(IPHS) Guidelines - NRHM Manipur

Home based management of Lymphodemacases.Hydrocelectomy.The diagnosis, treatment and examination are performedat CHCs as per the pattern of PHC. In addition, CHCsare the first referral units for treatment of severe andcomplicated malaria cases.Services to be provided are: Diagnosis of malaria cases, microscopicconfirmation and treatment. Cases of suspected JE and Dengue tobe provided symptomatic treatment,hospitalization and case managements. Complete treatment to Kala-azar cases in Kalaazarendemic areas. Complete treatment of micro-filaria positivecases with DEC and participation & arrangementfor Mass Drug Administration (MDA) alongwith preparedness of management of sidereactions.StandardsThe CHC Medical Officer should be well-trained inprevention and control of the Vector Borne. Diseasesand should carry out the following activities: He will refer all fever cases to malarialaboratory for blood smear collection andexamination before giving final prescription/medicines. He will supervise all Malaria Clinics and PHClaboratory in his area, see the quality ofblood smear collection, staining, efficiency ofmicroscopic examination and check whetherthe stain is filtered daily. He will also ensure/supervise that all positivecases get radical treatment within 48 hours ofexamination.DrugsHe will also ensure that sufficient stocks ofAntimalarial including Quinine tablets andinjectable Quinine and Artemisenine areavailable in CHC and also PHCs.He will ensure that malaria laboratory is keptin proper condition along with microscopeand other equipment.He will provide referral services to severecases of malaria.He will refer severe and complicated casesto District Hospital in case of emergency anddrug failure.He will also ensure that Filaria cases aremanaged at CHC and the Hydrocele cases areoperated.Chloroquine, Primaquine, SulphadoxinPyremethamine Combination, ArtemisinineDerivatives, Quinine Injections, Quinine tabletsand 5% Dextrose saline and DEC tablets.EquipmentMicroscope, Slides, Pricking Needles, Cotton,Stains, Staining Jars, Filter paper, Glassmarking pencil, Lint cloth and Glass wares forpreparation of stains and storage.IEC Material Display material like posters, banners andpermanent hoardings etc. Distribution material like handbills, pamphlets,booklets display cards etc. Training Materials like Guidelines on programmestrategies, dose-schedule cards etc.Diagnosis and Management of Vector borne Diseasesis to be done as per NVBDCP guidelines for PHC/CHC.28Indian Public Health Standards (IPHS) Guidelines for Community health centres