ath co oe) SY ABSTRACT ‘Primary Hoxlth Centres - Floto of Madical Olficers of Primary Healt Gonttes - Qiders tssuod. G.0.Ma. No. 1. Clrovlar FLNo 1SG98'PHOsMVOG-0/5.11 dated 11. Hoalth, Indian Modicine & Homoocpauly and Fenlly Wolfara Deparment te ; Datadl: 20h Janvaty, 1909 Thaild, Vibhava, ThlaWalluvar Aandu, 2020 1488 trom the Diroctor of Primary Healllt Gentras (In-charga), Mach ak 2. — From tha Dkactor of Fumily Wollara 0.0.1, No.TC No.97/08 dt3.11,08 9. Frain tho Director of Public Howl and Preventive Medicine, D,O.F.No:169819/80/P IA dated 2,1 1.08 4. From the Diractor of Priniaty Health Ceniros D.0,No.0s864/PHCs.lV88 5a oha,11.66 f } 5, Frpm the Depuly Dirvctor of Madleal Secvlous ani! Fearnily Welfare D.O.K.Dio.1 4959 1/E 100A dt.25.14.80 0, From the Dhoctor of Publte Hnalth Training and Gontiyying Education, Lr.No.1 600 14/Trg/l/80-S 1 i.1.12.00, 7. ibm the Projact kaaiot, DANIDA Health Gare Piojac,, D.0.Lr.No.0477/ BD-C1 ail.B.1.09 8. From the Dapuly Projnct Ditmelor, DANIDA D.0,L1,No.2477/01/08 ORDER: A104 89, ) ‘Tho Alna Ala Declaration (1978), 19 which Inula is 2 slgratory,,viswalisas a Primary Heath ‘Gbre approach as a means towards the achlevetniant of the yoat of |iealil for all by 2000 AD, Asan adttatiotr of this attr and dosira, Fitiaty Hoaltt) Conttos are befng oalgbilshad in a phased manner {njrural draas at the 30,000 population lavel, and Health Sub-Cantros «i! the 5,000 population level. its propasad to cotnplote the astavlishynanl of ona Primary Health Goiitre for avety 30,090 popula tion balora 1 | 2, This pattem envisages 2 posts of Mtedtgal Orilouss tm eactt Frirtary Health Centra, THe 1990 with 6 allached Meal Sub-Consrve to nach Prinary’soall» Contre, Ministry of Healt and Family Wallara, Government of india Yuring January 1986 has outlined the role ‘of Medical O1 Micors in Primary Heath Contras,{mn tha retorence Hirst 1ond above, tha Dirgctor of Primary Healy Contras trae issuect st clrctilar fogartiing the division of the fob rasporesitilties atnong We ties Medival Otlicers nl Primary Health Gontres at Block tavat. s 3, During the workshop on Expanded Primary Health cova (Madras on 26,27 and28.9.85 which was attended by the Diraciors of the concarnod departments, ‘her State favel, Negionattevel, District lovol ocala of Heth aiid Fanny Weltare Departments Including selected Madoat Ottars of Prinaty Hoalth Centos, tha roto of the lwo Modical Officers of Primary Health Contras a 30,000 Population was finalisad jointly by all paiticipaiits. The wows of al "pads of Dopanmunis hays also beat ubtalried arie takart lito euriskdoration, i 4. In Suparsession of all aarlior listructions jasuad In thia ragard, the rola of tha 2 Medical Ollicers of Primary Health Cortes at the 30,000 poputation Idvel Is enclosed as.an Annoxura {0 this order, This order will come Into effect invmodiately. ( S.The Goverrmett doska that Mauical Olticars in to Pibnary Heallh Centro, as highly compatent and properly mov yalod professivnals willbo in he loratrdyit as loaders of para inedtical anc heals workore In the battle agalns| diseasa and the promotion of th, ‘Aisa challanging task ond the annexure to this order dnly sate out the braad oullines and tis i fact in the porsonal Involvamiont and the commitmant thal Madical Oflicors in Frimary Hoalth Cantrés, bring to inal tas that succoss ahead ties, * . fo (BY GNDEN OF THE GOVENNEN) N. NARAYANAN, Commissionar & Sovretary to Goverment, To . ‘Tha Director of Primary Healt! Contos, Madras - 600 006 4 "Tho Diroclor of Public eal and Proyontive Madicliin, Madras -,600 005 THE Director af Public Heal Tralning and Continuing Educaony Madras - G00 006 ‘The Dlractor of Medical Servions and Fanvly Wollere, Macias - C00 000 The Ditactar ot Fainly Wellare; Madran - BUD DOD. tt : we Thd Oitsctor of Medical Education, Madrag - 100 005 4 ; The project ractor, Dada Healt Care Pryjact, Kurslogom, Mads, Tha Director sf indlan Medicine ant Momnonopailiy, Madiag «10% Tha Olstict Heaith Olasrs ot alt Distets, Be Ail Oise tdodical Cificors af Primary Heatle Contos ala Ail Fagioriaf Deputy Olroctors of Pubic Hoalth arid Preventive Medicine Fanwardad : By Order ios ; Sdi- ; Sactlon olficer.ANNEXURE JOB DESCHIPTION OF MEDICAL OFFICKRS. OF PTIMA WY NSALI CERIMES The 2 Medical Officers ol the [HC will divide tha area amongstthe selves ona geographicatbasis and will be rssposssibie lor all the activities under Medical, Health end Farnlly Weltare Programmes. in Iheir respective areas, Oi the 2 Medical Officars, the senior, will lz designated as Madical Oiticar in-charge, who will be the administrative head af tla PHC, ‘The Medical Officar in-chaigs of {ho PHC [8 responsable for lnplamenting all activities grouped under Healii and Fanilly Welfare hi tha PIC aroa, Ho is respongible In hissiredlvidual capacity, aa wall a9 Jor the overall charge of the PHC. 1 ts not posaible enumerate all his tasks, however he shall ba fully responsitte for tha proper overall luictioniig of the PHC, He may assign any job to any funetionary ol the PHC (Ofcar/Stait) Yoain, which Is deemed ascautial hy hint (Medical Offices) towards the functions of the PHC anu fold activities. He shall alsa undortake any other task and Iniplorvent any other schate/progmnino which te Nghor level of supucvisory alficiats assign to him from tine to that JMCETP for tho Medical Olfivers. aie ns tullows: 4. One Madical Otficer will be in the PIG and the other Medical Olficer will ba on fad visit on alternate days, every day as por tho programa apperdod, 2. Otroview days (Tuesdays) Hoth the Medion! Officers will ba alia PHC. s Ontmmunjation days (Wodkesdays) both the Medical Officors will ge out forsuparvision en allarnativa Wednesdays oo tlhit gach snssion In visitod ones in a fortnight. 4, Each HSC'wil be visiled once a fortnight on a fixed day as Frnd Ht Mondeys, | ancl Ill ‘Thursdays eto,, In audition to the visits made during Immunisation day sessions on alternate waaks. . 5. The Medical Olficor stall visit contios ylnoure while procoodirg to Ihe sclicduled sub-contre an 5 curBOry visit and spond nbout Hall an hour taking up shirt Inspection. During the fortnightly visits to the HSC, the Medical Olicer wif rendor following services anid carryout aotivilas: 1. Health Chock up of CMNMP Bonoficiarins; 2. Hnalily Chack op of sebsal ehillbert, Conduct Clinic at halts sul-centa fee AN, PA casas arn! infants and chilidron Burd omaigoncias; » =A 4, Sampo verilication and ctons voriticatlon uf porlon Hoalti Workers; : 5. Vorilication of EC and Motivation of ECe: ; 6. Verily and guide tho HW om the follo-up setvicas to sho, Acuoptors: 7. Render on the spot guidarize to the Health Workers and Health Supervisors; 8.) Check the stocks, equbmnents and thole utlenon; 9. Contact loval organigalion/aadorsfyoron group for everuivation; W@. Participate In Community Lased educational sessions; 11. lnvestigate the Infant Doaths and Maternal Lean; 12, Verliication of Births and Deuths; i 18, Othoracuvitios 9s waraitod under circutnitancas (vacoivo provontable cisoaces, Epidoniic Contcol activiius, tivastigations ote.) and 44, . Othor aetivitiog ao stipulatod in Jab doserlption, 1. CURATIVE WOrUG: Euch Movical officer will organise the dispensary, out-patien! soryicas/in-pationt sosvices Including labour cases and minor operations and veil nllot dutlos to (io auxllary ata to ensure sinooth running of tie PHC, ‘ i Ho will mak cullablo arranyernents foritia distribution ol work in the roatmantalemergancy casos which colith ouiside tia nonnal OP hours. \ Ho will organisa laboratory sorvivos for casos where necostary and withlit the scope of hls laboratory for propor dingnosis nf crsoa, He will itake atrangontonts for randaring sotvienr for the treatmant of minor ailments at the Communitytevel and the sub canto through the existiny (unctionarios sualtas Vilage Hoaltt, Nureos, Child Wollae Organisrs, Conmnunity Nutrition Workers, Anganwadi Workers, Oals and Others. Ho will atlarxd to cases reload to bin by Sector Hoalth Nurse, Multiverpose.Heall) Supervisor, Village Hoallh Nursos, Multipurpose Haalth A¢sistants, Dais or by the School Teachers (Healt ang othar Fiokd tunctionatins).5 Ho willl screen cases needing specialised modical attention jchiding dental cara, STD, Mental Haalth and Nursing care and refer them to referral institutions. 7. He will provide quidanca to tha Saotor Health Nursts, Multidurpose Hualth Supervisor, Villaga Health Nurse, Multipurpose Hoalth Assistants, Dais, School Tenchers and athers in the teatment of nilnor athnents, 8, Hewill cooperate and coordinate with ntlier institutions providing medical cara services ir his area. . 9, Howill make porledicat visita to each aub-catilre in hip ara riot.only to chack the work of the ' staff but also to provide prevantiva, promotiva and curative ser\icas and organise clinics for this purposa. 10. Ho will maintain the morbidity Data of all now cases treated at PHC and Haalth Sub-Centra 8 per the International Classification of Diseases prescribed by World Health Organisation nd submit the return It) tha prasonbed format to tho district health authorlty. Tho dally tino schadule for contre baad sarvieda and activities Ig as follows: 5.00 A.M. > 11.00 A.M. oPD 11.00 A.M. - 1.00 PM. Special Giinfos/Surgory 200 PM. - 4.00 P.M. Adiinlsteative wou 400 P.M. : 5.00 7M. Evoning O} Alter 5.00 P.M. duly at call. Nolet One of the Modical Officer wil alend ve afternoon OPO, on alternate days from | 4PM 5 PM Emorgoncles should bé allended all 24houra In rotation by Medical Olficers of the PHC. The time schodute for flald sarvices and activities Is also front 6.00 A.M, 10 5.00 P.M. These should bo displayed In the PHO a black board with name, con.act place and tine to anablo oltiar ofllcers 10 pata,. 6 t LLPPRVENTIVE, PROMOTIVE AND REMADILITATIVE HEALTH WORK ‘The Madical Officer should kaap himsolf convarsant with the sani dernography, healt neads and public healt! probioms In lis araa. Ho should be fully chnversant with tha usual seasons for epidamics and fake preparatory preventive action, ‘ He will ensure that hie anid all the stall of4he PHC aro fully conversait with the various health and lamily wollara progrartnas iinplomanted In the jurisdiction of each heaitty tunetlohary: He will further supervise thelr work porlodically both In the clinic and tr the community setting to give them the necessary quidancs and Jirections. ; | He will prepare operational plans and ensure elfective tinplemantatign of the same to achieve tho fald down largots undor various hoally arid family welfare prograrneras. \ : He will keop clase liaison will the lock Development Officer and his stall, other development -depertnnort staff, community leauors and local body Prosidonis, voluntary ayenioies in his are and Involve then! to the best advantage in the promotion of beak and family wallace progranimes in tho area : Whoravor onsible, ho will conduct fiald Investigations tn respoct of local healt! problers (a) fo plan; (b) te organise; (6) ty hnplanent the jaquied health and Jenily wollara servicas, 1. FAMILY. WELFANE: \ 1.1. Ho valll provide londaraliip to tho atalt [ny Ihe jrwslomentation a tha familly wellara, programmes In the Prunary Health Gantig area wid the PG eo function asa centie for tha Farnly Welfare movement 1.2. He wil be responsibie Tor the proper and success inploniontation of faily wears programma in the Primary Health Canta atva, Inchiding Information, educaton, commmuptcaiion activitios, totlvallon, delivery of services and aftercare. 1.3. Ha will bo faspotisitla for giving Immodiale ad sustained attention to any compllcations the acceplor doyalops duo to acceptance of fajily welldre mathods tn his area, Ho should also soo tor intorinattoy of suc cases anid peisonally check, Ilitis of sorlous nature. Ho should carofully watch the morbidity and mortality of acceptors for inmeciiate actor, 4 1.4. He will uxtend inotivational advice and contraceptive sarvices (temporary and perina- franit) to all ellyible couples he saos In tho clinics conducted by bie at Primary Haak Coutro/ toaltl Sub-Conta184 7 « Ho/sho will get Valnod In storfisation operations, MEP and (uD, { 1.5.2. Ha will maintain the record of trating status of PHC’ sidff on Health and Family Wellare. é Ho will crgantsy and conduct camps for Stariisallon, IUD/MIP services. Ho will avail the holy of thor ayancioe euch ag Disticl Duroau, Mobita Van arid othor Associalions/Voluntary Organisations for storiiisatlon/1UO camps and MTP Services, He will ensure adequate supplios of aquipiienl, drugs, educational matorial and vontaveplivaa roduired lot tha savicas/progratnnas, \ Ho will organise rogutaralall monliniga tw veviaw the progr@st nad and to diovvss via problems and future plans. i He will davalop and niaintaln a cooperative work ratalionshij) with other agonclas and opinion loaders In the PH »- ia in order to gunorale ind sustain (he Farnily Wellara movement, i \ Ho should encourage and givo all jnlp and aosistenice to private medical practitioners and pragiitionats of [SM in iho Imploniontation of Fomily Wellare Prograrnine espoctally In tho follow up of adopters. . Ho will onsure propor and up-to-diilo nviintnnianye o| Etigibia Coupta Registers Mhyough spot hacking Ho will ansure that the vitago lave) eonnittens. And otto cofrmiteos Wy the PAG aro ara properly constituted and mado operational, ‘ MOTHER AND CUILD HEALTH CANE Ho will provide MGH sorvicgs sucti ng atitenati, tntranvalal and postnatal caro of mothers and Intanis anal child ears Uvough tis PHC, HSC acul dais, . Ho will ocreot the high risk cases in pregnancy, and provide spoctal attention and refer wherever necessary Lo thi liighor Wentinont facilites centre and maintain a record of such cases. Ently regiitintion of prognoney tse facilitates arly MTP (8 wooks) it warranted. ‘ Ho willl activoly Involve the PIG slalt ii the ollective tniplorntatton of the Nutiitlon Programmes and adininistratiot of Vilvmin A and tron and Fatie Aetd tablors.1. Hu stall visit al! tho Chip! Minialor’s Moor Meal Psogrptnme Conttes/Cammuntty Nuhition GontresiAngarwadi Centres in the PHC ror) raqutenly as spoctiod anct rondo salt ard madi) oro sarees including capyral as por progranne instuctione. & Ho wi} periouically monitur the grew of tha chidhan arc erisure Ihe maintenance a! tolatud records. 5 25. Mo will rventigaty and rsport alf casas of atonal sncd infant doaties, ' 2.6, He sill onausn and educate (tir conemmned functionatios or tha hyglono and sanitution of tho Chet Minister's Moon Moal Progratitnia Contena/Gommunhy Hutton Genoa and Anganwnd) Connos. i 2-7 Daball.be siento ant aughelesl ates) alos cactis tubing dees lbs Suan, snoutaliy anit ialorel easalily cate fo tie tot Jovel, PROGRAMME ON IMMUNIGATION 2.4. He wittpian aid tnpleront the ieveiantsaons programtig in line with the latest poticy and ounure univers ceverage of the lariat popuatlor In ibe Primary Hoattr Gaeteo args, ' 3.2. Howl emutn adoqunly supplins of vacoiios ani wifscatiatigova Noms require how ine to tina far ta eftevtive implonnonitation of fe Inwunloatlon Prograrana, 8.3, Hla will etsure projsnr slorua of vaccine undes prosorived (oparature an inaintonates of voli chitin equkmon! ang yontiiwous cold ehaly during transporte?” vrction. . s 3.4. Ho will nvaatiiate anys soport olf couiplications arising out of innttucsation, { 3.5, Hail ensure rogulor sunvatiianica of ai! tho vaceine praventabte diseases Ip Nhe FG aroa wilh spaial iaferariee te POLIOMYEL TS and kivastigaia and ropart atl euch cases all doatha wil bis spauitic fhidings. 3.0. Ho willcarry ou} sunvoys and studies Wt consiitation witi tre Otstrict Honltly Oigunisotlon anctarrarige wreter casos liouUiciy Hoxabitatiou In rospact af ite de! also uttiar dso. p i8 « Eo NATIONAL MALARIA ENADICATION PROGH ANME + fo 4.1, Ho willbe responsible for all NMEP operations In his PG area and wil be responsible for al administration aiid technical malters, 4.2.1, He will etisure Active Case Dataction and Passive Casa Detection In the PHC area as por the programmo noins. é 4.22, Ho should bo completoly acquainted wilh all probloms and dificulles regarding survelllance and spray operations In his PHC araa and be reeponsibla for immediate actlon whonevor the necessity arlsos, 4.3, The Modical Officer will guide the Vilage Health Nursa / Multipurpose Healt Assistant and Soclor Health Nurse / Multipurpose Hoallh Supervisor on all troatment schedules, espaclally radical yoaniont with pamaquine, As far as possible he should hwestgate all malarla cases in the area with less (han API 2 regarding their nature and origin, and {nalitite nocossary measures in this connection. He should ensure that promptremedial measures are carriod outby the Healt! Supotyisore/Sector Health Nurse/Multipurpose: Health Supervisors on postive cases Ustected In arcas with AP| less than two, Ha should give spedific ntructions to ihorn in this respect, ‘lle sending ths rosul of blood sildos found positive A Ho will chock tthe infcraseepic work of tha Laboratory Technician / Assistant and despatch prescribed percortaye of such slides to thty Regional Office for Health and Fatnlly Wolfaro (Govornimositat India) anid Stato Hoadgviarlora (CML) foreroas chocklng je lal cowa troon thn ta thn 4.5. Ha should, during his monthly maotigs, ensure proper accounts of slides and anil. malarial drugs lesued to tlie Multi purpose Hoult!) Assistant, Village Health Nurses and Multipuipoag Health Supervisors / Sector I fealth Nurses, 4.0. The publicity matorial and mass weuls aquipmelt rezolved from tine to time will be properly distributed and utlisad as por the Instructions irony \he distrlet organtoation. 4.7, Ha should consult the bookto| of’ Manageriont and Treatment of Gerebral Malaria’ ard treal cerebral tialarla cases aa and when requied, ¢ | \ 4.8, Ho should ensure that af catogorlos of stall In the pariphory administering radical | troatment ty the positive cases observe the Insivuctlons lakd- down under, NMEP on the subjectandif loxicatfacts are olisorved It apation| recalving pelmaquing, avara thatthe | drug |s stopped by the porlpheral workor and such casas brought 6 hls notice for fellow! up hollon / advice.10 5. CONTROL OF COMMUNICABLE AND NON-COMMUNICABLE DISEASES ve 5.1. He will ensure that all the stops ara ting taken for the prevention and gontret of communicable and noncommunicable disaases, ‘ 5.2. He-will take praventive and contol measures in cases! of any outbreak of infectious, diseaso/opidomle/natural ealamities/amergencian jn his aroa. 5.3. Howillnotlly Immauiately the ogcurrence of the communteable diseases in the PHC araa. Jn the Distlet Hoality Authorities, ' 5.4, Ho will organise and cany ou! Edusation of he poopie itt tagard to detection and Notification of cases of communicable diseases. 5.6 Ho will ensure regular and altactive surveillanice and viglance by all the fleid Public Hoalth staif In the cominunily to detoct promptly the occurence ol say communicable dfsoaso through propor yudanee, supervision and aducation. Ke 1 6. | LEPROSY : i 6.1. Ho will provide factlitios for aewly detection of boon of Voprogy And confirination Of tlialr Hngnosls and relertal to tha 1ciwost GLC LMI / Lopretsy Orgatiantlon. 0.2, He will ensure thal. all coson of |Loprosy tala regular a cotrplate treater, 6.3. He will rendor all assistarign aid cooporation to the Ulstrlot Leprosy Organisalloy to finpfomont NLEP activities, 3 7. TUBERCULOSIS i 7.1. Hawill provide fasitins for early dgtotlrv ot cases af Yuborculasts, conthmation of ther diagnosis and teateratt 7.2, No nholl arrange to volloct spuluin sunore kom hit chast syniptomattes as por programma thorns ' 7.3, fe will ensure that a Gases of Tuboreulosis (ako regular ald complote teaatront Including dalaulter action. 7.4, He will raviow and maintain the Registers and recotds as per National Tuberculosis Conyo! Proytannne atn! provide dgcossary cooporation and assistance to (He Distist Organisationfe ( u b SEXUALLY TRANSMITIED WISEASES \ 6.1. He will ensure that all casas of STD are diagnogad and properly treated and tlisir contacts aro tracad for exily dulection 8.2. He will provide facilas for YOFL tos! for ell pregnant women af the PHC, { 8.3. Ho will ensure that contact tracing, case holding and educational programmes aro { organised and iimplumentad. : 9. SCHOOL HEALTL t ‘9.1. He will visit schools In the PHC aro at regular intervals and arranga for medicaivhoal check-ups Inchiding peychological or mental probigma liko bed wotting, behaviour | problema, low performance tn studies, immunlsalion «nd reatmentwith proper follow up of thosn students found to have detects as per progihmnme Insiructions. 6.2. | - Ho willorganise regufar schoot healt educalion progiammes in eonsultaion with schoul authorities, teachers, parenis and studants, 10. NATIONAL PROGRAMME, ORLPBEVENTION OF VISUAL IMPAIRMENT. AND CONTROL OF BLINDNESS 10.1. *He wil ako atranyeniontis for rendering (a) roatment for minor eye ailments; and (b) tosiing of viston. " t 10.2. “He will reler cases to the nporoprato Institute for specialised treatment. ‘ | " | 10.3, He will extend support to mobs aya-cara units by raterral of casas (roi the tleld stall, Ho will supotvisy tho work of tha Optholinie assistant, 11. DIARRHOEAL DISEASES CONTROL PROGRAMME, 11.1. He will ensure eatly dateclion of diarrhoea and dehycavion throvalt the PHC / HSC / Community nutilon workerand village veluntoars. i, 11.2. He will arrango for corcton of mild and moderate ¢ehydration through appropriate Home Avaliable Fluld adiuinisiration, oral rabydration! therapy through PHC / HSG / Community and corractlon of savore dohyuratton thréuglt parenteral tluld therapy at PLC,Institution of containment measures and populaiisation of OFT to pravent deaths due to dehydration among the poops, by ktwoiving Voluntary agenoles and through intone educational campalgne. ‘ 11.9. He will take,aftnctiva stape mid adaquale measures lor epidemiological sine aS 2. VITAL STATISTICS 12.1, He willl onsure that vital avanis such as birlis and deaths'ocourring th the PHC area are reported/notilied \o the Heylstrar certcornad by the Infomarite; by education of people and taugh the olforts of ald stalt, ‘ 42.2. ‘Apart from tho above, he will ensure (hat Village Healllt Nurse will maintain Births and Deatis Ragisters for a!) tre Births and’ Deaths that occur (both wyhin the area and outside the arca) to the usual Flesidents of th’ area, 12.3, Ho will reviow the performance of the llakd atatf x rogard to the fleld visits to Improve tha quality and quantity in respect of registration of vilal ovants, 13. STATUTORY FUNCTIONS ; \ a i 4 131, BEA Act i ithe Medica! Ollices Je tie toca {loalth muthurlly under WP A. Act, ho. Slalidlecharys fife functions in rogard to tho exorcise of tho provisions!af the Ao 0 i, 13.2, Public Halil Act s g ¢ if S10 Modieal Officer is tho local Hoalth authority under the Puble Health Act, he shal discharge the functions int regard (0 the axarcisa of thy provislans of the Act, ft 14. ENVIRONMENTAL SANITATION 14.1. Ho will ensure tht aff oiforta arn takon by the aulhoritios concamed far the provision of gala, potable drinking walur to the community, i 14.2, Ho willl ensure ond suparvise the chlorindtion of water, sourced In hly area al regular intervals. 14.3. Ho wil educate tho cormnunity througll the field stall on fot the mathext af disnonal of fianid wasing :14.4. 14.5. 14.6. a7. 14.6, 13 # the rhethod of dispoan! of solid wastes (2) home sanitation (a) advantage and use of AGAP sanitary latrines {e) congtructiati and use of siiokeless chulas and solar energy devices. (1) pravantion of pollution of water sourcas, fo will onsure that Form | feport in the prescribed format depicting all the public hualth moasures and sanitary alrangemonis in rospact of all he Fairs and Festivals aro oblained fromm tie conce:nnd luca body in fils area (Non Municipal), serutinisad and aubmitiod to (ha RPH & PM through the DHO, al least 90 days wall In advance [or approval 4 He wiltersure effostive implorniitalion of all ha Public Hoalth und Preventive Measnres and sabilary arrangamotts fur faits and fostivals, by the concamad agoney/ localbody willi a view to control ald prevent occurraiice of ouraks cf infectious diseases and for tho ypkaop and maintenance of the saritatlon and Hygleive of the arom, Ho vill provide through tho fold stall the required supervisioy end radical eara durlng such fairs ood foslivals ard urganiso and prove all the neoded Public Heallh moasures ald services during sucl! occasions fn consultation with and as por the guidance of DletisY Hoalth authorities, Ho wil ansura and arrange for inspoction vf oll the Ealing Ertablistimonts, and ensure protnotion and provision of hyyinnte conditions of food proparsition, storngoanetania atid food handlers, is, with a vinw Je prevant oud pofsoniig and fo Lore Infections. Ho will onsura Investigation Inte eccurtureos of Food poisoning In the area and take stops to prayonl such rocuirancos. 15. COMMUNITY INVOLYEMENT AND HEALTH EDUCATION 15.1, 15.2, Ho will participate In the Village Hoalth Conuniten¢Madhar Sangeins and Working Wompn Groups, DWGNA groups, Villags Ranchayal Moolings whenever possitia (0 assess [ho lonlll neous of the Gommuniy, to discuss the hoalth and family wallare programms with the communtly and to enlist oir cooparaiton In these programmes Ho wil inaititalh a close liatson wlth ye Block Dovotapmiant Olticor and tls stall ard with ottier developmton! dapditirelital workers Such as those utvler the National Adult Edu- cation Programmes, the Nutution Programmes arid the Piogratnmes tor Sate Wator Supply and Envlranental Sanitation and also coordinate with aller departinents such as agricuttura, animal husbandry, education, social woltaré and cooparalion4 f fr ce 185, -4or) closoly wilh tha oommunity (onvers dala anddonenlinity diganitation . + thal Mandan, Nebr Yuval ondra and othar Valuntary Organisalions ele,, Involve (horn fo the best aduaniage jn the promotion of haatity progranares 4 tho nba. 15.4. He will organise campatyrs, teallngs, ioalth education talks, demonstrations, dloplay ‘of posters, exhibitions and tins during faire and festivals, folljora alc, and involve the BEE, Seotor oahh Hurso, Mulipupose (feat Suparvizar, Vifags Maal Nurso, Mul putpose Hoatilr Assistant ete, in all those activities. ( JU TRAINING 1. {fo will o1gantss stort fe-seivice/orloniation Walniig progranyrios Including continuing education wilh the assieterée sic quilanes 05 in disticthealth authorities arse fiaalth asd Jaily wallara Training Genias wit biter Tiny instivios/taams tor al catagories ot stall : 5 f 2, Howl aduicetia tho Community ax to hg seloglion of healt’ gules and wi) tako the b Necessary stops to trtln the lakh yuidos from his aroa in regard fo toatl matters, i 3 He will also make airangersserts / provid Assistance 10 the Soctar Hoattty Nurse ard i ‘Village Health Nurse ih organising traitiray programms lor pes practising ih the area, j : i j IV.. ADMINISTOALIVE WORK | | h Ma will suporviag thio work of stat workiig ander hin by adepling Fixed Tour 2 He will ensure goporal clonnlinoss liside and guisita tie pearilyos of he PHG andalso ’ ploper miaintarance of all thy uiviprionts under his charg), is 3. Ho will onsura matvorince of opdo-dalo inventay and stick register at all te stores and equipmonts suipplitet 10 fin and will te rogpehsitla tor Its correct accounting, Ad, He-wll got Indonts propared sullicfontly in advance suf dsugs, Instumonts, linen, + vautitiea, ONS and eopiacoptives ple, will submit {hort ty Be gpproprlate eal outhorilfes and ensure tele revalpl, Jisinbulion and ullllegtiva. 4.2, Based onthe uoeds anu canister’ Uniisallay pallor, tho Medical Otficar wilt take ateps 10 Fodistiibut / sonllveato the abuve ites within tha Haalth Sub Gonires anc PHC. 5. Hawi ortsure tho propor maintenance of the transport yivat #7 Mis chara.S 10. i 42. 13, 1. 10. 7. He will scruliniae tho progr of hie stall and suggest changesit nacossary to sul! the prioriios of wor, Ho vill make arrangaiiants 1 display clits, gxigraphica| area wih iooaon of Heath Sub Contros and other health cars dallvary elieles (Govarimant and Non-governmori) and also linportant ‘and marks, darts, of) Moibidily and’ Mortality, Health and Farily Woltara Statistics and other goneral information about tea as per the Instructions of Hoath and Family Wottare Depatmonts, ; 5 i He wll hold patiodica) sta weatings with his own etall (ity a view to evaluating tho progress of work and suggosting slaps to be taken for further improvement, He wil engure the ragular paymetn of reporting fees to Dhis, He will ensure the raitrtorranc of the prescribed records al PHG level.- Heit ocalvaropontstrem tho priory gotthotn analyead, connie and sutrrt Uren ragulatly to the distict healt authorities. He will submit his tied four programe to the district hezjth auttoriies, He willkoup a ary of his visits to he aroma aubmlt avery month Ms tour raport to Ho district health aulhoritios. 4 te 5 Ho wit disghargo all the finairclal dutlos onttusted to hint be por rule’ in force. HoWlll Uischarga tha day-to-day adnyinistiative functions pertaining (u the porsonnol of io Primary Hoatth Conta, Mo ditecarty ou! Iho instructions rolating to progennimos, aumiitstration and othorduiins Issuod by hiulor authontles tron tenia to Wht, : Ho Is responsible tor thy overall diselptine of etal of tea Pyinaty Health Contras. 4 nN Nalaavatian Gotnuninsloner anid, Sucrotary to Govarrintent juuo copy! , Sd)- UNDER SECRETARY 70 GOVEFINMENTTECHNICAL AND MANAGETIAL-FUNC HONS OF MEDICAL OF 2 OF PG % A Medical Officer al PHC is both a technical person and a Manager Each s, participants must be able (u differentiate betwoen thdse lwo roles. i AS A-TECHNIGAL WORKER THE MEDICAL OFFICER IS DOING SOME OF THE FOLLOWING:- { 4. Diagnosis and treatnent : 2. Prescribing ‘i 3, Follow- tp treatinant ‘ (! 4.Any other form of treattnant “~ 5. Preventive. and promative services, " 8. Giving clinical knowledye le his stalf AS A MANAGEK THE MEDICAL OFFICER IS DGING GOME OF THE FOLLOWING: 4. Planning , Organising and evaluating he actvitio# of the PHC 2, Supervisting the staff 3, Maintaining nefaquate supplies ane equipment 4. Supervising, Information, gathetiny and recording . Managing the PHC. vebicles ey . Satving problems . Motivaling the slalf and providing laadership : 5, 6. 7. Financial administration 1 ‘ ‘ 9. Davelojing staff capabilitias trough Iraining 10,Davaloping goou felations with community One of the problems # |redival allicer facas ih being a PHC manager Is a sense of tiustration tt iat he Is not accomplishing ‘as, much’ fn his managetfal rofe as fidifs accomplishing tn his tcelnician's tole, A tew inedicat officers gol'sc|frusveted with Wis feeling thet Ibey davelop a negalive altitude lovar||/auininistialive and inanayorial functions, Other medical officers have tO |gnore management re 3ponstbilities and feel comfortable only Weal patients. Stil other madical officers tend topeore & : 3 : ' He wiltscrulinine tho prowarmne of hisstat| nid suggest chianggos if nacoasaty to sulttie pouiion of work, Ho all make arrangatnonts to ulsplay chats, gxigrap soa! 2x0 Wil) Jaca of Heh Sub Conires and other hoalth cara delivery clinics (Govargmmant and Non-governia:t) and alo kraportant and marks, charts, on Moibidlly and ota, Healtit atid Family Wolfaro Statistics and olhnr ganeralInformatan about his area as par the Insivuotions of Hath and Family Wellare Depavtimonts, ji He vil hold portodiza!staif meatings with bis own siall ‘ith a view to avaluating the progress al work and suggesting stops to be taken for further improvement. He will ensure the ragular paymont of raparting fees 10 Dis. He will ensure the ritainfonanca of the prescribed records at PHG level. Ho witlrocelva roports frei the pariphary, getthom analysed, compiled and subriit thet regularly to the distrlet health authorities. i Ho will subrnit ts fixed tuve programme to the distiat high autho Ha will keop a diaty of his visits to tw areaand eelantavary month hls tour raport to the: dist#let health authorities. Ae UHH 4 Me wii discharge all tho financial dutios orttiustord to hiln bs par rulea in force. HeWlll discharge the day-to-day quminisuave functions pertalning la the porzannatot tho Primary Hoaltly Contiraa. Ho ¥illlearty vul the Instructions relating Loprogrommes, aumnletatlon and other dudes Issuad by higher author ties train tina fo linia, $ Ho Is responstbla for thu overall discipline at staff of tho Pilinaty Hoalh Contras. ij ‘ N.NAZAYANAN Comuniaslonar ang. Secratary fo Governimant Niuo copy! it Sw UNDER SECRETAMY TO GOVERNMENTTECHNICAL ANO MANAGENIAL FUNCTIONS OF MEDICAL OF, OF PHe : A Medical Officer at PIG is both a technical person and @ Manager Eacl participants must be able tu differentiate betwoor thdse two rales, AS A TECHNICAL WorkER THE MEDICAL OFFICER |S DOING SOME OF THE FOLLOWING;- 4, Diagnosis and veatinent 2. Preseriting 7 a 3. Fallow - up treatinant ; 4Any ather fori of treatment 5. Praventive. and pramotive services. 6. Giving clititeal knowledge to his staff AS A MANAGER THE MEDICAL OFFIGER 1S DCING SOME OF THE FOLLOWING: i 1. Planning , Organising and evaluating he activiliesof the PHC 2. Supervising the statf 3. Malitaining adaquete supplies mnt equipmant A. Supervising, Information, gathering and recording 5. Managiny the PHG vehicles ‘f 6. Solving problems 2 7. Financial adininistration ar a 8, Molivating the stalf and providing leadership a 9, Developing staff capabilities tough (raining 410.Devaloping good relations with conmunily Ona of the probieins a /jedical officer faves in being a PHC manager Is a sonse of trusteatian tal tis ts fot accomplishing “as, much tn his Managerial role as h¢jis accomplighiny In his technician's role, A few medical officers get’se|frusiratod with this fooling that they develop @ noyalive alliluue lowail| auininistalive and wane garial furrctlans, Otier medical officors hava iO ignore manayement 163ponsibilitias and feet comfortable only Weatity patients. Stil olher madical officers tond to7 Uslegale all administrative responsibililles to Iheir staff and then forget about them It is impotlant that mavival officers tealise {hat they can influence the PHC's performances a great desl through + appropriate management and thus provide batler health care fora communily, '” OIFFERENCE BETWEEN A MEDICAL OFFICER'S TECHNICAL AND MANAGERIAL ROLES: w 1, A doctor caty observe the resulls of Irealment vf treatment in a short period of tine; Whereas, a nanager may have to weit for longer periods of tine lo 889 results of liproveinents, 2. In general a doctur works along In his clinical activities whereas & manayer depends Upon several ulher slalf and works as & member of a team. For many medical officers |s dasiar fo work alone thay oe wark on a team, 3. The resulls of performance as a doctor may be more visible and have Higher status thar the resulls of performance as a manager 4. A doctor has a one to one relationship with 8 client and therefore direct control over the client, Whoreas manager ‘warks Lhrough his staff and doas not hava a one to ona relation will his client, 5, A doctor may [rave (9 face motivaliunal probien as oftey as a manager both sell (notivation and motivation of stall,» WORKING NURS OF PRIMARY is CENTRE “Qo : ; 8.00) AM - 11.00 AM’ Gut Patient, 6) A i f v i .WL.00AM - 4.00 PM + Spectal Cinjes / Surgery “fl 2.00;eM -. 4,00 PM Administrative worl Ran ELS Pro : (4.01 - G.0O°PM Evening Out Patient’ | After 5.00 PM Duty at call Note i One of the Medical Officers will attelud the aft rnoba OP Ds on alternative days fron. 4.00 PIM Lo 5.00 PM, if Emergencies stiould be attended all 24 fiours in| rotation by Medical Officers of the Primary y Healtht A Centre. 5 The time schedule for fick services and activities f. also from 8.00 AM to 5.00 PIM. These shoul b displayed in thie Primary dleallh Centre Black Boar: with name, Contact plirce and. tine to’ enable: otfie officers to note.