Under the MPI-1W Scheme one llealth Worl<er Male andone Health Worker Female from State Govt. and oneANM from NRI-lM are posted at each sub centre and areexpected ultimately to cover a population of 5,000 (3,000in tribal and hilly areas). The Health worker (Male) willpay a visit to each fanrily once a fortnight. lle will recordhis visit on the main entrance to the house according tothe instructions of the State/U.-i-.

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JOB RESPONSIBITITIES OF HEALTH WORI(E[1 MALE

Note :

His duties to different National Health programmes are :

Mlalaria

Frr:m each family, he shall enquire abouti) Presence of any fever cases.ii) whether there was any fever case in the famrly in

between his fortnightly visits.iii) whether any guest had corne to the family and had fever.iv) Whether any member of the family who had fever in

beLween his fortnightly visit had left the village.Fle shall collect thick and thin blood smears on one glass slidefrom case having fever or giving history of fever and enterdetails in MF-2 and put appropriate seriar nurnber on the slicie.11e slrall begin presumptive treatment for Mararia after- bloodsmear has been collected. He will follow the instructions givento him regarding administration of presumptive treatmentunder NVBDCP.

l-le shall contact the Comrnunity Flealth Motivator/ASl-lA duringhis forl.nightly visit to the village and (i) collect blood srnearsalready tal<en by the Community lleatth Motivator/ASFtA (ii)

also coilect details of each case in tvlF-2 (iii) replenish bothdrugs and glass slides and look into the account ofconsumption of antimalarial drugs.

l-le shall despatch blood smears along with MF-2 collectedfrom the Community t-lealth Motivator/ASl-1A/Multi-purpose

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worl<er Female of the sub centre and also those collectedduring his visit in his area to the pHC Laboratory as per beatprogramme/ or as instructed by the Medical office pric.

1,6 He shall verify the radicaltreatment administered by the HealthGuide, if any, during his visit.

1.7 He shall administer radical treatment to the positive cases asper drug schedule prescribed and as per instructiorr issueci bythe Medical officer pHC and take laid down action if toxicrnanifestations are observed in a patient receiving radicaltreatment with primaquine.

1.8 He shall intimate each household in advance regarding date ofspray on the basis of advance spray programme given to himand explain simultaneously the benefit of insecticidal spray tothe villagers.

L,9 He shall contact the community l-lealth Motivator/ASHA andinform him of the spray dates and request him of the spraydates and request him to motivate the community and preparethem for accepting the spray operations.

1.10 Assist the M P l-.1 s (M) in supervising spraying operations ancltraining of field spraying staff.

J-"11- Annual House Hold survey will be conducted by IVIpHW (M)"l-.12- All reports of lDSp from s/c area will be generated by

M Pt-tw(M)

Where Japanese encephalitic (J,E.) endemic:-

2.1 From each family he shall enquire about presence of any fevercases with encephalitic presentation.

2.2 He will guide the suspected cases to the nearest diagnr:stic andtreatment centre (primary Health care centre or CommunityHealth centre) for diagnosis and treatment by the MedicalOff icer.

2,3 He will l<eep a record of all such cases and shall verify from pl-lcabout their diagnosis during the Monthry Meeting or throughtvl P l-l S (M) during his visit.

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2.4 l-le will carry a list of allJE cases in his area for follow up

2,5 He will assist during the spray activities in his area.

2.6 He will conduct all health education activities particularlythrough interpersonal communication by carrying proper chartsetc, And also assist MPHS (M) and other functionaries in theirhealth education activities,

3. Communicable Diseases

3,1, ldentify cases of diarrhoea/dysentery, fever with rash, jaundice,encephalitis, diphtheria, whooping cough and tetanus,poliomyelitis (lamines), neonatal tetanus, acute eye infectionsand notify the M P H S (M) ancl Meclical Officer pHC

immediately about these cases,

3.2 Carry out control measures until the arrival of the M p H S (M)and assist him in carrying out these measures.

3.3 Give Oral Dehydration Solution tod ia rrh oea/dysentery/vo m iti ng,

all cases of

3.4 Educate the commurrity about the importance of control andpreventive measures against communicable disease and aboutthe importance of taking regular and complete treatment.

3.5 ldentify and refer all cases of genital sore and urethraldischarge or non-itchy rash over the body to Medical Officer,

3.6 ldentify and refer all cases of blindness including suspectedcases of cataract to Medical Officer, prlmary Health Centre.

3.7 should identified quacl<s of RMPs operating in their domain andreport be sent to Cl-.lCs / PHCs in charges

4. Leprosy

4.1 Identify cases of skin patches, especially if accompanied by ross

of sensation and take skin smears from these cases. Refer thosecases to Medical Officer PHC for further investigation.

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Check whether all cases uncier treatment forregular treatment. Motivate defaulterstreatment and bring them to the notice of the

leprosy are takingto tal<e regularMPHS(M).

Tuberculosis

ldentify persons especiaily with fever for r.5 days and abovewith prolonged cough or spitting of brood ancr tar<e sputumsmears fronr these individuals. Refer these cases to the MedicalCf ficer Pl-lC for f urther investigations,

check whether all cases under treatment for tuberculosis aretaking regular treatment, Motivate defaulters to tal<e regulartreatment and bring them to the notice of the M p H S (M).

Educate the community on various health education aspects oftuberculosis programme,

Assist the community Health Motivator/ASHA in undertakingthe activities under TB programme properly, provide the list ofthe TB patients living in a village to the community HealthMotivator/ASHA so that he is further able to motivate the t-Bpatient in taking regular treatment. All Dors worl< will be doneby MPHW(M).

Environ mental Sa nitation

Chlorinate public water sources including wells at regularintervals and sample taking samples from public Health supplymainly during out breal<s

Educate thewastes; (b)

sanital"ion; (

on (a) the method of disposal of liquidof disposal of solid wastes, (c) horneand use of smol<eless chulhas.

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communitythe methodd) advantage

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7 Diarrhoea Control programme

7 '1' Educate community on home management of diarrhoea.

7.2 Report any outbreak of diarrhoeal diseases.

7.3 Measures such as chrorination of drinking water to be carriedo ut.

7.4 Proper sanitation to be maintained,

7.5 Encourage use of lal

7.6 Encourage use of latrines.

8. Family planning

8.1 Utilise the information from the erigibre coupre and chirdregister for the family planning programme.

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spread the message of famiry pranning to the coupres andmotivate them for family planning individually and in groups.Distribute conventional contraceptives to the couples.

Provide faciiities and help to prospective acceptors ofsterilisation in obtaining the service, if necessary byaccompanying them or arranging for the hearth guide toaccompanying them to the pHC/Hospital.

Provide follow-up service to mare famiry pranning acceptors,identify side effects, give treatment on the spot for side effectsand minor compraints and refer those cases that need attentionby the physician to the pHC/Hospital.

8'6 ldentify the mare community readers in each viilage of his area.B'7 Build-rapport with satisfied acceptors, viilage readers, HearthGuides, teachers and others and utirise them for promotingfamily welfare programmes.

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B.B Establish male depot holders in the area. Herp the M p H s (M)and M P H s (F) in training them and provide a continuoussupply of contraceptives in each village of his area.

8,9 Assist the M P H s (M) in training the leaders in the communityand in educating and involving the community in family welfareprogra mmes.

9. Health Education

9.1 Educate the community about the availability of Maternal andchild Health services and encourage them to utilise thefa c ilit ies.

L0 RSB/IBSY and school health program will be done by MpHW(M)only.

11 Vital Events

111.1 Enquire about old births and deaths occurred in his area,Record them in the births and deaths register and report themto the M p H s (M). A, the new births wi, be registered byMPHW (F)

1L'2 Educate the community on the importance of registration ofbirths and deaths.

tZ Primary Medical Care

-12'1 Provide treatment for minor airments, provide first aid r,oraccidents and emergencies, and refer cases beyond hiscompetence to the primary Hearth centre or nearest hospitar.L3 Record l(eeping

13,1" Sr_rrvey all t"he families in his areaand charts for the villages/Urbanand MpHW (F)

and prepare/maintain mapsareas with the help of ASHA

L3.2 Prepare, mainta family and village records.

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13'3 with the assistance of the Health worl<er Female prepare theeligible couple and child Register and maintain it up to date,

1-3.4 Maintain a record of cases of his area who are under treatmentfor tuberculosis and leprosy.

13.5 Prepare and submit periodical reports in time to the M p H s(M)

3.4 Repairs & Maintenance

14,1 All the minor repairs and maintenance incruding Erectricity,Water Supply & Toilet availability.

Expanded Programme on lmmunization

All type of immunization of rnfants & chirdren in schoorlmmunization & vaccination in ail hearth programs wiilcollective responsibility of both MpHW (Male) and(Female)

Others

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Any other work assigned by authorities as and when appricabre,MPHW (M) working in Urban Mararia Scheme wiil have to do ailthe work being done by MpHw(M) in rurar areas arong withsurveillance and Anti Larval operation activities in his allotteda rea.

before'2 pM and recordkeepingPM of working day

MPHW (M) has to be field Joband other official work after 2

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