Responsibilities Of Staff In Health Centres

To be Discussed..

Functions of PHC

Health Manpower of PHC

Medical Officer, PHC

Health worker Female & Male

Health Assistant Female & Male

Accredited Social Health Activist ( ASHA )

1) Functions of PHC ?

2) National Health Programmes ?

3) Functions of ASHAs ?

Medical CollegesDISTRICT HEALTH ORGANIZATIONS

SUB. DISTRICT / TALUK HOSPITALS

COMMNITY HEALTH CENTRES(1 : 1,00,000 in Plains, 1 : 80,000 in tribal / Hilly areas)

PRIMARY HEALTH CENTRES 1 : 30,000 (Plains), 1 : 20,000 (Tribal / Hilly areas)

SUB – CENTRES1 : 5000 (Plains), 1 : 3000 (Tribal / Hilly areas)

VILLAGE LEVEL 1 : 1000 Population

Anganwadi worker, Birth attendant, Health guide, link worker (ASHA)

HEALTH CARE DELIVERY SYSTEM OR LEVELS OF HEALTH CARE

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EHealth System infrastructure

Functions of PHC• ROME

• IPHS → PHC – 20,000 to 30,000 with

6 beds

1. Medical care – OPD, 24hrs emegency, referral, inpatient.

2. MCH including family planning

3. Safe water supply and sanitation

4. Prevention & control of locally endemic diseases

5. Collection & reporting of vital statistics

6. Education about health

7. National Health Programmes

8. Referral services

9. Training of health guides, health workers HW, dais,

HA

10.Basic laboratory services

Health Manpower in PHCStaff Existing Recommended

Medical officer 1 3 ( atleast 1 Female )

AYUSH practitioner 1

Account manager 1

Pharmacist 1 2

Nurse Midwife 1 5

Health workers (F) 1 1

Health Educator 1 1

Health assistants (M&F) 2 2

Clerks 2 2

Laboratory technician 1 2

Driver 1 optional

Class IV 4 4

Total 15 24/25

Medical officer , PHC

1. Morning – attend to patients, Afternoon – field work

2. Cover all Basic Health services, incl Family planning.

3. Plan & implement UIP

4. Ensure proper implementation of IMNCI

5. Visit schools – checkup & immun6. Conduct tubectomy & vasectomy camps

Medical officer….cont..

7. Organise training of health pesonnels – ASHA,

Anganawadi workers, Dais, etc

8. Ensure National health programmes implemented

properly

9. Visit each subcentre

10. Organise staff meetings

11. Planner, promoter, director, supervisor, coordinator,

evaluator

Health Worker (M & F)One HW male & one HW female posted at each

subcentre.

Population of 5000 ( 3000 in tribal & hilly areas)HWF → 350-500 families

Female Health worker – Auxillary Nurse Midwife (ANM)Male Health worker – Multi Purpose Worker

Health worker Female

I. Maternal & Child Health

1. Register & provide care

2. Atleast 3 visit

3. Test urine, Hb

4. Refer to PHC for RPR syphilis

5. Refer cases of abnormal pregnancy, med. & gynec

problems to HA Female (Lady Health Visitor) or PHC

6. Conduct deliveries in her area

7. ANM will identify beneficiaries, obtain approval ,

disbursement under Janani Suraksha Yojana.

8. Meeting of all accredited workers – 3rd Friday of every

month – ANM prepare monthly work schedule

9. Atleast 2 postnatal visits & render advice

10.Assess growth & development

11. Educate mothers in Family health

II. Family Planning

1. Utilise information from eligible couple & child register

2. Spread message, motivate

3. Distribute conventional contraceptives, provide facilities

and help in getting family planning services

4. Follow up, tx side effects, refer

5. Female depot workers

6. Build rapport with acceptors, village leaders. ASHA, Dais

III. MTP1. Identify women , refer 2. Educate consequnces of septic abortion , services of

MTP.

IV. Nutrition1. Identify malnutrition ( birth to 5 yrs), give necess tx,

refer2. Distribute Iron & Folic acid tablets3. Administer Vit A solution4. Educate5. Coordinate with Anganawadi workers

V. UIP , also preg –TT

VI. Dai Training

VII. Communicable diseases

Fever, diarrhea, STI, filaria, malaria, TB, leprosy

VIII.Vital events

IX. Record keeping

Preg women, infants, women 15-44yrs, eligible couple• Malaria cases – fever cases, blood slides, malaria +ve

cases, radical tx

X. Treatment of minor aliments

XI. Team Activities

Health Worker MaleI. National Health programmes

A. National vector borne disease control programme

1. Malaria• Collect smears, details in MF-2• Contact ASHAs & other FTDs• Dispatch bloodsmears & MF-2 to PHC• Administer radical tx.• Inform spray dates, motivate

2. Kala azar endemic areas3. JE endemic areas4. Filaria Endemic areas

B. Leprosy eradication programme

C. Revised National Tuberculosis Control Programme

D. National Blindness Control Programme

E. Expanded Programme On Immunisation DPT… TT School Communicable diseases

F. Reproductive & Child Health Programme

II. Communicable diseases

III. Environmental sanitation

• Chlorinate

• Educate

• Coordinate with Village Health & Sanitation Committee

IV. Primary medical care

V. Health Education

VI. Nutrition

VII. Vital events

VIII.Record Keeping

Health Assistant ( F)Cover a population 30,000 ( 20,000 in tribal & hilly) – 6

sub centres

I. Supervision & Guidance

II. Team Work

III. Supplies, equipment & maintenance of sub-centre

IV. Records & Reports

V. Kala azar endemic

VI. Lymphatic filariasis endemic

VII. JE endemic

VIII. Training

IX. Maternal & Child Health. – clinics, conduct deliveries

X. Family welfare & MTP. – clinics, guide, camps

XI. Nutrition.

XII. Immunisation.

XIII. Acute respiratory infection

XIV. School health

XV. Primary medical care.

XVI. Health education.

Health Assistant ( M)I. Malaria

II. Communicable diseases

III. Leprosy

IV. Tuberculosis

V. Environmental sanitation

VI. Expanded programme on immunisation

Immunisation of all school going children

VII. Family planning

VIII.Nutrition

IX. Control of blindness

ASHA

ASHAResident, woman 25-45 yrs, 8th class educ.One ASHA for 1000 population

1. Create awareness, provide

information on determinants of

health, health services

2. Counsel women

3. Mobilise community, facilitate in assessing

4. Work with village health & sanitation committee

5. Escort pregnant women & children

6. Provide primary medical care for minor ailments

7. Depot holder – ORS, Fe & folic a, chloroquine, oral

pills, condoms, etc

8. Graded training – newborn care

9. Inform birth, death, unusual health problems

10.Promote construction of household toilets

1) Functions of PHC ?

2) National Health Programmes ?

3) Functions of ASHAs ?