SENIOR PUBLIC HEALTH OFFEICER JOB CHART


THE SENIOR PUBLIC HEALTH OFFEICER.

            Senior Public Health Officer is the in charge of the CHNC and supervises the overall functions of PHC and ensures that 

1.      All the state and national public health programs are implemented successfully.

2.      Quick and effective response during epidemics and disasters.

 through primary health centers in the jurisdiction of CHNC. 

            He/She shall work under the administrative control of the District medical and health officer. All the medical officers in the PHCS of CHNC report to the DM&HO through SPHO. 

            All the CHNC HQ staff will report to the SPHO directly.  He/She may assign any job to any health functionality in his team, which is deemed essential by him towards achieving National Health goals. 

              By virtue of his/her designation, it is implied that he/she will be solely responsible for the proper monitoring & functioning of the PHC s in his / her CHNC and ensuring achievement of  the targets given to each PHC in his jurisdiction. 

              He will ensure the preparation monthly progress report of the CHNC by his supportive staff namely CHO, PHN, DPMO, COMPUTER, and Senior assistant.

1. Administrative functions of the SPHO & Drawing and disbursing officer (assigned in addition to the regular preventive, promotive , and curative functions of the Medical officer ).

1.      The SPHO will supervise the work of the supportive staff working under him.

2.      The SPHO will ensure general cleanliness inside and outside the premises of the SPHO s office and also maintenance of the office equipment under his charge.

3.      The SPHO will ensure that the staffs in whose custody the inventory and stock register are kept is up-dated regularly and all the stores and equipment supplied to the CHNC office and will accounted properly.

4.      The SPHO will get indents prepared timely for drugs, instruments, linen, vaccines, ORS and contraceptives etc. sufficiently in advance and will submit them to the appropriate health authorities.

5.      The SPHO will ensure the proper maintenance of the vehicle allotted the CHNC and its logbook.

6.      The Medical Officer will scrutinize the Advanced tour programs of his field supervisory staff, Senior / junior assistant and suggest changes if necessary to suit the priority of work.

7.      The SPHO will ensure that the following Charts and information is displayed in his room

a.       The CHNC area map showing geographical area , location of PHCs sub centers and habitations covered by the sub centers and the PHC and CHNC, 

b.       Program wise performance display charts of CHNC , 

c.       Demographic data display charts  of CHNC, 

d.       Charts displaying morbidity and mortality health statistics of CHNC 

e.       Other important information specific to the area covered by his PHC s in CHNC.

8.      The SPHO will conduct monthly staff meetings with the M.Os working in the PHC s in his area of jurisdiction and evaluate the progress of work and suggest steps to be taken for further improvements to provide better health services. 

9.      He will have supportive supervision over PHC s. He/she will encourage supportive supervision by the supervisory staff CHNC and PHC.

10.  The SPHO will supervise and ensure that 

a.       PHC s will prepare indents regularly for submission to DM&HO s office and APHHMIDC  and 

b.      IEC material, medicines and kits are supplied to the Community health workers, ASHA s etc. 

c.       The disbursement of the honorarium to CHW s ASHA s  and other link workers regularly through Medical Officer PHC & MPHA (f) as per program guidelines.

11.  The SPHO will periodically verify and ensure the maintenance of the prescribed records at PHC level, under FW, NRHM, Malaria, TB, VS and other programs. He will give technical advice and corrective guidance to the PHC staff for proper maintenance of registers.

12.  The SPHO will receive reports from the PHC s through the Medical Officers of the PHC s and their supervisory staff. He gets them compiled and submits them regularly to the District Health Authorities.

13.  The SPHO will Keep notes of his visits to the area and submit every month his tour report to the DM&HO.

14.  The SPHO will discharge all the financial duties entrusted to him and ensure that the senior assistant of his own office maintains all the financial records and accounts are reconciled every month. (Refer Hand book on Office and financial management.)

15.  The SPHO will ensure that the senior assistant will maintain all the standard office records for day-to-day administration. (Refer Hand book on Office and financial management.)

16.  The SPHO will submit any information / reports / documents to the DM&HO, District Collector, Director of Health, Secretary (health) as and when called for. 

2. DUTIES OF  THE SENIOR PUBLIC HEALTH MEDICAL OFFEICER OF THE CHNC.

 

General 

            The SPHO ensures that PHC Medical officers and staff under his administrative control reach out to the community and provide integrated – RCH, disease prevention and management, health promotion services. - And comprehensive preventive, promotive and curative services. 

            The SPHO should effectively utilize the services of all the headquarter staff, PHC Medical officers and all field staff,. He / She will ensure that the Medical Officers of PHCs visit each and every village in the service area of each PHC at least once a month. 

                                    The work of the SPHO is classified as follows.

1. SUPPORTIVE SUPERVISION OF CURATIVE WORK

2.  SUPPORTIVE SUPERVISION OF PREVENTIVE AND PROMOTIVE WORK

3.  SUPPORTIVE SUPERVISION AND ENSURING THE EFFECTIVE DELIVERY PACKAGE OF SERVICES UNDER VARIOUS NATIONAL STATE HEALTH   PROGRAMS THROUGH PHC S .

 

I . SUPPORTIVE SUPERVISION OF CURATIVE WORK IN THE PHC s IN CHNC.

1.         He/She will ensure that the medical officers of the Primary health centre & their supervisory staff prepare the annual health action plan for the.

2.         He/She will periodically visit PHC s and ensure that  the Medical Officer will organize the out-patient department as per standard guidelines and will allot duties to the ancillary staff to ensure smooth running of the O.P department   

3.              He/She will periodically visit PHC s and ensure that the MOs will make suitable arrangements and distribute the work to the staff for the treatment of emergency cases which come outside the normal O.P. Hours. 

4.              He/She will periodically visit PHC s and ensure that the laboratory services properly organized for patients for proper diagnosis of the disease where ever necessary and within the scope of PHC laboratory.

5.              He/She will periodically visit PHC s and ensure that the Medical Officer will cooperate and/or coordinate with other institutions like CHC, Area hospital providing medical care services in his area and refer appropriate cases to these institutions for further care.

6.              He/She will periodically visit PHC s and ensure that the MOs will visit each sub- centre in his area at least once in a fortnight on a fixed day not only to check the work of the staff but also to provide curative services.

II. SUPPORTIVE SUPERVISION OF PREVENTIVE AND PROMOTIVE WORK


  1. He/She will periodically visit PHC s and ensure that the PHC Medical Officer and all the members of his Health Team are fully conversant with the various National Health & Family Welfare Programs to be implemented in their area allotted to each health functionary.
  2. He/She will periodically visit PHC s and ensure that the PHC Medical Officer will assess quality and reliability of the work at sub centers periodically both in the clinics and in the community setting to give them the necessary guidance and direction.
  3. He/She will ensure that  the Mos of PHC s will prepare operational plans and ensure effective implementation of the same to achieve  the laid-down targets under different National Health Family Welfare Programs
  4. He/She will ensure that the Mos of PHC s will keep close liaison with Mandal development officers and his staff, community leaders and various social welfare agencies in their areas and involve them to the best advantage in the promotion of health program in the area.
  5. He/She along with the Mos of PHC s will conduct field investigation to delineate local health problems for planning changes in strategy of the effective delivery of Health and FW services.
  6. He/She will ensure that the Medical Officer will ensure the regular conduction of IEC programs at habitation level.
iii. SUPPORTIVE SUPERVISION OF DELVARY OF PACKAGE OF SERVICES UNDER MATERNAL AND CHILD HEALTH PROGRAM. (NRHM)

      

      SPHO will periodically visit PHC s , assess and ensure that  the PHC MOs and staff will deliver the package of services under this program.

The overall program is monitored status reports related to this program implementation in the CHNC will be prepared by him.

 

            Package of services under MCH are:

1.      MCH Services & Prophylaxis schemes.

2.      Immunization Program.

3.      Oral Rehydration Therapy in diarrheal diseases.

4.      Acute Respiratory Infection Control program.

5.      School Health.

6.      Family Planning.

1. MATERNAL AND CHILD HEALTH

1. Ante-Natal Care (ANC): 

1.      first trimester registration of all pregnancies; 

2.      screening for pre-existing diseases and their treatment; 

3.      four ANC visits (3 by the MO); 

4.      three TT injections; 

5.      regular intake of Iron and Folic Acid (IFA) tablets throughout pregnancy for not    less than 120 days; 

6.      supplementary nutrition; 

7.      identification of high risk pregnancies; 

8.      birth planning for all  in the third trimester; and 

9.      ensuring institutional delivery / skilled birth attendance; 

10.  Post-natal care. 

11.  Monitoring of prenatal, intranatal and postnatal complications and prompt referral to the Referral Hospital. 

2. Child health screening using IMNCI protocols where applicable age groups of

i)       0-1 year: Immunization, growth monitoring, exclusive breast feeding and weaning advice, treatment of pre-existing conditions, care of Grade 3 and 4 malnutrition  children in  health facility/FRU and screening for childhood illness and referral as appropriate. 

ii)     1-5years: immunization, growth monitoring, vitamin A supplementation, nutrition support. 

iii)   5-15 years: registration  and coverage by the school health program

2. UNIVERSAL IMMUNISATION PROGRAM (UIP)

1.      The Medical Officer will plan and implement UIP in line with the latest policy and ensure cent-percent coverage of the target population in the PHC (i.e., Pregnant mothers and new born infants).

2.      The Medical Officer will ensure adequate supplies of vaccines and miscellaneous items required from time to time for the effective implementation of UIP.

3.      The Medical Officer will ensure proper storage of vaccines and maintenance of cold-chain equipment (by the pharmacist and staff nurse in charge of equipment), planning and monitoring of performance and Training of staff.

3. ORAL REHYDRATION THERAPY.

1.      The Medical Officer will ensure through his health team early detection of diarrheal diseases and dehydration.

2.      The Medical Officer will arrange for correction of moderate and severe dehydration through appropriate treatment.

4. ACUTE RESPIRATORY INFECTION CONTROL PROGRAM.

SPHO will periodically visit PHC s , assess and ensure that  the PHC Medical Officer and staff working under him will deliver the package of services under this program.

Package of services under this program are:

1.      The Medical Officer will ensure through his health team early detection of pneumonia cases and provide appropriate treatment.

2.      The Medical Officer will supervise the work of health supervisors and health workers in treatment of mild and moderate ARI.

5. SCHOOL HEALTH PROGRAM:

            SPHO will periodically visit PHC s, assess and ensure that the PHC Medical Officer and staff working under him will deliver the package of services under this program.

The overall program is monitored status reports related to this program implementation in the CHNC will be prepared by him.

Package of services under this program are:

To be started in June/ July in all the Govt. schools and social welfare hostels and all the children in the schools of the area to undergo basic health screening initially and those identified as high risk to be ear marked for follow up visits. 

1.       each child to have a card

2.       DPT/ TT as per the schedule are given

3.       De-worming to be under taken in the initial visit and the next after a six months period.

4.       Children requiring specialist care are to be referred to the concerned specialist at a referral unit.

5.       Further follow up visits to the schools may be once in 3 months.

6. FAMILY PLANNING.

SPHO will periodically visit PHC s , assess and ensure that  the PHC Medical Officer and staff working under him will deliver the package of services under this program.

The overall program is monitored status reports related to this program implementation in the CHNC will be prepared by him.

7. State and National programs

SPHO will periodically visit PHC s, assess and ensure that the PHC Medical Officer and staff working under him will deliver the package of services under these programs.

The all the following programs are monitored & consolidated status reports related to these program implementation in the CHNC will be prepared by him.

Following are some of the programs …

1. NATIONAL MALARIA ERADICATION PROGRAM (NMEP)  AND VECTOR CONTROL PROGRAM

2. KALA-AZAR

3. JAPANESE ENCEPHALITIS (J.E)

4. CONTROL OF COMMUNICABLE DISEASES.

 

4.1. LEPROSY

4.2. TUBERCULOSIS - RNTCP

4.3. SECUALLY TRANSMITTED DISEASES (STD)

 

5. NATIONAL PROGRAM FOR PREVENTION OF VISUAL IMPAIRMENT AND CONTROL OF BLINDNESS

 

6. DIARRHOEAL DISEASE CONTROL PROGAMME.

8. TRAINING s & IEC

             SPHO will take very active part in various IEC activities and capacity building programs, skill development programs by various agencies for the PHC staff Ashas and other community health volunteers.

             He/She will also take part in evaluation the effectiveness of such trainings after the trainings are complete.

The progress of training programs in the CHNC will be monitored by SPHO and status reports related to this program implementation in the CHNC will be prepared by him.

             Some of the IEC and training activities of Medical Officer HCS which are to be supervised by SPHO are as follows.

·           The Medical Officer will organize training programs including continuing eduction with the assistance of the Community Health Officer under the guidance of the District Health Authorities and Health & FW Training Centers under the scheme of re-orientation training of Medical and Para Medical personnel and School Health Services Scheme.

·           The Medical Officer will educate the community as the selection of Health Guides and will take the necessary steps to train the Health Guides from his area.

·           The Medical Officer will also make arrangements/provide assistance to the Health Supervisor Female and Health Worker Female in organizing training programs for indigenous Dais practicing in the area.



SPHO JOB CHART:
Annexure – 1:

Role of SPHO as MOTC in monitoring the RNTCP in respective cluster area
The following activities must be undertaken by the SPHO as part of the role as MOTC:
·         SPHO to conduct monthly/ periodic review meetings at cluster level in consultation with DTCO (District TB Control Officer).
·         SPHO should identify nodal person from each PHC (Male or female of MPHS cadre to look after TB program exclusively) and should get it approved by DMHO
·         Should include RNTCP in the supervisory agenda during their routine field visits for supervision; at least 7 days per month.
·         Should ensure RNTCP drugs & stock management by the Pharmacist or designated staff at PHCs.
·         Cover all Designated Microscopy centres (DMCs), Peripheral Health Institutes (PHIs), DOT centres, DRTB Centres (if present), Drug stores, ART centres (if present), ICTC, and Community care centres in the jurisdiction assigned to SPHO per month to review RNTCP indicators in field level.
·         Ensure that at least 3 patients are interviewed per visit and make sure to include MDRTB, paediatric TB and TBHIV patients.
·         Ensure early diagnosis and complete treatment for all TB cases.
·         Verify the TB treatment cards and monitor regular updation of the cards during the monthly meeting
·         Monitor the program progress against the indicators
·         Ensure completion of all formats and reporting in time
·         Maintain the Referral Register and feedback registers for all PHIs across TUs.
·         Maintain line lists of TB referrals to DMCs from general OP.
·         Maintain line lists of PMDT (Program Management of Drug Resistant Tuberculosis)
·         Monitor progress of PMDT in the respective cluster
·         SPHO should attend the monthly/quarterly review meetings called upon by DTO in consultation with DM&HO.




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