A REPORT ON COMMUNITY HEALTH CENTER, JATNI

INTRODUCTION-
The Community Health Centre (CHC), the third tier of the network of rural health care
institutions, was required to act primarily as a referral centre (for the neighbouring PHCs,
usually 4 in number) for the patients requiring specialised health care services.

Community health centre is one of a network of clinics staffed by a group of general

practitioners & nurses providing health care services to people in a certain area. It is the first
referral unit which receives the patients from the concerned PHC & Sub centre. It covers 80,000
to 1,20000 population. Under one CHC 4 PHCs are working.

Rural Health care is one of biggest challenges facing by the health system of India. With more
than 70 percent population living in rural areas and low level of health facilities, mortality rates
due to diseases are on a high. Healthcare is the right of every individual but lack of quality
infrastructure, dearth of qualified medical functionaries and non- access to basic medicines and
medical facilities obstruct its reach to 60% of population in India. Though a lot of policies and
programs are being run by the Government but the success and effectiveness of these programs
is questionable due to gaps in the implementation.

We M.sc nursing 1st year student of SUM Nursing College had been posted in CHC, Jatni from Dt-
11/03/19 to Dt-23/03/19 for fulfilment of our ANP curriculum. The purposes of posting were to
develop knowledge regarding various Programmes going-on in community and to identify the
common problems, health practices and belief of that area.

OBJECTIVES:
As a part of our Advance Nursing practice we were posted at Jatni, CHC for 2 weeks with the
following objectives:

After the completion of the experience we will be able:

 To be acquainted with the health care delivery system in rural area.

 To be familiar with the services provided by CHC, PHC & SC.
 To take part in the services provided by the centre both in indoor, Clinics & Community.
 To be familiar with the national health Programme implemented by the organization
under Govt. of Odisha.
 GENERAL INFORMATION ABOUT CHC:
Jatni CHC is situated in Sandhapur area, 5 Kilometer away from Jatni gate and 23 kilometer from
Bhubaneswar town. The CHC provides services to the total population of 1,26,405. It is working
from and the CHC covers an area of square k.m. Some land marks are there on the way to
CHC(from jatni gate to CHC are Jatni College, P.N.High school , Odisha Agnishama Seva Kendra,
Sarat paikraya Stadium, Punjab & Sind Bank. There are 4 PHCs & 12 subcentres under the CHC.
The PHCs are Janla, Taraboi, Benapanjari, Retanga.

PHYSICAL SET UP OF CHC:

The main building consist of:

1- Dental OPD
2- Dressing room
3- Observation room
4- R.B.S.K room
5- Attendant duty room
6- ICTC Room
7- Dispensary room
8- ILR room
9- Eye OPD
10- General OPD
11- Tuberculosis unit
12- Conference hall

The MCH building consist of:

1. Labour room
2. Minor OT
3. Indoor – 2
4. Emergency clinic

BIOMEDICAL
WASTE
PHYSICAL LAYOUT OF CHC JATANI
TOILET WORKPLACE LABOUR
MANAGER ROOM
DELIVERY
WORD
IPD - II OT - 2
IPD -I DOOR MCH
STAFFNURSE PAL
OT-1AND
BUILDING ACCOUNT MO
REST ROOM TOILET
SUN
OBG
OFFICE
STROKE
OPD
 BLOOD
STORAGE

OUT
JANA
SWASTHYA
BIBHAGA

UPSTAIR

DOCTOR
ROOM

INTEGRATED

DENTAL OPD

DRESSING OUT GATE

RBSR ROOM
JATNI CHC
CONFERENC
ATTENDANT
E HALL
DUTY ROOM
B
ICTC ROOM PARKING
P
BP PHARMACY
M ADMINISTRATIV
M
O ILR ROOM E BLOCK
EYE OPD
STATISTICAL TOILET
UNIT
TUBERCULAR
UNIT

ASHA ROOM

IMMUNIZATION

ST AFFING PATTERN
AYUSH OPD OF JATANI CHC

Staffs of administrative section and clinic

Posts Strength
Block health officer- Medical Superientendent-1
(Pediatrician)
Block Program Manager-1
Post & Designation
General Surgon- Filled post
0
MedicalDoctor
AYUSH Officer(Gen. Medicine) 2
4(Homeopathic -2, Ayurvedic -2)
O& G Doctor 1
Staff
AYUSH Nurse
Doctor 1 1
Pharmacist
Dentist 2 1
Staff Nurse 6
Pharmacist 2
Lab Technician 3
Counsellor(ICTC) 1
Accountant 2
Statistical Asst 1
Clerk 1
Head quarter Supervisor 1
Help desk manager 1
Asst.(Help Desk) 3
Attendant 3
Sweeper 5
Posts Strength

STS 1

STLS 1

Under RNTCP:

UNDER RBSK (Rastriya Bal Swasthya Karyakram)

ACTIVITIES IN CLINIC ( INDOOR AND OUTDOOR ):
SERVICES PROVIDED BY THE CHC, Jatni
The services provided by the CHC , Jatni are as follows:
OPD Services: Both preventive & curative services are provided by the CHC. It also also provides
AYUSH services.
Laboratory Services: CHC has a pathology department which provides basic laboratory services
as follows:
Blood Test: Hb, HIV kit test, HCV rapid test, HBsAg rapid test, Syphilis rapid test, FBS, PPBS, RBS,
MP, BT, CT, Blood Grouping.
Urine Examination: Urine Test For Pregnancy
Stool Examination: - Stool (RE, ME)
Sputum Examinations are also done.
Minor O.T: It has the facilities of treating the minor injuries in the minor OT.
Immunisation services:-CHC Jatni provides immunization according to national immunization
schedule.
Family welfare services: Antenatal check-up, postnatal check-up, Delivery and family planning
services are also provided by it.
Malaria Activities: It also involved in the Active and passive Surveillance for Malaria Under
N.M.E.P
Health Education: CHC provides health education to different categories of patients and their
family members coming to the centre and also conduct special health education programmes
merging with different national health programmes in the community.
Referral Services: It also provides referral services to the patients who need further treatment.
It sends the patients to Khurdha, District hospital.
Free Drug supply services: CHC also distribute drugs which are free of cost to the rural people.
Emergency services: 24 hour emergency services are available in the CHC Jatni.

Other services: Apart from the above services CHC also provides Ambulance Services, Family
Health Advisory Services, Specialist out Patient Services and also involved in Research & Project
Work.

NATIONAL HEALTH PROGRAMME UNDER CHC:

As a part of our advance nursing practice experience in CHC ,Jatni, we are participated in various
national health program which are running under the CHC, such as-

 Pulse polio mop up programm

 Immunization Programm
 NCD programm
 Malaria Eradication Programm

MEDICATION AVAILABLE IN CHC:

1. ANTIBIOTICS
o Ceftriaxone 1gm
o Cefoperazone+ sulbactum 500 mg
o Ofloxacin
o Azithromycin(Azithral)
o Ciprofloxacin
o Amoxycillin
o Amikacin250 mg /ml
o Gentamicine 3mg/2ml
o Tab. Cefadroxil 500mg
o Doxycycline and Azithromycin kit 100mg
o
2. ANTIEMETICS
o Ondensetron 2ml/4mg
3. ANTISPASMODICS
o Drotaverine hydrochloride(Drotin) 2ml
o Dicyclomine hydrochloride 2ml

4. ANTACIDS
o Ranitidin
o Rabeprazole sodium 20 mg
5. ANTIMALARIAL
o Chloroquin
o Premaquin
o Lariago
6. MULTIVITAMIN
o Iron & folic acid tab(folifer)
o Ca&vit-D tab
o Iron sucrose 5ml
o Tab .Zinc sulphate 200mg
o Zinc acetate oral solution 60ml
 7. ANTIDIABETICS
o Metformin
o Insulin
8. ANTIHYPERTENSIVE
o Amlodipine
o Atenolol
o Metoprolol
9. DIURETIC
o Frusemide 2ml
10. ANALGECIS
o Tramadol hydrochloride 2ml
o Diclofenac sodium 3ml
o Tab. Aceclofenac 100mg
o Tab .Paracetamol 500 mg
o Ibuprofen ( suspension 60ml / tab 400 mg)

11. OTHERS
o ORS
o Pregnancy kit
o Ointments- Betadine, Silver sulfadiazine (silverex), neosprine
o Dressing materials
o IV fluid-RL, DNS,5D, 10D 25D
o Alprazolam (Anti anxiety)
o Tab Albendazole 400mg
o Hydrocortisone sodium succinate 100 mg(IP)
o Pheniramine 2ml
o Theophyline and etiophyline 2ml
o Tranexamic acid 5ml
o Dexamethasone sodium phosphate 4mg /ml
o Tab.1 Mifepristone( 200mg) and 4 Misoprostol 200 µg Combi pack

RECORDS & REPORTS MAINTAINED IN CHC:

The following records and reports are been maintained at CHC mendhasal
 Out patient record
 Family planning record
 Stock register
 Medicine indent register
 JSY register
 PID register for ICTC
 PPIUCD register
  CHC HMIS register
 Attendance register (STAFF)
 Bed sheet register
 Labour room register
 RTI/ STI register
 Waste management
 Instrument register
 Referral record
 Laboratory test record
 Immunization record
 Vital statistic record

FUNCTION OF CHC:

FUNCTIONS OF CHC ACCORDING TO IPHS:

1. Care of routine & emergency cases in
surgery.
a) Incision & drainage, surgery for 1. Not met
hernia, hydrocele, appendicitis,
haemorrhoids, fistula etc.
b) Handling of emergencies like
intestinal obstruction haemorrhage
etc.
2.Care of routine & emergency cases in 2. Met
medicine as per guidelines to the national
health programme like dengue, cerebral
Malaria etc. 3. Met
3.24 hrs. services including labor room &
mini OT 4. Met
4. Essential & emergencies obstetric care
including surgical interventions Lscs & other
medical interventions. 5. Met
5. Full range of family planning services
including laparoscopic services. 6. Met
6. Safe abortion services 7. Met
7.New born care 8. Met
8. Routine & emergency care of such 9. Met
children 10.
9. Other management including nasal a) Met
packing
10. All the national health programmes- b) Met
 a) RNTCP-diagnostic &treatment
services c) Met
b) HIV/ALDS-control programme
services
c) National vector borne disease
control programmes:
diagnostic & treatment
facilities for routine & d) Not met
complicates cases of malaria,
filarial, dengue, kala zar in
respective endemic zone.
d) National leprosy eradication
programme: diagnostic&
treatment of cases & reaction e) Met
of leprosy along with advice to
patient on prevention of
deformities.
e) National programmes for
control of blindness: eye care
services.
Diagnostic & treatment of f) Met
common eye disease,
refraction services & surgical
services including cataract by
IOL implementation.
f) Integrated disease surveillance
project: diagnosis for malaria, 11. Met
TB, typhoid test for detection
of faecal contamination, water
& chlorination level.
11.others:
i. Blood storage facility
ii. Essential laboratory services
iii. Referral transport services

CRITICAL ANALYSIS:
During period of posting at Jatni, it enables me to draw a clear idea about components
of health care services in a district, block, Community Health Centre, Primary Health Centre, Sub
Centre and village label. It also enables me to explore the various services provided in the sub
centre level. It also inculcates my knowledge and skills by the participation in different health
Programmes under CHC, Jatni. This acquired experience will play a significant role in creating
awareness among the community about improving their health status by improving the health
practices of its people. This experience also provides a raw information to develop a research
problem which needs to be investigate.

CONCLUSION:
Health care in India is delivered through a three tier structure of health services comprising the
primary, secondary and tertiary health care facilities with the objective of bringing health care
services within the reach of the people of both the rural and urban areas.