The Community Health Centres (CHCs) which constitute the secondary level of health care, were designed to provide referral as well as specialist health care to the rural population.
Indian Public Health Standards (IPHS) for CHCs have been prescribed under National Rural Health Mission (NRHM) since early 2007 is being adopted before setting up of new CHCs or upgrading of PHCs which aimed to provide optimal specialized care to the community and achieve and maintain an acceptable standard of quality of care.
IPHS standards have now been revised since 2012 by the Government of India keeping in view the changing protocols of existing National Health Programmes, development of new programmes specially for noncommunicable diseases and prevailing epidemiological situation in the country and the state.
A gap analysis is made for provision of CHCs in the recommendations made by Dr. Nanjundappa Committee on regional imbalances and 2011 census population.
Unlike Sub-centre and PHCs, CHCs have been envisaged as only one type and will act both as Block level health administrative unit and gatekeeper for referrals to higher level of acilities. The revised IPHS (CHC) has considered the services, infrastructure, manpower, equipment and drugs in two categories of
Essential (minimum assured services) and
Desirable (the ideal level services which the states and UT shall try to achieve). All essential services as envisaged in the CHC should be made available, which includes routine and emergency care in Surgery, Medicine, Obstetrics and Gynaecology, Paediatrics, Dental and AYUSH in addition to all the National Health Programmes.
Standards of services under existing programmes were updated and standards added for newly developed non communicable disease programmes. Standards for Newborn stabilization unit (SBSU), MTP facilities for second trimester pregnancy (desirable), The Integrated Counselling and Testing Centre (ICTC), Blood storage and link Anti Retroviral Therapy centre have been added.
Health care delivery in India has been envisaged at three levels namely primary, secondary and tertiary. The secondary level of health care essentially includes Community Health Centres (CHCs), constituting the First Referral Units (FRUs) and the Sub-district and District Hospitals. The CHCs were designed to provide referral health care for cases from the Primary Health Centres level and for cases in need of specialist care approaching the centre directly. 4 PHCs are included under each CHC thus catering to approximately 80,000 populations in tribal/hilly/desert areas and 1,20,000 population for plain areas. CHC is a 30-bedded hospital providing specialist care in Medicine, Obstetrics and Gynecology, Surgery, Paediatrics, Dental and AYUSH.
30 ಹಾಸಿಗೆಯ ಸಮುದಾಯ ಆರೋಗ್ಯ ಕೇಂದ್ರಕ್ಕೆ ನಿಗಧಿಪಡಿಸಿರುವ ಹುದ್ದೆಗಳ ಹಂಚಿಕೆ