(IPHS) Guidelines - NRHM Manipur

Zone Functions Area Requirementfor Each Sub-functionService ZoneAdministrative zoneTotal Circulation Area/CorridorsTotal AreaDietary (Dry Store, DayStore, Preparation, Cooking,Delivery, pot wash, Utensilwash, Utensil store, trolleypark) C.S.S.D. (Receipt, wash,assembly, sterilization, sterilestorage, Issue) Laundry(Receipt, weigh, sluice/wash,Hydro extraction, tumble,calender, press) Laundry(clean storage, Issue),Civil engineering (Buildingmaintenance, Horticulture,water supply, drainageand sanitation), Electricalengineering (sub station &generation, Illumination,ventilation), Mechanicalengineering, Space forother services like gas store,telephone, intercom, fireprotection, waste disposal,Mortuary.General Administration,general store, public utilitiescirculation spaceServices like Electricalengineering /Mechanicalengineering & Civilengineering can be privatelyhired to avoid permanentspace in the CHC buildingArea specification isrecommendedTotal Areas in Sq MtrsArea specification isrecommended60 Sq Mtrs191.15 Sq Mtrs1503.32 Sq MtrsCapacity BuildingTraining of all cadres of worker at periodic intervals is anessential component. Multi skill training for Doctors, StaffNurses and paramedical workers is recommended.Quality Assurance in ServiceDeliveryQuality of Service Should be Maintained atall LevelsStandard Treatment protocol is the “Heart” ofquality and cost of care. Standard treatmentprotocol for all national programmes and locallycommon diseases should be made available atall CHCs. All the efforts that are being made toimprove “hardware i.e. infrastructure” and “software i.e. human resource” are necessary but not sufficient.These need to be guided by Standard TreatmentProtocols. Some of the states have already preparedthese guidelines. For all ailments covered byNational Health Programmes an agreed treatment/case management protocol need to be adhered tovoluntarily by the physicians.Diet: Diet may either be outsourced or adequate spacefor cooking should be provided in a separate space. Thediet within the budget/funds and affordability shouldbe healthy food, nutritious and full of minerals andvitamins.CSSD: Adequate space and standard procedures forsterilization and Sterile storage should be available. Apractical protocol for quality assurance of CSSD maybe developed in coordination with District Hospital lab and implemented to ensure sterilization quality.16Indian Public Health Standards (IPHS) Guidelines for Community health centres