(IPHS) Guidelines - NRHM Manipur

evaluated followed by necessary changes in the Planand training of the staff.The CHC should be, as far as possible, environment friendlyand energy efficient. Rain-Water harvesting, solar energyuse and use of energy-efficient CFL bulbs/equipment should be encouraged. Provision should be made for horticulture services including herbal garden.The building should have areas/space marked for thefollowing:Entrance ZoneSignage Prominent display boards in local languageproviding information regarding the servicesavailable and the timings of the institute. Directional and layout signages for all thedepartments and utilities (toilets, drinkingwater etc.) shall be appropriately displayed foreasy access. All the signages shall be bilingualand pictorial. Citizen charter shall be displayed at OPD andEntrance in local language including patient’srights and responsibilities. On-the-way signages of the CHC & locationshould be displayed on all the approachroads. Safety, hazards and caution signs shall bedisplayed prominently at relevant places, e.g. radiation hazards for pregnant woman inX-Ray. Fluroscent Fire-Exit signages at strategiclocations. Barrier free access environment for easyaccess to non-ambulant (wheel-chairstretcher), semi-ambulant, visually disabledand elderly persons as per “Guidelinesand Space Standards for barrier-free builtenvironment for Disabled and Elderly Persons”of Government of India. Ramp as per specification, Hand-railing,proper lightning etc must be provided in allhealth facilities and retrofitted in older onewhich lack the same. Registration cum Inquiry counters. Pharmacy for drug dispensing and storage.Clean Public utilities separate for males andfemales.Suggestion/complaint boxes for the patients/visitors and also information regardingthe person responsible for redressal ofcomplaints.Outpatient DepartmentThe facility shall be planned keeping in mind themaximum peak hour load and shall have scope forfuture expansion.Name of Department and doctor, timings and user fees/charges shall be displayed.Layout of the Out Patient Department shall follow thefunctional flow of the patients: e.g.Enquiry→Registration→Waiting→SubWating→Clinic→Dressing room/Injection Room→Billing→Dignostics (lab/X-ray)→pharmacy→ExitClinics for Various Medical Disciplines : These clinicsinclude general medicine, general surgery, dental,obstetric and gynaecology, paediatrics and familywelfare. Separate cubicles for general medicine andsurgery with separate area for internal examination(privacy) can be provided if there are no separaterooms for each. The cubicles for consultation andexamination in all clinics should provide for doctor’stable, chair, patient’s stool, follower’s seat, washbasin with hand washing facilities, examinationcouch and equipment for examination. Room shall have, for the admission of lightand air, one or more apertures, such aswindows and fan lights, opening directly tothe external air or into an open verandah.The windows should be in two oppositewalls. Family Welfare Clinic : The clinic shouldprovide educative, preventive, diagnosticand curative facilities for maternal, childhealth, school health and health education.Importance of health education is beingincreasingly recognized as an effective toolof preventive treatment. People visitinghospital should be informed of personal andenvironmental hygiene, clean habits, need fortaking preventive measures against epidemics,family planning, non-communicable diseasesetc. Treatment room in this clinic should actas operating room for IUCD insertion andinvestigation, etc. It should be in close proximity12Indian Public Health Standards (IPHS) Guidelines for Community health centres