MPHA (M) JOB CHART

5. Job Responsibilities of MPHW

5.1

The MPHW (Male) course envisages to adequately train the MPHW (Male) to carry out the responsibilities assigned to him. He should make a visit to each family once a month. MPHW (Male) will mainly focus on activities which are related to disease control programs, detection and control of epidemic outbreaks, environmental sanitation, safe drinking water, first aid in emergencies like accidents, injuries, burns etc., treatment of common/ minor illnesses, communication and counselling, life style diseases and logistics and supply management at sub-centre. In addition he will also facilitate ANM in MCH, Family Welfare, and Nutrition related activities. Due importance should be given in assessment of MPHW (Male) training both at institutional and field level accordingly. The broad areas of job responsibilities of MPHW (Male) would broadly include the following –

5.1.1 Malaria

a. Conduct domiciliary house-to-house visits covering all the assigned population as per    the schedules approved by the PHC Medical Officer. During his visits, he shall enquire    about fever cases in each family and verify the cases diagnosed positive after the last    visit.

b. Collect blood smears and perform RDT from suspected fever cases and appropriately    maintain records in M-1.

c. Ensure immediate dispatch of collected blood smears for laboratory investigations    and provide treatment to positive cases as per the guidelines.

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d. Advise all seriously ill cases to visit PHC for immediate treatment and refer all fever    case with altered sensorium to the PHC / hospital and arrange funds for    transportation of such cases from NRHM/ other funds.

e. Undertake necessary measures to contain the spread of disease as advised by PHC    Medical officer.

f. Liaison with ASHA / Village Health Guide / Anganwadi Worker for early detection of    malaria, replenish the stocks of microscopy slides, RDKs and / or drugs.

g. Ensure treatment for all diagnosed cases as per the instructions by the PHC medical    officer and also take prompt actions for adverse reactions reported.

h. Intimate each house hold in advance regarding date of spraying and other public    health activities as well as duly explain the benefits of such activities to the    community.

i.

Supervise the spraying operations and deploy the two squads in adjoining areas for adequate supervision. Ensure the quality of spraying operations for uniformity in coverage of all the surfaces as well as due precautions regarding water sources and personal hygiene as per the guidelines.

Maintain the records of domiciliary visits, blood smears collected, patients given anti- malarials, details of spraying operations etc in the prescribed formats.

j.

5.1.2 Tuberculosis (RNTCP)

a. Identify all cases of fever for over two weeks with prolonged cough or spitting of    blood and refer to PHC for further investigation. Verify the TB patients self    reporting at health facilities.

b. Function as DOTs provider to ensure that all confirmed cases are on regular    treatment and motivate defaulters for regular treatment.

c. Improve community awareness on signs and symptoms of tuberculosis and guide    the suspected TB cases for referral to the designated microscopy centres and    facilitate sputum examinations.

d. Assist and supervise the ASHAs / Anganwadi Workers / Village Health Guides /    local health volunteers to function effectively as DOTs providers by ensuring    regularity of DOTS, schedule the DOTs as per patient’s convenience and collection    of empty blister packs.

e. Ensure that follow up smear examinations of sputum are carried out as per the    schedules.

f. Maintain the treatment cards and transmit the data weekly to the PHC.

g. Maintain the records of domiciliary visits, records of patients on treatment,    sputum examinations etc

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5.1.3 Leprosy

a. Identify Leprosy suspected cases of skin patches with loss of sensation and refer to    PHC.

b.

c.

d.

e.

f.

g.

Provide Multi Drug Treatment (MDT) to confirmed cases and ensure completion of treatment including retrieval of defaulters.

Guide leprosy patients with deformities for management at appropriate health facilities.

Assist and supervise the ASHAs / Anganwadi Workers / Village Health Guides / local health volunteers for early detection of Leprosy cases and treatment.

Improve community awareness on signs and symptoms of Leprosy for early detection.

Maintain the treatment cards and transmit the data to the PHC

Maintain the records of domiciliary visits and records of patients on treatment.

5.1.4 Preventive Health Care

a. Surveillance for unusually high incidence of cases of diarrhoeas, dysentery, fever,    jaundice, diphtheria, whooping cough, tetanus, polio and other communicable    disease and notify PHC.

b. Ensure regular chlorination of all the drinking water sources. Collect water samples    regularly, send for testing and undertake appropriate actions for provision of safe    drinking water supplies.

c. Generate community awareness regarding safe drinking water, sanitation, waste    disposal and personal hygiene and ensure safe disposal of liquid / solid wastes.

d. Assist and coordinate with the VHSC and SHC / PHC Committees as well community    leaders for health awareness and preventive health care activities.

5.1.5 School Health including Nutrition

a. Visit all the schools in the assigned area and advocate personal hygiene, nutrition,    safe drinking water and sanitation and other public health measures.

b. Undertake awareness generation of national health programmes (Malaria, TB,    Leprosy etc) for early detection of communicable and non-communicable diseases

c. Ensure completion of immunisation schedules including Inj. TT as per guidelines

d. Assist Ophthalmic Assistant for eye screening of children for detection of visual    defects.

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e. Identify cases of malnutrition in school children and refer cases to PHC Medical    Officer. Guide teachers and parents on nutrition and anaemia. Educate the    community about nutritious diet for mothers and children from locally available    foods.

5.1.6 Maternal Health including Family Planning

a. Assist in ensuring timely referral transport for pregnant women at the time of    delivery

b. Provide follow-up services for acceptors of male sterilization and also motivate    males for sterilisation and spacing methods based on ANMs eligible couple    register.

c. Assist the ANMs and ASHAs in distribution of conventional contraceptives to    eligible couples.