COMMUNITY HEALTH CENTRE

BASNA
VISIT REPORT

VISITED ON : 26/09/2014
VISITED BY : Dr.K.Gajbhiye (Medical Officer)
Dr.Nikhil Goswami (Hospital Consultant)

HEALTH SYSTEM INFRASTRUCTURE

S.N.
1
2
3

TYPE OF FACILITY
COMMUNITY HEALTH CENTRE
PRIMARY HEALTH CENTRES
SUB HEALTH CENTRES

NUMBERS
01
05
40

COMMUNITY HEALTH CENTRE: SERVICES OFFERED

CHC Basna is 30 bedded facility. It is well connected with roads & easily approachable from bus
stand. It is located within residential area. The health centre provides basic primary health care
services & diagnostic facilities of routine Lab tests & X-ray, family planning services TT &
NSVT , services of normal delivery. The health centre also offers its services under various
national programmes like RNTCP, AIDS Control, NLEP, NBCP, JSY, JSSK etc. The basic
performance indicators are listed below:
S.N

PARAMETERS

OPD

2013-14

2014-15
(UP TO AUG.)

20907

8706

IPD

1549

920

NORMAL DELIVERY

423

174

C-SECTION

TOTAL LIVE BIRTH

419

172

TOTAL STILL BIRTH

TOTAL JSY CASES

423

174

TOTAL LOW BIRTH WEIGHT BABY

87

32

X-RAY

387

162

10

USG

11

CTT

996

184

12

NSVT

13

MATERNAL DEATH

14

INFANTS (UP TO 1 YEAR) DEATH

15

RSBY CASES

146

86

16

TOTAL REFERRALS

1210

542

HUMAN RESOURCES
MEDICAL STAFF
S.N.
1
2
3
4
5
6
7

POST
Block Medical Officer
Medical Specialist
Surgeon
Gynaecologist
Paediatrician
Anaesthetist
Medical Officer
Total

SANCTIONED
01
01
01
01
01
01
02
08

IN POSITION
01
00
00
00
00
00
02
03

VACANT
00
01
01
01
01
01
00
05

SANCTIONED
01
10
01
01
02
02
01
01
01
01
01
00
02
01
01
01
02
02
02
01
01
01
01
01
38

IN POSITION
00
04
00
00
01
04
01
01
02
01
00
01
02
01
01
02
01
02
03
01
02
01
01
01
33

VACANT
01
06
01
01
01
-02
00
00
-01
00
01
-01
00
00
00
-01
01
00
-01
00
-01
00
00
00
12

PARAMEDICAL STAFF
S.N.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
16
17
18
19
20
21
22
23

POST
Nursing Sister
Staff Nurse
B.E.E.O.
Accountant/AG2
AG3/Data Operator
Lab Technician
MPW Female
MPW Male
Supervisor (F)
Supervisor (M)
NMS
NMA
Pharmacist G2
Radiographer
Dresser1
Dresser2
Driver
Ward Boy
Class 4
Washerman
O T Attendant
Chowkidar
Aaya
Sweeper
Total

CONTRACTUAL STAFF
S.N.

POST

IN POSITION

PROVIDER

1
2
3
4
5
6
7
8
9
10

Dentist
RMA
BPM
BADA
BDA
ICTC Couns.
ICTC Lab Tech.
Aaya
Chowkidar
Sweeper

01
01
01
01
01
01
01
01
01
03

NRHM
NRHM
NRHM
NRHM
NRHM
CGSACS
CGSACS
JDS
JDS
JDS

DEPARTMENTWISE OBSERVATIONS
APPROACH & ACCESSIBILITY

The health centre is well connected with all weather road & is near to bus stand.
No signage in front.
Boundary wall is there.
No designated parking space.
02 separate building one for OPD & another for IPD.

SUGGESTIONS:

Signagerequired in front.
Concretization of floor required.(either from JDS or from RSBY CMHDF)
Ramp can be constructed (with support from PWD).

WAITING AREA

Very congested area.

No adequate space for sitting of patients .
No facility of drinking water (water cooler supposed to be provided by RSBY fund).

REGISTRATION COUNTER& MITANIN HELP DESK

Separate(open)area forregistration counter & mitanin help desk located close to entrance
in front of OPD.
Manual entry being done.
User fees displayed.
Preprinted OPD slips is used .

SUGGESTIONS:
Registration counter can be closed with Aluminium section partition.

CONSULTATION ROOM

There is single consultation room.

No examination table at place.
Doctors duty chart displayed there.
Essential equipments & instruments were available in room.

INJECTION ROOM

Open area being used.

Screen with curtains required.
Infection control practices were found dissatisfactory.

SUGGESTIONS:
Screen with curtain required for privacy.
Puncture proof container for needle disposal required.
Emergency drug tray with list needed.
Disinfection with 1% Sodium Chloride solution required.
Uses of PPEs need to be encouraged.

DRESSING ROOM

There is separate room for dressing.

Adequate space is there.
All essential drugs found at place.

SUGGESTIONS:

Emergency drug tray with list required.

DRUG DISPENSING COUNTER

Single window drug dispensing counter with qualified pharmacist present.

Proper timing not displayed.
Near expiry drug list not displayed.

PATHOLOGY LAB

It provides facility of basic routine tests.

Insufficient space, untidy room.
No demarcated area for sample collection, testing & reporting.
Seepage from roof &sidewall.
Infection control practices not being followed.

SUGGESTIONS:

Seepage to be constructed with support of PWD.

Puncture proof container for needle disposal required.
Disinfection with 1% Sodium Chloride solution required.
Uses of PPEs need to be encouraged.

X-RAY

X-ray machine in working condition.

Lead apron available.
No caution signage is there.
User charges required to be displayed outside.

SUGGESTIONS:

Caution signages to be displayed.

IN PATIENT WARD

No patient was there.

Beds were properly arranged.

Mosquito net required.

Toilets attached to ward found uncleaned.
There was no IV stand, stool & bedside locker .
Water supply from Nagar Panchayat , motor pump not working since long.

SUGGESTIONS:
Mosquito net in all windows required ( with support from PWD )
Regular cleaning of toilets with phenyl required.
For supply of IV stand,bedside lockers & stools coordination with district store required.
LABOUR ROOM

Services of normal deliveries available.

02 labour tables with screen at place.
24 hour running tap water available.
Provision of attached toilet is there.
Adequate power backup present.
NBCC at one corner.
Improper illumination.
Radiant warmer not available (must required).
Suction machine unavailable (must required).
No display of essential drug list/
Seepage from sidewall(prone to infections).
Shadowless lamp not working, not reported yet.

SUGGESTIONS:

For Radiant warmer & Suction machine coordination with district required.
Essential drug list need to be displayed.

Staff training & oroentation required.

Seepage can be constructed with support of PWD.
Curtains in windows required.

OPERATION THEATRE

OT is there with proper zoning.

Slipper stand not found at place.
Fumigation done on previous OT days.
Running tap water facility available.
Use of Signallac tape was suggested(during sterilization to ensure proper sterilization).
Adequate power back up present.
Essential equipments found at place.
OT culture not dent since last year.
Insufficient cooling. One more AC required.
Examination table is being used despite availability of OT table.

SUGGESTIONS;

Signallac tape can be purchased locally.

OT table must be used.
Infection control practices need to be encouraged.

BIOMEDICAL WASTE MANAGEMENT & INFECTION CONTROL PRACTICES

Color coded bins not found at all designated places.

Disinfection with 1% sodium chloride solution is not being practiced.
PPEs used by staff is not satisfactory.

SUGGESTIONS:

Color coded bins for all patient care areas can be purchsed from JDS.
Disinfection with 1% sodium chloride solution need to be ensured.
PPEs used by staff is to be encouraged.
Regular cleaning & mopping of premises with disinfectant must required.

Reshuffling of different rooms can be done in OPD area which will be convenient for both
hospital staff & patients. It can be done as given below:
Existing
Dressing room
Room for RBSK team
Common room for Leprosy & Eye
Common room for ICTC tech & counsellor

Proposed
Injection room
Dressing room

CONCLUSION

Seepage problems in OPD area & Labour room must repaired (with support from PWD).
Reshuffling of different rooms can be done in OPD area.
Whitewash of OPD building required.
Fall ceiling to be given at some places in OPD area.
Training of class 3 & class 4 employee for Biomedical waste management & infection
control practices required.

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