The document discusses the concept of a health team and its composition and functions. It describes the roles of various community health workers that make up the health team, including the district public health nursing officer, block health nurse, public health nurse, lady health visitors, and health workers. The health team aims to provide full health coverage to the population through a mix of health professionals working together under leadership. Each member has specific responsibilities for activities like supervising other health workers, conducting home visits, maintaining records and supplies, providing antenatal care, immunizations, and health education.
This document outlines several national health policies and objectives in India, including the National Health Policy, National Policy on AYUSH, and National Population Policy. It provides definitions of policy and health policy. The objectives of the policies are to improve health status and outcomes, increase access to primary healthcare services, and strengthen the health system. Some specific goals mentioned are reducing mortality rates, increasing utilization of public health facilities, expanding health infrastructure and the community health workforce.
Family health services aim to promote the health and well-being of the family unit. The family is considered the basic building block of any healthcare system. Family health nurses provide comprehensive care through services related to reproductive health, child health, adolescent health, mental health, gender issues, and aging. The goals of individual, family, and community health can be achieved through family health services, which follow a nursing process of assessment, diagnosis, planning, implementation, and evaluation to address family health needs and problems. An effective family health nurse has qualities like being family-centered, holistic, non-judgmental, and able to work flexibly with diverse families.
The document discusses the roles and responsibilities of District Public Health Nurses (DPHNs) and District Public Health Nursing Officers (DPHNOs) in India. DPHNs and DPHNOs supervise public health nursing and midwifery staff in their district. Their responsibilities include evaluating population health trends, developing public health programs, providing health education and care to vulnerable groups, and supervising other nursing staff. DPHNs and DPHNOs also provide guidance, education and training to nursing students. They work to improve health services and ensure resources are available in their districts.
Training and supervision of health workersKrupa Mathew
This document discusses training and supervision of various health workers in India. It begins by defining training and supervision and their objectives. It then describes in detail the training programs for Auxiliary Nurse Midwives (ANMs), Multi Purpose Health Workers, Village Health Guides, Local Dais, Anganwadi Workers, and Accredited Social Health Activists (ASHAs). The training durations and requirements for each program are provided. The document also covers the objectives and principles of supervision for health workers.
Family health services are the central point of health services.
It is an important component of “Health for All” goal.
Health of each individual affects the health of other member of family.
This document discusses the functions of a community health team in India. It defines a health team as a group that works together to promote better health. The key members of a community health team are described as physicians, national social workers, health assistants, village health guides, panchayat leaders, teachers, and woman health leaders. The functions of the health care team are outlined as providing maternal and child health services, family planning, disease prevention, and primary medical care to individuals, families and the community.
CHN Process Includes 6 Steps such as Community assessment, Community Diagnosis, Planning, Implementation, Evaluation & Re-planning.
Topic of F.Y.GNM
Subject - CHN I
The document summarizes the organization of health services in India from the central, state, district, and block levels. At the central level, the Union Ministry of Health and Family Welfare oversees departments that deal with health, family welfare, and Ayush systems. It coordinates with states and oversees national health programs. States have their own health directorates responsible for implementing central policies and programs. Districts are headed by Chief Medical Officers of Health. At the block level, a three-tier structure consists of Community Health Centers, Primary Health Centers, and Sub Centers serving populations of varying sizes.
This document outlines several national health policies and objectives in India, including the National Health Policy, National Policy on AYUSH, and National Population Policy. It provides definitions of policy and health policy. The objectives of the policies are to improve health status and outcomes, increase access to primary healthcare services, and strengthen the health system. Some specific goals mentioned are reducing mortality rates, increasing utilization of public health facilities, expanding health infrastructure and the community health workforce.
Family health services aim to promote the health and well-being of the family unit. The family is considered the basic building block of any healthcare system. Family health nurses provide comprehensive care through services related to reproductive health, child health, adolescent health, mental health, gender issues, and aging. The goals of individual, family, and community health can be achieved through family health services, which follow a nursing process of assessment, diagnosis, planning, implementation, and evaluation to address family health needs and problems. An effective family health nurse has qualities like being family-centered, holistic, non-judgmental, and able to work flexibly with diverse families.
The document discusses the roles and responsibilities of District Public Health Nurses (DPHNs) and District Public Health Nursing Officers (DPHNOs) in India. DPHNs and DPHNOs supervise public health nursing and midwifery staff in their district. Their responsibilities include evaluating population health trends, developing public health programs, providing health education and care to vulnerable groups, and supervising other nursing staff. DPHNs and DPHNOs also provide guidance, education and training to nursing students. They work to improve health services and ensure resources are available in their districts.
Training and supervision of health workersKrupa Mathew
This document discusses training and supervision of various health workers in India. It begins by defining training and supervision and their objectives. It then describes in detail the training programs for Auxiliary Nurse Midwives (ANMs), Multi Purpose Health Workers, Village Health Guides, Local Dais, Anganwadi Workers, and Accredited Social Health Activists (ASHAs). The training durations and requirements for each program are provided. The document also covers the objectives and principles of supervision for health workers.
Family health services are the central point of health services.
It is an important component of “Health for All” goal.
Health of each individual affects the health of other member of family.
This document discusses the functions of a community health team in India. It defines a health team as a group that works together to promote better health. The key members of a community health team are described as physicians, national social workers, health assistants, village health guides, panchayat leaders, teachers, and woman health leaders. The functions of the health care team are outlined as providing maternal and child health services, family planning, disease prevention, and primary medical care to individuals, families and the community.
CHN Process Includes 6 Steps such as Community assessment, Community Diagnosis, Planning, Implementation, Evaluation & Re-planning.
Topic of F.Y.GNM
Subject - CHN I
The document summarizes the organization of health services in India from the central, state, district, and block levels. At the central level, the Union Ministry of Health and Family Welfare oversees departments that deal with health, family welfare, and Ayush systems. It coordinates with states and oversees national health programs. States have their own health directorates responsible for implementing central policies and programs. Districts are headed by Chief Medical Officers of Health. At the block level, a three-tier structure consists of Community Health Centers, Primary Health Centers, and Sub Centers serving populations of varying sizes.
The document discusses rehabilitation nursing. It begins by defining rehabilitation as the restoration of normal life through retraining and medical treatment after illness or impairment. Rehabilitation nursing aims to restore abilities to the highest level of function, prevent further disability, protect existing abilities, and assist present abilities.
Rehabilitation involves a team approach including nurses, physical therapists, occupational therapists, and others. It can be institution-based in hospitals or community-based using local resources. Community-based rehabilitation focuses on enhancing quality of life and involves the community, families, and disabled individuals. The role of nurses in rehabilitation includes assessment, care planning, implementation, and evaluation to improve functioning and independence.
A health team consists of various medical professionals who work together to care for patients. The core members typically include a physician responsible for medical diagnosis and treatment, nurses who delegate duties and provide care, and a dietitian who designs special diets. Other common members are physiotherapists who provide rehabilitation services, social workers who assist with non-medical needs, and occupational therapists who help patients gain skills for daily living. Additional community-based roles include health assistants, community health workers, Accredited Social Health Activists (ASHAs), village health guides, and trained local community members. All work to identify health issues and solutions in their communities.
The document discusses family welfare services in India. It defines family and outlines the aims of family welfare services, which include ensuring citizen welfare, reducing maternal and child mortality, and controlling population growth. It describes the various services provided, including antenatal care, immunization, family planning methods, and more. It details the role of community health nurses in providing leadership and delivering family welfare interventions like education, motivation, and distribution of supplies at the community level.
voluntary health agencies have its own administrative body or committee which raises fund through its membership or through private sources. It has staff either paid or on a voluntary basis. Works for health promotion, health education & health legislation, etc.
Home visit concept, purpose, principles, role of community health nurse in ho...AayeshaHendricks
1. A home visit is defined as providing nursing care and health services to patients and families in their homes. It allows community health nurses to assess home environments and provide treatment, education, and support.
2. The purposes of home visits include disease prevention, treatment, comfort, education, assessment of high-risk individuals like mothers and babies, and screening for communicable diseases.
3. During home visits, community health nurses establish relationships with families, observe home situations, provide care, demonstrate procedures, supervise family caregiving, and give mental support and education to patients.
This document outlines the key components of an essential basic health service at the community level. It states that such a service should be comprehensive, accessible, acceptable, involve community participation, and be affordable. The goals of community health services are to reduce mortality and morbidity, increase life expectancy, decrease population growth rates, improve nutrition, provide basic sanitation, and support economic development through agriculture, food production, and small industries. The document then describes the various types of health care services that should be provided at the community level.
There are several international and national health agencies that work to promote health and reduce disease. International agencies include the WHO, UNICEF, UNDP, World Bank, FAO, and USAID. They work on health initiatives worldwide and provide funding. National agencies in India include the Indian Council for Child Welfare and organizations focused on tuberculosis, leprosy, women's health, and more. The agencies have objectives like preventive healthcare, treatment, lowering population growth and poverty, and increasing education.
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
The document provides information on home visiting by community health nurses. It defines home visiting as providing health services to families in their homes. The purposes of home visits are to assess health and environmental conditions, provide care, education and counseling. Home visits allow nurses to build relationships with families and provide continuity of care. Planning, priority-setting, bag preparation and evaluation are discussed. Home visits require establishing trust, respecting culture and flexibility to address urgent needs.
CONCEPT, OBJECTIVES ,SCOPE, PRINCIPLES, Philosophy OF COMMUNITY HEALTH NURSEKailash Nagar
The document discusses different philosophies and concepts of community health nursing:
1) It outlines four concepts of health - biomedical, ecological, psychosocial, and holistic. The biomedical concept views health as the absence of disease, while the ecological concept sees health as a dynamic equilibrium between humans and their environment.
2) It then describes three philosophies that guide community health nursing: the philosophy of individual health rights, the philosophy of working together under competent leadership for the common good, and the philosophy that communities have potential for development and can address their own problems with education.
3) The final philosophy discussed is socialism.
The document discusses the community health nursing process. It defines the community health nursing process as a systematic series of steps followed by public health nurses to address community health problems using community resources. The main steps of the nursing process are: 1) establishing relationships with the community, 2) assessing health needs and problems, 3) setting objectives, 4) planning and implementing interventions, and 5) evaluating interventions. Principles for effective community health nursing include exploring the community, establishing relationships, understanding the health system, providing realistic services, and maintaining collaboration.
Community health nurses use three main approaches: the epidemiological approach, problem-solving approach, and evidence-based approach. The epidemiological approach involves investigating disease causation, distribution, and determinants in populations. The problem-solving approach is a systematic process of defining problems, analyzing them, generating and evaluating solutions, and implementing the best one. The evidence-based approach integrates the best research evidence with clinical expertise and patient values to provide high-quality, effective care.
HEALTH COMMITTEES IN COMMUNITY HEALTH NURSING Astha Patel
The document discusses several health committees constituted by the Government of India:
1) The Bhore Committee of 1943 assessed India's poor health conditions and recommended establishing an integrated rural health services system with primary health centers.
2) The Mudaliar Committee of 1959 evaluated progress since Bhore and found health services remained unsatisfactory. It recommended strengthening primary health centers and district hospitals.
3) Subsequent committees addressed issues like malaria eradication (Chadha), family planning services (Mukherjee), and developing a multipurpose health worker system (Kartar Singh).
Later committees focused on integrating health services (Jungalwalla), developing medical support staff (Shrivast
This document discusses various health insurance schemes in India. It begins by outlining the objectives and definitions related to health insurance. There are four main types of schemes: mandatory, employer-based, voluntary private schemes. The two largest mandatory schemes are the Employees' State Insurance Scheme (ESIS) and the Central Government Health Scheme (CGHS). ESIS provides coverage to industrial workers through contributions from employers and employees. CGHS covers central government employees and their families through medical facilities. Issues with the schemes include low quality of care, lack of awareness, and poor rural penetration. The role of nurses includes educating people about the schemes and advocating for patients.
Community health nurses use various approaches in their work, including the epidemiological approach, problem-solving approach, and evidence-based approach. The epidemiological approach involves studying disease distribution, determinants, and applying findings to control health problems. The problem-solving approach is a systematic process of defining problems, analyzing solutions, selecting the best solution, implementing it, and evaluating outcomes. The evidence-based approach integrates scientific evidence with clinical expertise to improve practices and patient outcomes.
This document discusses home visiting as a core part of community health nursing. It defines home visiting as providing nursing care to patients in their homes, requiring technical skills and judgment. The purposes of home visits are to assess individual, family, and community health needs and provide services like health education, counseling, and basic care. The key steps of home visits are fact-finding, data analysis, planning, taking action and providing health education, closing the visit, recording details, and evaluating the impact. Home visits aim to establish relationships and address priorities like maternal and child health.
The community health nurse performs various roles and functions within the community setting. These include serving as a care provider by delivering continuous comprehensive care with an emphasis on prevention. The nurse also acts as a health educator by teaching individuals and groups about health promotion, illness prevention, and care. Additional roles include counselor, resource person, sensitive observer, advisor, planner, care manager, and medical assistant by coordinating with physicians. Key qualities for a community health nurse are interest in community health, strong interpersonal skills, sensitivity, communication abilities, and qualities like initiative, patience and resourcefulness.
Communty health nursing- Definition, principles , ScopeAnand Gowda
This document contains information about the definition and principles of community health nursing according to the American Nurses Association from 1980. It defines community health nursing as a synthesis of nursing practice and public health practice aimed at promoting and preserving the health of populations. The focus is on the population as a whole, with nursing directed at individuals, families, and groups contributing to overall population health. Principles of community health nursing include health promotion, maintenance, education, management, care coordination, and a holistic approach.
The document discusses a study on the perception of nursing personnel regarding the significance, challenges, and prospects of the Trained Nurses Association of India (TNAI). Some key findings from the study include:
- 59.6% of nursing personnel surveyed were members of TNAI, though participation in activities was low.
- The main significance identified was that membership was essential (73.3%), though only 33.3% felt TNAI actively resolved issues.
- The biggest challenges identified were inadequate government representation (81.3%) and lack of motivated leaders (75.4%).
- Over 80% of nursing personnel expected TNAI to influence government policies and regulate staffing patterns.
The document discusses the roles and responsibilities of various members of a health team. It focuses on the roles of nursing personnel like the Lady Health Visitor (LHV) and Auxiliary Nurse Midwife (ANM). The LHV acts as a supervisor, guiding and monitoring the work of ANMs. Key duties of the LHV include supervising ANMs, ensuring supply and maintenance of health centers, coordinating immunization programs, and providing maternal and child health services. The ANM works closely with communities, providing antenatal care, assisting deliveries, immunizations, nutrition programs, and family planning services.
Job responsibilities of health assistant (male &female)Kailash Nagar
The document outlines the job responsibilities of health assistants (male and female) in India. It describes that health assistants (male) supervise and guide health workers (male), ensure teamwork, maintain supplies and equipment, and play roles in disease control programs like immunization. Health assistants (female) have additional responsibilities of providing maternal and child health services, nutrition programs, health education, and school health services. Both positions work to deliver primary healthcare and implement national health programs under the supervision of medical officers at primary health centers.
The document discusses rehabilitation nursing. It begins by defining rehabilitation as the restoration of normal life through retraining and medical treatment after illness or impairment. Rehabilitation nursing aims to restore abilities to the highest level of function, prevent further disability, protect existing abilities, and assist present abilities.
Rehabilitation involves a team approach including nurses, physical therapists, occupational therapists, and others. It can be institution-based in hospitals or community-based using local resources. Community-based rehabilitation focuses on enhancing quality of life and involves the community, families, and disabled individuals. The role of nurses in rehabilitation includes assessment, care planning, implementation, and evaluation to improve functioning and independence.
A health team consists of various medical professionals who work together to care for patients. The core members typically include a physician responsible for medical diagnosis and treatment, nurses who delegate duties and provide care, and a dietitian who designs special diets. Other common members are physiotherapists who provide rehabilitation services, social workers who assist with non-medical needs, and occupational therapists who help patients gain skills for daily living. Additional community-based roles include health assistants, community health workers, Accredited Social Health Activists (ASHAs), village health guides, and trained local community members. All work to identify health issues and solutions in their communities.
The document discusses family welfare services in India. It defines family and outlines the aims of family welfare services, which include ensuring citizen welfare, reducing maternal and child mortality, and controlling population growth. It describes the various services provided, including antenatal care, immunization, family planning methods, and more. It details the role of community health nurses in providing leadership and delivering family welfare interventions like education, motivation, and distribution of supplies at the community level.
voluntary health agencies have its own administrative body or committee which raises fund through its membership or through private sources. It has staff either paid or on a voluntary basis. Works for health promotion, health education & health legislation, etc.
Home visit concept, purpose, principles, role of community health nurse in ho...AayeshaHendricks
1. A home visit is defined as providing nursing care and health services to patients and families in their homes. It allows community health nurses to assess home environments and provide treatment, education, and support.
2. The purposes of home visits include disease prevention, treatment, comfort, education, assessment of high-risk individuals like mothers and babies, and screening for communicable diseases.
3. During home visits, community health nurses establish relationships with families, observe home situations, provide care, demonstrate procedures, supervise family caregiving, and give mental support and education to patients.
This document outlines the key components of an essential basic health service at the community level. It states that such a service should be comprehensive, accessible, acceptable, involve community participation, and be affordable. The goals of community health services are to reduce mortality and morbidity, increase life expectancy, decrease population growth rates, improve nutrition, provide basic sanitation, and support economic development through agriculture, food production, and small industries. The document then describes the various types of health care services that should be provided at the community level.
There are several international and national health agencies that work to promote health and reduce disease. International agencies include the WHO, UNICEF, UNDP, World Bank, FAO, and USAID. They work on health initiatives worldwide and provide funding. National agencies in India include the Indian Council for Child Welfare and organizations focused on tuberculosis, leprosy, women's health, and more. The agencies have objectives like preventive healthcare, treatment, lowering population growth and poverty, and increasing education.
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
The document provides information on home visiting by community health nurses. It defines home visiting as providing health services to families in their homes. The purposes of home visits are to assess health and environmental conditions, provide care, education and counseling. Home visits allow nurses to build relationships with families and provide continuity of care. Planning, priority-setting, bag preparation and evaluation are discussed. Home visits require establishing trust, respecting culture and flexibility to address urgent needs.
CONCEPT, OBJECTIVES ,SCOPE, PRINCIPLES, Philosophy OF COMMUNITY HEALTH NURSEKailash Nagar
The document discusses different philosophies and concepts of community health nursing:
1) It outlines four concepts of health - biomedical, ecological, psychosocial, and holistic. The biomedical concept views health as the absence of disease, while the ecological concept sees health as a dynamic equilibrium between humans and their environment.
2) It then describes three philosophies that guide community health nursing: the philosophy of individual health rights, the philosophy of working together under competent leadership for the common good, and the philosophy that communities have potential for development and can address their own problems with education.
3) The final philosophy discussed is socialism.
The document discusses the community health nursing process. It defines the community health nursing process as a systematic series of steps followed by public health nurses to address community health problems using community resources. The main steps of the nursing process are: 1) establishing relationships with the community, 2) assessing health needs and problems, 3) setting objectives, 4) planning and implementing interventions, and 5) evaluating interventions. Principles for effective community health nursing include exploring the community, establishing relationships, understanding the health system, providing realistic services, and maintaining collaboration.
Community health nurses use three main approaches: the epidemiological approach, problem-solving approach, and evidence-based approach. The epidemiological approach involves investigating disease causation, distribution, and determinants in populations. The problem-solving approach is a systematic process of defining problems, analyzing them, generating and evaluating solutions, and implementing the best one. The evidence-based approach integrates the best research evidence with clinical expertise and patient values to provide high-quality, effective care.
HEALTH COMMITTEES IN COMMUNITY HEALTH NURSING Astha Patel
The document discusses several health committees constituted by the Government of India:
1) The Bhore Committee of 1943 assessed India's poor health conditions and recommended establishing an integrated rural health services system with primary health centers.
2) The Mudaliar Committee of 1959 evaluated progress since Bhore and found health services remained unsatisfactory. It recommended strengthening primary health centers and district hospitals.
3) Subsequent committees addressed issues like malaria eradication (Chadha), family planning services (Mukherjee), and developing a multipurpose health worker system (Kartar Singh).
Later committees focused on integrating health services (Jungalwalla), developing medical support staff (Shrivast
This document discusses various health insurance schemes in India. It begins by outlining the objectives and definitions related to health insurance. There are four main types of schemes: mandatory, employer-based, voluntary private schemes. The two largest mandatory schemes are the Employees' State Insurance Scheme (ESIS) and the Central Government Health Scheme (CGHS). ESIS provides coverage to industrial workers through contributions from employers and employees. CGHS covers central government employees and their families through medical facilities. Issues with the schemes include low quality of care, lack of awareness, and poor rural penetration. The role of nurses includes educating people about the schemes and advocating for patients.
Community health nurses use various approaches in their work, including the epidemiological approach, problem-solving approach, and evidence-based approach. The epidemiological approach involves studying disease distribution, determinants, and applying findings to control health problems. The problem-solving approach is a systematic process of defining problems, analyzing solutions, selecting the best solution, implementing it, and evaluating outcomes. The evidence-based approach integrates scientific evidence with clinical expertise to improve practices and patient outcomes.
This document discusses home visiting as a core part of community health nursing. It defines home visiting as providing nursing care to patients in their homes, requiring technical skills and judgment. The purposes of home visits are to assess individual, family, and community health needs and provide services like health education, counseling, and basic care. The key steps of home visits are fact-finding, data analysis, planning, taking action and providing health education, closing the visit, recording details, and evaluating the impact. Home visits aim to establish relationships and address priorities like maternal and child health.
The community health nurse performs various roles and functions within the community setting. These include serving as a care provider by delivering continuous comprehensive care with an emphasis on prevention. The nurse also acts as a health educator by teaching individuals and groups about health promotion, illness prevention, and care. Additional roles include counselor, resource person, sensitive observer, advisor, planner, care manager, and medical assistant by coordinating with physicians. Key qualities for a community health nurse are interest in community health, strong interpersonal skills, sensitivity, communication abilities, and qualities like initiative, patience and resourcefulness.
Communty health nursing- Definition, principles , ScopeAnand Gowda
This document contains information about the definition and principles of community health nursing according to the American Nurses Association from 1980. It defines community health nursing as a synthesis of nursing practice and public health practice aimed at promoting and preserving the health of populations. The focus is on the population as a whole, with nursing directed at individuals, families, and groups contributing to overall population health. Principles of community health nursing include health promotion, maintenance, education, management, care coordination, and a holistic approach.
The document discusses a study on the perception of nursing personnel regarding the significance, challenges, and prospects of the Trained Nurses Association of India (TNAI). Some key findings from the study include:
- 59.6% of nursing personnel surveyed were members of TNAI, though participation in activities was low.
- The main significance identified was that membership was essential (73.3%), though only 33.3% felt TNAI actively resolved issues.
- The biggest challenges identified were inadequate government representation (81.3%) and lack of motivated leaders (75.4%).
- Over 80% of nursing personnel expected TNAI to influence government policies and regulate staffing patterns.
The document discusses the roles and responsibilities of various members of a health team. It focuses on the roles of nursing personnel like the Lady Health Visitor (LHV) and Auxiliary Nurse Midwife (ANM). The LHV acts as a supervisor, guiding and monitoring the work of ANMs. Key duties of the LHV include supervising ANMs, ensuring supply and maintenance of health centers, coordinating immunization programs, and providing maternal and child health services. The ANM works closely with communities, providing antenatal care, assisting deliveries, immunizations, nutrition programs, and family planning services.
Job responsibilities of health assistant (male &female)Kailash Nagar
The document outlines the job responsibilities of health assistants (male and female) in India. It describes that health assistants (male) supervise and guide health workers (male), ensure teamwork, maintain supplies and equipment, and play roles in disease control programs like immunization. Health assistants (female) have additional responsibilities of providing maternal and child health services, nutrition programs, health education, and school health services. Both positions work to deliver primary healthcare and implement national health programs under the supervision of medical officers at primary health centers.
The document provides job descriptions for several nursing roles at different levels within India's public health system. The Director of Nursing Services is responsible for advising the government on all nursing matters and oversees nursing services and education nationwide. Below them are Deputy Directors focused on training and the Assistant Director who oversees nursing services at the state level. At the community level, District and Public Health Nurses manage services. Within hospitals, Nursing Superintendents oversee all nursing departments, assisted by Deputy Nursing Superintendents and Ward Sisters.
This document provides an overview of home visits by community health nurses. It defines home visits as the delivery of specialized nursing care in the home setting. The main purposes of home visits are to provide treatment, comfort, health education, and respect cultural beliefs. Key principles include planning visits, making them educational and convenient for patients. Home visits allow nurses to implement the nursing process in the home environment and develop relationships with families. Challenges include time consumption and language barriers, but advantages are convenient care and education for patients. The roles and responsibilities of community health nurses at different levels are also outlined.
This document discusses home visits by community health nurses. It defines home visits as the delivery of specialized nursing care in the home setting. The purposes of home visits include providing treatment, comfort, health education, and respecting patient beliefs. Principles of home visits include planning, having a clear purpose to meet patient needs, being regular, flexible, educative, and respecting hygienic principles. Home visits have advantages like implementing nursing process, studying home situations, and rendering services in a familiar setting. The roles and qualifications of community health nurses who perform home visits are also outlined.
The document outlines the duties and responsibilities of various categories of nursing personnel. It discusses nursing directors, chief nursing officers, head nurses, ward in-charges, staff nurses, community health nurses, nursing personnel in education settings including directors of nursing education, principals, professors, and tutors/instructors. It also covers nurse managers and their roles in interpersonal, informational, negotiating, and decisional functions.
The document discusses the duties and responsibilities of various categories of nursing personnel working in clinical, community, and educational settings. It provides descriptions of the roles of nursing directors, chief nursing officers, head nurses, ward in-charges, staff nurses, auxiliary nurse midwives, community health nurses, directors of nursing education, and principals of colleges of nursing. The roles involve administration, planning, supervision, patient care, teaching, and community outreach activities.
This document discusses India's primary healthcare system and the ASHA (Accredited Social Health Activist) scheme. It describes the role of ASHAs, which includes creating health awareness in villages, counseling women on issues like nutrition and sanitation, and facilitating access to health services. ASHAs must be local women aged 25-45 with an 8th grade education. They work closely with Anganwadi workers and Auxiliary Nurse Midwives (ANMs), who provide training and guidance to ASHAs. ASHAs promote maternal and child health by assisting with health days, immunizations, and access to care during pregnancy and childbirth.
This document provides an overview of rural health care services in India. It describes the various levels of healthcare available, including primary, secondary and tertiary care. At the primary level, it outlines the roles of Accredited Social Health Activists (ASHAs), Anganwadi workers, local dais, male and female health workers, and the services provided at subcenters and primary health centers. It also discusses the functions of community health centers at the secondary level and the organization of healthcare administration at the district level through rural and urban bodies.
The document discusses the roles and responsibilities of various nursing positions in clinical and community settings. It begins by defining human resource management and its main functions. It then describes the roles of nursing directors, head nurses, ward sisters, staff nurses, and community health nurses at different levels. It also discusses the roles of nursing administrators like directors of nursing education and principals of nursing colleges.
The community health nurse performs various roles in caring for communities, including as a care provider, health educator, counselor, and resource person. As a care provider, the nurse provides continuous comprehensive care to families and communities, emphasizing preventive healthcare. As a health educator, the nurse educates individuals, families, and communities on topics like disease transmission and nutrition. The nurse also acts as a counselor, advisor, planner, care manager, medical assistant, collaborator, advocate, researcher, evaluator, and consultant in serving the healthcare needs of the community.
This slide contains information regarding Role and nurse family contact. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
This document provides information about different types of clinics. It discusses general clinics, maternal and child health clinics, and specialty clinics. General clinics provide basic services like emergency care, treatment of minor ailments, and immunizations. Maternal and child health clinics focus on antenatal care, postnatal care, family planning services, and child guidance. Specialty clinics discussed include tuberculosis clinics and diabetes clinics which provide focused treatment and education for those conditions.
This document provides an overview of preventive paediatric services in India, including Integrated Child Development Services (ICDS), Under 5 Clinics, Baby Friendly Hospital Initiatives (BFHI), Maternal and Child Health (MCH) services, Reproductive and Child Health (RCH) services, and School Health Services. It discusses the definitions, classifications, components, and objectives of these various services, which aim to promote physical, mental and social wellbeing in children through activities like immunizations, nutrition programs, health education, and family planning support.
Village rehabilitation workers were established in 1970 in India to improve community health. They are selected by their villages and trained by the Comprehensive Rural Health Project to provide basic healthcare, assist with deliveries, educate communities on sanitation and hygiene, and facilitate women's groups. Village rehabilitation workers, who are usually illiterate women from low castes, receive training on clinical and personal skills. They then work to mobilize their villages and act as a link between communities and health services.
FUNCTIONS & QUALITIES OF A COMMUNITY HEALTH NURSEKULDEEP VYAS
The community health nurse performs various roles in providing care to communities. These roles include care provider by giving continuous comprehensive care with an emphasis on prevention; health educator by educating individuals and groups on health topics; and counselor by helping community members understand and solve health problems. Additional roles include acting as a resource person, sensitive observer of community health, advisor, planner, care manager, and medical assistant. Key qualities for a community health nurse are interest in community health, good interpersonal skills, an interest in people, emotional stability, strong communication, a guiding nature, sensitive observation, being a good listener, friendliness, initiative, resourcefulness, endurance, and patience.
Social Obstetrics and Gynaecology for doctorsssuser419262
This document summarizes key indicators and strategies for maternal and child health in India. It outlines metrics such as maternal mortality ratio, under-five mortality, and immunization rates that are used to measure progress. Major government programs to promote safe motherhood are described, including Janani Suraksha Yojana, Janani Shishu Suraksha Karyakram, and Pradhan Mantri Surakshit Matritva Abhiyan, which provide cash incentives for institutional delivery and free healthcare for pregnant women. The document also reviews milestones in maternal and child health in India and training initiatives to increase the skills of healthcare workers in emergency obstetric care.
This document provides information about panel discussions, including definitions, objectives, types, procedures, uses, characteristics, limitations, and advantages/disadvantages. A panel discussion involves a group of experts discussing a topic in front of an audience. The objectives are to provide information, analyze issues from different perspectives, identify values, and influence the audience. Types include public and educational panel discussions. The procedure involves selecting a moderator and panelists with different viewpoints. Panel discussions encourage social learning, problem solving, and respect for diverse opinions, but may lack focus or depth if unplanned.
This document discusses demonstration and simulation methods for teaching. Demonstration involves visually explaining concepts and procedures. It has several phases: explanation by the teacher, demonstration of the skill, student practice with supervision, and evaluation. Simulation creates realistic scenarios for students to problem-solve without risk. Both methods actively engage students, correlate theory to practice, and provide feedback, though demonstration relies more on observation while simulation requires student participation.
This document provides an overview of several national health programmes in India. It begins by introducing national health programmes and noting India's collaboration with international health organizations to improve health. It then lists and briefly describes numerous specific national programmes, including those focused on ARI, tuberculosis, malaria, filariasis, Japanese encephalitis, dengue, leprosy, AIDS, blindness, diabetes, and cancer control. For each programme, it outlines objectives, strategies, administration, and sometimes initiatives. The document thus summarizes India's portfolio of national health programmes aimed at addressing various public health issues.
The document discusses several committees formed by the Indian government to assess health planning and make recommendations. Key committees mentioned include the Bhore Committee (1946), which prepared the first major health policy document for India, and the Mudaliar Committee (1962), which evaluated progress since Bhore and recommended strengthening district hospitals. Other committees addressed issues like malaria eradication, family planning, integration of health services, and development of community health workers. National health policies were introduced in 1983, 2002, and 2015 with goals of expanding access to healthcare and improving health indicators across India.
The document discusses management of equipment and supplies in hospitals. It outlines the objectives of material management which are to procure materials at the best price while minimizing costs. It also discusses efficient management including forecasting needs, selecting quality materials within budget, and proper receipt, storage and accounting of materials. The types of materials used in hospitals are described including drugs, supplies, equipment and facilities. Standards for quality and quantity of equipment are discussed. Inventory control aims to maintain optimal stock levels to meet demand. The nurse's role includes maintaining adequate supplies and equipment, minimizing waste, and educating staff on economical use of materials.
Budgeting involves creating financial plans for an organization over a set period of time, usually a year. The budgeting process begins with setting goals and strategies and involves estimating revenues and expenses. Key steps include assessing objectives, programs, costs, and alternatives to determine the most effective fiscal plan. Budgets have advantages like planning, accountability, and performance measurement, but also disadvantages like becoming too rigid or time-consuming.
This document provides an overview of administration, management, and the key functions of management. It defines administration as organizing resources to achieve goals, and management as influencing behavior to achieve objectives through planning, organizing, leading, and controlling. The main functions of management are described as planning, organizing, staffing, directing, and controlling. Planning involves setting objectives and strategies, organizing is grouping and assigning activities, staffing covers selecting and developing employees, directing is getting work done, and controlling checks progress and corrects deviations.
The document discusses several international health organizations including WHO, UNICEF, UNFPA, SIDA, USAID, DANIDA, FAO, CARE, and Rockefeller Foundation. It describes their goals and roles in global health such as disease prevention, maternal and child health, education, sanitation, nutrition, and medical training. Many of these organizations provide technical and financial support to health programs in developing countries like India.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. • Learning content :
• Health team
Introduction
Definition
Concept
Composition
Functions
3. • District public health nursing officer
• Block health nurse
• Public health nurse
• Lady health visitors/health visitors
• Health worker female /ANM
4.
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31. Health Team Concept:
• Physician of today is overworked professionally.
Many of the functions of the physician can be
performed by auxiliaries, given suitable training.
• Auxiliary Worker: Is that one who has less than
full professional qualifications in a particular field
and is supervised by a professional worker.
• The practice of modern medicine has become a
joint effort of many groups of workers,both
medical and non- medical.
32.
33. • The team must have a leader.
• 1.Evaluate the team adequately.
• 2.Know the motivations of each member in
order to stimulate and enhance their
potentialities.
• Team leader should be able to:-
• Health team approach aims to produce the
right “mix” of health personal for providing
full health coverage of the entire population.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44. • Supervise and guide the Health Worker Female,
Dais and guide ASHA in the delivery of health
care service to the community.
• Strengthen the knowledge and skills of
the Health Worker Female.
• Helps the Health Worker Female in improving
her skills in working in the community.
• Helpandguidethe
HealthWorkerFemaleinplanning and
organizing her programmes of activities.
• Visit each Sub-Centre at least once a week on
a fixed day to observe and guide the Health
Worker Female in her day to day activities.
45. • Assess fort nightly the progress of assessment
report work of the Health Worker Female and
submit with respect to their duties under various
National Health Programmes.
• Carry out supervisory home visits in the area of
the Health Worker Female with respect to their
duties under various National Health
Programmes.
• Supervise referral; of all pregnant women for RPR
testing at PHC.
46. • Help the health workers to work as part of the health
team.
• Coordinate her activities with those of the Health
Assistant Male and other health personnel including
the dais.
• Coordinate the health activities in her area with the
activities of workers of other departments and
agencies and attend meeting at PHC level.
• Conduct regular staff meetings with the health workers
in coordination with the Health Assistant (Male).
• Attend staff meetings at the Primary Health Centre.
47. • Assist the Medical Officer of the Primary
Health Centre in the organization of the
different health services in the area.
• Participate as a member of the health team in
mass camps and campaigns in health
programmes.
• Facilitate and Participate in activities of village
Health & Nutrition Day.
48. • In collaboration with the Health Assistant Male, check
at regular intervals the stores available at the Sub-
Centre and help in the procurement of supplies and
equipment.
• Check that the drugs at the Sub-Centre are properly
stored and that the equipment is well maintained.
• Ensure that the Health Worker Female maintains her
general kit, midwifery kit and Dai kit in the proper way.
• Ensure that the Sub-Centre is kept clean and is properly
maintained.
49. • Scrutinize the maintenance of records by the
Health Worker Female and guide her in their
proper maintenance.
• Review reports received from the Health
Workers Female, consolidate them and submit
monthly reports to the Medical Officer of the
Primary Health Centre.
50. • She will supervise the work of Health Worker Female
during concurrent visit and will check whether the
worker is performing her duties.
• She should check minimum of 10% of the house in a
village to verify that the Health Worker Female really
visited those houses ad carried her job properly. Her
job of identifying suspected Kala- Azar cases and
ensuring complete treatment has been done properly.
• She will carry with her the proper record forms, diary
and guidelines for identifying suspected Kala-Azar
cases.
51. • She will be responsible along with Health Assistant
Male for ensuring complete treatment of Kala- Azar
patients in his area.
• She will be responsible along with Health Assistant
Male for ensuring complete coverage during the spray
activities and search operation.
• She will also undertake health education activities
particularly through interpersonal communication,
arrange group meetings with leaders and organizing
and conducting training of community leaders with
the assistance of health team.
52. • She will supervise the work of Health Worker
Female during concurrent visit and will check
whether the worker is performing her duties.
• She should check along with minimum of 10% of
the house in a village to verify that the Health
Worker Female really visited those houses and
carried her job properly. Her job of identifying
suspected JE cases and ensuring complete
treatment has been done properly.
53. • She will carry with her the proper record forms, diary
and guidelines for identifying suspected JE cases.
• She will be responsible for ensuring complete
treatment of JE patients in her area.
• She will be responsible along with Health Assistant
Male for ensuring complete coverage during the spray
activities and search operation.
• She will also undertake health education activities
particularly through interpersonalcommunication,
• arranging group meetings with leaders and organizing
and conduction training of community leaders with the
assistance of health team.
•
54. • Organize and conduct training for Dais/ASHA
with the assistance of the Health Worker
Female.
• Assist the Medical Officer of the Primary
Health Centre in conducting training
programme for various categories of health
personnel.
55. • Conduct weekly MCH clinics at each Sub-Centre
with the assistance of the Health Worker Female
and dais.
• Respond to calls from the Health Worker Female,
the Health Worker Male, the health guides and
the trained Dais and render the necessary help.
• Conduct deliveries when required at PHC level
and provide domiciliary and midwifery services.
56. • She will ensure through spot checking that Health
Worker Female maintains up-to date eligible couple
registers all the times.
• Conduct weekly family planning clinics along with the
MCH clinics at each Sub-Centre with the assistance of
the Health Worker Female.
• Personally motivate resistant case for family planning.
• Provide information on the availability of services for
medical termination of pregnancy and for sterilization.
Refer suitable cases for MTP to the approved
institutions.
57. • Guide the Health Worker Female in
establishing female depot holders for the
distribution of conventional contraceptives
and train the depot holders with the
assistance of the health workers female.
• Provide IUCD services and their follow up.
• Assist M.O. PHC in organization of family
planning camps and drives.
58. • Ensure that all cases of malnutrition among
infants and young children (0-5 years) are
given the necessary treatment and advice and
refer serious cases to the Primary Health
Centre.
• Ensure that iron and folic acid vitamin A are
distributed to the beneficiaries as prescribed.
• Educate the expectant mother regarding
breast feeding.
59. • Supervise the immunization of all pregnant women and
children (0-5 years).
• She will also guide the MPW (M) and MPW(F) to
procure supplies organize immunization camps provide
guidance for maintaining cold chain, storage of vaccine,
health education and also in immunizations.
• Supervise the immunization of all pregnant women and
infants.
• Follow the directions given in Manual of Health Worker
(female) under National Immunization Programme.
60. • Ensure early diagnosis of pneumonia cases.
• Provide suitable treatment to mild/moderate
cases of ARI.
• Ensure early referral in doubtful/severe cases.
62. • Ensure treatment for minor ailments, provide
ORS & First Aid for accidents and emergencies
and refer cases beyond her competence to the
Primary Health Centre or nearest hospital.
63. • Carry out educational activities for MCH, Family Welfare,
Nutrition and Immunization, Control of blindness, Dental
care and other National Health Programmes like leprosy,
Tuberculosis and NCD programmes with the assistance of
the Health Worker Female.
• Arrange group meetings with the leaders and involve them
in spreading the message for various health programmes.
• Organize and conduct training of women leaders with the
assistance of the Health Worker Female.
• Organize and utilize Mahila Mandal, Teachers and other
women in the Community in the family welfare
programmes, including ICDS personnel.
64. • She will carry out the following functions:
• She will carry out all the activities related to
various
• programs in a integrated manner when
visiting the
• village/households
65. • 1.Register and provide care to pregnant women
• throughout the period of pregnancy. Ensure that every
pregnant woman makes at least 4 (Four) visits for Ante
Natal Check-up including
• Registration.
• Suggested schedule for antenatal visits
• 1st visit: Within 12 weeks—preferably as soon as
pregnancy is suspected—for registration of pregnancy
and first antenatal check-up However, even if a woman
comes late in herpregnancy for registration, she should
be registered, and care given to her according
togestational age.
66. • 2nd visit: Between 14 and 26 weeks
• 3rd visit: Between 28 and 34 weeks
• 4th visit: Between 36 weeks and term
• Provide ante natal check ups and associated
• services such as IFA tablets, TT immunization
etc.
67. • 2. Test urine of pregnant women for albumin
and sugar. Estimate haemoglobin level.
• 3. Refer all pregnant women to PHC/CHC for
RPR test for syphilis and Blood grouping.
• 4. Refer cases of abnormal pregnancy and
cases with medical and gynaecological
problems to Health Assistant Female (LHV) or
the Primary Health Centre.
68. • 5. Conduct deliveries in Sub-centre, if facilities of a
• Labour room are available and in her area when
• called for.
• 6. Supervise deliveries conducted by Dais and assist
• them whenever called for.
• 7. Refer cases of difficult labour and newbornswith
• abnormalities, help them to get institutional care
• and provide follow up to the patients referred to
• or discharged from hospital.
69. • 8. ANM will identify the ultimate beneficiaries,
complete necessary formalities and obtain necessary
approvals of the competent authority before
disbursement to the beneficiaries under Janani
Suraksha Yojana (JSY) and by 7th of each month will
submit accounts of the previous month in the
prescribed format to be designed by the State.
• ANM will prepare a monthly work schedule in the
meeting of all accredited workers to be held on every
3rd Friday of every month, which is mandatory. The
guideline under JSY is to be followed.
• In addition ANM will take weekly/fortnightly meetings
with all ASHAs of her area to guide and monitor them.
70. • 9. Tracking of all pregnancies by name for
scheduled ANC/PNC services.
• 10. Make post- natal home visits on 0, 3, 7 and
42nd day for deliveries at home and Sub-centre
and on 3, 7, and 42nd day for institutional
delivery.
• Post-natal visits are to be made for each delivery
happened in her area and she should render
• advice regarding care of the mother and care and
feeding of the newborn.
71. • 11. In case of Low Birth weight Baby, a total of
six post natal visits are to be made on 0, 3, 7,
14, 21 and 28th day to screen for congenital
abnormalities, assess the neonate for danger
signs of sickness etc. as per IMNCI guidelines
and appropriate referral.
• 12. Initiation of early breast-feeding within
one hour of birth, exclusive breastfeeding for
6 months and timely weaning at 6months as
per Infant and Young Child Feeding Guidelines.
72. • 13.Assess the growth and development of the
infants and under 5 children and make timely
referral.
• 14. Provide treatment for all cases of
Diarrhoea,acute respiratory infections
(pneumonia) and other minor ailments and
refer cases of severe dehydration, respiratory
distress, infections,severe acute malnutrition
and other serious conditions as per IMNCI
guidelines/National Guidelines.
73. • 15. Educate mothers individually and in
groups in better family health including
maternal and child health, family planning,
nutrition, immunization, control of
communicable diseases, personal and
environmental hygiene.
• 16. Assist Medical Officer and Health Assistant
(Female) in conducting antenatal and
postnatal clinics at the Sub-centre.
74. • 1. Utilize the information from the eligible couple and child
register for the family Planning programme.
• She will be squarely responsible for maintaining eligible
couple registers and updating at all times.
• 2. Spread the message of family planning to the couples
and motivate them for family planning individually and in
groups.
• 3. Distribute conventional contraceptives and oral
contraceptives to the couples, provide facilities and to help
prospective acceptors in getting family planning services, if
necessary, by accompanying them or arranging for the
Dai/ASHA to accompany them to hospital.
75. • 4. Provide follow-up services to female family planning
acceptors, identify side effects, give treatment on the spot
for side effects and minor complaints and refer those cases
that need attention by the physician to the PHC/ Hospital.
• 5. IUCD insertion can be done by a trained ANM.
• 6. Establish female depot holders, help the Health Assistant
(Female) in training them, and provide a continuous supply
of conventional contraceptives to the depot holders.
• 7. Build rapport with acceptors, village leaders, ASHA, Dais
and others and utilize them for promoting Family Welfare
Programme.
• 8. Identify women leaders and train them with help of the
Health Assistant (Female).
• 9. Participate in Mahila Mandal meetings and utilize such
gatherings for educating women in Family Welfare
Programme.
76. • 1. Identify the women requiring help for
medical termination of pregnancy and refer
them to nearest approved institution.
• 2. Educate the community of the
consequences of unsafe abortion methods
and septic abortion; inform them about the
availability of services for medical termination
of pregnancy.
77. • 1. Identify cases of Low Birth weight, malnutrition among
infants and young children (zero to five years), give the
necessary treatment and advice and refer serious cases to
the Primary Health Centre.
• 2. Distribute Iron and Folic Acid tablets as prescribed to
pregnant women, nursing mothers, adolescent girls and
syrups to young children (up to five years), as per the
national guidelines.
• 3. Administer Vitamin A solution to children as per the
guidelines.
• 4. Educate the community about nutritious diet for
mothers and children.
• 5. Coordinate with Anganwadi Workers.
78. • 1. Immunize pregnant women with tetanus toxoid.
• 2. Administer DPT vaccine, oral poliomyelitis vaccine, measles vaccine and BCG
vaccine to all infants
• and children, (Hepatitis B in pilot areas) as per immunization schedule.
• 3. Ensure injection safety, safe disposal and record, report and manage minor &
serious Adverse Event Following Immunization (AEFI). Submit monthly UIP reports,
weekly surveillance reports (AFP, Measles under IDSP). Serious AEFI and
outbreakshould be reported immediately.
• 4. ANM is responsible for cold chain maintenance for vaccines during fixed and
outreach sessions.
• 5. Manage waste generated during immunization as per GOI/CPCB guidelines.
• 6. Preparing work plan, estimating beneficiaries and logistics, preparing due list of
expected beneficiaries in coordination with Angan wadi worker and
ASHA/mobilizer on the session day and ensure their vaccination through adequate
• mobilization.
79. • 7. Maintain Tracking Bag/Tickler box at each Sub centre, file updated counterfoils
and utilize them for follow up.
• 8. Tracking of dropouts and left outs, records/ reports (including MCH register and
immunization card counterfoils), surveillance/reporting Vaccine Associated
Paralytic Poliomyelitis (VAPP) and AEFI incidents in catchment area.
• 9. Indent order of vaccines and logistics should be weekly based on the due
beneficiary list. HW/Alternate Vaccinator should receive the required quantity of
vaccine and logistics on the day of Immunization and supply to the session site.
• 10. Work plan indicating village, place, date & time of organizing proposed
session, including the names of ASHA and AWW must be displayed at each Sub-
centre.
• 11. Posters/Paintings on key messages, Immunization schedule, Positioning during
vaccine administration, Safe Injection Practices, VVM,AEFI awareness, use of Hub
cutters.
• 12. Village-wise dropout list for display at Sub-centre
• 13. Norm for due beneficiaries: 3 per session.
80. • 1. Notify the MO, PHC immediately about any abnormal increase in cases of
diarrhoea/dysentery, fever with rigors, fever with rash, flaccid paralysis of acute
onset in a child <15 years (AFP), , Tetanus, fever with jaundice or fever with
unconsciousness, minor and serious AEFIs which she comes across during her
home visits, take the necessary measures to prevent their spread, and inform the
Health Assistant (Male)/LHV to enable him/her to take further action.
• 2. HIV/STI Counseling, HIV/STI screening after receiving training.
• 3. Leprosy
Impart Health Education on Leprosy and its treatment to the community.
Refer suspected new cases of leprosy and those with complications to PHC.
Provide subsequent doses of MDT to patients Ensure regularity and completion of
treatment and assist health supervisor in retrieval of absentee/defaulter.
Update the case cards at Sub-centres & treatment register at sector PHC.
Assist leprosy disabled people in self care practices, monitor them and refer them
to PHC when ever required.
81. 4.Assist the Health Worker (Male) in maintaining a
record of cases in her area, who are under
treatment for malaria, tuberculosis and leprosy,
and check whether they are taking regular
treatment, motivate defaulters to take regular
treatment and bring these cases to the notice of
the Health Worker (Male) or Health Assistant
(Male).
5. Give Oral Rehydration solution to all cases of
diarrhea/dysentery/vomiting. Identify and refer
all cases of blindness including suspected cases of
cataract to M O, PHC.
82. 6. Education, Counselling, referral, follow-up of cases of STI/RTI, HIV/AIDS.
7.Malaria
• She will identify suspected malaria fever cases during ANC or Immunisation
Clinic and home visits, and will make blood smears or use RDt for diagnosis
of Pf malaria.
• to advise seriously ill cases to visit PHC for immediate treatment. All the
fever cases with altered sensorium must be referred to PHC/District
Hospital. the cases will be referred after collection of blood smear and
performing RDt. to arrange transportation for such patients from home to
the PHC/District Hospital.
• to contact all ASHAs/FtDs of the area during visit to the village and collect
blood smears for transportation to laboratory. to cross verify their records by
visiting patients diagnosed positive between the previous and current visit.
• to provide treatment to positive cases as per the drug policy.
• to replenish the stock of micro slides, RDks and/or drugs to
ASHAs/FtDs wherever necessary.
• to keep the records of blood smears collected and patients given anti-
malarial treatment.
• to ensure early diagnosis & radical treatment of the diagnosed
positive cases (PV & PF) compliance of Radical
83. Where Filaria is endemic:
• Identification of cases of lymphoedema/
elephantiasis and hydrocele and their referrals to
PHC/CHC for appropriate management.
• training of patients with lymphoedema/
elephantiasis about care of feet and home based
management remedies.
• Identification and training of drug distributors
including ASHAs and Community Health
Guides for mass drug distribution of DEC +
Albendazole on National Filaria Day.
84. Where kala-Azar is endemic:
• From each family
• She shall enquire about the presence of any fever cases having a history of prolong
fever more than 15 days duration in a village during her visit.
• She will refer such cases to the nearest PHC for clinical examination by the Medical
Officer and confirmation by RDk.
• She shall take the migratory status of the family/guest during last three months.
• She will also follow up and persuade the patients to ensure complete treatment.
• She will keep a record of all such cases and shall verify from PHC about their
diagnosis during the monthly meeting or through health supervisor during her
visit.
• She will carry a list of all kala-azar casesin her area for follow up and will
ensure, administration of complete treatment at PHC.
• She will assist the male health worker in supervision of the spray activities.
• She will conduct all health education activities particularly through inter-personal
communication by carrying proper charts etc. for community awareness and their
• involvement.
85. – From each family
• She shall enquire about the presence of any fever case having rash
and joint pain a village during her visit.
• She will refer such cases to the nearest PHC for clinical examination by
the Med Officer and for laboratory confirmation by sending blood
sample to the nearest Sentinel Surveillance hospital.
– She will supervise the source reduction activities in her area
including at the time of observance of anti-Dengue month
– She will coordinate the activities carried out by Village Health
Sanitation and Nutrition Committee.
– She will conduct health education activities particularly
throughinter-personal communication by carrying proper
charts etc. for social mobilization and community awareness to
eliminate source of Aedes breeding and also guide the
community for proper water storage practices.
86. • Where JE is endemic:
– From each family
• She shall enquire about the presence of any fever case
having encephalitis presentation.
• She will refer such cases to the nearest PHC
for early diagnosis and management of such
cases.
– She will conduct health education activities
particularly through inter-personal
communication by carrying proper charts etc. for
social mobilization and community awareness for
early referral of cases.
87. • IEC Activities for prevention and early detection of hearing
impairment/deafness in health facility, community and schools,
harmful effectsof tobacco, mentalillnesses, Iodine Deficiency Disorders
(IDD), Diabetes, CVD and Strokes.
• House to House surveys to detect list & refer cases of hearing & visual
impairment and (along with annual survey register/enumeration survey.
Minimum is annual survey, desirable to be done twice yearly subject to
availability of second ANM).
• •Sensitization of ASHA/AWW/PRI about prevention and treatment of
deafness.
• •Mobilizing community members for screening
• camps and assisting in conduction of screening
• camps to identify hearing or visual impairment cases if needed.
• •Motivationfor quitting and referrals to Tobacco Cassation Centre at
District Hospital.
• •Sensitization of ASHA/AWW/PRI about the Noncommunicable diseases.
• •Identification and referral of carer of common mental illnesses and
Epilepsy for treatment and follow them up in community.
88. • Greater participation/role of Community for primary
prevention of NCD and promotion of healthy lifestyle.
• •Ensuring regular Testing of salt at household level for
presence of Iodine through Salt Testing Kits by
ASHAs.
• In Fluorosis affected districts
• IEC to prevent Fluorosis.
• Identify the persons at risk of Fluorosis, suffering from
Fluorosis and those having deformities due to Fluorosis.
• Line listing, source reduction activities,reconstructive
surgery cases, rehabilitative intervention activities, focused
local action and referral of what is not possible locally.
• •Promoting formation and registration of Self Health Care
Group of Elderly Persons’.
89. • Oral Health education especially to antenatal
and lactating mothers, school and adolescent
children, first aid and referral for cases of oral
problems.
• •Health communications on Disability,
Identification of Disabled persons and their
appropriate referral.
90. • Record and report to the health authorities the
vital events including births and deaths,
particularly of mothers and infants in her area.
91. • 1. Maintenance of all the relevant records concerning mothers, children and eligible
couples in her
area.
• 2. Register
• (a) pregnant women at earliest contact
• (b) infants zero to one year of age
• (c) women aged 15-44 years
• (d) Under and above five children
• (e) Adolescents.
• 3. Maintain the pre-natal and maternity records and child care records.
• 4. Prepare the eligible couple and child register and maintaining it up-to-date.
• 5. Maintain the records as regards contraceptive distribution, IUD insertion. Couples
sterilized, clinics held at the Sub-centre and supplies received and issued.
• 6. Prepare and submit the prescribed weekly/ monthly reports in time to the Health
Assistant (Female).
• 7. While maintaining passive surveillance register for malaria cases, she will record:
• No. of fever cases
• No. of blood slides prepared
• No. of malaria positive cases reported
• No. of cases given radical treatment
92. • 1. Provide treatment for minor ailments, first-
aid for accidents and emergencies and refer
cases beyond her competence to the Primary
HealthCentre/Community Health Centre or
nearest hospital.
• 2. Provide treatment as per AYUSH* as needed
at the local level.
93. • 1. Attend and participate in staff meetings at Primary Health
Centre/Community Development
• Block or both.
• 2. Coordinate her activities with the Health Worker (Male) and other
health workers including the
• Health volunteers/ASHA and Dais.
• 3. Coordinate with PRI and Village Health Sanitation and
Nutrition Committee.
• 4. Draft annual Village Health Plan with the help of Health Worker
(Male), PRI and VHSC for submitting the same to block.
• 5. Meet the Health Assistant (Female) each week and seek her advice and
guidance whenever necessary.
• 6. Maintain the cleanliness of the Sub-centre.
• 7. Dispose medical waste as per the IMEP guidelines, of GOI.
• 8. Organize, participate and guide in organizing the VHN Days
at Anganwadi Centers.
• 9. Participate as a member of the team in camps and campaigns.
94. • These surveys would be done once in April
annually. Some of the diseases would require
special surveys- but at all times not more than
one survey per month would be expected.
Surveys would be done with support and
participation of HW (male), ASHAs, Anganwadi
Workers, community volunteers, panchayat
members and Village Health Sanitation and
Nutrition Committee. Other details are given on
page no. 11.
95. • These surveys would be done once annually,
preferably in April. Some of the diseases would
require special surveys- but at all times not more
than one survey per month would be expected.
Surveys would be done with support and
participation of ASHAs, Anganwadi Workers,
community volunteers, panchayat members and
Village Health Sanitation and Nutrition
Committee members.
• The Male Health worker would take the lead and
be accountable for the organization of these
surveys and the subsequent preparation of lists
and referrals. The surveys would include.
96. • Age and sex of all family members.
• •Assess and list eligible couples and their unmet
needs for contraception.
• •Identify persons with skin lesions or other
symptoms suspicious of leprosy and refer:
essential in high leprosy prevalence blocks.
• •Identify persons with blindness, list and refer:
Identify persons with hearing impairment/
deafness, list and refer.
• •Annualmass drug administration in filaria
endemic areas.
97. • Identify persons with disabilities, list and refer and
• call for counselling where needed.
• •Identify and list senior citizens who need special
• care and support.
• •Identify persons with mental health problems and
• Epilepsy; list and refer.
• •Inhigh endemicity areas-survey for fever suspicious of
kala- azar, for epidemic management of malaria, for
detection of fluorosis affected cases etc.
• •Anyother obvious disease/disorder; list andrefer.
98. • Auxiliary Nurse Midwife (ANM) will guide ASHA in
performing the following activities:
• She will hold weekly/fortnightly meeting with
• ASHA and discuss the activities undertaken during the
week/fortnight. She will guide her in case
• ASHA had encountered any problem during the
performance of her activities.
• •ANMwill act as a resource person for the training ofASHA.
• •ANMwill inform ASHA regarding date and time of the
outreach session and will also guide her for bringing the
beneficiary to the outreach session
• •ANMwill participate and guide in organizing the
Health Days at Anganwadi Centres.
• •Shewill take help of ASHA in updating eligible couple
register of the village concerned.
99. • She will utilize ASHA in motivating the pregnant
women for coming to sub- centre for initial checkups.
ASHA will also help ANMs in bringing married couples
to Sub-centres for adopting family planning methods.
• •ANMwill guide ASHA in motivating pregnant women
for taking full course of IFA Tablets and TT injections
etc.
• •ANMswill orient ASHA on the dose schedule and
• side affects of oral pills.
• •ANMswill educate ASHA on danger signs of pregnancy
and labour so that she can timely identify and help
beneficiary in getting further treatment.
100. • ANMs will inform ASHA on date, time and place
for initial and periodic training schedule. She will
also ensure that during the training ASHA gets
the compensation for performance and also
TA/DA for attending the training.
• •Trainin Salt Testing using salt TestingKits.
• The second ANM will follow similar job
responsibilities as the above. It is to be ensured
that one ANM out of the two is available at the
Sub-centre. Other ANM will perform the field
duties. The time schedule for their turn visits be
prepared with the approval of the Panchayats
involved.
101. • Serves patients by visiting homes; determining patient and family
needs; developing health care plans; providing nursing services and
treatments; referring patients with social and emotional problems
to other community agencies.
• Helps the community health care team by coordinating assessment,
planning, and providing of needed health and related services;
participating in case conferences with physicians, hospital and
rehabilitative personnel, and representative of other agencies.
• Provides health information by instructing family in care and
rehabilitation of patient; maintaining health and prevention of
disease for family members; teaching home nursing, maternal and
child care; providing instructions in other subjects related to
individual and community welfare.
102. • Safeguards health of children by participating in child
health conferences, school health; providing group
instruction for parents; conducting immunization programs.
• Arranges convalescent and rehabilitative care of sick or
injured persons by cooperating with families, community
agencies, and medical personnel.
• Improves quality results by studying, evaluating, and
recommending changes in processes; implementing
changes.
• Keeps vehicle and equipment operating by following
operating instructions; troubleshooting breakdowns;
maintaining supplies; performing preventive maintenance;
calling for repairs.
103. • Keeps vehicle and equipment operating by
following operating instructions; troubleshooting
breakdowns; maintaining supplies; performing
preventive maintenance; calling for repairs.
• Keeps supplies ready by inventorying stock;
placing orders; verifying receipt.
• Documents actions by completing forms, reports,
logs, and patient records.
• Avoids legal challenges by complying with legal
requirements; keeping patient information
confidential.
104. • Updates public health job knowledge by
participating in educational opportunities;
reading professional publications; maintaining
personal networks; participating in
professional organizations.
• Enhances public health department and city
reputation by accepting ownership for
accomplishing new and different requests;
exploring opportunities to add value to job
accomplishments.
105. • Verbal Communication, Health Promotion and
Maintenance, Listening, Quality Management,
Energy Level, Integrity, Infection Control,
Informing Others, Nursing Skills, Medical
Teamwork, Multi-tasking
• Minimum qualification GNM/B.sc(N)
• State registration council
106.
107.
108.
109.
110.
111. • The Block Extension Educator is the kind pin for
organizing Information, Education Communication
activities relating to Health and Family Welfare
Programme in the Primary Health Centre/ Block
Area. He would be under the immediate
administrative Control of the Medical Officer of the
Primary Health Centre and he will function under the
technical supervision and guidance of the District Mass
Education and Information Officer. His main
functioning would relate to the promotion of Health
and Family Welfare Programme. He will consult
District health Officer in formulating the special
programme for his Primary Health Centre
112. • Identify the educational needs related to various
Maternity and child Health and Family Welfare
Programmes in the Primary Health Centre, area.
• 2. Collect all information relating to Maternity
and Child Health and Family Welfare and prepare plan
for I.E.C. activities in consultation with the Medical
Officer, Primary Health Centre, and
• 3. Form Health Committee at Village level to
enlist co-operation of the opinion leader especially
women for Maternity and child Health and Youths
Family Welfare, Family Welfare Media Programme
once a Month (i.e) 12 meetings per year.
113. • Procure maintain and maximum use of mass Media
equipments.
• 5. Maintain records of IEC activities, tour
programmes daily diaries and other registers and
ensure preparation and display of relevant maps and
charts in the Primary Health Centre.
• 6. Maintain liaison with District Bureau to
procure regular and adequate supply of IEC materials
and contraceptives and ensure proper distribution and
ensure availability with each and every health staff,
namely M.P.H.W (F) and Male Workers and Male
Supervisors ensure display of materials at each sub-
centre.
114. • Establish working relationship with the Block Development
Officer and enlist his staff’s co-operation in the
implementation of Maternity and Child Health and Family
Welfare Programme.
• 8. Co-ordinate with Education Department. Nehru
Yuva Kendra, Social Welfare Department. Agriculture
Industrial Department etc., for promoting family welfare
and MCH Scheme.
• 9. He should participate all the function and festivals
conducted in the Block areas and conduct propaganda and
publicity on Family Welfare Scheme.
• 10. He will be member of the Local Block Level Family
Welfare
Committee and act as a resource person.
• 11. Organise Mass Media Programme, Mini-exhibitions.
Film shows, Cultural programmes weekly/Monthly
celebrations and IEC programmes at local fairs on market
day etc., utilising Audio Cassettes.
115. • Work with industrial/factories and other Government and
Non-Government agencies to strength IEC activities relates
to Maternity and Child Health and Family Welfare.
• 13. Use various approaches (individual. group and
Mass) to popularize Maternity and Child Health and Family
Welfare Programme among rural people.
• 14. Organise Educational Programmes for formal and
non-formal (out of school) groups on population education
and health measures.
• 15. Co-ordination with animators of Adult Education
Department in organising learners classes.
• 16. Co-ordinate activities with Service Organisations
like Rotary/Lions/Jacess/LPG distributors etc
• 17. Organise short Orientation Training
Camps/Educational Programme for various voluntary
agencies and other target groups.
116. • Conduct Family Welfare Leaders Camps.
• 19. Use opinion leaders, satisfied customers and secure
credible Persons to bring out recording news letters etc.,
• 20. Organising service Training for Lady Health Visitors and
Multi Purpose Health Workers on IEC.
• 21. Organise short orientation training on IEC for
supportive staff such as private Medical Practitioners,
teachers, Social /communicators, Sanitary Workers,
Adult Education Supervisors, Animators and ICDS workers.
• 22. Prepare talking points in relation to educational
activities carried out in the Primary Health Centre Area.
• 23. Provide guidance to field staff in IEC activities
related to Maternity and Child Health and Family Welfare.
117. • Work with all the Co-operative Society members; provide
Male staff to visit Co-operative societies regularly. Supply
them Nirodh, Organised Training and discussions for
members various Co-operative societies.
• 25. He will review youth club and organize their
activities. He will review the woman’s club and organize its
activities.
• 26. He will organize special Health campaigns in the
event of any epidemic or out break of any diseases.
• 27. He will propagate preventive aspects of health
through the Health Staff and promote hygiene and
sanitation in the Village.
118. • Conduct periodical evaluations to study the
impact of IEC.
• 29. Tour for 15 days in a month for the
purposes for inspections and conducting field
programmes.
• 30. He should submit monthly reports on
Mass Education and Extension education
activities of Primary Health Centre, before 10th of
every month to district Family Welfare, Maternity
and Child Health Officer and copy to the district
Mass Education and Information Officer.
119. • INTRODUCTION
• 1.The Community Health Nurse shall work under the immediate
control, guidance and supervision of the Medical Officer in-charge
of the Block Primary Health Centre and over all-administrative, and
technical control and supervision and guidance of the Deputy
director of Health Services concerned.
• (2) She will supervise, control and guide the Female component of
the Field Health Staff i.e., Sector Health Nurses (Multipurpose
Health Supervisors (Female) and Village Health Nurse (i.e.
Multipurpose Health Workers (Female).
• (3) The Female component of the Field Health Staff of the Primary
Health Centres and Health Sub-centres of the Block shall work
under the immediate technical control and supervision of the
Community Health Nurse and over all administrative control of the
medical Officer of the Primary Health Centre concerned.
120. • (4) The community Health Nurse shall keep herself
conversant with the villages, Topography and the
demographic characteristics, health needs and demands
and public health problems in the block area.
• (5) The Community Health Nurse is responsible to assist
the Medical Officers of the Primary Health Centres
concerned and thus ensure the performance and
achievement by the Female component of the Field Health
Staff of the Primary Health ‘centres and Health Sub-centres
in respect of various Health Programmes are including
Family Welfare Programme in the block area. She shall
ensure that all the activities under various Health and
Family Welfare Programmes are implemented by the Sector
Health Nurses (i.e. Multipurpose Health Supervisors
(Female) and Village Health Nurses (i.e. Multipurpose
Health Workers (Female) in the area of their jurisdiction.
121. • (1) She shall ensure rendering of Mother and Child Health
care services such as pre-natal, inter natal, and postnatal
care of mothers and infants and Pre-School child health
care by and through the Female component of the Field
Health Staff of the Primary Health Centres, Health Sub-
Centres and Supervision of Services rendered by Dais.
• (2) She shall assist the Medical Officers of the Primary
Health Centres and ensure by effective supervision in
screening of high-risk cases of pregnancy and
infants. Children by the Female component of the Field
Health Staff for arranging for provision of special care and
higher medical attention by referral to the appropriate
higher treatment facility centres.
122. • (1) She shall assist the Medical Officer, Primary Health Centre to Plan,
organize and implement immunisation service under UIP as per the latest
policy and National immunization Schedule and Sate Government
instructions and ensure universal coverage of eligible beneficiary
population in each village and Habitation in the block area thro’ the
Female component of the Field Health staff of the Health Sub-Centres and
Primary Health Centres by proper calendar of activities and visits.
• (2) She shall assist the Medical Officers, Primary Health Centres to ensure
adequate supplies of vaccines i.e antigens and all equipments and items
required for immunization services from time to time for the effective
implementation of the immunization services in the Community.
• (3) She shall with the guidance and support of the Medical Officer,
Primary Health Centre ensure proper storage of vaccines under optimum
and prescribed temperature in Primary Health Centres in the field and she
will inspect the cold chain equipments in all places and ensure continuous
cold chain during transport of vaccines.
123. • (4) She shall assist the Medical Officer, Primary Health Centre to
investigate and report all adverse event, reactions and complications
arising out of administration of immunization and arrange to undertake
necessary remedial corrective measures as required under guidance and
supervision of the Medical Officers of the Primary Health Centres.
• (5) She shall assist the Medical Officers of the Primary Health Centres and
District Health authorized to plan, organize and implement services for
effective administration of various nutrition programmes and
administration of Vitamin-A solution and Iron and folic Acid
supplementation to the eligible beneficiaries that the Female Field Health
Staff.
• (6) She shall ensure that the Sector Health Nurses and Village Health
Nurses of Primary Health Centres and Health Sub Centres visit all the
TamilNadu Nutritious Noon Meal Programme Centres/Community
Nutrition Centres and ICDS (Anganwadi) Centres in her area regularly and
ensure provision of health care services including referral as per
programme instructions to the children.
124. • (7) She shall ensure that the periodic monitoring of the growth and
development of children from the time of birth as carried out by Village
Health Nurses and Sector Health Nurse at appropriate intervals and so
that the Health cards and related records are maintained by concerned
Field Health and Nutrition functionaries as per programme directives.
• (8) She shall assist the Medical Officer, Primary Health Centres in ensuring
that all cases of maternal and infant and child deaths are investigated
socio-epidemiologically and notified to higher authorities and arrange to
undertake rendering of suitable preventive and remedial measures to
prevent such mortality under the guidance and supervision of Medical
Officers of Primary Health Centres and district Health Authorities.
• (9) She shall assist the Medical Officers to ensure conduct of regular
surveillance by all the field Health Staff of the Primary Health Centers and
Health Sub-Centres in respect of occurrence of the Vaccine preventable
diseases in her block area and maintain Health Sub-Centre wise and
Primary Health Centre wise account of all cases of vaccine preventable
diseases in collaboration and coordination with Block Health supervisor
(Male).
125. • (10) She shall verify the stock position of all the
items of equipments, syringes, needles and
vaccines and ensure proper flow of materials and
vaccines with little room for shortage or surplus.
• (11) She will maintain and ensure sterilization of
syringes and needles and adoption of practice of
one syringe. One needle for one child for each
Immunisation administered by Field Health staff
implementing immunization services both in the
clinic and in the community.
126. • (1) She shall be responsible to assist the Medical Officers of the
Primary Health Centres for the successful and affective
implementation of National Family Welfare Programme through the
Female Health Staff of Primary Health Centres and Health sub-
Centres in her block.
• (2) The Community Health Nurse is responsible for
implementation of activities under information and Education on
Family Welfare in collaboration with Block Extension Educator and
motivation of staff and strengthen and supervision of Family
Welfare Services and after care and follow-up.
• (3) She shall with the Female Health Supervisors i.e Sector
Health Nurse arrange follow-up of Family Welfare cases and accepts
of Family Welfare methods such as intrauterine device and oral pills
etc. for immediate management and referral if any
127. • Till now we discussed about health team like
introduction, definition, composition,
function of health team .
• Role of nursing personnel at various officers
like district public health nursing officers,
block health nurse, public health nurses , lady
health visitors/health supervisor, health
worker female/ANM.
128. • I hope you all understand the health team and
their composition followed by function
• discussed various health workers like
PHN,DPHNS,BHN, LHV/LHVS, HW(ANM) their
role and responsibilities in health care
services.
• If you got chance to work as a health team in
various department will you able to all apply
this knowledge with confidently.
129. • Define the health team?
• Enumerate the composition of health team?
• Discuss the function of health team?
• Explain in detail about district public health nursing officer?
• Describe the role and responsibilities of block health
nurses
• Discuss the role and responsibilities of public health nurse?
• Describe the role and responsibilities of lady health
visitors/health supervisor?
• Understand the role and responsibilities health worker
female (ANM)?
130. STUDENT REFERENCE ?
1. K.Park the text book of” preventive and
social medicine” 24th edition, jaypee
brothers, new delhi. Page no. 846-856
2. IPHS standard for community health centre
guidelines.
3. IPHS standards for primary health centre
4. IPHS standards for subcentre
131. TEARCHER REFERNCES?
1. K.Park the text book of” preventive and
social medicine” 24th edition, jaypee
brothers, new delhi. Page no. 846-856
2. IPHS standard for community health centre
guidelines.
3. IPHS standards for primary health centre
4. IPHS standards for subcentre