Job Description of Community Health Nursing Personnel

 
1
1
 
LEARNING
 
OBJECTIVES
 
The 
students 
will 
be 
able
 
to:
define 
community 
health
 
nursing
m
e
n
t
i
o
n
 
v
a
r
i
ou
s
 
c
o
mm
u
n
i
t
y
personnel
 
health
 
nursing
 
state
 
the 
various 
job 
functions 
of 
health
 
workers
d
i
s
c
u
s
s
 
j
o
b
 
d
e
s
c
r
i
p
t
i
o
n
 
o
f
 
c
o
mm
u
n
i
t
y
 
h
ea
l
t
h
nurse
d
e
s
c
r
i
b
e
 
r
e
s
pon
s
i
b
ili
t
i
e
s
 
o
f
 
AN
M
s
,
 
A
W
W
s
 
a
n
d
ASHAs
e
x
p
l
a
i
n
 
t
h
e
 
r
o
l
e
s
 
a
n
d
 
r
e
s
pon
s
i
b
ili
t
i
e
s
 
o
f
 
H
ea
l
t
h
Assistants
2
2
 
1.
 
INTRODUCTION
 
2.
 
DEFINITION
 
Community 
Health 
Nursing 
is 
the 
synthesis 
of
nursing
 
and 
public 
health 
practice 
applied  
to
promote 
and 
protect 
the 
health 
of population. 
It
combines 
all 
the 
basic 
elements 
of 
professional,
clinical 
nursing with 
public 
health 
and 
community
practice
 
COMMUNITY HEALTH NURSING TEAM
 
DPHN
 
CHN/PHNO
 
 
FHA
 
MHA
 
FHW(3)
 
MHW(3)
 
DAI
 
ASHA
 
VHG
 
VHG
 
ASHA
 
D
I
S
T
R
I
C
T
 
P
U
B
L
I
C
 
H
E
A
L
T
H
 
N
U
R
S
E
 
(
D
P
H
N
)
 
 
 
DPHN is responsible for looking after the work of all nursing
staff employed in the district,  in most of the states, appointed
on this post is made on the basis of merit cum seniority
 
Administrator
 or managerial function
Responsible 
for efficient  
implementation 
of 
policies 
and
programmes  
related 
to nursing 
in 
district.
Nursing administration (selection, recruitment,
promotion,leave, inservice training etc,)sending
recommendations related to the above mentioned tasks to the
districts medical officer .
Participation in preparing budget for nursing service,material
and equipment
Forwarding annual reports,  work reports etc received from
nursing personnals
Evaluate the work of nursing personnals /health workers
 
Will 
make 
recommendation 
to 
district health  
officer
 
on
 
requirements of
nursing 
staffs 
in 
primary 
health  
fields
The
 
DPHN
 
is
 
responsible
 
for
 
planning, organizing
,directing the public health programmes
Participates 
in 
policy-making 
activities 
in
 
regards to health care
 
 
She 
is 
directly 
responsible 
to 
the 
District 
health  
office and 
delegates 
the
responsibility 
to 
all 
 
nursing
 
personnel 
in  
the  
district 
community  
health
field. 
i.e., 
PHC,SC,FP 
and 
all 
national  
health
 
programmes
 
 
 
Supervisory function
 
Conduct
 
regular meeting 
and  
solving 
officials 
as 
well 
as 
personal
problems 
in  
best 
possible
 
way.
Supervising the work of nursing personal from time to time
M
a
i
n
t
a
i
n
 
d
i
s
c
i
p
l
i
n
e
 
a
m
on
g
 
t
h
e
 
h
ea
l
t
h  members.
Taking disciplinary action
Encouraging the qualities of co-operation and co-ordination among
nursing personal
Improving the standard of patient care in the hospital
Field 
visit 
at  
least
 
four 
times 
a  
month 
to  
supervise 
each 
staff 
member
in 
sub 
centres 
and  
PHCs 
and 
ensure 
the 
quality
 
care
Evaluation 
of 
nursing 
service 
. 
She 
plans 
for 
continuously 
improving
the 
quality 
of 
client
 
care
 
 
-
Encourage, 
initiative and 
help 
in 
promoting  
professional
growth 
of
 
staffs
-
Interpretation 
of 
policies, 
plans 
and 
rules 
to 
the  
staffs 
so 
as 
to
regulate 
and 
develop 
the
 
services
-
Advice 
on 
organising 
and 
planning of 
work,  
helping the
individuals 
staffs 
member 
to 
evaluate  
the 
needs 
of their
particular 
areas 
and 
to 
select  
priority 
of 
her
 
work.
-
Guidance 
of 
staffs 
regarding 
use 
of 
records,  
reports 
and 
on
collection 
of 
statistical 
data 
and  record 
keeping
 
system.
 
 
Educat
ional function
Organise 
the 
in-services education  
programme 
for 
all 
nursing
 
staffs.
Observation of nursing educational instructions (GNM/ANM or FHW) of the
district from time to time
Improving the  standards of nursing students and nursing education
Initiate 
and 
assist 
in 
planning 
and 
organising 
the  
orientation 
programme
for 
new
 
staffs.
Participate 
in 
community 
health field 
organised  
for 
nursing 
students 
of
schools 
or 
college 
of  
nursing 
and 
suggest 
in 
selection 
of 
areas 
for
practical
 
experience.
-
Provide 
facilities 
and 
resources 
to 
students 
and  
staffs 
and 
guide 
them
during 
field
 
experience
-
Making programe for the Dai (TBAS) training and training of nursing staff
 
 
Other functions
 
Organising nursing workshop, seminars,discussion etc
Participation at state level, as a nursing representatives of
district
Encouraging nursing researches
Getting co-operation  from other institution/organizations to
improve the quality of nursing service
 
 
PUBLIC HEALTH NURSE
OFFICER( PHNO)
 
 
PHN Supervisor, guides and supervise ,the function of public health
nurse, health workers, working in her assigned field.
 
she is responsible to DPHN for provision of supervision and
improvement of community health care
 
Roles
Providing leadership in the planning of total health care to all individuals, families
and community in the assigned area
Carryout preventive ,promotive, curative and rehabilitative care
Assisting the development of the standard of health care with accepted
philosophy, objectives and health policies
Assisting the preparation of budget for community health department
Utilizing the budget allotted to department (community health)
Supervise and guidance of PHN/LHV/FHW/MHW working in her field
Organising educational programme  for community members including school
children, RCH group, or other target group in her area
Supervision of records /reports prepared health workers ,working under her
jurisdiction
Assisting DPHN for the preparation of job description and assigned
responsibilities for other community health worker
 
H
E
A
L
T
H
 
W
O
R
K
E
R
-
(
F
E
M
A
L
E
)
A
N
M
/
J
P
H
N
 
She is designated as multi purpose health worker(MPHW (F) ,she has the
responsibility to deliver MCH sevices in the rural area. She is posted in
subcentre to cover the population of about 5000 in plain areas and 3000 in
hilly areas,
She 
will 
carry 
out 
the 
following
 
functions:
Maternal 
and 
Child
 
Health:
1.Record 
keeping- 
antenatal register, post natal register, underfive register, clinic
attendance register, eligible couple register, home visiting register, birth and death
register, family planning register
R
e
g
i
s
t
e
r
 
a
n
d
 
p
r
o
v
i
d
e
 
c
a
r
e
 
t
o
 
p
r
e
gn
a
n
t
 
w
o
m
e
n
throughout 
the 
period 
of
 
pregnancy
2
. antenatal care
 at home,  care at clinic
Ensure 
the 
Antenatal 
checkups 
and
 
visits
Estimate 
haemoglobin 
level and 
urine 
sugar 
and  
albumin 
of 
pregnant
 
women
 
Refer cases 
of 
abnormal 
pregnancy 
or  
gynaecological problems to
the
 
PHCs
3. Intranatal  care
Conduct 
and 
supervise 
deliveries 
in 
the  
institution
4. postnatal care
At least 3-5 visits after delivery
5. 
Family
 
planning:
 
-
U
t
ili
s
e
 
t
h
e
 
i
n
f
o
r
m
a
t
i
o
n
 
f
r
o
m
 
t
h
e
 
E
li
g
i
b
l
e
 
c
oup
l
e  
and 
child 
register 
for 
Family
Planning  
programme
- 
Spread 
the 
message 
of 
family 
planning 
to 
the  
couples
 
and
 
motivate
 
them
6. Care of infants
Arrange primary immunization programm
 
Medical 
Termination 
of
 
Pregnancy:
Identify 
the 
women 
requiring 
help 
of 
MTP 
and  
refer 
them 
to
nearest 
approved
 
institution
Educate 
the 
community 
of 
the 
consequences 
of  
septic
abortion and 
inform
 
them 
about 
the  
availability 
of 
services
for
 
MTP.
Nutrition
:
Identify 
cases 
of 
malnutrition 
among 
infants 
and  young
children, 
give 
the necessary 
treatment  
and 
advice 
and 
refer
serious cases 
to
 
PHC
 
 
Distribute 
IFA 
as 
prescribed 
to 
pregnant 
women,
nursing 
mothers 
and young 
children
 
as 
per
guidelines
Administer 
Vitamin 
-A 
Solution 
to 
children 
as 
per
guidelines
Educate 
the 
community 
about 
nutritious 
diet 
for
mothers 
and
 
children
Co-ordinate 
with 
Anganwadi
 
workers
 
 
Universal 
Programme 
on
 
Immunization:
Immunize 
pregnant 
women 
with
 
TT
Administer 
DPT 
and 
other vaccines 
and 
ensures  
injection
safety.
Dais
 
training:
L
i
s
t
 
D
a
i
s
 
i
n
 
h
e
r
 
a
r
e
a
 
a
n
d
 
i
n
v
o
l
v
e
 
t
h
e
m
 
in
promoting 
Family
 
welfare
H
e
l
p
 
t
h
e
 
H
ea
l
t
h
 
A
ss
i
s
t
a
n
t/
L
H
V
 
i
n
 
t
h
e
 
t
r
a
i
n
i
n
g
programme 
on
 
Dais
 
 
Communicable
 
Diseases
 notification
Notify 
the
 
communicable 
diseases 
and 
any  
increases 
or
outbreak 
of 
any 
infectious 
diseases  
and report 
to
 
PHC.
Vital
 
events
:
Record 
and 
report 
the 
vital 
events 
including  births, 
deaths, 
in
her 
area 
and 
maintenance 
of  
all 
the 
relevant
 
reco
rds
 
 
Record 
keeping
: 
Maintain 
prenatal 
and  
maternity 
records
and 
child 
care 
records, 
eligible  
couple 
records,
 
etc
Treatment 
of 
minor
 
ailments:
Provide 
treatment 
for 
minor 
ailments, 
provide  
first 
aid 
for
accidents 
and 
emergencies 
and 
refer  
cases 
to 
PHC/CHC/or
nearest
 
hospital.
Co-ordinate 
with 
the 
team 
workers 
and  
participate 
as 
a
member 
of 
the 
team 
in 
camps  
and
 
campaigns.
Health education
Implementation of health programmes
 
 
Under the multipurpose scheme,one health worker male are
posted in each sub centre expected to cover the population of
5000,(3000 in tribal and hilly areas)
 
Record
 
Keeping
:
He 
will 
survey 
all 
the 
families 
in 
his area 
and  
collect 
general
information
 
about 
each  
village/locality 
in 
his
 
area
 
Prepare, 
maintain 
and 
utilize 
family 
records 
and  
village
registers containing 
all  
the 
necessary  
details.
 
HEALTH 
WORKER
(
 MALE)-
JHI
 
Vector 
Borne
 
diseases
:
Identify 
Malaria, 
Filaria, 
Japanese 
Encephalities  
and
kala-azar 
endemic 
areas 
and 
follow 
up 
on  
drug
administration.
 
Communicable
 
Diseases
:
Identify 
the 
communicable 
and 
infectious  
diseases 
and
reports 
to 
PHC 
Medical 
officer  
immediately 
and
educate 
the 
community 
about  
the 
importance 
of 
control
and 
prevention against  
these
 
diseases.
 
 
Leprosy 
and
 
Tuberculosis:
Identify 
the 
cases of 
skin 
patches, 
especially 
if  
accompanied
by 
loss 
of 
sensation 
and 
refer  
these
 
cases.
 
Identify 
the 
person
 with  
prolonged 
cough 
or 
spitting 
of blood
and 
take  
sputum 
smears 
for 
further
 
investigations
 
Check 
whether 
all 
cases 
of 
tuberculosis 
are  
taking regular
DOTS
 
therapy
 
Environmental
 
sanitation
:
Educate 
community 
on 
the 
method of 
disposal
 
of
liquid 
and 
solid 
wastes, 
home
 
sanitation,etc
Chlorinate 
public 
water 
sources 
including 
wells  
at
regular
 
intervals
EPI 
and 
Family
 
Planning:
Administer vaccines 
and assist 
the 
health 
worker  
and
also 
assist 
the 
health assistant 
in 
the school
immunization
 
programme.
 
Spread the 
message 
of 
family 
planning 
to 
the
couples 
and 
motivate them 
for 
family plannig
individually 
and
 
groups.
 
P
r
o
v
i
d
e
 
f
o
l
l
o
w
 
u
p
 
s
e
r
v
i
c
e
s
 
t
o
 
m
a
l
e
planning
 
acceptors
Establish
 
male 
depot 
holders 
in 
the
 
area.
Health and family education
Vital events
Nutrition
Reproductive and child health programme
 
f
a
m
i
l
y
 
HEALTH
 
ASSISTANTS
(FEMALE)-  LHV
 
 
Under the multipurpose workers scheme,a health assistant female is
expected to cover a population of 30,000 (20,000 in tribal area,and hilly
area)in which there are six sub centres, each with health worker female.
The health assistant female will carry out following duties
 
1.Supervise and guidance
-health worker female,Dais, and guide ASHA in the delivery of
health care service to the community
-Help the health worker female in improving the skills for
working in the community,in planning and organizing the
programme
-visit each subcentre atleast once a week on a fixed days
2
. Team work
Help the health workers to work as a part of health team
Conduct regular staff meeting with the health workers in co-
ordination with health assistant (male)
Assist MO of PHC in the organization of the different health
services in the areas
Co-ordinate the health activities in her area with other
department and agencies
 
 
3. 
Supplies ,equipment and maintains of sub Centre
-
check at regular intervals the stores available at a subcentre and help in
procurement of supplies and equipments
-Check that drugs at the subcentre are properly stored and equipment is well
maintained
-ensure that health worker female maintains her general kit,midwifery kit and
dai kit in the properway
4
. Record and report
Scrutinise the maintenance od f records by HW(F) and guide her in their proper
maintance
Review report received from the Health worker female
Consolidate and submit monthly report to the medical officer at PHC
5.Training
 organize and conduct training for dais,ASHA
Assist the medical officer of PHC in conducting training programmes
 
 
6. 
Maternal and child health
 
7.Family planning and MTP
 
8. Nutrition
 
9.Universal immunization programme
 
10.Acute respiratory infection
 
11.School health
 
 12.primary medical care
13.Health education
 
 
 
SPE
C
I
F
I
C
 
J
O
B
 
F
UNC
T
I
ON
S
 
F
O
R
 
T
H
E  
FEMALE
 
HEALTH
 
ASSISTANT
:
o
Carry 
out 
supervisory 
house
 
visiting
o
C
ondu
c
t
 
M
C
H
 
a
n
d
 
f
a
m
i
l
y
 
p
l
a
n
n
i
n
g
 
c
l
i
n
i
c
s
 
a
n
d  
carry 
out 
educational
 
activities
o
O
r
g
a
n
i
z
e
s
 
a
n
d
 
c
ondu
c
t
 
t
r
a
i
n
i
n
g
 
f
o
r
 
d
a
i
s
 
a
n
d  
women 
leaders 
with 
the 
help 
of 
health
 
workers
o
V
i
s
i
t
 
ea
c
h
 
o
f
 
t
h
e
 
4
 
s
u
b
 
c
e
n
t
e
r
s
 
a
t
 
l
ea
s
t
 
on
c
e
 
a  
week 
on 
fixed
 
days
 
o
P
r
o
v
i
d
e
 
i
n
f
o
r
m
a
t
i
o
n
 
r
e
ga
r
d
i
n
g
 
M
T
P
 
a
n
d
 
r
e
f
e
r
suitable 
cases to 
the 
approved
 
institutions.
o
S
up
e
r
v
i
s
e
 
t
h
e
 
i
mm
u
n
i
z
a
t
i
o
n
 
o
f
 
a
l
l
 
p
r
e
gn
a
n
t
women 
and
 
children
 
Health assistant ( male)- HI
 
Under the multipurpose workers scheme a health assista
nt male is
expected  to cover the population of 30,000 in which there are six
subcentres each with one health worker male. Following  functions are
carry out
 
 
1.
Supervision and guidance
2.
Team  work
3.
Supplies and equipments
4.
Record and report
5.
Malaria
6.
communicable diseases
7.
Leprosy
8.
Tuberculosis
9.
Environmental sanitation
10.
Expaneded  immunization programme
11.
Family planning
12.
Nutrition
13.Control of blindeness
14.Vital events
15.Primary medical care
16.Health education
 
 
SPECIFIC 
JOB 
FUNCTIONS OF 
MALE
HEALTH
 
ASSISTANT
o
Supervise 
the 
malarial 
and 
communicable
diseases 
cases 
along 
with 
health
 
workers
o
Ensure 
all 
the 
leprosy cases 
and 
tuberculosis
cases take 
regular 
and 
complete 
treatment 
and
inform 
to 
MO 
at
 
PHC
o
Help 
the 
community 
in 
the construction 
of 
safe
water 
resource, 
soakage 
pits, 
kitchen 
garden,
manure 
and 
compost 
pits, 
sanitary
 
latrines.etc
 
 
o
Involve
 
the 
Expanded 
programme on
Immunization 
and 
Family 
Planning, 
Nutritional
services
o
All 
cases 
of 
blindness 
including suspected 
cases
of 
cataract 
be 
referred 
to 
MO 
at
 
PHC.
 
 
ASHA-
 
ACCREDITED
 
SOCIAL
HEALTH
 
ACTIVIST
 
ASHA
 
will
 
be
 
a
 
health
 
activist
 
in
 
the 
community
who 
will 
create 
awareness 
on
 
health.
-
 
She
 
will
 
take
 
steps
 
to
 
create
 
awareness
 
and
 
d
e
t
e
r
m
i
n
a
n
t
s
 
o
f
 
h
ea
l
t
h
 
p
r
o
v
i
d
e
 
i
n
f
o
r
m
a
t
i
o
n
 
t
o
 
t
h
e
 
co
mm
u
n
i
t
y
 
on
s
u
c
h
 
a
s
 
nu
tr
i
t
i
o
n
,
 
sanitation 
and 
hygienic
 
practices
- 
She 
will 
counsel 
women 
on 
birth 
preparedness,
importance 
of 
safe 
delivery, 
breast 
feeding 
and
complementary 
feeding, 
immunization,
contraception,
 
etc.
 
She 
will 
mobilise 
the 
community 
and 
facilitate
them 
in
 
accessing 
health 
and 
health related
services 
available 
at 
anganwadi/sub-centre/PHC
and 
other 
services 
provide 
by 
the
 
government
She 
will 
work 
with 
the
 
village 
health 
and
sanitation 
committee 
of 
the 
gram panchayat 
to
develop 
a 
comprehensive 
village 
health
 
plan.
She 
will 
promote 
construction 
of household
toilets 
under 
total 
sanitation
 
campaign.
 
 
She 
will 
provide primary 
medical 
care 
for 
minor
ailments
 
such 
as diarrhoea, 
fever 
and 
first 
aid 
for
minor
 
injuries.
She 
will 
be 
a 
provide 
of 
DOTS 
under
 
RNTCP.
She 
will also 
act 
as 
a 
depot 
holder 
for 
essential
provisions
  
being 
made 
available 
to 
every
habitation
 
like 
ORS, 
IFA,
 
etc.,
She 
will 
inform 
about 
the 
births 
and 
deaths 
in
her 
village 
and any 
unusual 
health
problems/disease
 
outbreaks 
in 
the 
community 
to
the 
SC/PHC.
 
 
 
 
 
 
 
 
S
U
M
M
A
R
Y
 
The 
community health 
nursing 
personnel 
are 
the
integral part 
of 
serving 
the 
community 
of 
people 
that
cant afford 
medical 
services 
or 
who 
don’t 
have
health
 
insurance.
Their 
first 
and 
foremost responsibility 
is 
patient 
care.
They
 
are 
also 
an  
integral 
part 
of 
keeping 
the
patients 
health 
on 
track. 
They 
connect patients with
other 
health 
care 
facilities 
and 
ensure 
they 
receive
proper
 
treatment.
 
S
U
M
M
A
R
Y
 
EXPECTED
 
QUESTIONS
 
E
s
s
a
y
:
 
(
1
5
 
m
a
r
k
s
)
D
e
s
c
r
i
b
e
 
v
a
r
i
o
u
s
 
j
o
b
 
d
e
s
c
r
i
p
t
i
o
n
 
o
f
 
c
o
mm
u
n
i
t
y
health 
nursing 
personnel 
in
 
detail
S
h
o
r
t
 
N
o
t
e
s
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52
 
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K. 
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“Textbook 
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Medicine” 
20
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Banarsidas
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Kasthuri 
Sundar 
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“Introduction 
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Nursing”,
 
4
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B.I.
 
Publications
 
53
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Community Health Nursing personnel play a vital role in promoting and protecting the health of populations. This involves a synthesis of nursing and public health practices to deliver healthcare services effectively to communities. The job functions of various health workers, including District Public Health Nurses, Administrators, and Health Assistants, are crucial in ensuring the well-being of the population.


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  1. COURSE : B.Sc Nursing IV Year SUBJECT : Community Health Nursing II : IV UNIT TOPIC :Job description of community health nursing personnel PREPARED BY :Seeja Jacob, Department of community health nursing 1 1

  2. LEARNINGOBJECTIVES The students will be ableto: define community health nursing mention various personnel state the various job functions of health workers discuss job description of community health nurse describe responsibilities of ANMs, AWWs and ASHAs explain the roles and responsibilities of Health Assistants community health nursing 2 2

  3. 1. INTRODUCTION

  4. 2.DEFINITION Community Health Nursing is the synthesis of nursing and public health practice applied to promote and protect the health of population. It combines all the basic elements of professional, clinical nursing with public health and community practice

  5. COMMUNITY HEALTH NURSING TEAM DPHN CHN/PHNO FHA MHA FHW(3) MHW(3) ASHA DAI VHG VHG ASHA

  6. DISTRICT PUBLIC HEALTH NURSE (DPHN DISTRICT PUBLIC HEALTH NURSE (DPHN) DPHN is responsible for looking after the work of all nursing staff employed in the district, in most of the states, appointed on this post is made on the basis of merit cum seniority

  7. Administrator or managerial function Responsible for efficient programmes related to nursing in district. Nursing administration (selection, recruitment, promotion,leave, inservice training etc,)sending recommendations related to the above mentioned tasks to the districts medical officer . Participation in preparing budget for nursing service,material and equipment Forwarding annual reports, work reports etc received from nursing personnals Evaluate the work of nursing personnals /health workers implementation of policies and

  8. Will make recommendation to district health officer on requirements of nursing staffs in primary health fields The DPHN is responsible ,directing the public health programmes Participates in policy-making activities in regards to health care for planning, organizing She is directly responsible to the District health office and delegates the responsibility to all nursing personnel in the district community health field. i.e., PHC,SC,FP and all national health programmes

  9. Supervisory function Conduct regular meeting and solving officials as well as personal problems in best possible way. Supervising the work of nursing personal from time to time Maintain discipline among Taking disciplinary action Encouraging the qualities of co-operation and co-ordination among nursing personal Improving the standard of patient care in the hospital Field visit at least four times a month to supervise each staff member in sub centres and PHCs and ensure the quality care Evaluation of nursing service . She plans for continuously improving the quality of client care the health members.

  10. - Encourage, initiative and help in promoting growth ofstaffs - Interpretation of policies, plans and rules to the staffs so as to regulate and develop theservices - Advice on organising and planning of work, individuals staffs member to evaluate particular areas and to select priority of herwork. - Guidance of staffs regarding use of records, reports and on collection of statistical data and record keeping system. professional helping the the needs of their

  11. Educational function Organise the in-services education programme for all nursing staffs. Observation of nursing educational instructions (GNM/ANM or FHW) of the district from time to time Improving the standards of nursing students and nursing education Initiate and assist in planning and organising the orientation programme for new staffs. Participate in community health field organised for nursing students of schools or college of nursing and suggest in selection of areas for practical experience. - Provide facilities and resources to students and during field experience Making programe for the Dai (TBAS) training and training of nursing staff staffs and guide them -

  12. Other functions Organising nursing workshop, seminars,discussion etc Participation at state level, as a nursing representatives of district Encouraging nursing researches Getting co-operation from other institution/organizations to improve the quality of nursing service

  13. PUBLIC HEALTH NURSE OFFICER( PHNO) PHN Supervisor, guides and supervise ,the function of public health nurse, health workers, working in her assigned field. she is responsible to DPHN for provision of supervision and improvement of community health care

  14. Roles Providing leadership in the planning of total health care to all individuals, families and community in the assigned area Carryout preventive ,promotive, curative and rehabilitative care Assisting the development of the standard of health care with accepted philosophy, objectives and health policies Assisting the preparation of budget for community health department Utilizing the budget allotted to department (community health) Supervise and guidance of PHN/LHV/FHW/MHW working in her field Organising educational programme for community members including school children, RCH group, or other target group in her area Supervision of records /reports prepared health workers ,working under her jurisdiction Assisting DPHN for the preparation of job description and assigned responsibilities for other community health worker

  15. HEALTHWORKER-(FEMALE) ANM/JPHN She is designated as multi purpose health worker(MPHW (F) ,she has the responsibility to deliver MCH sevices in the rural area. She is posted in subcentre to cover the population of about 5000 in plain areas and 3000 in hilly areas, She will carry out the following functions: Maternal and ChildHealth: 1.Record keeping- antenatal register, post natal register, underfive register, clinic attendance register, eligible couple register, home visiting register, birth and death register, family planning register Register and provide care throughout the period of pregnancy 2. antenatal care at home, care at clinic Ensure the Antenatal checkups and visits Estimate haemoglobin level and urine sugar and albumin of pregnantwomen to pregnant women

  16. Refer cases of abnormal pregnancy or gynaecological problems to thePHCs 3. Intranatal care Conduct and supervise deliveries in the institution 4. postnatal care At least 3-5 visits after delivery 5. Family planning: -Utilise the information from the Eligible couple and child register for Family Planning programme - Spread the message of family planning to the couples and motivate them 6. Care of infants Arrange primary immunization programm

  17. Medical Termination of Pregnancy: Identify the women requiring help of MTP and refer them to nearest approved institution Educate the community of the consequences of abortion and inform them about the availability of services for MTP. Nutrition: Identify cases of malnutrition among infants and children, give the necessary treatment and advice and refer serious cases toPHC septic young

  18. Distribute IFA as prescribed to pregnant women, nursing mothers and young children as per guidelines Administer Vitamin -A Solution to children as per guidelines Educate the community about nutritious diet for mothers and children Co-ordinate with Anganwadi workers

  19. Universal Programme onImmunization: Immunize pregnant women with TT Administer DPT and other vaccines and ensures injection safety. Dais training: List Dais in her area promoting Family welfare Help the Health Assistant/LHV programme on Dais and involve them in in the training

  20. Communicable Diseases notification Notify the communicable diseases and any outbreak of any infectious diseases and report to PHC. Vital events: Record and report the vital events including births, deaths, in her area and maintenance of all the relevant records increases or

  21. Record keeping: Maintain prenatal and maternity records and child care records, eligible couple records, etc Treatment of minor ailments: Provide treatment for minor ailments, provide first aid for accidents and emergencies and refer cases to PHC/CHC/or nearest hospital. Co-ordinate with the team workers and member of the team in camps and campaigns. Health education Implementation of health programmes participate as a

  22. HEALTH WORKER( MALE)- JHI Under the multipurpose scheme,one health worker male are posted in each sub centre expected to cover the population of 5000,(3000 in tribal and hilly areas) Record Keeping: He will survey all the families in his area and collect general information about each village/locality in hisarea Prepare, maintain and utilize family records and registers containing all the necessary details. village

  23. Vector Borne diseases: Identify Malaria, Filaria, Japanese Encephalities kala-azar endemic areas and follow up on administration. and drug Communicable Diseases: Identify the communicable and infectious diseases and reports to PHC Medical officer educate the community about the importance of control and prevention against these diseases. immediately and

  24. Leprosy and Tuberculosis: Identify the cases of skin patches, especially if accompanied by loss of sensation and refer these cases. Identify the person with prolonged cough or spitting of blood and take sputum smears for further investigations Check whether all cases of tuberculosis are taking regular DOTStherapy

  25. Environmental sanitation: Educate community on the method of disposal of liquid and solid wastes, home sanitation,etc Chlorinate public water sources including wells regular intervals EPI and Family Planning: Administer vaccines and assist the health worker and also assist the health immunization programme. at assistant in the school

  26. Spread the message of family planning to the couples and motivate them for family plannig individually andgroups. Provide follow up services planning acceptors Establish male depot holders in the area. Health and family education Vital events Nutrition Reproductive and child health programme family to male

  27. HEALTH ASSISTANTS (FEMALE)- LHV Under the multipurpose workers scheme,a health assistant female is expected to cover a population of 30,000 (20,000 in tribal area,and hilly area)in which there are six sub centres, each with health worker female. The health assistant female will carry out following duties

  28. 1.Supervise and guidance -health worker female,Dais, and guide ASHA in the delivery of health care service to the community -Help the health worker female in improving the skills for working in the community,in planning and organizing the programme -visit each subcentre atleast once a week on a fixed days 2. Team work Help the health workers to work as a part of health team Conduct regular staff meeting with the health workers in co- ordination with health assistant (male) Assist MO of PHC in the organization of the different health services in the areas Co-ordinate the health activities in her area with other

  29. 3. Supplies ,equipment and maintains of sub Centre -check at regular intervals the stores available at a subcentre and help in procurement of supplies and equipments -Check that drugs at the subcentre are properly stored and equipment is well maintained -ensure that health worker female maintains her general kit,midwifery kit and dai kit in the properway 4. Record and report Scrutinise the maintenance od f records by HW(F) and guide her in their proper maintance Review report received from the Health worker female Consolidate and submit monthly report to the medical officer at PHC 5.Training organize and conduct training for dais,ASHA Assist the medical officer of PHC in conducting training programmes

  30. 6. Maternal and child health 7.Family planning and MTP 8. Nutrition 9.Universal immunization programme 10.Acute respiratory infection 11.School health 12.primary medical care 13.Health education

  31. SPECIFIC THE FEMALE HEALTHASSISTANT: JOB FUNCTIONS FOR o Carry out supervisory housevisiting o Conduct MCH and carry out educational activities o Organizes and women leaders with the help of health workers o Visit each of the a week on fixed days and family planning clinics and conduct training for dais 4 sub centers at least once

  32. o Provide information regarding MTP and refer suitable cases to the approved institutions. o Supervise the immunization of all pregnant women and children

  33. Health assistant ( male)- HI Under the multipurpose workers scheme a health assistant male is expected to cover the population of 30,000 in which there are six subcentres each with one health worker male. Following functions are carry out

  34. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Expaneded immunization programme 11. Family planning 12. Nutrition 13.Control of blindeness 14.Vital events 15.Primary medical care 16.Health education Supervision and guidance Team work Supplies and equipments Record and report Malaria communicable diseases Leprosy Tuberculosis Environmental sanitation

  35. SPECIFIC HEALTHASSISTANT o Supervise diseases cases along with health workers o Ensure all the leprosy cases and tuberculosis cases take regular and complete treatment and inform to MO at PHC o Help the community in the construction of safe water resource, soakage pits, kitchen garden, manure and compost pits, sanitary latrines.etc JOB FUNCTIONS OF MALE the malarial and communicable

  36. o Involve Immunization and Family Planning, Nutritional services o All cases of blindness including suspected cases of cataract be referred to MO at PHC. the Expanded programme on

  37. ASHA-ACCREDITEDSOCIAL HEALTHACTIVIST ASHA will be a health activist in the community who will create awareness on health. - She will take steps to create awareness and provide information to the such community as on nutrition, determinants sanitation and hygienic practices - She will counsel women on birth preparedness, importance of safe delivery, breast feeding and complementary feeding, contraception, etc. of health immunization,

  38. She will mobilise the community and facilitate them in accessing health and health related services available at anganwadi/sub-centre/PHC and other services provide by the government She will work with the sanitation committee of the gram panchayat to develop a comprehensive village health plan. She will promote construction of household toilets under total sanitation campaign. village health and

  39. She will provide primary medical care for minor ailments such as diarrhoea, fever and first aid for minor injuries. She will be a provide of DOTS under RNTCP. She will also act as a depot holder for essential provisions being made available to every habitation like ORS, IFA, etc., She will inform about the births and deaths in her village and any unusual health problems/disease outbreaks in the community to the SC/PHC.

  40. SUMMARY The community health nursing personnel are the integral part of serving the community of people that cant afford medical services or who don t have health insurance. Their first and foremost responsibility is patient care. They are also an integral part of keeping the patients health on track. They connect patients with other health care facilities and ensure they receive proper treatment.

  41. SUMMARY

  42. EXPECTEDQUESTIONS Essay: (15 marks) Describe health nursing personnel in detail Short Notes: ( 5 marks) Explain the responsibilities of community health nurse Discuss the functions of health assistants in the community Short Answers:(2 marks) Define community health nursing process Abbreviate the terms ASHA. ANM andAWW various job description of community 52

  43. REFERENCE K. Park(2009), Textbook of Preventive and Social Medicine 20th Edition, M/s. Banarsidas bhanot publishers Prof.Dr.E. Vijay, Textbook Medicine 2nd edition, Beacon zenpublishers Kasthuri Sundar Rao, Introduction to community Health Nursing , 4th edition B.I. Publications of Community 53

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