ANNEXURE
JOB CHART OF MPHA (FEMALE) / (ANM)
Under
the Multi Purpose Health worker’s scheme One female health Assistant is posted
at each sub centre covering a population of around 2,500 (1,500 in tribal
area). She will carry out the following functions.
General instructions:
1.
She should work under the
administrative control of the Medical Officer PHC and technical supervision and
guidance of the Female health Supervisor.
2. She
should stay at her official head quarters and available for the community for
all maternity care services.
3. Should
be in uniform with identity card.
4. Should
prepare map of her allocated area, enumerate the population, collect data of
all parameters and keep family Health Records and Village Health Profile
5. All the ANMs have to discharge all the
duties as assigned by the PHC Medical Officers.
Maternal and Child
health:
1.
Register pregnant women within 12 weeks
after confirmation of pregnancy and provide care to pregnant women throughout
the period of pregnancy.
2. Conduct
urine tests for pregnant women for albumin and sugar and
estimate haemoglobin level at clinic in addition to recording Blood
Pressure.
3. Ensure
that all pregnant women get HBsAg, HIV & VDRL test done.
4. Make
at least 4 ante natal visits and 3 post natal visits for each delivery conducted
in her area and provide health education on mother and child care.
5. Distribute
iron and Folic acid tablets to all pregnant and lactating women.
6. Provide
immunization for pregnant women with Td.
7. Tracking
of all pregnancies by name for scheduled ANC services.
8. Refer
abnormal and high risk cases of pregnancy to Medical officer PHC and higher
facilities for further management.
9. Motivate
all pregnant women for institutional deliveries.
10. Refer
all cases of difficult labour and abnormalities of new born tothe nearest
hospital for institutional care and provide health education on mother and
child care.
11. Educate
the mother on the importance of breastfeeding, family health, family planning,
nutrition, immunization, personal and environmental hygiene.
12. Assess
the growth and development of the infant and take action to rectify for any
defects.
13. Administer
BCG, Hep.’B’, Penta Valent, Rota MR, JE, DPT,IPV, OPV (Oral polio vaccine) and
Vit – A solution to all infants and children.
14. Track
all dropouts and left outs for Immunization and vaccinate.
15. Assist the Medical officer and the Female
health supervisor in conducting MCH clinic at the sub centre.
Family planning:
1.
Maintain Eligible couple registers
properly and utilise the information for motivation of couples for acceptance
of Family planning methods.
2. Distribute
conventional contraceptive and OP cycles to the couples on demand.
3. Provide
follow up services to all family planning acceptors, identify side effects if
any and provide on the spot treatment for minor complaints.
4. Establish
female depot holders for conventional contraceptives in the community and
provide a continuous supply to them.
5. Maintain
record of the supplies received and issued under contraceptives, IUD
insertions, vaccines, drugs, and other materials.
6.
Assist the female health supervisors in
training the depot holders, village leaders, local dais and other local women
group and utilise them for the promotion of family welfare and MCH programmes.
Medical termination of pregnancy:
Identify women in need of Medical Termination of Pregnancy (MTP) and refer them
to the nearest health facility for Comprehensive Abortion Care.
Nutrition:
1.
Identify cases of LBW and Malnutrition
in infants and children and refer to AWCs / NRCs for supplementary Nutrition
and treatment.
2.
Distribution of IFA to adolescents.
Communicable Diseases
1.
Keep the Medical officer informed of
any abnormal increase in case of diarrhoea, Dysentery, Poliomyelitis, neo natal
tetanus and fever etc.
2. Screen
for hypo pigmented patches for detection of leprosy cases.
3. Screen
for fever cases, treat, report, and give health education for prevention of
mosquito bites.
4.
Provide treatment to minor ailments,
first aid and refer cases to the Primary health centre for further diagnosis
and treatment.
Non Communicable Daises:
1. All ANMs have to conduct population
screening for Hypertension/ Diabetes / 3 common cancers i.e. breast, cervix and
oral for women and oral, lung, and prostate cancer for Men.
2. To
identify common mental illness in the community as directed by PHC
Medical Officer.
3. Identify
Dental health, oral health, ENT and Eye problems, treat / refer accordingly.
4. Screen for Geriatric problems.
Health Education:
1.
Participate in the local Mahila mandal
meetings, and spread the message on female age at marriage, spacing methods
etc.
2. Coordinate
with other departmental staff like Anganwadi workers, gram sevaks in promoting
the services under the programme.
3. Educate
mothers regarding home management of diarrhoea with ORS and preparation and
usage of ORS.
4. Educate
mothers on early diagnosis of Pneumonia in child and other ailment and refer
case for treatment PHC.
5. Posters / paintings on key messages
Immunization schedule and other national programmes to be displayed.
Reports and Records:
1.
Maintain all the records and reports as
prescribed under RCH.
2. Records
all the births and deaths occurred in her area.
3. Prepare
the action plans for her area with the help of Female health supervisor.
4. Assist
the medical officer, female health supervisor, and the Multipurpose Health
Extension Officer during their visits and in conducting school health clinics.
5. Attend
the monthly staff meetings at PHC and receive directions from the Medical
officer about the nature of activities to be carried out.
6. Actively
participate in the Pulse Polio Immunization and other national programmes in
preparing the lists of all eligible beneficiaries and other activities.
7.
Attend to such other duties as
entrusted by the Medical officer and Female health supervisor for the promotion
of family welfare and MCH services.
DR.K.S.JAWAHAR REDDY
PRINCIPAL SECRETARY
TO GOVERMENT