About the Department
According to the 2011 census, Chandrapur district has a population of 2204307, of which 1123834 are males and 1080473 are females. The Scheduled Caste population is 348365 and the Scheduled Tribe population is 389441. The mid-year population of 2020 is 2328588. A total of 58 primary health centers, 339 health sub-centers, allopathic clinics-09, Ayurvedic clinics-10, mobile health teams-6, mobile and stationary health teams-01, primary health teams-01 are functioning in the district. The following health services are provided under the P.A.Kendra.
- Outpatient department hours – 8 am to 12 pm and 4 pm to 6 pm.
- Essential services – 24 hours, including inpatient services, this service includes dog and snake bite patients and other essential health services.
- Health check-up of children aged 0 to 6 years in Anganwadi centers.
- Under the Maternal Child Care Program, the organization provides maternity care, vaccination, maternal and child safety program, maternal and child safety program, Prime Minister’s Matru Vandana Yojana, and Tribal Maternity Grant Scheme.
- Family planning surgery, copper, oral pills and use of contraception are included under the Family Welfare Program.
- Under the pest control program, measures to prevent colds, measures to prevent elephantiasis, measures to prevent dengue fever, measures to prevent chikungunya, measures to prevent swine flu
- Under the water-borne program, water sample testing, bleaching powder sample testing, salt sample testing, and preventive and curative measures for water-borne diseases.
- Preventive and therapeutic measures under the leprosy program.
- Preventive and therapeutic measures under the tuberculosis program.
- Sickle Cell Disease Control Program
- Non-communicable disease control program
- Human Development Mission Programme
- School and Adolescent Health
- Disease surveillance and control of epidemic diseases.
- National AIDS Control Programme
- National Blindness Control Programme
A) Prenatal care:-
Registration of all pregnant women (within 12 weeks) At least five check-ups during pregnancy: – First check-up as soon as pregnancy is suspected, second check-up (at 12 weeks), third check-up in 4 to 6 months (26 weeks), fourth check-up in the eighth month (32 weeks) and fifth check-up in the ninth month (36 weeks) All necessary services like general check-up, weight, blood pressure, check-up for anemia, abdominal check-up, height, breast check-up, folic acid intake in the first trimester, iron, folic acid tablets intake after 12 weeks, dose of anti-anxiety vaccine, treatment for anemia etc. (As per guidelines for health workers, health assistants) Laboratory tests like hemoglobin, urine protein and sugar tests. Diagnosis of pregnant mothers at risk and prompt referral to appropriate places.
b) Services during delivery :-
Emphasis on delivering in a health facility. (Encourage) Delivering the baby by a trained person following the 5 rules of hygiene. Provide prompt and appropriate referral services.
a) Postpartum services:-
Make at least 2 visits after delivery. The first visit should be within 48 hours after delivery and the second visit should be between 7 and 10 days. If the baby is underweight, five such visits should be made within 48 hours and on 7, 14, 21 and 28 days. Start breastfeeding within half an hour after delivery. Advice and counseling: – Diet and rest, hygiene, contraception, newborn care, infant and child nutrition as well as sexually transmitted diseases, A.I.V.A.D.S. etc.
Postpartum care:-
At least 2 postpartum home visits by the sub-center staff: – First within 48 hours after delivery and second within 7 days after delivery. Initiation of breastfeeding within half an hour after delivery. Providing health education on diet, hygiene, family planning.
d) Child’s health:-
- Newborn care
- Exclusive breastfeeding for 6 months.
- Vaccinate all infants and children against vaccine-preventable diseases.
- Give 9 doses of vitamin A every six months until the age of 5.
- Prevention and treatment of malnutrition and diseases in children.
Management of hypothermia and jaundice in newborn infants.
- B) Child care:-
- Urgent care of sick children, including Integrated Management of Neonatal and Childhood Illness (IMNCI).
- Care for common illnesses in children.
- Encourage exclusive breastfeeding for the first six months after birth.
- Complete vaccination of infants and children against vaccine-preventable diseases as per guidelines.
- Giving preventive doses of vitamin A.
Family planning and contraception:-
To provide health education, promotion and counselling for the use of appropriate family planning methods. Availability of family planning tools – condoms, condoms, oral contraceptive pills, emergency contraception etc. Follow-up services for eligible couples adopting permanent family planning methods. Counselling and appropriate referral for safe abortion as required.
Adolescent health care:-
Health education, counseling and referral services Assistance for school health services
Therapeutic Services :-
Treatment of minor ailments e.g. fever, diarrhoea, respiratory diseases, worm infestations, first aid in accidents and emergency situations. Prompt and appropriate referral service. Organizing at least one health day every month in Anganwadi with the help of the Medical Officer of the Primary Health Centre, Asha Anganwadi Sevika, Panchayat Raj Institutions, Self Help Groups.
Record of life events:-
Recording vital statistics (events) such as births, deaths, maternal deaths, infant deaths and sending reports (within 21 days)
A) Medical services
Outpatient Service:- 4 hours in the morning and 2 hours in the evening.
24 hours Emergency Service:- Proper management and first aid of injuries and accidents, bringing the patient out of danger of life before referral service, providing proper service to dog bites, scorpion bites, snake bites and other emergency patients.
Referral Service:- Proper and prompt care to patients who need specialist services. Referral Service:- Stabilization of patients. Providing appropriate ancillary services to patients during the referral service journey. Providing referral service from the vehicle of the P.A. Center or from the subsidy available with the medical officers, from a rented vehicle. Inpatient Service (6 beds)
Family Welfare Services
Education, advocacy and counselling for adoption of appropriate family planning methods. Provision of contraceptives. For example, contraception, oral contraceptive pills, emergency contraceptive pills, condoms etc. Permanent methods such as female sterilization, male sterilization/sterile male sterilization surgery. Follow-up services for eligible couples who have adopted permanent methods of family planning such as surgical sterilization. Medical abortion services and appropriate training for the same will be provided with the help of data technology where trained persons and facilities are available.
Primary health centers providing the above services will also provide facilities of Janani Suraksha Yojana.
Management of reproductive system diseases/sexual diseases
Health education for prevention of reproductive system diseases/sexual diseases Treatment of reproductive system diseases/sexual diseases. Nutritional services (in coordination with Integrated Child Development Service Scheme) School health:- Regular check-up, appropriate treatment, referral service and follow-up. Adolescent health services:- Life skills training, counseling, appropriate treatment. Motivation for safe follow-up and hygiene. Diseases that are permanently found in that area. For example, prevention and control of cold, black disease, Japanese, encephalitis etc. Disease survey and control of epidemic diseases Awareness and appropriate measures regarding abnormal health events Disinfection of water bodies Water quality should be checked with the help of BH2E strip test prepared by the National Institute of Epidemic Disease Control. Motivation for cleanliness including use of septic tanks, proper disposal of waste.Collection and reporting of vital statistics. Health/education. Behavioral change messaging. Implementation of other national health programs including the National AIDS Control Program. Routine and emergency treatment facilities – these services
- These services should be available to patients who come to the primary health center and to patients who come from sub-centers or other places through referral services. These services include the following.
Referral services for patients who cannot be treated or treated at a primary health center. Inpatient treatment for those who need to be admitted to the hospital.
