JOB RESPONSIBILITIES OF MPHA
(MALE)
Under the MPW scheme, one
Health Worker Male and one Health Worker Female are posted at each sub-central
and are expected ultimately to cover a population of 5,000 (3,000 in tribal and
hilly area). The Health Worker Male will visit each family once a fortnight. He
should make a visit to each family once a month. MPHW (Male) will mainly focus
on activities which are related to disease control programs, detection and
control of epidemic outbreaks, environmental sanitation, safe drinking water,
first aid in emergencies like accidents, injuries, burns etc., treatment of
common/ minor illnesses, communication and counseling, life style diseases and
logistics and supply management at sub-centre. In addition he will also
facilitate MPHA (Female) in MCH, Family Welfare, and Nutrition related
activities. Due importance should be given in assessment of MPHW (Male)
training both at institutional and field level accordingly.
His duties to different
National Health Programs are:
1.
MALARIA
1.
From each family, he shall enquire about
a.
Presence of any fever cases.
b.
Whether there was any fever case in the
family in between his fortnight visits.
c.
Whether any guest had come to the family and
had fever.
d.
Whether any member of the family who had
fever in between his fortnight visits had left the village.
2.
He shall collect thick and thin blood smears
on one glass slide from cases having fever or giving history of fever and enter
details in MF‐2
and put appropriate serial number on the slide.
3.
He shall begin presumptive treatment for
Malaria after blood smear has been collected. He will follow the instructions
given to him regarding administration of presumptive treatment under NVBDCP.
4.
He shall contact the village ASHA during his
fortnightly visit to the village and
(i). collect
blood smears already taken by the village ASHA
(ii). also
collect details of each case in MF ‐2
(iii). (iii)replenish
both drugs and glass slides and look into the account of consumption of anti malarial
drugs.
5.
He shall dispatch blood smears along with MF‐2
collected from the village ASHA/Multipurpose Worker Female of the Subcentre and
also those collected during his visit in his area to the PHC Laboratory twice
in a week, or as instructed by the Medical Officer PHC.
6.
He shall verify the presumptive treatment
administered by the ASHA, if any during his visit.
7.
He shall administer radical treatment to the
positive cases as per drug schedule prescribed and as per instructions issued
by the Medical Officer PHC and take laid down action if toxic manifestations
are observed in a patient receiving radical treatment with primaquine.
8.
He shall intimate each household in advance
regarding date of spray on the basis of advance spray program given to him and
explain simultaneously the benefit of insecticidal spray to the villagers.
9.
He shall contact the village ASHA and inform
him of the spray dates and request him to motivate the community and prepare
them for accepting the spray operations.
10.
Assist the Health Supervisor Male in
supervising spraying operations and training of field spraying staff.
2.
WHERE KALAAZAR IS ENDEMIC
1.
From each family he shall enquire about:
(a).
Presence of any fever cases of more than 15
days duration.
(b).
He will identify the fever cases detected by
him during visits and not responding to anti malarials.
(c).
Whether any guest had come to the family and
had fever Kala‐Azar.
(d).
Whether any member of the family/guest who
had fever of more than 15 days duration and left the village.
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.
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 the visit.
4.
He will carry a list of all Kala‐azar
cases in his area for follow up and will ensure administration of complete
treatment.
5.
He will assist during the spray activities in
his area.
6.
He will conduct all health education
activities through interpersonnel communication by carrying proper charts etc.
and also assist Health Supervisors and other functionaries in their health
education activities.
3.
WHERE JAPANESE ENCEPHALITIS (J.E...) IS ENDEMIC
1.
From each family, he shall enquire about
presence of any fever cases with encephalitic presentation.
2.
He will refer the suspended cases to the
nearest diagnostic and treatment Center (Primary Health Care Centre or
Community Health Center) for diagnosis and treatment by the Medical Officer.
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 Superisor (M) during his visit.
4.
He will carry a list of all JE cases in his
area for follow up.
5.
He will assist during the spray activities in
his area.
6.
He will conduct all health education
activities particularly through inter personnel communication by carrying
proper charts etc. and also assist Health Supervisor and other functionaries in
their health education activities.
4.
COMMUNICABLE DISESES.
1.
Identify cases of diarrhoea, dysentery, fever
with rash, jaundice, encephalitis, diphtheria, woofing cough, tetanus,
poliomyelitis neonatal tetanus, acute eye infections and notify to the Health
Supervisor and M.O PHC immediately about these cases.
2.
Carry out control measures until the arrival
of the Health Supervisor Male and assist him in carrying out these measures.
3.
Give Oral Rehydration Solution to all cases
of diarrhea/ dysentery/ vomiting.
4.
Educate the community about the importance of
control and preventive measures against communicable disease and about the
importance of talking regular and complete treatment.
5.
Identify and refer cases of Genital sore or
urethral discharge or non‐ itchy rash over the body to Medical
Officer.
6.
Identify and refer all cases of blindness
including suspected cases of cataract to M.O. PHC.
7.
Report the presence of stray dogs to the
Health Supervisor Male and assist him in carrying out the destruction of stray
dogs.
5.
LEPROSY
1.
Identify cases of skin patches, especially if
accompanied by loss of sensation and take skin smears from these cases. Refer
those cases to M.O. PHC for further investigation.
2.
Check whether all cases under treatment for
leprosy are taking regular treatment. Motivate defaulter to take regular
treatment and bring them to the notice of the Health Supervisor Male.
6.
TUBERCULOSIS
1.
Identify persons especially with fever for 15
days and above with prolonged cough or spitting of blood and take sputum smears
from these individuals. Refer these cases to the M.O PHC for further
investigations.
2.
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 Health Supervisor Male.
3.
Educate the community on various health
education aspects of tuberculosis program.
4.
Assist the village ASHA in under taking the
activities under TB program properly. Provide the list of the TB patient living
in a village to the village ASHA so that he is further able to motivate the TB
patient in taking regular treatment.
7.
ENVIRONMENTAL SANITATION
1.
Chlorinate public water sources including
wells at regular intervals.
2.
Educate the community on
(a).
the method of disposal of liquid wastes;
(b).
The method of disposal of solid wastes;
(c).
Home sanitation;
(d).
Advantage and use of sanitary type of
latrines;
(e).
Construction and use of smokeless chulhas.
8.
UNIVERSAL IMMUNISATION PROGRAM
1.
Administer DPT vaccine, oral poliomyelitis
vaccine, measles vaccine and BCG vaccine to all infants and children in his
area in collaboration with Health Worker Female.
2.
Assist the Health Worker Female in
administering tetanus toxoid to all pregnant women.
3.
Assist the Health Supervisor (Male &
Female) Health Worker Female in the school immunization program.
4.
Educate the people in the community about the
importance of immunisation against the various communicable diseases.
9.
DIARRHOEA CONTROL PROGRAM
1.
Educate community on home management of
diarrhoea.
2.
Report any outbreak of diarrhoeal disease.
3.
Measures such as chlorination of drinking
water to be carried out.
4.
Proper sanitation to be maintained.
5.
Encourage use of latrines.
10.
FAMILY PLANNING
1.
Utilize the information from the eligible
couple and child register for the family planning program.
2.
Spread the message of family planning to the
couples and motivate them for family planning individually and in groups.
3.
Distribute conventional contraceptives to the
couples.
4.
Provide facilities and help to prospective
acceptors of sterilization in obtaining the services, if necessary by
accompanying them or arranging for the ASHA to accompany them to the PHC/
Hospital.
5.
Provide follow up‐services
to male 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.
6.
Build rapport with satisfied acceptors, village
leaders, ASHA, teachers and others and utilize them for promoting Family
Welfare Programs.
7.
Establish male depot holders in the area.
Help the Health Supervisor Male and Female in training them all. Provide
continuous supply of conventional contraceptives.
8.
Identify the male community leaders in each
village of his area.
9.
Assist the Health Supervisor male in training
the leaders in the community in family welfare programs.
10.
Provide follow-up services for acceptors of
male sterilization and also motivate males for sterilisation and spacing
methods based on ANMs eligible couple register.
11.
Assist the ANMs and ASHAs in distribution of
conventional contraceptives to eligible couples.
11.
MEDICAL TERMINATION OF PREGNANCY
1.
Identify the women requiring help for medical
termination of pregnancy, refer them to the nearest approved institution, and
inform the Health Worker Female.
2.
Educate the community on the availability of
services for medical termination of pregnancy.
12.
HEALTH EDUCATION
1.
Educate the community about the availability
of Maternal and Child Health Services and encourage them to utilize the
facilities.
1.
Identify cases of malnutrition among infants
and young children (Zero to five years) in his areas, give the necessary treatment
and advice or refer them to the anganwadi for supplementary feeding and refer
serious cases to the Primary Health Centre.
2.
Distribute Iron and Folic Acid as prescribed
to children from zero to five years, pregnant and nursing mothers and family
planning acceptors.
3.
Administer Vitamin A solution as per
prescribed to children from one year to five years.
4.
Educate the Community about nutritious diet
for mothers and children from locally available foods.
14. VITAL EVENTS
1.
Enquire about births and deaths occurring in
his area, record them in the births and deaths register and notify them to the
Birth and Death Register of the local area.
2.
Educate the Community on the importance of
Registration of Births and Deaths.
14. PRIMARY MEDICAL CARE
1.
Provide treatment for minor ailments. Provide
first aid for accidents and emergencies, and refer cases beyond his competence
to the Primary Health Center or nearest Hospital
15. RECORD KEEPING
1.
Survey all the families in his area and
prepare/ maintain maps and charts for the villages.
2.
Prepare, maintain utilize family and village
records.
3.
With the assistance of the Health Worker
Female prepare the eligible couple and child Register and maintain it up to
date.
4.
Maintain a record of cases in his area who
are under treatment for tuberculosis and leprosy. 5. Prepare and submit
periodical reports in time to the Health Supervisor Male. 16. Any other PHC /
Sub centre work may be assigned by the Medical Officer PHC for smooth running
of PHC and in the interest of the health needs of the rural citizens.
16. SCHOOL HEALTH INCLUDING NUTRITION
1.
Visit all the schools in the assigned area
and advocate personal hygiene, nutrition, safe drinking water and sanitation
and other public health measures.
2.
Undertake awareness generation of national
health programs (Malaria, TB, Leprosy etc) for early detection of communicable
and non-communicable diseases
3.
Ensure completion of immunization schedules
including Inj. TT as per guidelines
4.
Assist Ophthalmic Assistant for eye screening
of children for detection of visual defects.
5.
Identify cases of malnutrition in school
children and refer cases to PHC Medical Officer. Guide teachers and parents on
nutrition and anemia. Educate the community about nutritious diet for mothers
and children from locally available foods.
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