Jod Mo Wmo
Jod Mo Wmo
NOTIFICATION
SO(C&C)1-10/2019(Notifications): The Competent Authority has been pleased to revise
the Job Description for Medical Officers / Women Medical Officers (BS-17), and Senior
Medical Officers / Senior Women Medical Officers (BS-18) in field formations. The revised
job description is stated as under and will be applicable with immediate effect:
      JOB SUMMARY:
      Based at BHU, and his/her jurisdiction extending to its revenue limits, the MO/WMO
      essentially helps individuals and communities to attain health by means of primary
      health care. Primary health care is essential health care, made universally available
      to individuals and families. It includes those services which promote health, such as
      keeping a clean environment, good water supplies, care of mothers during
      pregnancy and childbirth, family planning, nutrition, health education, immunization
      and early treatment of diseases. In the discharge of these duties, the MO/WMO
      works closely with communities and also tries to establish links with other allied
      sectors e.g. education, agriculture, etc.
      RELATION
      The MO/WMO reports to DDHO. He / she supervises all the members of the BHU
      health team i.e. health personnel posted in the revenue limits of the Union Council
      or BHU, including BHU staff and outreach workers.
      QUALIFICATION
      MBBS
      RECRUITMENT
      Direct through Punjab Public Service Commission
      DUTIES OF MO /WMO AT BHU
              Scope
              The MO/WMO is not only responsible for the provision of health care
              including preventive and curative services, but is also an administrator and
              liaises with the community and informally through his / her contacts with
              people for community development.
              Administrator
              2.1. The MO/WMO is in-charge of the BHU and sits in the BHU for his
                     routine duties as per the notified time schedule.
              2.2    All the staff working at BHU and the outreach workers will mark their
                     daily attendance in the register maintained by the MO / WMO and
                     kept in his office. They will operate from the BHU.
              2.3    Prepares and maintains a duty roster for the BHU health team and
                     organizes it in accordance with the objectives set for the BHU. In this
                     regard, he/she must observe the principle of effectiveness and
                     efficiency. In other words, he / she will ensure efficient utilization of
                     human resources available to him / her.
              2.4    Responsible for cleanliness and general maintenance, in all aspects
                     of BHU. His / her performance evaluation will be based on
                     achievement of the objectives laid down for the BHU and the BHU
                     health team.
2.5   Supervises and ensures efficient utilization of the material and
      monetary resources available to the BHU health team.
2.6   Responsible for data gathering, demographic profile, epidemiological
      characteristics and health statistics (of Union Council / BHU's revenue
      limit).
2.7   Facilitate the task of local planning and goal setting. He / she shall, in
      this respect, provide information on local conditions. Based on this
      information, the MO / WMO would also propose plans and strategies.
2.8   Ensure maintenance of the stock register by the concerned officials in
      the BHU. Any requirement, additions or replacements, he / she shall
      pass to the DDHO and the same channel will be observed after
      receipt of the indented items. The MO / WMO would verify all such
      receipts before disbursements.
2.9   He / she is the controlling officer for the BHU health team and all the
      bills, applications etc. from the staff are channeled through him / her.
      Any correspondence, which is not forwarded by him / her, shall not be
      entertained at the DDHO etc. office.
2.10 Responsible for timely provision of information required by the higher
      echelon in the hierarchy.
Community Development
3.1   Activities of the BHU health team are essentially aimed to help
      individual communities attain a level of health so as to make them
      socially and economically productive. Primary healthcare has been
      considered to be the most suitable approach to achieve this objective.
      This includes clean environment and water supplies, care of mothers
      during pregnancy and childbirth (MCH), family planning, nutrition,
      health education, immunization and early treatment of diseases. The
      MO / WMO at BHU is responsible for the provision of these
      component activities to the recipient individuals and communities.
3.2   To achieve its aims, the BHU health team, under the guidance of the
      MO / WMO promotes community participation by involving teachers,
      agriculture workers and religious leaders etc.
Provider of Health Care
4.1 General
      Responsible for direct and indirect provision of primary health care to
      the help (see job summary and section on community development)
      through the members of the BHU health team.
4.2   Preventive / Promotive
      4.2.1    All the outreach and static staff of vertical programmes report
                to the MO/WMO for duty (in the revenue limits of BHU)
      4.2.2     All the supplies pertaining to the programmes as given
               above, are received and distributed to the respective health
               workers under his supervision. In this respect, the MO / WMO
               would ensure that regular supply of consumables is
               maintained, and he should take appropriate action
                immediately to avoid any stock outs.
      4.2.3     Ensure that the targets of health workers belonging to various
                programmes are timely achieved.
      4.2.4 The health facility staff works under the MO/WMO, who
                evaluates and sees that they perform their job in accordance
                with their job description and achieve the targets set for them.
      4.2.5  The performance evaluation and working of the sanitation
             staff, in accordance with their job description, is the
             responsibility of the MO/WMO. He / she would ensure that an
             optimal standard of sanitation and clean environment is
             maintained. Also, these measures extend to the water
             reservoirs and other sources of water supply.
     4.2.6 The MO/VVMO should be aware of the epidemiological
             characteristics and the health statistics of the BHU's
             jurisdiction area. He / she should, therefore, take appropriate
             measures to effectively combat foci of communicable
             diseases, if any, before its eruption into epidemic.
     4.2.7   Family planning activities at the BHU, MCH and other outlets
             of the Department are carried out under the supervision of
             the MOM/MO and he shall ensure that the targets, in this
             respect, set for various health workers are achieved. He also
             keeps a liaison with the family planning outlets and outreach
             workers of the Department of Population Welfare and keeps
             him/herself abreast of their activities and achievements.
             He/she will provide family planning services (including
             advocacy) to patients.
4.3  Curative
     4.3.1   The curative duties of the MOIWMO include diagnosis,
             treatment and referral of Individual patients coming to the
             BHU and the communities falling within the revenue limits of
             the BHU.
     4.3.2 When a patient comes to the BHU, after having been
             registered, he is examined and a diagnosis (provisional or
             final) is established.
     4.3.3   If the patient requires an out-door treatment, available at the
             BHU, this Is offered. However, if the patient needs
             admission/special investigation, he will be referred to the
             RHC In the first instance. In special cases, patients may be
             referred directly to THQ/DHQ Hospitals.
     4.3.4 If the patient suffers from some notifiable disease /
             communicable disease, then the MO / WMO would adopt
             appropriate measures as per standing instructions including
             screening of the locality / community that the patient has
             come from. Depending upon the results of screening, he
             would take measures to combat the situation. In this process
             he would keep his higher authorities informed / notified and
             will seek their help if required.
     4.3.5 The MO / WMO will keep a record of all the events observed
             and actions undertaken by him / her, in pursuit of his duties,
             in the appropriate forms and registers.
4.4 Rehabilitative
     4.4.1   Facilitate patients in need of psychological, social and
             nutritional rehabilitation.
     4.4.2 Refers cases for physiotherapy which are considered
             clinically essential.
        5. Medicolegal
           5.1 Regarding any medico-legal case reporting to the BHU, the MO/VVMO
           after administering first aid, would immediately refer to RHC without stitching
           the wound in order to keep the nature of injury in original shape.
     JOB SUMMARY:
     Based at RHC with his jurisdiction extending to the revenue limits of the RHC
     catchment area, essentially, he helps the communities to attain health by means of
     primary health care. Primary health care is essential health care made universally
     available to individuals and families. It includes those services which promote
     health, such as keeping a clean environment, good water supplies, care of mothers
     during pregnancy and childbirth, family planning, nutrition, health education,
     immunization and early treatment of diseases. In the discharge of his duties, the
     SMO works closely with the communities and also tries to establish links with the
     other allied sectors e.g. education, agriculture, etc.
     RELATION
     The SMO in-charge RHC reports to the DDHO, the leader of the Tehsil Health
     Team. He supervises all members of the RHC and outreach staff.
     QUALIFICATION
     MB BS
     RECRUITMENT
     By promotion from amongst Medical Officers (Provincial Cadre) on the basis of
     seniority cum fitness
     DUTIES OF SENIOR MEDICAL OFFICER AT RHC
            Scope
            The SMO in-charge RHC is responsible for not only provision of health
            including preventive and curative, but is also an administrator who liaises
            with the community, formally through the outreach staff and informally
            through his contacts within the community, for its development.
            Administrator
            2.1     The SMO in-charge is the Resident Medical Officer. He is available
                    24 hours for emergency cases, in the morning and evening as per the
                    notified time schedule. He sits in the RHC for his routine duties.
            2.2     For the purpose of discipline, the SMO is an immediate officer and
                    leader of the RHC health team. All reports/complaints made by him
                    will carry weight and action must be taken by the competent authority.
                    In case the SMO is not satisfied by the action, or if undue delay
                    occurs, without any prejudice by his seniors, he will report the matter
                    to the higher authorities / echelon in the hierarchy.
            2.3     All the staff working at RHC and attached outreach workers should
                    mark their daily attendance in the register maintained by SMO and
                    kept in his office. They will essentially operate from the RHC.
            2.4     Prepares and maintain the duties roster for the RHC health team and
                    organizes it in accordance with the objectives set for the RHC. In this
                    regard, he must observe the principle of effectiveness and efficiency.
                    In other words, he ensures efficient utilization of human resources
                    available to him.
            2.5     Responsible for cleanliness and general maintenance, in all respects,
                    of the RHC. His performance evaluation will be based on the
          achievement of objectives laid down for the RHC and the RHC health
          team.
   2.6    Supervises and ensures efficient utilization of material and monetary
          resources available to the RHC health team.
   2.7    Responsible for data gathering, demographic profile, epidemiological
          characteristics and health statistics of RHC's catchment area.
   2.8    Facilitate the task of local planning and goal setting. He shall, in this
          respect, obtain information on the local conditions. Based on this
          information, the SMO should formulate plans and strategies. In this
          regard, the information / recommendations made by the local health
          communities Will be given due consideration.
          2.8.1 Ensure maintenance of stock register by concerned officials in
                  the RHC and attached outreach health teams. Any
                  requirements, additions or replacements, he shall pass to the
                  DDHO and the same channel will be observed after receipt of
                  the intended items. The SMO would ensure disbursement of all
                  such receipts to the intending units/facilities.
   2.9    Controlling officer for the RHC staff and attached outreach workers
          and all the bills, applications, etc. from the staff are channeled
          through him. He is the 000 (category III) officer regarding his RHC.
          Any correspondence, without having been forwarded by him, shall not
          be entertained at the DDHO office.
   2.10 SMO is custodian of concerned Health Council and keeps record of
          all meetings.
   2.11 He coordinates with the C&W Department for annual repairs and shall
          forward proposals for any special repair etc. of buildings through
          DDHO.
   2.12 In the capacity of SMO in-charge RHC, it is his responsibility that all
          the forms and registers for the facilities under his control are kept
          updated and the information required by the higher echelon in the
          hierarchy is submitted in time.
3. Community Development
   3.1    Activities of the RHC health team are essentially aimed to help
          individuals and communities to attain a level of health that makes
          them socially and economically productive. Primary health care has
          been considered to be the most suitable approach to achieve this
          objective. This includes clean environment and water supplies, care
          of mothers during pregnancy and childbirth (MCH), family planning
          nutrition, health education, immunization and early treatment of
          diseases. The SMO of RHC is responsible for provision of these
          component activities to the recipient individuals and communities in
          RHC's catchment area.
   3.2    To achieve its aims, the RHC health team, under the guidance of the
          SMO in-charge, promotes community participation. This should,
          essentially initiate a process of metamorphosis in the community, that
          this changes its current traditionally recipient nature to a contributing
          society. The objective would be fulfilled when the community's
          feelings towards health facilities change, that they own it, they support
          it and contribute, in all respects, towards its activities.
   3.3    One important way that a community takes responsibility for its health
          is to identify, train and support a health worker.
   3.4   The RHC health team should also work closely with the workers from
         the other allied sectors, such as teachers, agriculture extension
         workers, religions leaders etc.
4. Provider of Health Care
    4.1  General
         The SMO is responsible himself, directly and indirectly through the
         members of the RHC health team for provision of primary health care
         to the people (see job summary and section on community
         development).
    4.2  Preventive / Promotive
         4.2.1   All the outreach and static staff of vertical programmes in
                 RHC's catchment area report to the SMO
         4.2.2   All supplies, pertaining to the programmes as given above,
                 are received and distributed to the respective health workers
                 by the SMO. In this respect, however, he would ensure that a
                 regular supply of consumables is maintained; and that
                 immediate appropriate action are taken, well in time, to avoid
                 any stock out.
         4.2.3   He would ensure that the targets fixed for the health workers
                 belonging to various programmes are achieved timely.
         4.2.4 The MCH service providers works under the SMO through
                 Women Medical Officer (WMO) of RHC. He evaluates and
                 sees that they perform their job in accordance with their job
                 description and achieve the targets set for them.
         4.2.5   The performance evaluation and working of the sanitation
                 staff In the RHC and the revenue limits of union council, it is
                 situated In, in accordance with their job description, is the
                 responsibility of the SMO. He would ensure that an optimal
                 standard of sanitation and clean environment is maintained.
                 Also, these measures extend to the water reservoirs and
                 other sources of water supply.
         4.2.6 The SMO should be aware of the epidemiological
                 characteristics and health statistics of the RHC's commanded
                 area. He should, therefore, take appropriate measures to
                 effectively combat foci of communicable diseases, if any,
                 before eruption into epidemic.
         4.2.7   Family planning activities at the RHC and any other outlets of
                 P&SHD are carried out under the supervision of SMO by the
                 WMO, MCH service providers, and he shall ensure that the
                 targets, in this respect, set for various health workers are
                 achieved. He also keeps a liaison with the family planning
                 outlets and outreach workers of the Department of Population
                 Welfare and keeps himself abreast of their activities and
                 achievements. He will also offer family planning services
                 (including advocacy) to patients.
    4.3 Curative
         4.3.1   The curative duties of the SMO include diagnosis, treatment
                 and referral of individual patients reporting to the RHC and
                 communities falling within the revenue limits of the union
                 council where RHC is situated.
                   4.3.2  When a patient reports to the RHC, after having been
                          registered, he is thoroughly examined and a diagnosis
                          (provisional or final) is established.
                 4.3.3    If the patient requires an outdoor treatment which is available
                          at RHC, this will be offered.
                 4.3.4    If the patient needs admission / special investigation, he will
                          be admitted in the RHC and all facilities needed would be
                          provided to the patient. In case patient requires a facility,
                          which is not available, he will be referred to THQ/DHQ
                          Hospitals.
                 4.3.5 If the patient suffers from some notifiable
                          disease/communicable disease, then the SMO would adopt
                          appropriate measures as per standing instructions including
                          screening of the locality/community that the patient has come
                          from. Depending upon the results of screening, he would
                          adopt appropriate measures according to the situation. In this
                          process he would keep his higher authorities e.g. DDHO
                          informed/notified and will seek their help if required.
                 4.3.6 The SMO will ensure that a record of all the events observed
                          and actions undertaken by him, in pursuit of his duties is
                          kept, in the appropriate forms and registers.
           4.4 Rehabilitative
                 4.4.1 Facilitate patients in need of psychological, social and
                          nutritional rehabilitation.
                 4.4.2 Refers cases for physiotherapy which are considered
                          clinically essential.
        5. Medicolegal
           5.1 Regarding any medico-legal case reporting to the RHC, the SMO would
           pursue the legal instructions applicable.
MEDICAL OFFICER (RHC) (BS-17):
     JOB SUMMARY:
     Based at the RHC, under the supervision of SMO, the MO essentially helps the
     communities to attain health by means of primary health care. Primary health care
     is essential health care made universally available to individuals and families. It
     includes those services which promote health, such as keeping a clean
     environment, good water supplies, care of mothers during pregnancy and childbirth,
     family planning, nutrition, health education, immunization and early treatment of
     diseases. In the discharge of his duties the MO works closely with communities and
     also tries to establish links with the other allied sectors e.g. education, agriculture,
     etc.
     RELATION
     The MO, RHC reports to the SMO in charge of the RHC. He supervises the section
     of the RHC health team assigned to him by the SMO, and in his absence,
     supervises all of the RHC health team, i.e. health personnel posted within the
     revenue limits of Union Council including the MCH service providers and outreach
     workers, who report to him.
     QUALIFICATION
     MBBS
     RECRUITMENT
     Direct, through the Punjab Public Service Commission.
  E. DUTIES OF MEDICAL OFFICER AT RHC
     All the duties assigned to him by the SMO in-charge of the RHC. However, in case
     when the SMO is absent, his duties (as in the job description of SMO RHC) are to
     be carried out by the MO, RHC. But if the WMO (RHC) is senior, then, in addition to
     her own duties, the administrative duties of the SMO will be performed by her and
     other duties shall be performed by the MO
     JOB SUMMARY:
     Based at RHC, she along with the RHC health team under supervision of the SMO
     (Senior Medical Officer), essentially helps the communities to attain health by
     means of primary health care. Primary health care is essential health care made
     universally available to individuals and families, it includes those services which
     promote health, such as keeping a clean environment, good water supplies, care of
     mothers during pregnancy and childbirth, family planning, nutrition, health
     education, immunization, provision of essential drugs and early treatment of
     diseases
     RELATION
     The WMO reports to the SMO in-charge RHC and through him to the DDHO. She,
     under guidance of the SMO in-charge RHC, supervises the MCH services including
     outreach activities in the revenue limits of the Union Council where the RHC is
     situated.
     QUALIFICATION
     MBBS
     RECRUITMENT
     Direct through Punjab Public Service Commission
     DUTIES OF WOMAN MEDICAL OFFICER AT RHC
            Scope
            The WMO, RHC is not only a female medical doctor responsible for
            provision of health care including preventive and curative services at the
            static health facility, but also liaises with the community, formally through
            VHWs and TBAs etc. and informally through her contacts with people
            especially the female section of society for Its development. She necessarily
            performs her duties under the control and guidance of the SMO In-charge
            RHC.
            Community Development
            2.1    Activities of the RHC health team are essentially aimed to help
                   individuals and communities to attain a level of health that enables
                   them to be socially and economically productive. Primary heaithcare
                   has been considered to be the most suitable approach to achieve
                   such objectives. This includes clean environment and water supplies,
                   care of mothers during pregnancy and childbirth (MCH), family
                   planning, health education, nutrition, immunization and eariy
                   treatment of diseases. The WMO is responsible for the provision of
                   these component activities in general, and specially the MCH services
                   including family planning, nutrition, and immunization to the recipient
                   individuals and communities.
           2.2    To achieve its aims, the RHC health team, under guidance of the
                  Medical Officer in-charge, promotes community participation. This
                  should, essentially initiate a process of metamorphosis in the
         community, that it changes its current traditional recipient nature to a
         contributing society. The objective would be fulfilled when the
         community's feeling towards health facilities change, that they own it,
         they support it and contribute, in all respects, towards its activities.
   2.3   One important way that a community takes responsibility for its health
         is to identify, train, and support health workers. The WMO, in this
         respect, has a great role to play, as she trains and supervises the
         working of outreach workers.
   2.4   The RHC health team should also work closely with the workers from
         other allied sectors, such as teachers, agriculture workers, etc.
3. Provider of Health Care
    3.1  General
         3.1.1 The WMO sits in the RHC for her routine duties as per
                   notified time schedule.
         3.1.3 The MCH service providers work under the WMO. She is
                responsible to see that they perform their job in accordance
                with their job description and achieve the targets set for them.
                Any default thereof, she will report to the SMO.
     JOB SUMMARY:
     Conducts OPD, examines the patients, prescribes the treatments and refers the
     patient to Specialist if needed.
     RELATION
     The Medical Officer/Woman Medical Officer at DHQH reports to the concerned
     specialist.
QUALIFICATION
MBBS
RECRUITMENT
Initial / Transfer
DUTIES OF MEDICAL OFFICER/WOMAN MEDICAL OFFICEROUT DOOR AT
THQ HOSPITAL LEVEL
          General
         1.1. Remains available in the OPD for routine duties as per notified time
                schedule.
         1.2    Ensures smooth functioning of the Medical OPD.
         1.3    Checks cleanliness and general maintenance of work area by the
                staff.
         1.4    Observes that staff performs their job in accordance with the job
                description.
         1.5    Checks that Medical/Surgical and other store items needed in the
                OPD are managed / dispensed with as per SOPs by the respective
                staff.
         1.6    Ensures that record of all activities of his OPD is maintained.
          1.7   Supervises all the members of staff placed under him.
          1.8   Performs any other professional duty assigned by the higher
                authorities
          Curative
         2.1    Examines the patients directly reporting in the CPD in detail and
                records brief history, findings and probable diagnosis and treatment
                with date, time, signs and affixes name stamp.
          2.2   Advises the investigations if required.
          2.3   Prescribes medicines to be taken at home.
          2.4   Explains the patients about the use and effects of prescribed drugs.
          2.5   Refers the patients to the physician or other specialists as the case
                may be.
          2.6   Takes history of patients referred by other specialists and ensures
                that such patients are seen by the physician.
          2.7   Admits the patients on advice of the Specialist.
          2.8   Undertakes all life saving measures if needed e.g. CPR with full
                protocol.
          2.9   Records duties performed in the appropriate forms and registers
                provided.
          2.10 Admits the serious patients in the absence of the Specialist and
                informs the Specialist.
          Preventive / Promotive
          3.1   Remains aware of preventive programs launched from time to time by
                government or through donor funded programs and guides the
                patients accordingly.
          3.2   Provides guidance and advice on good nutritional practices including
                use of major micro nutrients for all age groups especially mothers.
          3.3   Provide family planning services (including advocacy) to patients.
          3.4   Delivers health promotional messages to the patients by Inter
                Personal Communication (IPC), Visual Displays in the Facility e.g.
                charts/photos.
         4. Rehabilitative
            4.1  Provides psychological, social and nutritional rehabilitation.
            4.2  Refers cases for physiotherapy which are considered clinically
                 essential.
                                                     BY THE ORDERS OF
                                                        SECRETARY
                                                   PRIMARY & SECONDARY
                                                  HEALTHCARE DEPARTMENT
No. & Date Even:
        Private Secretary to Minister, SH&ME and P&SH Department.
        All Deputy Commissioners in Punjab.
        All Divisional Director Health Services in Punjab.
        All Chief Executive Officers, District Health Authorities in Punjab.
        All Medical Superintendents DHQ / THQ Hospitals, in Punjab.
        All Incharges, RHCs / BHUs in Punjab
        PSO to Secretary, Government of Punjab, SH&ME Department.
        PSO to Secretary, Government of Punjab, P&SH Department.
        PSO to Special Secretary, Government of Punjab, SH&ME Department.
        PSO to Special Secretary, Government of Punjab, P&SH Department.
        PA to AS(Tech.) / (Admn.), Government of Punjab, SH&ME Department.
        PA to AS(Tech.) / (Admn.), Government of Punjab, P&SH Department.
        PA to Director General Health Services, Punjab.
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