Modifications in the updated Sub Divisional Hospital (SDH) 31 ... - IIMB

Training of all cadres of workers at periodic intervals is an essential component
of the IPHS for sub district hospitals. Both medical and paramedical staff should
undergo continuing medical education (CME) at intervals.
Sub District hospitals also should provide the opportunity for the training of
medical and paramedical staff working in the institutions below sub district level such as
skill birth attendant training and other skill development / management training.
14. Quality Assurance in Service Delivery
Quality of service should be maintained at all levels. Standard treatment
protocols for locally common diseases and diseases covered under all national
programmes should be made available at all sub district hospitals. All the efforts that are
being made to improve hardware i.e. infrastructure and software i.e. human resources
are necessary but not sufficient. These need to be guided by standard treatment protocols
and Quality Assurance in Service Delivery.
Quality Control
Internal Monitoring
Social audit through Rogi Kalyan Samities / Panchayati Raj Institutions
Medical Audit, Hospital Infection Control,Technical Audit, Financial Audit,
Disaster Preparedness Audit, Monitoring of Accessibility and equity issues, information
exchange.
External Monitoring
Monitoring by PRI / Rogi Kalyan Samities
Service / performance evaluation by independent agencies
District Monitoring Committees formed under NRHM shall monitor the
upgradation of Hospitals to IPHS. Annual Jansamvad may also be held as a
mechanism of monitoring.
Monitoring of laboratory
Internal Quality Assessment Scheme
External Quality Assessment Scheme
Record Maintenance
Computers have to be used for accurate record maintenance and with
connectivity to the District Health Systems, State and National Level.
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