Suswasthya kendras (HWC) Comprehensive Primary Health Care in west bengal

1. Suswasthyakendras (HWC)Comprehensive Primary Health Care in west bengal

2. Functioning status-HWC (S.K) • Functioning: 430 • SC: 162 • PHC: 262 • In FY 2019-20:, 2148 more would be functional

3. Human Resources • CHO is the bridge between ANM & MO • At S.K. level: • CHO, Nodal officer • ANM -2 (1st & 2nd) • ASHA – 5 to 7 • The Community Health Officers - selected from regular cadre of Staff Nurses • The expertise of Staff Nurses in curative services • Fixed Incentives • Bond Agreement and Fine for dropout

4. BPCCHN Training • Org. by WBNC with tech assistance from Health University • PSC (Programme study centre) - Nursing Training Schools in attached to Medical Colleges/Dist./Sub-division hospitals • Currently functioning – 28 with a batch size of 60 • Batch strength - 1658. • Technical Commtt. – multidisciplinary (Subject specialists, Nursing council, Programme officers etc.) – to review and update course modules

5. Salient Points about the BPCCHN Training • The BPCCHN Training is being affiliated under West Bengal Nursing Council. • The program will be offered in both January and July cycle of admissions • The selection of the candidates eligible for the BPCCHN Training have been stipulated to : • GNM/B.Sc (Nursing)/Post Basic B.Sc (Nursing)/M.Sc (Nursing) passed working as Staff Nurse, Gr II under WBNS cadre on regular basis • GNM passed ‘Other’ cadre HA(F) • The Training is non-residential in nature. No accommodation shall be provided for trainees. • Study Materials and Uniform shall be provided and must be maintained properly. • Breakfast, Lunch, evening tiffin and tea shall be provided to all trainees. • The counselling sessions shall be held from Monday - Saturday and will be of 6 hours duration (9am-4pm), excluding a 1 hour lunch break.

6. Duties and Responsibilities of Community Health Officer (CHO) A. ROLES & RESPONSIBILITIES RELATED TO ADMINISTRATION: To perform all the day to day administrative duties at Su-Swasthya Kendra To submit all the reports and returns to the higher level. To supervise and guide Health Assistant (Female), 2nd ANM, ASHA and other staff at Su-Swasthya Kendra. To participate actively in financial management To maintain the attendance register at Su-Swasthya Kendra for CHO, ANMs and ASHA. To maintain Inventory and ensure supply of essential drugs, logistics, consumables, vaccines with the help of 1st ANM and under guidance of Sr. PHN.

7. B. ROLES & RESPONSIBILITIES RELATED TO HEALTH CARE SERVICES: Care in pregnancy (antenatal & post-natal) and child-birth (intra-natal in case of delivery point). Neonatal and infant health care services as a part of post-natal visits Childhood and adolescent health care services Family planning, Contraceptive services and other Reproductive Health Care services Management of Communicable diseases especially vector and water borne diseases Management Outpatient care for acute simple illnesses and minor ailments Screening, Prevention, Control and Management of Non-Communicable diseases Care for Common Ophthalmic and ENT problems Basic Oral Health care Elderly and Palliative Health care services Emergency Medical Services including Burns and Trauma Screening and Basic Management of Mental Health ailments

8. C. ROLES & RESPONSIBILITIES RELATED TO SUPPORTIVE SUPERVISION • To supervise and guide the HA (F), 2nd ANM, HA (M) & ASHA in planning & organizing health programme, delivery of health care services to the community. • To carry out supervisory home visit in the area of HA (F)/2nd ANM/ASHA with respect to their duties under various National Health Programme. • To help the HA (F)/2nd ANM/ASHA to work as part of the health team. • To coordinate with the stakeholders of other departments like PRI, WCD, PHE, Primary and Secondary Education etc. • To organize and actively participate in VHND, VHSNC and all field and outreach activities. • To engage in social mobilization for health promotion in her community.

9. Expanded basket of services • Care in pregnancy and child-birth. • Neonatal and infant health care services. • Childhood and adolescent health care services. • Family planning, Contraceptive services and other Reproductive Health Care services. • Management of Communicable diseases including National Health Programmes. • Management of Common Communicable Diseases and Outpatient care for acute simple illnesses and minor ailments. • Screening, Prevention, Control and Management of Non-Communicable diseases.

10. Expanded basket of services (contd.).. • Care for Common Ophthalmic and ENT problems. • Basic Oral health care. • Elderly and Palliative health care services. • First-aid & emergency Medical Services. • Screening and Basic management of Mental health ailments. Newer services to be rolled out in phases

11. Infrastructure • State specific branding and nomenclature • Maintaining Quality Assurance protocols • Display of Job-aids

12. Layout design of S.K

13. Infrastructure components • Building & Branding • Clinic room, Store, Lab corner, waiting area, toilet (M & F) • Water, sanitation & electricity with power back up (preferably inverter) • Approach path with directional signage at main roadway • Main signage and citizen’s charter • Grievance box • Waste disposal system (pit)

14. Drugs & Diagnostics • List of EDL already available – being updated including essential NCD drugs • 55 drugs • NCD, RMNCH, CD • As per free drug policy – all drugs & diagnostic services are free

15. Essential drugs - NCD • Antihypertensives • A - ACE inhibitors (Lisinopril, Ramipril) & ARB – Angiotensine receptor blocker (Losartan, Telmisartan) • B - B blocker (Metoprolol, Atenolol, Carvedilol) • C - CCB (Amlodipine, S-amlodipine) • D – Diuretics (Thiazide, Frusemide) • Statins (Atorvastatin, Rosuvastatin) • Anti-platelet (Aspirin, Clopidogrel) • Antidiabetics • Insulin • Biguanides (metformin) • Sulphonylurea (Gliclazide, Glibenclamide) • DPP 4 (Dipeptidyl peptidase 4) inhibitors (Vildagliptin) • Vasodilators (Isosorbide dinitrate, Nitroglycerine)

16. Essential drugs - NCD

17. Essential drugs – other services

18. Essential equipment-consumables for CHO apart from existing SC services

19. Diagnostic facilities at S.K • Hemoglobin • Human chorionic gonadotropin (HCG) (Urine test for pregnancy) • Urine test for glucose, protein • Blood sugar • Malaria test (Smear & RDT) • HIV (Antibodies to HIV 1&2) • Test for iodine in salt (used for food) • Water testing for fecal contamination and chlorination (H2S) • Hematology – Slide preparation for blood smear • Filariasis (endemic areas only) –FST • Visual Inspection – Acetic Acid* • Rapid Test Kit for Syphilis –RDT*

20. CPHC Activities Mother’s Picnic Saturday Review Meetings

21. Saturday review meetings • 1st Sat: Block MIS meeting Fixed agenda CME • 2nd Sat: Block PH & ASHA orientation meeting • 3rd Sat: Convergence meeting with ICDS • 4th Sat: GP Meeting with PRIs (CHCMI – Community healthcare management initiative) • 5th Sat: Misc agenda discussion at PHCs

22. CPHC Activities

23. Monitoring & supervision • District CPHC cell with Dy. CMOH-III (Nodal officer), Dy. CMOH-I, II, DPHNO, A.E, DPC, DAF • Block CPHC cell with BMOH (Nodal Off), BPHN/PHN, BAM, BAF

24. Expanded services