PHC STAFF and their JOB CHARTS.

PHC STAFF and their JOB CHARTS .

Job charts of the following PHC staff are included in this manual.

1) PHC Medical Officer & Drawing and disbursing officer.

2) PHC Medical Officer.
3) Community Health officer.
4) Public health Nurse.
5) Multipurpose Health Extension Officer.
6) Assistant paramedical officer.
7) Senior assistant.
8) Staff nurse – 1.
9) Staff nurse – RCH.
10) Pharmacist.
11) Lab‐technician.
12) LD‐Computer
13) Attender / office subordinate.
14) Dhai / Scavenger (under NRHM).
15) Multipurpose Health Supervisor (M) .
16) Multipurpose Health Supervisor (F).
17) Multipurpose Health assistant (F) .
18) Multipurpose Health assistant (F) .
19) Multipurpose Health assistant (M).

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1. DUTIES OF THE MEDICAL OFFEICERS.

General

Most of the primary health centers are sanctioned with two medical officer posts. One
of the two medical officers will be identified as drawing officer and in charge of the
PHC.

Medical Officer identified to be In charge of the PHC who is also the drawing and
disbursing officer of the PHC is the administrative head of Primary Health Center. In
addition to the preventive promotive and curative health functions of the Medical
officer, he/She shall discharge administrative functions entrusted to him/her.

By virtue of his/her designation, it is implied that in charge medical officer will be

solely responsible for the proper functioning of the PHC. He/She may assign any job to
any health functionality in his team, which is deemed essential by him towards
achieving National Health goals.

The second medical officer have to involve himself/herself equally in all the activities
of the PHC, manage the resources and take part in effective implementation of every
health program in the PHC area.

1. Administrative functions of the Medical Officer & Drawing and disbursing

officer (assigned in addition to the regular preventive, promotive , and curative
functions of the Medical officer ).
1. The Medical Officer will supervise the work of staff working under
him.
2. The Medical Officer will ensure general cleanliness inside and
outside the premises of the PHC and also maintenance of equipment
under his charge.
3. The Medical Officer will ensure that the staff in whose custody the
inventory and stock register are kept up‐dated regularly and all the
stores and equipment supplied to the PHC and will accounted
properly.
4. The Medical Officer will get indents prepared timely for drugs,
instruments, linen, vaccines, ORS and contraceptives etc. sufficiently
in advance and will submit them to the appropriate health
authorities.
5. The Medical Officer will ensure the proper maintenance of the
vehicle allotted the PHC and its logbook.
6. The Medical Officer will scrutinize the Advanced tour programs of his
field supervisory staff, Senior / junior assistant and suggest changes
if necessary to suit the priority of work.
7. The Medical Officer will ensure that the following Charts and
information is displayed in his room
f. The PHC area map showing geographical area , location sub
centers and habitations covered by the sub centers and the PHC ,
g. Program wise performance display charts ,
h. Demographic data display charts ,
i. Charts displaying morbidity and mortality health statistics
j. Other important information specific to the area covered by his
PHC..
 8. The Medical Officer will conduct monthly staff meetings with the staff
working in the PHC and evaluate the progress of work and suggest steps
to be taken for further improvements to provide better health services.
He will encourage supportive supervision by the supervisory staff.
9. The Medical Officer will ensure that regular supply of IEC material,
medicines and kits to the Community health workers, ASHA s. He will
disburse the honorarium to CHW s ASHA s and other link workers
through MPHA (f) as per program guidelines.
10. The Medical Officer will ensure the maintenance of the prescribed
records of PHC level, under FW, NRHM, Malaria, TB, VS and other
programs. He will maintain OP Register.
11. The Medical Officer will receive reports from the sub centers through
the supervisory staff get them compiled and submit them regularly to
the District Health Authorities.
12. The Medical Officer will Keep notes of his visits to the area and submit
every month his tour report to the CHNC supervisory medical
officer/deputy DM & HO /DM&HO
13. The Medical Officer will discharge all the financial duties entrusted to
him and ensure that the senior/junior assistant maintains all the
financial records and accounts are reconciled every month.(refer Hand
book on Office and financial management.)
14. The Medical Officer will ensure that the senior / junior assistant will
maintain all the standard office records for day‐to‐day administration.
.(refer Hand book on Office and financial management.)

2. DUTIES OF (ALL) THE MEDICAL OFFEICERS OF THE PHC.

General
The PHC Medical officers and staff under his administrative control should
reach out to the community and provide integrated – RCH, disease prevention and
management, health promotion services. ‐ And comprehensive preventive, promotive
and curative services.

The PHC Medical officers should effectively utilize the services of all the
headquarter staff and all field staff,. The Medical Officers should visit each and every
village in its service area at least once a month.

Ideally each PHC should have two medical officers; and one should be mobile
for at least six days a week (for two weeks in a month) the other should provide
services at PHC headquarters (for two weeks in a month) at any given point of time.
Where there is only one MO, she/ he shall be mobile for at least four days a week.

The work of the medical officer is classified as follows.

1 . CURATIVE WORK
2. PREVENTIVE AND PROMOTIVE WORK
3. PACKAGE OF SERVICES UNDER VARIOUS NATIONAL STATE HEALTH PROGRAMS.

I .CURATIVE WORK
1. Both the medical officers of the Primary health centre must ensure the
preparation of the annual health action plan by the CHO involving the MPHS
and MPHA.

2. The Medical Officer will organize the out‐patient department and will allot
duties to the ancillary staff to ensure smooth running of the O.P department
 3. The Medical Officer will make suitable arrangements and distribute the
work to the staff for the treatment of emergency cases which come outside
the normal O.P. Hours.

4. The Medical Officer will organize laboratory services for patients for proper
diagnosis of the disease where ever necessary and within the scope of PHC
laboratory.

5. The Medical Officer will make arrangements for rendering services for the
treatment of minor ailments at community level and at the PHC through the
agency of Community Health Officer, Health Supervisors, Multipurpose
heath assistants.

6. The Medical Officer will attend to cases referred to him by Health

Supervisors, Health Workers, Health Guides, Dais or by the School Teachers.

7. The Medical Officer will screen cases needing specialized medical attention
including dental care and nursing care in the treatment of minor ailments.

8. The Medical Officer will cooperate and/or coordinate with other institutions
providing medical care services in his area.

9. The Medical Officer will visit each sub‐ centre in his area at least once in a
fortnight on a fixed day not only to check the work of the staff but also to
provide curative services.

II. PREVENTIVE AND PROMOTIVE WORK

1. The Medical Officer will ensure that all the members of his Health Team are
fully conversant with the various National Health & Family Welfare Programs to
be implemented in the area allotted to each health functionary.

2. The Medical Officer will further supervise their work periodically both in the
clinics and in the community setting to give them the necessary guidance and
direction.

3. The Medical Officer will prepare operational plans and ensure effective
implementation of the same to achieve the laid‐down targets under different
National Health Family Welfare Programs

4. The Medical Officer will keep close liaison with Mandal development officer and
his staff, community leaders and various social welfare agencies in his area and
involve them to the best advantage in the promotion of health program in the
area.

5. Wherever possible, he will conduct field investigation to delineate local health

problems for planning changes in strategy of the effective delivery of Health
and FW services.

6. The Medical Officer will ensure the regular conduction of IEC programs at
habitation level.
iii. PACKAGE OF SERVICES UNDER MATERNAL AND CHILD HEALTH PROGRAM.
(NRHM)
Package of services under MCH are:

1. MCH Services & Prophylaxis schemes.

2. Immunization Program.

3. Oral Rehydration Therapy in diarrheal diseases.

4. Acute Respiratory Infection Control program.

5. School Health.

6. Family Planning.

1. MATERNAL AND CHILD HEALTH

1. Ante­Natal Care (ANC):

12. first trimester registration of all pregnancies;
13. screening for pre‐existing diseases and their treatment;
14. four ANC visits (3 by the MO);
15. three TT injections;
16. regular intake of Iron and Folic Acid (IFA) tablets throughout
pregnancy for not less than 120 days;
17. supplementary nutrition;
18. identification of high risk pregnancies;
19. birth planning for all in the third trimester; and
20. ensuring institutional delivery / skilled birth attendance;
21. Post‐natal care.
22. Monitoring of prenatal, intranatal and postnatal complications
and prompt referral to the Referral Hospital.
2. Child health screening using IMNCI protocols where applicable age
groups of
ii) 0‐1 year: Immunization, growth monitoring, exclusive breast feeding
and weaning advice, treatment of pre‐existing conditions, care of
Grade 3 and 4 malnutrition children in health facility/FRU and
screening for childhood illness and referral as appropriate.
iii) 1‐5years: immunization, growth monitoring, vitamin A
supplementation, nutrition support.
iv) 5‐15 years: registration and coverage by the school health program

2. UNIVERSAL IMMUNISATION PROGRAM (UIP)

4. The Medical Officer will plan and implement UIP in line with the
latest policy and ensure cent‐percent coverage of the target
population in the PHC (i.e., Pregnant mothers and new born infants).

5. The Medical Officer will ensure adequate supplies of vaccines and

miscellaneous items required from time to time for the effective
implementation of UIP.

6. The Medical Officer will ensure proper storage of vaccines and

 maintenance of cold‐chain equipment (by the pharmacist and staff
nurse in charge of equipment), planning and monitoring of
performance and Training of staff.
3. ORAL REHYDRATION THERAPY.

3. The Medical Officer will ensure through his health team early
detection of diarrheal diseases and dehydration.

4. The Medical Officer will arrange for correction of moderate and

severe dehydration through appropriate treatment.

4. ACUTE RESPIRATORY INFECTION CONTROL PROGRAM.

3. The Medical Officer will ensure through his health team early
detection of pneumonia cases and provide appropriate treatment.

4. The Medical Officer will supervise the work of health supervisors and
health workers in treatment of mild and moderate ARI.

5. SCHOOL HEALTH PROGRAM

To be started in June/ July in all the Govt. schools and social welfare hostels and all
the children in the schools of the area to undergo basic health screening initially and
those identified as high risk to be ear marked for follow up visits.
6. each child to have a card
7. DPT/ TT as per the schedule are given
8. De‐worming to be under taken in the initial visit and the next after a six
months period.
9. Children requiring specialist care are to be referred to the concerned
specialist at a referral unit.
10. Further follow up visits to the schools may be once in 3 months.

6. FAMILY PLANNING.

The Medical Officer will be responsible for proper and successful

implementation of family Planning Program in PHC area, including
education, motivation, and delivery of services and after care.

The Medical Officer will be responsible for giving immediate and sustained
attention to any complications the acceptor develops due to acceptance of
Family Planning methods.

The Medical Officer will extend family planning motivation and spacing
advice to all the eligible women who visit the OPD.

The Medical Officer will get himself trained in tubectomy, wherever

possible, and organize tubectomy camps.

The Medical Officer will organize and conduct vasectomy camps.

The Medical Officer will seek help of other agencies such as District Bureau,
Mobile Van and other associations/ Voluntary organizations for
tubectomy/IUD camps and MTP services.
7. State and National Health programs
1. NATIONAL MALARIA ERADICATION PROGRAM (NMEP) AND VECTOR CONTROL
PROGRAM

N. M. E. P

1. He will be responsible for all NMEP operations in his PHC area and
will be responsible for all administrative & technical matters.
2. He should be completely acquainted with all problems and
difficulties regarding surveillance and spray operations in his PHC
area and be responsible for immediate action whenever the necessity
arises.

3. The Medical Officer will guide the Health Workers on all treatment
schedules, especially Presumptive and radical treatment with
Chloroquine & primaquine.

4. He should investigate all Malaria death cases and institute necessary

measures in this connection. He should ensure that prompt remedial
measures are carried out by the Health Supervisors abut positive
cases detected in their areas.

5. He will check the microscopic work of the Laboratory Technician and

arrange for dispatch of prescribed percentage of slides for cross
check to the Zonal Organization/Regional Office for Health and
Family Welfare (Government of India) and to Central Malaria
Laboratory for cross checking as laid down from time to time.

6. He should, during his monthly meetings, ensure proper accounts of

slides and anti‐malaria drugs issued to the Health Workers.

7. The publicity material and mass media equipment received from

time to time will be properly distributed and utilized properly.
8. He should consult the booklet on “Management and Treatment of
Cerebral malaria” and treat cerebral malaria cases in PHC.
9. He should, ensure that all categories of staff in the periphery
administering radical treatment to the positive cases should observe
the instructions laid down under NMEP. (Refer the program
management and treatment guidelines).

2. KALA­AZAR

1. He will be responsible for all anti Kala‐Azar operations in his area

and will be responsible for all administrative and technical matters.

2. He should be completely acquainted with all problems and

difficulties regarding surveillances, diagnosis and be
responsible for immediate action whenever the necessity arises.

3. He will guide the health workers and health assistants on all

treatment schedules, criteria for suspecting a case to be of Kala‐
Azar and the approaches for motivation of the people for
accepting Kala‐Azar control activities, complete treatment and to
approach from immediate medical care.
 4. He will check the Microscopic/Aldehyde test conducted by the
Laboratory Technician

5. He will organize and supervise the Kala‐Azar search operation in his

area.

6. He should, during his monthly meetings ensure proper accounts of

drugs, chemicals, Glassware etc.

7. He will be responsible for all health education activities in his area.

8. He will be overall responsible for all Kala‐Azar control activities in

his area including spray operations. For the purpose, he may
identify one Medical officer who can be made solely responsible
for Kala‐Azar control.

9. He will be responsible for regular reporting to the District Malaria

Officer/Civil Surgeon, monitoring, record maintenance, maintenance
of adequate provisions of drugs, chemical etc.

3. JAPANESE ENCEPHALITIS (J.E)

1. He will be responsible for all anti Japanese Encephalitis operations in

his area and will be responsible for all administrative and technical
matters.

2. He should be completely acquainted with all problems and

difficulties regarding surveillance diagnosis, treatment and spray
operations in his PHC area, and ensure that an immediate action is
taken involving all his PHC staff whenever the necessity arises.

3. He will guide the Health Workers and Health Assistants on all

treatment schedules, criteria for suspecting a case to be of J.E and the
approaches for motivation of the people for accepting J.E control
activities and to approach for immediate medical care to prevent
death.

4. He will arrange to collect and transport laboratory samples to the

identified virology lab.

5. He will ensure that health education activities are taken up in all the
villages of the PHC area involving all the PHC staff.

6. He will ensure that CHO/MPHEO all the HC staffs is involved in the

J.E control activities in his areas including spray operations.

7. He will be responsible for regular reporting to the District malaria

Officer/Civil Surgeon, monitoring, record maintenance, maintenance
of adequate provisions of drugs etc.
4. CONTROL OF COMMUNICABLE DISEASES.
1. He will ensure that all the steps are being taken for the control of
communicable diseases and for the proper maintenance of sanitation in the
village.
 2. He will take the necessary action in case of any outbreak of epidemic in
his area.

4.1. LEPROSY
1. He will provide facilities for early detection of cases of
Leprosy and confirmation of their diagnosis and treatments.
2. He will ensure that all cases of Leprosy take regular and
complete treatment
4.2. TUBERCULOSIS ­ RNTCP
1. He will provide facilities for early detection of cases of
Tuberculosis, confirmation of their diagnosis and
treatment.
2. He will ensure that all cases of Tuberculosis take regular and
complete treatment.
3. He will sensitize the community and organize directly
observed treatment provider (DOTS) services.
4.3. SECUALLY TRANSMITTED DISEASES (STD)
1. He will ensure that all the cases of STD are diagnosed and
properly treated and their contacts are traced for early
detection.
2. He will provide facilities for VDRL test for all pregnant
women at the PHC.

5. NATIONAL PROGRAM FOR PREVENTION OF VISUAL IMPAIRMENT AND CONTROL OF

BLINDNESS
He will make arrangements for rendering:

a) Treatment for minor eye ailments and

b) Testing of vision.

c) Referral services

The Medical Officer will extend support to mobile eye‐care units.

6. DIARRHOEAL DISEASE CONTROL PROGAMME.
The Medical Officer will ….
1. Ensure Proper management of the cases of diarrheal and
referral of serious cases to the community health center.
2. Maintenance of Adequate stocks of ORS at depot holders and
staff to ensure availability of ORS packets through out the
year.
3. Monitor all cases of diarrheal especially for children between
0‐5 years.
4. Record and report all the deaths due to diarrheal specially for
children between 0‐5 years
5. Organize chlorination of wells and coordinate with Sewage
agency to improve village sanitation.
6. Training of all health personnel like VHG s, SHG s , CHW s ,
ASHA s Anganwadi Workers, Dais and others who are
involved in health care regarding ORT program.
7. TRAINING.
The Medical Officer will organize training programs including
continuing eduction with the assistance of the Community Health
Officer under the guidance of the District Health Authorities and Health
& FW Training Centers under the scheme of re‐orientation training of
Medical and Para Medical personnel and School Health Services
Scheme.

The Medical Officer will educate the community as the selection of

Health Guides and will take the necessary steps to train the Health
Guides from his area.

The Medical Officer will also make arrangements/provide assistance to

the Health Supervisor Female and Health Worker Female in organizing
training programs for indigenous Dais practicing in the area.

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2. JOB RESPONSIBILITIES OF COMMUNITY HEALTH OFFICER.

Note: One Community Health Officer will be posted at each new Primary Health
Centre and will cover 30,000 populations (20, 000 in trial and hilly areas). He will
be under direct administrative and technical control of M.O In charge of the PHC.

The Community Health Officer where ever exists will carry out the following
duties.

1. CONTROL OF COMMUNICABLE DISEASES.

Ensure that all necessary steps are being taken for the control of the
communicable diseases in the village.

He should report any outbreak of an epidemic to Medical Officer Incharge.

Assist the Medical Officer of the Primary Health Centre in taking the necessary
action in case of any outbreak of an epidemic in the PHC area.

c. WHERE KALA‐AZAR IS ENDEMIC.

i. He will carry out the activities connected with community

involvement and health education, training, management and
supervision in the context of Kala‐Azar also. He should be
responsible for search operations, diagnosis and treatment of
Kala‐Azar patients and spray activities in his area and for this
purpose he will work under supervision of Medical Officer In
charge of PHC.

d. WHERE JAPANESE ENCEPHALITIS IS ENDEMIC.

i. He will carry out the activities connected with community

involvement and health education, training, management and
supervision in the context of J. E also. He should also be
responsible for J.E search operations, diagnosis and treatment of
J.E patients and spray activities in his area and for this purpose he
will work under supervision of Medical Officer In‐ Charge of PHC.

2. MATERNAL AND CHILD HEALTH.

1. Supervise and guide the Health Supervisors and Health Workers and
actively involve the Health Guides and trained Dais in the effective
implementation of the program for Maternal and Child health.

3. SCHOOL HEALTH.

1. Visit schools in the PHC area at regular intervals and arrange for
Medical check‐up by the M.O., PHC, immunization environmental
sanitation and health education.
 2. Make arrangements for the treatment and follow up of those
students found to have defects.

4. UNIVERSAL IMMUNIZATION PRORAMME.

1. Supervise and guide the Health Supervisors and Health Workers and
actively involve the Health guide and Trained Dais in the effective
implementation of the Universal Immunization Program.

2. He/She will be responsible for supplies, monitoring and co‐

ordination of the program activities.

5. FAMILY PLANNING.

1. Supervise and guide the Supervisors and Health Workers and

actively involve the Health Guides and trained Dais in the effective
implementation of the Family Planning Program.

6. NUTRITIONAL.

1. Supervise and guide the Health Supervisors and Workers and

actively involve the Health Guides and trained Dais in the effective
implementation of the nutrition program, such as administration of
vitamin A and Iron and Folic Acid tablets.

7. ENVIRONMENTAL SANITATION.

1. Help to ensure that all steps are being taken for the provision of safe
drinking water and for the improvement of environmental sanitation
in the villages.

8. TREATMENT OF MINOR AILIMENTS.

1. Provide guidance to the health Supervisors, Health Workers, Health

Fluids and Primary School Teachers in the treatment of minor
aliments as carried out by them, and ensure early referral to the M. O.
PHC.

9. COMMUNITY INVOLVEMENT AND HEALTH EDUCTION.

9. Participate in the Village Health Committee/ Village Panchayath

meetings to assess the health needs of the community to discuss the
health programs with the community, and to enlist their cooperation
in these programs.

10. Maintain a close liaison with the Mandel Development Officer and his
staff and with other development program workers such as those
under the National Adult Education Programs

11. Work closely with the community leaders and community

organizations such as Mahila, Farmer's clubs, and other Voluntary
Organizations and involve them to the advantage in the promotion of
health programs in the area.
 12. Organize camps, meetings, health education talks, demonstrations
display of posters, exhibitions of films and involve the Health
Supervisors, Health Workers and Health Guides in these activities.

10. TRAINING OF HEALTH PERSONNEL AND COMMUNITY LEVERL

WORKERS.

13. Educate the community about the Health Guide scheme and take the
necessary steps to train the Health Guide from the PHC area.

14. Under the supervision of Medical Officer PHC, he should organize and
conduct training for ASHA s, Health Guides, Primary School Teachers
and Dais, be responsible for field training of these community level
workers and utilize the services Health Supervisors and Health
Workers MPHA s in these in these training Programs

15. Be primarily responsible for continuing education of ASHA s Health

Guides, Primary School Teachers and trained Dais and be assisted in
this by the Health Supervisors and Health Workers in the PHC area.

16. Assist the M. O. PHC in staff development programs for the Health
Supervisors and Health Workers, at the PHC as well as in the field.

17. Be actively involved in the training of Health Supervisors, Health

Workers, and other health personnel at the Community Health
Centre level.

18. Assist the M. O PHC in conduction fortnightly sector meetings,

monthly staff meetings at the PHC.

19. Be actively involved in the field training components of basic and

refresher training programs conducted by the state level, region
level, and district level institutes for basic training of various
categories of health personnel.

20. Be actively involved in the field training components of training

programs conducted by the Health and Family Welfare Training
Centers for various categories of health personnel.

11. MANAGEMENT AND SUPERVISION.

23. Assist the M. O PHC in conducting field investigation to delineate local

health problems for planning changes in the strategy for effective
delivery of health services.

24. Ensure that the sub centers are properly maintained and managed by
the Health Workers ( MPHA s) and Health Supervisors.

25. Ensure that supplies and equipment such as drugs, contraceptives

vaccines, nutritional supplements, bleaching powder, health educational
materials, etc., are supplied in time to the sub centers to enable the
Health Supervisors and Health Workers to carry out their functions
effectively.
 26. Ensure the regular replenishment of kits and the supply of drugs and
dressings for the Health Guides, Primary School Teachers and trained
Dais and ensure regular disbursement of stipends/honorarium to the
Health guides, Primary School Teachers and Dais.

27. Scrutinize the work plans of the Health Supervisors and Health Workers.

28. Supervise the maintenance of the prescribed records at sub center level.

29. Obtain the reports from the periphery, analyze and interpret the data
available, and utilize the findings for improving the implementation of
the health programs in the PHC area.

30. He should organize monthly staff meetings, not only for evaluating the
progress of work and suggesting steps to be taken for further
improvement but also as a means of staff development and continuing
education.

31. He should organize meeting at regular intervals with the community

level workers for discussing their activities and for providing continuing
education.

32. Keep notes of his activities in the PHC area and submit his tour report at
regular intervals to the M.O. PHC.

33. Any other duty assigned by Medical Officer should be carried out by CHO

12. VITAL STATISTICS.

He/she will visit Mandal Revenue Office twice in a month to

ensure collection of Birth and Death returns form V. A. Os, proper filling up of
these Returns and onward transmission of them to the Director of Health &
Chief Registrar of Births and Deaths in time.

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4. JOB DESCRIPTION OF MULTIPURPOSE HEALTH EXTENSION OFFICER.

The Multipurpose Health Extension Officer will be under the administrative control of
the Medical officer I/C PHC. One of his primary responsibilities is to promote community
participation for ensuring self reliance in the community. The Multipurpose Health Extension
Officer will function under the technical supervision and guidance of Dist. Extension & Media
Officer/Dy. DEMO He will be responsible for providing support to all National Health & Family
Welfare Programs in the PHC.

DUTIES AND FUNCTIONS:

I. MAINTANCE OF DATA.

1. He will collect and document all information on Women and Child

Development, Rural Development, Education & non conventional energy
programs & activities in the Mandal and utilize the same for program
planning.

2. He will collect information on population, literacy levels, age at marriage,

couple protection and immunization Rates, Crude Birth Rate, Crude Death
Rate at PHC level and utilize the same in planning and organizing Health
Education and Extension activities.

3. He will be responsible for regular maintenance of records of educational

programs daily diaries and other registers and ensure preparation & display
of relevant maps & charts in the PHC.

II. TRAINING.

1. He will assist the Medical Officer‐ in‐ charge in conducting training of Health
Workers in various schemes.

2. He will organise in cooperation with local voluntary agencies, orientation

training for Health & Family Welfare workers, opinion leaders, aganwadi
workers, Members of women groups, local medical practitioners, school
teachers, dais and others involved in Health & Family Welfare Work.

3. He will maintain a complete set of educational aids for his own use and for
training purpose.

III INTER ­ SECTORAL COORDINATION.

1. He will be a member of the local Mandal level Health Committees.

2. He will ensure proper functioning of all Health Committees in the PHC area.

3. He will maintain liaison with media units of the other departments,

including those of voluntary organizations and will organize mass
communication programs like, film shows, exhibitions, lectures and dramas
with the help of Dist. Extension & Media Officer.

10. NATIONAL PROGRAM FOR THE CONTROLL OF HIV / AIDS.

 1. He will coordinate and guide the Assistant para Medical Officer in
implementation of all the activities of the National HIV / AIDS control
program in the PHC area.
2. He will do counseling and advise the at risk HIV / AIDS and direct them
to seek preventive, diagnostic services from the Medical officer, APMO
and other higher referral centers.
IV IEC WORK.

1. He will be responsible for all educational motivational & communication

programs in PHC area.

2. He will supply and ensure utilization of information and education

material to health workers & development functionaries including those
of voluntary agencies.

3. He will under take health education campaigns and other control

measures for control of epidemics. He will under take training activities
for school children in health and hygiene. In case of natural calamities,
he will be in readiness to attend the health and rehabilitation activities.

4. He will support, guide and supervise the field workers in the area of
information dissemination, education and motivation.

5. He will adequately tour with a minimum of one night halt in every health
workers area. While in tour, he will ensure proper utilization of
educational materials, provide support & guidance to Health Workers in
their educational activities.

V. VITAL STATISTICS.

He will visit Mandal Revenue Office twice in a month to ensure collection of

Birth & Death Returns from VAO s, proper filling up of these Returns and
onwards transmission of these Returns to Director of Health & Chief Registrar
of Birth & Deaths, Hyderabad in time.

VI. National programs:

National AIDS Control Program (NACP) : (a) IEC activities to enhance
awareness and preventive measures about STI s and HIV/AIDs, PPTCT services
and HIV/TB coordination; (b) counseling and referral of persons practicing high
risk behavior in relation to HIV/AIDS and STD;(c) linkage with microscopy
centre for HIV‐TB coordination; (d) condom promotion and distribution of
condoms to the high risk groups; and (e) help and guide patients with HIV/
AIDS receiving ART with focus on adherence.

National Vector Borne Disease Control Program (NVBDCP):

MPHEO will ensure that the following activities are implemented and supervise
the following activities.
Prevention of breeding places of vectors through IEC, community mobilization,
collection of blood smears from all fever cases, supply of anti‐malarial drugs
and follow‐up of patients on treatment are the activities that are required at the
sub‐centre level. Rapid test kits for malaria may be used in sub ‐ centre
wherever such provision has
been made . Assistance to integrated vector control activities in relation to
Malaria, Filaria, JE, Dengue, Kala‐Azar etc. as prevalent in specific areas and
record keeping and reporting of the same. Where filarial is endemic,
identification of cases of lymphoedema / elephantiasis and hydrocele and their
referrals to PHC/CHC for appropriate management. The disease specific
guidelines issued by NVBDCP are to be followed.

National Leprosy Eradication Program (NLEP):

MPHEO will ensure that the following activities are implemented and supervise
the following activities of the field staff.
Refer the suspect cases of leprosy (patients with skin patches with loss of
sensation) to PHC, provision of MDT to diagnosed patients of leprosy at
sub‐centre, follow‐up and defaulter retrieval. Educating public about sign,
symptoms and complication of leprosy and availability of MDT at government
health institutions.

Integrated Disease Surveillance Projects (IDSP)

MPHEO will ensure that the following activities are implemented and supervise
the following activities of the field staff.
(a) Surveillance about any abnormal increase in cases of diarrhea / dysentery,
fever with rigors, fever with rash, fever with jaundice or fever with
unconsciousness and early reporting to concerned P HC; (b) Weekly reporting
of information for syndromic surveillance in prescribed format to primary
health centers on every Monday.

(b) NPSP (National Polio Surveillance project): Involving all the case of
weakness in <15 years age group (AFP) and all measles cases of all age groups
in the community to the Medical Officer/DIO
Revised National Tuberculosis Control Program (RNTCP) :
MPHEO will ensure that the following activities are implemented and supervise
the following activities of the field staff.
Referral of suspected symptomatic cases to the PHC/Microscopy centre; and
provision of DOTS at sub‐centre and proper documentation and follow‐up.

National Blindness Control Program (NBCP):

MPHEO will ensure that the following activities are implemented and supervise
the following activities of the field staff.
IEC is the major activity to help identify cases of blindness and refer suspected
cataract cases to the PHC/CHC.
Non­ communicable Disease (NCD) and cancer control programs:
MPHEO will ensure that the following activities are implemented and supervise
the following activities of the field staff.
IEC to sensitise the community about prevention of cancers and other NCDs,
early detection through awareness regarding warning signs and appropriate
and prompt referral of suspect cases.

********
5. JOB RESPONSIBILITIES OF HEALTH SUPERVISOR (MALE)

Under the Multipurpose Workers Scheme a Health Supervisor Male is expected

to cover a population of 15,000 to 30,000 (10,000 to 20,000 in tribal and hilly areas) in
which there are six sub centers, each with one Health workers Male.

The Health Supervisor Male will carry out the following functions:

1. SUPERVISION AND GUIDANCE.

1. Supervise and guide the Health Worker Male in the delivery of Health Care
Services to the community.

2. Strengthen the knowledge and skills of the Health Worker Male.

3. Help the Health Worker Male in improving his skills in working with the
community.

4. Help and guide the Health Worker Male in planning and organising his
program of activities.

5. Visit each Health worker Male at least once a week on a fixed day to
observer and guide him in his day‐to‐day activities.

6. Assess monthly progress of work of the Health Worker Male and submit an
assessment report to the Medical Officer of the Primary Health Care.

7. Carry out supervisory home visits in the area of the Health Worker Male.

2. TEAM WORK.

1. Help the Health Workers to work as part of the Health team.

2. Coordinate his activities with those of the Health Supervisor Female and
other health personnel, including the health Guides and Dais.

3. Coordinate the health activities in his area with the activities of workers of
other departments and agencies and attend to meetings at PHC level.

4. Conduct staff meeting fortnightly with the Health Workers in coordinate

with the Health Supervisor Female at one of the sub centre s by rotation.

5. Attend staff meetings at the Primary Health Centre.

6. Assist the medical officer of the Primary Health Centre in the organization of
the different health services.

7. Participate as a member of the health team in mass camps and campaigns in

health programs.

8. Assist the Medical Officer of the Primary Health Centre in conducting

training programs for various categories of health personnel.
3. SUPPLIES AND EQUIPMENT.

1. In collaboration with the Health Supervisor Female check at regular

Intervals the stores available at the sub centre and ensure timely placement
of indent for and procure the supplies and equipment in good time.

2. Check that the drugs at sub centre are properly stored and that the
equipment is well maintained.

3. Ensure that the Health worker Male maintains his kit in the proper way.

4. RECORDS AND REPORTS.

1. Scrutinize the maintenance of records by the Health Worker Male and guide
him in their proper maintenance.

2. Review records received from the Health Worker Male, Consolidate them
and submit reports to the Medical Officer of the Primary Health Centre.

3. He will maintain the following Registers.

a) Malaria Parasite Positive Register

b) Daily Diary.

c) Stock and issue Register

5. MALARIA.
1. He will supervise the work of Health Worker Male during concurrent
visits and will check whether the worker is performing his duty as laid
down in the schedule.
2. He should check minimum of 10% of the houses in a village to verify the
work of the Health Worker Male.
3. He will carry with him a kit for collection of blood smears during his visit
to field and collect thick and thin smears from any fever case he comes
across and he will administer presumptive treatment of prescribed
dosage of anti‐malaria drugs.
4. He will be responsible for prompt radical treatment to positive cases in
his area. He will plan, execute and supervise the administration of
radical treatment in consultation with PHC Medical Officer.
5. Supervise the spraying of insecticides during local spraying along with
the Health Worker Male.

6 WHERE KALA­AZAR IS ENDEMIC, SPECIAL DUTIES ARE,

1. He will supervise the work of health worker male during concurrent

visit and will check whether the worker is performing his duties.

2. He should check minimum of 10% of the houses in a village to verify

that the health worker male really visited those houses and carried his
 job properly. He has to identify suspected Kala‐Azar cases and ensure
complete treatment.

3. He will carry with him the proper record forms, diary and guidelines for
identifying suspected Kala‐Azar cases.

4. He will be responsible for ensuring complete treatment of Kala‐Azar

patients in his area.

5. He will be responsible for ensuing complete coverage during the spray

activates and search operations.

6. He will also under take health education activities particularly through

interpersonal communication, arranging group meeting with leaders
and organizing and conducting training of community leaders with the
assistance of health team.

7. FOR JAPANESE ENCEPHALITIS WHERE IT IS ENDEMIC SPECIAL DUTIES ARE.

1. He will supervise the work of health worker male during concurrent

visit and will check whether the worker is performing his duties.

2. He should check minimum of 10% of the houses in a village to verify

that the health worker male really visited those houses and carried his
job properly and his job of identifying suspected encephalitis cases and
ensuring motivation of community has been done properly.

3. He will carry with him the proper record forms, diary and guidelines for
identifying suspected encephalitis cases.
4. He will be responsible for ensuring complete coverage during the spray
activities and search operations.

5. He will also under take health education activities particularly through

interpersonal communication, arranging group meetings with leaders
and organizing and conducting training of community leaders with the
assistance of health team.
8. COMMUNICABLE DISEASES.
1. Be alert to the sudden out break of epidemics of diseases such as
diarrhea/dysentery, fever with rash, jaundice encephalitis diphtheria,
whooping cough, tetanus, poliomyelitis, tetanus neonatarum, acute eye
infections and take all possible remedial measures.
2. Take the necessary control measures when any notifiable disease is
reported to him.
3. Carry out the destruction of stray dogs with the help of the Health
Worker Male.
9. LEPROSY.
1. In suspected cases of Leprosy, takes skin smears and send them for
 examination.

2. Ensure that all cases of Leprosy take regular and complete treatment and
inform the Medical Officer PHC about any defaulters to treatment.
10. TUBERCULOSIS.

1. Check whether all T.B cases are taking regular treatment, motivate
defaulters to take regular treatment and bring them to the notice of the
Medical Officer PHC.
2. Ensure that all cases of Tuberculosis take regular and complete
treatment and inform the M.O. PHC about any defaulters to treatment.

11. NATIONAL PROGRAM FOR THE CONTROLL OF HIV / AIDS.

1. He will assist the Assistant para Medical Officer in all the activities of the
National HIV / AIDS control program.
2. He will do counseling and advise the at risk HIV / AIDS and direct them
to seek preventive, diagnostic services from APMO and other higher
referral centers.

12. ENVIRONMENTAL SANITATION.

Help the community in understanding the need and construction of
1. Safe water sources.
2. Soakage pits
3. Kitchen gardens.
4. Manure pits.
5. Compost pits.
6. Sanitary latrines.

7. Smokeless chulhas and supervise their construction.

Supervise the chlorination of water sources including wells.

13. UNIVERSAL IMMUNISATION PROGRAM.

1. Conduct immunization of all school going children with the help of the help
of the health worker Female.

2. Supervise the immunization of all children from one to five years and
pregnant women.

12. FAMILY PLANNING.

1. Personally motivate resistant cases for family planning.

2. Guide the Health Workers Male in establishing male depot holders with the
Assistance of the Health Worker Male and supervise the functioning.
 3. Assist M.O. PHC in organization of Family Planning camps and drives.

4. Provide information on the availability of services for medical termination of

pregnancy and refer suitable cases to the approved institutions.

5. Ensure follow‐up all cases of vasectomy, tubectomy, IUD and other Family
Planning acceptors.

13. NUTRITION.

1. 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 PHC.

2. Ensure that Iron and Folic Acid Vitamin A are distributed to the
beneficiaries as prescribed.

14. CONTROL OF BLINDNESS.

1. Ensure all cases of blindness including suspected cases of cataract are

referred to Medical Officer of Primary health centre.

15. VITAL EVENTS.

1. Collect and compile the weekly report of births and deaths occurring in his
area and submit them to the Medical Officer primary health centre. Ensures
notification of Births and Deaths occurred in the area to the Birth and Death
Register of the local area by the Health Worker Male & Female.

2. Educate the community regarding the need for Registration of Vital Events.

16. PRIMARY MEDICAL CARE.

1. Ensure the treatment for minor ailments and first aid for accidents is
provided and refer cases beyond his competence to the PHC or nearest
hospital.

2. Attend the cases referred by the Health Workers and refer cases beyond his
competence to the PHC or nearest hospital.

17. HEALTH EDUCATION.

1. Carry out educational activities for control of communicable diseases,

environmental sanction, MCH, Family Planning, Nutrition, Immunization,
Dental Care and all other National Health Programs.

2. Arrange group meetings with leaders and involve them in spreading the
message for various health programs.
 3. Organize and conduct training of community leaders with the assistance of
the Health Team.

18. 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.
********
6. JOB RESPONSIBILITIES OF HEALTH SUPERVISOR (FEMALE)

NOTE: Under the Multipurpose Workers Scheme a Health Supervisor Female expected
to cover a population of 30,000 (20,000 in tribal and hilly areas) in which there
are six sub centers, each with one health Worker Female. The Health Supervisor
Female will carry out the following duties.

1. SUPERVISION AND GUIDANCE.

1. Supervise and guide the Health Worker Female, Dais and female Health Guides
in the delivery of health care services to the community.

2. Strengthen the knowledge and skills of the Health Worker Female.

3. Help Health Worker (Female) in improving her skills in working in the

community.

4. Help and guide the Health Worker Female in planning and organizing her
program of activities.

5. Visit each subcenter at least once a week on a fixed day to observe and guide
the Health Worker Female in her day‐to‐day activities.

6. Assess fortnightly the progress of work of the Health Worker Female and
submit an assessment report to the Medical Officer of the Primary Health
Centre.

7. Carry out supervisory home visits in the area of the Health Worker Female with
respect to their duties under various National Health Programs.

8. Supervise referral of all pregnant women for VDRL testing to CHC/ Sub‐
Divisional Hospital.

2. TEAM WORK.

1. Help the Health Workers to work as part of the health team.

2. Coordinate her activities with those of the Health Supervisor Male and other
health personnel including the Dais and Health Guides.

3. Coordinate the health activities in her area with the activities of workers of
other departments and agencies and attend meetings at PHC level.

4. Conduct regular staff meetings with the Health Workers in coordination with
the Health Supervisor Male.

5. Attend staff meetings at Primary Health Centre.

6. Assist the Medical Officer of the Primary Health Centre in the organization of
the different health services in the area.
 7. Participate as a member of the health team in mass camps and campaigns in
health programs.

3. SUPPLIES, EQUIPMENT AND MAINTENANCE OF SUBCENTRES.

1. In collaboration with the Health Supervisor Male, check at regular intervals the
stores available at the sub centre and help in procurement of supplies and
equipment.

2. Check that the drugs at the sub center are properly stored and that equipment
is well maintained.

3. Ensure that the Health Worker Female maintains her general and midwifery kit
and Dai kit in the proper way.

4. Ensure that sub center is kept clean and is properly maintained.

4. RECORDS AND REPORTS.

a. Scrutinize the maintenance of records by the Health Worker Female and

guide her in their proper maintenance.

b. Maintenance the prescribed records and prepare the necessary reports.

c. Review reports received from the Health Workers Female consolidate them
and submit monthly reports to the Medical Officer of the Primary Health
Centre.

5. TRAINING.

1. Organize and conduct training for Dais with the assistance of the Health
Worker Female.

2. Assist the Medical Officer of Primary Health Centre in conducting training

programs for various categories of personnel.

6. MATERNAL AND CHILD HEALTH.

1. Conduct weekly MCH clinics at each sub centre with the assistance of the Health
Worker Female (MPHA) and Dais.

2. Respond to calls from the Health Worker Female, the Health Worker Male,
the Health guides and the trained Dais and render the necessary help.

3. Conduct deliveries when required at PHC level and provide domiciliary and
Midwifery services in emergencies and immediately refers the high risk cases.

7. FAMILY PLANNING AND MEDICAL TERMINATION OF PREGNANCY.

 1. She will ensure through spot checking that Health Worker Female maintains
up‐to ‐date eligible couple registers all the time

2. Conduct Weekly family planning motivation & ANC clinics (along with the MCH
clinics) at each sub center with the assistance of the Health Worker Female.

3. Personally motivate resistant cases for Family planning.

4. Provide information on the availability of services for medical termination of

pregnancy and for sterilization. Refer suitable cases for MTP to the approved
institutions.

5. 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 Worker Female.

6. Provide IUD services and their follow‐up.

7. Assist M.O., PHC in organization of family Planning camps and drives.

8. NUTRITION.

1. Ensure that all cases of malnutrition among the infants and young children (0‐5
years) are given the necessary treatment and advise and refer serious cases to
the Primary Health Centre

2. Ensure that iron and Folic Acid and Vitamin A are distributed to the
beneficiaries as prescribed

3. Educate the expectant mothers regarding breast feeding

9. UNIVERSAL IMMUNISATION PROGRAM.

1. Supervise the immunization of all pregnant women and children (0‐5 years).

2. She will also guide the H.W.(female) to procure supplies organize immunization
camps, provide guidance for maintaining cold chain, storage of vaccine, Health
Education, and also in immunization.

3. Supervise the immunization of all pregnant women and infants.

4. Follow the directions given in Manual of Health Worker (Female under National
Immunization Program)

10. ACUTE RESPIRATORY INFECTION

1. Ensure early diagnosis of Pneumonia cases

2. Provide suitable treatment to mid/moderate cases of ARI
3. Ensure early referral in doubtful /severe cases.

11. SCHOOL HEALTH

1. Help the Medical Officer in School Health Services

12. PRIMARY MEDICAL CARE

1. 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.

13. HEALTH EDUCATION

1. Carry out educational activities for MCH, Family Planning, Nutrition and
Immunization, control of blindness, dental care and other National
Health Programs like leprosy and tuberculosis with the assistance of the
Health Worker Female.

2. Arrange group meetings with leaders and involve them in spreading the
message for various health programs.

3. Organize and conduct training of women leaders with the assistance of

the Health Worker Female.

4. Organize and utilize Mahila Mandal, teachers and other women in the
community in the family welfare programs, including ICDS personnel

12. 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.

********
1.1.8 Senior Assistant.
One Senior assistant is posted at PHC head quarters. He will work under direct
administrative control of PHC MO.
He/She will maintain all the records and documents as per standard Office
management procedure manuals and Financial Procedure manuals ( A.P treasury code
, Financial code , C.C.A rules , A.P. Leave rules , District office manual and other up to
date manuals as accepted and prescribed by the Government of Andhra Pradesh.
He is equally responsible in maintaining all the office records accurately and
sending all the reports, letters, information, bills, and other documents to appropriate
authorized authorities in time.
All the activities of a senior assistant are supervised and are subject to
the approval of the MO.
He / She will maintain files as per standard filing file keeping procedures.
He/she will index all the files and keep safely in appropriate storage place to
avoid destruction by fire, water, chemicals, theft, electric ignition, etc.

Some of His / Her job responsibilities are classified as

1. Office communication.
2. Maintains files for PHC program records and tentative tour program of
the PHC staff.
3. Maintenance of Service registers, personal files or records, leave
accounts and tentative tour program of PHC head quarter staff.
4. Maintenance of all the records related to financial management and
Accounts and keeping the safe.
5. Assisting MO, in drawing and disbursement of money and recording all
the Trans actions in the prescribed registers.
6. Internal and External Audit.
7. Safe maintenance of stock files Old records. Archives.
He will assist the MO in maintaining the office premises clean

1. Office communication.
1. He/She maintains all the records and registers related to the office
communication (letters, memos, record telephone / telegraph
communication, etc ) as per standard office management procedures.
2. He/She will give acknowledgement receipt to every person / postal dept
/ messenger / person who submits any document, letter, cheques , D. Ds ,
after entering the information into an appropriate register.
3. He/She will take notes and record minutes of meeting and circulate such
information to the authorized officials after approval by the PHC MO.
4. He / will write legibly or type the letters and other documents as
instructed by the PHC MO.
5. He/she will submit all the letters, documents, cheques, Demand drafts, etc
along with in ward and out ward registers to the PHC MO every day. He will
inform the MO on telephone when the officer is in the field or camp.

2. Maintenance of PHC program records and tentative tour program of the PHC
staff.
1. He/She will index every file and store the Program guidelines,
implementation orders received for the district state and Central level, time to
time program updates, related to every State and national program
implemented in the PHC area.
 2. He / she may take the help of CHO, PHN, and LD computer in office work after
seeking the approval of the PHC MO.

3. Maintenance of Service registers, personal files or records, leave accounts

and filing the tentative tour program of PHC head quarter staff.

1. He/ she will be personally responsible for keeping all the service registers
and records leave accounts of the employees in the safe custody and ensure
that all these are updated regularly.
2. He/She will be personally responsible for entering the pay allowance
particulars and the information in to the service registers accurately in the
event of increment, promotion, and pay fixation as per government orders
receive time to time.
4. Maintenance of all the records related to financial management and Accounts
and ensuring their safety.
1. He / she will maintain all the Financial management registers and records as
prescribed by the government of Andhra Pradesh.(refer the and guide lines
and procedures given in Financial and Office management training manuals. )
2. He / she shall prepare and counter sign on every bill / financial document
he/she prepares and submits for approval by the PHC MO.
3. He/She will record every financial transaction with out any delay and
update the registers during the transaction.
4. He/she will maintain all the supportive registers EG: all the watch registers.
5. He /she will prepare the pay slips and issue the same to all the employees at
the time of salary disbursement.
6. He/she shall furnish any information as requested for by the employee
regarding the pay and allowances, deductions, loans, recoveries etc related
to the same employee.
7. He/she shall furnish any reports records or information of financial
transactions as requested for by the District, regional, state administration after
due approval by the PHC MO.

5. Assisting MO, in drawing and disbursement of money and recording all the
Trans actions in the prescribed registers.
1. He/she will follow the standard procedures as prescribed by A.P treasury
code and Financial Code, Government orders in enforcement, as on date in the
conduct of all the financial transactions and assist the PHC MO.
2. He/she will prepare the pay bills and other bills as per standard treasury
office procedures and present them in time to A.P.Treasury offices (STO, DTO).
3. He/she will draw the money and bring the same to PHC office ensuring the
safety and security in such activity.
4. In the case if the payments are made through bank transactions due
precautions are to be taken to ensure that the money is paid to the authorized
person/party.
5. He / She will ensure monthly reconciliation of accounts is done.
6. Internal and External Audit.
1. He/She will keep all the office records up to date and present them before
internal or external auditing officers on receipt of orders from the competent
authorities.
2. He/She shall assist the Audit party in physical verification of assets
and registers and other documents of the PHC.
 7. Safe maintenance of stock files, Old records, files in Archives.
1. He / she will maintain stock files for all the communication originated &
received by the office and also for the government orders received from
time to time.
2. He / She will ensure the security and proper maintenance of all the old files
in archives for future reference and use as per standard office procedures.
He / She will execute any other work given by the PHC MO for the
smooth running of the office.
7. JOB RESPONSIBILITIES OF MPHA (MALE) / MALE WORKER

Under the MPW scheme, one Health Worker Male and one Health Worker Female are
posted at each subcentral 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 will record his visit
on the main entrance to the house according to the instructions.

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 NMEP.

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)replenish both drugs and glass
slides and look into the account of consumption of antimalarial 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

7. From each family, he shall enquire about presence of any fever cases with
encephalitic presentation.

8. 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.

9. 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.

10. He will carry a list of all JE cases in his area for follow up.

11. He will assist during the spray activities in his area.

 12. 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.

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.

13. NUTRITION

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 / balwadi 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.

********
 8. JOB RESPONSIBILITIES OF MPHA (FEMALE) / ANM

Under Multipurpose workers Scheme, one Health Worker Female and one Health
Worker Male are posted at each Sub‐centre and are expected ultimately to cover a
population of 5,000 (3,000 in tribal and hilly areas.)

Under NRHM for strengthening of Rural Family Welfare Sub centers to provide
services guarantee as per the IPHS Standards 2 nd ANM post is created
1st ANM and 2nd ANM will carry out the following duties in equally divided Sub‐
centre area as per the Job chart.

1. MATERNAL AND CHILD HEALTH

1. Register and provide care to pregnant women throughout the period of

pregnancy.

2. Test urine of pregnant women for albumen and sugar and estimate
haemoglobin level during her home visits and at the clinics.

3. Ensure that all pregnant women get VDRL test done.

4. Refer cases of abnormal pregnancy and cases with medical and

gynecological problems to the Health Supervisor Female or the Primary
Health Central.

5. Conduct about 50% of total deliveries in her area.

6. Supervise deliveries conducted by Dais and assist them whenever called in.

7. Refer cases of difficult labour and newborns with abnormalities, help them
to get institutional care and provide follow up to the patients referred to or
discharged from hospital.

8. Make at test three post‐natal visits for each delivery conducted in her area
and render advice regarding car of mother and care and feeding of the new
born.

9. Asses the growth and development of the infant and take necessary action
required to rectify the defect.

10. Educate mother individually and in groups in better family health including
maternal and child health, family planning, nutrition, immunization, control
of communicable diseases, personnel and environmental hygiene.

11. Assist Medical Officer and Health Supervisor Female in conducting antenatal
and postnatal clinics at the subcenter.

2. FAMILY PLANNING
 1. Utilize the information from the eligible couple and child registers for the
family planning program. She will be 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 group.

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 to accompany them to hospital.

4. Provide follow‐up services to female 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 PHC/Hospital.

5. Establish female depot holders, help the Health Supervisor Female in

training them, and provide a continuous supply of conventional
contraceptives to the depot holders.

6. Build rapport with acceptors, village leaders, ASHAs, Dais and other and
utilise them for promoting Family Welfare Program.

7. Identify women leaders and help the Health Supervisor Female to train
them.

8. Participate in Mahila Mandal meetings and utilise such gatherings for

educating women in Family Welfare Program.

3. MEDICAL TERMINATION OF PREGNANCY

1. Identify the women requiring help for medical termination of pregnancy

and refer them to nearest approved institution.

2. Educate community of the consequences of septic abortion and inform them

about the availability of services for medical termination of pregnancy.

4. NUTRITION

1. Identify the cases of 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 and nursing
mothers, infants and young children (zero to five years) and family planning
acceptors.

3. Administer vitamin A solution as prescribed to children from 1 to 5 years.

4. Educate community about nutritious diet for mothers and children.

5. UNIVERSAL IMMUNISATION PROGRAM

1. Immunise pregnant women with tetanus toxoid.

 2. Administer DPT vaccine, oral poliomyelitis vaccine, measles vaccine and
BCG vaccine to all infants and children.

3. Maintain report of all eligible, those vaccinated and follow up defaulters.

6. DIARRHOEA CONTROL PROGRAM

1. Educate mothers regarding home management of diarrhoea with ORT

2. Provide and Indent ORS

3. Monitoring of cases of diarrhea, if any increase, report to Medical

4. Officer

5. Record deaths due to diarrhea and give monthly report.

6. Arrange for mother’s meeting and work closely with

anganwadi and other health workers.

7. DAIS TRAINING

1. List Dais in her area and involve them in promoting Family Welfare.

2. Help the Health Supervisor Female in the training Program of

Dais.

8. COMMUNICABLE DISEASES

1. Notify the M.O. PHC immediately about any abnormal increase in cases of
diarrhea/dysentery, Poliomyelitis, Neonatal tetanus, fever with rigors, fever
with rash, fever with jaundice or fever with unconsciousness which she come
across during her home visits, take the necessary measures to prevent their
spread, and inform the Health Worker Male to enable him to take further
action.

2. If she comes across cases of fever during her home visits she will take blood
smears, administer presumptive treatment and inform Health Worker Male for
further action.

3. Identify cases of skin patches, especially if accompanied by loss of sensation,

which she comes across during her home visits and bring them to the notice of
the Health Worker Male for skin smears.

4. Assist the Health Worker Male in maintaining a record of cases in her area, who
are under treatment for 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 Supervisor
Male.

5. Give Oral Rehydration solution to all cases of diarrhea / dysentery / vomiting.

6. Identify and refer all cases of blindness including suspected cases of cataract to
M.O. PHC
 7. Where Kala‐azar is endemic

(i) She will assist Health Worker Male in identifying suspected Kala‐
azar cases and guiding them to the nearest diagnostic and
treatment centre.

(ii) She will ensure follow up of all the Kala‐Azar cases in her area
for complete treatment.

8. Where Japanese Encephalitis (J.E.) is endemic

(i) She will assist the Health Worker Male in identifying suspected
encephalitis cases and guiding them to the nearest diagnostic and
treatment centre.

(ii) She will ensure follow up of all J.E. cases in her area.

9. VITAL EVENTS

1.1 Record births and deaths occurring in her area in births and deaths
register and notify them to the local Birth and Death Registrar.

10. RECORD KEEPING

1. Register
(a) pregnant women from three months of pregnancy onward
(b) infants zero to one year of age; and
(c) (c) women aged 15 to to 44 years

2. Maintain the pre‐natal and maternity records and child care records.

3. Assist the Health Worker Male in preparation of the eligible couple and child
register and maintaining it up‐to‐date.

4. Maintain the records as regards contraceptive distribution, IUD insertion,

couples sterilized, clinics held at the sub centre and supplies received and
issued.

5. Prepare and submit the prescribed monthly reports in time to the Health
Supervisor Female.

11. PRIMARY MEDICAL CARE

Provide treatment for minor ailments, provide first aid for accidents and emergencies
and refer cases beyond her competence to the Primary Health Centre or nearest
hospital.

12. TEAM ACTIVITIES

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 ASHA s and Dais.
 3. Meet the Health Supervisor Female each week and seek her advice and
guidance whenever necessary.

4. Maintain the cleanliness of the sub center.

5. Participate as a member of the team in camps and campaigns.

6. Work as a team with Anganwadi Worker in ICDS block. VHG/TBA

13. ACUTE RESPIRATORY INFECTION

1. Ensure early diagnosis of Pneumonia cases.

2. Provide suitable treatment to mild/moderate cases of ARI.

3. Ensure early referral in doubtful/severe cases.

14. SCHOOL HEALTH

1. Help the Medical Officers in School Health Services.

********
9. JOB RESPONSIBILITIES OF LABORATORY TECHNICIAN

Note: All Primary Health Centers and subsidiary Health Centers have been provided
with a post of Laboratory Technician/Assistant. The Laboratory Technician will be
under the direct supervision of the Medical Officer, Primary Health Centre. The
Laboratory Technician will carry out the following duties.

2. GENERAL LABORATORY PROCEDURES

1. Maintain the cleanliness and safety of the laboratory.

2. Ensure that the glassware and equipment are kept clean.

3. Handle and maintain the microscope.

4. Sterilize the equipment as required.

5. Dispose of specimens and infected material in a safe manner.

6. Maintain the necessary records of investigations done and submit the reports to
the M. O. PHC.

7. Prepare monthly reports regarding his work.

8. Indent for supplies for the laboratory through the M. O. PHC and ensure the safe
storage of materials received.

II. LABORATORY INVESTIGATIONS

1. Carry out examination of urine

I. Specific gravity and PH

ii. Test for glucose

iii. Test for protein (albumen)

iv. Test for bile pigments and bile, salts

v. Test for Ketone bodies

vi. Microscopic examination.

2. Carry out examination of stools

i. Macroscopic examination

ii. Microscopic examination

3. Carry out examination of blood

1. Collection of blood specimen by finger prick technique.

2. Haemoglobin estimation.

3. RBC count
 4. WBC count (total and differential)

5. Preparation, staining and examination of thick and thin blood smear for
malarial parasites and for microfilariae.

6. Erythrocyte sedimentation rate.

7. VDRL

4. CARRY OUT THE SPUTUM EXAMINATION

1. Preparation, Staining and examination of sputum smears

for Mycobacterium tuberculosis.

5. CARRY OUT EXAMINATION OF SKIN AND SMEARS OF LEPROSY PATIENTS

1. Preparation, staining and examination of skin smears of

Mycobacterium leprosy

2. Preparation, staining and examination of nasal smears for Mycobacterium

leprosy.

6. CARRY OUT EXAMINATION OF SEMEN

1. Macroscopic examination

2. Sperm count and motility

7. PREPARE THROAT SWABS

1. Collection of throat swab and examination for diphtheria

8. TEST SAMPLE OF DRINKING WATER

1. Testing of sample for gross impurities

In addition to the Laboratory investigations already listed, he will

conduct orthotolidine test.

1. He will maintain all records of sera samples drawn, orthotolidine test

conducted, positives etc.

2. He will also assist in Kala‐azar search operations.

3. In addition to the Laboratory investigations already listed, he will collect

ser samples from suspected encephalitis cases.

4. He will maintain all records of sera samples drawn and their results from
Virology Lab.
III. MAINTENANCE OF RECORDS AND REGISTERS UNDER NMEP

1. He will maintain all record of slides examined by him must get the
positive Slides confirmed by the medical Officer of PHC.
2. Daily progress and output register of blood slide examination.

3. The back‐log chart of pending radical treatment vis‐a‐vis collected slides.

********
10. STAFF NURSE

She works under the technical and administrative control of Medical Officer of
primary Health Centre.

FUNCTIONS:

1. O. P. D:

She will assist the Medical Officer to ensure smooth running of the O. P. D.

2. Administration of Drugs:

She will be responsible for the administration of drugs (Oral and Parenteral) to
O.P and I.P cases as prescribed by the medical Officer.

3. In Patient Ward

1. She will give nursing care to all In‐Patients.

2. She will maintain the In‐Patient census.

3. She will maintain the Ward Sanitation.

4. She will maintain In‐Patient records.

She is responsible for the maintenance of instruments / equipment of the word.

4. Labour Room :

1. She will maintain the labour room in aseptic Condition.

2. Assist the medical officer in minor obstetric surgical procedures ( Eg:

Episiotomy).

3. She is responsible for conducting normal deliveries and giving immediate

care to the mother and child.

4. She is responsible for maintaining parturition register and labour room

stock sub registers.

5. She is responsible for autoclaving the required material and keeps drugs
needed in the labour room.

5. Operation Theatre :

1. She is responsible for fumigation of operation theatre for conducting

operations.

2. She will assist the Medical Officer in conducting the operations.

6. Maintenance of Stores :
 She will prepare indent for the equipments, materials, linen and drugs
etc, needed for operation theatre, labour room and I.P. Ward etc., obtain them
and maintain the stock and issue register.

7. Records and Reports :

She will maintain the prescribed records for O.P. & I. P., Labour room
and Operation Theatre services.

She will assist the Medical Officer in preparation and submission of

monthly returns.

8. Overall maintenance, sanitation.

She will ensure the cleanliness and take care of sanitation in the PHC
building and premises.

********
 12. PHARMACIST FUCTION S:

1. He will dispense medicines as prescribed by the Medical Officer to the patients

and explain to the patient how to use/take in such medicine.

2. He will keep a daily account of the medicines dispensed as per standard

procedure.

3. He will maintain the stock register of medicines and vaccines received by him.

4. He will maintain the medical stores and all the registers and records related to
the stores.

5. He will assist the Medical Officer in preparation of indents for medicines and
vaccines etc., as well in advance and when required. He will receive / bring the
indented medicines issued from the district medical stores.

6. He will maintain watch register of medicines indicating expiry date, batch No.
and condition of drugs received by him. He will bring to the notice of the
Medical Officer excess stock of any medicine with nearing expiry date for
redistribution.

7. He will attend to the dressing of injured patients as per the advice of the
medical Officer.

8. He will prepare the daily abstract of O.P cases‐

Number of old cases

Male,

Female

Children and

Total of above cases–

Number of New cases

Male,
female,

Children and

Total of above cases–

9. He will prepare monthly report of communicable and non‐ communicable diseases

treated sex wise in the prescribed ProForma.

********
1.1.9. Driver.
One driver is posted to PHC headquarter office where ever the vehicle is
available. He will work under the administrative control of the PHC MO. The driver is
responsible for the safe and official use of the government vehicle and as instructed by
the PHC MO.
He is personally responsible for proper keep up and complete maintenance of
the vehicle at the PHC.
He will abide by all the applicable existing laws, rules and regulations related to
road transport and, Health Medical and family welfare department.
His basic job responsibilities are described under the following heads.
4. Vehicle maintenance.
5. Maintenance of vehicle related documents.
6. Code of conduct.
Veh icle maintenance.
7. He will maintain the vehicle in fit and working condition taking all the due
precautions.
8. He will keep the vehicle ready to be used by the SPHO.
9. He will ensure the periodic technical inspection by a competent authority and
get it certified.
10. He will adopt all the good practices to improve the vehicle’s service life and fuel
efficiency.
11. He will keep the vehicle clean and neat.
12. He will park the vehicle in protected authorized areas either in the offices or
public parking places or vehicle shed.
Maintenance of vehicle related documents.
4. He will maintain the vehicle usage log book and ensures that all the information
regarding the vehicle usage is entered in to it by the users.
5. He will keep his driving license and essential vehicle documents all ways with
him along with his official photo identity card, and produce the same before the
RTA officers and other competent authorities on demand.
6. For all the goods and materials which are transported in the vehicle the driver
will seek authorization from his controlling officer in writing and will produce it
as proof of evidence before the competent authority on demand.
Code of conduct.
4. He is expected to be Polite, responsible and well disciplined capable of working
in harmony with CHNC team.
5. He will avoid consumption of intoxicants like alcohol, tobacco, etc when on
duty.
6. He will keep himself fit and healthy. He shall under go periodic health check up
and get certified.
He will execute any other work entrusted by the CHNC SPHO for the smooth running of
the CHNC.
1.1.10. Sweeper / Attender

1. He/She will work under the administrative control of PHC MO.

2. He/She will keep the premises of PHC clean, dust the furniture wash the floor
weekly, and when ever necessary as instructed by the PHC MO.

3. Assist the PHC MO and PHC staff in maintaining the files and filing racks.

4. He / She will attend to and help the visitors in meeting the senior PHC MO s &
supervisory staff during the visiting hours.

5. He /She will help the Driver of the vehicle in washing and maintaining the vehicle
neat and tidy.

6. He/She will help the pharmacist in maintaining medicine stores , moving stocks
from the stores to OPD, shifting the stocks from transport vehicle to PHC stores a
month.

7. He/She will assist the in sanitation work of the PHC under the supervision of
the staff nurse / pharmacist.

8. He / She will do any other work as and when given by the PHC MO.
Annexures
1. GOMS: 92
2. MEMO: