A CROSS SECTIONAL STUDY TO ASSESS THE EXISTING LABORATORY SERVICES INCOMMUNITY HEALTH CENTRES OF TAMILNADU
Journal Title: National Journal of Research in Community Medicine - Year 2018, Vol 7, Issue 2
Abstract
BACKGROUND :Community health centres(CHCs), the third tier of network of rural health care institution is required to act primarily as referral centre. The Indian Public Health Standards were framed to measure the effectiveness of the services provided in CHCs in 2007 and were revised in 2012. Laboratory services are crucial in making an appropriate diagnosis and thereby helps in proper management of diseases .OBJECTIVE: To assess the existing laboratory services in Community Health Centres in Tamil Nadu and thereby to assess the gaps in comparison with Indian Public Health Standard Guidelines. METHODOLOGY:A cross sectional study was conducted in all Community Health Centres of Madurai district and data were collected in terms of available laboratory services by onsite evaluation from October – November 2016, using a standard structured facility Indian Public Health Standard survey format for Community Health Centres. RESULTS: Of the recommended, Biochemistry investigations like blood Sugar, blood Urea and serum Cholesterol, Serology investigations were 100% available in all 13 CHCs. It was observed that Urine investigations and a package of basic Antenatal Investigations were 100% available in all the Community Health Centers. CONCLUSION: Although the availability of Laboratory Services for Maternal and Child Health care and Non communicable Diseases was 100% available, the availability of investigations for Communicable diseases like smear for Klebshiella and gram stain for throat swab were less compared to IPHS guidelines. Laboratory services are one of the basic determinants of utilisation of health services. So it is mandatory that the Government ensures the adequate readiness and accessibility of Laboratory services .
Authors and Affiliations
Sabitha Devi Chandrasekaran, Sudharshini Subramaniam, Selvavinayagam. T. S
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