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About Nartiang Primary Health Centre

The present Primary Health Centre at Nartiang, started as a State Dispensary way back in 1957. In May 2001 it was upgraded into a Primary Health Centre. In 2011 Govt. of Meghalaya notified Nartiang PHC to function as a 24×7 PHC. The PHC provides preventive, promotive and curative services to the community in line with the IPHS standards for a 24×7 PHC. However, following the nation-wide launch of the Ayushman Bharat by the Ministry of Health and Family Welfare In 2018, Primary Health Centre Nartiang, has been upgraded into a Health & Wellness PHC in 2019 for providing comprehensive Primary Health Care Services in line with the National Health Policy 2017. Also, all the six health sub-centre under the PHC are upgraded into Health & Wellness sub-centre

Ownership: The PHC is under the administrative control of the Director of Health Services (Medical Institution), Health & Family Welfare, Govt. of Meghalaya. However, the PHC has a Rogi Kalyan Samiti (RKS) which is being empowered by the National Health Mission, Ministry of Health & Family Welfare, Govt. of India. The RKS is chaired by the Block Development Officer, Community & Rural Development Thadlaskein Block. The Medical & Health Officer In charge is the Member Secretary of the society.

Profile of Primary Health Centre, Nartiang

Population Covered by the PHC 33560
No. of Health & Wellness sub-centres 6
No. of census villages 34
No. of ASHAs 42
No. of Anganwadi Centres 44
Bed Strength 10 Bedded
GPS Location (co-ordinates) 25034’34” by 92013’22”
Email nartiangphc@gmail.com

Organogram

organisation

 

Manpower
Slno Categories of Staff In Position
1 MBBS Doctor 1
2 Specialist Doctor (Paediatrician) 1
3 Dentist 1
4 AYUSH Doctor 1
5 Community Health Officer (CHO) 1
6 Health Educator 1
7 LHV 1
8 Staff Nurses (State Govt Regular) 3
9 Staff Nurses (NHM) 4
10 Pharmacists 2
11 Lab technicians 3
12 ANM (State Govt. regular) 8
13 ANMs (NHM) 4
14 Mid-Level Health Provider (MLHP), NHM. 6
15 Sanitary Inspector 1
16 Upper Division Assistant(UDA) 1
17 Lower Division Assistant(LDA) 1
18 Health Assistant 1
19 Surveillance inspector 1
20 Driver 2
21 Surveillance Workers 4
22 Vaccinator 3
23 Basic Health Worker 1
24 Grade-IV Staffs (Indoor) 5
25 Chowkider (indoor) 2
26 Chowkider (Sub-centres) 6
27 Accountant(NHM) 1
28 AYUSH Helper(NHM) 1
29 Casual Labour 1
30 ASHA Facilitator(NHM) 2
31 Assigned PM-JAY/MHIS-IV Operator 1

COMMITTEE

In order to oversee adherence to the hospital wide policies& protocols, a number of committees have been formed. The medical and health officer In-charge of the PHC is the chairperson of the committees, except for one. The committees have representation from different disciplines of the services being rendered.

The committees that have been formed are:

  1. Rogi Kalyan Samiti (RKS)
  2. Quality Assurance Committee
  3. Infection Control Committee
  4. Condemnation Committee
  5. Drugs & Therapeutic Committee
  6. Disaster Management Committee
  7. Committee Against Sexual Harassment
  8. Medical Audit Committee
  9. Maternal Death Review Committee
  10. Child Death Review committee

EMERGENCY HOSPITAL CODES

Specific codes are utilized for emergencies occurring within the hospital area. These are outlined below:

Code color Code Descriptor Code Description Who will activate Actions to take
Code Red Fire Fire in the hospital Any on duty staff who see the fire If code red had not been called yet, Press the Manual Call Point installed at strategic locations in the PHC building, staffs stationed at MCH wing locate the fire zone by confirming from the fire alarm panel and rush to the scene.
Code Blue Medical Emergency Medical Emergency e.g. collapsed patient/unconscious/convulsion/mass casualty (multiple patients in RTA, mass disaster) Any on duty staff member Announce ‘Code Blue’ & location’ – 3 times
Code Orange Hazardous chemical spill Hazardous chemical spill(e.g. mercury spill) Any on duty staff Announce ‘Code Orange’ & location’ – 3 times

Uploaded documents

PERFORMANCE

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24×7 Primary Health Centre,Nartiang provides Preventive, Promotive and Curative health services and implementation of National Health Programs besides others – as outlined below:

Curative Service

  1. OPD Services:
    • Allopathic: Medical & Dental: Consultation, Diagnosis & Treatment, minor surgical procedures
    • AYUSH: Consultation, Diagnosis & treatment.
  2. IPD Services: Allopathic, 10 functional beds, treatment.
  3. Accident & Emergency: 24×7 Delivery services, accident & emergency,anti-snake bites &anti-rabies vaccination, Medico-legal.
  4. Laboratory Services: Providing services from 10am – 3pm, Sunday closed and point-of-care lab services rendered by staff nurses on duty.
    • Biochemistry: RBS, Thyroid Function test, Kidney Function test, Liver Function test, Serum Electrolytes. Lipid Profile
    • Hamatology: Hemoglobin, ABO & Rh-typing, DLC, CBC,Clotting time, ESR, Malaria microscopy & rapid antigen test, Hep-B antibody test and HIV rapid test.
    • Microbiology: Sputum microscopy
    • Pathology: Urine protein, urine sugar, Pregnancy test
    • Serology: Rapid Plasma Reagin (RPR) for syphilis, Widal test.
  5. Pharmacy: Allopathic and AYUSH, 10am – 3pm, Sunday closed. Free drugs given to all patients
  6. Referral Services: 24×7 free referral services to higher centre, drop-back services for mothers who deliver in the PHC. The mode of referral is delivered by NAS ambulance, which is being operated in the line of the National ambulance services, providing referral transport to only complicated ante-natal, intra-natal and post -natal cases and sick new born and sick child up to 1 year of age, and providing drop back transport to mothers who deliver in the PHC The other mode of referral is delivered by 108 EMRI ambulance providing 24×7 referral services for all category of patients. The ambulance is BLS compatible, manned by a pilot and BLS trained EMT. Post-referral follow-up services by way of telephone contact provided to all the referred-out cases

Health prevention Services

  1. Ante-natal Clinic: Wednesday, local market day & 9th of every month
  2. Intra-natal: 24×7 Planned delivery services for normal deliveries and management of complications
  3. Post-natal: 48 hours stay post delivery
  4. Health screening for Non-communicable diseases by the Health and Wellness nurses at all the Health & Wellness sub-centres, and at the PHC OPD
  5. Home-based Newborn care by ASHAs
  6. Immunization: Every Wednesday, & on local market day.
  7. School Health program
  8. Waste Disposal

Health Promotion Services

  1. Family Planning:
    • Spacing (IUD) every Thursday
    • CD distribution
    • OCP
    • Injectable contraceptives
    • Permanent: No-Scalpel Vasectomy( drop in client services)
    • Home based distribution of contraceptives pills & condoms by ASHAs
  2. Adolescent Friendly Health Services
    • Adolescent Friendly Health Clinic(Fixed): on every Saturday
    • Peer Education (outreach)
  3. Health & Wellness Activities under the Ayushman Bharat program, weekly Yoga sessions at the Health & wellness sub-centres
  4. IEC and BCC Activities

National Health Programs

  1. Reproductive Maternal Child Health+Adolescents(RMCH+A)
  2. National Tuberculosis Elimination Program (NTEP)
  3. National Vector Born Diseases Control Program (NVBDCP)
  4. National AIDS Control Program (NACP)
  5. National Leprosy Eradication Program (NLEP)
  6. Integrated Diseases Surveillance Project (IDSP)
  7. National Blindness Control Program
  8. Non-Communicable Diseases Program
  9. National Program for Health Care of the Elderly
  10. National Mental Health Program
  11. National Oral Health Program

Civil Registration

Registration of Birth & Deaths and issue of birth & death certificates as per RBD Act 1969.

Medico-Legal Services

Registration, Documentation and reporting of Medico-legal cases.

Entitlements/Central Schemes under the Ministry of Health & Family Welfare

Janani Suraksha Yojana,Janani Shishu Suraksha Karyakram,Pradhan Mantri MatruVandana Yojana, ASHA Incentives

Uploaded – Free Entitlements flex 6 x 3

Universal Health Coverage

The indoor services provided by the PHC are being covered by the PM-JAY / MHIS-IV. There is a dedicated PM-JAY desk with an assigned operator.

IT-platform based Services

At present the following programs/services have been delivered & managed throughthe IT platform.

  1. District Vaccine & Drugs Management System (DVDMS)
  2. ANMOL (ANM online) for NCD, HWC &MOTHER Programs.
  3. Tele-Medicine facility under the HWC program
  4. PM-JAY for claims processing.
  5. NIKSHAY under the National Tuberculosis Elimination Program (NTEP)

Medical Record Room

Under the National Quality Assurance Standards (NQAS) program of the Ministry of Health and Family Welfare, NHSRC, Govt. of India it is binding to fully comply with patients’ rights. Therefore, towards that end, the quality team has dedicated a basic Medical Record Room, in line with the WHO guideline for medical Record, with conditional access to inpatients’ records and files.

Slno Particulars of License/Statutory certificate License No. Issue date Expiry date Remark
1 Authorization for BMW No. MPCB/BMW-4/2018-2019/82 29-05-2018 31-01-2021 Issued by Member Secretary Meghalaya State Pollution Control Board, Arden LumpynggadShillong
2 Authorization for operating Deep Burial Pit for BMW No. MPCB/BMW-1(Pt-VI)/2017/2018-2019/176 29-05-2018 Issued by Member Secretary Meghalaya State Pollution Control Board, Arden Lumpyngngad, Shillong.
3 Fire Safety Certificate No.MFS/G-259/Hospt/2018/163/2377 11-03-2020 11-03-2021 Issued by Superintendent of Police, Fire & Emergency Services Govt. of Meghalaya, Fire Brigade, Shillong.

Free Diagnostics:

A package of laboratory services for a 24×7 PHC is being outsourced to the Krishnna Lab by the National Health Mission Govt. of Meghalaya.

Biomedical Equipment Maintenance

The annual maintenance & calibration of all the medical equipment installed in the PHC is being outsourced by NHM Govt. of Meghalaya to the Hyderabad based TBS company

Collection of Red Category BMW

The collection of the Red category BMW is being done by Shri KitborMarbaniang who has been authorized by Meghalaya State Pollution Control Board and the Directorate of health Services(MI).

24×7 Ambulance Services

The ambulance service is being outsourced by NHM, Govt. of Meghalaya to the 108 EMRI which provides 24×7 referral as well as pick up of patients from home. The ambulance is manned by a pilot and an EMT with capacity for Basic life Support (BLS).

Primary Health Centre Nartiang is regulated by the Meghalaya State Pollution Control Board (MSPCB), pertaining to the management of Bio-medical Wastes which aregenerated from the facility. The facility and its attached health and wellness sub centres are implementing the BMW Rules 2016 and BMW Rules (Amendment) 2018.

Authorization under the BMW Rules 2016

Authorization under the BMW Rules 2016 has been granted by the Meghalaya State Pollution Control Board. The PHC and its attached Health & Wellness sub centres have separate authorization. (Upload the authorization granted by the State Pollution Control Board for both the PHC and its attached sub centres)

  • Authorization for PHC
  • Authorization for Health & Wellness sub centre

Approval for Deep Burial Pit(view)

Due to non-availability of a Common bio-medical Waste Treatment facility, the PHC has been authorized by the State Pollution Control Board for disposal of Yellow Category BMW in the Deep Burial pit, located in the premises of the PHC, in accordance with the provision of the BMW Rules 2016 (upload the approval letter)

Annual Report

Annual Report in prescribed Form-IV captured the quantum of BMW generated by the PHC

Monthly Report (view)

  • Monthly Report of Adverse Events/ Training/ Health Check-up of staffs
  • Monthly report of adverse events in Form-1
  • Training of staff
  • Health Check -up/Vaccination of staffs

 

Treatment & Disposal Facilities for BMW
Category Definition Treatment & Disposal (CBWTF)

Treatment & Disposal

(in absence of CBWTF or in Rural areas)

Yellow(a) Placenta, products of conception, dentures Incineration or Plasma pyrolysis Treatment by 1% Chlorine solution for 1 hour. Disposal is by Deep Burial as per approval of State Pollution control board
Yellow (c) Soiled waste

i) Incineration or Plasma Pyrolysis

ii) If option (i) is not available then by autoclaving/hydroclaving followed by shredding and the final product to be sent for energy recovery

Treatment by 1% Chlorine solution for 1 hour. Disposal is by Deep Burial as per approval of State Pollution control board
Yellow(d) Expired or Discarded Medicines: Pharmaceutical waste like antibiotics, cytotoxic drugs including all items contaminated with cytotoxic drugs along with glass or plastic ampoules, vials etc Incineration >1200 degree C by the manufacturer or CBWTF Send back to district store
Yellow(e) Chemicals used in production of biological and used or discarded disinfectants Disposed of by Incineration or Plasma Pyrolysis or encapsulation in hazardous waste treatment, storage and disposal facility  
Yellow(f) Liquid waste generated due to use of chemicals in production of biological and used or discarded disinfectants, Silver Xray film developing liquid, discarded Formalin, infected secretions, aspirated body fluids, liquid from laboratories and floor washings, cleaning, housekeeping and disinfecting activities ETP ETP/STP/ onsite- liquid waste disinfection set-up. At Nartiang PHC, the BIOWAT
Yellow(g) Discarded linen, mattresses, beddings contaminated with blood or body fluid.

Non- chlorinated chemical disinfection followed by incineration or Plasma Pyrolysis or for energy recovery.

In absence of above facilities, shredding or mutilation or combination of sterilization and shredding. Treated waste to be sent for energy recovery or incineration or Plasma Pyrolysis.

Treatment by 1% chlorine solution and then shredded
Yellow(h) Microbiology,Biotechnology and other clinical laboratory waste: Blood bags, Laboratory cultures, stocks or specimens of microorganisms, live or attenuated vaccines, human and animal cell cultures used in research, industrial laboratories, production of biological, residual toxins, dishes and devices used for cultures. Incineration For discarded, expired vaccines, the vials are autoclaved, and vaccine content disposed of into deep burial pit, vials segregated into Blue bin, metallic cap into Sharps bin and plastic cap into Red bin.
Red

Contaminated Waste (Recyclable)

(a) Wastes generated from disposable items such as tubing, bottles, intravenous tubes and sets, catheters, urine bags, syringes (without needles and fixed needle syringes) and vacutainers with their needles cut) and gloves

Autoclaving or microwaving/ hydroclaving followed by shredding or mutilation or combination of sterilization and shredding. Treated waste to be sent to registered or authorized recyclers or for energy recovery or plastics to diesel or fuel oil or for road making, whichever is possible.

Plastic waste should not be sent to landfill sites.

Contaminated wastes pre-treated with 1% chlorine solution and then kept in holding area for handing over to Authorized collector
White

Waste sharps : including Metals: Needles, syringes with fixed needles, needles from needle tip

cutter or burner, scalpels, blades, or any other contaminated sharp object that may cause puncture

and cuts. This includes both used, discarded and contaminated metal sharps

Autoclaving or Dry Heat Sterilization followed by shredding or mutilation or encapsulation in metal

container or cement concrete; combination of shredding cum autoclaving; and sent for final disposal

to iron foundries (having consent to operate from the State Pollution Control Boards or Pollution

Control Committees) or sanitary landfill or designated concrete waste sharp pit.

Treatment by 1% chlorine solution and disposed of in Sharps Pit
Blue (a) Glassware: Broken or discarded and contaminated glass including medicine vials and ampoules except those contaminated with cytotoxic wastes. Disinfection (by soaking the washed glass waste after cleaning with detergent and Sodium Hypochlorite treatment) or through autoclaving or microwaving or hydroclaving and then sent for recycling Treatment by 1% chlorine solution and then shredded to be disposed of in Sharps Pit

Over the years, since the inception of National Health Mission way back in 2005, Nartiang PHC has been taking initiatives and innovations which are locally relevantand beneficial to the PHC

To improve access to Post-natal & New born Care

Availability of support service in the form of a free diet provided to mothers who delivered in the PHC goes a long way in improving access to institutional Post-natal care and new born care, by lengthening the length of post-natal stay. Its one of the initiatives of Rogi Kalyan Samiti of Nartiang PHC for improving institutional delivery and post-natal care. The expenditure for the free diet was approved by the Rogi Kalyan Samity and the free diet was provided effective from July 10 2010 till JSSK diet is available in 2011.

Uploaded document- An Abstract on the impact on free diet

156 mothers, who delivered at Nartiang PHC, from 1st September to 30th April, had benefited from the free diet and the mean duration of postnatal stay is 37 hours against 27 hours mean duration of postnatal stay of mothers who had received no free diet at all prior to the initiative.

In total, as on 30th April 2011, RKS utilized Rs.23,637/- (rupees twentythree thousand six hundred thirty seven) only, for paying the diet of 156 mothers.

To improve access to Youth Friendly Health Services

This short-term project is implemented in the early part of 2011. The mentoring was supported by the Department of Global Health and Social Medicine Lund University Malmo, Sweden, MAMTA New Delhi and National Institute of Health & Family Welfare (NIHFW)Munirka, New Delhi.

Uploaded Report – Project Report of the change project of Nartiang PHC

 

The Bio-medical waste Water Treatment (The BIOWAT)

The BIOWAT is a local innovation for the treatment and disposal of liquid waste generated by the PHC. It has been operational since September 2016 and it has been meeting the discharge standards as prescribed by State Pollution Control Board.

Document uploaded here The BIOWAT

Health Care Quality: Prescription Audit

A key approach towards continuous quality improvement is the Prescription audit of physician’s prescriptions in both the outpatients’ and inpatients’ settings, and the objective is to gauge the rationality of prescriptions against the benchmarking of the WHO.

Project Work on Prescription Audit by Dr(Ms) S.S.Surong

Health Care Quality: Patients Satisfaction Survey

The ultimate gauge of quality in the health care facility is the satisfaction of patients. In this regard and binding by the NQAS certification program patients’ satisfaction surveys have been conducted on regular basis by the facility.

Project Work on Improving Quality of Care by Smti.Chelestina Dkhar

Over the years Nartiang PHC has been doing its bit to sustain the environment. Some of the initiatives are being done completely in house. Some require the help of the State Government.

The BIOWAT

The BIOWAT is a local innovation by the PHC for the treatment of liquid waste generated by the hospital. This is to ensure that the effluent meets the discharge standards as prescribed by the Central pollution Control board and to ensure that the water body of the surrounding streams are not affected.

The Bokashi Composting

General Solid Waste Management Rules 2016 requires that the Biodegradable waste are converted into compost. Nartiang PHC under the Kayakalp Program invited experts from Bethany Society,Shillong, for giving the hands-on training on the BoskashiComposting. The training was held on the 2nd October 2019 at Nartiang PHC. At present all the kitchen wastes/ food waste generated by the PHC are first sent into a Bokashi bucket for composting with the addition of Indigenous microorganism(IMO), which is purchased from Bethany Society. After a ripening period of 7 days the compost is laid in a compost pit for the compost to mature. Once the compost is mature its ready for use as organic manure. Over 70 KG of manures have been produced by using the Bokashi Composting.

The Solar Power System

A 50KVA Three phase solar power system was installed by the Meghalaya Non-conventional Rural Energy Development Agency (MNREDA), functioning from May 2018, the technical operation is being outsourced to a Hyderabad based Aditi Power. This initiative by the state government helps in reduction of the carbon footprint by doing away with fossil-fuelled generator for power back up. At present the PHC building draws 100% power from the Solar power system – 24×7.

The Sure Chill Technology

Cold Chain Point is a critical storage space for life saving vaccines. In April 2016 PATH International, a US based philanthropic organization, donated the Sure Chill Fridge, which runs on the Sure Chill Technology, through the Ministry of Health & Family Welfare Govt. of India. The fridge is WHO prequalified with a R600a class refrigerant, which promises Zero Ozone Depleting Potential (ODP) and low Global Warming Potential (GWP). Therefore, the cold chain point at Nartiang PHC, by relying on the Sure Chill Technology ensures that the life-saving vaccines will stay safe in their comfort zone at 40C, even in an extremely rare situation of power outage of more than 10 days, but also, the environment is protected.

Service Delivery

  • On October 12 2010 Nartiang PHC perform the first No-Scalpel Vasectomy (NSV) procedure, which is a permanent method of male sterilization
  • On March 31 2011 Nartiang PHC opened the first ever Adolescent clinic, The Friends’ Corner The initiative is a clinic-based platform for addressing the health issues of adolescents’ boys and girls.

Fire Safety

  • On October 24 2018 Nartiang PHC became the First Public Health Institution in the state to receive a Fire Safety certificate from the SP Fire & Emergency services Govt. of Meghalaya. It being the only Public Health institution to have installed Manual Call point, Automatic smoke detector and Fire Detection and Alarm System.

Awards

  • District Health Society Award 2009: Awarded the best PHC in the erstwhile Jaintia hills District
  • Award of Excellence 2011: Conferred to the MO IC by the then Governor of Meghalaya Shri.M.K.Mooshahary on the occasion of the Republic day on January 26 2011 at ShillongPolo Ground for improving institutional delivery in the PHC area
  • Rotary International: Conferred by the Rotary International Jowai to the MO IC for selfless service to the community
  • Kayakalp Award 2016: Awarded the best PHC under the Kayakalp program 2016 on January 26 2017, at the Republic day function in Jowai.
  • SKOCH Order of Merit: Awarded the SKOCH Order of Merit on March 17 2017 by the SKOCH Group at New Delhi, for the BIOWAT
  • SKOCH AWARD SILVER: Awarded the SKOCH AWARD SILVER on March 18 2017 by the SKOCH Group at New Delhi for the BIOWAT
  • Kayakalp Award 2018: Awarded the best PHC under the Kayakalp program 2018, on January 26 2019 at the republic day function in Jowai.
  • National Quality Assurance Standards (NQAS) Certification: Awarded the NQAS full certification in May 2019 by the Central Quality Supervisory Committee, Ministry of Health & Family Welfare Govt. of India
  • Kayakalp Award 2019: Awarded the best PHC under the Kayakalp Program 2019, on January 26 2020 at the republic day function, Jowai.

Other Recognition

Ministry of Health & Family Welfare Best practice: On July 8 2017, the MO IC was invited by the National Health System Resource Centre (NHSRC), New Delhi, to the 4th National Summit on Good Replicable Practices & Innovations in Health Systems, held at Indore Madhya Pradesh, for giving a presentation of the BIOWAT. The MO IC was later felicitated by the Joint Secretary Ministry of Health &Family Welfare Govt. of India. Also,on the occasion, a Coffee Table Book, which included the BIOWAT, was released by the then honourable Speaker of the Lok Sabha, Smti. S.Mahajan.

Members of the community, well wishers and friends have shown their philanthropic gestures by way of donations, the PHC has been receiving from time to time. Indeed, contributing to the assets of the Rogi Kalyan Samiti (RKS):

Sr.No Donor Address Item Donated date of receipt by RKS
1 Shri.B.Sharma Pharma Distributor,Shillong Kent Maxx RO water filter 30th April 2009
2 Shri. S.Sariang Ex-Headman, NartiangModop Portable Power Inverter 10th August 2009
3 Rev. K.S.Shylla Pastor In charge Nartiang Presbyterian Church Rice Cooker(electric) 18th August 2009
4 Shri M.Shylla& Mrs. W.Pale Community members NartiangModop Oxygen Cylinder with flow meter & trolley 30th September 2009
5 Shri. (L) J.K.Passah Ex-President SeinraijJowai Oxygen cylinder with flow meter & trolley 5th February 2011
6 Smt. EmbokTalang Community member NartiangModop Heater cum blower 7th February 2011
7 Shri PheinNonglein Businessman, Mynsngat village LCD TV for Friends’ Corner 7th June 2011
8 Shri. PheinNonglein Businessman, Mynsngat village, Ex-EM JHADC 1.5Kva Inverter 41100
9 We Care Foundation Shillong 100 RDKs for Hep-B and Hep-C and 150 doses of Hepatitis-B Vaccines 42990
10 Roshan Joshi Pharma Distributor, Shillong Fire Extinguishers, 3 nos. 43344

Quality certification is an important aspect of health care by which to gauge the degree of adherence to predetermined standards. Focussing more on the processes and leading to the reduction of medical errors and achieving patient’s satisfaction. On May 10 2019 Nartiang PHC was awarded the Full Certification under the National Quality Assurance Standards (NQAS) certification program of the Ministry of Health & Family Welfare Govt. of India.

Click here MD_letter PHC Nartiang

Click here The journey towards NQAS Certification

Health and Wellness Park,Nartiang

Pic:Lead External Assessor NQAS, Dr.Amit Lathwal (sitting 2nd from right) Associate Professor Department of Hospital Administration, AIIMS New Delhi cum Additional Medical Superintendent, S Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi and, Dr.Poonam Sharma (sitting 5th from right) External Assessor NQAS along with district & state officials during the post NQAS External Assessment photo session, on February 7 2020, at The Health & Wellness Park Nartiang PHC.

Nartiang PHC has a policy in place and a process map for redressal of grievances which are raised by the patients, users of the PHC and, by the public. This is crucial for continuous quality improvement. The process map is depicted below:

Grievance Redressal