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Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

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(to be used with<br />

Nubulisable<br />

nebuliser)<br />

Salbutamol<br />

23. Inj. Dopam<strong>in</strong>e 200 mg/5 ml Ampoule 20 Ampoule<br />

24. Needles 23G 750<br />

25. Disposable 1ml/2ml/5 ml 1ml-200<br />

Syr<strong>in</strong>ge<br />

2ml-500<br />

5ml-500<br />

13. Capacity Build<strong>in</strong>g<br />

Tra<strong>in</strong><strong>in</strong>g of all cadres of workers at periodic <strong>in</strong>tervals is an essential component<br />

of <strong>the</strong> IPHS for sub district hospitals. Both medical and paramedical staff should<br />

undergo cont<strong>in</strong>u<strong>in</strong>g medical education (CME) at <strong>in</strong>tervals.<br />

<strong>Sub</strong> District hospitals also should provide <strong>the</strong> opportunity for <strong>the</strong> tra<strong>in</strong><strong>in</strong>g of<br />

medical and paramedical staff work<strong>in</strong>g <strong>in</strong> <strong>the</strong> <strong>in</strong>stitutions below sub district level such as<br />

skill birth attendant tra<strong>in</strong><strong>in</strong>g and o<strong>the</strong>r skill development / management tra<strong>in</strong><strong>in</strong>g.<br />

14. Quality Assurance <strong>in</strong> Service Delivery<br />

Quality of service should be ma<strong>in</strong>ta<strong>in</strong>ed at all levels. Standard treatment<br />

protocols for locally common diseases and diseases covered under all national<br />

programmes should be made available at all sub district hospitals. All <strong>the</strong> efforts that are<br />

be<strong>in</strong>g made to improve hardware i.e. <strong>in</strong>frastructure and software i.e. human resources<br />

are necessary but not sufficient. These need to be guided by standard treatment protocols<br />

and Quality Assurance <strong>in</strong> Service Delivery<br />

Quality Control<br />

Internal Monitor<strong>in</strong>g<br />

Social audit through Rogi Kalyan Samities / Panchayati Raj Institutions<br />

Medical Audit, Technical Audit, F<strong>in</strong>ancial Audit, Disaster Preparedness Audit,<br />

Monitor<strong>in</strong>g of Accessibility and equity issues, <strong>in</strong>formation exchange.<br />

External Monitor<strong>in</strong>g<br />

Monitor<strong>in</strong>g by PRI / Rogi Kalyan Samities<br />

Service / performance evaluation by <strong>in</strong>dependent agencies<br />

District Monitor<strong>in</strong>g Committees formed under NRHM shall monitor <strong>the</strong><br />

upgradation of <strong>Hospital</strong>s to IPHS. Annual Jansamvad may also be held as a<br />

mechanism of monitor<strong>in</strong>g.<br />

81

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