Job Responsibilities of Different Health People PDF

CHAPTER 7
DUTIES & RESPONSIBILITIES

INDEX
1 GOVERNMENT PROCEEDINGS - ALL JOINT DIRECTORS AND DEPUTY DIRECTORS
2 DISTRICT MEDICAL OFFICER IN PRIMARY HEALTH CENTRE
3 COMMUNITY HEALTH OFFICER
4 COLD CHAIN OFFICER
5 HEALTH OFFICER GRADE –A, DISTRICT HEALTH & F.W. SERVICES, DEPUTY DIRECTORS.
6 ANNEXURE -3 – G.O’S
7 FUNCTIONS, DUTIES & RESPONSIBILITIES OF DISTRICT NURSING SUPERINTENDENT (DNO)
8 JOB DESCRIPTION of DISTRICT HEALTH EDUCATION OFFICER / DISTRICT MASS

EDUCATION AND INFORMATION OFFICER, BLOCK HEALTH EDUCATOR AND BLOCK
EXTENSION EDUCATOR
9 MICRO BIOLOGIST
10 FOOD ANALYST
11 SENIOR AND JUNIOR PHARMACISTS
12 JOB RESPONSIBILITIES OF PHC STAFF – JUNIOR HEALTH ASSISTANT (M) AND FEMALE (F)
13 PROCEEDINGS OF MYSORE – ASSISTANT ADMINISTRATIVE OFFICER
14 JOB RESPONSIBILITIES OF STENOGRAPHERS
15 JOB RESPONSIBILITIES OF JUNIOR & SENIOR LAB TECHNOLOGIST
16 JOB RESPONSIBILITIES OF X – RAY TECHNICIANS
17 RESPONSIBILITIES OF NURSING PERSONNELS (STAFF NURSE –JUNIOR)
18 RESPONSIBILITIES OF NURSING PERSONNELS (STAFF NURSE – SENIOR )
19 RESPONSIBILITIES OF NURSING SUPERINTENDENT – GRADE II
20 RESPONSIBILITIES OF NURSING SUPERINTENDENT – GRADE I
21 JOB RESPONSIBILITIES OF SENIOR HEALTH ASSISTANT MALE
22 DUTIES AND RESPONSIBILITIES OF DENTAL HEALTH OFFICER
23 ROLES, RESPONSIBILITIES OF AUXILLIARY NURSE MIDWIVES –ANM’S
24 DUTIES AND RESPONSIBILITIES OF RESIDENT MEDICAL OFFICERS
25 GO’S – ANNEXURES OF JOB RESPONSIBILITIES OF TALUKA HEALTH OFFICER
26 Timings of Sub Centre
CHAPTER 1
PROCEEDINGS OF THE GOVERNMENT OF KARNATAKA
Subject : Duties and Responsibilities of Director ( Health Education & Training) G.O.
Orders regarding.
Read : Government Order No. HFW 21 MSD 86, Dated : 2 - 04 - 1986
Preamble :
In Government order dated 2nd April 1986 cited above, Sanction was accorded for the
creation of Director (Health, Education and Training) along with the supporting staff.
Now Government has taken action to assign Duties and Responsibilities of the Director
(Health, Education and Training).
ORDER NO. HFW 21 MSD 86 (P) BANGALORE, Dated : 25th July 1986
In the Circumstances, Government of Karnataka are placed orders that all the matters pertaining
to Health Education and Training and Laboratories in the Department of Health and Family
Welfare will now be under the jurisdiction of the Director (Health, Education and Training). The
Joint Director (Health, Education and Training) and the Joint Director, Public Health Institute
will work under the Director (Health, Education and Training.
BY ORDER AND IN THE NAME OF

THE GOVERNOR OF KARNATAKA
( MAAZ AHMED SHARIEF)
Under Secretary to Government,
Health & Family Welfare Department.
TO:
The Accountant General, Karnataka, Bangalore.
The Secretary to Government, Finance Department, Bangalore.
The Private Secretary to Hon'ble Minister for Health & F.W. Services.
The Private Secretary to Chief Secretary.
The Director of Health & F.W. Services, Bangalore.
The Director of Medical Education, Bangalore.
The Director of Health Education and Training, Bangalore.
The Director of E.S.I. (M), Services, Bangalore.
The Divisional Joint Directors of all Divisions.
The District Health & FamilyWelfare Officers of all Districts.
The District Surgeons of all Districts.
The Personal Assistant to Health Secretary. }
The Personal Assistant to Deputy Secretary (H) } Health & Family Welfare
The Personal Assistant to Addl. Deputy Secretary. } Services Department.
The Personal Assistant to Deputy Secretary (General) }
The Under Secretary's
The Section Officers's
The Section Guards File
The Spare Copies
TO,
The Director of Health and F.P.Services, Bangalore.

The Joint Director (FP & MCH), Bangalore.
The Accountant General, Mysore, Bangalore.
Sd / -
For Director of Health & F.P. Services.
/ Copy /
ANNEXURE - II to Government ORDER NO. HFW 54 (A) MSD 85, Dated : 23- 01 -86
The following re - allocation of work among the Joint Directors and Deputy Directors of the
Directorate of Health & Family Welfare Services,
1. JOINT DIRECTOR ( HEALTH PROGRAMMES & PLANNING)
To be Re - Designated as JOINT DIRECTOR ( HEALTH & PLANNING)
1. Matters pertaining to all Taluka level, below taluk level and below District level Health
Institutions like - PHC/ TLH/ CHC / State District Hospitals/ District Hospitals/ MCH
Hospitals/ Epidemic disease Hospitals/ Urban PHC and Sub centres.
UP- Gradation, Improvement and Strengthening of existing health Institutions and Follow -
up actions including construction works under Minimum Needs Programme / other
Programmes icluding externally aided projects.
2. Matter relating to planning inrespect of National and State Health Programmes in
Co- ordination with other Planning Officers.
3. To Obtain schemes pertaining to National and State Health Programmes from other
functionaries of the Directorate and Scrutinise them before submitting it to the Government.
4. To Co-Ordinate the activities of Health Department with other Departments and agencies.
5. All matters relating to Planning inrelation to Man power Development.
6. All matters relating to Nutrition Programme.
7. All matters relating to implementation of Rural Mental Health Programme.
8. To maintain and Develop Health Information System through the Bureau of Health
Intelligence.
9. All matters relating to sanction of Cinema License.
10. Implementation of support to National and State Health Programmes.
11. Any other work as and when entrusted by the Director of Health & Family Welfare
Services.
2. JOINT DIRECTOR ( HEALTH, MALARIA & FILARIA AND COMMUNICABLE

DISEASES)
To be Re - Designated as JOINT DIRECTOR ( MALARIA & FILARIA)

1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating
and reporting all activities including obtaining reimbursement of Central
Assistance of National Malaria Eradication Programme and National Filaria
Control Programme.
2. Mosquito Comtrol Projects.
3. All matters relating to Non - Communicable Diseases.
4. Co-Ordination and Co-Operation with various Voluntary agencies in the effective
implementation of the programme.
6. Any other work as and when entrusted by the Director of Health & Family
Welfare Services.
3. JOINT DIRECTOR ( DIARRHOEAL DISEASE CONTROL)
To be Re - Designated as JOINT DIRECTOR (DIARRHOEAL DISEASE CONTROL

& COMMUNICABLE DISEASES)
1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating and

reporting all activities including obtaining reimbursement of Central Assistance, and
Epidemilogical Investigation of Diarrhoeal Dieases and other Communicable diseases
excluding Malaria, Filaria, T.B and Leprosy.
2. All matters relating to Manufacturing, Supply and Distribution of Vaccines and Sera.
3. All matters relating to Environmental Sanitation arrangements during Fairs and Festivals.
4. All matters relating to Air, Water and Environmental Pollution.
5. All matters relating to Expanded programmes of Immunization.
6. All matters relating to KFD, Handigodu Syndrome & emerging and Reemerging
Communicable diseases like H1N1, EBOLA, ZIKAetc.
7. Co -Ordination and Co- Operation with various Voluntary agencies in the effective
implementation of the Programmes.
Services.
4. JOINT DIRECTOR(HEALTH, EDUCATION AND TRAINING)

reporting all activities including obtaining reimbursement of Central Assistance, and
other various agencies related to Health Education and School Health Programmes.
2. All matters relating to Planning, Evaluating, or Training Programmes of all officials in
several programmes including Family Welfare, formulating Syllabi and Courses,
Disbursement of Stipends, Assessment of Performance of Trained Personnels etc.
3. Development and Distribution of Health Educational Materials and publication of
literature on various National and State Health Programmesin co-ordination and in
consultation with the respective programme officers.
4. Maintaining and development of Audio Visual section, arranging of exhibitions etc.
6. All matters relatimg to Training, Deputation of In service Doctors to Public Health
courses and deputation of Officials to other State trainings including Abroad Training
Programs.
Services.
5. JOINT DIRECTOR( TUBERCULOSIS)

reporting all activities including obtaining reimbursement of Central Assistance,in respect
of National Tuberculosis (T.B) Control Programme.
3. Supervision of all T.B. Control Institutions in the State other than the Institutions coming
under the Control of Director of Medical Education.
4. All matters relating to TB research activities and establishment of High tech labs for
diagnosing TB including Genetic Laboratorys.
Services.
6. JOINT DIRECTOR (OPTHALMOLOGY)

reporting all activities including obtaining reimbursement of Central Assistance,in respect
of National Programme of Control of Blindness. .
2. Training of Opthalmic Assistants'
4. All matters pertaining to establishment of Eye banks and Strengthening of Infrastructure
related to Opthamology.
Services.
7. JOINT DIRECTOR (MEDICAL)
1. Supervision of Working of all the District Level Hospitals such as MCH hospitals and all
Institutions having a bed strength of 100 and above, other than those Institutions coming
under the control of the Director of Medical Education.
reporting all matters relating to Upgradation, Sanctioning of Additional beds, Sanctioning
of additional staff, providing of Equipments and Construction Works of those Institutions.
3. Review of working of X-Ray machines, CT Scan, MMR, Ultrasound, Dental Units,
Refrigerators and other equipments and to take immediate action for their repair and
maintenance.
5. All matters relating to the establishment and functioning of Hospital Pharmacies and Blood
Banks.
6. All matters related to Organ Donation, Enforcement of KPME Act, Establishment of
Dialysis Units & Other regulatory mechanisms for the smooth running of the hospitals
which are above 100 bedded.
8. Any other work as and when entrusted by the Director of Health &s Family Welfare
Services.
8. JOINT DIRECTOR (MEDICAL STORES - ADKDLWS)
reporting of all activities of Medical Stores.
2. Reviewing of Stock Supply and Stock Position of Drugs and euipments in the control of
Medical Stores and various other Institutions.
3. All matters relating to Expert and High Power Committee Meeting.
4. E-procurement of Drugs , Pharmaceuticals, and Other Hospital reagents and consumables,
furnitures, equipments and other Hospital accessories.
5. Karnataka Drug Logistic Warehouse Strengthening, Networking, and Coordination and
Management, Inventory Management and development and establishment of Karnataka
Equipment Management Information System(KEMIS).
Services.
9. JOINT DIRECTOR (LABORATORIES)
reporting of all activities pertaining to Public Health Laboratory Servicesin the State
including District Laboratories, Regional Asst. Chemical Examiner Laboratories,
Divisional Food Laboratories and Labs at various levels.
2. To assist the Director of Health and Family Welfare Services in the Implementation of
Prevention of Food Adulteration Act in the entire State.
3. All matters pertaining to the Manufacture, Supply and Distribution of Vaccines
manufacture at the Public Health Institute and record the receipt of the Vaccines recieved
under E.P.I Programme at Public Health Institute for distribution under various
Programmes.
4. Training of Lab. Technicians and Food Inspectors.
5. Co-Ordination and Co-Operation with various Voluntary agencies in the effective
implementation of the Programmes, especially the Prevention of Food Adulteration Act.
6. All matters related to Research related activities such as Vaccine Manufacture, Storage
and Public Vaccination for Yellow Fever and other Vaccines for travelling abroad.
Services.
ii. DEPUTY DIRECTORS
1. DEPUTY DIRECTOR ( LEPROSY)
reporting of all activities related to National Leprosy Eradication Programme including
Multi Drug Regimen Project in the selected Districts.
2. Planning and Reviewing of Construction works pertaining to Leprosy Programme.
5. To assist JD Leprosy in all his activities.
Services.
2. DEPUTY DIRECTOR ( SMALL POX)
To be Re - Designated as DEPUTY DIRECTOR ( EPI & COMMUNICABLE DISEASE)
1. To assist Joint Director ( Diarrhoeal Diseases Control & Communicable Diseases) in the
Control, Eradication and Progress of the Diseases.
2. Planning, Implementation, Reviewing, Evaluating and Reporting of activities of EPI
and other Immunization Programme in the State.
Services.
3. DEPUTY DIRECTOR ( PLANNING)
To be Re - Designated as DEPUTY DIRECTOR (HEALTH & PLANNING)
1. To assist Joint Director (Health & Planning) in all his activities as outlined above.
Services.
Allocation and Re- allocation of work among the Joint Directors and Deputy
Directors of Directorate of Health and Family Welfare Services, Bangalore - G.O. Orders
regarding.
Government Order. NO. HFW 156 HDM 84 Dated : 7 - 12- 1984, Order
NO.HRO. 78 / 85 -86 Dated : 3-10-85 from the Director of Health & Family Welfare Services,
Bangalore.
Government Order Dated: 7-12-1984 read at Sl. No.(1) above, the Director (
Diarrhoeal Disease Control) has been advised to Supervise and Monitor Diarrhoeal Diseases in
the State.
Director of Health & Family Welfare Services, Bangalore Dated 3-10-85 read at Sl.
No.(2) above, has stated that the creation of the said post, the work load of Joint Director (
Malaria & Filaria and Communicable Diseases) needs to be Created. Therefore, he has requested
to convey orders of Re- Designating the posts of Joint Directors and Deputy Directors and Re-
allocation of work among Joint Directors and Deputy Directors, Directorate of Health & Family
Welfare Services, Bangalore.
Government Order. NO. HFW 54(A) MSD 85 , BANGALORE, Dated:23 - 1- 1986.
Sanction is accorded for re - designating the posts of Joint Directors and Deputy
Director indicated in Annexure -1 and re-allocation of work among the Joint Directors and
Deputy Directors of Health & Family Welfare Services as indicated in the amendment to this
Order.
This order comes into effect immediately and will be in force until further orders.

THE GOVERNOR OF KARNATAKA
( MAAZ AHMED SHARIEF)

TO:
Hon'ble Health Minister for Health & F.W. Services.

Hon'ble Minister for State, Health & F.W. Services.
Accountant General, Karnataka, Bangalore.
Secretary to Government, Health & FamilyWelfare Department, Bangalore.
Joint Secretary ( Family Welfare )/ Deputy Secretary ( Health )/ Health Secretaries,
Director of Health & F.W. Services, Bangalore.
Director of Medical Education, Bangalore.
The Director of E.S.I. (M), Services, Rajajinagar, Bangalore.
Divisional Joint Directors of all Divisions.
District Health & FamilyWelfare Officers of all Districts.
District Surgeons of all Districts.
Superintendants of all Major Hospitals

CHAPTER 2
DUTIES OF MEDICAL OFFICER, PRIMARY HEALTH CENTRE
GENERAL
 Medical Officers of PHC will divide the area amongst themselves on a geographical basis
and will be responsible for all the activities under Health and Family Welfare
Programme’s in their respective areas.
 Ultimate responsibilities will lie with Medical Officer In -charge, PHC/ Block M.O. who
will be in addition, administrative head of the Primary Health Centre.
 Block M.O/ M.O., IC/PHC is responsible for implementing all activities grouped under
Health and Family Welfare delivery System in PHC area. He is responsible in his
individual capacity as well as overall in-charge.
 It is not possible to enumerate all his tasks, however by virtue of his designation , it is
implied that he will be solely responsile for the proper functioning of the PHC.
 He may assign any job to any health functionary in his team, which is deemed essential
by him towards achieving National Health Goals.
1. CURATIVE WORK
i. The Medical Officer will Organize the dispensary, Out – Patient department and will allot
duties to the ancillary staff to ensure smooth running of the OPD.
ii. He will make suitable arrangements for the distribution of work in the treatment of
emergency cases which comes outside the normal OPD hours.
iii. He will organize laboratory services for cases where necessary and within the scope of his
laboratory for proper diagnosis of doubtful cases.
iv. He will make arrangements for rendering services for the treatment of minor ailments at
Community level and at the PHC through the agency of the Community Health Officer,
Health Assistants, Health Workers, Health Guides, Dai’s or by the School Teachers.
v. He will attend to cases referred to him by Health Assistants Health Workers, Health Guides,
Dai’s or by the School Teachers.
vi. He will screen cases needing specialized medical attention including dental care and nursing
care and refer them to referral Institutions.
vii. He will provide guidance to the Health Workers, Health Guides, Dai’s or by the School
Teachers in the treatment of minor ailments.
viii. He will Cooperate and/ or Coordinate with other institutions providing medical care services
in his area.
ix. He 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.
2. PREVENTIVE AND PROMOTIVE WORK

He will ensure that all the members of his Health team are fully conversant with the various
National Health & Family Welfare Programmes to be implemented in the area allotted to each
health functionary. He will further supervise their work periodically both in the clinics and in
the community setting to give them the necessary guidance and directions.
He will prepare operational plans and ensure effective implementation of the same to achieve
the laid – down targets under different National Health & Family Welfare Programme’s.
He will keep close liaison with the Block Development Officer and his staff, Community
leaders and various Social Welfare agencies in his area and involve them to the best
advantage in the promotion of Health Programmes in the area.
Whenever possible, he will conduct field investigations to delineate local health problems for
planning changes in the strategy of the effective delivery of Health & FW Services.
1. FAMILY PLANNING
1.1 He will provide leadership to his team in the implementation of Family Planning Programme in
the PHC catchment area and PHC should function as a centre of FP movement.
1.2 He will be responsible for proper and successful implementation of Family Planning
Programme in PHC area including Education, Motivation, delivery of services and after care.
1.3 He will be squarely responsible for giving immediate and sustained attention to any
complications the acceptor develops due to acceptance of Family Planning Methods.
1.4 He will extend Motivational advice to all eligible patients he sees in the OPD.
1.5 He will get himself trained in Tubectomy, wherever possible, and Organize Tubectomy camps.
1.6 He will organize and conduct Vasectomy camps.
1.7 He will seek help of other agencies such as Dist. Bureau, Mobile Van and other associations/
Voluntary organizations for Tubectomy / IUD camps and MTP services.
1.8 He will ensure adequate supplies of equipment, drugs, educational material and Contraceptives
required for the services / programmes
1.9 He will provide leadership and guidance for special programmes such as Family Planning
campaigns, festivals and fairs.
1.10 He will organize regular staff meetings to review the progress made and to discuss the problems
and future plans.
1.11 He is expected to train himself in communication techniques so that he can provide leadership
and guidance to educational and motivational groups talks to eligible couples.
1.12 He will develop and maintain Co-operative work relationship with other agencies and Opinion
Leaders in the PHC, in order to generate and sustain Family Planning as a movement.
1.13 He should encourage and give all help and assistance to private Medical Practitioners of ISM in
the implementation of Family Planning Programme.
1.14 He will ensure proper and up-to date maintenance of EC registers through Spot checking.
1.15 He will ensure that the block level committee and other committees in the catchment area are
properly constituted and made Operable.
2. MATERNAL AND CHILD HEALTH

2.1 He will provide MCH Services such as Antenatal, intranatal, and Postnatal care of Mothers and
infants and child care through clinics at the PHC and Subcentres.
2.2 He will actively involve his health team in the effective implementation of the Nutrition
Programme and administration of ‘ Vitamin A’ and Iron and Folic Acid tablets.
3. EXPANDED PROGRAMME ON IMMUNIZATION

3.1 He will plan and implement EPI in line with the latest policy and ensure maximum coverage of
the target population i.e., Beneficiaries in the PHC.
3.2 He will ensure adequate supplies of vaccines and miscellaneous items required from time to
time for the effective implementation of EPI.
3.3 He will ensure proper storage of vaccines and maintenance of Cold – chain Equipments.
4. NATIONAL MALARIA ERADICATION PROGRAMME

4.1 He will be responsible for all NMEP operations in his PHC area and will be responsible for all
administrative and Technical matters.
4.2 He should be completely acquainted with all problems and difficulties regarding surveillance
and Spray operations in his PHC area and be responsible for immediate action whenever the
necessity arises.
4.3 The Medical Officer will guide all the Health Workers and H.As on all treatment schedules,
especially radical treatment with Primaquine.
 As far as possible he should investigate all Malaria cases in the area less than API2 regarding
the nature and Origin, and institute necessary measures in this connection.
 He should ensure that prompt remedial measures are carried out by the Health assistants about
positive cases detected in areas with API less than two.
 He should give specific instructions to them in this respect, while sending the result of blood
slides found positive.
4.4 He will check the Microscopic work of the Laboratory Technician and dispatch prescribed
percentage of such slides to the Zonal Organization / Regional Office for Health and Family
Welfare ( Government of India) and State Headquarters for cross checking as laid down from
time to time.
4.5 He should, during his monthly meetings, ensure proper accounts of slides and Anti – Malarial
drugs issued to the Health Workers and Health Assistant Male.
4.6 The publicity material and mass media equipment received from time to time will be properly
distributed or affixed as per the instructions from the district organization.
4.7 He should consult the Booklet on “Management and Treatment of Cerebral Malaria” and
treat Cerebral Malaria as and when required.
4.8 He should ensure that all categories of staff in the Periphery / administering Radical treatment
to the positive cases should observe the instructions laid down under NMEP on the subject and
in cases where toxic effects are observed in a patient who is receiving primaquine the drug is
stopped by the peripheral worker and such cases are brought to his notice for follow- up action/
advice if any.
5. CONTROL OF COMMUNICABLE DISEASES :
5.1 He will ensure that all the steps are being taken for the control of Communicable diseases and
for the proper maintenance of Sanitation in the villages.
5.2 He will take necessary action in case of any Outbreak of Epidemic in his area.
6. LEPROSY :
6.1 He will provide facilities for early detection of cases of Leprosy and confirmation of their
diagnosis and treatment.
6.2 He will ensure that all cases of Leprosy take regular and complete treatment.
7. TUBERCULOSIS :
7.1 He will provide facilities for early detection of cases of Tuberculosis, confirmation of their
diagnosis and treatment.
7.2 He will ensure that all cases of Tuberculosis take regular and complete treatment.
8. SEXUALLY TRANSMITTED DISEASES:
8.1 He will ensure that all the cases of STD are diagnosed and treated properly and their contacts
are traced for early detection.
8.2 He will provide facilities for VDRL test for all pregnant women at the PHC.
9. SCHOOL HEALTH :
9.1 He will visit schools in the PHC area at regular intervals and arrange for Medical Check –ups,
Immunization and treatment with proper follow up of those students found to have defects.
10. NATIONAL PROGRAMME FOR PRVENTION OF VISUAL IMPAIRMENT AND
CONTROL OF BLINDNESS:
10.1 He will make arrangements for rendering :
i. Treatment for Minor Eye Ailments and
ii. Testing of Vision
10.2 He will refer cases to the appropriate institutes for specialized treatment.
10.3 He will extend support to Mobile eye- care units.
11. DIARRHOEAL DISEASES CONTROL PROGRAMME :
11.1 He will ensure through his health team early detection of Diarrhoea and Dehydration.
11.2 He will arrange for correction of moderate and severe dehydration through appropriate Oral /
Parental Fluid Therapy.
3. TRAINING :
1. He will organize Training programmes including continuing education with the assistance of the
Community Health Officer (CHO) and under the guidance of the district health authorities and
Health & FW Training Centres under the MPW Scheme and School Health Services Scheme.
2. He will educate the community as to the selection of Health Guides and will take the necessary steps
to train the Health Guides from his area.
3. He will also make arrangements / provide assistance to the Health Assistant Female and Health
Worker Male in organizing training programmes for Indigenous Dai’s practicing in the area.
4. ADMINISTRATIVE WORK :
1. He will supervise the work of staff working under him.
2. He will ensure general cleanliness inside and outside the premises of the PHC and also proper
Maintenance of all the equipment under his charge.
3. He will ensure to keep up-to date inventory and Stock register of all the stores and equipment
supplied to him and will be responsible for its correct accounting.
4. He 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. He will check the proper Maintenance of the transport given in his charge.
6. He will scrutinize the Programmes of his Staff and suggest changes if necessary to suit the priority of
Work.
7. He will prepare and display charts in his own room to explain clearly the Geographical area, location
of peripheral health units, Morbidity and Mortality, Health statistics and other important information
about his area.
8. He will hold Monthly Staff Meetings with his own staff with a view to evaluate the progress of work
and suggest steps to be taken for further improvements.
9. He will ensure the regular supply of Medicines and disbursement of Honorarium to Health Guides.
10. He will ensure the maintenance of the prescribed records at the PHC level.
11. He will receive reports from the periphery, get them compiled and submit them regularly to the
district Health Authorities.
12. He will keep notes of his visits to the area and submit Monthly Tour reports to the CMO.
13. He will discharge all the Financial duties entrusted to him.
14. He will discharge the day -to-day administrative functions pertaining to the PHC.
CHAPTER 3
JOB RESPONSIBILITIES OF COMMUNITY HEALTH OFFICER
Note: One Community Health Officer will be posted at each new Primary Health Centre and will
cover 30,000 Population (20,000 in Tribal and Hilly areas). He will be under direct
administrative and Technical control of M.O. In charge of PHC.
The Community Health officer will carry out the following functions:
1. CONTROL OF COMMUNICABLE DISEASES :

1.1 Ensure that all necessary steps are being taken for the control of Communicable diseases in the
village.
1.2 He should report any outbreak of an epidemic to Medical Officer In charge.
1.3 Assist the Medical Officer of the Primary Health Centre in taking the necessary action in case of
any outbreak of an epidemic in the PHC area.
2. MATERNAL AND CHILD HEALTH :

2.1 Supervise and guide the Health Assistants and Health Workers and actively involve the Health
Guides and Trained Dai’s in the effective implementation of the programme for Maternal and
Child Health.
3. SCHOOL HEALTH :
3.1 Visit schools in the PHC area at regular intervals and arrange for Medical Checkup by the M.O.
PHC, Immunization, Environmental Sanitation and Health Education.
3.2 Make arrangements for the treatment and follow-up of those students found to have defects.
4. EXPANDED PROGRAMME ON IMMUNIZATION:
Guides and Trained Dai’s in the effective implementation of the Expanded Programme on
Immunization
5. FAMILY PLANNING:
Guides and trained Dai’s in the effective implementation of the Family Planning Programme.
6. NUTRITION
Guides and trained Dai’s in the effective implementation of the Nutrition programme, such as
administration of Vitamin A , distribution of Iron and Folic Acid Tablets.
7. ENVIRONMENTAL SANITATION
7.1 Help to ensure that all steps are being taken for the provision of safe drinking water and for the
improvement of Environmental sanitation in the villages.
8. TREATMENT OF MINOR AILMENTS
8.1 Provide guidance to the Health Assistants, Health Workers, Health Guides and Primary School
Teachers in the treatment of Minor ailments as carried out by them, and ensure early referral to
the M.O. PHC.
9. COMMUNITY INVOLVEMENT AND HEALTH EDUCATION
9.1 Participate in the Village Health Committee / Panchayat meetings to assess the health needs of
the Community, to discuss the health programmes with the community, and to enlist their
Cooperation in these programmes.
9.2 Maintain a close liaison with the Block Development Officer and his staff and with other
developmental programme workers such as those under the National Adult Education
Programmes, Nutrition Programmes and Programme for Safe Water Supply and Environmental
Sanitation.
9.3 Work closely with the community leaders and community organizations such as Mahila Mandals,
Farmers Clubs, and other Voluntary Organuizations etc, and involve them to the best advantage
in the Promotion of Health programmes in the area.
9.4 Organize camps, Meetings, Health education Talks, Demonstartions, Display of Posters,
Exhibitions and Films and involve the Health Assistants, Health Workers and Health Guides in
these activities.
10. TRAINING OF HEALTH PERSONNEL AND COMMUNITY LEVEL WORKERS
10.1 Educate the Community about the Health Guide scheme and take necessary steps to train the
Health guides from the PHC area.
10.2 Under Supervision of Medical Officer PHC, he should Organize and conduct training for Health
10.3 Guides, Primary School Teachers and Dai’s , be responsible for Field Training of these
Community level workers, and utilize the Health Assistants and Health workers in these Training
Programmes.
10.4 Be primarily responsible for continuing education of Health Guides, Primary School Teachers
area. and trained Dai’s and be assisted in this by the Health Assistants and Health workers in the
PHC
10.5 Assist the M.O.PHC in Staff development Programmes for the Health Assistants and Health
Workers at the PHC as well as in the field.
10.6 Be actively involved in the training of Health Assistants, Health Workers at the PHC as well as in
the field.
10.7 Assist the M.O PHC in Monthly group activities at the PHC, Sub-centre and Community levels.
10.8 Be actively involved in the field training components of basic and refresher training programmes
conducted by the institutes for basic training of various categories of Health personnel.
10.9 Be actively involved in the field training components of Training programmes conducted by the
Health & Family Welfare Training Centres for various categories of Health Personnel.
11. MANAGEMENT AND SUPERVISION
11.1 Assist the M.O PHC in conducting Field Investigations to delineate local health problems for
planning changes in the strategy for effective delivery of Health Services.
11.2 Ensure that the Sub-Centres are properly maintained and managed by the Health workers and
Health Assistants.
11.3 Ensure that supplies and equipment such as drugs, Contraceptives, vaccines, Nutritional
Supplements, bleach powder, Health educational Materials, etc., are supplied in time to the sub
centres to enable the Health Assistants and Health Workers to carry out their functions
effectively.
11.4 Ensure the regular replenishment of Madilu kits and the supply of drugs and dressings for the
Health Guides, Primary School Teachers and Dai’s.
11.5 Scrutinize the work plans of the Health Assistants and Health workers.
11.6 Supervise the maintenance of the prescribed records at Sub centre level.
11.7 Obtain the reports from the periphery, analyze and interpret the data available, and utilize the
findings for improving the implementation of the health programmes in the PHC area.
11.8 He should organize Monthly Staff Meetings, not only for evaluating the progress of works and
suggest steps for further improvement, but also as a means of Staff development and continuing
Education.
11.9 He should organize Meetings at regular intervals with the Community level Workers for
discussing their activities for providing continuing education.
11.10 Keep notes of his activities in the PHC area and submit his tour report at regular intervals to the
M.O.
11.11 Any other duty assigned by Medical Officer should be carried out by CHO.
ANNEXURE 1
GOVERNMENT ORDER NO.HFW 54(A) MSD 85 DATED 23 / 1 / 1986
SL EXISTING DESIGNATION RE DESIGNATED AS

.
N
O
1 Joint Director ( Health Programmes& Joint Director (Health & Planning)
Planning)
2 Joint Director ( Health, Malaria & Filaria Joint Director (Malaria & Filaria)
and Communicable Diseases)
3 Joint Director (Diarrhoeal Disease Joint Director (Diarrhoeal Disease Control &
Control) Communicable Disease)
4 Deputy Director (Small Pox & EPI) Deputy Director (EPI & Communicable
Diseases)
5 Deputy Director ( Planning ) Deputy Director (Health & Planning )
CHAPTER 4
JOB CHART OF COLD CHAIN OFFICER
Name of the Post: COLD CHAIN OFFICER
The above Post is sanctioned under universal Immunization Programme, by G.O.I and is 100%
Centrally Aided Post till the 8thPlan.
The post is a single Post with State Level Jurisdiction, with Pay scale of Rs. 1900 -3650
JOB RESPONSIBILITIES OF COLD CHAIN OFFICER
1. The Cold Chain Officer is responsible for up keeping and Maintenance of an efficient Cold
Chain System through out the State.
2. He will Organize an efficient response and Maintenance of network for all Cold Chain
Equipments.
3. He will be responsible for Quality Control of Cold Chain and Testing of Field Samples of
Oral Polio Vaccines.
4. He will scrutinize among all procurements, supply a distribution and Installation of Cold
Chain Equipments.
5. He will organize Training and conduct Training Programme for Para Medical Staff in the
usage of Cold Chain equipments and for mechanic in repairs, Maintenance of Cold Chain
Equipments.
6. He will Co-ordinate between Departments. UNICEF, and GOI for all technical matters.
7. He will undertake forums throughout the State and Monitor the proper use of Equipments,
Vaccines at peripheral level.
8. He is responsible for fixation of Annual Income Targets, Allocation of Vaccines every year
and Monitoring the procurement, distribution and utility of Vaccines under UIP.
9. He will be responsible for the work of Refrigeration Mechanic at Date level who should seek
guidance from CCO.
11. Any other work as and when entrusted by the Director of Health &s Family Welfare Services
and his/ Her immediate Controlling Authority.
NOTE:
 The post is solitary and calls for extensive, touring work, organizes and conduct Trainings
for Medical, Para Medical Personnel and is highly hazardous.
 The pay scale of Rs.1900-3650 is very meager compared to the risk, Territorial
Jurisdiction (State Level) in comparison with Assistants regarding PWD.etc.
 Also there are no assistants either Technical or Ministerial sanctioned under UIP. He has
to carry out the work all alone.
 Also this post is a 100% Centrally Sponsored Scheme Oriented Cadre.
 Having the post in a higher Static in Pay and grade to that of 2450-4190, if this is not
possible at least Rs. 2200 – 4070 at similar grade.
CHAPTER 5
JOB RESPONSIBILITIES OF HEALTH OFFICERS, DIST.HEALTH & F.W.
OFFICERS, DEPUTY DIRECTORS, & OTHERS
1. HEALTH OFFICER (Gr.A)

He is an Officer from the cadre of Health Officer Group ‘A’ (Senior). They are promoted from
the Cadre of Health Officers Class from Health Officer – cum – Asst. Surgeon with P.G. Degree or
Diploma in Public Health or other equivalent qualification like DIH, DHE and as enumerated in 1984
Cadre & Recruitment Rules (C& R Rules). These categories of Health Officers Gr. ‘A’ is designated
as Dist. Health & F.W. Training Centres and Chemical Examiner to Govt. of Karnataka.
2. DIST. HEALTH & F.W. OFFICERS:
They are Dist. Administrative Heads of Health Institutions.(Excluding Dist. Hospital, Civil
Hospitals where there are more than 100 beds). They are the Programme Implementing Officers at the
field level w.r.t., N.M.E.P., Family Welfare, Immunization, School Health and other National
Programmes. They are the controlling Officers of all the Health Institutions in the District excluding
Dist. Hospitals and Civil Hospitals. They are also responsible to control Communicable Diseases and
to provide Medical Relief and to promote healthcare activities in the District to attain ‘HEALTH FOR
ALL’ BY 2000 A.D.
3. DEPUTY DIRECTORS :
Deputy Directors are Programme Assistants at the State Level for different National Programmes.
The Deputy Directors assist the Joint Directors and the Director in Implementing National
Programmes. They also supervise the programmes and submit periodical reports to all the concerned.
They also assist in training of the Staff in the concerned programmes where they are working.
4. PRINCIPAL, HEALTH & F.W.TRAINING CENTRE:
They are the Principals of Training Centres where in service staff are trained in various National
Programmes and on Administrative matters. They also take up training of Multi-purpose workers.
They also evaluate field activities and suggest remedial measures wherever necessary.
5. CHEMICAL EXAMINER:
Chemical Examiner is Incharge of Laboratory where Medico – Legal Samples are analysed, excise
samples are also analysed, (Chemical Extract of Trap Cases). He will also supervise laboratories of
Water Analysis, Food Analysis, and other regional laboratories in the State.
6. DEPUTY DIRECTOR (NUTRITION) :
The officer is Incharge of National Nutrition Monitoring Bureau. He/ She is the Programme
Implementing Officer in the nutrition Programme such as Nutritional Surveys, Training and
Education along with ICDS Programme, Goitre Control Programme , Prophylaxis against Vit ‘A’
deficiency.
7. HEALTH OFFICER Gr.’A ’(Jr):
He/ She is prompted from the cadre of Health Officer cum Asst. Surgeon on Seniority – Cum –merit.
He will be incharge of Community Health Centres where there are 30 beds or more. He will carry out
all activities connected to such Hospitals in providing Medical relief at the Dist. Head Quarters. Some
of them are Programme heads such as Family Welfare, Immunization and some of them are Incharge
of sub –divisions as Asst. Dist Health Officers where they coordinate all the activities of the district.
They assist the Dist. Health & F.W. Officers in implementing the programmes and also in day –to-
day administration.
8. PLANNING OFFICER :
There is no such post in the Directorate of Health & F.W Services at present. Now the post is
upgraded as Deputy Director (Planning). He will assist the Joint Director and Director on all the
activities connected with special component Plan, Tribal sub Plan, Dist. Annual Plan, Five year Plans,
K.T.P Programme etc., and Dist. Diabetic Control Programme in all the Districts, Malnad
Development and K.H.S.D.R.P Programmes.
9. STATISTICAL OFFICER Gr .I:
He will be In charge of Statistical Section namely, Bureau of Health Intelligence, as regards to
Collection of Data pertaining to the prevailing Health Conditions in the State, Forecasting of
Epidemics, Health Status of the Community and Providing Information of the required area wise
Health Status. Receiving , Compiling, Consolidating and Submission of Preparation of Annual
Administrative Reports, Status reports, Periodical Health Bulletins. He is statistically responsible to
collect Health Data on Health Check ups Programme, ‘SUSHRUSHA’ Programme etc.
10. HEALTH SUPERVISOR : HEALTH SUPERVISOR :
He is a Non – Medical Personnel promoted from the cadre of Health Assistant (M).He will supervise
the Field level Implementation of National Programmes, Assisting Training Programmes of Field
level Staff, help the Dist. Level and State level officers in Compiling Technical information, Review
Programmes and assist the programme officers in all the matters pertaining to the programmes
concerned.
11. HEALTH OFFICER CLASS I cum Asst. SURGEONS :
They are the Medical graduates working in various Health Institutions such as Primary Health Units,
Health Centres, Community Health Centres , Major Hospitals and also several other Institutions.
They provide clinical relief in the Institutions. They also implement various National Programmes in
the field. They supervise the activities of the field Workers. They provide preventive measures
against Communicable diseases. They implement the following activities:
 Health Education
 ICDS Control Programme
 Communicable Diseases
 Improve Environmental Sanitation
 Family Welfare and
 MCH Services.
12. Asst. NUTRITION OFFICER :

Assist the Deputy Director (Nutrition) in implementing the activities pertaining to State Nutrition
Bureau such as formulation of all Training Materials, Educational Materials, and Analysis Services.
13. TECHNICAL OFFICER GOITRE CELL:
Implementation of Goitre Control Programme, Organizing Goitre Surveys and Health Education
activities.
CHAPTER 6
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CHAPTER 7
FUNCTIONS, DUTIES AND RESPONSIBILTIES OF THE
DISTRICT NURSING SUPERVISOR (DNO)
FUNCTIONS, DUTIES AND RESPONSIBILTIES OF THE DISTRICT

NURSING SUPERVISOR (DNO):
1. The District Nursing Supervisor will assist the District Health & Family Welfare Officers in
Planning, Implementing and Evaluating FW & Maternal Child Health, Immunization and Nutrition
programmes undertaken in the Districts.
2. She will work in collaboration with other functionaries in the District Health and Family Welfare
Bureau like the Mass Media and Extension Officer, Health Education Officer, District Programme
Officers and Statistical Officer etc.
3. She will help in the Implementation of the Special Plan Schemes, Centrally Sponsored or otherwise
in particular like the Expanded Programme of Immunization, Training of Traditional Birth
Attendants (Dai's) and their active involvement in maternity and Child health, Family Planning
work, Prophylaxis against Nutritional deficiency diseases and all other National and State Level
Programmes etc.
4. He / She will take part in all relevant discussions concerning Health services in the Districts.
5. He/ She will recommend and give her suggestions to District Health and Family Planning Officer
whenever required about the MCH Staff regarding :
i. Placement of new Staff
ii. Disciplinary Actions
iii. Transfers
6. He / She will assist in the selection of candidates for Training of health Visitors (LHV / ANM’S /
HW (F) whenever she is called upon to do so.
7. He / She will participate with the Panchayat, Taluk and District level Committees in Co-ordination
with the relevant Health Staff at that level to actively push through all the Programmes of Family
Welfare, MCH, Nutrition and Immunization in the District.
8. He / She will Endeavour to improve the Quality of Services and Set Standards for Procedure s,
through Field Visits, Staff Conferences, Meetings of Various groups and make him /herself
available in all such Occasions for timely guidance.
9. He / She will seek, Promote and Encourage individual initiatives to effectively implement all the
above Programmes.
10. He / She will work together with the Functionaries of other Government Departments like Social
Welfare, Rural Development and Education etc. engaged in Programmes for Women and Children.
11. He / She will Co-ordinate Maternity and Child Health, Family Planning activities undertaken
through the Voluntary Organizations in the district and to provide Health Inputs to the extent
possible for Mothers and Children organized in Balawadi’s, Anganawadi’s, Supplementary Feeding
Centres. etc.
12. He / She will Co-ordinate Maternity and Child Health, Family Planning Camps, and help with the
Organization and Planning aspects, and see to it that perfect aseptic measures and Precautions are
implemented.
13. He / She will help in Organizing Ante-Natal and Well –Baby –cum –IUD clinics in Primary Health
Centres, Subcentres, and other Medical Institutions.
14. He / She will attend Monthly Conferences at Primary Health Centres and District level.
15. He / She will give Technical guidance , Supervision and Support to all the ANM’s/ Health Workers
(M& F) , Lady Health Visitor (LHV’s)/HA (F) / Public Health Nurse Working in Maternity Child
Health and Family Planning Programme in the District and review the annual confidential reports in
the respect of these functionaries.
16. He / She will ensure regular Supply of equipments, Records registered drugs, Vaccines and other
Sundries necessary for Maternity and Child Health Work in the Primary Health Centres and Sub
centers by assisting in Procuring, Storing, Distributing and Reporting.
17. He / She will submit Tour programmes and Diary Report regularly.
18. He / She will check Kit boxes and Emergency Kits regularly reporting the missing pieces and
arranging timely replacements.
19. He / She will see that Iodine, lotions, Spirit, Boric powder, Cotton gauze and Soap are replaced in
the Kits from time to time.
20. He / She will ensure that ANM’s/ HW( F) , LHV’s/HA (F) integrate Maternity and Child Health,
Family Planning and Health and Nutrition Education in their day to day activities.
21. He / She will investigate into complaints against Female Para-medical Personnel in the District and
submit report / recommendation to the Dist. Health & FW officer.
22. He / She will tour for a minimum 20 days in a month, Visit Primary Health Centres, Subcentres,
Village Dai’s, Balawadi’s, Mahila Mandals etc. according to an advance programme duly approved
by Dist. Health & F.W. Officers.
23. He / She will attend to Teaching and guiding domiciliary Services.
24. He / She will Promote Health and Nutrition education activities through the Lady Health Visitor
(LHV’s), Auxiliary Nurse Midwives (ANM’s), HW(F) by providing them with talking points and
printed materials produced by various agencies.
25. He / She will help develop School Health Programmes in the District.
26. He / She will give lectures to Lady Health Visitor / HA(F), Auxiliary Nurse Midwives(ANM’s)/
HW (F) trainees regarding implementation of Maternity and Child Health , Family Planning
Programme.
27. He / She will give close guidance and Supervision while trainees are having their Urban /
RuralDomiciliary Field Experience.
28. He / She will play a key role in the Dai’s Training Programme in selection, Organizing and
Participating in the actual Teaching Program.
29. He / She will arrange and Conduct adhoc training to newcomers in the PHC area.
30. He / She will give special attention to the training and guidance of workers who show consistently
poor performance.
31. He / She will hold short Refresher Courses in small batches by way of In service Training and
provide continuing Education to the Female Maternity and Child Health Family Planning
functionaries in the district through short in –service training Courses.
32. He / She will collect and compile the following reports required by Govt. of India :
i. Maternity and Child Health Institution Reports.
ii. Monthly Immunization and Prophylaxis Reports
iii. Quarterly Immunization and Prophylaxis Reports
33. He / She will assist in research projects.
34. He / She will attend to any other duty assigned by District Health and F.W. Officers or any other
Superior officers.
CHAPTER 8
1. JOB DESCRIPTION OF DISTRICT HEALTH EDUCATION OFFICER / DISTRICT
MASS EDUCATION AND INFORMATION OFFICER
WORKING RELATIONSHIP
The District Health Education Officer works under the Administrative Control of the District
Health and FP Officer and will also receive technical guidance and direction from the State Mass
Media Wing and the State Health Education Bureau. All the matters relating to Health Education
will be routed through him to the District Health and FP Officer. He is the technical assistant to
the District Health and FP Officer in all Health and Education Matters.
DUTIES AND FUNCTIONS:

1. Plan and Co-ordinate all the Health education activities in the district in collaboration with
Official and Non - official agencies.
2. Determine the relative applicability of the different communication Methods including the
Tradition Media, in relation to local circumstances and ensure through feed back to AIR,
State Health Education Bureau, State Mass Media Wing.
3. Guide the Block Health Educator in preparing talking points.
4. Assess the needs of the educational Equipment and materials and arrange for their
procurement / Production, Maintenance, Distribution and Utilization in Primary Health
Centre's.
5. Identify prevailing problems, assist in working out solutions thereto and provide regular
feedback.
6. Plan alternate approaches in Health Education and arrange for extra inputs through different
media depending upon the needs.
7. Develop one Primary Health Centre as a field study demonstration area in the District,
preferably near to the District Headquarters.
8. Assist the State Health Education Bureau and the Mass media wing in conducting studies.
9. Arrange and Conduct in -service training ( Job Orientation) to the newly appointed field
staff making use of the available Field study and Demonstration area.
10. Identify special groups such as Factory Workers, Plantation Labourers', Govt. Employees,
and Teachers etc. and conduct Orientation Training involving Medical Officers of Health
and Para - Medical Workers of the Primary Health Centers.
11. Organize Education Campaigns on occasions such as Epidemics, Family Planning,
Immunization etc. in the District.
12. Organize Exhibitions and Cultural Programme's at important centers during special
occasions such as Festivals, Fairs etc.
13. Supervise and Guide the District Health Education Officers and Block Health Educators.
14. Arrange for Quarterly Meeting of the Block Health Educators at the district under the
chairmanship of Dist. Health Officer and Family Planning Officer.
15. Tour at least 15 days in a month and make ten nights halts.
16. Visit each PHC at least once in three months.
17. Any other work entrusted from time to time in the interest of implementation of Health
Programme's.
18. Assisting in the implementation and Monitoring of all National and State Health
Programmes pertaining to IEC / BCC activities.
19. To arrange programme oriented film show programmes in the Identified Village level at
least once in a month.
20. Any other work entrusted by the District Health Officer (DHO) / Deputy Health Education
Officer (Dy.HEO) from time to time as and when required
2. JOB DESCRIPTION OF DEPUTY HEALTH EDUCATION OFFICER ( MALE & FEMALE)

- At present designated as DISTRICT EXTENSION EDUCATOR
WORKING RELATIONSHIP :
 He /She will be under the Administrative controls of the Dist. Health and F.P. Officer. But
all the administrative matters will have to be routed through the Dist. Health Education
Officer.
 He / She will receive Technical guidance and direction from the Dist. Health Education
Officer.
 The Deputy Health Education Officer (Male) will supervise and guide the Health Education
activities of Male Health Workers and their Supervisors.
 Deputy Health Education Officer ( Female) will supervise and guide all the Health Education
activities of Female Workers and their Supervisors.
 Assisting in the implementation and Monitoring of all National and State Health Programmes
pertaining to IEC / BCC activities.
 To arrange programme oriented film show programmes in the Identified Village level at least
once in a month.
 Any other work entrusted by the District Health Officer from time to time as and when
required.

1. Establish and Maintain close functional relationship with various development departments
at district level so that their administrative support may reach the Extension workers at
Block level.
2. Attend Staff meetings of Various development departments whenever required so that
opportunities of Integrating Health and Family Planning, component with other
programme's can be identified and utilised.
3. Assist in solving educational problems faced by the field staff at Block level.
4. Establish and Maintain close and functional relationship with the Dist. Development /
Council, Voluntary Organisation, Social Institutions, Non - Governmental Organizations
(NGO's) such as Professional Religious Organizations, Political Organizations,
Occupational groups, Labour Organizations, Women's Organizations etc. at the District
level and integrate Health and FP Educational activities with their Programme's.
5. Identify Influential leaders, Social Workers at the District level whose involvement in
Health and Family Planning Programme may Expedite its implementation and organize
educational Programme's in close collaboration with them.
6. Ensure supply of educational materials to the Primary Health centres and train them in their
use.
7. Guide the PHC staff in Planning, Implementation and Evaluation of Educational activities.
8. Assist the Medical Officer of Health, PHC in training under Multipurpose Workers scheme.
9. Assist the Dist. Health Education Officer in Periodical Evaluation of the effectiveness of the
educational Programme's.
10. Assist the Dist. Health Education officer in developing the Field Study Demonstration Area.
11. Assist in preparing the quarterly work, Plan for Health educational activities in the District
in Consultation with the Block Health Educator at the time of quarterly meetings.
12. Attend the Primary Health Centre meetings from time to time in order to acquaint himself /
herself with the Field.
13. Visit each Primary Health Centre's area at least once in three months to ensure
implementation of Health Education activities.
14. He / She will tour a minimum of 15 days in a month and make ten night halts.
15. He / She will attend to any other duty entrusted in the interest of implementation of the
Programme.
18. Any other work entrusted by the District Health Officer (DHO) / Deputy Health Educator
(Dy. HEO) from time to time as and when required.
3. JOB DESCRIPTION OF BLOCK HEALTH EDUCATORS

- At present designated as BLOCK EXTENSION WORKERS
 Block Health Educator will function under the administrative control of the Medical
Officer of the Primary Health Centre (PHC). However he would receive all the
Technical guidance from the staff of the Dist. Health Education unit of the district
concerned.
1. Plan and arrange Educational Programme's in the area.
2. Guide Field workers both male and female in their educational work and help them solve
their problems through regular and frequent Field visits.
3. Assist the Medical officer, of PHC in all the Training Programmes.
4. Establish and Maintain close working relationship with the various block agencies, Taluk
Development Boards, Village Panchayats, Voluntary Organizations and other Social
Institutions such as Functional Literacy Classes, Adult Literacy Classes, Youth clubs,
Mahila Mandals, C.D. Information Centre's, Charcha Mandals, etc. and integrate Health
and Family Planning Education in their activities.
5. Attend Staff meetings as well as other important meetings of related developmental
agencies for Coordinating Health and F.P educational activities with their activities.
6. Identify influential local leaders and Social Workers whose support may expedite
promotion of Health & F.P. Programme's and organize such programme's in collaboration
with them.
7. Arrange Procurement and Maintenance of educational equipment and Materials on
Health & Family Planning and ensure proper use of them by Health, FP, and other
departmental workers.
8. Provide Field liaison for Mass media oriented activities w.r.t Health and Family
Planning Services and assist in the local production of Media Programmes.
9. Assist in the Preparation and execution of enlisted Programmes of Dist, State by the
Central Educational Teams.
10. Arrange adequate follow - up visits wherever educational programme have been held by
the Govt. or Voluntary Organizations / Social Workers so that the service needs of the
community are met as for as possible.
11. Send regular Monthly reports to the Dist. on educational activities and the problems faced
by the field staff through proper channels.
12. Send regular reports to the District on experiences of field work of other development
various departments as far as they relate to Health and FP through proper channels.
13. Send regular reports to the District, on the reactions of the public to the educational
activities.
16. Any other work entrusted by the District Health Officer ( DHO) / Deputy Health
Educator (Dy.HEO) from time to time as and when required
4. JOB DESCRIPTION OF BLOCK EXTENSION EDUCATOR

The Block Extension Educator will function under the Technical Supervision and Guidance of
the Dist. Extension Media Officer. However, he would be under the immediate administrative
control of the Medical officer I /C PHC. He will be responsible for providing support to all
National Health & Family Planning Programmes in the PHC, but his main function will be
related to the Promotion of FW & MCH Programmme's.

1. He will have with him all information relevant to the development activities in his Block,
particularly concerning Health& Family Welfare , and utilize the same for Programme
Planning.
2. He will develop his work plan in consultation with the Medical Officer of his PHC and
the concerned Dy. Dist. Extension Media Officer.
3. He will collect, Analyze and interpret the data in respect of Extension Education work at
the Block level.
4. He will be responsible for regular maintenance of all records of educational activities,
Tour Programmes, Daily Diaries and other registers, and ensure preparation and display
of relevant Maps and Charts in the PHC.
5. He will assist the Medical officer I/C , of PHC in Conducting Training Programmes for
Health Workers under various schemes.
6. He will be member of the local block level Family Welfare Committee and act as a
resource person
7. He will assist the Block Medical Officer / M.O of PHC in ensuring the proper functioning
of all Committees in the catchment area of the PHC.
8. He will organize Orientation Training for Health & Family Welfare workers, opinion
leaders, local Medical Practitioners, School Teachers, Dai's and others involved in
participating in Health & Family Welfare Work.
9. He will organize Mass Communication programmes, like film shows, exhibitions,
lectures and dramas with the help of Dist. Extension Media Officers.
10. He will monitor the Preparation and Updating of eligible couples registers in the PHC
area and alert the MO PHC of any deficiency existing so that correcting measures can be
taken immediately.
11. He will be squarely responsible for all educational, motivational and communication
Programme's in the PHC area and his efficiency will be assessed on his output as far as
these activities are concerned.
12. He will supervise the work of the Field workers in the area of Education and Motivation
13. He will supply educational material to the Health workers in MPW districts and to
FPHA'S in the non MPW districts.
14. He will tour for 15 days in a month with a minimum of one night halt in every field
worker's area.
15. While on tour he will also check the available stock of conventional Contraceptives with
the Depot Holders and the Kit with the MPW'S and other Health functionaries.
16. He will help filed workers in winning over resistant cases and drop -outs.
17. He will maintain a complete set of educational aids for his own use and for Training
Purposes.
18. He will Organize Population and Health Education sessions in schools and for out - of
school youth.
19. He will maintain a list of Prominent acceptors of Family Welfare Methods and Opinion
leaders village - wise and try to involve them in the promotion of Health & Family
Welfare Programme's.
20. He will prepare a monthly report on the progress of educational activities in the Block
and send it to the District EMO.
23. Any other work entrusted by the District Health Officer(DHO) / Deputy Health Educator
(Dy.HEO) from time to time as and when required.
CHAPTER 9
MICROBIOLOGISTS
GOVERNMENT OF KARNATAKA
Office of the Project Director (IDS)
Directorate of Health & F.W.Services,
Ananda Rao Circle, Bangalore -560009
No. PD / IDS/ 84/ 2005 -06 Date : 19 – 1-2006
OFFICIAL MEMORANDUM
SUB: Duties and Responsibilities of Micro Biologists – Reg.

REF: 12th State Level Surveillance Committee Meeting held on 29th -11-2005.
……………………………………………………………………………………………………………
Duties and Responsibilities of Micro Biologists (Job Chart) formulated by the Directorate of
Health & Family Welfare Services; Bangalore has been approved in the 12th SLSC Meeting chaired by
the Principal Secretary to Government, Health & F.W. Department and the members of the committee.
The 15 point job chart (Copy enclosed) of the Microbiologist should be strictly implemented by the
concerned authorities for the effective functioning of Laboratory Services.
TO,
The District Health & F.W.Officer ……………… Districts.
The District Surveillance Officer, District Surveillance Unit ……………… Districts.
The Micro Biologists for Information.
DUTIES AND RESPONSIBLITIES OF DISTRICT MICROBIOLOGISTS
1. To assist the District Surveillance Officer in Investigation of diseases and Co-operate with all
the activities of the District Surveillance Unit.
2. To actively participate during an Outbreak / Epidemic / Pandemic in the Investigations.
3. To Co-ordinate with the Rapid Response Team( RRT).
4. To monitor Lab equipments i.e., Proper maintenance of Laboratory Equipments / Instruments
/ Article and also to oversee replenishment of Laboratory items in time.
5. To Co-ordinate in the District Inter Departmental Co-ordination Committee Meetings.
6. To supervise Lab. Technicians Work under Microbiological Investigations like Urine, Stool,
Blood, Sputum, Water Examinations Culture etc. in the District and District Surveillance
Units.
7. Training of Technicians / Technologists / Para Medical Staffs / Anganawadi Workers /
ASHA’s regarding the technical aspects and to act as Trainers in the District level in the
preparation of Media and Supply to the Sub ordinate Institutions.
8. Supervision and Guide of the Laboratory Work in the Districts and ensure deliver of quality
Laboratory Services as per the Prescribed Standard Operating Procedures( SOP)
9. Supervise the Works of the Laboratory in the Primary Health Centre / CHC/ Taluk
Hospitals / District Hospital / General Hospital.
10. Collection, Interpretation, Compilation and Consolidation of the reports and submit to
the Project Director (IDS), Directorate of Health & Family Welfare Services.
11. Monitoring and Supervision of disposing of Solid Biomedical Waste in the Laboratory
and Hospitals.
12. To prepare annual action plan regarding the Logistic requirements for various
Investigations, Control measures to prevent various outbreaks.
13. Follow strictly the circulars and instructions as and when they are sent by the Directorate
and give feedback.
14. Maintain Advance Tour Programme and Diaries.
15. Maintenance of Records and Registers.
16. Any job assigned by the DSO / District Health & FW Officer regarding Microbiology
Works.
17. To have a data base of all laboratories in the state and their functional.
18. To assess the laboratories at different levels and monitor the test and quality performance
19. To arrange for training of laboratory personal at Public Health Institute and other referral
laboratories /Public Health Laboratories.
20. Guiding the staff under national programs involving laboratories performing
microbiological investigations.
21. Planning for up-gradation of the District level laboratories phase wise with regard to
equipment, and budget.
22. Monitoring the performance of District laboratories
23. Guiding the District Microbiologists to assess the Sub District level labs facilities and
functioning.
24. Planning for external quality assessment of all district level laboratories for microbiology
tests.
25. Identifying the risk areas for communicable diseases other than vector borne diseases and
planning for laboratory surveillance.
26. Regular visits to the functional laboratories and submission of report
27. Always wear Prescribed Uniform while on duty.
28. Any other Laboratory work entrusted by the District Health Officer / Medical
Officer / Lady Medical Officer / Administrative Medical Officer / District Surgeons/
District Surveillance Officer / Taluk Health Officer.
Project Director(IDS )
Directorate of Health & F.W Services,
Ananda Rao Circle,
Bangalore -560009
Sd /-
Director,
Health & Family Welfare Services.
CHAPTER 10
FOOD ANALYSTS
PREVENTION OF FOOD ADULTERATION ACT, 1954
OBJECTIVE : Prevention of Food Adulteration Act is to catch hold of the real Offenders who
adulterates and not the persons who purchases the articles of Food which are used in the preparation of
Meals etc. In case such persons are Convicted, it may result into miscarriage of Justice. Therefore , the
petitioner deserves the benefit of doubt and he is acquitted of the charges framed against him.
{ Harbans Lal vs. State of Haryana : PUNJAB & HARYANA HIGH COURT - 1999 (2) FAC 176 }
ANALYSIS OF FOOD
I. PUBLIC ANALYSTS
The Central Government or the State Government may, by notification in the Official Gazette, appoint
such persons as it thinks fit, having the prescribed qualifications to be Public Analysts for such local areas
as may be assigned to them by the Central Government, as the case may be :
 Provided that no person who has any financial interest in Manufacture, Import or Sale of any article
of food shall be appointed to be a Public Analyst under this section.{ Substituted by ACT 49 of 1964
Section 5, for Sub – section 8and 9 w.e.f 1-3-1965}
 {Provided further that different Public Analysts may be appointed for different articles of food. –
Inserted by ACT 34 of 1976,Section 7 w.e.f. 1-4 -1976] }
1. STATUTARY DUTY: Mere breach of an expectation from or even a Statutory Duty by the Public
Analyst would not initiate the trial of an accused unless such breach is shown to have caused
prejudice to him.
{( Rameshwar vs. State of Rajasthan High Court - 1997 (1) FAC 254 )
II. FOOD INSPECTOR :
1. The Central Government or the State Government may, by notification in the Official Gazette,
appoint such persons as it thinks fit, having the prescribed qualifications can appoint to the post of
Food by them by the Central or State Governments.
 Provided that no person who has any financial interest in Manufacture, Import or Sale of any article
of Food Inspector shall be appointed to be a Public Analyst under this section.{ Substituted by ACT
49 of 1964 Section 5, for Sub – section 8and 9 w.e.f 1-3-1965}
i. Every Food Inspector meaning Section 21 of the officially Sub ordinate to such extent as specified
in this behalf. {Substituted by ACT 40 }.
ii. a.) Has been declared qualified for appointment as a Public Analyst by a Board appointed and
notified under clause (2) of this Rule, prior to commencement of the Prevention of Food
Adulteration (Amendment) Rules, 1995 or
b.) Has been declared qualified for appointment as a Public Analyst by a Board appointed and
notified under clause (2) of this Rule up to the Period of [ 31st March, 1999].
shall be eligible for appointment as Public Analyst, even though he does fulfill the qualification
laid down in Clause (1).
III. DUTIES OF PUBLIC ANALYST :
1. On receipt of a Package containing a Sample for analysis from a Food Inspector or any other
person, the Public Analyst or an Officer authorized by him shall compare the seals on the Container
and the outer cover with specimen impression received separately and shall note the Condition of the
seals thereon.
[ Provided that in case the Sample Container received by the Public Analyst is found to be in broken
condition or unfit for analysis he shall within a period of seven days from the date of receipt of such
sample inform the Local (Health) authority about the same and send requisition to him for sending
second part of the Sample.]
2. The Public Analyst shall analyze such samples of articles of food as may be sent to him by Food
Inspector or by any other person under the Act.
1a [3. The Public Analyst shall within a period of [forty days] from the date of receipt of any sample
for Analysis 1b [send by registered post or by hand] to the Local (Health) Authority shall give a
report of the Analysis as in Form III.:
Provided that where any such samples does not conform to the provisions of the Act or these rules,
the Public Analyst shall [ send by registered post or by hand] four copies of such report to the said
Authority
Provided further that the Public Analyst shall forward a copy of such report also to the person who
purchased an article of Food and forwarded the same to him for Analysis under section 12 of the
Act.]
1 [Note: In case of sample received under the Proviso of Rule 7 (1) or Rule 9 -A, the period of forty
days shall be counted from the date of receipt of the second part of the sample .]
SHORT NOTES
1. RULE 7(3) is only directory and not Mandatory - Rule 7(3) is only a procedural provision meant to
speed up the process of Investigation on the basis of which the Prosecution has to be launched. No
doubt, sub -section (2) of Section 13 of the Act.
--------------------------------------------------------------------------------------------------------------------------
1. Inserted by Notification No.GSR 91 (E), dated 24 -2-1995 [w.e.f .24 - 8-1995] as corrected by GSR
711(E) dated 2 -11-1995.
2. Substituted by Notification No.GSR 175 (E) dated 6 -4-19998
1.a. Substituted by Notification No.GSR 4 (E), dated 4 -1-1977 (w.e.f. 4 -1 -1977)
1.b. Substituted by Notification No.GSR 422 (E), dated 29 -4-1987
2. Substituted by Notification No.GSR 500 (E), dated 9-7-1984.

CHAPTER 11
SENIOR & JUNIOR PHARMACISTS

Subject : Duties and Responsibilities of Junior and Senior Pharmacists in the Department of
Health and Family Welfare Services description.
Read : Letters No. HPR / 11/ 88-89 dated 19/ 01/ 1989 and 22/ 05/ 1992 of the Director of
Health and Family Welfare Services, Bangalore.
Preamble :
Government by its order No.HFD 248 PTD 79 dated: 26 / 3/ 1980 read with Order
No.HFW 195 PTD dated 7- 1-1986 has prescribed the duties and responsibilities of Pharmacists
working in the Department of Health & Family Welfare Services. The Director of Health &
Family Welfare Services, Bangalore has reported vide. His letter read above that due to change
in the Concept of Health and Medical Administration, Nature of demand for the services of
Pharmacists by involving them also in various Health Programme activities keeping in view the
objective of Achieving “Health for All” by 2000 A.D.
He has further stated that the Job –Chart issued in the above said Government
Orders has not differentiated the Cadres of Junior Pharmacists. Junior Pharmacists Association
has been reportedly pleasing to specify distinction between the two Cadres in their duties and
Responsibilities. Keeping in view the above aspects and also the educational background of the
Pharmacists the Director has forwarded as a Chart enumerating the duties and responsibilities
that could be assigned to Junior and Senior Pharmacists for better utilization of their services and
has sought approval of the Government for the same.
The proposal of the Director of Health & Family Welfare Services, Bangalore, has
been examined and the following order is issued.
ORDER NO. HFW 336 HSM 89 Dated : 19TH March 1991
Government in super session of its earlier Orders No.HFW 248 PTD 79 dated : 26 / 03/ 1980
and No.195 PTD 85 dated 7 -1-1986, is pleased to direct that the duties and Responsibilities of
Junior Pharmacists and Senior Pharmacists working in the Department of Health and Family
Welfare Services , can be as enumerated in the chart appended to this order with immediate eff
By Order and in the Name of Governor of

Karnataka
(D.S. MURALI KRISHNA)
Health & Family Welfare Department
ANNEXURE TO GOVERNMENT ORDER NO.336 HSM 89
DATED 19TH MARCH 1997
i. DUTIES AND RESPONSIBILITIES OF JUNIOR PHARMACISTS & PHARMACISTS
1. The Junior Pharmacists shall work under the Control of the Senior Pharmacists, whenever the
service of Senior Pharmacist are available, under the overall Control of Resident Medical
Officer / Administrative Medical Officer / Chief Pharmacist as the case may be.
2. The Junior Pharmacists shall discharge all the Duties and Responsibilities if the Senior
Pharmacist, in such Institution where the services of the Senior Pharmacists are not available,
under the Control of the Administrative Medical Officer / Resident Medical Officer / Chief
Pharmacist as the case may be.
ii. DUTIES AND RESPONSIBILITIES OF SENIOR PHARMACISTS
1. The Senior Pharmacist shall work under the Control of the Administrative Medical
Officer / Resident Medical Officer / Chief Pharmacist as the case may be.
2. He/ She shall work in the following Sections of the Hospital:
a. Main Stores
b. Sub – Stores
c. Dispensary
d. I.V. Fluid Manufacture Sections
a. MAIN STORES :
1. He/ She shall perform all the responsibilities necessary for the updated Maintenance of the
following Records and Registers under the Control of Administrative Medical Officer /
Resident Medical Officer / Chief Pharmacist, as the case maybe:
i. Indents for Procurement

ii. Day Book of Receipts
iii. Inventory Stock Books
iv. Drugs & Chemicals Issue Registers
v. BIN’s Card / Shelf Card
vi. Expiry Date Register
vii. Adverse Drug Reaction Register
viii. Drug Sampling and Test Reports
ix. Inspection Books
x. Records of Demand and Supply
xi. Scheduled (H) Drugs
xii. Vaccine Stock Register
xiii. Miscellaneous Register
b. SUB –STORES:
1. He /She shall perform all the responsibilities necessary for the updated Maintenance of
the following Records and Registers under the guidance of Administrative Medical
Officer / Resident Medical Officer / Chief Pharmacist, as the case maybe.
i. Indent Register
ii. Drugs & Chemicals Issue Registers
iii. BIN’s Card / Shelf Card
iv. Inventory Register
v. Adverse Drug Reaction Register
vi. Inspection Books
vii. Expiry Date Register
viii. Statistical date of Demand and Supply of all Drugs
ix. Scheduled (H) Drugs
x. Any other Register.
c. DISPENSARY
1. He/ She shall perform all the responsibilities necessary for the updated Maintenance of
the following Records and Registers under the guidance of Administrative Medical
Officer / Resident Medical Officer / Chief Pharmacist, as the case maybe.
i. Indent Register
ii. Issue Registers
iii. Master Formula Chart for Various Preparations
iv. Statistical date of Demand and Supply of Drugs/ Chemicals
v. Disease Statistics (As per the G.O. No. HFW 195 PTD 85 dated : 7/1/1986).
vi. Statistics related to Snake & Dog Bites.
vii. Display of available Drugs in the Health facility for the Public reference.
d. I.V. FLUID MANUFACTURING SECTIONS :
1. He /She shall perform all the responsibilities necessary for the updated Maintenance of the
following Records and Registers under the guidance of Administrative Medical Officer /
Resident Medical Officer / Chief Pharmacist / Graduate Pharmacist as the case maybe.
i. Preparation of Labels.
ii. Label Consumption Date.
iii. Issue Register of I.V.Fluids
iv. Receipts register of Returned empty bottles from the Wards/ Units and other Indenting
Institutions.
v. Log Book of Machinary Operations for all Machinaries.
2. In all the Registers and Records He / She shall identify each entry of the Drugs with their
Standards, Strength, Batch Number, Expiry Date and Make besides with other Information
specially required and instructed by the Controlling and / or Inspecting Officers.
3. He/ She shall verify in random all the items newly received with respect to :
1. Order Placed
2. Label Specifications
3. Volume :
4. Weight:
5. Quantity by count / Measurement with respect to the Label claims for Consistency /
Uniformity etc.,
4.
a. He / She shall carry out certain Qualitative simple Physiochemical Tests to ascertain the
quality of Drugs and maintain a record of such works and submit his Observations to the
Chief Pharmacist / Resident Medical Officer / Administrative Officer as the case maybe
indicating the actions to be taken.
b. He / She shall submit the Proposal for details w.r.t the Testing of the Drugs found failing
to pass the Qualitative tests.
5.
i. He / She shall maintain the entire Storage area in Clean, cool & Hygienic Conditions.
ii. He shall Maintain the Stocks in an order and in such a way that no item is stored
unduly in excess.
iii. He shall follow the specified storage condition for each drug which losses potency
during Storage.
iv. He shall keep all “POISONOUS DRUGS, EXPENSIVE DRUGS, NARCOTIC &
PSYCHOTROPHIC DRUGS” separately under lock and Key as per the Technically
viable Administrative decisions.
6.
i. He / Shall prepare the indents for Procurement / Indent., after obtaining the
requirements from the Medical Officers from the various units recommended by the
Therapeutic Committee in the Hospital and based on the Statistical data of Demand and
Supply of each item well in advance.
ii. He / She shall prepare only the need based indents so that neither Scarcity nor Wastage
occurs.
iii. In case of doubtful drugs, Samples should be sent to the Drug Controller through the
Drug Inspector for Qualitative Analysis.
7. He / She shall prepare the Annual Expenditure Programme within the following
limitations:
i. Needs of Emergency Drugs, Life Saving Drugs and essential Drugs and OPD / IPD
Drugs which should be available throughout the year and needs of desirable drugs /
Chemicals etc.
ii. Storage Capacity
iii. Budget available
iv. Demand
8. While in I.V. Fluid Manufacturing Section of the Hospital Pharmacy, he shall assist the
Chief Pharmacist / Graduate Pharmacist in Manufacturing and Testing including Animal
House Maintenance.
9. In the Dispensary, He / She shall carryout the work as under :
a. He / She shall prepare the mixture as per the Master Formula/ National Formula of
India/ Prescription.
b. He / She shall dispense the Drugs / Chemicals as per the Prescription and explain to the
Patient / Attendant the full Drug Dosage / Timings / Regimen and Therapeutic discipline
to be followed during the Therapy.
c. The drugs like Tablets, Capsules etc., should be neatly packed and the “Name” and
Dosage in Non- Verbal’ form should be mentioned on the packet before dispensing.
d. He / She shall bring it to the notice of the prescriber any interacting Combinations / Over
Dosages / History of Sensitivity of the Patient known to him, which might have been in
advertantly crept in, without alarming the Patient, in the best interest of the Patient and
Therapy. It should be noted that such information’s are not blinding on the prescriber.
10.
a. He / She shall participate in various Health Education Programme of the Institution.
b. He / She shall participate in the Therapeutic Assessment of the Quality of the Drugs
available in the Hospital.
11.
i. He / She shall attend to emergencies in the absence of the Medical Officer as for as
rendering First Aid and give medicines for Common Ailments are concerned.
ii. He / She is also permitted to dispense the OPD Drugs for Common Ailments without
Prescription in the absence of the Medical Officer.
iii. He / She shall keep a record of all such activities and report to the Medical Officer at
the very first Opportunity without fail.
12. He shall attend to any other Institutional Pharmaceutical Work, as maybe assigned to
him by the Administrative Medical Officer / Resident Medical Officer/ Chief Pharmacist
as the case maybe, in the interest of the Public Services.
13. Always wear prescribed uniform while on duty.
14. He / She shall attend to any other Institutional Pharmaceutical work, as assigned to him /
her by the Medical Officer / Resident Medical Officer / LMO / AMO / District Surgeon,
as the case maybe, in the interest of the Public Services.
(D.S. MURALI KRISHNA)
Health & Family Welfare Departmen

CHAPTER 12
JOB RESPONSIBILITIES OF STAFF OF THE

PRIMARY HEALTH CENTRE
Note : Under the MPW Scheme, One Health Worker (Male) and One Health Worker (Female)
Are expected ultimately to cover a Population of 5,000 (3,000 in Tribal and Hilly areas).
11.1 JOB RESPONSIBILITIES OF HEALTH WORKER MALE
i. The Health Worker Male will make a visit to each family once in a fortnight.
ii. He will record his visit on the Main entrance to the house according to the instructions of
the State / UT.
1. MALARIA:
1.1 From each family, he shall enquire about
i. Presence of any fever cases.
ii. Whether there was any fever case in the family in between his fortnightly visits.
iii. Whether any guests had come to the family and had fever.
iv. Whether any member of the family who had fever in between his fortnightly visit had left
the village.
1.2 He shall collect Thick and Thin Blood Smears on one glass slide from cases having
fever or giving history of fever and enter all the details in MF -2 and put appropriate
serial number on the slide.
1.3 He shall give presumptive treatment for Malaria after Blood Smear has been collected.
He will follow all the instructions given to him regarding administration of
Presumptive treatment under NMEP.
1.4 He shall Contact the Village Health Guide during his fortnightly visit to the village and
i. Collect blood smears already taken by the village Health Guide
ii. Also collect details of each case in MF-2
iii. Replenish both drugs and glass slides and look into the account of consumption
of Anti Malarial Drugs
1.5 He shall dispatch blood smears along with MF -2 collected from the Village Health
Guide / Multi Purpose workers Female of the Sub centre and also collected during his
visit in his area to the PHC Laboratory twice a week, or as instructed by the Medical
Officer ,PHC.
1.6 He shall verify the radical treatment administered by the Health Guide, if any, during
his visit.
1.7 He shall administer radical treatment to the Positive cases as per the Drug Schedule
prescribed and as per the instructions issued by the Medical Officer, PHC and take laid
down action if Toxic Manifestations are observed in a patient receiving radical
treatment with Primaquine.
1.8 He shall intimate each household in advance regarding the date of Spray on the basis of
advance Spray Programme given to him and explain simultaneously the benefit of
Insecticidal Spray to the Villages.
1.9 He shall contact the village Health Guide and inform him of the Spray dates and
request him to motivate the Community and prepare them for accepting the Spray
Operations.
1.10 Assist the Health Assistant Male in supervising Spraying Operations and Training of
Field Spraying staff.
2. COMMUNICABLE DISEASES
2.1 Identify all cases Diarrhoea / Dysentery , Fever with rash, Jaundice, Encephalitis,
Diphtheria, whooping cough and Tetanus, Acute eye Infections and notify the Health
Assistant Male and M.O.PHC immediately about these cases.
2.2 Carry out Control measures until the arrival of the Health Assistant Male and assist
him in carrying out these measures.
2.3 Give Oral Rehydration Solution to all cases of Diarrhoea / Dysentery / Vomiting.
2.4 Educate the Community about the importance of Control and Preventive measures
against Communicable diseases and about the importance of taking regular and
complete treatment.
2.5 Identify and Refer cases of Genital Sore or Urethral discharge or Non – itchy rash over
the body to the Medical Officer.
2.6 Identify and refer all cases of Blindness including suspected cases of cataract to
M.O.PHC.
2.7 Report the presence of Stray dogs to the Health Assistant Male and assist him in
carrying out the destruction of Stray dogs.
3. LEPROSY
3.1 Identify cases of Skin patches, especially if accompanied by loss of Sensation and take
Skin smears from these cases. Refer these cases to M.O PHC for further Investigations.
3.2 Check whether all cases under treatment for Leprosy are taking regular treatments.
Motivate defaulters to take regular treatment and bring them to the notice of the Health
Assistant male.
4. TUBERCULOSIS
4.1 Identify persons especially 15 years and above with prolonged cough or spitting of
blood and take Sputum smears from these individuals. Refer these cases the MO PHC
for further Investigations.
4.2 Check whether all the cases under treatment for Tuberculosis are taking regular
treatment. Motivate defaulters to take regular treatment and bring them to the notice of
the Health Assistant Male.
4.3 Educate the Community on various Health education aspects of Tuberculosis
Programme.
4.4 Assist the village Health Guide in undertaking all the activities under TB Programme
properly. Provide the list of the TB patients living in a village to the Village Health
Guide so that he is further able to motivate the TB patient in taking regular treatment.
5.1 Chlorinate Public Water Sources including wells at regular intervals.
5.2 Educate the Community on
a. The method of disposal of liquid wastes
b. Method of disposal of Solid wastes
c. Home Sanitation
d. Advantage and use of Sanitary type of latrines
e. Construction and use of smokeless chulahas.
6.1 Administer DPT Vaccine, Oral Poliomyelitis Vaccine, Measles Vaccine( where
available) and BCG Vaccine to all infants and children in his area in collobartion with
Health Worker Female.
6.2 Assist the Health worker Female in administering Tetanus Toxoid to all pregnant
Women.
6.3 Assist the Health Assistant Male in the School Immunization Programme.
6.4 Educate the people in the Community about the importance of Immunization against
various Communicable diseases.
7. FAMILY PLANNING
7.1 Utilize the Information from the eligible Couple and Child register for the Family
Planning Programme.
7.2 Spread the message of Family Planning to the couples and motivate them for Family
Planning Individually and in groups.
7.3 Distribute conventional contraceptives to the couples.
7.4 Provide facilities and help to prospective acceptors of Sterilization in obtaining the
services, if necessary by accompanying them or arranging for the Health Guide to the
accompany them to the PHC / Hospital.
7.5 Provide follow- up services to Male Family Planning Acceptors, Identify side effects,
give treatment on the spot for side effects and Minor complaints, and refer those cases
that need attention by the Physician to the PHC/ Hospital.
7.6 Build rapport with satisfied Acceptors, Village leaders, Health guides, Teachers and
others and utilize them for Promoting Family Welfare Programmes.
7.7 Establish Male Depot holders in the area. Help the Health Assistant Male and Health
Assistant Female in training them and provide a continuous supply of Conventional
Contraceptives to the depot holders.
7.8 Identify the Male Community leaders in each village of his area.
7.9 Assist the Health Assistant Male in training the leaders in the community and in
educating and involving the community in Family Welfare Programmes.
8. MEDICAL TERMINATION OF PREGNANCY
8.1 Identify the women requiring help for Medical Termination of Pregnancy, refer them
to the nearest approved Institution, and inform them the Health worker Female.
8.2 Educate the community on the availability of Services for Medical Termination of
Pregnancy.
9. HEALTH EDUCATION
9.1 Educate the community about the availability of Maternal and Child Health Services
and encourage them to utilize the facilities.
10. NUTRITION :
i. Identify cases of Malnutrition among young Infants and young children (Zero to Five
years) in his area, give the necessary treatment and advice or refer them to the
Anganawadi's / Balawadi's for Supplementary Feeding and refer serious cases to the
Primary Health centre.
ii. Distribute Iron and Folic Acid as prescribed to the Children from Zero to Five years ,
Pregnant and Nursing Mothers and Family Planning Acceptors.
iii. Administer Vitamin 'A' Solutions as prescribed to the children from one to five years.
iv. Educate the Community about Nutritious diet for Mother and Children from locally
available foods.
11. VITAL EVENTS
i. Enquire about the Births and Deaths occurring in his area, Record them in the Births
and Deaths Register and Report them to the Health Assistant.
ii. Educate the Community on the importance of Registration of Births and Deaths.
12. Implementation of all other National and State Health Schemes.
13. Any other work entrusted by the District Health Officer / Medical Officer / Taluk
Health Officer.
11.2 JOB RESPONSIBILITIES OF HEALTH WORKER FEMALE
Note :
 Under the Multipurpose Workers Scheme, one Health Worker Female and one Health
Worker Male are posted at each Sub-Centre and are expected ultimately to cover a
Population of 5000 (3000 in Tribal and Hilly Areas).
 However, during the 7th Plan Health Worker Female limits her activities among 350 -360
families i.e., those households only where there are cases for Ante - Natal and Post -
Natal Care and Infants.
She will carry out the following functions:
1. MATERNAL & CHILD HEALTH:
i. Register and Provide care to Pregnant Women throughout the period of Pregnancy.
ii. Test Urine of Pregnant Women for Albumen and Sugar and estimate Haemoglobin level
during her home visits and at the Clinics.
iii. Ensure that all pregnant Women get VDRL test done.
iv. Refer cases of abnormal Pregnancy and cases with Medical and Gynaecological problems to
the Health Assistant Male or the Primary Health Centre.
v. Conduct about 50% of the Total deliveries in her area.
vi. Supervise deliveries conducted by the DAI's and assist them whenever called in.
vii. Refer cases of difficult labour and Newborns with abnormalities, help them to get
Institutional care and provide follow up to the patients referred to or discharged from
Hospital.
viii. Make at least three PostNatal visits for each delivery conducted in her area and render
advice regarding care of the mother and care, feeding of the Newborn.
ix. Assess the growth and development of the Infant and take necessary action required to
rectify the defect.
x. Educate Mothers individually and in groups in better Family Health including Maternal and
Child health, Family Planning, Nutrition, Immunization, Control of Communicable
Diseases, Personal and Environmental hygiene.
xi. Assist the Medical officer and Health Assistant Male in Conducting Antenatal and Post
Natal Clinics at the Subcentres.
2. FAMILY PLANNING
2.1 Utilize the information from the eligible Couple and Child Register for the Family Planning
Programmes. She will be solely responsible for maintaining eligible Couple Registers and
Updating at all times.
2.2 Spread the message of Family planning to the couples and motivate them for Family planning
methods individually and in groups.
2.3 Distribute conventional Contraceptives and Oral Contraceptives to the couples, provide
facilities and to help prospective acceptors in getting Family Planning Services, if necessary,
by accompanying them or arranging for the Dai’s to accompany them to the hospital.
2.4 Provide follow –up services to female Family Planning acceptors, identify side- effects, give
treatment on the spot for side effects and minor complaints and refer those cases that need
attention by the Physician to the PHC / Hospital.
2.5 Establish female depot holders, help the Health Assistant Female in training them, and
provide a continuous supply of conventional contraceptives to the depot holders.
2.6 Build rapport with satisfied Acceptors, Village leaders, Health guides, Teachers and others
and utilize them for Promoting Family Welfare Programmes.
2.7 Identify women leaders and help the Health Assistant Female to train them.
2.8 Participate in Mahila Mandal Meetings and utilize such gatherings for educating women in
Family welfare Programmes.
3. MEDICAL TERMINATION OF PREGNANCY
3.1 Identify the women requiring help for Medical termination of pregnancy and refer them to the
nearest approved institution.
3.2 Educate the community of the consequences of Septic abortion and inform them about the
availability of services for medical termination of pregnancy.
4. NUTRITION
4.1 Identify cases of malnutrition among infants and young children (zero to five years), give
the necessary treatment and advice, refer serious cases to the Primary Health centre.
4.2 Distribute Iron and Folic acid tablets as prescribed to pregnant and nursing mothers, infants
and young children ( zero to five years) and Family Planning acceptors.
4.3 Administer Vitamin A solution as prescribed to children from 1 to 5 years.
4.4 Educate the Community about Nutritious diet for mother and children.
5.1 Immunize pregnant women with Tetanus Toxoid.
5.2 Administer DPT Vaccine, Oral Poliomyelitis vaccine, Measles vaccine(where available )
and BCG vaccine to all infants and children.
6. Dai Training
6.1 List Dai’s in her area and involve them in Promoting Family welfare.
6.2 Help the Health Assistant Male in the Training Programme of Dai’s.
7. Communicable Diseases
1.1 Notify the MO PHC immediately about any abnormal increase in cases of Diarrhoea/
dysentery, fever with rigor, fever with rash, fever with Jaundice or fever with
unconsciousness which she comes across during her home visits, and take the necessary
measures to prevent their spread, and inform the Health worker male to enable him to
take further actions.
1.2 If she comes across a case of fever during her home visits, she will take blood smear,
administer presumptive treatment and inform Health worker Male for further actions.
1.3 Identify cases of Skin Patches, especially if accompanied by loss of Sensation, which she
comes across during her home visits and bring them to the notice of the Health Workers
Male to take skin smears.
1.4 Assist the health worker male in maintaining all the records of cases in her area , who are
under treatment for Tuberculosis, Leprosy and check whether they are taking regular
treatments, Motivate defaulters to take regular treatment and bring these cases to the
notice of the Health worker Male or Health Assistant Male.
1.5 Give Oral Rehydration Solution to all cases of Diarrhoea / Dysentery / Vomiting.
1.6 Identify and refer all cases of Blindness including suspected cases of cataract to
M.O.PHC.
2. VITAL EVENTS
2.1 Record births and deaths occurring in her area in the birth and deaths register and report
them to the Health worker Male.
3. Record keeping
3.1 Register
a. Pregnant women from three months of Pregnancy onward;
b. Infants (Zero to one year) of age
c. Women aged 15 to 44 years.
3.2 Maintain all the prenatal & maternity records and child care records.
3.3 Assist the Health worker male in preparing the eligible couple and child register and
maintaining it up – to –date.
3.4 Maintain the records regarding Contraceptives distribution, IUD insertion , couples
sterilized, clinics held at the Sub centre and of supplies that are received and issued.
3.5 Prepare and submit the prescribed monthly reports in time to the Health Assistant
Female.
4. Primary Health Care
4.1 Provide treatment for Minor ailments, provide first aid for accidents and emergencies and
refer cases beyond her Competence to the Primary Health Centre or the nearest hospital.
5. Team Activities
5.1 Attend and participate in staff meetings at the Primary Health Centre / Community
Development Block or both.
5.2 Co -Ordinate her activities with the Health Worker Male and other health workers
including the Health Guides and Dai's.
5.3 Meet the Health Assistant Female each week and seek her advice and Guidance whenever
necessary.
5.4 Maintain the cleanliness of the Sub centre.
5.5 Participate as a member of the team in Camps and Campaigns.
6. Implementation of all other National and State Health Schemes.
7. Any other work entrusted by the District Health Officer / Medical Officer / Taluk
Health Officer.
CHAPTER 13
PROCEEDINGS OF THE GOVERNMENT OF MYSORE
Subject : Duties and Responsibilities of Assistant Administrative Officer (F.P),

Directorate of Health & F.P Services, Bangalore.
Read : 1. Report of the work study made by the G.A.D (E.R.B)
2. Letter No. FPO / 192 / 72 -73 Dated 29. 11.72 of the Director of Health and
F.P. Services, Bangalore .
Preamble :
The G.A.D (ERB) has undertaken a study of the Work load of Assistant
Administrative Officer (F.P) and has given a report indicating the Job chart and Duties and
Responsibilities that can be entrusted to the Assistant Administrative Officer, (F.P).
The Director of Health and Family Planning Services, who was consulted in the study
has agreed with the suggestions of G.A.D (ERB) and all the recommendations are on identical
lines framed by the Government of India and hence requests the Government for approval.
ORDER NO. HMA 525 FPS 72 BANGALORE, Dated: 27 - 12 - 1972
Sanction is accorded to fix the Duties and Responsibilities of the Assistant
Administrative Officer (Family Planning) as indicated in the Annexure - I.
The Director of Health and Family Planning Services will ensure that the Staff
sanctioned under Family Planning and Maternal and Child Health Programme is utilized in this
Programme only.
The Director of Health and Family Planning Services will also see that all the files
relating to the Staff of Family Planning and MCH Programme are routed through the Joint
Director (FP & MCH) and Assistant Administrative Officer (Family Planning), even though the
subject matter originates elsewhere before they are disposed of.
THE GOVERNOR OF MYSORE
Sd / -
(I.S.SHAIKH)
Deputy Secretary to Government,
Health & Muncipal Admn. Department.
ANNEXURE TO G. O NO. HMA 525 FPS 72 BANGALORE, Dated : 27 - 12 - 1972
DUTIES AND RESPONSIBILTIES OF ASSISTANT ADMINISTRATIVE OFFICER
(FAMILY PLANNING), Directorate of Health & Family Planning Services, Bangalore.
He / She will work under the overall guidance and Supervision of the Joint Director (FP &MCH)
1. He / She will arrange for physical facilities, accommodation, furniture, equipment,

transport and its maintenance, arrange for Purchase, Storage, Maintenance and
distribution of Stores, and will take up periodical physical checking of the Stores with
reference to the Stock Book.
2. He / She will arrange for recruitment of the Staff and arrange to see that the vacant posts
are filled up promptly. He / She will further deal with all cases relating to the Promotion
of departmental candidates.
3. He / She will be responsible for the maintenance of personal records, leave accounts and
initiating disciplinary action against the staff.
4. He / She will distribute, Supervise and review the work of various members of the staff to
the administrative divisions.
5. He / She will arrange for roper maintenance of all records and maintain upto date
information on Programme circulars.
6. In consultation with the Joint Director, he will make administrative arrangements for the
implementation for Committee meetings, staff meetings and provide the records for the
meetings.
7. He / She will assist the Joint Director, in preparing answers to parliament / Assembly
questions and ensure their prompt dispatch.
8. He / She will maintain administrative liaison with other Bureau of the Health Directorate,
Govt. Dept & Voluntary Organizations.
9. He / She will be responsible for the proper accounting of the receipts and issues of the
stores.
10. He / She will keep watch on the stock position of the articles required and to take action
to replenish or dispose of / Write off store articles.
11. He / She will inspect stores at all levels and check the records maintained.
12. He / She will be responsible for Inspecting the stores at all levels and give guidance in
maintaining proper records and inventories.
13. He / She will attend to all establishment matters relating to all cadres / classes of the
personnel working under Family Planning and MCH Programme.
14. He / She will check the attendance register of both Gazetted and Non - Gazetted staff of
the Family Planning Bureau.
15. He / She will sanction casual leaves to Non -Gazetted staff of the Family Planning
Bureau.
16. He / She will pursue the Tappal received from the Clearance section or others and mark
the paper to the concerned Officers of Compilations, important papers being submitted to
the Joint Director for perusal at the Tappal Stage.
17. He / She will conduct administrative inspections of the District Family Planning Bureau
and other Units sanctioned under Family Planning & MCH Programme.
18. He / She will sign their copies of drafts approved by the Joint Director.
19. He / She will attend to any other items of work entrusted to him / her by the Joint
Director and other Superior Authorities.
Sd / -
(I.S.SHAIKH)
Deputy Secretary to Government,
Health & Muncipal Admn. Department.
/ copy /
Sd / -
For Director of Health & F.P. Services
/ copy /
CHAPTER 14
GOVERNMENT OF KARNATAKA
Karnataka Government Secretariat,
Vidhana Soudha,
Bangalore, Dated: 26th November 1974.
OFFICIAL MEMORANDUM
SUB : JOB CHART for STENOGRAPHERS working in the offices of all the
Heads of Departments and other Sub Ordinate Offices.
In the Secretariat Manual of Office Procedure, the principal Duties and
Responsibilities of Personal Assistant cum Stenographers have been specified. It has been
represented to the Government that no such Job Chart has been prescribed for Stenographers
working in the Sub-Ordinate Departments. It has, therefore, become necessary to prescribe a Job
Chart for these Stenographers.
A Stenographer is generally employed for Short hand work. He / She will be
required to assist in the typing or Urgent and Confidential matters. Stenographers also work as
Personal Assistants to the position, the principal Duties and Responsibilities of the
Stenographers in the Sub-Ordinate Department shall be as follows :
 Taking dictation in Shorthand and its transcription, attending to Typing whenever
required to do so.
 Attending to Telephones and Maintenance of registers regarding calls and screening of
telephone calls and visitors.
 Maintenance of Confidential records of Gazetted Officers and other papers in the
personal custody of the Officer.
 Attending to tour Programmes and maintaining tour files.
 Maintaining the Log register of the car wherever this work is entrusted by the Heads of
the Department / Office.
 Keeping a list of daily engagements of the Officer, arranging meetings etc.
 Keeping track of progress and taking follow up action, in important matters as instructed
by the Officer.
 Carrying out corrections in the Officer's reference books.
 Accompanying the Officer, during his tour , whenever required and
 Any other work incidental to the above items which may be entrusted by the Officer.
Sd / -
(R. SUBBA RAO),

General Administration Departmen
CHAPTER 15
DUTIES AND RESPONSIBILITIES OF JUNIOR & SENIOR LABORATORY

TECHNOLOGISTS
NOTE: All Primary Health Centres / Community Health Centres / General Hospital /
District Hospital / District Surveillance Unit has been provided with a post of Laboratory
Technologist / Assistant. The Laboratory will be under the direct Supervision of the Medical
Officer / Lady Medical Officer / Administrative Medical Officer / District Surgeon / District
Surveillance Officer. The Laboratory Technologist will carry out the following duties:
1. GENERAL LABORATORY PROCEDURES :

i. Maintain the cleanliness and Safety of the Laboratory
ii. Ensure that the glassware and equipment are kept clean
iii. Handle and Maintain the Microscope & other equipments supply to the Laboratory.
iv. Sterilize the equipment as required.
v. Dispose of specimens and infected material in a safe manner and as per guidelines issued
under Disposal of Solid Waste Management.
vi. Maintain the necessary records of all Investigations done and submit the reports to the
M.O / L.M.O/ of the PHC.
vii. Prepare Monthly reports regarding his / her work.
viii. Indent for Supplies for the Laboratory through the M.O / L.M.O of PHC and ensure the
safe storage of all materials received.
2. LABORATORY INVESTIGATIONS
i. Carry out the examination of Urine.
a. Specify gravity and PH / Glucose / Albumen / Bile Salts, Bile Pigments / Ketone bodies /
Pregnancy Tests.
b. Microscopic examination, RBC’s Pus cells, Casts, Epithelial Cells, Crystals etc.
ii. Carry out the examination of stools.
i. Microscopic examination, Ova, Cyst, Occult Blood etc.
iii. Collection of Blood specimen by Finger Prick Technique.
a. RBC Count / Blood grouping & RH Typing / Platelet Count / HB % / WBC Count ( total and
Differential ) / BT / CT / Prothrombin time.
b. HIV Test for RPR Screening , TPHA Test & Hanging Drop preparation for T.V & COMBAID,
Triline, Tridot Methods and ELISA Test if necessary.
c. Preparation, Staining and Examination of Thick & Thin Blood Smears for Malaria parasites and
for Microfilariae’.
d. VDRL / Chikungunya, Dengue, JE / LFT/ Lipid Profile / WIDAL Test / ESR / Hepatitis ‘A’ ‘B’
& ‘E’. Leptaspira, Measles – ELISA.
iv. Preparation, Staining and examination of Sputum smears for Myco Tuberculosis.
v. Semen Analysis.
vi. Collection of Throat swab and examination for Diphtheria.
vii. Test Samples of drinking water / Gross impurities.
viii. Hanging Drop preparation for Vibrio Cholerae.
3. MAINTENACE OF REGISTERS / FORMATS
1. He / She will maintain all the records of slides examined by him /her and must get the
Positive slides confirmed by the Medical Officer of the PHC.
2. Daily Progress and output register of blood slide examination
3. The back – log chart of Pending radical treatment vis –a –vis collected slides
4. MF – 2, 7,8,9,10,11 ETC. / Daily Diary / Thalati Chart.
5. Cross check examination of CML / ROH / Malaria and RNTCP Registers etc.
4. UNDER IDSP
1. Carry out the Culture and Sensitivity for Stool, Blood, Sputum , Throat swabs, Samples
under the Supervision of the Micro biologist / Pathologist
2. ELISA Test for HIV and HBsAg.
3. Reporting of L-Forms (Laboratory) on weekly basis to District Surveillance units.
4. Collection of Samples during outbreaks and their transport to the designated
Laboratories.
5. UNDER RCH
Lab Assistant for Laboratory MCH Clinic in the PHC by doing the following :
i. Hb % of ANC Cases
ii. Urine & Stool Examination
iii. Maintain Separate Register for MCH Clinic.
iv. Do regular Laboratory follow up of ANC Cases
v. Help in identifying High Risk Pregnancies
vi. Assist in the Follow –up & refer such High Risk ANC to higher Centres.
6. Always wear Prescribed Uniform while on duty.
7. FIELD ACTIVITY :
Field visit during outbreaks, deputation for smear collection, and other mobile Lab activities.
8. Any other Laboratory work entrusted by the District Health Officer / Medical
Officer / Lady Medical Officer / Administrative Medical Officer / District Surgeons/
District Surveillance Officer / Taluk Health Officer.
Sd /-
Director,
Health & Family Welfare Services
COPY OF INFORMATION AND NECESSARY ACTION :
1. All District Health & F.W Officers ------------------------ District

2. All District Surgeons , District Hospital, ------------------------ District
3. Principal, Health & FW Training Centre, ------------------------ District
Copy To,
8. Commissioner, Health & Family Welfare, AYUSH Services, Bangalore.

9. Additional Director (PH) , Directorate of , Health & Family Welfare Services, Bangalore.
10. President, Jr & Sr. Male & Female Health Assistants Association, Bangalore.
11. President, Block Health Education Officer Association, Bangalore.
12. President, Pharmacist Association , Bangalore
13. Laboratory Technologist Association.
14. Office Copy
CHAPTER 16
DUTIES AND RESPONSIBILITIES OF X – RAY TECHNICIANS
1. Care and Maintenance of X- Ray equipments, accessories and dark room.

2. To register and Maintain all the X- Ray records.
3. Undertaking of repair Works by request made by referring Doctors.
4. Take proper X- Ray by using proper factors / Methods.
5. To develop and process the X- Ray films.
6. Properly recording and Maintaining the X- Ray film taken.
7. Assist the Radiologists in carrying out the special Investigations.
8. Maintenance of the accounts of films and chemicals.
9. Preparing of Processing Solutions.
10. Maintenance of X – Ray Stores.
11. Sorting and Dispatching of X- Ray reports.
12. Care, Maintenance and handling of sophisticated equipments like CT Mammography and
MRI etc.
13. Supervise and Guide the Junior Staff.
14. Adhere to rules of radiation protection.
15. Assist the radiologist in radiological emergencies.
16. Training of X –Ray Technicians.
17. Care of X - Ray cassettes.
18. The X–Ray Technologist shall ensure appropriate protection & patient attendant from
radiations.
19. The X–Ray Technologist shall ensure Operational Safety in handling the X – Ray equipment
and other associated accessories.
20. Thermo lucent Dosimeter (TLD) Badge, Avant tech Channai, should be sent for radiation
examination once in three months / as and when required.
21. Any Radiological work assigned by higher authority.
22. Maintenance of Ultra Sonography Machine.
24. He / She should attend to any other work of X – Ray, Ultra Sonography and C.T. Scanning
entrusted by higher authority.
Sd /-
Director,
CHAPTER 17
DUTIES & JOB RESPONSIBILITIES OF NURSING PERSONNELS
JUNIOR STAFF NURSE
1. Staff Nurse is a first level professional Nurse who provides direct patient care to one
patient or group of Patient assigned to her / him during duty shift and assist in the
Management of Wards / Units / Special Wards / Operation Theatres etc .
2. Makes beds of serious patients and helps or guides students or Group “ D” employees to
make beds, by supplying linens.
3. Maintains personal hygiene and comforts of the patient.
4. Attends to the Nutritional needs of the patient and feeds the helpless patients.
5. Maintains clean and safe environment for the patient.
6. Implements and Maintains Ward policies and routines.
7. Co – Ordinates patient care with other team members.
8. Take rounds with the doctors when called to list new orders and see that they are carried
out.
9. Performs various technical tasks related to nursing care.
i. Administration of Medication i.e., Tablets, Injections, Infusions, and Transfusions on
Prescription or according to standing instructions.
ii. Assisting doctors in various Medical and Surgical diagnostic procedures by preparing
patients and getting ready with the necessary items.
iii. Performing Simple Diagnostic procedures viz., Urine Analysis, Heamoglobin % etc.
iv. Collecting and sending of Specimens for laboratory diagnostic procedures.
v. Recording of Vital signs, i.e., Temperature, Pulse, Respiration and Blood Pressure.
vi. Performing gastric lavage, giving enema etc.
vii. Prepares patients for Operations and see that he/ she is sent to the operation theater with
all necessary papers, Medications, Premedication’s, Clothing etc.
viii. Take care of eyes, ears, back, bowel, bladder, perineum, and breast etc. whenever needed
ix. Observe all patient conditions and take suitable action accordingly and / or reports changes
toward in charge and/ or the doctor.
x. Give expert bed –side nursing to all patients.
xi. Attends last offices in case of a patient dying during shifts and arrange to preserve dead
body in Mortuary or hand over the body with respect to concerned family members /
relatives / authorities.
Field visits during epidemic outbreaks and Pulse polio Vaccination sessions and during
other emergency Medical Care.
WARD /UNIT MANAGEMENT:
1. Helps the ward in charge to carry out her / his work or act as ward in charge during their
absence.
2. Maintains general cleanliness of the ward and the Sanitary annexure.
3. Supervises the duties of Group “D” employees and guides them and reports accordingly.
4. Writes the diet register and supervises the distribution of diet and report if any, necessary.
5. Maintains scheduled poisonous drug registers.
6. Supervises nursing care and other tasks carried out by the students.
7. Maintains duty room’s trays, Sterilizes instruments and see that the procedural trays are in
readiness.
8. Take over from duty nurse of the previous, new and serious patients, instruments,
supplies, drugs etc and handover the same accordingly.
9. Maintains all the records pertaining to Ward / Units
a. Maintains case papers , Investigations reports etc.
b. Maintains vital sign charts, intake – output charts and other special charts if necessary.
c. Takes special care of Medico legal case papers and records.
d. Writes day and night orders and maintains ward statistics.
OPERATION THEATRE MANAGEMENT:
1. Maintains aseptic environment of the Operation theatre.
2. Autoclaving of articles, Instruments, gloves, linen etc. required for various types of
surgeries.
3. Receives patients from the ward intact for Surgery.
4. Prepares anesthetic trolley and trolley for Surgery, according to type and procedures.
5. Assist the Surgeon and Anesthetist in every step, skillfully while performing various types
of Surgery.
6. Indenting and Procuring surgical instruments, drugs, gloves, suturing materials and
Oxygen, Nitrogen and Carbon dioxide (O2 , N2, Co2) etc,. required for operation theatre.
7. Maintains records and reports pertaining to the Operation theatre.
8. Maintains safety of the Boyle’s apparatus, Oxygen cylinder, Nitrogen cylinder, Anesthetic
drugs, and autoclave etc. in the operation theatre.
9. Reports to be sent to Birth / Death register of concerned area.
MANAGEMENT OF LABOUR ROOM:
1. Preparation of expectant mother for aseptic safe delivery.

2. Conducts normal deliveries and reports.
3. Attends and assists the doctors in all Obstetrical emergencies.
4. Attends and assists in difficult and abnormal deliveries.
5. Takes care of the Newborn and premature babies and do all the procedures of
Resuscitation
6. Maintains records and reports pertaining to labour room.
7. Indent and procure necessary drugs, supplies, linens etc, to labour room.
8. Maintain Birth / Death register.
9. Initiate breast feeding within one hour / immediate after birth.
MANAGEMENT OF POST OPERATIVE / ICU / BURNS UNITS
1. Indent and procurement of all the necessary equipments, drugs, Oxygen (O2) cylinder,
which are required for the units.
2. Operates ECG, EEG, Cardiac resuscitation etc., or other sophisticated high tech machines
wherever needed or assist the doctors in operating such machines.
PSYCHIATRIC UNITS
1. Assists the doctors in admission and discharge of patients.

2. Prepares patient for ECT and other procedures, and therapies.
3. Assists in management of aggressive, surgical as grief as other symptoms of the patients.
4. Maintains records and reports of the units.
HEALTH EDUCATIONAL FUNCTION
1. Helps in orientation of new staff and students.
2. Teaches and guides the domestic staff (“Group “D”) for handling bedpans, urinals etc.
3. Carries out health teaching for individual or group of patients.
4. Extends Co-operation and participates in clinical teaching
5. Provides for and demonstrates methods and procedure whenever needed.
6. Participates in In-service education programme.
7. Plans and implements formal and informal health education programme and teaching
programme.
8. Assists and extends cooperation in medical and nursing research programme
9. Always wear prescribed uniform while on duty
10. Be courteous to the patient and their attendants.
11. Assists in the Implementation of National and State Health Programmes.
12. She / He attends to any other Nursing work assigned by higher Authority.
Sd /-
Director,
CHAPTER 18

SENIOR STAFF NURSE
JOB SUMMARY:
 Senior Staff nurse is a first level Nursing Supervisor who is accountable for nursing care
management of award or a unit assigned to her / him,
 She / He is responsible to the Nursing Superintendent Grade II for her /his Ward / unit
management,
 She / he takes full charge of the ward and assigns work for various categories of nursing
and Non –nursing personnel working with her / him,
 She / He is responsible for safety and comforts of the patients in her / his ward.
DIRECT PATIENT CARE
1. Ensures proper admission, discharge of patients.
2. Plans nursing care and makes patient assignments as per their nursing needs.
3. Assists in the direct care / provides direct care to the patients as and when required.
4. She / He sees to that the total health needs of the patients are met.
5. Ensures Safety, comforts and good personal hygiene of the patients.
6. Assists in planning and administration of therapeutic diet to the patients.
7. Ensures the helpless patients are regularly fed as per directions.
8. Ensures that proper observation records of the patients are made and necessary
information imparted to the concerned authorities.
9. Takes nursing rounds with staff and students
10. Makes rounds with the doctors assisting them in diagnosis and treatment of patients
11. Implements doctor’s instructions concerning patient treatment.
12. Assists patient and relatives to adjust in the hospital and its routine.
13. Co – Ordinates patient care with other adjustments.
14. Field visits during epidemic outbreaks and Pulse polio Vaccination sessions and during
SUPERVISION AND ADMINISTRATION
1. Ensures safe and clean environment for the ward / unit / Special wards / Operation theatre.
2. Makes duty and work assignment to junior staff nurses.
3. Indenting and procurement of ward supplies and equipments and keep records.
4. Does regularly inventory Checking of his / her ward / unit / operation theatre.
5. Makes list for condemnation of articles and submits it to all the concerned authority.
6. Assists in making ward equipments
7. Establishes and reinforces standards prescribed in the procedures and manuals of the
hospital and policies that are in force.
8. Acts as a liaison officer between ward staff and hospital administration.
9. Maintains good Public relations in his/ her ward /unit.
10. Ensures that the Ward statistics are regularly submitted.
11. Maintain discipline among the personnel working in the particular ward / unit , e.g., Staff
nurses, students and domestic and office staff.
12. Deals appropriately with any adverse situation that occurs in the ward / unit and report to
the concerned authorities.
13. Reports about any medico legal cases in the ward / units.
14. Ensures that the students get desired learning experience in the ward / unit.
HEALTH EDUCATIONAL FUNCTIONS
1. Organizes orientation programmes of new staff and students.
2. Organizes formal and informal ward teaching, Conducts besides clinics and
demonstration.etc.
3. Conducts Ward conferences / meetings
4. Gives incidental teaching to the patient, relatives, staff nurses, students and the domestic
staffs.
5. Guides in formulation of nursing care studies, and nursing care plans etc.
6. Evaluates the students' performance and submit reports to the school / college Authorities.
7. Helps in Medical and Nursing Research.
8. Encourages Staff development programme in her / his ward / unit.
11. She / He attends to any other Nursing work assigned by higher Authority.
Sd /-
Director,
Health & Family Welfare Service
CHAPTER 19
NURSING SUPERINTENDENT ( GRADE II )
JOB SUMMARY:
 He / She is responsible for developing and Supervising Nursing Services of a department

or a floor consisting of two or more wards or Units managed by the Senior Staff Nurses.
These units may be Inpatient wards, Outpatient department, Clinics, Operation Theatres,
Obstetric Units, Central Supply department etc,
 He / She is responsible to the Nursing Superintendent Grade -I.
1. PATIENT CARE & WARD / UNIT MANAGEMENT
i. Organizes and plans nursing care activities of the departments of the floor according to
the hospital Policies and service needs.
ii. Plans Staffing pattern and other necessary requirements of his / her department.
iii. Compiles and submits nursing Statistics to the concerned authorities.
iv. Conducts and attends to the departmental and interdepartmental meetings / Conferences
from time to time.
v. Makes regular rounds of his / her department.
vi. Ensures to the Safety and general dealings of the department.
vii. Looks into the general comforts of the patients and his / her relatives.
viii. Receives report from the night Supervisor of his / her department.
ix. Evaluates nature and Quantum of Care required in each unit / ward etc.
x. Makes rotation plan for the nursing staff and house keeping staff under his / her
jurisdiction.
xi. Plans Ward Management with each ward / unit etc.,
xii. Reinforces the principles of good ward management in the ward.
xiii. Helps the ward / unit supervisors to procure their ward / unit etc.,
xiv. Supervises the proper use and care of the equipments and supplies in the department.
xv. Acts as the Public relation Officer of the Unit and deals with the problems faced by the
ward Supervisor if any, especially with the Group "D" employees, patient attenders.
xvi. Keeps the nursing Superintendent Grade I and the Office informed of the needs of the
nursing ward / units under his / her charge and of any special problems.
xvii. Officiates in the absence of Nursing Superintendent Grade I.
xviii. Field visits during epidemic outbreaks and Pulse polio Vaccination sessions and during
xix. Assists in the Implementation of National and State Health Programmes.
2. HEALTH EDUCATIONAL FUNCTION

1. Arrange classes and clinical teaching of nursing students in the department, related to the
Specialty experience.
2. Implements the ward teaching programme and clinical experience of the students with the
help of Doctors and Nurses.
3. Does Counseling and Guidance of staff and students.
4. Arranges and Conducts staff development programme of his / her department.
5. Assists in planning for and participation in the training of Auxiliary personnel.
3. GENERAL
i. Escorts Nursing Superintendent Grade I. Medical Superintendent, and special visitors for
hospital rounds.
ii. Arranges and participates in professional and social functions of staff and students.
iii. Acts as a Liaison Officer between the nursing department and higher hospital authorities.
iv. Always wear prescribed uniform while on duty.
v. He / She will attend to any other Nursing work assigned by the Higher Authorities.
Sd /-
Director,
CHAPTER 20
NURSING SUPERINTENDENT ( GRADE I )

JOB SUMMARY :
 Nursing Superintendent is responsible to the Medical Superintendent, in a hospital having
200 and above Bed Strengths.
 He / She is accountable for the safe and efficient running of the various nursing
departments in the hospital.
 He / She is assisted in carrying out the duties, by the Deputy Nursing Superintendent /
Assistant Nursing Superintendent, Ward Supervisors, and clerical, Linen room and
domestic staff.
1. PATIENT CARE & WARD / UNIT MANAGEMENT
1. Participates in the formulation of the philosophy of the hospital in general and those
specific to the Nursing Services.
2. Determines Goals, Aims, Objectives and Policies of the nursing services.
3. Implements hospital policies and rules through various nursing units.
4. Decides and recommends personnel and material requirements for running various
nursing services and departments of the hospital.
5. Interviews and recruits nursing staff.
6. Assists in student selection and recruitments of Auxiliary staff whose duties are related to
Nursing.
7. Ensures the safe and efficient care rendered in the various nursing departments of the
hospitals.
8. Makes regular visits in hospitals and wards.
9. Checks if the standard of Care is maintained and the patients are nursed in a clean,
orderly and safe environments.
10. Takes hospital rounds with the Medical Superintendent.
11. Selects and secures proper equipment needed for the hospital or the Nursing home.
12. Looks after the welfare of the patients, their relatives and the nursing staff.
13. Prepares budgets for the Nursing services department.
14. Functions as a member of the condemnation board for linen and other hospital or nursing
home equipments.
15. Prepares Duty Rosters, Plans and Staff leave and disburses salary.
16. Gives counseling and guidance to the Subordinate staff.
17. Maintains discipline among nurses and other auxiliary staff.
18. Enforces implementation of the hospital rules, regulations and policies.
19. Participates in hospital and inter hospital meetings / Conferences.
20. Investigates complaints and take necessary action.
21. Evaluates confidential staff reports and recommends for promotion or higher studies.
22. Plans staff development programmes and arranges for in -service education and
orientation programmes etc.
23. Inspects hospital kitchen and dietary services of the hospital.
24. Arranges students to get clinical experiences and prepare them for Council examinations.
25. Initiates and participates in nursing research.
26. Supervision, Guidance and Control of Group 'D' employees of the hospital.
GENERAL
1. Attends to general correspondence.
2. Maintains necessary records concerning the nursing staff, students, confidential reports
and health records etc.
3. Submits Annual reports of the nursing service departments to the Medical
Superintendent, Indian Nursing Council and the Nurses Registration Council, through
proper channels and Standards
4. Participates in professional and community activities.
5. Maintains cordial relations with the Public and Voluntary workers.
7. He / She will attend to any other Nursing work assigned by the Higher Authorities.
Sd /-
Director,
CHAPTER 21
DUTIES & JOB RESPONSIBILITIES OF SENIOR HEALTH ASSISTANT MALE
NOTE:
Senior Health Assistant Male is a supervisory staff, He will supervise and Monitor the field
activities of all Jr. Health Assistant Male and also Jr. Health Assistant Female.
1. SUPERVISION AND MONITORING:
1.1 Supervise and guide the Jr. Health Assistant’s in the delivery of Health care Services to the
Community.
1.2 Strengthen the Knowledge and Skills of the Jr. Health Assistant’s (M).
1.3 Help & Guide the Jr. Health Assistant’s in improving his skills, in Planning and Organizing
his programme of Health Activities.
1.4 Visit each Jr. Health Assistant’s at least once a week on a fixed day to observe and guide
him in his day to day activities.
1.5 Assess periodically the progress of Jr. Health Assistant’s and Submit an assessment report to
the Medical Officer of the PHC.
1.6 Carry out Supervisory home visits in the PHC area according to the tentative advance
programme.
2. TEAM WORK
2.1 Help the field Staff to work as part of the Health team.
2.2 Co-Ordinate with the field staff in field work.
2.3 Conduct regular meeting in the PHC’s and review the progress of all field staff in all the
health Programme’s.
2.4 Assist the Medical officer of the PHC in the Organization of the different health services in
the area.
2.5 Participate in all Mass Camps and Health Campaigns.
3. SUPPLIES AND EQUIPMENTS
3.1 Collaboration with the Jr. Health Assistant’s , check at regular intervals the Stocks of the
Drugs available in the Stores at the Sub centre and indent for the Procurement of Supplies
and equipment in good time.
3.2 Check that all the Drugs at the Sub centre are properly stored and that the equipment is well
maintained.
3.3 Ensure that the Jr. Health Assistant’s maintains their Kit’s in a proper standard way.
4. RECORDS AND REPORTS

4.1 Scrutinize the maintenance of records by the Jr. Health Assistant’s and guide them in their
proper maintenance.
4.2 Maintain the prescribed records and prepare the progress reports for the PHC.
4.3 Review reports received from the Jr. Health Assistant’s, Consolidate them and Submit
periodical reports to the Medical Officer of the PHC.
5. VECTOR BORNE DISEASES CONTROL
5.1 Supervise the Radical treatment given by the field staff for Malaria cases.
5.2 Supervise the IRS activities and Focal Spray.
5.3 Supervise the Source reduction activities carried out by the field staff / ASHA workers.
5.4 Supervise and participate in IEC activities organized in the area.
6. COMMUNICABLE DISEASES CONTROL
6.1 Be alert to the sudden outbreak of diseases such as Malaria, Dengue, Chikungunya, JE, GE,
Cholera, etc. and take all the necessary and remedial measures.
6.2 Supervise the Control measures carried out when any notifiable disease is reported in the
area.
6.3 In cases with continued fever or Prolonged cough, having skin patches, refer the cases to the
PHC for examination.
7.1 Motivate the community for the construction of Soak age pits, Kitchen gardens, Compost
pits, sanitary latrine’s and Smoke less chulahas and Supervise their construction.
7.2 Supervise the Chlorination of Water Sample tests.
8. IMMUNIZATION
8.1 Supervise Immunization in schools and Outreach areas.
8.2 Supervise the Immunization of all children from 0-16 years.
9. FAMILY PLANNING
9.1 Motivate the eligible Couples and Target couples for Temporary and Permanent Family
Planning Methods.
9.2 Supervise and Establish Nirodh distribution depots in the area.
9.3 Motivate the eligible couples for Male Sterilization (NSV).
9.4 Assist the Medical Officer for the organization of Sterilization camps.
10. NUTRITION
10.1 Supervise the Malnourished children in the area and refer them to the PHC for treatment.
10.2 Participate in VHND’s and educate the Community about Nutritional Food Supplements.
11. VITAL EVENTS
11.1 Monitor the reporting of the Birth and Death occurring in the PHC area and educate the
Community for the regular registration of Vital Events in Proper time.
12. HEALTH EDUCATION
12.1 Carry out IEC and BCC activities for the control of Vector Borne Diseases and
Communicable Diseases, Environmental Sanitation, RCH, Family Planning, Nutrition and
Immunization etc.
12.2 Arrange group meetings with Community leaders and involve them in spreading the
messages for various Health Programmes.
12.3 Organize Advocacy meetings, School Health Meeting’s and Mother’s Meetings in the area
the with the Co-operation of Field Staff and Community.
13. Assists in the Implementation of National Health Programmes and State Health Schemes.
14. Any other job entrusted by the Medical Officer PHC and Taluk Health Officer.
CHAPTER 22
DUTIES & JOB RESPONSIBILITIES OF DENTIST / DENTAL HEALTH

OFFICER
REPORTS & RESPONSIBLE: ADMINISTRATIVE MEDICAL OFFICER

18.1 ROLE PURPOSE:
 In Conjunction with the Administrative Medical Officer, the Post holder will be responsible
for Planning, Developing and Providing Dental services for the general people and those
with Special Needs including patients who are medically compromised.
 The post holder will work closely with other senior dental Officers as part of the Dental
team to ensure the services are delivered within a robust clinical governance framework.
 Responsible for the practice of General Dentistry within the Standard of care, all matters
relating to the operation of an efficient dental unit in delivering quality and Cost – effective
dental care with a humane approach, and all matters that promote improved Dental Health
for Community Health care patients.
18.2 DUTIES AND RESPONSIBILITIES:
1. Provision of Routine and Urgent / emergency General dentistry Services for patients in
accordance with the Patient’s needs in order to preserve teeth and adequate function.
2. Coordinate the patient’s general health history and status when developing Dental
Treatment plans in Collaboration with the patient and / or family.
3. Perform Diagnostic, Preventive, Periodontal, Endodontic, Restorative and Adjunctive
Dental Procedures in order to maintain Oral Health.
4. Prescribe Medications in accordance with the patient’s clinical needs and health Status.
5. Provide oversight and direction to the Staff and operations of the Dental clinic to assure
efficient and quality care.
6. To accept referrals of cases from community Dental Officers, General Dental Practitioners,
Hospital Consultants and others following established protocols for referrals.
7. To provide treatment in various settings e.g. Camps and Hospitals.
8. To participate in the provision of the Dental service as required.
9. To liaise closely with the Dental Technician / Hygienists in directing their work for these
patients.
10. To develop and participate in the Training programs in Conjunction with Community Dental
Staff for Care providers, Nursing Staff, other health and Social Care Professionals and
Community groups who are working with these groups.
11. To plan and Co-ordinate needs assessment and Epidemiological Surveys for older people
and people with special needs.
12. To plan and undertake research with partners as appropriate aimed at improving the Oral
Health of the Community.
13. The post holder will liaise on behalf of the Community Dental with all relevant health and
Social care Professionals and with other relevant Statutory and Non – Statutory
Organizations.
14. To regularly Review, Evaluate and Revise established standards and Protocols for the
provision of Dental services in light of Research / Evidence based practice / Professional
guidelines.
15. To monitor and evaluate the quality of dental Services provided for these patients in Order
to meet professional Standards.
16. Assist in the Orientation and training of new dental staff.
17. Participate in dental health Education programs, to improve the ability to make decisions
concerning the treatment for their present and future dental conditions and Promote Self
care.
18. Maintain all required CD’s and provide all the documentation and references required for
the credential processes in a timely manner.
19. Assist in the development of Dental Policies and Procedures.
20. Follow applicable CHC policies and Procedures.
21. Perform other duties as assigned.
22. Implementation and Planning, Monitoring of NOHP – National Oral Health Policy.
18.3 MANAGEMENT
i. To undergo Annual Appraisal / Revalidation.
ii. To contribute to the continuing professional development of the Community Dental Team
by carrying out appraisal for the Maintenance of standards and assist in identifying Training
needs and Organizing appropriate courses / attachments for all grades of staff.
iii. To manage and direct all the members of the Dental Team by delegating appropriate
Responsibility within his / her Control whilst retaining overall responsibility and
Accountability for results.
iv. To ensure smooth running of the clinic and the Health and safety of those who use it and to
notify as soon as possible his / her Line manager of any accidents / incidents which occur
within the work place.
v. To deal with all complaints according to Policies and Procedures.
vi. To maintain staff relationships and morale within teams.
vii. To participate, as required, in the selection and appointment of staff in accordance with the
procedures laid down and approved by the Department of Health & Family Welfare
Services.
viii. To monitor performance of the self and others against recognized Standards and targets.
ix. To maintain records and submit Statistical returns
x. To use initiatives, to adapt, make / recommend changes required in order to meet the
varying needs of the service.
xi. To be involved in other duties appropriate to the grade as determined by the Administrative
Medical Officer as and when required.
xii. To assist in the implementation of National Health Programmes and State Health Schemes.
18.4 RECORDS MANAGEMENT
i. All employees of DH & FW are legally responsible for all records held, created or used as
part of their work with the department including Patient / Client and Administrative records
whether paper – based or electronic including e-mails.
ii. All such records are Public records and are accessible to the General Public, with limited
exceptions, under RTI ACT 2005.
iii. Employees are required to be Conversant with the Department of Health & Family Welfare
Policy procedures on Records Management and to seek advice if in doubt.
iv. Under Health & Safety at Work Legislation all reasonable steps at Work to ensure Health &
Safety of own and those who may be affected by Acts or Omissions at work should be
adopted.
v. The Department is committed to a leading, Promoting Culture of Cleanliness and has
Partnership and Collaborative approach which recognizes Cleanliness as the responsibility
of everyone, cascading throughout every level of the Organization.
CHAPTER 23
DUTIES & JOB RESPONSIBILITIES OF AUXILLIARY NURSE MIDWIVES
(ANM’S)
She will carry out all the activities related to various programs in a integrated manner when
visiting the village/households Maternal and Child Health
I. DUTIES AND RESPONSIBILITIES :
1. Register and provide care to pregnant women throughout the period of pregnancy.
2. Ensure that every pregnant woman makes at least 4 (Four) visits for Ante Natal Check-up
including registration through MCTS and THAYI CARD.
3. SUGGESTED SCHEDULE FOR ANTENATAL VISITS 1ST VISIT:
 Within 12 weeks—preferably as soon as pregnancy is suspected—for registration of
pregnancy and first antenatal check-up.
 However, even if a woman comes late in her pregnancy for registration, she should be
registered, and care given to her according to gestational age.
 2nd visit: Between 14 and 26 weeks.
 3rd visit: Between 28 and 34 weeks.
 4th visit: Between 36 weeks and term Provide ante natal checkups and associated
services such as IFA tablets, TT immunization etc.
4. Test urine of pregnant women for albumin and sugar. Estimate hemoglobin level.
5. Refer all pregnant women to PHC/CHC for RPR test for syphilis and Blood grouping.
6. Refer cases of abnormal pregnancy and cases with medical and gynecological problems to
Health Assistant Female (LHV) or the Primary Health Centre.
7. Conduct deliveries in Sub-centre, if facilities of a Labour room are available and in her area
when called for.
8. Supervise deliveries conducted by Dais and assist them whenever called for.
9. Refer cases of difficult labour and newborns with abnormalities, help them to get
institutional care and provide follow up to the patients referred to or discharged from
hospital.
10. ANM will identify the ultimate beneficiaries, complete necessary formalities and obtain
necessary approvals of the competent authority before disbursement to the beneficiaries
under Janani Suraksha Yojana (JSY) and by 7th of each month will submit accounts of the
previous month in the prescribed format to be designed by the State.
11. ANM will prepare a monthly work schedule in the meeting of all accredited workers to be
held on every 3rd Friday of every month, which is mandatory.
 The guideline under JSY is to be followed.
 In addition ANM will take weekly/fortnightly meetings with all ASHAs of her area to guide
and monitor them.
12. Tracking of all pregnancies by name for scheduled ANC/PNC services.
13. Make postnatal home visits on 0, 3, 7 and 42nd day for deliveries at home and Sub-centre
and on 3, 7, and 42nd day for institutional delivery. Post-natal visits are to be made for each
delivery happened in her area and she should render advice regarding care of the mother and
care and feeding of the newborn.
14. In case of Low Birth weight Baby, a total of six post natal visits are to be made on 0, 3,
7,14, 21 and 28th day to screen for congenital abnormalities, assess the neonate for danger
signs of sickness etc. as per IMNCI guidelines and appropriate referral.
15. Initiation of early breast-feeding within one hour of birth, exclusive breastfeeding for 6
months and timely weaning at 6months as per Infant and Young Child Feeding Guidelines.
16. Assess the growth and development of the infants and under 5 children and make timely
referral.
17. Provide treatment for all cases of Diarrhea, acute respiratory infections (pneumonia) and
other minor ailments and refer cases of severe dehydration, respiratory distress, infections,
severe acute malnutrition and other serious conditions as per IMNCI guidelines/National
Guidelines.
18. Educate mothers individually and in groups in better family health including maternal and
child health, family planning, nutrition, immunization, control of communicable diseases,
personal and environmental hygiene.
19. Assist Medical Officer and Health Assistant (Female) in conducting antenatal and postnatal
clinics at the Sub-centre.
II. FAMILY PLANNING

1. Utilize the information from the eligible couple and child register for the family Planning
programme. She will be squarely responsible for maintaining eligible couple registers and
updating at all times.
2. Spread the message of family planning to the couples and motivate them for family planning
individually and in groups.
3. Distribute conventional contraceptives and oral contraceptives to the couples, provide
facilities and to help prospective acceptors in getting family planning services, if necessary,
by accompanying them or arranging for the Dai/ASHA to accompany them to hospital.
4. Provide follow-up services to female family planning acceptors, identify side effects, give
treatment on the spot for side effects and minor complaints and refer those cases that need
attention by the physician to the PHC/ Hospital.
5. IUCD insertion can be done by a trained ANM.
6. Establish female depot holders, help the Health Assistant (Female) in training them, and
provide a continuous supply of conventional contraceptives to the depot holders.
7. Build rapport with acceptors, village leaders, ASHA, Dais and others and utilize them for
promoting Family Welfare Programme.
8. Identify women leaders and train them with help of the Health Assistant (Female).
9. Participate in Mahila Mandal meetings and utilize such gatherings for educating women in
Family Welfare Programme.
III. MEDICAL TERMINATION OF PREGNANCY
1. Identify the women requiring help for medical termination of pregnancy and refer them to
nearest approved institution.
2. Educate the community of the consequences of unsafe abortion methods and septic abortion;
inform them about the availability of services for medical termination of pregnancy.
IV. NUTRITION
1. Identify cases of Low Birth weight, malnutrition among infants and young children (zero to
five years), give the necessary treatment and advice and refer serious cases to the Primary
Health Centre.
2. Distribute Iron and Folic Acid tablets as prescribed to pregnant women, nursing mothers,
adolescent girls and syrups to young children (up to five years), as per the national
guidelines.
3. Administer Vitamin A solution to children as per the guidelines.
4. Educate the community about nutritious diet for mothers and children.
5. Coordinate with Anganawadi Workers.
V. UNIVERSAL PROGRAMME ON IMMUNIZATION (UIP)
1. Immunize pregnant women with tetanus toxoid.

2. Administer DPT vaccine, oral poliomyelitis vaccine, measles vaccine and BCG vaccine to
all infants and children, (Hepatitis B in pilot areas) as per immunization schedule.
3. Ensure injection safety, safe disposal and record, report and manage minor & serious
Adverse Event Following Immunization (AEFI). Submit monthly UIP reports, weekly
surveillance reports (AFP, Measles under IDSP). Serious AEFI and outbreak should be
reported immediately.
4. ANM is responsible for cold chain maintenance for vaccines during fixed and outreach
sessions.
5. Manage waste generated during immunization as per GOI/CPCB guidelines.
6. Preparing work plan, estimating beneficiaries and logistics, preparing due list of expected
beneficiaries in coordination with Anganwadi worker and ASHA/mobilizer on the session
day and ensure their vaccination through adequate mobilization.
7. Maintain Tracking Bag/Tickler box at each Sub centre, file updated counterfoils and utilize
them for follow up.
8. Tracking of dropouts and left outs, records/ reports (including MCH register and
immunization card counterfoils), surveillance/reporting Vaccine Associated Paralytic
Poliomyelitis (VAPP) and AEFI incidents in catchment area. Indent order of vaccines and
logistics should be weekly based on the due beneficiary list. HW/Alternate Vaccinator
should receive the required quantity of vaccine and logistics on the day of Immunization
and supply to the session site.
9. Work plan indicating village, place, date & time of organizing proposed session, including
the names of ASHA and AWW must be displayed at each Sub-centre.
10. Posters/Paintings on key messages, Immunization schedule, Positioning during vaccine
administration, Safe Injection Practices, VVM, AEFI awareness, use of Hub cutters.
11. Village-wise dropout list for display at Sub-centre
12. Norm for due beneficiaries: 3 per session.
VI. COMMUNICABLE DISEASES
1. Notify the MO, PHC immediately about any abnormal increase in cases of Diarrhoea/
dysentery, fever with rigors, fever with rash, flaccid paralysis of acute onset in a child <15
years (AFP), Tetanus, fever with jaundice or fever with unconsciousness, minor and serious
AEFIs which she comes across during her home visits, take the necessary measures to
prevent their spread, and inform the Health Assistant (Male) / LHV to enable him/her to take
further action.
2. HIV/STI Counselling, HIV/STI screening after receiving training.
3. Leprosy
 Impart Health Education on Leprosy and its treatment to the community.
 Refer suspected new cases of leprosy and those with complications to PHC.
 Provide subsequent doses of MDT to patients Ensure regularity and completion of
treatment and assist health supervisor in retrieval of absentee/defaulter.
 Update the case cards at Sub-centres & treatment register at sector PHC.
 Assist leprosy disabled people in self-care practices, monitor them and refer them to
PHC whenever required.
4. Assist the Health Worker (Male) in maintaining a record of cases in her area, who are under
treatment for malaria, tuberculosis and leprosy, and check whether they are taking regular
treatment, motivate defaulters to take regular treatment and bring these cases to the notice of
the Health Worker (Male) or Health Assistant (Male).
5. Give Oral Rehydration solution to all cases of diarrhea/dysentery/vomiting. Identify and
refer all cases of blindness including suspected cases of cataract to M O, PHC.
6. Education, Counselling, referral, follow-up of cases of STI/RTI, HIV/AIDS.
7. Malaria
 She will identify suspected malaria fever cases during ANC or Immunization Clinic and
home visits, and will make blood smears or use RDT for diagnosis of Pf malaria.
 To advise seriously ill cases to visit PHC for immediate treatment. All the fever cases
with altered sensorium must be referred to PHC/District Hospital. The cases will be
referred after collection of blood smear and performing RDT. To arrange transportation
for such patients from home to the PHC/District Hospital.
 To contact all ASHAs/FTDs of the area during visit to the village and collect blood
smears for transportation to laboratory. To cross verify their records by visiting patients
diagnosed positive between the previous and current visit.
 To provide treatment to positive cases as per the drug policy.
 To replenish the stock of micro slides, RDKs and/or drugs to ASHAs/FTDs wherever
necessary.
 To keep the records of blood smears collected and patients given anti-malarial treatment.
 To ensure early diagnosis & radical treatment of the diagnosed positive cases (PV & Pf)
compliance of Radical Treatment (Pf – 45 mg …. & Pv – 15 mg) for 15 day.
 To take all precautions to use properly sterilized needles and clean slides while collecting
blood smears.
 She will ensure that all pregnant women are provided insecticidal treated nets in high
malaria endemic areas.
8. Where Filarial is endemic:
 Identification of cases of lymphoedema/ elephantiasis and hydrocele and their referrals to
PHC/CHC for appropriate management.
 Training of patients with lymphoedema/ elephantiasis about care of feet and home based
management remedies.
 Identification and training of drug distributors including ASHAs and Community Health
Guides for mass drug distribution of DEC + Albendazole on National Filaria Day.
9. Where Kala-Azar is endemic:
 From each family
a. She shall enquire about the presence of any fever cases having a history of prolong
fever more than 15 days duration in a village during her visit.
b. She will refer such cases to the nearest PHC for clinical examination by the Medical
Officer and confirmation by RDK.
c. She shall take the migratory status of the family/guest during last three months.
 She will also follow up and persuade the patients to ensure complete treatment.
 She will keep a record of all such cases and shall verify from PHC about their diagnosis
during the monthly meeting or through health supervisor during her visit.
 She will carry a list of all Kala-azar cases in her area for follow up and will ensure,
administration of complete treatment at PHC.
 She will assist the male health worker in supervision of the spray activities.
 She will conduct all health education activities particularly through inter-personal
communication by carrying proper charts etc. for community awareness and their
involvement.
10. Where Dengue/ Chikungunya is endemic
i. From each family
 She shall enquire about the presence of any fever case having rash and joint pain a village
during her visit.
 She will refer such cases to the nearest PHC for clinical examination by the Medical
Officer and for laboratory confirmation by sending blood sample to the nearest Sentinel
Surveillance hospital.
ii. She will supervise the source reduction activities in her area including at the time of
observance of anti-Dengue month
iii. She will coordinate the activities carried out by Village Health Sanitation and Nutrition
Committee.
iv. She will conduct health education activities particularly through inter-personal
communication by carrying proper charts etc. for social mobilization and community
awareness to eliminate source of Aedes breeding and also guide the community for
proper water storage practices.
11. Where JE is endemic:
i. From each family

 She shall enquire about the presence of any fever case having encephalitis presentation.
 She will refer such cases to the nearest PHC for early diagnosis and management of such
cases.
ii. She will conduct health education activities particularly through inter-personal
communication by carrying proper charts etc. for social mobilization and community
awareness for early referral of cases.
VII. NON-COMMUNICABLE DISEASES
1. IEC Activities for prevention and early detection of hearing impairment/deafness in health
facility, community and schools, harmful effects of Tobacco, mental illnesses, Iodine
Deficiency Disorders (IDD), Diabetes, CVD and Strokes.
2. House to House surveys to detect list & refer cases of hearing & visual impairment and
(along with annual survey register/enumeration survey. Minimum is annual survey, desirable
to be done twice yearly subject to availability of second ANM).
3. Sensitization of ASHA/AWW/PRI about prevention and treatment of deafness.
4. Mobilizing community members for screening camps and assisting in conduction of
screening camps to identify hearing or visual impairment cases if needed.
5. Motivation for quitting and referrals to Tobacco Cassation Centre at District Hospital.
6. Sensitization of ASHA/AWW/PRI about the Non-communicable diseases.
7. Identification and referral of cases of common mental illnesses and Epilepsy for treatment
and follow them up in community.
8. Greater participation/role of Community for primary prevention of NCD and promotion of
healthy lifestyle.
9. Ensuring regular Testing of salt at household level for presence of Iodine through Salt
Testing Kits by ASHAs.
10. In Fluorosis affected districts
 IEC to prevent Fluorosis.
 Identify the persons at risk of Fluorosis, suffering from Fluorosis and those having
deformities due to Fluorosis.
 Line listing, source reduction activities, reconstructive surgery cases, rehabilitative
intervention activities, focused local action and referral of what is not possible locally.
 Promoting formation and registration of Self Health Care Group of Elderly Persons’
 Oral Health education especially to antenatal and lactating mothers, school and adolescent
children, first aid and referral for cases of oral problems.
 Health communications on Disability, Identification of Disabled persons and their
appropriate referral.
VIII. VITAL EVENTS
 Record and report to the health authorities the vital events including births and deaths,
particularly of mothers and infants in her area.
IX. RECORD KEEPING
1. Maintenance of all the relevant records concerning mothers, children and eligible couples in
her area.
2. Register (a) pregnant women at earliest contact (b) infants zero to one year of age (c) women
aged 15-44 years (d) Under and above five children (e) Adolescents.
3. Maintain the pre-natal and maternity records and child care records.
4. Prepare the eligible couple and child register and maintaining it up-to-date.
5. Maintain the records as regards contraceptive distribution, IUD insertion. Couples sterilized,
clinics held at the Sub-centre and supplies received and issued.
6. Prepare and submit the prescribed weekly/ monthly reports in time to the Health Assistant
(Female).
7. While maintaining passive surveillance register for malaria cases, she will record:
 No. of fever cases
 No. of blood slides prepared
 No. of malaria positive cases reported
 No. of cases given radical treatment
X. TREATMENT OF MINOR AILMENTS:
1. Provide treatment for minor ailments, first-aid for accidents and emergencies and refer cases
beyond her competence to the Primary Health Centre/Community Health Centre or nearest
hospital.
2. Provide treatment as per AYUSH* as needed at the local level.
XI. TEAM ACTIVITIES
1. Attend and participate in staff meetings at Primary Health Centre/Community Development

Block or both.
2. Coordinate her activities with the Health Worker (Male) and other health workers including
the Health volunteers/ASHA and Dais.
3. Coordinate with PRI and Village Health Sanitation and Nutrition Committee.
4. Draft annual Village Health Plan with the help of Health Worker (Male), PRI and VHSC
for submitting the same to block.
5. Meet the Health Assistant (Female) each week and seek her advice and guidance whenever
necessary.
6. Maintain the cleanliness of the Sub-centre.
7. Dispose medical waste as per the IMEP guidelines, of GOI.
8. Organize, participate and guide in organizing the VHN Days at Anganwadi Centers.
9. Participate as a member of the team in camps and campaigns.
10. House-to House Surveys
 These surveys would be done once in April annually. Some of the diseases would require
special surveys- but at all times not more than one survey per month would be expected.
Surveys would be done with support and participation of Health Worker (male), ASHAs,
Anganawadi Workers, Community volunteers, Panchayat members and Village Health
Sanitation and Nutrition Committee.
 Timings :
 9 am – 2pm : Field Work, after that at the Sub centre level,
 2 pm – 5 pm: Provide Primary healthcare services to the community and attending to any
emergency services
XII. ROLE OF ANM AS A FACILITATOR OF ASHA
1. Auxiliary Nurse Midwife (ANM) will guide ASHA in performing the following activities:
 She will hold weekly/fortnightly meeting with ASHA and discuss the activities undertaken
during the week/fortnight. She will guide her in case ASHA had encountered any problem
during the performance of her activities.
 ANM will act as a resource person for the training of ASHA.
 ANM will inform ASHA regarding date and time of the outreach session and will also
guide her for bringing the beneficiary to the outreach session
 ANM will participate and guide in organizing the Health Days at Anganwadi Centres.
 She will take help of ASHA in updating eligible couple register of the village concerned.
 She will utilize ASHA in motivating the pregnant women for coming to sub- centre for
initial checkups. ASHA will also help ANMs in bringing married couples to Sub-centres
for adopting family planning methods.
 ANM will guide ASHA in motivating pregnant women for taking full course of IFA
Tablets and TT injections etc.
 ANMs will orient ASHA on the dose schedule and side effects of oral pills.
 ANMs will educate ASHA on danger signs of pregnancy and labour so that she can timely
identify and help beneficiary in getting further treatment.
 ANMs will inform ASHA on date, time and place for initial and periodic training schedule.
She will also ensure that during the training ASHA gets the compensation for performance
and also TA/DA for attending the training.
 Train in Salt Testing using salt Testing Kits. The second ANM will follow similar job
responsibilities as the above. It is to be ensured that one ANM out of the two is available at
the Sub-centre. Other ANM will perform the field duties. The time schedule for their turn
visits be prepared with the approval of the Panchayats involved.
 Timings :
 9 am – 2pm : Field Work, after that at the Sub centre level,
 2 pm – 5 pm: Provide Primary healthcare services to the community and attending to any
emergency services .
CHAPTER 24
DUTIES & JOB RESPONSIBILITIES OF RESIDENT MEDICAL OFFICER
1. DUTIES AND RESPONSIBILITIES:

The Resident Medical Officer will be under the Superintendents / Dean / Vice-Dean of the
Hospital in executive charge of Internal Administration of the Institution / Department.
a. As per the instructions of K.H.S.D.R.P., the Residential Medical Officer in responsible for
internal administration of the entire Hospital. He will look after the day-to-day management
of the Hospital.
b. He will attend to all the Medico Legal Correspondence by issuing suitable instructions to
the Officer.
c. He shall be responsible for efficient work and proper dispensation in the hospital. He shall
prepare duty rooster on the 1st of every month, detailing the subordinates for their respective
duties and shall be responsible for efficient work and proper dispensation in the hospital.
d. Being resident on the premises, he is considered to be always on duty and in-charge of
casualty department of the Institution.
e. He is in charge of sanitation of the hospital in all departments and of the hospital enclosure
in general.
f. He is responsible for preparation of Periodical Hospital written and place them before the
Medical Officer / Dean / Vice –Dean.
g. He shall examine the morning reports furnished by the Asst Surgeon on night duty and,
place it before the Medical Officer /Vice-Dean.
h. He will exercise control over all class-IV staff except those under lay secretary and deal with
them through the Nursing Superintendent so that harmony in the working of the hospital
may be preserved.
i. He shall frequently overall Surgical and medical apparatus and see that they are kept in good
order.
j. He is in immediate charge of all apparatus and drugs in stock and he alone will issue
material from the stock.
k. He is responsible for proper maintenance of stock account of all instruments, apparatus and
appliances in the hospital.
l. He is in charge of Medical stores of the institution and responsible for proper distribution
among various sections and correct accounting in the stock registers.
m. He shall also prepare indents for supply of drugs, dressing instruments and appliances
required to the institution every year and see exhausted stock are replenished by placing
additional indents on the Government Medical Stores and other agencies approved by the
Government.
n. He shall frequently inspect the compounding section to see that they are kept tidy, the
medicines in safe custody and that Dispensary records are carefully kept bringing to the
notice of the Medical Officer / Vice – Dean, any short coming on the part of the
compounders.
o. He shall attend all emergency cases put during Hospital duty hours, and he will call the
surgeon or Physician whose Out-Patient day it will be, to attend the cases if it requires
immediate specialist attention.
p. He should have to leave his quarters at any time, he should enter the address of the place he
is going to in the book provided for the purpose.
q. He will be responsible for the efficient working of Out-Patient Department.
Sd /-
Director,
Health & Family Welfare Services,
Bangalore.
CHAPTER 25
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CHAPTER 26
TIMINGS OF SUB CENTER
INTRODUCTION
 In the public sector, a Health Sub-centre is the most peripheral and first point of contact
between the primary health care system and the community.
 A Sub-centre provides interface with the community at the grass-root level, providing all the
Primary Healthcare services. It is the lowest rung of a referral pyramid of health facilities
consisting of the Sub-centers, Primary Health Centers, Community Health Centers, Sub-
Divisional/Sub-District Hospitals and District Hospitals.
 The purpose of the Health Sub-centre is largely Preventive, Promotive, Rehabilitative and
Curative care.
 As per population norms, there shall be one Sub-centre established for every 5000
population in plain areas and for every 3000 population in hilly/tribal/desert areas.
 As the population density in the country is not uniform, application of same norm all over
the country is not advisable.
 The number of Sub-centers and number of ANMs shall also depend upon the case load of
the facility and distance of the village/habitations which comprise the Sub-centers.
 There are 147069 Sub-centers functioning in the country as on March 2010 as per Rural
Health Statistics Bulletin, 2010.
OBJECTIVES OF THE INDIAN PUBLIC HEALTH STANDARDS FOR SUB-CENTRE
i. To specify the minimum assured (essential) services that Sub-centre is expected to provide
and the desirable services which the states/UT s should aspire to provide through this
facility.
ii. To maintain an acceptable quality of care for these services.
iii. To facilitate monitoring and supervision of these facilities.
iv. To make the services provided more accountable and responsive to people’s needs
CATEGORIZATION OF SUB-CENTERS
 In view of the current highly variable situation of Sub-centers in different parts of the
country and even within the same State, they have been categorized into two types –
 Type A and
 Type B.
 Categorization has taken into consideration various factors namely catchment area, health
seeking behavior, case load, location of other facilities like PHC/CHC/FRU/Hospitals in
the vicinity of the Sub-centre.
 Categorization of Sub-centres should be as per the guidelines and provision of services and
Infrastructure is made utilizing Optimum usage of available resources.
1. Type A
 TYPE A SUB CENTRE will provide all recommended services except that the facilities for
conducting delivery are not available. However, the ANMs have been trained in
midwifery, to conduct normal delivery in case of need and emergencies.
 If the requirement for this goes up , the sub centre may be considered for Up gradation to
Type B.
 The Sub-centres in the following situations may be included in this category.
i. Sub-centres not having adequate space and physical infrastructure for conducting
deliveries, due to which providing labour room facilities and equipment at these Sub-
centres is not possible.
 However there may still be demand for delivery services from the community in these
areas e,g, Sub-centres located in remote, difficult, hilly, desert or tribal area.
 In such areas, the transport facility is likely to be poor and the population is still
dependent on these Sub-centres for availing delivery facilities.
 In such situations, ANMs would be required to conduct deliveries at homes and ANMs of
these Sub-centres should mandatorily be Skilled Birth Attendance (SBA) trained.
 Such Sub-centres should be identified for infrastructure up gradation for conversion to
Type B Sub-centres on priority.
ii. In the vicinity of other higher health facilities like PHC/CHC/ FRU/Hospital, where
delivery facilities are available
iii. Sub-centres in headquarter area Sub-centres where at present no delivery or occasional
delivery may be taking place i.e. very low case load of deliveries. If the case load
Increases, these Sub-centres should be considered for up gradation to Type B.
STAFF RECOMMENDED
 One ANM (Essential),

 Two ANMs: (Desirable to split the population between them and one of them provides
outreach services and the other is available at the Sub-centre)
 One Health Worker (Male) (Essential)
 Sanitation services should be provided through outsourcing on part time basis
GUIDELINES
 The facilities for conducting delivery will not be available at these sub-centres and patients
may usually be referred to nearby Primary Health Center providing delivery facilities.
 These Sub-centres should provide all other recommended services such as :
 ANC clinics,
 Immunization for preventable diseases,
 Conducting village health and nutrition day meetings and
 Focus on Outreach services,
 Tuberculosis,
 Leprosy,
 Non-communicable diseases,
 Nutrition,
 Water,
 Sanitation and
 Epidemics.
 It is also to be ensured that the Staff of these sub-Centres is provided training in all new
programmes on priority basis and refresher training is provided regularly.
TIMINGS OF SUB CENTRE : 9.00 AM to 4 PM
NOTE
i. The duties & responsibilities outlined in the above job description are not intended to be
definitive nor restrictive, and may be amended as per the changing needs of the department.
ii. To provide the highest quality of Service to the patients, Clients and Community the Officer
and members of the staff are expected to provide caring Services and treat with a courteous
and respectful manner.
iii. DH & FW is committed to the development and implementation of systems under Clinical
and Social Care Governance by ensuring continuous improvement in the quality of services
provided.
iv. The post holder will be expected to Co-operate and work using those systems.
v. The post holder is required to ensure that equality and human rights issues are addressed
within the post holder’s area of responsibility in accordance with the department of Health
& Family Welfare.
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CHAPTER 7

DUTIES & RESPONSIBILITIES

2 DISTRICT MEDICAL OFFICER IN PRIMARY HEALTH CENTRE

3 COMMUNITY HEALTH OFFICER

4 COLD CHAIN OFFICER

7 FUNCTIONS, DUTIES & RESPONSIBILITIES OF DISTRICT NURSING SUPERINTENDENT (DNO)

8 JOB DESCRIPTION of DISTRICT HEALTH EDUCATION OFFICER / DISTRICT MASS

11 SENIOR AND JUNIOR PHARMACISTS

13 PROCEEDINGS OF MYSORE – ASSISTANT ADMINISTRATIVE OFFICER

14 JOB RESPONSIBILITIES OF STENOGRAPHERS

15 JOB RESPONSIBILITIES OF JUNIOR & SENIOR LAB TECHNOLOGIST

16 JOB RESPONSIBILITIES OF X – RAY TECHNICIANS

17 RESPONSIBILITIES OF NURSING PERSONNELS (STAFF NURSE –JUNIOR)

18 RESPONSIBILITIES OF NURSING PERSONNELS (STAFF NURSE – SENIOR )

19 RESPONSIBILITIES OF NURSING SUPERINTENDENT – GRADE II

20 RESPONSIBILITIES OF NURSING SUPERINTENDENT – GRADE I

21 JOB RESPONSIBILITIES OF SENIOR HEALTH ASSISTANT MALE

22 DUTIES AND RESPONSIBILITIES OF DENTAL HEALTH OFFICER

23 ROLES, RESPONSIBILITIES OF AUXILLIARY NURSE MIDWIVES –ANM’S

24 DUTIES AND RESPONSIBILITIES OF RESIDENT MEDICAL OFFICERS

25 GO’S – ANNEXURES OF JOB RESPONSIBILITIES OF TALUKA HEALTH OFFICER

26 Timings of Sub Centre

Read : Government Order No. HFW 21 MSD 86, Dated : 2 - 04 - 1986

BY ORDER AND IN THE NAME OF

( MAAZ AHMED SHARIEF)

Under Secretary to Government,

Health & Family Welfare Department.

The Secretary to Government, Finance Department, Bangalore.

The Private Secretary to Chief Secretary.

The Director of Health & F.W. Services, Bangalore.

The Director of Medical Education, Bangalore.

The Director of Health Education and Training, Bangalore.

The Director of E.S.I. (M), Services, Bangalore.

The Divisional Joint Directors of all Divisions.

The District Health & FamilyWelfare Officers of all Districts.

The District Surgeons of all Districts.

The Personal Assistant to Health Secretary. }

The Personal Assistant to Addl. Deputy Secretary. } Services Department.

The Personal Assistant to Deputy Secretary (General) }

The Under Secretary's

The Section Officers's

The Section Guards File

The Spare Copies

The Director of Health and F.P.Services, Bangalore.

For Director of Health & F.P. Services.

1. JOINT DIRECTOR ( HEALTH PROGRAMMES & PLANNING)

To be Re - Designated as JOINT DIRECTOR ( HEALTH & PLANNING)

2. JOINT DIRECTOR ( HEALTH, MALARIA & FILARIA AND COMMUNICABLE

To be Re - Designated as JOINT DIRECTOR ( MALARIA & FILARIA)

3. JOINT DIRECTOR ( DIARRHOEAL DISEASE CONTROL)

To be Re - Designated as JOINT DIRECTOR (DIARRHOEAL DISEASE CONTROL

1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating and

1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating and

5. JOINT DIRECTOR( TUBERCULOSIS)

1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating and

1. Planning, Implementation, Monitoring, Reviewing, Evaluating, Co-Ordinating and

7. JOINT DIRECTOR (MEDICAL)

BY ORDER AND IN THE NAME OF

( MAAZ AHMED SHARIEF)