Which of the following procedure is not done in CHC?
**Core Concept**
The Community Health Centre (CHC) is a primary-level health facility providing basic medical and diagnostic services. CHCs are designed to cater to a population of 80,000 in plain areas and 30,000 in hilly, tribal, or difficult areas. They offer a range of services, including medical, surgical, obstetric, and pediatric care.
**Why the Correct Answer is Right**
Urine microscopy and culture sensitivity typically require specialized equipment and trained personnel, which may not be available in a CHC setting. This procedure is usually done in higher-level facilities like District Hospitals or Medical Colleges, where more advanced diagnostic capabilities exist. Furthermore, CHCs often rely on peripheral laboratories for more complex tests, which might include urine microscopy and culture sensitivity.
**Why Each Wrong Option is Incorrect**
**Option A:** Abortion is a procedure that can be performed in a CHC, subject to the Medical Termination of Pregnancy (MTP) Act. CHCs are authorized to provide this service.
**Option B:** Blood transfusion is a common procedure in CHCs, especially in emergency situations. CHCs have the necessary infrastructure and trained personnel to perform blood transfusions.
**Option C:** Caesarean section is also performed in CHCs, particularly in cases where a normal delivery is not possible or safe. CHCs have the necessary equipment and trained staff to perform this procedure.
**Clinical Pearl / High-Yield Fact**
CHCs are equipped to provide a range of primary medical care services, including medical, surgical, obstetric, and pediatric care. They are an essential part of the public health infrastructure, serving as the first point of contact for many rural and underserved populations.
**Correct Answer Line**
β Correct Answer: D. Urine microscopy and culture sensitivity