Friday, September 9, 2011

Job Chart of MPHA(M) (Revised Guidelines-2010)

Note: The Health worker Male will make a visit to each family once a fortnight. He will
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
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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.
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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.
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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.
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(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
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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.
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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.
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· 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

5 comments:

  1. Thank you Premkumar,to create this It is very useful to all paramedical staff--but pls updated at least every 7 t0 10 days

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  2. Nice post and thanks for share any way . I want you to visit the link below to get some useful info like Customer Care Number

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  3. Either male worker must bring vaccine

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  4. can any one component do justice to his duty out of numerous and endless responsibilities? qualitative work will definitely be damaged and i opine it is a non practical job chart

    ReplyDelete