Health care team

1. JOB PROFILE OF MEMBERS OF
HEALTH CARE TEAM

2. SCHEME OF PRESENTATION
ASHA Sahil
HWF & HWM Ravi
CHO Rekha
MO Ritika
Others Rahul

3. Organogramof health care delivery at State level

5. ACCREDITED SOCIAL HEALTH
ACTIVIST
-Resident of the village(married/widow/divorced)
-Age group 25-45yrs
-Education upto 8th class
-Communication skills and leadership qualities
-1 ASHA :1000 population
-Tribal,hilly and desert areas : 1 ASHA per habitation

6. ROLE AND RESPONSIBILITIES
AWARENESS-:
Provide information to the community on
determinants of health :
-Nutrition
-Basic sanitation and hygienic practices
-Healthy living and working condition

7. MOTHER AND CHILD-:
-Counsel women on birth preparedness
-Importance of safe delivery, breast feeding,
complementary feeding
-Immunization
-Contraception
-Prevention of common infections (RTI,STDs)
-Care of young child

8. MOBILIZE THE COMMUNITY-:
-Facilitate them in accessing health and health
related services available at AW,SC & PHC such as
immunization, antenatal check up, postnatal check
up, supplementary Nutrition, sanitation & other govt
services.

9. COMPREHENSIVE VILLAGE HEALTH PLAN-:
-Work with the village health and sanitation Committee
ESCORT-:
-Arrange escort or accompany pregnant women and
children requiring treatment or admission to nearest
PHC/CHC/FIRST REFERRAL UNIT

10. PRIMARY MEDICAL CARE-:
-For minor ailments such as diarrhoea,fever,first aid
for minor injuries
-Providers of DOTS

11. DEPOT HOLDER FOR ESSENTIAL PROVISIONS
-ORS
-IFA
-Chloroquine
-Disposable delivery kit
-Oral pills and condoms
A drug kit provided to each ASHA

12. INFORM-: to SC & PHC
-Birth and deaths in her village
-Unusual health problems
-Disease outbreak
TOTAL SANITATION COMPAIGN-:
-Promote construction of household toilets

13. HEALTH WORKER FEMALE (ANM)
The functions and responsibilities of Auxiliary Nurse Midwife are
discussed under following headings:
1. Maternal & Child Health
2. Family Planning
3. Medical Termination of Pregnancy
4. Nutrition
5. Universal Programme on Immunization
6. Dai training

14. 7. Communicable diseases
8. Non Communicable Diseases
9. Vital events
10. Record Keeping
11. Treatment of minor ailments
12. Team activities

15. Maternal & Child Health
 Register and provide care to pregnant women throughout the period
of pregnancy .
 Ensure that every pregnant woman makes at least 4 visits of
antenatal checkup.
 Estimate Haemoglobin level, test urine of pregnant women for
albumin and sugar.
 Refer all pregnant women to PHC for RPR (rapid plasma reagin) test
for Syphilis .
 Refer cases of abnormal pregnancy to PHC.
 Conduct deliveries.

16.  Supervise deliveries conducted by Dais.
 JANANI SURAKSHA YOJANA : Identify the beneficiaries, complete
necessary formalities and obtain necessary approvals of competent
authority before disbursement to beneficiaries.
 Postnatal home visits:
on 0,3,7,14,21,28 and 42nd day for deliveries at home and Sub
Centre.
on 3,7,14,21,28 and 42nd day for institutional deliveries.
 In case of low birth weight baby, a total 6 post natal visits on
0,3,7,14,21 and 28 day to screen for congenial abnormalities .

17.  Initiation of early breastfeeding within one hour of birth. Exclusive
breastfeeding for 6 months.
 Assess the growth and development of the infants and under 5
children and make timely referral.
 Provide treatment for all cases of diarrhoea, acute respiratory
infections.
 Educate mothers individually and in groups.
 Assist Medical Officer and Health Assistant in conducting antenatal
and post natal clinics at Sub Centre.

18. FAMILY PLANNING
 Utilize the information from the eligible couple and child register for
family planning.
 Distribute conventional contraceptives and oral contraceptives to
the couples.
 Provide follow up services to female family planning acceptors,
identify side effects, give treatment on spot for side effects.
 Establish female depot holders, and provide a continuous supply of
contraceptives to depot holders.
 Participate in Mahila Mandal meetings and utilize such gatherings
for educating women in family welfare programme.

19. MEDICAL TERMINATION OF PREGNANCY
 Identify the women requiring help for MTP and refer them to
nearest approved institution.
 Educate the community of the consequences of septic abortion and
inform them about availability of services for MTP.

20. NUTRITION
 Identify the cases of malnutrition among infants and young children
, give necessary treatment and advice and refer serious cases to PHC.
 Distribute Iron and Folic Acid tablets as prescribed to pregnant
women, nursing mothers and young children.
 Administer Vitamin A solution to children.

21. UIP (Universal Programme on Immunization)
 Immunize pregnant women with tetanus toxoid.
 Administer pentavalent vaccine, DPT vaccine, measles vaccine, OPV,
IPV, hepatitis B vaccine and BCG vaccine to all infants and children.
 Ensure injection safety, safe disposal and record, report and manage
minor & serious Adverse Event Following Immunization (AEFI). Submit
monthly UIP reports, weekly surveillance reports, serious AEFI and
outbreak should be reported immediately.
 ANM is responsible for cold chain maintenance for vaccines during
fixed and outreach session.
 Manage waste generated during immunization as per GOI/CPCB
guidelines.

22.  Tracking of dropouts and left outs, records/reports, surveillance.
 Indent order of vaccines and logistics should be weekly, based on
the due beneficiary list.
 Posters/paintings on key messages, immunization schedule, safe
injection practices, use of hub cutters.

23. DAI TRAINING
 List dais in her area and involve them in promoting family welfare;
and help the Health Assistant Female in the training programme of
dais.

24. COMMUNICABLE DISEASES
 Notify the Medical Officer PHC immediately about any abnormal
increase in cases of diarrhoea/dysentery, fever with rigors, fever with
rash, fever with jaundice, acute flaccid paralysis in a child < 15 years,
minor or serious AEFIs.
 Give Oral Rehydration Solution to all cases of
diarrhoea/dysentery/vomiting.
 If she comes across a case of fever during her home visits, she will
take blood smear, administer radical treatment if the person is
positive for Malaria.
 Education, Counselling, referral, follow up for cases of STI/RTI,
HIV/AIDS.

25. NON COMMUNICABLE DISEASES
 Information Education Commission for prevention and detection of
non communicable diseases.
VITAL EVENTS
 Record and report to the health authority of vital events including
births and deaths, particularly of mothers and infants.

26. RECORD KEEPING
1. REGISTER :
a. pregnant women at earliest contact,
b. infants zero to one of age ,
c. under 5 years adolescents.
d. women aged 15 to 44 years.
2. Maintain the prenatal and maternity records and child care records
3. Prepare the eligible couple and child register and maintaining it up
to date.
4. Maintain the record of contraceptives distribution, IUD insertion,
couples sterilized, clinics held at sub centre.

27. HEALTH WORKER MALE (HWM)
Health Worker Male carries out following activities:
 NATIONAL HEALTH PROGRAMMES
 National Vector Borne Disease Control Programme
 Leprosy Eradication Programme
 NTEP
 National Blindness Control Programme
 Expanded Programme on Immunization
 Reproductive and Child Health Programme

28.  COMMUNICABLE DISEASES
 ENVIRONMENTAL SANITATION
 NUTRITION
 VITAL EVENTS
 RECORD KEEPING

29. NATIONAL HEALTH PROGRAMMES
 NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME
A. MALARIA
1. Surveillance activities
2. Collect thick and thin blood smears on one glass slide from case
having fever or giving history of fever.
3. Contact ASHAs during his fortnightly visit to village and collect
blood smears already taken by ASHA replenish both drugs and
glass slides and Rapid Diagnostic Kits (RDKs) and also look into the
account of consumption of Anti malarial drugs & use of RDKs.

30. 4. Dispatch blood smears to PHC laboratory twice a week .
5. See the results obtained by use of RDKs and verify the radical
treatment administered by ASHA, during his visit.
6. Administer radical treatment to positive cases as per drug
schedule prescribed.
7. Contact ASHA and inform the spray dates, and make request to
motivate the community and prepare them for accepting the
spray operations.

31. KALA AZAR ENDEMIC AREAS
1. From each family, he will enquire about presence of any fever case
of more than 15 days duration, whether any guest of house had
fever/kala azar.
2. Guide the suspected cases to the nearest PHC/CHC.
3. Health Education about Kala Azar disease.
Similar duties in JAPANESE ENCEPHALITIS and FILARIA
Endemic areas.

32. ENVIRONMENTAL SANITATION
 Chlorinate public water sources including wells at regular intervals.
 Educate community on:
a. method of disposal of liquid wastes;
b. method of disposal of solid wastes;
c. home sanitation;
d. advantages and use of sanitary type of latrines;
e. construction and use of smokeless chulhas.

33. JOB PROFILE OF CHO

34. CLINICAL
PUBLIC HEALTH
MANAGERIAL

35. • Clinical function to provide out patient care and
management
• Public health functions for health promotion,
prevention, disease surveillance
• Managerial function for efficient functioning of the
health and wellness center

36. A) Clinical function for out patient care and
management
1) Early detection , screening and first level management
•To identify the disease by history taking , physical
examination and to assess the sign and symptoms
•Provide 1st level of management

37. 2) Undertake referral to enable continuum of care
•High risks cases , complication , medical emergencies and
trauma
•Women in need of safe abortion services
•Rehabilitative care
•Cases with tertiary or secondary care under PMJAY

38. 3)Provide follow up care
• High risk pregnant women, post natal mother
• Children suffering from childhood illness
• Individual suffering from chronic illness – to assess
treatment compliance ,review parameters adherence
to life style modification
• Individual requiring palliative care need regular home
visits for treatment adherence as well as counselling

39. 4) Provide counselling support for the following:
•ANC, PNC , essential newborn care , nutritional
counselling , IFA use , WASH, childhood immunization,
•Prevention of RTI and STIs , health risk behavior related
to substance use, diet , exercise , violence

40. • Adoption of contraceptive use
• Prevention of water borne disease and infectious
disease
• Lifestyle modification , addressing risk factor and
treatment for NCDs

41. B)Public health functions for health promotion,
prevention and disease surveillance
1) Ensure collection of population based data and
planning for organizing services at HWCs
• Use this data to understand the key causes of
mortality and morbidity in the community
• Support and supervise the data and analyse it for
planning & report data to next level in accurate and
timely fashion .

42. Example : data related to pregnant mother and
children Under five will be used to prepare micro birth
plans and micro planning needed for universal
immunization programme

43. 2) Community level action for healthy promotion
prevention
•Conduct monthly VHSND and VHSNC meetings for
monitoring of community level activities for health
promotion
•Organize at least 30 health promotion campaigns in a
year on different themes
•Plan and undertake monthly health promotion
activities to improve community awareness of
services for sanitation , nutrition , life style
modification and control of communicable disease.

44. 3) Disease surveillance
•Verify the existence of an epidemic/outbreak by comparing the
count of the cases reported currently with what is usually seen
in the area at the same period .
•Inform the PHC MO officer and other authorities if the no.of
case higher than expected
•Search for cases and listing
•Participate in the control activity .

45. C) Managerial functions for efficient functioning
of HWCs
1) Recording ,reporting and monitoring of services delivery
• Maintain records on delivery of services at HWCs-OPD
• Maintain patient records , family health folders , health risk
assessment data and treatment details
•Timely completion of various health information system
•Submit monthly performance report

46. 2) Undertake administrative functions
•Maintain adequate stock of medicine
•Display the list of essential medicine and diagnostic test
services that will be available at your HWC
• Ensure proper upkeeping and maintenance equipment
•Proper utilization of fund and maintain record book for internal
controls, payments and expenditure

47. 3) Supportive supervision of HWC Team
•Conducting monthly HWC meeting with MPWs and ASHAs
• Conducting visit to beneficiary household where ASHA
require addition support
•Monitoring the conduction of community/ village level
meeting

48. Job responsibilities Medical
Officer

49. A Medical Officer must be a
• Planner
• Supervisor
• Promoter
• Coordinator
• Director
• Evaluator

50. • The Medical Officer is the captain of the health team at the
primary health center
• He is responsible for implementing all the activities grouped
under Health and Family Welfare delivery system in PHC
area
• Solely responsible for the proper functioning of the PHC and
activities in relation to RCH,NHM and other national
programs.

51. JOB RESPONSIBILTIES ?
Attend the OPD
Maintain the cold chain
Implementation of UIIP
Basic health care services
Organize the tubectomy and vasectomy camps
Implementation of National health programmes
Family planning services
Organize Training of ASHA,AWW and Dai’s

52. Organizing staff meeting (once a month ) at the PHC to review the
progress of the health activities
1.Field work
2.Visiting schools and arrange camps for the health checkups
3.Visit the each subcenters on the fixed days

54. PREVENTIVE
CURATIVE
PROMOTIVE

55. Curative work
• Attend to cases referred to him /her by health
assistants ,health workers ,ASHA/ voluntary health
workers where applicable ,dais or by the school
teachers
• Treatment of the emergency cases which come
outside the normal OPD hours
• Organize the lab services

56. Preventive and promotive work
• The Medical Officer will ensure implementation of various
National health and family welfare including NHM.
• Keep close liaison with the block development officer and the
staff ,community leaders and various social welfare agencies
and involve them to the best advantage in the promotion of
the health programmes in the area.
• Conduct field investigation to delineate local health problems.

57. Reproductive and Child Health programme
All the MHC and family welfare as assured at PHC should be made
available
• Will promote institutional delivery and ensure that PHC functions as
24*7 service delivery PHC wherever it is supposed to be so.
• Will provide leadership and guidance for the special program.
• Prophylaxis against blindness and vitamin A deficiency amongst
children (1-5 years ) and also will coordinate with ICDS

58. CONTD.
• Will visit the schools in the PHC at regular intervals
1. Arrange for the medical check up
2. Immunization
3. Treatment with proper follow up of those students who
have found the defect.
• Will ensure adequate stocks of the ORS .
• Monitor all the cases of diarrhea especially between the age
of 0-5 years .
• Organize chlorination of wells and coordinate with the
accountable authorities for the sanitation .

60. contd.
• Provide MCH services such as antenatal ,postnatal and intra-
natal care of the mothers and the infants and child care can go
through clinics at the PHC and sub-centers
• Will ensure early detection of diarrhea and dehydration and
arrange for the correction of severe dehydration through
appropriate treatment .

61. UNIVERSAL IMMMUNIZATION PROGRAMME
• Will plan and implement UIIP in the line with the latest policy
and ensure cent percent coverage of the target population.
• Will ensure the of the
vaccination and maintain the food chain.

62. National vector borne disease control
program (NVBDCP)
• Responsible for the prevention and control activities for the
various vector borne disease
• Responsible for all the operations in his/her PHC area
• Guide the health assistant and health workers on all
treatment schedules especially radical treatment and
primaquine .

63. • Will check the microscopic work of the lab technician
• Stratify sub center areas based on API to identify high risk sub
center API 2 and above API 5 and above and develop micro
action plan for carrying out the indoor residual spray
• Organization of the village level treatment camps of the
community owned bed nets
• Should consult the guidelines on the management and
treatment of cerebral malaria and treat cerebral malaria cases
as when required .

64. Filaria
• Will be responsible for all the elimination of lymphatic
filariasis activities in his /her area
• Should be completely acquainted with all problems and
difficulties in
1. line listing filaria cases ,
2. providing morbidity management services and
3. conducting mass drug administration.

65. Kala azar
Will be responsible for all the Kala azar operations in his area and
will be responsible for all administrative and technical matters
Will guide the health workers and health assistants on all the
treatment schedules ,criteria for suspecting a case to be kala azar
control activities ,complete treatment and to approach for the
immediate medical care .

66. Acute encephalitis syndrome / Japanese
encephalitis
Will be overall responsible for all AES/JE
prevention and control activities in his /her area
including spray operations
Should be completely acquainted with all problems
and difficulties regarding surveillance, diagnosis,
treatment and spray operations in his/her PHC

67. Leprosy
Diagnosis cases ensure the registrations and management of leprosy
and its complications with due counseling .
Ensure regularity and completion of treatment and retrieval of
defaulters
Ensure regular updating of records availability of adequate stock of
MDT ,prednisolone ,other supportive drugs and material and timely
submission of the reports .

68. Sexually transmitted disease
Will ensure the all the cases of the STD are diagnosed and properly
treated and their contacts are traced for the early detection.
Will provide facilities for RPR test for the pregnant women at the
PHC level .
Will receive the STI treatment training and provide syndromic
treatment for STI

69. School health
Medical officer will visit the schools in the PHC are at the regular intervals and
arrange for
Medical checkups
Immunization and
Treatment with proper follow up of those students found to have defects

70. National program for control of blindness
The medical officer will make arrangements for :
Treatment for the minor ailments
Testing of vision
Will refer cases to the appropriate institutes for specialized treatment
Will extend support to mobile eye care units

71. Training
• The Medical Officer will organize training programmes including
continuing education for the staff to PHC and ASHA under the
guidance of the direct health authorities and Health and Family
welfare training.
• He will provide opportunity to the staff for using the knowledge ,
skills and competencies learnt during the training.
• Get prepared and display charts in his/her own room to explain
clearly the geographical areas, location of peripheral health units
,morbidity and mortality and health statistics and other important
information about his/her area .

72. Job Responsibilities of Pharmacist
• Dispensing medicines.
• Dressing and giving injection including i.v. to
patients.
• Proper maintenance of surgical instruments and
equipment.
• Maintenance of medicine stores.

73. Contd…..
• Assist MO in operative work.
• He will maintain the record of all the drugs and injections etc. issued
to patients.
• prepare list of all such medicines, which are to expire in next six
months and put up such list for orders of S.M.O./M.O. in outdoor.
• Ensure proper storage of vaccines and sera in the institution at the
required temperature.

74. Contd…
• He will prescribe the medicines to patients in the absence of Medical
Officer.
• He will be in –charge of the CDs/PHCs in the absence of Medical
Officer.
• Any work duties assigned by the Medical Superintendent / S.M.O./
M.O. concerning to pharmacy work.

75. Job Responsibilities of Laboratory Technician
1. GENERAL LABORATORY PROCEDURES :
Maintain the cleanliness and safety
Sterilization
Proper disposal of specimens and infected
materials.
Maintain proper records of investigations
one.

76. 2. LABORATORY INVESTIGATIONS :
Examination of urine:-
• Specific gravity and Ph
• Sugar
• Protein(albumin)
• Bile pigments and bile salts
• Ketone bodies
• Microscopic examination

77.  Examination of stool:- macroscopic and microscopic
examination
Examination of blood:-
• Collection of blood specimen
• Hemoglobin estimation
• RBC count
• WBC count
• ESR
• Other tests depending upon the availability of instruments (blood
culture, widal test, HIV , Malaria, VDRL etc.)

78. Examination of sputum:- preparation , staining and
examination of sputum smear (NTEP-DOTS)
Test samples of drinking water.
Examination of skin and smears of leprosy patients.

79. 3. Maintenance of records and registers under NMEP
• Maintain all records of slides examined by him must get the positive
slides confirmed by medical officer of PHC.
• Maintain daily progress and output register of blood slides
examination.

80. JOB RESPONSIBILITIES OF PEON
• He will be on duty half hour early and leave half hour after the office
hours
• Dusting of tables, chairs, doors etc.
• Announce arrival of visitors to the officer concerned and help them to
meet the officer in an orderly manner.

81. Contd…..
• Bring tea and other refreshments.
• Carry oxygen cylinder, suction pumps, I/V stands to and fro in the
wards on direction from nursing staff.
• Observe all universal precautions for infection control as per the
manual.
• He will do such other duties as may be allotted to him by the hospital
authorities .

82. KEY MESSAGE
• The job description helps the Health Department to organise its work,
assign all the necessary tasks to right employee and effectively
addresses goals to be achieved .
• The works of the members of PHCs is mainly promotive and
preventive and to a less extent curative.
• Every members of health team should work as one unit and promote
work of each other.