfficersDental Surgeon 1

General Duty Medical Officer 2Medical Officer - AYUSH 1

Nursing and paramedical staffStaff Nurse 10Pharmacist 1 +1

Pharmacist – AYUSH 1Lab. Technician 2Radiographer 1

Dietician 1Ophthalmic Assistant 1

Dental Assistant 1Cold Chain & Vaccine Logistic Assistant 1

OT Technician 1Multi Rehabilitation/Community Based

Rehabilitation worker 1 +1

Counsellor 1Administrative Staff 6

Group D Staff 7 3Total 46 52

Functions• OPD clinics

1. Medicine 2. Surgery 3. Obs & Gynae4. Pediatrics5. Public Health6. Anesthesia 7. Dental clinic8. Eye clinic

• Care of Routine and Emergency Cases in Surgery

• Care of Routine and Emergency Cases in Medicine

• Maternal Health• Newborn Care and Child Health• Family Planning• Other Services

• School Health• Adolescent Health Care• Elderly health care• Outreach services in schools (essential)

and community Camps (desirable)• Blood Storage Facility• Diagnostic Services• Referral (transport) Services • Maternal Death Review (MDR)

All the National Health Programmes (NHP) Integration with the existing structure– Blindness control - 1 eye surgeon / 5 CHCs– Integrated Disease Surveillance Project– RNTCP– HIV/AIDS Control programme– National Vector – Borne Disease Control

Programme– National Leprosy Eradication Programme– Detection of faecal contamination of water

and chlorination level. – Others: Blood Storage Facility; Essential

Laboratory Services; Referral (transport) Services

Equipment Kits Supplied Under CSSM Programme