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    First Referral Unit

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    Haley Parrot
    1. The document discusses the criteria for establishing First Referral Units (FRUs) at the community health center and sub-district hospital level in India. It outlines the critical facilities, services, equipment, staffing, and infrastructure needed to designate a health facility as a FRU. 2. Between 1992-1997, 105 FRUs were established in Tamil Nadu. By 2009, the number had increased to 291 FRUs operationalized in Tamil Nadu. 3. The document provides guidelines on selecting health facilities to serve as FRUs and ensuring they have 24/7 emergency obstetric care, surgical interventions like C-sections, newborn care, emergency sick child treatment, and other essential

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    First Referral Unit

    Uploaded by

    Haley Parrot
    172 views24 pages
    1. The document discusses the criteria for establishing First Referral Units (FRUs) at the community health center and sub-district hospital level in India. It outlines the critical facilities, services, equipment, staffing, and infrastructure needed to designate a health facility as a FRU. 2. Between 1992-1997, 105 FRUs were established in Tamil Nadu. By 2009, the number had increased to 291 FRUs operationalized in Tamil Nadu. 3. The document provides guidelines on selecting health facilities to serve as FRUs and ensuring they have 24/7 emergency obstetric care, surgical interventions like C-sections, newborn care, emergency sick child treatment, and other essential

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    1. The document discusses the criteria for establishing First Referral Units (FRUs) at the community health center and sub-district hospital level in India. It outlines the critical facilities, services, equipment, staffing, and infrastructure needed to designate a health facility as a FRU. 2. Between 1992-1997, 105 FRUs were established in Tamil Nadu. By 2009, the number had increased to 291 FRUs operationalized in Tamil Nadu. 3. The document provides guidelines on selecting health facilities to serve as FRUs and ensuring they have 24/7 emergency obstetric care, surgical interventions like C-sections, newborn care, emergency sick child treatment, and other essential

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    172 views24 pages

    First Referral Unit

    Uploaded by

    Haley Parrot
    1. The document discusses the criteria for establishing First Referral Units (FRUs) at the community health center and sub-district hospital level in India. It outlines the critical facilities, services, equipment, staffing, and infrastructure needed to designate a health facility as a FRU. 2. Between 1992-1997, 105 FRUs were established in Tamil Nadu. By 2009, the number had increased to 291 FRUs operationalized in Tamil Nadu. 3. The document provides guidelines on selecting health facilities to serve as FRUs and ensuring they have 24/7 emergency obstetric care, surgical interventions like C-sections, newborn care, emergency sick child treatment, and other essential

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    FIRST REFERRAL UNIT

    Introduction
    Historical background
    CSSM Programme- setting up FRUs at the
    community health centers/sub-district
    level hospitals.
    RCH Programme
    -Supply of Emergency
    Obstetric Drug Kit
    -Provision for Private
    Anesthetic Services
    Drug and Cosmetics Rule
    Tenth Plan: Recommended Approach
    Identified establishment of fully functional
    and operational FRUs as the priority area
    for the provision of Emergency Obstetric
    and New-born Care.

    By the end of the Tenth Five Year Plan,


    each district should have at least 3-4 fully
    functional facilities which are equipped to
    provide Emergency Care on a round-the-
    clock basis.
    Cont..
    Mapping the existing health facilities,
    available manpower and other resources
    for each district
    Critical Determinants of a
    FRUs
    24-hour delivery services including normal
    and assisted deliveries
    Emergency Obstetric Care including
    surgical interventions like Caesarean
    Sections and other medical interventions
    New-born Care
    Emergency Care of sick children
    Full range of family planning services
    including Laproscopic Services
    Cont.
    Safe Abortion Services

    Treatment of STI / RTI

    Blood Storage Facility

    Essential Laboratory Services

    Referral (transport) Services


    Points to be consider while
    selecting the facility
    Infrastructure needs
    A minimum bed strength of 20-30 and
    North- East and EAG States of 10-12 beds
    initially.
    A fully functional operation theatre
    equipped for undertaking anesthetic and
    emergency surgical procedures.
    A fully operational Labour Room.
    Cont
    An area earmarked and equipped for New-
    born Care in the Labour Room and also in
    the ward.
    A functional laboratory with facilities for
    all essential investigations.
    Blood storage facility as per the guidelines
    issued by Govt. of India (GoI).
    24-hour water supply.
    Arrangements for waste disposal.
    Cont
    Regular electricity supply with back-up
    arrangements to ensure uninterrupted
    supply
    Telephone connection.
    Ambulance (owned or arranged through
    local hiring).
    Cont.

    Selection of sites
    Under the RCH Programme
    funds were provided to CHCs and district
    hospitals.
    Equipment Kits Supplied Under
    CSSM Programme
    Human resources: Re-deployment
    and multi-skilling
    Policy options for human resource
    management
    Facilities to manage Obstetrical and
    medical emergencies.
    strength of 4 medical officers (surgeon,
    obstetrician, physician and pediatrician)
    was recommended.
    Adequate number of Medical Personnels
    including nursing staffs.
    In-patient wards.
    Cont.
    Re-deployment & multi-skilling
    Strengthening of BPHCs and PHCs will be
    done in a need based manner.
    All the block PHCs shall have minimum 30
    indoor beds with complete facilities for
    institutional delivery and usual indoor
    treatment care.
    Well-functioning PHCs running with
    indoor facilities will be identified and their
    infrastructure strengthened.
    Cont.
    The existing manpower will be
    strengthened by withdrawing and posting
    of manpower from PHCs that are
    providing only OPD services.

    All the staff of PHCs, doing outdoor


    services shall be with drawn and re-
    deployed in BPHCs and PHCs running
    Cont.

    Provision of support services like blood


    storage, Laboratory services, pharmacy
    services.
    Assessment of available manpower and
    other resources in FRUs.
    Training programme (FOGSI)
    Multi-skilling training of paramedical
    workers
    Functional/financial
    autonomy
    Hire locally available specialists and/or
    paramedical workers from the private/
    NGO sector in case of need
    Make local arrangements for referral
    transport
    Generate resources locally and
    Out-source non-clinical services.
    Referral Transport
    (i) Appropriate referral transport from the
    periphery to the functioning First Referral
    Units providing emergency services
    and
    (ii) Also from FRUs to district/tertiary level
    institutions.
    Selection of FRU Unit
    Current Information

    1992-1997 - 105 FRUs in Tamil Nadu


    2009 - 291 FRUs in Tamil Nadu
    Summary
    Evaluation
    1. , ,$ .. are the clinical
    facilities should be needed in PHCs or
    CHCs to declare as a FRU.
    2. Under CSSM Programme, number
    of kits were designed for surgical
    procedure.
    3. Up to 2009, the total number of FRUs
    operationalised in Tamil Nadu is
    Assignment

    Write an
    assignment on
    standing orders
    followed in FRU in
    case of obstetrical
    emergencies.
    Conclusion
    THANK YOU

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