The document outlines the duties and responsibilities of a district public health nurse, which include guiding community health nurses in developing micro plans for immunization programs, monitoring immunization sessions and outbreaks of diseases like polio and measles, collecting related data on infant deaths and maternal mortality, improving institutional deliveries and birth weight recording, and maintaining various data to monitor maternal and child health and family welfare activities in the district.

1. DUTIESANDRESPONSBILITIESOF
DISTRICPUBLICHEALTHNURSE
Public health nurse is directly responsible in
assisting the deputy Director of health services in
the implementation of following maternal and
child health activities:
 Guiding the community health nurses/ sector
health nurses /HW(f) in the development of micro
plan for the health sub enters for the
implementation of immunization programme.
 Verifying the proper maintenance of cold Chain at
the district head quarters and primary health
centres.

2.  Monitoring the immunization sessions held in
various subcenters areas in the district.
 Planning and implementation of mass immunization
programme.
 Immediate response for the adverse reaction
following.
 Investigation of outbreaks of polio , measles ,
neonatal tetanus and other vaccine preventable
disease and verifying maintaining the line listing of
vaccine preventable disease maintained in the office
of the deputy director of health services.
 Organizing containment measures for vaccine
preventable immunization.

3.  Collection of stool samples from the polio cases and also from
the contacts.
 Mopping up high risk areas for vaccine preventable disease
outbreaks.
 Collection of data related to infant deaths , deaths of children1
to 4 years; maternal death, line listing and investigation.
 Improving the birth – weight recording.
 Improving the institutional deliveries by the trained
personnel.
 Monitoring the pregnancy outcome and the survival of
infants.
 Organizing immunization session in the areas where village
health nurse is absent by making alternate arrangements.

4.  Detection and treatment of reproductive tract
infection (RTIs)and sexually transmitted infections
(STIs); HIV/AIDS preventive activities.
 She will motivate , monitor and review the
performance of the auxilary nurse mid-wives /
village health nurse in MCH family welfare
activities.
 She will supervise review and monitor the work of
sector health nurses and community health nurses
.
 She will ensure proper utilization drugs supplied
to the health subcenters.
 She will carry out annual inspection of primary
health subcenters.

5.  District health nurse will maintain the following data to
monitor the various MCH and FW activities in the
district:-
 List of health subcenters and collected data.
 Micro- level of plan for immunization .
 Advance tour programme of CHN.
 Health subcenters wise RCH and immunization data over
a period of year.
 Trained and untrained Dais particulars.
 List of first referral unit / private practitioners and
private hospitals.
 List of community nutrition centre.
 Various vital rates.
 Sample checking in the field.