PRIMARY HEALTH

CENTER
GROUP N0: 5

MEMBERS:
 ABHIJITH
 ABHINAND
 DEVIKA
 MEERA
 SAMRADH
 SNEHA
 INTRODUCTION

 Primary Health (Care) Centers are the cornerstone of rural health

care in India,as they are the first point of contact with a qualified
doctor.
 The health community in India had come with this plan (PHC) & its
sub-centers (SCs)as the proper infrastructure to provide health care
services to the rural population mainly,but also to any patient who
came for the cure of their treatment.
 Normally its been said that the PHCs should provide 24×7 service
basis providing with all the services to the peoples need.
 PHCs are not been spared from any issues of doctors or
facilities,staffs,treatments etc
 It do have all the facilities for a patient that came in
case of an urgency or due to illness.
 It have sufficient doctors for services,specialists if
needed,Nurses & Ambulance 24×7, people to look after
patients,for maintaining cleanliness,Laboratory,Pharmacy
facilities etc.
 It ensures people receive every care ranging from
promotion & prevention to treatment, rehabilitation &
palliative care as easy as in the way people get it.
 Its all services are affordable even if it has a fee for
everything.
 The main principles of primary health care are accessibility,public
participation, health promotion, appropriate technology &
intersectional cooperation.
 Also every kind of treatment are available to all clients who visit
there.
 It also focus on a person’s complete health including both mental &
physical health for every age. Ot do habe many programs for that
maintainence too.
 Its very helpful for our healthy society.
 INFRASTRUCTURE:
 LOCATION AND AREA:
 PHC should be located in an easily accessible area.
 The area should be away from garbage collection, water logging area, etc.
 The area should have basic facilities like, electricity, water supply, all
weather road communications and telephone.
 It should be well lit and ventilated. The plinth area would vary from 375
to 450 sq. metres depending on whether an OT facility is opted for.

 SIGNAGE:
 The building should have a board displaying the name of the
Centre in the local language at the gate and on the building.
 Prominent display boards in local language must be provided with
informations regarding the services available/user charges/fee and the
timings of the centre.
 ENTRANCE WITH BARRIER FREE ACCESS:
 Barrier free access environment for easy access to non ambulant (wheel-chair,
stretcher), semi-ambulant, visually disabled and elderly persons must be provided.
 The doorway leading to the entrance should also have a ramp facilitating easy access
for old and physically challenged patients.

 DISASTER PREVENTION METHODS: (Earthquakes, Floods, Fire)

 Earthquake proof measures - structural and nonstructural should be built in to
withstand quake as per geographical/state govt. guidelines.
 PHC should not be located in low lying area to prevent flooding as far as possible.
 Fire fighting equipment – fire extinguishers, sand buckets etc. should be available and
maintained to be readily available when needed.
 REGISTRATI
ON OFFICE
 Registration office is a place where we have to enter our information very
compulsorily at PHC.
 People can book or register and after that only they can go for further
treatment there.
 Its said that the registrars have to work full time,taking shifts overnight or
on weekends,because registration before entering a hospital for treatment
is a very compulsory procedure.
 There should be proper air circulation
 There should be space for storing records
Standard size =3m × 3m
 WAITING AREA:

 They should have enough space and seating arrangements

 The walls should have posters or booklets may be provided imparting
health education.
 Safe Drinking water should be available in the patient’s waiting
area.
 There should be proper notice displaying departments of the centre,
available services, names of the doctors, users’ fee details, etc.
 It should be placed in such a way that registration office
consultation rooms,or examination rooms are easily accessible.
 The standard area of the waiting room is 3000mmx3500mm,
according to the Indian guidelines of PHC.
OUTPATIENT DEPARTMENT
OPD is defined as a part of the hospital with allotted physical facilities
and medical and otherstaffs, with regularly scheduled hours, to
providecare for patients who are not registered as inpatients.
A hospital department where patients receive treatment but do not stay
overnight.
WARDS
A separate room in a hospital, For a particular purpose for different kind of
Patients.
Wards 5.5 m x 3.5 m each
 There should be 4-6 beds in a Primary Health Centre.
Separate wards/areas should be earmarked for
males and females with the necessary furniture.

 There should be facilities for drinking water and

separate clean toilets for men and women.

 The ward should be easily accessible from the OPD

so as to obviate the need for a separate nursing
staff in the ward and OPD during OPD hours.
LABOUR ROOM
The labor room is one of the most versatile rooms in a hospital. It is called a
labor, delivery, and recovery room (LDR). This is the type of room that some
hospitals and almost all birth centers use for their care.
 Labour Room (3.8 m x 4.2 m)
 Configuration of New Born care corner
 Clear floor area shall be provided in the room
for newborn corner.
 It is a space within the labour room, 20-30 sq ft in size, where a
radiant warmer (Functional) will be kept.
 Oxygen, suction machine and simultaneously-
accessible .
 Both Oxygen Cylinder and Suction Machine should
be functional.
 The Labour room shall be provided with a
good source of light, preferably shadow-less.
MINOR OT
Surgery involving little risk to the life of the patient
Minor OT/Dressing Room/Injection Room/Emergency
 a. This should be located close to the OPD to cater
to patients for minor surgeries and emergencies
after OPD hours.
 b. It should be well equipped with all the emergency
drugs and instruments.
 c. Privacy of the patients should be ensured.
LABORATORY
A room or building equipped for scientific experiments, research, or teaching,
or for the manufacture of drugs or chemicals.
Laboratory (3.8 m x 2.7 m)
 a. Sufficient space with workbenches and separate
area for collection and screening should be
available.
 b. Should have marble/stone table top for platform
and wash basins.
 CONSULTATION ROOM
It is a room where a
doctor examines the
patients.

The standard size for an

exam room is 3m ×3m.
The room should have
space to accommodate
you, a nurse or
assistant, your patient
and at least one family
member.

Basic Furnitures
Table, Chairs, Couch,
Cabinets.
FURNITURES LAYOUT
 GENERAL STORE:
. There should be a separate place
for storage of drugs , consumable
items , common clothes etc. Which
should be stored at a particular
place which is bacteria free and
other micro-organism. The place
should be totally clean.
. The area should be properly
ventilated and pest free and also
the enter of small animals like rats
etc.
. Sufficient number of racks should
be provided.
. Drugs should be stored properly
and away from direct sunlight (in a
dry atmosphere).
The standard size of
medical store is 3.25
meter by 3.25 meter,
these dimensions can
vary slightly without
affecting the function
of the room. A room
should have space to
selves, tables, chair,
counter.
It can be from 10.22
Sq,m. to 20.44 Sq,m
BASIC FURNITURES
Table, Medical
storage cabinets,
shelves, rack,
counter.
.
 OT (OPERATION THEATRE)
. It should have a changing
room, sterilizing area operating
area and washing area.
. Separate facilities for
Sterilized ,unsterilized
equipments and instruments
should available in the OT.
OP should be well occupied
with all the accessories and
instrument.
.OP should I have a power
backup (generator,
invertor,UPS)
LAYOUT
FURNITURES
 Generator room
Generator is required in case of power failure.
 Boundary wall
Boundary wall with gate should be provided for safety and
security.
 Lecture Hall :
For training purposes, a Lecture Hall
for 30 Person should be available. Public address system
and a black board should also be provided.
 TOILET
 For a healthcare facility, there should be at least one toilet dedicated for staff, at least
one sex-separated toilet with menstrual hygiene facilities, and at least one toilet
accessible for people with limited mobility.
 Also, there should be functional hand hygiene facilities with water and soap or
alcohol-based hand rub are available at points of care, and within five metres of toilet
 They should be well maintained and cleaned
NURSES ROOM
 It is the room or area used by nurses .
 This room may consist of cupboards for storage.
 The room must have enough privacy for the nurses.
 Seating arrangements and desks / tables must be
provided.
 Drinking water must also be provided.
 The standard dimensions for the room is
3.1m x 3.5m.
Dirty Utility Room
 It is also called Sluice room
 The items from clean utility room sent to patients , are then sent to dirty Utility room
after their use.
 Generally, these are containers which are used to collect and hold human waste.
 It includes cleaning and holding of used equipments for collection and sterilisation.
 It is important to manage waste items correctly ,otherwise it may lead to infections and
other high risks.
Cold Chain Room
 It is a system of transporting and storing of vaccines at a recommended temperature
from the point of manufacture to the point of use.
 The main role of Cold Chain is to maintain the potency of vaccine.
 If the vaccines and biological products and equipments are not preserved well or any
temperatureequipments happens, it will be a serious problem
 Measurement- 2100 x 3500
TRANSPORTATION
 It is very essential thing to have an ambulance in PHC ,for transportation of
patients , for emergency services like accidents, pregnancy, etc
 Ambulance should be in good condition
LAUNDRY SERVICES
 We should provide clean linen to admitted patients.
 At least 5 linen shall be made available.
 Laundry service may be available in house or outsourced
QUALITATIVE & QUANTITATIVE
ANALYSIS OF SPATIAL REQUIREMENTS
OF PHCs
OPERATION THEATRE :
 Qualitative Analysis
•Ventilation facilities are must required.
•For more lights LED lights are used.
•They should make sure that bad odour isn’t stuck in OT.
 Quantitative Analysis
•Minimum area requirement is 3.7m ×4.5m
•Height required is of 0.9m minimum.
CONSULTATION ROOM :

Qualitative Analysis
 Propert ventilation facilities should be there.
 Fresh air should enter inside.
 Bad odour should go out.
 Calmness feeling should be there for patients,
as well as the doctor & staffs who are there on
24×7.
Quantitative Analysis
 It required minimum area of 18sq.m
 No chairs,then tables etc are required
according to its purpose.
LABORATORY :
Qualitative Analysis
 It should be safe, comfortable &
breathable spaces for all lab users,so
proper ventilation id needed.Also lighting.
 Ventilation to pull out bad odour that
inside the lab.
 Proper lighting are needed also rather
than electrical lights.
Quantitative Analysis
 Minimum area required is 3.5m ×2.8.
 Proper lab facilities should be there.
BUILDING SERVICES

WATER SERVICES :
 Proper Clean & pure water services are
must to PHC.
 For all the facilities there are enough
water supplied to water in proper
sources.
 Drinking water Supply for patients &
staffs are also being provided to PHC by
water supply sources
ELECTRICAL & MECHANICAL
SERVICES :
 Mechanical & electrical services act as
the maim factor of PHCs to provide
proper power supply, water, fresh air &
other important elements that keeps
PHCs running in an appropriate manner.
 Proper maintainence are given to this
services as they are really important in
the functioning of PHCs.
 MANPOWER

 Manpower in PHC is defined as the number and kinds of

workers availability there in the PHC for the welfare of the
patients.
 To ensure whether all kind of services are getting to the
people,it was asked by the government to provide 24×7
services with all facilities & nursing services.
 So inorder to provide 24×7 services in almost every PHC there
are atleast 3nursing staffs.
 Also according to the maintainence the workers can get
shifted there to her but never they had made any shortage in
PHC nor any complaints related the man power.
 There are 2types of PHCs had been found depending upon the delivery case
load.They are
 Type A PHC – With delivery load of less than 20 deliveries in a month.
 Type B PHC – With delivery load of 20 or more delivery in a month.
 So here is a list of what should be the total manpower list in a PHC -
 Nothing isn’t going to take place anywhere without
manpower.
 Also not only physical health services but mental health
& other periodic services are been providing by PHC.
 Every staff working in PHC are trying their maximum
either individually or in group to provide the maximum
service the patients need.
 For in every section,every staff is assuring that their
maximum help or service has been delivered to the
patient.
DOORS
 Doors are of different kinds and are of
different materials are being used in PHCs.
 Materials like stainless
steel,bronze,aluminum,fiberglass & wood
doors are the common seen door materials in
PHC.
 Types of doors are sliding,revolving, swinging
doors, folding, balanced doors etc are been
used.
 DOORS
 Doors in operation theatre are of
height 7ft.
 Doors in consultation can be in
the height of 7ft,width 4ft.
 Partion Screen for PHC can be of
size =72mm ×80mm (for 1slide)
 Toilets partion doors should be of
size 2105mm×900mm×1550mm.
Its opening width can be 550mm.
 Anyway minimum standard size
of the doir should be 5ft ×7ft
Windows

Window is with the width of 0.5m

Height of 0.6m
And an opening of 1.11m
COMPARATIVE ANALYSIS.
IPHS Neuferts/other stds.
Area 375 to 450 sq. metres -NA-
Wards 19.25 sq.m(4-6 beds) a minimum of 8sq.m per
bed should be allowed
(std. number of beds NA)
Waiting area 10.5sq.m 6.7sq.m
Labor room 16.96sq.m 9sq.m
Laboratory 10.26sq.m 10.40sq.m
Immunization room 10.5sq.m 9sq.m
Nurses room 10.85sq.m 10sq.m
 COVID-19
SAFETY

MEASURES
First of all they make sure that every patients,Doctors,staffs &every
others use sanitizers when they enters inside PHC.
 All the equipments are also bring sanitized.
 Before a patient or a staff entering into PHC,they make sure that
those people’s thermal screen testing has been done at the entrance.
 Extra cleaning & safety protocols was being followed. Even though
there was cleaning before,now all the
rooms,lobbies,furnitures,doors,seats, equipments & everything started
cleaning frequently & used to sanitize it after each patient’s visit.
 Also wellness screening is done at the entrance for everyone.
 Also 6 meter distance is maintained everywhere in waiting area,at
reception area,registering area,billing area,pharmacy,laboratory
etc.
 One person at a time without the companion is being treated.
 Crowding is not allowed.Patients are treated without being a
crowd.
 Every staffs are using masks & ensure that all patients are using
it,if not they will provide it from the PHC.
 Covid-19 measures posters are being provided on the walls so that
people can get awareness.Programs for that are also taking place.
 With one patient one person are only allowed,that too nor
necessary only.
 Equipments are using sanitized & using for next patient.
 If not that necessary online treatment are also being given to
patients.
RESIDENTIAL
ACCOMMODATION:
. A decent accommodation like 24 hours water supply
electricity etc, should be available for the medical officer
doctor the nurses staff and the laboratory technicians.
.Buy any other reason the accommodation is not available
the staff must be staying near the PHC in such a way that
they are available 24 hours in case of any needs.
THANK YOU