தானே புயல் நிவாரண நடவடிக்கைகள் -நோய்த்தடுப்புப்பணி

கடலூர் மாவட்டத்தில் கடந்த வெள்ளியன்று தாக்கிய தானே புயலின் கோரத்தாண்டவம் கடலூரிலிருந்து கி.மி. தள்ளியிருந்த  கம்மாபுரம் வட்டாரத்தையும் விட்டுவைக்கவில்லை.குறிப்பாக நெய்வேலி அதனை சுற்றியுள்ள பகுதிகள் ,பாலக்கொல்லை,கம்மாபுரம் அரசகுழி, இருப்பு ,கோட்டேரி.முதனை,மேலக்குப்பம்,ஊ.மங்கலம்,கங்கைகொண்டான் போன்ற பகுதிகள் கடுமையாக பாதிக்கப்பட்டன.மின்சாரம் இல்லாததால்

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DUTIES AND RESPONSIBILITIES OF SECTOR HEALTH NURSE

Sector Health Nurse:(G.O.Ms.No.2428. H.&.F.W., dt: 13.12.1982.)

1.        There will be one Health Supervisor (Female) for every four Health Workers. She will be responsible for the development of maternal and Child Health Services in the area.

2.        She will conduct antenatal clinics and well-baby clinics and toddlers clinics at the Primary Health Centre and at the Maternity Sub Centers.

3.        She will arrange to give group talks to expectant mothers. During these talks, she will stress on personal hygienic and nutrition and environmental sanitation and mother craft and child care practices.

4.        She will carry out “Home Visits”, During these visits in addition to giving advice about maternity and child health she will demonstrate simple procedure to relieve conditions such as lousiness, scabies, sore eyes, etc., with the help and Multi purpose of Health Worker (Female).

5.        She will visit once a week on fixed days, each of the Health sub centers. During these visits, she will conduct antenatal and well baby clinic. She will independently check some of the houses and find out omissions in Antenatal care and Post-natal care and under maternal and child health programme.

6.        She will advice on family welfare practices.

7.        She will observe the work of Multi purpose Health Worker (Female) and Dais during the clinic and Home situation and help her improve her technical skills and human relationship.

8.        She will observe and supervise the work of Multi Purpose Health Worker (Female) and Dais. For the purpose it will be necessary for her to observe them and conduct one or two deliveries in the homes.

9.        She will respond to any urgent call from the Health Worker (Female) or Dais.

10.     She will ensure that antenatal and postnatal and infant health cards are maintained for mothers and infants and toddler cards for the children.

11.     She will scrutinize and approve the order for supplies and equipment by the VHN

12.     In abnormal cases, she will arrange for the transport to take expectant mothers to the hospitals.

13.     She will help in the training of indigenous Dais.

14.     She will see that adequate equipment is provided and maintained for maternity and child care.

15.     She will check the health cards maintained by VHN.

16.     She will help the Medical Officers in the development of school health programme and assist the Medical Officer.

17.     She will staff conferences with the multi purpose health worker (Female) and Dais.

18.     She will give an evaluation report of the work done in the field of Child health.

19.     Each Health Supervisor should arrange to immunize 10% of the annual target of eligible children every month so as to achieve the annual target within every month so as to achieve the annual target within the year, she will utilize the service of health worker (female)

20.     She would visit all the villages to impress the village community on the importance of DPT, Polio and Measles immunization among children.

21.     Apart from the immunization for children the Health Supervisor must also give tetanus toxic immunization for antenatal mothers and distribute vit.”A” solution to children and DT., TA., TT to female school children from 10 to 16 years of age.

22.     She will co-ordinate with the Male Health Worker and supervisor of the area concerned for campaign activities.

23.     She has to see that infant health cards and children cards are maintained. She will send her dairy and returns retaining to the immunization programme and all activities to Medical Officer, Primary Health Centre.

24.     She will maintain and inventory of all the equipment instruments, furniture and other articles required for maternity and child welfare work in each sub centers and check the inventory as specified period.

25.     She will be responsible for maintenance of records preparation and submission of reports and returns.

26.     She will sign in the wall chart on the day of her visit after enquiry and verification.

27.     She will discharge any other duties assigned by her superior and the Director of Public Health and Preventive Medicine in regard to Public Health from time to time.

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DUTIES AND RESPONSIBILITIES OF THE POST OF COMMUNITY HEALTH NURSE

I.    INTRODUCTION

(1)  The Community Health Nurse shall work under the immediate control, guidance and supervision of the Medical Officer in-charge of the Block Primary Health Centre and over all-administrative, and technical control and supervision and guidance of the Deputy director of Health Services concerned.

(2)  She will supervise, control and guide the Female component of the Field Health Staff i.e., Sector Health Nurses (Multipurpose Health Supervisors (Female) and Village Health Nurse (i.e. Multipurpose Health Workers (Female).

(3)  The Female component of the Field Health Staff of the Primary Health Centres and Health Sub-centres of the Block shall work under the immediate technical control and supervision of the Community Health Nurse and over all administrative control of the medical Officer of the Primary Health Centre concerned.

(4)  The community Health Nurse shall keep herself conversant with the villages, Topography and the demographic characteristics, health needs and demands and public health problems in the block area.

(5)  The Community Health Nurse is responsible to assist the Medical Officers of the Primary Health Centres concerned and thus ensure the performance and achievement by the Female component of the Field Health Staff of the Primary Health ‘centres and Health Sub-centres in respect of various Health Programmes are including Family Welfare Programme in the block area. She shall ensure that all the activities under various Health and Family Welfare Programmes are implemented by the Sector Health Nurses (i.e. Multipurpose Health Supervisors (Female) and Village Health Nurses (i.e. Multipurpose Health Workers (Female) in the area of their jurisdiction.

II.                                                 FUNCTIONS UNDER MATERNITY AND CHILD HEALTH SERVICES

(1)  She shall ensure rendering of Mother and Child Health care services such as pre-natal, inter natal, and postnatal care of mothers and infants and Pre-School child health care by and through the Female component of the Field Health Staff of the Primary Health Centres, Health Sub-Centres and Supervision of Services rendered by Dais.

(2)  She shall assist the Medical Officers of the Primary Health Centres and ensure by effective supervision in screening of high-risk cases of pregnancy and infants.  Children by the Female component of the Field Health Staff for arranging for provision of special care and higher medical attention by referral to the appropriate higher treatment facility centres.

III.                                                IMMUNISATION

(1)  She shall assist the Medical Officer, Primary Health Centre to Plan, organize and implement immunisation service under UIP as per the latest policy and National immunization Schedule and Sate Government instructions and ensure universal coverage of eligible beneficiary population in each village and Habitation in the block area thro’ the Female component of the Field Health staff of the Health Sub-Centres and Primary Health Centres by proper calendar of activities and visits.

(2)  She shall assist the Medical Officers, Primary Health Centres to ensure adequate supplies of vaccines i.e antigens and all equipments and items required for immunization services from time to time for the effective implementation of the immunization services in the Community.

(3)  She shall with the guidance and support of the Medical Officer, Primary Health Centre ensure proper storage of vaccines under optimum and prescribed temperature in Primary Health Centres in the field and she will inspect the cold chain equipments in all places and ensure continuous cold chain during transport of vaccines.

(4)  She shall assist the Medical Officer, Primary Health Centre to investigate and report all adverse event, reactions and complications arising out of administration of immunization and arrange to undertake necessary remedial corrective measures as required under guidance and supervision of the Medical Officers of the Primary Health Centres.

(5)  She shall assist the Medical Officers of the Primary Health Centres and District Health authorized to plan, organize and implement services for effective administration of various nutrition programmes and administration of Vitamin-A solution and Iron and folic Acid supplementation to the eligible beneficiaries that the Female Field Health Staff.

(6)  She shall ensure that the Sector Health Nurses and Village Health Nurses of Primary Health Centres and Health Sub Centres visit all the TamilNadu Nutritious Noon Meal Programme Centres/Community Nutrition Centres and ICDS (Anganwadi) Centres in her area regularly and ensure provision of health care services including referral as per programme instructions to the children.

(7)  She shall ensure that the periodic monitoring of the growth and development of children from the time of birth as carried out by Village Health Nurses and Sector Health Nurse at appropriate intervals and so that the Health cards and related records are maintained by concerned Field Health and Nutrition functionaries as per programme directives.

(8)  She shall assist the Medical Officer, Primary Health Centres in ensuring that all cases of maternal and infant and child deaths are investigated socio-epidemiologically and notified to higher authorities and arrange to undertake rendering of suitable preventive and remedial measures to prevent such mortality under the guidance and supervision of Medical Officers of Primary Health Centres and district Health Authorities.

(9)  She shall assist the Medical Officers to ensure conduct of regular surveillance by all the field Health Staff of the Primary Health Centers and Health Sub-Centres in respect of occurrence of the Vaccine preventable diseases in her block area and maintain Health Sub-Centre wise and Primary Health Centre wise account of all cases of vaccine preventable diseases in collaboration and coordination with Block Health supervisor (Male).

(10)   She shall verify the stock position of all the items of equipments, syringes, needles and vaccines and ensure proper flow of materials and vaccines with little room for shortage or surplus.

(11)   She will maintain and ensure sterilization of syringes and needles and adoption of practice of one syringe. One needle for one child for each Immunisation administered by Field Health staff implementing immunization services both in the clinic and in the community.

FAMILY WELFARE

(1)      She shall be responsible to assist the Medical Officers of the Primary Health Centres for the successful and affective implementation of National Family Welfare Programme through the Female Health Staff of Primary Health Centres and Health sub-Centres in her block.

(2)      The Community Health Nurse is responsible for implementation of    activities under information and Education on Family Welfare in collaboration with Block Extension Educator and motivation of staff and strengthen and supervision of Family Welfare Services and after care and follow-up.

(3)      She shall with the Female Health Supervisors i.e Sector Health Nurse arrange follow-up of Family Welfare cases and accepts of Family Welfare methods such as intrauterine device and oral pills etc. for immediate management and referral if any

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