Equipment and sup ply
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EQUIPMENT AND
SUPPLIES FOR PRIMARY
HEALTH CENTRES
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INTRODUCTION:
• 20,000 in hilly, tribal, or difficult areas &
• 30,000 populations in plain areas with 4-6
indoor/observation beds
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• P e e ti e child health
• Rep oducti e a d se ual health –
• T eat e t of i ju ies
• E e ca e
• Health educatio a d health promotion.
Functions of PHC:
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Standard lists for equipments:
• Providing a framework for budgeting
• • A oidi g p ocu e e t of ite s
• • Reduci g duplicatio of ite s
• • P e e ti g o e -ordering and over-stocking.
• • P io itise e ac uisitio s.
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The VEN system
• ■ Vital – items that are crucial for providing basic
health services.
• ■ Essential – items that are important but not
absolutely crucial for providing basic health
services.
• ■ Not so essential – items that are used for minor
or self-limiting problems
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Issues in using equipment i • • Public health
• • Technical
• • Economic
• • Clinical
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Appropriateness of equipment:
• • Local conditions
• • Compatibility
• • Acceptability
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Types of equipments: • Consumables – are essential for an item to perform
its basic function.
• Accessories – are complementary and add to the
functions of an item of equipment, but are not
always essential.
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Safety and performance standards
• IEC
• ISO
• CE mark
• Pharmacopoeia specifications
• Quality certificates or export certificates
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• Check facility & utility
• Easy for the staff to handle
• Check for service and user manuals
• Consider the availability of consumables,
accessories and spare parts
Use and maintenance
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• National policy
• Sterilisation
• Supply
Disposable or reusable
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LIST OF SUGGESTED EQUIPMENTS AND
FURNITURE FOR PHC:
• • No al Deli e y Kit • • E uip e t fo assisted a uu & fo eps deli e y
• • Sta da d Su gi al Set fo episioto ies stit hi g
• • E uip e t fo Ma ual Va uu Aspi atio
• • E uip e t fo Ne Bo Ca e a d Neo atal Resuscitation
• • IUD i se tio kit • • E uip e t / eage ts fo esse tial la o ato y
investigations
• • Ref ige ato s.
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• ILR/Deep Freezer
• Ice box
• Computer with accessories including internet facility
• Baby warmer/incubator.
• Binocular microscope
• Equipments for Eye care and vision testing:
• Equipments under various National Programmes
• Radiant warmer for new borne baby
• Baby scale
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• Phototherapy unit
• Self inflating bag and mask-neonatal size
• Laryngoscope and Endotracheal intubation tubes
• Mucus extractor with suction tube and a foot
operated suction machine
• Feeding tubes for baby
• All kinds of forceps
• • MVA sy i ge a d a ulae of diffe e t sizes
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• Kidney tray for emptying contents of MVA syringe
• Trainer for tissues
• Torch without batteries – 2
• Tray containing chlorine solution for keeping soiled
instruments
• Residual chlorine in drinking water testing kits
• H2S Strip test bottles
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• A labour table
• Suction machine
• Facility for Oxygen administration
• Sterilisation equipment
• 24-hour running water
• Electricity supply with back-up facility (generator with POL)
• Attached toilet facilities
• An area earmarked for new-born care
• Emergency drug tray: This must have the following drugs
* Inj. Oxytocin
* Inj. Diazepam
* Tab. Nifedepine
* Magnesium sulphate
* Inj. Lignocaine hydrochloride
* Inj. Methyl ergometrine maleate
* Sterilised cotton and gauze
• 10. Delivery kits
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• List of equipment for Pap smear
• Cus o’s agi al spe ulu
• Si ’s vaginal speculum – single & double ended
• Anterior Vaginal wall retractor
• Sterilised cotton swabs and swab sticks in a jar with lid
• 8. Antiseptic solution: Chlorhexidine 1% or Cetrimide 2% (if povidone iodine solution is available)
• Clean slides with cover slips
• Cotton swab sticks
• KOH solution in bottle with dropper
• Saline in bottle with dropper
• Ay e’s spatula
• Fixing solution / hair spray
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• Requirements of the laboratory Reagents
• 1. For Cyan meth - haemoglobin method for Hb
estimation
• 2. Uristix
• 4. KOH solution for Whiff test
• 5. G a ’s iodi e
• 6. Crystal Violet stain
• 7. Acetone-Ethanol decolourising solution
• 9. PH test strips
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• Glassware and other equipment
1. Colorimeter for Hb estimation
2. Test tubes
3. Pipettes
4. Glass rods
5. Glass slides
6. Cover slips
7. Light Microscope
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• Examination table 3
• Plastic chairs (for in-patie ts’ atte da ts) 6
• Armless chairs 8
• Full size steel almirah 4
• Labour table 1 & OT table 1
• Arm board for adult and child 4
• Wheel chair 1 & Stretcher on trolley 1
List of Furniture (including surgical) at
PHC
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• Instrument trolley 2
• Wooden screen 1 & Foot step 5
• Coat rack 2 & Bed side table 6
• Bed stead iron (for in-patients) 6
• Baby cot 1 & Stool 6
• Medicine chest 1 & Lamp 3
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• Shadowless lamp light (for OT and Labour room) 2
• Side Wooden racks, Fans 6 & Tube light 8
• Buckets & Mugs 4
• LPG stove 1 & LPG cylinder 2
• Sauce pan with lid 2 & Water receptacle 2
• Rubber/plastic shutting 2 meters
• Drum with tap for storing water 2
• I V stand 4 & Mattress for beds 6
• Foam Mattress for OT & for labour table 1
• Mackintosh for labour and OT table 4 metres
• Kell ’s pad fo labour and OT table 2 sets
• Bed sheets 6,Pillows with covers 8 & Blankets 6
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