This goverment hospital in jabalpur is a model for hospitals across the country .
The Arogyam primary health center has brightly painted all walls with the attractive picture around the All PHC centers in mp. and also edit slogans related to the health and it looks like a playschool from the away .
In all PHC centers of the jabalpur – what comes to your mind when you all hear the word or related this word ; ” goverment hospitals ” . if all you have actually visted one then , there are chances that the image of a looking or old building or disappointed , or unpaint walls , overloaded dustbin with hospital waste and white walls with streaks of orange will pop up into your mind . however, a goverment hospitals in Chargawan, dharampura. panagar, shihora , majholi, kaldehi , bargi, jabalpur ,might change this thought and perceptions of every ones mind .
The walls of arogyam primary health care center in villages of jabalpur are not brokeon down or dilapidated nor do they have pinch of orange streaks,instead the health center has brightly painted walls with attractive picture, images and health related slogans,thought and looks nothing less than a play schhol from far .
The beautiful walls of the PHC centers , however ,are not just pretense and the mangement inside is as good as the walls surrounding it. inside ,one can find 3 different coloured dustbin that are unde biomedical waste management . as well as dry and wet waste.
The hospital staff is available 24 hours for the patients and is very active when it comes to implementing goverment schemes .be it the issuing of ayushman cards or any vaccination programme . the people of the village have been benefitted thanks to the agility of hospital staff ,the good behaviour and mangement of the hospital staff has promoted the locals to praise the health center non stop.
The arogyam health center serves as a model for other health centers of the country ,which can help in improving the health services in rural india.
INDIAN HEALTH SYSTEM INFRASTRUCTURE FOR PRIMARY HEALTH CARE
keeping in view of govt. of india commitment to acheive the goal ,HFA through primary health care approach ,the national health policy (NHF) Has laid down a plan of action for reorienting and shaping the existing rural health infrastructure within the frame work of five year plans .At present ,in india ,the health infrastructure is based on a 3 tier system of services provided at the three levels .
1- primary health care . 2- secondary health care . 3- Tertiary health care
This diagramental representation of 3 tier health care delivery system is as shown in the following chart
- PRIMARY HEALTH CARE – Primary health centres – ( 1: 30,000 population ) – subcentre – ( 1: 5000 population) – village health unit ( 1: 1000 population )
- SECONDARY HEALTH – District health and FW center district hospital Community health center ( 1:100,000 population)
TERTIARY HEALTH CENTER – 1- Teaching hospitals. 2- super specialty hospitals. 3 Regional hospital
The function of primary health centers in india
The function of primary health centres in india cover all the essential elements included in the primary health centers as follows:
- medical care
- MCH & FP
- safe water supply and basic sanitation
- prevention and control and locally endemic disease
- collwction and reporting of vital statics
- education about health and nutrition
- implementation of all national health programme
- Referal services
- training odVHCs HW (M&F) , HA local dais, etc.
Each primary health centers has the following staff to perform the above said functions.
- 1, Lady medical officers
- 1, Block health educator
- 1( HWF
- 6, HA(m)
- HA( F) ,1
And other supporting staff ,like pharmacist ,driver ,lab technician and ancillary staff. totally ,the full range of primary health care being renderd through the agency of primary health centers .
The concept of primary health center was emphasised by the health and survey and development committee ( 1946 ) to provide integrated health services in the rural population ,which include preventive,promotive and curative aspects of health . Now we are expected to have one primary health center for 30,000 population .
EXAMPLES OF PRIMARY HEALTH CARE CENTERS SERVICES INCLUDE
- Routine check-up
- immunizations
- screening test
- chronic disease management
and referrals to specialities when needed, primary health care providers can include general practitioners , nurse practitioners,midwives,and community health workers.
Primary health centers ( PHCs) sometimes reffered to as public health centers , are state owned rural and urban health care facilities in india ,They are part of the goverment funded public health system in india and are the most basic units of this system ,As on 31 march 2019 there are 30,045 PHCs in india in which 24,855 are located on rural areas and 5,190 are on urban areas . The idea of creating PHCs in india was set forword by BHORE COMMITTEE In 1946.
The primary aim of ayushman primary health centers is to acheive universal health coverage ,national health policy 2017 envisage establishment of ayushman to provide comprehensive primary health care that is universal ,free and closure to the community.
PHCs are the cornerstone of rural health services – a first port of call to a qualified doctor of the public sector in rural areas for the sick and those who directly report or are reffered from sub-centers for curative ,preventive , and promotive health care . The goverment of india initiative to create and expand the presences of primary health centers throughout the country is consistent with the eight elements of primary health care outlined in the Alma- Ata declaration.
ELEMENTS OF PRIMARY HEALTH CARE
- Eduaction to the people concerning prevailing health problems and meethods 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 the major infectious disease.
- prevention and control of locally endemic disease .