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List of Services

 

Service Delivery Activities

CRHCC

PHCC

Satellite Clinic

Domiciliary

 

Antenatal Care

 

 

 

 

1

Pregnancy Registration, Regular Follow-up and update including maternal deaths

 

 

 

2

Counsel women and husband / family on Nutrition, care (rest) danger sign, clean delivery, Trained birth assistance, delivery planning, Preparation for possible emergency, breast feeding, and Contraception

3

Antenatal care (check weight, height, eyes, blood  pressure, edema, urine sample, blood sample)

 

4

Obtain antenatal history

 

5

TT Vaccination (pregnant women)

 

6

Fe/Folate Supplementation

7

Detect early, refer promptly women with danger signs/ complications

8

Mobilize community to arrange transportation, blood donors for obstetric emergencies, (blood will be supplied to EOC referral locations for screening prior to possible use)

 

 

 

Delivery Care (NVD & CS)

 

 

 

 

1

Create  awareness on safe and clean delivery

2

Conduct clean and safe delivery by skilled health personnel at facility level

 

 

 

3

Detect early and refer promptly women with Danger signs or complications

 

Postnatal Care

 

 

 

 

1

Counsel women/family on diet, Exclusive Breast Feeding (EBF), Infant and Young Child Feeding (IYCF), danger signs (mother & infant ), immunization, Post Partum Contraception, Birth Spacing

2

Provide Postnatal Care

 

3

Provide post partum contraceptive

4

Vitamin A Supplementation within 42 days of delivery

5

Detect early and refer promptly women with danger signs/complications

 

Menstrual Regulation

 

 

 

 

1

Encourage use of post MR FP methods

2

Create awareness on unsafe abortions and its complications

3

Provide MR on medical grounds only

 

 

4

Provide contraceptive supplies

5

Detect complications and refer promptly

 

Post Abortion Care

 

 

 

 

1

Encourage use of post abortion FP methods

2

Encourage MR within safe period

3

Provide PAC

 

 

4

Detect complications and refer promptly

 

Population & Family Planning Services

 

 

 

 

 

Family Planning

 

 

 

 

1

Eligible Couple Registration, regular update

 

 

 

2

Create awareness on Family planning with emphasis on permanent and longer acting methods

3

Counsel on appropriate method

4

Provide contraceptive supplies- Temporary Methods (Pill, Condom, Injectable)

5

Provide Long Acting & Permanent methods (IUD, Implant, NSV)

 

 

6

Provide Permanent method (Tubectomy)

 

 

 

7

Treat/refer for side effects and complications

8

Refer for other methods (Sterilization, IUD, Implant)

 

 

9

Provide ECP

 

 

Neonatal Care

 

 

 

 

 

Neonatal Care

 

 

 

 

1

Counsel women/family on Exclusive Breast Feeding (EBF), Infant and Young Child Feeding (IYCF), hygiene, cord care, danger signs (mother and newborn), prevent hypothermia, immunization

2

Health education for mothers on cleanliness and care for the newborn

 

 

 

3

Provide Neonatal Care

 

4

Detect early and refer promptly neonates with complications

 

Child Health Care

 

 

 

 

 

Immunization Program – EPI

 

 

 

 

1

Mobilize caretakers to have their children fully immunized by 12 months of age

2

Conduct immunization sessions

 

3

Surveillance and notification including acute flaccid Paralysis, measles and neo-natal tetanus

 

Immunization Program – NID

 

 

 

 

1

Observe National Immunization Program

 

2

Child to Child Search

 

 

 

 

Diarrhea

 

 

 

 

1

Detect, manage and refer severe cases with “danger signs”

2

Advise caretaker on correct home care (fluids, feeding, referral)

3

Advise caretaker on prevention

 

Measles

 

 

 

 

1

Detect and manage; refer severe/complicated cases

 

Acute Respiratory Infections

 

 

 

 

1

Treat pneumonia with oral antibiotics

 

2

Advise caretaker on correct home care

3

Detect and manage; refer severe/complicated cases

 

Other Childhood Illness

 

 

 

 

1

Detect and manage; refer severe/complicated cases (including drowning, accidental poisoning, autism, disability, other injuries etc.)

 

Reproductive Health Care

 

 

 

 

 

RTI/STI Care

 

 

 

 

1

Counsel on RTI/STI & related Infertility

2

Health Education on RTI/STI & related Infertility

 

 

 

3

Supply condoms

4

Refer for complaints of vaginal discharge, lower abdominal pain, genital ulcers, swellings in groin in men

5

Follow syndromic approach

 

6

Supplier management

 

7

RTI/STI Screening

 

 

 

Other Reproductive Health Care

 

 

 

 

1

Identify & Refer Out of Breast Cancer, Cervical Cancer, Fistula etc.

 

 

 

2

Other Reproductive Tract Disease

 

 

3

TT Vaccination (19+ non pregnant women)

 

 

Adolescent Care

 

 

 

 

 

Adolescent Health Care

 

 

 

 

1

Counsel/create awareness of sexuality, safe sex, menstruation, special nutrition, hygiene, TT vaccination; reducing early marriage, pregnancy; high risk behavior, psychological issues, gender issues to both girls and boys

2

Identify and treat anemia for girls and boys

 

3

Identify and treat RTI/STI for girls and boys

 

4

Identify and treat Dysmenorrhea and other RH problems

 

5

TT Vaccination (adolescent girls)

 

 

Nutrition (N)

 

 

 

 

 

Maternal Nutrition

 

 

 

 

1

Create awareness on Nutritional issues; promote health and caring practices that prevent Malnutrition

2

Counsel pregnant & lactating women (+ Husband/ Family) on diet.

4

Provide elements such as community nutrition including nutritional assesment with targeted supplementation as per national program, detection & referral of severe cases of malnutrition

 

Child Nutrition

 

 

 

 

1

Promote (& support) exclusive breast feeding, Correct weaning and child feeding practices

2

Provide elements such as community nutrition including GMP with targeted supplementation as per national program, detection & referral of severe cases of malnutrition

 

Control of Micronutrient Deficiency

 

 

 

 

1

De-worming of Under 10 high risk Children

 

2

Promote consumption of iodized salt

3

Vitamin A for post partum lactating women

4

Vitamin A for children (6 months to 6 years)

 

5

Vitamin A Supplimentation for sick children (ARI, diarrhea, severe malnutrition, measles)

 

6

Detect and manage children with night blindness & Refer other cases

7

Detect and refer suspected iodine deficiency cases

 

Communicable and Non-Communicable Disease (CNCD)

 

 

 

 

 

Communicable Diseases Control

 

 

 

 

 

Tuberculosis Control

 

 

 

 

1

Counseling on prevention of communicable diseases

 

 

 

 

2

Detect and refer suspect cases

3

Support and promote DOTS

 

 

 

4

Advise patients/families/close contacts on TB Symptoms and treatment compliance

 

5

Defaulter tracing

 

 

 

6

Promote self-reporting of patients

 

 

Other Communicable Disease Control

 

 

 

 

1

Counseling on prevention of communicable diseases

 

 

 

 

2

Detect and refer suspect cases

3

Advise patient/families/close contacts on symptoms and treatment compliance

4

Diagnosis, Treatment and referal of Leprosy, Malaria, Dengue, SARS, Kala-zar, Filariasis, Enteric Fever, Hepatitis etc.

 

 

 

Non-Communicable Diseases Control

 

 

 

 

 

Emerging Non-Communicable Disease Control

 

 

 

 

1

Detect and Refer Suspected cases of Diabetes, Mental Health and Cardiovascular disease etc.

2

Support and promote preventative/control measures

3

Advice patients to seek treatment, improve lifestyle and promote self reporting

 

Limited Curative Care

 

 

 

 

 

Basic First Aid

 

 

 

 

1

Provide Basic First Aid for Common injuries (cut, burn, fracture, etc)

 

 

Emergency Care

 

 

 

 

1

Treat Medical Emergencies – Management and Referral of Pain, high fever, shock, asphyxia, poisoning, drowning and other incidence of emergencies

 

 

 

Minor Infection & Disease Control

 

 

 

 

1

General Health Checkup, Asthma, Skin Diseases (Scabies etc.), Dental Diseases, Ear diseases, Peptic Ulcer, Geriatric care and Other Minor Ailments

 

 

Primary Eye Care

 

 

 

 

1

Clinical Consultation; Medical Treatment, Refraction Test, Prescribed/Provided Spectacles, Identification and refer out for Cataract Surgery

 

 

 

 

Disaster Management

 

 

 

 

1

Extended services for any emergency outbreak within the scope of work

 

Behavior Change Communication (BCC)

 

 

 

 

 

Health Education

 

 

 

 

1

Health Education on cross cutting all categories above

 

 

 

2

Health Education on Personal hygiene, hand washing, gender awareness

 

 

 

3

Awareness on availability of PHC services (branding) at UPHCSDP centers

 

 

 

 

Clinical Counseling

 

 

 

 

1

Clinical Counseling on cross cutting all categories above

 

 

Diagnostic & Emergency Transport* (DET)

 

 

 

 

 

Diagnostic Service

 

 

 

 

1

Blood Grouping, Urine for Pregnancy

 

2

Blood for Routine (TC, DC, ESR, Hb), Cross Matching, Sugar, Platelet Count, Serum Bilirubin, CRP, RF, Widal, ASO Titre, BT, CT, MP, KOS, WetMount, Hbs Ag, Hepatitis B Confirmation, VDRL, TPHA etc.

 

 

3

Urine for Routine (Sugar, Albumin, PS, Phosphate) etc.

 

 

4

Stool for Routine (Occult Blood, RS), Floatation Method etc.

 

 

5

Biochemical Tests

 

 

6

Ear Swab, Puss Swab, High Vaginal Swab, Skin Scrapping Fungus, Mauntox etc.

 

 

7

VIA

 

 

 

8

Ultra-sonogram

 

 

 

9

Sputum (AFB)

 

 

 

 

Emergency Transportation Service

 

 

 

 

1

Ambulance Service

 

 

 

 

Violence Against Women* (VAW)

 

 

 

 

1

Identify and register cases, provide medical care

2

Refer victims for legal assistance, counseling and Crisis management

 

 

3

Provide psychological support

4

Increase community awareness

 

 

 

 

Miscellaneous

 

 

 

 

1

Medical Waste Management

 

2

Diet for admitted patients

 

 

 

3

Evening Clinic

 

 

4

Medicine distribution

 

5

Monitoring & Quality Assurance

6

Record Keeping & Reporting

7

Financial Management

 

8

Regular update of Pro-poor listing, pregnancy registration, eligible couple registration etc.

 

 

 

 

 

 

 

 

 

 

 

 

Urban Primary Health Care Services Delivery Project.
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