Iphs Standards for 100 Bedded Hospital
DRAFT
Indian Public Health Standards (IPHS) For 51 to 100 Bedded Sub-District/Sub-Divisional Hospitals
GUIDELINES
(January 2007)
Directorate General of Health Services Ministry of Health & Family Welfare Government of India
1
Contents
1. Introduction 2. Objectives of IPHS for Sub-District Hospitals 3. Definition of Sub-District Hospital 4. Grading of Sub-District Hospital 5. Functions 6. Essential Services 7. Physical Infrastructure 8. Manpower 9. Equipment 10. Laboratory Services 11. Recommended allocation of bed strength at various levels 12. List of Drugs 13. Capacity Building 14. Quality Assurance in Services 15. Rogi Kalyan Samities / Hospital Management Committee 16. Citizen’s Charter Annexure – I: Guidelines for Bio-Medical Waste Management Annexure – II: Reference Laboratory Networks List of Abbreviations References 3 4 4 4 5 5 26 36 39 52 55 56 67 67 68 68 78 82 87 88
2
1.
Introduction
Sub-district (Sub-divisional) hospitals are below the district and above the block level (CHC) hospitals and act as First Referral Units. Specialist services are provided through these sub-district hospitals. These hospitals should play an important referral link between the Community Health Centres, Primary Health Centres and sub-centres. They have an important role to play as First Referral Units in providing emergency obstetrics care and neonatal care and help in bringing down the Maternal Mortality and Infant Mortality. It also saves the travel time for the cases needing emergency care and reduces the workload of the district hospital. In some of the states, each district is subdivided in to two or three sub divisions. A subdivision hospital caters to about 5-6 lakhs people. In bigger districts the sub-district hospitals fills the gap between the block level hospitals and the district hospitals. There are about 1200 such hospitals in the country with a varying strength of number of beds ranging from 50 to 100 beds or more. The Government of India is strongly
Indian Public Health Standards (IPHS) For 51 to 100 Bedded Sub-District/Sub-Divisional Hospitals
GUIDELINES
(January 2007)
Directorate General of Health Services Ministry of Health & Family Welfare Government of India
1
Contents
1. Introduction 2. Objectives of IPHS for Sub-District Hospitals 3. Definition of Sub-District Hospital 4. Grading of Sub-District Hospital 5. Functions 6. Essential Services 7. Physical Infrastructure 8. Manpower 9. Equipment 10. Laboratory Services 11. Recommended allocation of bed strength at various levels 12. List of Drugs 13. Capacity Building 14. Quality Assurance in Services 15. Rogi Kalyan Samities / Hospital Management Committee 16. Citizen’s Charter Annexure – I: Guidelines for Bio-Medical Waste Management Annexure – II: Reference Laboratory Networks List of Abbreviations References 3 4 4 4 5 5 26 36 39 52 55 56 67 67 68 68 78 82 87 88
2
1.
Introduction
Sub-district (Sub-divisional) hospitals are below the district and above the block level (CHC) hospitals and act as First Referral Units. Specialist services are provided through these sub-district hospitals. These hospitals should play an important referral link between the Community Health Centres, Primary Health Centres and sub-centres. They have an important role to play as First Referral Units in providing emergency obstetrics care and neonatal care and help in bringing down the Maternal Mortality and Infant Mortality. It also saves the travel time for the cases needing emergency care and reduces the workload of the district hospital. In some of the states, each district is subdivided in to two or three sub divisions. A subdivision hospital caters to about 5-6 lakhs people. In bigger districts the sub-district hospitals fills the gap between the block level hospitals and the district hospitals. There are about 1200 such hospitals in the country with a varying strength of number of beds ranging from 50 to 100 beds or more. The Government of India is strongly
References: 1. Indian Standard Basic Requirement for Hospital Planning; Part 2 Upto 100 Bedded Hospital, Bureau of Indian Standards, New Delhi, January, 2001 2. Rationalisation of Service Norms for Secondary Care Hospitals, Health & Family Welfare Department, Govt. of Tamil Nadu. (Unpublished) 3. District Health Facilities, Guidelines for Development and Operations; WHO; 1998. 4. Indian Public Health Standards (IPHS) for Community Health Centres; Directorate General of Health Services, Ministry of Health & Family Welfare, Govt. of India. 5. Population Census of India, 2001; Office of the Registrar General, India. 88