INFRASTRUCTURE OF A HEALTH SUB CENTRE
1. Waiting room
2, Labour room with one labour table and NBC ,
3.1 room with 2-4 beds ,
4.room for store
5 1 room for clinic/office
6 Toilet facility in labour room, ward room
7 Residential facility for one ANM
8 Residential facility {2 staff (E) and 3 staff (D)}
EQUIPMENT IN SUB HEALTH CENTRE
1. Basin 825 ml.: 1 + 1 (D)
2 Basin deep (capacity 6 litre):
3 Tray instrument/Dressing with cover
4 Flashlight/Torch Box-type pre-focused
5 Torch (ordinary)2
6 Dressing Drum with cover 0.945 liters ss: 1
7 Hemoglobin meter – set Sahli type complete1
8 Weighing Scale, Adult 125 kg/280
9 Weighing Scale, Infant (10 Kg) 1
10 Weighing Scale, (baby) hanging type, 5 kg:1
11 Sterilizer 1
12 Surgical Scissors straight: 1
13 Sphygmomanometer Aneroid 300 mm with cuff: 1+ 2(D)
14 Kelly’s hemostat Forceps straight : 1
15 Vulsellum Uterine Forceps curved: 1
16 Cusco’s/Graves Speculum vaginal bi-valve medium: 1
17 Sims retractor/depressor: 1
18 Sims speculum vaginal double ended ISS Medium: 1
19 Uterine sound graduated: 1
20 Cheatle’s forcep: 1
21 Vaccine carrier: 2
22 Ice pack box: 8
23 Sponge holder: 2 + 2 (D)
24 Plain Forceps: 5
25 Tooth Forceps: 2
26 Needle Holder: 2
27 Suture needle straight: 10
28 Suture needle curved: 10
29 Kidney tray: 4
30 Artery Forceps, straight: 5 + 5 (D)
31 Dressing Forceps (spring type): 1
32 Cord cutting Scissors, Blunt, curved on flat: 1
33 Clinical Thermometer oral and rectal: 1
34 Talquist Hb scale 1
35 Stethoscope: 1
36 Foetoscope: 1
37 Hub cutter and Needle destroyer: 1
38 Ambu Bag (Pediatric size) with Baby mask: 1
39 Suction Machine: 1D
40 Oxygen Administration Equipment:1
41 Tracking bag and tickler box (Immunization): 1D
42 Measuring tape: 1
43 I/V Stand:1
Source: Field survey
C. Physical Performance vis-à-vis Equipments
The data on physical performance of Sub Centres in Mahendergarh with respect to equipments have been presented in table-3. A glance at the table shows that none of the Sub Centres in district Mahendergarh had a 6 litre capacity deep Basin, Kelly’s hemostat, straight Forceps, Suture straight needles, Suture curved needles, Oxygen Administration Equipment and a I/V Stand. The sub centres at Deroli Ahir, Majra Kalan, Jatwas, Duloth Ahir, Atali and Beri did not have equipments mentioned at sr. no. 16, 19, 11, 11, 18 and 21 respectively out of a total of 43 equipments required in a Sub Centre as per IPHS guidelines.
The data on physical performance of Sub Centres in Sirsa with respect to equipments have been presented in table 4. A glance at the table shows that availability / non availability of equipments shows almost a uniform pattern across various Sub Centres. None of the SCs in district Sirsa had a 6 litre capacity deep Basin, Kelly’s hemostat straight Forceps, a Sterilizer, Surgical Scissors straight, Sims speculum vaginal double ended ISS Medium, Suture straight needles, Suture curved needles, Oxygen Administration Equipment, Talquist Hb scale, Foetoscope and a Suction Machine. The sub centres at Pohrka, Khari Surera, Jivan Nagar, Nuhian wali, Chormar and Kalanwali Village did not have 12 equipments each out of a total of 43 equipments required in a Sub Centre as per IPHS guidelines.
Conclusion
The findings of the paper shows that the sub-centres of district Mahendergarh are good in term of human resources but they are in poor condition in the terms of building and equipments as per the IPHS. The sub-centres of District Sirsa are in poor condition in all terms i.e. human resources, building infrastructure and equipments. Sub-Health Centre (Sub-centre) is the most peripheral and first point of contact between the primary health care system and the community providing all the primary health care services. The success of NHM would depend largely on the proper functioning of Sub-centres providing services of acceptable standard to the people. So, the government should ensure the human resources, building infrastructure and equipment facilities at the grass root level for the better implementation of health policies.
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