Standard Treatment Protocol (STP) For Basic Health Services (BHS) Package 2078

Overview

The Curative Service Division, DoHS, Ministry of Health and Population (MoHP) has disseminated the Standard Treatment Protocol (STP) for Basic Health Services (BHS) Package 2078. The STP includes guidance on several diseases.

PART ONE: GENERAL INFORMATION

Chapter I – People-Centered Care and Rational Prescribing 2

• People-Centered Care
• Principles of Appropriate Prescribing
• Rational Use of Antibiotics
• Prescription and Its Contents
• Infection Prevention and Control and Waste Management at Basic Health Care Centres

PART TWO: COMMON EMERGENCIES

Chapter II– Common Emergency Conditions

• Surgical Skills – Dressing, Suturing, Incision and Drainage
• Shock
• Unconscious Patient
• Convulsions
• Primary Trauma Care (PTC)
• Management of Fracture and Dislocation in Trauma Patients
• Burns and Scalds
• Drowning
• Snake Bite
• Poisoning
• Common ENT and Eye Emergency Conditions

Chapter III – Common Symptoms

• General Considerations on Pain
• Chest Pain
• Breathlessness/Shortness of Breath
• Cough
• Abdominal Pain
• Nausea and Vomiting
• Headache
• Fever
• Dizziness or Vertigo
• Syncope (Sudden Collapse or Loss of Consciousness)
• Itching (Pruritus)
• Fatigue and Weakness (Generalised)

PART THREE: PREVENTIVE AND PROMOTIVE HEALTH SERVICES

Chapter IV – National Immunization Program

• National Immunization Program
• Case Surveillance for Vaccine Preventable Diseases
• Chapter V – Integrated Management of Neonatal and Childhood Illness
• Management of Children Under 2 Months
• Management of Children 2 Months To 5 Years

Chapter VI – National Nutrition Programme and Nutrition Disorder

• Causes of Malnutrition
• Acute Malnutrition
• Growth Monitoring and Promotion (GMP) Of Under 2 Years
• Infant and Young Child Feeding
• Micronutrient Supplementation and Deworming
• Body Mass Index, Overweight, Obesity

Chapter VII – Safe Motherhood, Safe Abortion Care and PMTCT

• Antenatal Care
• Anaemia in Pregnancy
• Normal Labour and Birth
• Postpartum Care of The Mother and Immediate Newborn Care
• Management of Complications: Emergency Obstetric and Newborn Care
• Obstetric First Aid and Referral
• Safe Abortion Services
• Prevention of Mother-To-Child Transmission of HIV (PMTCT)
• Referral and Emergency Response System

Chapter VIII – Family Planning and Reproductive Health Services

• Family Planning
• Uterine Prolapse/Pelvic Organ Prolapse
• Fistula
• Cervical Cancer – VIA, Counselling and Referral
• Breast Lumps and Cancer

PART FOUR: CURATIVE SERVICES

Chapter IX – Communicable Diseases

• HIV/AIDS
• Tuberculosis
• Animal Bite and Rabies
• Malaria
• Leprosy
• Kala-Azar
• Dengue
• Lymphatic Filariasis
• Gastrointestinal Infections
• Respiratory Infections
• Eruptive Skin Lesions
• Genitourinary Infections
• Urinary Tract Infection (UTI)

Chapter X – Non-Communicable Diseases (NCD)

• Hypertension (HTN)
• Diabetes Mellitus (DM)
• Asthma and Chronic Obstructive Pulmonary Disease
• Musculoskeletal Pain
• Acid Peptic Disease
• Disability
• Mental Health Disorders: Common Neurotic and Psychotic Disorders And Idiopathic Epilepsy
• Adolescent Health Services
• Health of the Elderly, Physiotherapy & Rehabitation

Chapter XI – Common Eye, ENT, Oral, Skin Conditions

• Eye Disorders
• Ear, Nose and Throat Disorders
• Oral Health Problems
• Skin and Soft Tissue Infections

PART FIVE: AYURVEDA AND ALTERNATIVE MEDICINE

Chapter XIII – Homeopathic Medicine

PART SIX: HEALTH PROMOTION

Chapter XIV– Health Promotion

• Health Education
• Information, Education and Communication (IEC)
• Behavioral Change Communication (BCC)
• Public Awareness

PART SEVEN

Chapter XV – Investigations and Drugs in Basic Health Care Facilities

• Basic Investigations at BHS Facilities
• Drug List and Dosage Charts
• Adverse Drug Reactions (ADRS), Prevention and ADR Reporting Form