Patharkhmah CHC

About us

Patharkhmah CHC situated in the western part of Ri-Bhoi District under Jirang C&RD Block with distance approximately 70 kms from the District Headquarters, Nongpoh and approximately 110kms through Mairang from the State Capital Shillong. The present Patharkhmah CHC started as a Primary Health care (PHC) way back in 1981.In 6th April 2002, it was upgraded into a CHC. The CHC provided preventive , promotive and curative services to the community.The CHC has a population of 17071 and covers 35 villages and the main health care provider in this area is the State Health Department.Private Practitioners are conspicuous by their absence or their insignificant presence.Most of the villages are hard to reach areas due to poor road condition especially during monsoon.There are three subcentre under the CHC namely Umsong Sub Centre,Umshohphria Subcentre and Tasku Subcentre and two of its Subcentre have been upgraded into Health and Welness Subcentre.


The CHC is under administrative control of the Director of Health Service (Medical Institution)Health and Family welfare, Government of Meghalaya. However, the CHC has a Rogi Kalyan Samiti(RKS) which is being empowered by the National Health Mission, Ministry of Health and Family Welfare , Government of India. The RKS is chaired by the Block Development Officer, Community and Rural
development Jirang block. The Medical and Health Officer incharge is a member Secretary of the Society.


In order to oversee adherence to the hospital wide policies & protocols, a number of committees have been formed. The Medical and Health officer incharge of the CHC is the chairperson of the committees, except for one. The committee have representation from different disciplines of the services being rendered. The committee that have been formed are:

  1. Rogi kalian Samiti (RKS)
  2. Infection Control Committee.
  3. Condemnation Committee.
  4. Disaster Management Community.
  5. Committee Against Sexual Harassment.
  6. Maternal Death Review Committee.
  7. Child Death Review Committee
Profile of Community Health Centre, Patharkhmah
Population Covered by the CHC 17071
No of Health& Welness sub-centres 2
No of Census villages 35
No of ASHAs 33
No of Angnawadi Centres 27
Bed Strength 30
GPS Location( co-ordinates) 25.93 by 91.57
Manpower in Patharkhmah CHC
Categories of Staff In position
MBBS Doctor 3
AYUSH Doctor 1
Community Health officer 1
Health Educator 1
Staff Nurse (Regular 2
Staff nurse (Officiating) 6
Pharmacist 1
Lab Technicians 1
ANM (Regulars) 2
ANM (Officiating) 5
Mid-Level Health Provider(MLHP)NHM 2
Sanitary inspector 1
Lower Division Assistance (LDA) 1
Health Assistance 2
Surveilance Inspector 1
Driver 1
Surveilance worker 3
Grade IV(Indoor) 4
Chowkidar (indoor) 3
Chowkidar (Sub-Centres) 3
Accountant (NHM) 1
Casual labour 3
ASHA Facilatators (NHM) 2
Code color Code Descriptor Code Description Who will activate Action to take
Code Red Fire Fire in the Hospital Any on duty staff who see the fire To be formed
Code Blue Medical Emergency Medical Emergency e.g. Collapsed patients/unconscious/convulsion/mass casualty9multiple 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
  • Patharkhmah-CHC Staff

    Patharkhmah CHC Staff

    Patharkhmah CHC Staff

OPD Services:

  1. Allopathic: Medical : Consultation, Diagnosis & Treatment, minor surgical procedures
  2. AYUSH: Consultation, Diagnosis & treatment.
  3. IPD Services: Allopathic, 10 functional beds, treatment.
  4. Accident & Emergency: 24×7 Delivery services, accident & emergency,, Medico-legal.
  5. Laboratory Services: Providing services from 10am – 3pm, Sunday closed and point-of-care lab services rendered by staff nurses on duty.

Biochemistry: RBS,

  1. Hamatology: Hemoglobin, ABO & Rh-typing, DLC, CBC,Clotting time, ESR, Malaria microscopy & rapid antigen test, Hep-B antibody test and HIV rapid test.
  2. Microbiology: Sputum microscopy
  3. Pathology: Urine protein, urine sugar, Pregnancy test
  4. 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 CHC. 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 CHC 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.
  1. Ante-natal Clinic: Wednesday, local market day & Friday 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 CHC OPD
  5. Home-based Newborn care by ASHAs-Friday
  6. Immunization: Every Wednesday, & on local market day.
  7. School Health program-Through RBSK Team
  8. Waste diposal

Family Planning:Spacing (IUD)

  1. CD distribution
  2. OCP
  3. Injectable contraceptives
  4. Home based distribution of contraceptives pills & condoms by ASHAs
  5. Adolescent Friendly Health Clinic(Fixed): on every Wednesday.
  6. Health & Wellness Activities under the Ayushman Bharat program, weekly Yoga sessions at the Health & wellness sub-centres
  7. IEC and BCC Activities
  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. Non-Communicable Diseases Program
  8. National Program for Health Care of the Elderly

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

Registration, Documentation and reporting of Medico-legal cases.

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

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

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. PM-JAY for claims processing.
  4. NIKSHAY under the National Tuberculosis Elimination Program (NTEP)
lno Particulars of License/Statutory certificate License No. Issue date Expiry date Remark
1 Authorization for BMW No. MPCB/BMW-4/2018-2019/146 11-03-2019 31-10-2021 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-VIII)/2017/2018-2019/176 26-04-2019   Issued by Member Secretary Meghalaya State Pollution Control Board, Arden Lumpyngngad, Shillong.

Free Diagnostics:

A package of laboratory services for a 24×7 CHC 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 CHC 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).

Authorization under the BMW Rules 2016

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

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

Approval for Deep Burial Pit

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

Annual Report

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

  • Annual Report 2017
  • Annual Report 2018
  • Annual Report 2019

Monthly Report

  • 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 Codes
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
  • Kalyakalp Awards -2017 (Commendation Awards)
  • Kalyakalp Awards-2018 (Commendation Awards)
  • SOP for Labour Room
  • SOP for National Health Program
  • SOP for Infection Control
  • SOP for Bio-Medical Waste Management
  • SOP for Hospital Disaster
  • SOP for Housekeeping
  • SOP for Medico-Legal Cases
  • Antibiotic Policy
  • Adverse Events Reporting Policy
  • Condemnation Policy
  • Consent Policy
Content as per provided by Patharkhmah CHC on 11th September, 2020