Health Care System-India 00:02:01
NRHM NUHM ICOS CPHC (Auushman
eharat)
Ful Porm National NationalIntegrated child Comprehensive
rural health urban heath development primary heath
mission mission services Care
mOHFw mOHFW mowcD
ministry
USHA Aw CHO
Innovation in ASHA
marpower
National Heath mission (NHm = NRHM + NUHM
NRHM:
Level Population norms manpower
District hospital For a district Specialized doctors, specialized
labs, blood banks
CHC V80,000 : HTF Specialized doctors, OT tech,
Lab tech
Vi,ao,000: Plains
PHC Vao,000: HTF medical oficer, HA, ANm,
/30,000 : Plains pharmacist, lab tech
5e94f4c2aa8ded14c45824da
/3000: HTF mPW male
Subcentre
MPw female
Vs000:Plains
/o00: minimum ASHA
ASHA (Vllage)
a/ioo0: Desirable
HA: Health Assistant. ANM : Auxdlary Nurse fmiduife.
HTF: Hly, Tribal, Forest areas. mPw:muti Purpose worker.
Community poarticipation:
Rogi Kalyan samiti (RHS) :
dback " Aim : Better functioning of health centers.
mahila Aroqya Samiti (mAs):
" s0-H00 houses under the program.
.2023
Active space " Aim:Helpin mcH, grouwth and development monitoring of children.
NUHM: 00:10:45
Levels Population
norms
District hospital For a district
U-CHC /as lakh
i/s lakh metro cities)
U-PHC Vso,000
ANm, mcH Vo,oo0
uSHA i/o00-a50o (/a00-50o houses)
Tupe of subcenters PHC:
Type A Type &
Subcentres No delivery facilities Delivers facilities present
PHC <ao deliveries/month 7a0 deliveries/month
LOw load PHC
First referal units (upgraded CHC):
Can be any facity (CHC/PH) with :
" a4 x7functioning blood banks +obstetrics +paediatrics department.
Bed Pacilities:
Level Population Bed
District minimum I00
District hospital
(Recommended: /ooo)
U-CHC a.s-s lakh (metro cities) S0-I00
30-50
Rural CHC HTF:80,000
Plains 1.a lakh
a.s-3 lakh
Polyclinic 4-10
u-PHC So,000
A:4-6
PHC HTF a0,000
68-10
Plain 30,000
Subcentre HTF3,000 A0
Plain 5,000
[email protected]
Village (ASH) I000
Community Medicine Revision 1 01 3
Healtth and wellness center (HwC): Active space
under Auushman eharat.
Ayushman eharat
Jan Aarogyoa Yojana CPHC (Comprehensive Primary
(Heatth Insurance scheme) health care)
Slac provded/tamily/year Establishing of Hwc
Benitciaries til date: l0 erore Aim :Timne to care not > 30 min.
famlies/so er population Hc's can be upgraded subcentres or PHC.
Administrator :CHO (Community health
oficer =Nurses)
Functions of ASHA (ACcredited Social Health Activist): 00:22:22
" Home visits.
" Create awareness on health and social issues.
Visits to the health facilities and facilitate access to health care services.
5e94f4c2aa8ded14c45824da
" Counsel women on RCH.
Primary medical care to all.
maintain records of birth, death.
Depot holder for ORS, antibiotics, IFA tablets, FP methods.
" Totalsanitation campaign.
Help out all other national health programmes.
Functions ot mpw (muti Purpose worker) 00:24:01
MPw mae MPw female
LResponsible for sldes, spray survey,mcH:ANC, PNC, mmunization Pamily
Rx of vector borne diseases (ex i planing
malaria). a. Survey
3. OPD.
Feedbacka water quality assessment.
3. Records qreqister maintenance,
4. Survey i OPD.
ICOS 00-25:43
Active space
Division Population
COPO Child Development Project oficer) Ilac or Iblock
Angarwadi supervisor as,oo0
400-800
Anganuadi
I50-300
mini anganwadi
ministry ministry of women qchild development (mouwco).
Administration level : lock level hospitals.
Functions !
Ssupplementary nutrition.
" Non formal, adolescent heath education.
Health care.
" mother child care.
Facilitating immunization.
Benetciaries of 1CDS: ICOS
Children up to byrs (O-o years.
Pregnant and lactating females.
Adolescent giris.
Supplementaryiusritibaktbategaregnil.com
Calorie/ day Protein dauy
b m-b yrS 500 Kcal la-159
Pregnant Pemale 600 Kcal 5-a0 q
malnourished child 800 Kcal ao-a5 9
village Healtth, Nutrition { Sanitation Day(VHND): 00:31:07
Important member : ASHA > Anganuadi worker.
Supervisors mpw or ANm.
Reporting of vHND to medical officer.
Anganuadi Worker (Aww): 00:33:17
D
Feedback Clean Awc, clean drinking water.
Avalablty of facity for ANC, immunizations.
Grouth monitoring of children, preanant females.
Records of grouth {development.
Community Medicine Revision vi.0 " Marrow 6.5"2023
Page
National Quality Assurance Program : NQAS 00:33:38
Active spacr
Kayakalp auuards For better hospiBal administration {patient satisiaction.
Suatch Suasth Sarvatra: Clean and safe drinking water in public hosptals.
LaQshya scheme For labour room ’ensures quality of care during
dehvery i post partum (procedural qblod safety).
" musQan : Child friendly public heath care facilities. LAOSHYA
SaQushal : Safety and qualituy assessment for the health faclities.
* mera Aspataal: IT platform to captures voice of patients to improve quality
Suggested norms for health personnel 00:35:59
Nurses /s000 India norm
3/000 WHO norms
Health worker /so00: Plains
V3000: HTF
Trained dai
Vvilage
Health Assistant /35e0gf4edag8ded14c45824da
Vao,ooo: HTF
Pharmacist Vo,oo
Lab technicians Vo,000
ASHA /o00: minimum
a/ioo0 : Desirable
Doctors /o00: WHO
V445:India
eHEALTH 00:36:59
eHospital Hospital records maintenance
e-sanjeevani Telemedicine services
eRokt hosh elood barks
evIN Immunization logjstics
Kilkari Immunization complance
NHP National health portal for national quidelines
mera. aspatal For OPDregjstration
Feedback
D mDiabetes Diabetes awareness
m-cessation Toquit smoking
NiKSHAY T6 drug complance
NiKuSHT Leprosy drug compliance
Community Medicine Revisionv1.0 Marrow 6.5 2023
Page 5/7
6 0 Community Medicine
Active space - Trainingmodules Aim
DAKSHATA Training for health care professionals
(ASHA, MPw)
UDISHA Training for anganwadi workers.
SAKSHAM Learning information sustem of moHFu.
Stmulating advanced knouledge Launched by : NlHFw Wational institute
or sustainable health management oP Family welfare).
Note :ASHA must complete a3 days o training in a year.
Health planning committee 00:42:02
Committee Achievements
ehore comnitee (94) Deelopment of PHCG, long tern plan, 3months rural
postings, integrate preventive f curative services
mudaliar
Chadah commitee (963) Linked malaria worker with Pamily planning
prooram, 6HW Basic health worker)
mukherjee Delinked malaria f familuy planning proqram
Jungalualla Equal pay Por equal work.
Non practice allowance.
Kartar singh 6972) |MPw:multi Purpose workers
Shrivastava Relerral system, Rome : Reorientation of medical
education
eajaj worked on Anancial normns, manpouwer norms
MDG & SDG 00:48:08
5e94f4c2aa8ded14c45824da
8millennium development qoals (aooo-aos).
D
Feedback I7 Sustainable development qoals (aoIS-ao30) 3d is for health.
Given by: uN.
Goal Target Active spad 1
By aoso to reduce alobal mme <70/I lac live births.
3a By ao3o, to reduce:
Neonatal mortality rate 4a/io00 live births
under Ave mortalits <as/io00 live births
3.3
ey aos0, end epidemic of AIDS, TB, Malaria f negjected tropical
diseases
34 By ao3o, to reduce premature deaths rom non-communicable
diseases byVsd
UNICEF 00:50:29
united Nations internoational Children Emerqency Funds unicef
"Programs :G0SIF, GFHI (baby riendiy hospital initiative).
" Aim of GO•IFFF : Child survival.
G:Grouwth monitoring F:Femalediteraobykhatter61@gmail. com
0:ORS. F:Family plarning
B:ereastfeeding F:Fortilcation of food.
|:Immunization.
ICD 11 00:51:49
" 3 volumes.
" Arabic numbered chapters.
" 4categories with a subcategories.
" alb chapters
" New chapters on :
a. Sexual health.
b. Traditional medicine.
. Disorders of immune system.
d Sleep wake disorders.
Feedback
D " HIV iS now under chronic condition (not infectious disease).
Addictive conditions (oaming, hoarding) classited as separate conditions.
updated eriteria for PTSD.
" 1CO-ll: Linked witth other classitcations.
Community Medicine Revision v1.0- Marrow 6.52023
Page 77
