Urban Community health centre-secondary health care level

Urban community health centre is a secondary level of health care facility with all specialities in health health care which works 24/7. Services provided include theraputic, surgical, preventive and promotive services.

1. U C HC Dr. Rubina Saha Asst. Professor ESIC MCH

2. OBJECTIVES The broad objectives of the IPHS for CHC in rural and urban areas include the following: 1. To define uniform benchmarks ensuring high-quality services that are accountable, responsive, and sensitive to the community’s needs. 2. To specify the minimum assured (Essential) and achievable (Desirable) services expected to be provided at CHCs in rural and urban areas. 3. To achieve and maintain an acceptable quality of care at public health facilities. 4. To facilitate monitoring and supervision of the facilities.

3. 5. To provide guidance and tools for governance and leadership. 6. To provide guidance on health systems strengthening components which includes architectural design of facilities, human resources for health, drugs, diagnostics, equipment, administrative and logistical support services to improve the overall health related outcomes.

4. SERVICES PROVIDED Rural and Urban CHCs are classified into Non-FRU and FRU CHCs A. Non-FRU CHCs (rural): Non-FRU CHCs are those that provide essential services including preventive, promotive, curative, palliative, and rehabilitative services etc. Curative services include normal delivery, stabilization of common emergencies, etc. Non-FRU CHCs in rural areas will have 30 essential beds.

5. B. FRU CHCs (rural and urban): FRU CHCs, in addition to the above services, provide specialized care that can be rendered through specialists ( physicians, surgeons, obstetricians, pediatricians, and anaesthesiologists ) and the accompanying infrastructure ( functional operation theatre and blood storage unit ). Both elective and emergency surgical services of secondary-level care shall be provided. FRU-CHCs will provide surgical services and go beyond obstetric services.

6. Community Health Centre in rural areas (CHC) is to be established for a population norm of 80,000 (in hilly and tribal areas) and 1,20,000 (in plains) The Community Health Centre in urban areas (UCHC) is set up as a secondary care referral centre in metro cities with a population of 5 lakh and above and population of 2.5 lakh in non-metro cities. It is a 50 bedded facility that provides in-patient medical, and surgical services and facilities for institutional delivery. For the metros and million plus cities, the UCHCs are established at 5 lakh population and are 100 bedded facilities. POPULATION NORMS

7. SERVICES

8. Anaesthetics Agent Opioid Analgesic agents Non-opioid analgesics, antipyretics and nonsteroidal anti-inflammatory medicines Antidotes and other substances used in poisoning Anticonvulsants/Antiepileptics Intestinal Anti- helminthics medicines Anti-Fungal medicines Anti- Bacterial and other anti-infective medicines Anti-Viral medicines Anti-Malarial medicines Anti-COVID-19 Medicines Medicines used in palliative care Anti-parkinsonism medicines Medicines affecting blood Cardiovascular medicines Medicines used in Dementia Dermatological medicines (Topical) Diagnostic agents Diuretics Medicines Gastrointestinal medicines Hormones, other endocrine medicines and contraceptives commodities Thyroid and Antithyroid medicines Antidiabetic medicines Immunological/Vaccines Ophthalmological Medicines Oxytocic and Anxiolytics Psychotherapeutic medicines Medicines acting on the respiratory tract Solutions correcting water, electrolyte disturbances and acid-base disturbances Vitamins and minerals Dental restorative materials and medicines