Report of Study Visit of RHC KHURRIANWALA

Supervised BY:
Dr. KHALID SIDDIQUI
Dr. TAHIR ISMAIL

Report by:
NAME Roll.No
MUBASHAR AHMAD 284
ALEEM SALEEM 257
MATEEN SHANAWAR 282
MUHAMMAD IRFAN 303
ARSALAN ZAHID 355
BILAL NAZIR 266
ALI NASIR 260
HUZAIFA NAEEM 278
AHMAD AWAN 287
ADEEL RIAZ 283

Dated: 10-Mar-2018 at 11AM

Department of Community Medicine,

Faisalabad Medical University, Faisalabad
INTRODUCTION:

Rural Health Center (RHC) is the first level of contact of individuals, families and

community with the National Health system where primary health care is provided.

It is close to the people where most of their health problems can be dealt and

resolved. It is at this level that health care will be most effective within the contest

of the area’s needs and limitations.

COVERAGE:
RHC Khurrianwala covers the area from Gutwala Park to ShahKot upto the middle

of Jaranwala. It covers the population of 600,000. It is 5-6 KM away from the main

city. It also covers some industrial zone of Khurrianwala.

BUILDING:

The building of RHC Khurrianwala was Single storey , well ventilated , well

Furnished and well painted.

ROMMS AND BUILDING DESIGN:

➢ There were 15 rooms in RHC which included rooms for

➢ Senior Medical officer (SMO)

➢ Medical officer (MO)

➢ Woman Medical officer (WMO)

 ➢ Dental Surgeon

➢ Operation theatre

➢ X-ray

➢ Store Room for Drugs and vaccines

➢ Lab room

➢ Stenographer

➢ Nursing room

➢ Emergency room

➢ Family Planning room

➢ Homeopathic doctor room

➢ EPI room

➢ There were separate Washrooms for males and females.

➢ A new multi storey Building was Under construction. In which all health

facilities will be shifted after its completion.

CAPACITY & TIMING OF RHC:

The RHC has a capcity to manage 50-100 patients at a time.

It has 20 beds . The RHC is working 24 X 7 with alternating Shifts.

There was Proper storage environment and equipment for vaccines.

Detail of services provided At RHC Khurrianwala :
RHC khurrianwala provides

❖ Basic health facilities like

❖ OPD

❖ Emergency

❖ Maternal & child care

❖ Immunization and vaccination against polio, diphtheria , tetanus, hepatitis B,

Bordetella pertussis

❖ Family planning services

❖ It also creates awareness among people about common diseases and injuries.

❖ Provision of life saving and essential drugs

❖ Medico legal certificates.

❖ Postmortem reports

❖ Death Certificates

❖ Birth Certificates

❖ Dengue Awareness programs

Qualities of services: was good and affordable to local people Daily

200-300 utilize these services and people were satisfied with them.
STAFF:

The staff of the RHC consist of:

❖ 2 Senior Medical officers

❖ 1 Medical Officer

❖ 2 Women Medical Officers

❖ 1 APMO

❖ 1 Dental Surgeon

❖ 1 Homeopathic doctor

❖ 6 Nurses

❖ 3 Lady Health Visitors (LHV)

❖ 1 Stenographer

❖ 1 Lab Attendant

❖ 1 Store Keeper

❖ 1 Technician

❖ 1 Receptionist

❖ 1 Vaccinator

❖ Sweepers

❖ Behavior of the staff was very good and cooperative.

REFFERAL SYSTEM:
Is strengthen by the availability of 2 ambulances in this RHC.

DEFFICIENCES IN RHC:

➢ There was no alternate source of electricity (Generator ,UPS or Solar Power

System) in Case of Load Shedding.

➢ There is lack of admin staff so SMO has to look the administrative problems

which effects his main work i.e. health care services.

➢ There is lack of staff in this RHC according to the workload.

➢ There is a lack of confidence in public about quality of services provides in

RHC

➢ People prefer to seek treatment from homeopathic doctor which is less

qualified as compared to Allopathic (MBBS) doctors.

➢ Lab services were not up to the mark.

➢ There was lack of funds.

➢ There was lack of dental equipment and dental procedures were not

performed.

➢ Operation Theater was not functional because there was no surgeon to

perform surgeries.
 Recommendations to improve services:

➢ There is a need to gain the confidence of the local people by creating

awareness about the allopathic system.

➢ People should be counseled about the infectious diseases and injuries.

➢ There is a need to organize a well-coordinated referral system between the

rescue 1122 and RHC.

➢ Minor Diseases should be treated at this level to decrease the burden of

patients on the Secondary and Tertiary care hospitals.

➢ There should be a separate administrative staff to look the administrative

issues like reporting to health department and for issues about funds.

➢ Maternal child health care facilities should be upgraded.

➢ There should be proper security for the staff.

➢ Pay scales should be revised and allowances should be increased.