டிசம்பர் 26, 2011

Vital Statistics Definition & Formulas

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                                                Decadal Growth Rate

Percentage of Population increased per decade.

   Difference between current and last census Population
----------------------------------------------------------X 100
                        Last census Population
Literacy Rate

Vital Statistics
Definition & Formulas

Percentage of Literates above 6 Years of Population.

               No. of Literates ( 7 yrs and above)                         
          ------------------------------------------------  X 100
             Total Population aged 7 yrs and above

Sex Ratio                       ( at Population)


No.of Females per 1000 Males

                         Female Population
            ------------------------- X 1000
                         Male Population
Sex Ratio at Birth


No. of males per 100 females

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GUIDELINES FOR VILLAGE HEALTH AND NUTRITION DAY:

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The village Health and Nutrition Day (VHND) is to be organized once in every month on a fixed day (such as second Friday etc...). The day can be decided by the VHWSC in each Village at anyone of the Anganwadi Centres (AWCs) in that village. preferably, all the AWCs should be covered by rotation.
            On the appointed day, AWW and other VHWSC members will mobilize the villagers, especially the women and children to assemble at the nearest Anganwadi centre.
            Clinical session will be conducted in the forenoon by the VHN and discussion/education activities will be conducted in the afternoon.
            VHNDs will also be used to compare and correlate data monthly between the Anganwadi centre and the VHN.

Services to be provided during VHNDs
  • All pregnant women are to be registered on that day if they have not been            previously registered.
  • Ensure all registered pregnant women are given ANC.
  • Dropout pregnant women for ANC are traced and services provided
  • Ensure Registration of all newborns
  • Ensure all eligible children below one year are given vaccine against six vaccine preventable diseases.
  • All drop out children who have not received vaccines as per schedule are to be vaccinated in the presence of mobile medical unit in the remote villages visited by Mobile Medical Unit. In other areas the unimmunized children are to be motivated to attend the catch up session at PHC.
  • Vitamin A solution to be administered.
  • Ensure all Children are weighed, weight plotted on card and managed appropriately for taking care of malnutrition.
  • Ensure TB patients are taking drugs as per schedule and trace the defaulters and take necessary action.
  • IUD insertion

  • Ensure Depot holders have sufficient quantity of Condoms and Oral Contraceptives (OCPs)
  • Supplementary nutrition advice to be provided to under weight children.
  • Distribution of IFA tablets to AN mothers, adolescent girls and children.

lssues to be discussed with the Community during VHNDs:
  • Danger signs during pregnancy.
  • Importance of Institutional Delivery and identification of  near by institution
      to which emergency cases can be taken for delivery.
  • Counselling on Essential Home based  Newborn Care (ENBC)
  • Importance of seeking Post Natal Care.
  • Registration for Janani Suraksha Yojana (JSY) and Dr.Muthulakshmi Reddy
  • Maternity Benefit Scheme.
  • Counselling on better Nutrition
  • Exclusive Breast Feeding (EBF)
  • Weaning and Complementary feeding
  • Care during Diarrhoea and home management
  • Care during Acute Respiratory Infections
  • Prevention of Malaria, TB and other communicable diseases
  • Prevention of HIV / AIDS
  • Prevention of STIs
  • Importance of Safe drinking water
  • Personal Hygiene
  • House hold sanitation
  • Education of children
  • lssues against sex selection
  • Age at marriage
  • Information on RTI, STI, HIV and AIDS
  • Disease Outbreak
  • Disaster Management.

A monthly topic for discussion during VHND has to  be decided by DPH or DDHS
every month and communicated to all.

Responsibilities of AWW for conduct of VHNDs
  • Ensure that AWC is clean
  • Ensure availability of clean drinking water during VHND
  • Ensure a place with privacy at AWC for ANC/IUD insertion
  • Keep adequate number of mother and Child Health (MCH) cards

Responsibilities of VHN for conduct of VHNDs
  • Ensure that villages Health Day is held without fail, make alternate arrangements in case of on going leave
  • Make arrangements for the mobile medical units to visit the remote villages to immunize dropout children during VHND
  • Ensure all instruments, drugs and other materials are in place
  • Carry required communication materials

Instruments / Equipments / Furniture needed to organize VHND
·         Weighing Scale – Audit, Child
·         Examination table
·         Bed screen / Curtain
·         Haemoglobinometers, Kits for urine examination
·         Gloves
·         Slides
·         Stethoscope and Blood Pressure Instrument
·         Measuring tape
·         Foetoscope
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RECORDS AND REGISTERS TO BE MAINTAINED AT PHC

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HSC Registers for Village Health Nurse (VHN)
Family and eligible couple register
Mother care register
Child care register
Vital Events / VPD surveillance register
Minor ailments treatment register
Referral register
Drug stock register
HSC activities reporting  register
HSC  consolidation register
Form 9
NRHM related activities Register
IDSP Forms

Registers  for  Male Health Worker – HSC
Family register
Disease surveillance register
Epidemic prevention activity registers
Programme register
School Health register
Inspection register
Drugs, consumables/equipment register
 HI monthly report register and Diary
Birth and death issue register
Tobacco control activity related registers
IDSP Activities related reports (Residual Chlorine & H2S Monitoring) Disease Surveillance register
ADD/Cholera register
Register  of sanitation
Register of Vital Statistics in each panchayat
Enforcement of health related acts.
Dangerous and offensive trade register
Weekly review register
Report on inspection & case sheets

PHC REGISTERS
OP nominal register
OP diagnosis  and treatment register
Referral slip register
Monthly OP treatment register
Drug/Injection register
Minor surgery register
IP general register
IP Delivery register
IP case sheets
Diet Register
Patient discharge summary
Monthly morbidity register

STAFF NURSE/ANM
Nurse report book
ARV/ASV injection register
TT injection register
AN clinic register
PN clinic register
IP referral register
RTI/STI clinic register
IUD register
Under 5 clinic register
Laundry register

PHARMACIST
 Indent register
Main stock register
Sub Stock register
Token register
Drug expiry date register
FW drugs  & supplies register
Cold chain working status register
Vaccine stock register
Vaccine distribution & return register
NRHM activities related registers

LAB. ASSISTANT
Haematology and biochemistry register
Urine analysis register
Stool examination  register
Skin smear  and swab register
TB sputum examination register
Stock register
Report  register

PARAMEDICAL OPHTHALMIC ASSISTANT
Eye OP register
Glass prescription register
Register for cataract & other cases
Bilateral blindness register
Monthly performance  reports
MLC
Accident register
X-ray, Scan registers
Wound certificate
Police / Magistrate intimation book
Certificate of drunkenness register

SCHOOL HEALTH PROGRAMME
Student health appraisal register
Referral slip and follow up register
Home  visit register
Monthly activity report

MALE HEALTH WORKER (HI)
Disease Surveillance register
ADD/Cholera register
Register  of sanitation
Register of Vital Statistics in each panchayat
Enforcement of health related acts.
Dangerous and offensive trade register
School Health register
Weekly review register
Report on inspection & case sheets
SECTOR HEALTH NURSE (LHV)
SHN  performance register
Visit  to Immunisation sessions & participation in IEC activities
Monthly activity report/ Diary
BLOCK  HEALTH SUPERVISOR
Disease Surveillance register
Register of Sanitation
Register of VS in each panchayat
Enforcement of Health related Acts.
D & O trade register
Tobacco control related activities register
IEC register
Monthly activity register/report
COMMUNITY HEALTH NURSE
Register of all activities
BLOCK EXTENSION EDUCATOR
Block level Drama, Exhibition register
Higher order birth  register
IEC activities register
Register for IEC equipments
Block information register
Monthly report/register 
BLOCK HEALTH STATISTICIAN
FW Activities Register 
REGISTERS MAINTAINED BY MEDICAL OFFICER
Asset register
Attendance register
Movement register
Telephone Register
Inspection/Suggestion Register
Rumor register
Reports under various Acts.
Birth and death  returns
Morbidity statistics
Monthly report  on ADD/Cholera / Notified  infectious  diseases
Monthly activities  report register
Primary Health Centre monitoring report
NRHM Registers.
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JOB RESPONSIBILITIES OF HEALTH EDUCATOR

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Working Relationship:
            The Health Educator will function under the technical supervision and guidance of the Block Extension Educator. However, he/she will be under the immediate administrative control of the PHC Medical Officer. He/she will be responsible for providing support to all health and family welfare programmes in the block.
Duties and Functions:
1.    He/she will have with him/her all information relevant to development activities in the block, particularly concerning health and family welfare, and will utilize the same for programme planning.
2.    He/she will develop his/her work plan in consultation with the medical officer of his/her PHC and the concerned Block Extension Educator.
3.    He/she will collect analyses and interpret the data in respect of extension education work in his/her PHC area.
4.    He/she will be responsible or regular maintenance of records of educational activities, tour programmes, daily dairies and other registers, and will ensure preparation and display of relevant maps and charts in the PHC.
5.    He/she will assist the Medical Officer, PHC in conducting training of health workers under the MPW and VHN/ASHA  and other schemes under NRHM.
6.    He/she will organize the celebration of health days and weeks and publicity programmes at local fairs, on market days, etc.
7.    He/she will organize orientation training for health and family welfare workers, opinion leaders, local medical practitioners, school teachers, dais and other involved in health and family welfare work.
8.    He/she will assist the organizing mass communication programmes like film shows, exhibition, lecturers and dramas,
9.    He/she will supervise the work of field workers in the area of education and motivation.
10. He/she will supply education material on health and family welfare to health workers in the block.
11. While on tour he /she will verify entries in the eligible couple register for every village and do random checking of family welfare acceptors.
12. While on tour he/she will check the available stock of conventional contraceptive with the depot holders and the kits with VHN/ MPHWs and ASHAs.
13. He/she will help field workers in winning over resistant cases and drop-outs in the health and family welfare programmes.
14. He/she will maintain a complete set of educational aids on health and family welfare for his/her own use and for training purpose.
15. He/she will organize population education and health education sessions in schools and for out-of school youth.
16. He/she will maintain a list of prominent acceptors of family planning methods and opinion leader’s village wise and will try to involve them in the promotion of health and family welfare programmes.
17. He/she will prepare a monthly report on the progress of educational activities in the block and send it to the higher authority.

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