SUB CENTRE FUNCTIONS, STAFFING, PATTERNS OF ASSISTANCE, ROLES AND RESPONSIBILITIES OF DPHN PREPARED BY:

Fiyas.BI 2ND yr MSc Nursing Govt:CON Trivandrum

Sub center
*Sub-health Centre (Sub-centre) is the most

peripheral and first contact point between the primary health care system and the community. * 5000 population in plain areas and for every 3000 population in hilly/tribal/desert areas.

OBJECTIVES OF INDIAN PUBLIC HEALTH STANDARDS (IPHS) FOR SUB-CENTRES

*basic Primary health care to the community.

*achieve and maintain an acceptable standard of quality of care. * make the services more responsive and sensitive to the needs ofthe community.

SERVICES TO BE PROVIDED IN A SUBCENTRE: 1 .Maternal and Child Health: i) Antenatal care (ii) Intra-natal care (iii) Postnatal care 2.Child Health 3. Family Planning and Contraception 4. Counselling and appropriate referral for safe abortion services

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5. Adolescent health care 6. Assistance to school health services 7. Control of local endemic diseases such as Malaria, Kala azar, Japanese Encephalitis, Filariasis, Dengue etc and control of Epidemics 8. Disease surveillance 9. Water Quality Monitoring 10.Promotion of sanitation including use of toilets and appropriate garbage disposal.

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11.Field visits 12. Community needs assessment 13. Curative Services 14. Training, Coordination and Monitoring

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15. National Health Programmes: 1. National AIDS Control Programme (NACP) 2. National Vector Borne Disease Control Programme (NVBDCP) 3. National Leprosy Eradication Programme (NLEP) 4. Integrated Disease Surveillance Projects (IDSP)

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15 .Record of Vital Events

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16. Record maintenance and Reporting

STAFFING
Currently a Sub-centre is staffed by one Female Health Worker commonly known as Auxiliary Nurse Midwife (ANM) and one Male Health Worker commonly known as Multi Purpose Worker (Male). *the support of ASHA *The general norm is one ASHA per 1000 population.

Physical Infrastructure
*should have its own building

*in a central location with easy access to population.

JOB RESPONSIBILITIES OF DPHN

1. Maternal and Child Health 2. Family Planning 3. Medical Termination of Pregnancy 4. Nutrition 5. Vital Events 6. Record Keeping

FUNCTIONS OF COMMUNITY HEALTH NURSE (WORKER)

1. Administration. 2. Communication. 3. Nursing. 4. Teaching. 5. Research

PATTERN OF ASSISTANCE
*Rs.700 as assistance to the expectant mothers/pregnant mothers and Rs. 600 for ASHA (Accredited Social Health Activist) / other equivalent worker after institutional delivery in rural area *Rs. 600 as assistance to the expectant mothers and Rs.200 for ASHA in urban area * It is duty of ANM/ASHA/AWW to make payment to expectant mother