record
his visit on the main entrance to the house according to the Instructions of
the
State/UT.
His
duties pertaining to different National Health Programme are:
He
will carry out all the activities related to various programmes in a integrated
manner
when
visiting the village/ households
(a) National Vector Borne Disease Control Programme (NVBDCP)
1. Malaria
A. Early Diagnosis & Complete Treatment
1.
To conduct fortnightly domiciliary house-to-house visit, in areas where
FTDs/ASHAs
have
not been deployed, as per schedule developed by Medical Officer in-charge of
PHC
in
consultation with the District Malaria Officer.
2.
To collect blood smears (thick and thin) or perform RDT from suspected malaria
cases
during
domiciliary visits to households and keep the records in M-1. to transport
slide
___
_
collected
along with M1 to Lab for examination. To provided treatment to positive cases
as
per the drug policy.
3.
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 by him. 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.
4.
To contact all ASHAs/FTDs of the area during visit to the village and collect
blood
smears
and M2 for transmission to laboratory. To cross verify their records by
visiting
patients
diagnosed positive between the previous and current visit.
5.
To replenish the stock of microslides, RDKs and/or drugs to ASHAs/FTDs wherever
necessary.
6.
To keep the records of blood smears collected and patients given anti-malarials
in M1.
7.
To ensure early diagnosis & radical treatment of the diagnosed positive
cases (PV & Pf)
compliance
of RT (Pf – 45 mg …. & Pv – 15mg for 15 day.
8.
To take all precautions to use properly sterilized needles and clean slides
while collecting
blood
smears.
B. Integrated Vector Control Programme
1.
To decide dumping sites for insecticides.
2.
MPW should know the malaria-metric indices of his villages & should have
micro action
plan
of his sub-centre area.
3.
To supervise the work of spray squads.
4.
To deploy the squads (two pumps) in such a way that each squad works in a house
at a
time
and all the squads under his supervision work in adjacent houses for
convenience of
supervision.
5.
To make an abstract of spray output showing insecticide consumed, squads
utilized,
human
dwellings sprayed, missed, locked, refused and rooms sprayed/rooms missed in
the
proforma prescribed.
6.
MPW (Male) will ensure the quality of spray in the human dwellings.
¨ The spray should be uniform.
¨ The deposit should be in small discrete droplets and not splashes.
¨ All sprayable surfaces like walls, ceilings and eaves should be
covered
¨ If the ceiling is thatched, it should be sprayed so as to cover
both sides of
rafters/bamboos,
if necessary the ceiling should have two coats each starting from
opposite
direction.
¨ All false ceilings and attics should be sprayed.
¨ If houses are built on stilts/platforms, the under surface of
platform should also be
covered.
7.
To put a stencil on the wall of the house indicating spray status of the human
dwelling
(All
rooms and verandahs are counted).
8.
To ensure that spray men use protective clothing and wash the spray equipment
daily. The
washing
of the equipment, etc. should not pollute local drinking water source or water
used
for cattle. The spray men should wash the exposed surface of their body with
soap
and
water.
9.
To ensure that all precautions are taken by spray men to avoid contamination of
food
material
or cooked food or drinking water in the house. These can be protected by
covering
with a plastic sheet. Similarly, fodder for animals should be protected.
10.
To ensure the community owned bed-nets are timely treated with insecticide
before
transmission
season of malaria.
C. IEC/BCC
1.
To educate the community about signs & symptoms of malaria, its treatment,
prevention
and
vector control.
___
_
2.
Advance spray information to community/villages.
3.
To participate in the activities of anti-malaria month.
4.
Sensitize the community for sleeping under LLIN in the high endemic areas.
D. Recording & Reporting
1.
To maintain record of fever cases diagnosed by blood slides/RDTs in M1 and
prepare a
Sub-centre
report (M4) for all cases in the area, including those of ASHAs and FTDs and
submit
it to PHC.
2.
To keep a record of supervisory visits in Tour diary and submit to MO-PHC
during
monthly
meetings for verification.
3.
To keep records & reports as described in Chapter on Vector management.
4.
Minutes of VHSC decisions.
E. Village Health & Sanitation Committee
1.
MPW is expected to be a member of the Village Health and Sanitation Committee.
He
must
take part in the meetings actively and lead the discussions. He must convey the
importance
of source reduction activities.
2. Where Filaria is endemic
2.1.
Identification of cases of lymphoedema/elephantiasis and hydrocele and their
referrals to
PHC/CHC
for appropriate management.
2.2.
Training of patients with lymphoedema / elephantiasis about care of feet and
with home
based
management remedies.
2.3.
Identification and training of drug distributors including ASHAs and Community
Health
Guides
for mass drug administration of DEC+ Albendazole on National Filaria Day
3. Where Kala-Azar is endemic.
3.1.
From each family
a)
He shall enquire about the presence of any fever cases having a history of
prolong fever
more
than 15 days duration in a village during his visit.
b)
He will refer such cases to the nearest PHC for clinical examination by the Med
Officer
and
confirmation by RDK.
c)
He shall take the migratory status of the family/ guest during last three
months.
3.2
He will also follow up and persuade the patients to ensure complete treatment.
3.4.
He 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 his visit.
3.5.
He will carry a list of all Kala-azar cases in his area for follow up and will
ensure
administration
of complete treatment.
3.6.
He will supervise the spray activities in his area.
3.7.
He will conduct all health education activities particularly through
inter-personal
communication
by carrying proper charts etc. for community awareness and their
involvement.
4. Where Acute Encephalitis Syndrome/ Japanese Encephalitis is
endemic
4.1.
From each family he shall enquire about presence of any fever cases with
encephalitic
presentation.
4.2.
He will guide the suspected cases to the nearest diagnostic and treatment
centre (Primary
Health
Care Centre or community Health Centre) for diagnosis and treatment by the
medical
officer.
___
_
4.3.
He 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 his visit.
4.4.
He will carry a list of all JE cases in his area for follow up.
4.5.
He will assist during the spray activities in his area.
4.6.
He will conduct all health education activities particularly through
inter-personal
communication
by carrying proper charts etc. and also assist health supervisors and other
functionaries
in their education activities.
5. Where Dengue/Chikungunya is endemic
5.1.
He will guide the suspected cases of Dengue/Chikungunya to the nearest PHC/CHC
and
treatment
centre for clinical diagnosis and treatment by the medical officer. .
5.2.
He will keep a list of all Dengue/Chikungunya cases for follow up and also helping
referral
of
the cases.
5.3.
He will supervise the source reduction activities in his area and also assist
the vector control
activities
5.4.
He will coordinate the activities carried out by Village Health &
Sanitation Committee.
5.5
He will ensure source reduction activities during observance of anti Dengue
month during
July
5.6
He will conduct health education activities particularly through inter-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 practice.
B) National Leprosy Eradication Programme (NLEP)
· 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.
(C) National Blindness Control Programme (NBCP):
· Identify and refer all cases of blindness including suspected cases
of cataract to
Medical
Officer, PHC.
(D) Revised National Tuberculosis Control Programme (RNTCP):
· Identify persons especially with fever for 15 days and above with
prolonged
cough
or spitting blood and take sputum smears from these individuals. Refer
these
cases to the M.O. PHC for further investigations.
· Check whether all cases under treatment for Tuberculosis are
taking regular
treatment,
motivate defaulters to take regular treatment and bring them to the
notice
of the medical officer PHC.
· Educate the community on various health education aspects of
tuberculosis
programme.
· Assist the ASHA / similar village health volunteer to motivate the
TB patients in
taking
regular treatment.
___
_
(E) Universal Immunization Programme:
· Assistance to MPW(F) for administering all UIP vaccines like OPV,
BCG, DPT,
TT,
Measles, Hepatitis B, JE etc. to all the beneficiaries including pregnant
women
and provision of Vitamin A prophylaxis as per immunization schedule.
· Assistance to MPW(F) for conducting VHN Day in coordination with
other
partners
· Assist the health supervisor (male)/health supervisor (female) /
LHV in the school
health
programme
· Educate the people in the community about the importance of
immunisation
against
the various communicable diseases.
(F) Reproductive and Child Health Programme (RCH):
· Utilize the information from the eligible couple and child
register for the family
planning
Programme.
· Spread the message of family planning to the couples and motivate
them for family
planning
individually and in groups.
· Distribute conventional contraceptives and oral contraceptives to
the couples.
· Help prospective acceptors of sterilization in obtaining the
services, if necessary by
accompanying
them or arranging for the ASHA/dai to accompany them to the
PHC/Hospital.
· Provide follow up services to male family Planning acceptors, and
refer those cases
that
need attention by the physician to PHC/Hospital.
· Build rapport with satisfied acceptors, village leaders, ASHA,
Dais and others and
utilize
them for promoting family welfare Programme.
· Identify the male community leaders in each village of his area.
· Assist the health supervisor male in training the leaders in the
community and in
educating
and involving the community in family welfare Programme.
· Identify the women requiring help for medical termination of
pregnancy, refer them to
the
nearest approved institution and inform the health worker (female).
· Educate the community on the availability of service for Medical
Termination of
Pregnancy.
· Educate mother/ family/community on home management of diarrhea
and ORS,
personal
hygiene especially hand washing before feeding the child.
· Provide care and treatment for Diarrhoea, ARI and other common
newborn and
childhood
illnesses.
· Report any outbreak of diarrhoea disease.
· Measures such as chlorination of drinking water to be carried out.
· Proper sanitation to be maintained.
· Encourage use of latrines.
· Identify and refer cases of genital sore or urethral discharge or
non-itchy rash over the
body
to medical officer.
(G) Communicable Diseases
· HIV/STI Counseling, HIV/STI screening after receiving training.
· Identify cases of diarrhoea/dysentery, fever with rash, jaundice
encephalitis,
diphtheria,
whooping cough and tetanus, Poliomyelitis, neo-natal tetanus, acute
_ _
_
eye
infections and notify the health supervisor male and M.O.PHC immediately
about
these cases.
· Carry out control measures until the arrival of the health
supervisor (male) and
assist
him in carrying out these measures.
· Educate the community about the importance of control and
preventive measures
against
communicable disease and about the importance of taking regular and
complete
treatment.
(H) Non-Communicable Diseases
· IEC Activities for prevention and early detection of hearing
impairment /
deafness
in health facility, community and schools, harmful effects of Tobacco,
mental
illnesses, IDD, Diabetes, CVD and Strokes.
· House to House surveys to detect cases of hearing and visual
impairmentand
maintain
records.
· Early detection of hearing impairment and cases of deafness and
level
appropriate
Referrals
· Sensitization of ASHA /AWW /PRI about prevention and treatment of
deafness
· Mobilizing community members for screening camps and assisting in
conduction
of screening camps if needed.
· Motivation for quitting and referrals to Tobacco Cassation Centre
at District
Hospital
· Sensitization of ASHA /AWW /PRI about the Non-communicable
diseases
· Identification and referral of common mental illnesses for
treatment and follow
them
up in community.
· 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 flourosis
-Identify
the persons at risk of Fluorosis, suffering from Fluorosis and those
having
deformities due to Fluorosis, persons.
-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 registeration of Self Health Care Group of Elderly
Persons’,
· Oral Health education especially to antenatal and lactating
mothers, school
and adolescent children, first aid and referral for cases of oral
problems.
· Health messages on Disability, Identification of Disabled persons
and their
appropriate
referral.
(I) House- to – House surveys These
surveys would be done once in April annually
These
surveys would be done once in April and at least once more after six months.
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 and sanitation committee
members.
The
Male multipurpose worker would take the lead and be accountable for the
organization
of these surveys and the subsequent preparation of lists and referrals.
(I) Environment Sanitation
· Chlorinate the public water sources including wells at regular
intervals.
· Educate the community on
(a)
the method of disposal of liquid wastes,
(b)
the method of disposal of solid waste,
(c)
Home sanitation
(d)
advantage and use of sanitary type of latrines
(e)
construction and use of smokeless chulhas.
· Coordination with Village Health and Sanitation Committee.
(J) Primary Medical Care
· Provide treatment for minor ailments, first aid for accidents and
emergencies
and
refer cases beyond his competence to the nearest hospital or PHC/CHC.
(K) Health Education
· Educate the community about the availability of maternal and child
healths
services
and encourage them to utilize the facilities.
(L) Nutrition
· Identify cases of Low Birth Weight and malnutrition among infants
and young
children
(0-5 years) in his area, give the necessary treatment and advice or
refer
them to the anganwadi for supplementary feeding and refer serious cases
to
the PHC.
· Educate the community about the nutritious diet for mothers and
children from
locally
available food.
(M) Vital Events
· Enquire about births and deaths occurring in his area, record them
in the births
and
deaths register, sharing the information with ANM and report them to the
Health
Supervisor (Male) / Health Supervisor (Female).
· Educate the community on the importance of registration of births
and deaths.
(N) Record Keeping
· Survey all the facilities in his area and prepare/maintain maps
and charts for
the
village.
· Prepare, maintain and utilize family and village records.
· Assist the Health Worker (Female) / ANM to prepare and maintain
the
eligible
couple as well as maternal & child health register.
· Maintain a record of cases in his area, who are under treatment
for
tuberculosis
and leprosy.
___
_
· Prepare and submit the prescribed monthly reports in time to the
Health
Supervisor
(Male).
· While maintaining passive surveillance register for malaria cases,
he will
record:
· No. of fever cases
· No. of blood slides prepared
· No. of malaria positive cases reported