Table 2 Health service activities and service standards for nurses/midwives, CHOs/CHEWS and JCHEWs
Health services | Service standards for cadres | Unit time | ||
|---|---|---|---|---|
Nurses/midwives | CHO/CHEW | JCHEW | ||
Antenatal clinic (ANC)—first visit | 50 | 40 | 30 | Minutes/patient |
Antenatal clinic (ANC)—subsequent visits/revisits | 21 | 25 | 27 | Minutes/patient |
Routine immunization | 27 | 23 | 20 | Minutes/patient |
Child welfare clinic (sick child) U5 | 35 | 40 | 42 | Minutes/patient |
Family planning—counselled | 15 | 40 | 43 | Minutes/patient |
Family planning—oral | 5 | 5 | 5 | Minutes/patient |
Family planning—injectable | 8 | 10 | 12 | Minutes/patient |
Family planning—insertion (IUCD and implant) | 15 | 16 | Minutes/patient | |
Treatment of minor ailments (children and adults) | 27 | 62 | 61 | Minutes/patient |
Delivery (normal delivery) | 75 | 140 | Minutes/patient | |
Delivery (assisted) | 90 | 160 | Minutes/patient | |
Post-natal care (booked case and unbooked) | 16 | 25 | Minutes/patient | |
PMTCT—mothers (booked and unbooked) | 14 | 26 | Minutes/patient | |
PMTCT—infant (booked and unbooked) | 23 | 28 | Minutes/patient | |
Accidents and emergencies—minor cases | 20 | 38 | 29 | Minutes/ patient |
Accidents and emergencies—major cases | 9 | 10 | Minutes/patient | |
Care of a patient with tuberculosis (TB) | 23 | 33 | Minutes/patient | |
2-way referrals | 35 | 38 | 35 | Minutes/patient |