Functions of primary health center in ncd care

Functions of primary health center in NCD care

1. Functions Of Primary Health Center In NCD care Dr. D. Sridhar Post graduate Department of community medicine MGMCRI

2. Manpower for providing service for NCD patients in PHC Medical officer Health assistant NCD staff Lab-technician Auxiliary nurse midwifery Pharmacist

3. Role of NCD clinic in PHC 1. Conduct opportunistic screening 2. Laboratory Investigations for Blood sugar, Blood cholesterol etc. 3.Diagnose and treat Diabetes and Hypertension. 4. Provide Health education to the patients and general public. 5. Refer the complicated cases to district hospital

4. Role of Medical officer in PHC 1 .To conduct comprehensive examination for diagnosis and management of the NCD cases 2. To rule out complications or advanced stage 3. To refer complicated cases to higher care facility 4. To provide follow up care to the patients 5. Overall supervision of NCD Unit 6. Assist in training of health personnel

5. Role of NCD Staff Nurses 1 .To conduct screening of Diabetes, Hypertension and common Cancers 2. To assist the Physician during the examination of patients, BP measurement 3. To explain the patient and family about risk factors of NCDs and promote Healthy Lifestyle 4. To assist in follow up care

6. Roles of ANM, HA , OA AXILIARY NURSE MIDWIFERY Counseling , referral to primary health , maintenance of NCD registers. HEALTH ASSISTANT To provide counseling on diet and life style management. To assist in follow up care and referral.

7. OPHTHALMIC ASSISTANT To asses the refractive error and diminution of any vision

8. IEC/BCC Increased intake of healthy foods Salt reduction Increased physical activity/regular exercise Avoidance of tobacco and alcohol Reduction of obesity Stress management. Awareness about warning signs of cancer etc. Regular health check-up

9. Things needed

10. Investigations available Hb % TC,DC urine routine Random blood sugar Fasting blood sugar Postprandial blood sugar ECG USG X-RAY

11. Drugs Available Following drugs are provided for 15 days Diabetes - Metformin hydrochloride 500mg Daonil (Glibenclamide) 5mg Hypertension- Amlodipine 2.5/5mg Atenolol 50mg Enalapril 2.5/5mg Cva /Stroke - Aspirin 10mg Clopidogrel 75mg Atorvastatin 75mg

12. Summary of activities in PHC A. Screening B . Prevention and health promotion C . Lab. investigations and Diagnostics D . Diagnosis and Management E. Referral F. Data recording and reporting G . Human Resources for CHC NCD services