ROLES & RESPONSIBILITY

OF COMMUNITY HEALTH
PERSONNEL
(BPHN,PHN,CHO)
Presented by
Suchitra Barman
Roll 39
B.Sc nursing 4th year
Introduction
A Community health personnel is a member of a community who is
chosen by community members of organization to provided basic
health and medical care within their community and is capable of
providing, preventive ,promotional and rehabilitation care to that
community .
Community Health centre
• CHCs are being established and maintained by the state government
under MNP/BMS programme. As per minimum norms , a CHC is
required to be manned by 4 medical specialists, i.e. Surgeon,
physician, gynaecologist and paediatrician supported by 21
paramedical and other staff .
Staff for community Health
centre
STAFF FOR CHCs NUMBER OF POSTS
1. Medical Officer 4
2. Nurse Midwife( staff nurse) 7
3. Dresser 1
4. Pharmacist/Compounder 1
5. Laboratory Technician 1
6. Radiographer 1
7. Ward boys 2
8. Dhobi 1
9. Sweepers 3
10. Mali 1
11. Chowkider 1
12. Aya 1
13. Peon 1
Total 25
• First Referral Units:
• An existing facility (district hospital, sub-divisional hospital, community
health centre, etc.) can be declared a fully operational first referral unit
(FRU) only if it is equipped to provide round-the-clock services for
emergency obstetric and newborn care, in addition to all emergencies that
any hospital is required to provide. There are three critical determinants of
a facility being declared as a FRU:
• 1. Emergency obstetric care including surgical interventions like caesarean
sections.
• 2. Newborn care.
• 3. Blood storage facility on a 24 hour basis.
• Types:
• A.Non FRU CHCs
• B.FRU CHCs
Rural Health Care System In
India
COMMUNITY HEALTH CENTRE (CHC)
A 30 bedded Hospital/Referral Unit for 4 Primary
Health Centres (PHCs) with Specialized Services

PRIMARY HEALTH CENTRE (PHC)A Referral

Unit for 6 Sub-Centres 4-6 Bedded Manned
with a Medical Officer In Charge and 14
Subordinate Paramedical Staff

SUB-CENTRE (SC)
Most Peripheral Contact Point Between Primary Healthcare
System and Community Manned with 1 Health Worker
(Female)/ Auxiliary Nurse Midwifery and 1 Health Worker
(Male)
Block Public Health unit
• The BPHU are expected to have four functional area:
• clinical service delivery,
• public health functions,
• Block Public Health Laboratory to serve both clinical,
• public health functions, and HMIS unit.
• The clinical and diagnostic services will be delivered as per Indian Public
Health Standards (IPHS) and efforts will be made to improve the quality
and timeliness of reporting of service delivery and public health related
data. The BPHUs will also promote decentralised planning and the
preparation of block health plans that feed into district health plans.
Block level Public health Officer
• To ensure effective public health services in the districts and blocks.
• The DoHFW has initiated a process of engaging Block Level Public
Health Officers to compliment the function of BPHNS and act as
coordinators, supervisors and networking personnel.
• The Block PH officers are science graduates,engaged on a contractual
basis.
• In the financial year 2007-08 an amount of Rs. 1.64 crore has been
proposed in the NRHM PIP for their remuneration of six months.
• OBJECTIVES:
• Promote decentralized planning of public health activities with rural
and urban local bodies through participatory process. District Plan will
be inclusive of Block plans, Panchayat/urban local body plans.
• Serve as the referral point for the HWC-PHC and HWC-SHC in the
block, in order to reduce crowding at higher level facilities, and
provide comprehensive primary health care .
Indian Public Health Standards
For Community Health Centre
• Objective
• Services to be provided
• Care to be provided.
1. Care of routine and emergency cases in surgery
2. Care of routine and emergency cases in medicine
3. Maternal Health
4. Newborn care and Child Health
5. Family Planning
6. Other National Health Programme
1. Communicable Diseases Programme
2. National Programme for prevention and Control of Deafnes
(NPPCD)
3.National Mental health Programme CNMHP)
4.National Programme for Prevention and Control of Cancer, diabetes,
Cardiovascular Diseases and stroke.
5.National lodine Deficiency Disorders Control programme.
6.National Programme for prevention and control of fluorosis
Roles &Responsibilities of HRH
at Non FRU CHC/FRU CHC
• General physician
• Obstetrics &Gynaecology specialist
• Paediatricians
• General Surgeon
• Anaesthesist
• Medical officer
• Staff nurse
Primary Health Centre(PHCs)
• PHC is the first contact point between village community and the
medical officer. The PHCs were envisaged to provide an integrated
curative and preventive health care to the rural population with
emphasis on preventive and promotive aspects of health care. The
PHCs are established and maintained by the state governments under
mutrition, the minimum needs programme (MNP)/Basic minimum
services (BMS) programme. As per minimum requirement , a PHC is to
be manned by a medical officer (ANM)/ supported by 14 paramedical
and other staff.
Indian Public Health Standards
for Primary Health Centres
• Objectives
• Services to provided
• Care to be provided
1. Medical care
2. Maternal and Child health care including family planning
3. Medical Termination of pregnancies
4. Management of Reproductive tract infections
5. Nutrition services
6. School health
Job Responsibilities of Medical
Officer -PHC
1. Clinical work
• The Medical Officer will be organizing and performing duties necessary for the
routine Outpatient services and also ensure emergency cases are attended and
taken care of.
• He/she will screen cases needing specialized medical attention, refer them to
referral institutions and will cooperate and coordinate with other institutions
providing medical care services in his/her area.

2. Public health work

• He/she will make arrangements and provide guidance for rendering health care
services at the community level and at the PHC through the Health Assistants,
Health Workers and others.
Job Responsibilities of staff
nurse
1. Clinical work
• S/he will assess the needs of the patients in the ward, explain the
medicines to be taken, make a nursing care plan for all patients
consulting with ward sister.
• S/he will give direct patient care and allotted responsibility to her/him
by the ward sister.
• S/he will provide comfort to the patient and maintain the safety of
the patient.
Community Health Officer (CHO)
• This Induction Module will help you to understand the main functions
of a Community Health Officers and develop clarity on work
coordination with your primary care team. This module will build your
capacity in estimating your beneficiaries, knowing your population,
health promotion & prevention activities and monitoring &
supervision. Thus, training in this induction module will be useful in
commencing your work at Health and Wellness Centres as a
Community Health Officer.
Roles&Responsibilities of a
Community Health Officer
• Brodly expected to perform the following three functions
A .Clinical Function to provide ambulatory care and management.
CHO will provide clinical care as specified in the care pathways and
standard treatment guidelines for the range of services expected at the
HWC. Your six-months training in Certificate Programme in Community
Health has already covered in detail the clinical functions that you are
expected to undertake at HWCs.
• 1 Early detection, screening and first level management
• Undertake detailed history, physical examination of patients to
assess general signs and symptoms for identifying a disease condition.
• Identify and provide the first level management for all conditions
covered under the 12 essential packages of services and various
national health programmes.
• 2.Undertake referral to enable continuum of care
• High risks cases, complications, medical emergencies and trauma.
• Cases screened positive for NCDs, chronic infectious diseases
requiring confirmation of diagnosis and initiation of treatment plan.
• Refractory and serious cases related to common communicable
diseases and acute illnesses etc.
• 3.Provide follow up care
• B.Public health functions for health promotion, prevention and
disease surveillance
• Community health officer will undertake the following activities as
part of of the public health function.
• 1. Ensure collection of population-based data and planning for
organizing services at HWCs:
• Ensure that all households/population in your service area are listed,
individuals are empanelled at your HWC for seeking health care
services and a database is maintained- in digital format of CPHC-IT
application/paper format as required by the state.
• 2.Community level action for health promotion prevention
• Coordinate with VHSNCs and work closely with PRI/ULB, to address
social determinants of health and promote behaviour change for
improved health outcomes.
• C. Managerial Functions for efficient functioning of HWCs:
• 1. Recording, reporting and monitoring of service delivery
• Support MPWs in maintaining updated information for all sub centre
level reporting formats required to assess service delivery under the
various national health programmes.
• Maintain records on delivery of services at HWCs-OPD/Investigations
conducted/services provided.
• 2.Undertake administrative functions of HWCs
• Inventory management to assess availability of medicines, reagents
and consumables at HWC.
• Ensure proper upkeep and maintenance of equipment, furniture and
fixture at HWCs
3. Supportive Supervision of HWC Team:
Supportive supervision of the HWC team will be
undertaken through the following:

Conducting monthly HWC meetings with MPWs and ASHAs for:

a. Assessing progress on coverage of beneficiaries for various services.
b. Identifying and addressing gaps. The gaps could be on account of team
members knowledge or skill that can be either resolved on the spot or
facilitation of additional trainings.
• c. Discuss common issues and problems being faced by ASHAs and MPWs.
• d. Identifying actions that need to be highlighted to PHC-Medical Officer.
• e. Refreshing skills and knowledge of ASHAs and MPWs.
• f. Keeping the team updated about the new programme guidelines and
technical details.
Conclusion
• Community health care and wellness and disease prevention must
occure all levels of care. This includes nurses working specifically in
community of public health ,settings ,acute , emergency care,
paediatrics , academics etc.
Bibliography
• Gulani.k.k.Community Health Nursing .3rd ed New Delhi :JAYPEE
;2016’P’(709-26).
• IPHS Guideline 2012 and 2022
THANK YOU