The document summarizes India's health care delivery system from central, state, and local levels. At the central level, the key organizations are the Ministry of Health and Family Welfare, Directorate General of Health Services, and Central Council of Health. The state level system includes state health ministries and directors of health services. Locally, health services are delivered through primary health centers, community health centers, and at the village level by village health guides and anganwadi workers.
To accomplish community health goals and its aims the following approaches are to be utilized by community health professionals:-
1)persuasive approach 2)enforcement 3)team approach 4)community involvement 5)Intersectorial approach
For adventurous travel blog please visit http://wilsontom.blogspot.com
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
Descriptive statistics offer nurse researchers valuable options for analysing and pre-senting large and complex sets of data, suggests Christine Hallett
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
To accomplish community health goals and its aims the following approaches are to be utilized by community health professionals:-
1)persuasive approach 2)enforcement 3)team approach 4)community involvement 5)Intersectorial approach
For adventurous travel blog please visit http://wilsontom.blogspot.com
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
Descriptive statistics offer nurse researchers valuable options for analysing and pre-senting large and complex sets of data, suggests Christine Hallett
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
An acceptable health care delivery sys- tem should have two primary objectives: (1) it must enable all citizens to access health care services, and (2) the services must be cost-effective and meet certain established standards of quality.
This ppt contains all the information about Health system in India / Health Administration. It is useful for students of medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
health care system is community led topic usefull for nursing students and medical students who can improove their knowledge by reading this slide
bhad me ja aur kitna describtion likhu
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. HEALTH CARE DELIVERY SYSTEM
Introduction:
India is a union of 28 states and 7 union territories.
States are largely independent in matters relating to the
delivery of health care to the people. Each state has
developed its own system of health care delivery,
independent of the Central Government. The Central
Government responsibility consists mainly of policy
making, planning, guiding, assisting, evaluating and
coordinating the work of the State Health Ministries. The
health system in India has 3 main links
1. Central
2. State and
3. Local or peripheral
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3. At the central
• The official “organs” of the health system at the
national level consist of
• 1. Ministry of Health and Family Welfare
• 2. The Directorate General of Health Services
• 3. The Central Council of Health and Family Welfare
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4. Union Ministry of Health and Family
Welfare.
Organization Pattern
Cabinet Minister
↓
Department of Health Department of Family Welfare
↓ ↓
Joint Secretary Additional Secretary
↓ ↓
Deputy Secretary Commissioner
↓ ↓
Administrative staff Joint Secretary
↓
Administrative staff
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5. Functions: Ministry of Health and Family Welfare.
Union list
1. International health relations and administration of port
quarantine
2. Administration of Central Institutes such as All India
Institute of Hygiene and Public Health, Kolkata.
3. Promotion of research through research centers
4. Regulation and development of medical,
pharmaceutical, dental and nursing Professions
5. Establishment and maintenance of drug standards
6. Census and collection and publication of other statistical
data
7. Immigration and emigration
8.Regulation of labor in the working of mines and oil fields
9. Coordination with states and with other ministries for
promotion of health www.drjayeshpatidar.blogspot.in
6. • Concurrent list
The functions listed under the concurrent list are the responsibility
of both the union and state governments.
1. Prevention and extension of communicable diseases
2. Prevention of adulteration of food stuffs
3. Control of drugs and poisons
4. Vital statistics
5. Labor welfare
6. Ports other than major
7. Economic and social planning
8. Population control and Family Planning
9. Preparation of health education material for creating health
awareness through Central Health Education Bureau.
10. Collection, compilation, analysis, evaluation an dissemination of
information through the Central Bureau of Health Intelligence
11. National Medical Library
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7. Directorate General of Health Services
Organization Pattern
Directorate General of health services
↓
Director General of health services
↓
Additional Director General of health service
↓
Deputy Directorate General of health services
↓
Administrative staff
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8. FUNCTIONS OF D.G.H.S
1. International health relations and quarantine of all major
ports in country and International airport
2. Control of drug standards
3. Maintain medical store depots
4. Administration of post graduate training programmes
5. Administration of certain medical colleges in India
6. Conducting medical research through Indian Council of
Medical Research
7. Central Government Health Schemes.
8. Implementation of national health programmes
9. Preparation of health education material for creating health
awareness through Central Health Education Bureau.
10. Collection, compilation, analysis, evaluation and
dissemination of information through the Central Bureau of
Health Intelligence
11. National Medical Library
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9. Central Council of Health
Organization Pattern
Chairman
(Union health Minister)
↓
Members
(State health Minister)
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10. Functions Of Central Council Of Health
1. To consider and recommend broad outlines of
policy regard to matters concerning health like
environment hygiene, nutrition and health
education.
2. To make proposals for legislation relating to
medical and public health matters.
3. To make recommendations to the central
government regarding distribution of grants-
in-aid.
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11. AT THE STATE LEVEL
Organization Pattern
(1) State Ministry of Health & family welfare
↓
Deputy Minister of Health and Family Welfare
↓
Health Secretary
↓
Deputy Secretaries
↓
Administrative staff
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12. •
(2) State Director of health
↓
Director of Medical Education Director of Health Services
↓ ↓
Dean of medical college Additional Director of Health Services
↓ ↓
State nursing superintendent Deputy Director of Health Services
↓ ↓
Hospital Education Regional Function
↓ ↓ ↓ ↓
Nsg Superintendent Nsg Officer MCH, TB, Leprosy, Immunization
↓ ↓
Ward Incharge Senior tutor
↓ ↓
Nsg Staff Junior tutor
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13. Functions of state health Director:
(1) Studies in depth the health problem and needs in the state and
plans scheme to Solve them.
(2) Providing curative &preventive services.
(3) Provision for control of milk and food sanitation.
(4) Prevention of any outbreak of communicable diseases.
(5) Promotion of health education
(6) Promotion of health programmes such as school health, family
planning, occupational health
(7) Supervision of PHC
(8) Establishing training courses for health personnel
(9) Co-ordination of all health services with other minister of state
such as minister of education, central health minister
&voluntary agency
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14. At the district level
There are 593 ( year 2001 ) districts in India.
Within each district, there are 6 types of
administrative areas.
1. Sub –division
2. Tehsils( Talukas )
3. Community Development Blocks
4. Municipalities and Corporations
5. Villages and
6. Panchayats
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15. Ø Most district in India are divided into two or
more subdivision, each incharge of an Assistant
Collector or Sub Collector
Ø Each division is again divided into talukas,
incharge of a tahsildhar. A taluka usually
comprises between 200 to 600 villages
Ø The community development block comprises
approximately 100 villages and about 80000 to
1,20,000 population, in charge of a Block
Development Officer.
Ø Finally, there are the village panchayats, which
are institutions of rural local self-government.
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16. The urban areas of the district are organized into
Ø Town Area Committees (in areas with
population ranging between 5,000 to10,000
Ø Municipal Boards (in areas with population
ranging between 10,000 and 2,00,000)
Ø Corporations (with population above 2,00,000)
Ø The Town Area Committees are like panchayats.
They provide sanitary services.
Ø The Municipal Boards are headed by Chairmen
/President, elected by members.
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17. The functions of Municipal Board:
Ø Construction and maintenance of roads
Ø Sanitation and drainage
Ø Street lighting
Ø Water supply
Ø Maintenance of hospitals and dispensaries
Ø Education and
Ø Registration of births and deaths etc
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18. Panchayat Raj -
The panchayat raj is a 3-tier structure of rural
local self-government in India linking the village
to the district.It includes
Ø Panchayat (at the village level)
Ø Panchayat Samiti( at the block level)
Ø Zila Parishad(at the district level
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19. Panchayat (at the village level):
The Panchayat Raj at the village level consists of
Ø The Gram Sabha
Ø The Gram Panchayat
The Gram Sabha:
It is the assembly of all the adults of the village, which
meets at least twice a year.The gram sabha considers
proposals for taxation,and elect members of The
Gram Panchayat.
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20. The Gram Panchayat
• It is the executive organ of the gram sabha and an
agency for planning and development at the
village level. The population covered varies from
5000 to 15000 or more. The members of
panchayat hold offices for a period of 3to4 years.
Every panchayat has an elected president
(Sarpanch or Sabhapati or Mukhia), a vice
president and panchayat secretary. It covers the
civic administration including sanitation and
public health and work for the social and
economic development of the village
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21. Panchayat Samiti (at the block level):
• The block consists of about 100 villages and a
population of about 80,000 to 1,20,000. The
panchayat samiti consists of Sarpanch, MLAs,
MPs residing in block area, representative of
women, SC, ST and cooperative societies. The
primary function of The Panchayat Samiti is the
execute the community development
programme in the block. The Block development
Officer and his staff give technical assistance
and guidance in development work.
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22. Zila Parishad (at the district level):
• The Zila Parishad is the agency of rural local self
government at the district level . The members
of Zila parishad include all heads of panchayat
samiti in the district,MPs, MLAs, representative
of SC, ST and women and 2 persons of
experience in administration, public life or rural
development. Its functions and powers vary
from state to state.
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23. Health care system:
(1) At village level
(2) At sub center level
(3) At PHC level
(4) At CHC level
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24. At village level:
• At the village level, elementary services are
rendered by
(a) Village health guides
(b) Local dais
(c) Anganwadi workers
(d) ASHA
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25. Village health guides:
• Village health guide is a person with an
aptitude for social service and is not full time
govt. functionary. Village health guides scheme
was introduced on 2nd oct. 1977.
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26. Guidelines for their selection:
(1) They should be permanent resident of the local
community, preferably women
(2) They should be able to read and write, having minimum
formal education at least up to the VI std.
(3) They should be acceptable to all sections of community
(4) They should be able spare at least 2 to 3 hours every day
for community health work.
After selection the health guide undergo a short
training in primary health care. The training is arranged in
the nearest PHC, subcenter or other suitable place for the
duration of 200 hours, spread over a period of 3 months.
During the training period they receive a stipend of Rs.
200 per month.
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27. Functions of Village health guides:
(1) Provide treatment for common minor
ailments
(2) First aid during accidents and emergency
(3) MCH care
(4) Family planning
(5) Health education
www.drjayeshpatidar.blogspot.in
28. Local dais:
• Most deliveries in rural areas are handled by
untrained dais. The training for dais given for 30
working days. Each dai is paid stipend of Rs. 300
during the training period. The training is given at
PHC,subcenters or MCH center for 2 days in a week
and on the remaining four days of the week they
accompany the health worker(female) to the village.
During her training each dai is required to conduct
at least 2 deliveries under the supervision and
guidance of health worker (female), ANM,health
assistant (female).
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29. Functions of dais:
(1) MCH care
(2) Family planning
(3) Immunization
(4) Education about health
(5) Referral services
(6) Safe water and basic sanitation
(7) Nutrition
www.drjayeshpatidar.blogspot.in
30. Anganwadi worker:
• Under the ICDS scheme there is an anganwadi
worker for a population of 1000.There are about
100 such workers in each ICDS project. The
anganwadi worker is selected from the
community and she undergoes training in
various aspect of health, nutrition and child
development for 4 months. She is a part time
worker and paid an honorarium of Rs.200-250
per month for the services.
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31. Functions of anganwadi worker
(1) MCH care
(2) Family planning
(3) Immunization
(4) Education about health
(5) Referral services
(6) Safe water and basic sanitation
(7) Supplementary nutrition
(8) Nonformal education of children
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32. Accredited Social Health Activist
(ASHA)
• One of the key components of the National Rural
Health Mission is to provide every village in the
country with a trained female community health
activist – ‘ASHA’ or Accredited Social Health
Activist. Selected from the village itself and
accountable to it, the ASHA will be trained to
work as an interface between the community and
the public health system. Following are the key
components of ASHA
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33. SELECTION OF ASHA
• The general norm will be ‘One ASHA per 1000
population’. In tribal, hilly, desert areas the norm
could be relaxed to one ASHA per habitation,
dependant on workload etc.
• The States will also need to work out the district and
block-wise coverage/phasing for selection of ASHAs.
• It is envisaged that the selection and training process
of ASHA will be given due attention by the concerned
State to ensure that at least 40 percent of the ASHAs
in the State are selected and given induction training
in the first year as per the norms given in the
guidelines. Rest of the ASHAs can subsequently be
selected and trained during second and third year.
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34. Criteria for Selection
• ASHA must be primarily a woman resident of the
village ‘Married/Widow/Divorced’ and
preferably in the age group of 25 to 45 yrs.
• ASHA should have effective communication
skills, leadership qualities and be able to reach
out to the community. She should be a literate
woman with formal education up to Eighth
Class.
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35. Roles and responsibilities of ASHA:
• provide information to the community on
determinants of health such as nutrition, basic
sanitation & hygienic practices, healthy living.
• She will counsel women on birth preparedness,
importance of safe delivery, breast- feeding and
complementary feeding, immunization,
contraception and prevention of common
infections including Reproductive Tract
Infection/Sexually Transmitted Infection
(RTIs/STIs) and care of the young child.
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36. • ASHA will mobilize the community and facilitate
them in accessing health and health related
services available at the village/sub-
center/primary health centers, such as
Immunization, Ante Natal Check-up (ANC), Post
Natal Check-up (PNC), ICDS, sanitation and other
services being provided by the government.
• ASHA will provide primary medical care for
minor ailments such as diarrhea, fevers, and
first aid for minor injuries
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37. • She will also act as a depot holder for essential
provisions being made available to every
habitation like Oral Rehydration Therapy (ORS),
Iron Folic Acid Tablet (IFA), chloroquine,
Disposable Delivery Kits (DDK), Oral Pills &
Condoms, etc.
She will inform about the births and deaths in
her village and any unusual health
problems/disease outbreaks in the community to
the Sub-Centers/Primary Health Centre.
• She will promote construction of household
toilets under Total Sanitation Campaign.
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38. STAFFING PATTERN,FUNCTIONS AND MANPOWER
(1) Subcenter:
Topics
(1) Population covered
(2) Functions
5000 in general
3000 in tribal & hilly areas
(1) MCH care
(2) Family planning
(3) Immunization
(4) Education about health
(5) Referral services
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39. Topics EXISTING RECOMMENDED(IPHS
(3) Staffing
pattern
Health worker female 1
Health worker male 1
Voluntary worker 1
(paid Rs 100 per month as
Honorarium)
1
1
Safai Karmachari---1
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40. (2) Primary health center:
TOPICS
(1) Population covered
(2) Functions
30,000 rural population in plains
20,000 population in hilly, tribal
(1) MCH care
(2) Family planning
(3) Immunization
(4) Education about health
(5) Referral services
(6) Safe water and basic sanitation
(7) Prevention and control of
locally endemic diseases
(8) Collection and reporting of vital
statistics
(9) National health programmes
(10) Training of health guides, health
workers, local dais and health
assistant
(11) Basic laboratory services
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41. TOPICS EXISTING RECOMMENDED(IPHS)
(3) Staffing pattern Medical officer 2
Pharmacist 1
Nurse midwife 1
Health worker female 1
Block extension educator 1
Health assistant (female) 1
Opthalmic assistant 1
Data handler 1
Health assistant male 1
U.D.C 1
L.D.C 1
Driver 1
Class IV 4
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42. (3) Community health center:
TOPICS
(1) Population
covered
(2) Bed capacity
(3) Specialty
80,000 to 1.20 lakhs
30 Beds
Surgery, medicine,
obstetrics and
gynecologist and
pediatrics with X-ray
and lab facilities.
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43. TOPICS
(1) Population covered
(2) Bed capacity
(3) Specialty
(3) Functions
80,000 to 1.20 lakhs
30 Beds
Surgery, medicine, obstetrics and
gynecologist and pediatrics with
X-ray and lab facilities.
Care of routine and
emergency cases in surgery
Care of routine and
emergency cases in medicine
24 hours delivery services
including normal and
assisted deliveries
Essential and emergency
obstetric care including
caesarean sections andother
Medical interventions.
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44. TOPICS
• Full range of family planning services
including laparoscopic services
• Safe abortion service Newborn care
• Routine and emergency care of
children
• Other management including Nasal
packing,tracheostomy,foreign body
removal
(10) All national health
programmes delivered through
CHC
Other services
(a) Blood storage
facility
(b) Essential lab.
Services
(c ) Referral
(transport) services
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45. TOPICS
(4) Staffing pattern Existing clinical manpower
General surgeon 1
Physician 1
Obstetrics/ gynecologist 1
Pediatrician 1
Proposed clinical man power
Anesthetics 1
Eye surgeon 1
Public health programme 1
manager
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47. (1) Medical officer:
• He is the captain of the health team at the primary
health center.
• He devotes the morning hours attending to patients
in the outdoor,in the afternoon and supervises the
field work.
• He visits each subcenter regularly on fixed days and
hours and provides guidance, supervision and
leadership to the health team.
• He spends one day in each month organizing staff
meetings at PHC to discuss the problems and review
the progress of health activities.
Job description of the members of the health team:
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48. • He ensures that national health programmes are
being implemented in in his area properly.
• The success of PHC depends largely on the team
leadership which the medical officer is able to
provide.
• The medical officer must be a planner, the
promoter, the director, the supervisor, the
coordinator as well as the evaluator.
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49. Health worker female:
• She will register pregnant women from three months
of pregnancies onwards.
• Maintain maternity record, register of antenatal cases,
eligible couple register, children register up to date.
• She will provide care to pregnant women especially
registered mother throughout the period of pregnancy;
• Give advice on nutrition to expectant and nursing
mothers about storage, preparation and distribution of
food.
• Immunize pregnant mothers with tetanus toxoid.
• Conduct about 50% of total deliveries at home.
• Supervise deliveries conducted by Dais and whenever
call in.
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50. • Spread the message of family planning to the couples;
motivate them for family planning individually and in
groups.
• Distribute conventional contraceptives to the couples.
• Assess the growth and development of the infant and
take necessary action.
• Records and reports births and deaths in her area.
• Test urine for albumin and sugar and do Hb during her
home visit.
• Arrange and help M.O and health assistant in
conducting MCH and family planning clinics at sub
centers.
• Maintain the cleanliness of subcenter.
• Attend staff meetings at PHC, CD block or both.
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51. Health worker male:
• He will survey all the families in his area and collect
all the information about each village/ locality in his
area.
• Identify the cases of communicable diseases and
notify the health assistant male and M.O PHC
immediately.
• Educate the community about importance of
control and preventive measures against
communicable diseases.
• Assist the village health guide in undertaking the
activities under TB programme properly.
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52. • Educate community on the method of liquid and solid
waste, home sanitation, advantage and use of sanitary
latrines.
• Assist the health assistant male in the school health
programme.
• Utilize the information from the eligible couple and
child register for the family planning programme.
• Spread the message of family planning to the couples;
motivate them for family planning individually and in
groups.
• Distribute conventional contraceptives to the couples.
• Provide follow-up services to male family planning
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53. Health assistant female:
• Supervise and guide the health workers in the
delivery of health care services to the community.
• Carry out supervisory home visiting.
• Guide the health workers (female) in Distribution
of conventional contraceptives to the couples.
Visit each of the 4 subcenters at least once in a
week on fixed days.
• Respond to urgent calls from the health workers
and trained dais and render necessary help.
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54. • Organize and utilize the mahila mandal, teachers
etc., in the family welfare programme.
• Provide information on the availability of services
for MTPs and refer suitable cases to the approved
institution.
• Supervise the immunization of all pregnant women
and children (0-5 years)
• Collect and compile the weekly reports of births
and deaths occurring in his area.
• Educate the community regarding the need of
registration of vital events.
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55. Health assistant male:
• Supervise the work of Health worker male during
concurrent visit.
• Check minimum 10% of houses in village.
• Supervise the spraying of insecticides during local
spraying along with the health worker (male).
• Conduct immunization of all school going children with
the help of health worker (male).
• Supervise the immunization of all children’s (0-5 years).
• Assist M.O.PHC in organization of family planning
camps and drives. .
• Provide information on the availability of services for
MTPs and refer suitable cases to the approved
institution.
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56. • Ensures follow-up of all cases of vasectomy, tubectomy
IUD and other family planning acceptors.
• Ensure that all the cases of malnutrition infants and
young children's (0-5years) are given the necessary
treatment and advice and refer serious cases to PHC.
• Ensure that Iron and folic acid and Vitamin A are
distributed to the beneficiaries. Conduct MCH and
family planning clinics and carry out educational
activities.
• Organize and conduct training for dais women leaders
with the help of health workers
• Collect and compile the weekly reports of births and
deaths occurring in his area.
• Educate the community regarding the need of
registration of vital events.
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