Staff of phc
A Primary Health Centre (PHC) is the first point of contact between the community and the health system. The standard staff at a PHC (as per Indian public health norms) includes:
Medical Staff:
- 1 Medical Officer (MO) - in-charge
- 1 Ayurvedic/AYUSH Medical Officer (in many states)
Paramedical/Nursing Staff:
- 1 Pharmacist
- 1 Nurse/Midwife (Staff Nurse)
- 1 Health Educator
Public Health Staff:
- 1 Health Assistant (Male) - Sanitary Inspector
- 1 Health Assistant (Female) - Lady Health Visitor (LHV)
Laboratory & Support:
- 1 Laboratory Technician
- 1 Upper Division Clerk (UDC)
- 1 Lower Division Clerk (LDC)
- 1 Driver
- Class IV workers (Peon, Sweeper, etc.)
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PHC primary health centre staff norms India IPHS 2022
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Staff of a Primary Health Centre (PHC)
As per IPHS (Indian Public Health Standards) norms, a PHC is classified into Type A (covering ~30,000 population in plains / ~20,000 in hilly/tribal areas) and Type B (24x7 PHC with delivery services).
Staffing Pattern (Essential Staff)
| Staff | Type A | Type B |
|---|---|---|
| Medical Officer (MBBS) | 1 | 1 |
| Medical Officer (AYUSH) | - | - |
| Accountant cum Data Entry Operator | 1 | 1 |
| Pharmacist | 1 | 1 |
| Pharmacist (AYUSH) | - | - |
| Nurse-Midwife (Staff Nurse) | 3 | 4 |
| Health Worker (Female / ANM) | 1* | 1* |
| Health Assistant (Male) | 1 | 1 |
| Health Assistant (Female) / Lady Health Visitor (LHV) | 1 | 1 |
| Health Educator | - | - |
| Laboratory Technician | 1 | 1 |
| Cold Chain & Vaccine Logistics Assistant | - | - |
| Multi-skilled Group D Worker | 2 | 2 |
| Sanitary Worker cum Watchman | 1 | 1 |
| Total | 13 | 14 |
* One ANM/Health Worker Female is typically posted at an attached sub-centre.
Key Points
- Type B PHC has one extra Staff Nurse (4 instead of 3) to support 24x7 services including deliveries.
- The Medical Officer (MBBS) heads the PHC and is responsible for all clinical, public health, and administrative functions.
- The LHV/Health Assistant Female supervises ANMs at sub-centres, conducts staff meetings, and coordinates maternal and child health activities.
- The Health Assistant Male (formerly Sanitary Inspector) handles environmental sanitation, disease surveillance, and supervision of male health workers.
- Under Ayushman Bharat, PHCs are now being upgraded to Health and Wellness Centres (HWC-PHC) with a Community Health Officer (CHO) added to provide expanded primary care services.
Source: Park's Textbook of Preventive and Social Medicine, p. 1005 (IPHS norms)
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