Job description of BHU staff

HEALTH OFFICER

JOB TITLE          -        Medical Officer (MO)

BPS                      -        17

JOB DESCRIPTION OF HEALTH OFFICER AT BHU

1.       Scope

          The HEALTH OFFICER incharge BHU is not only a medical man responsible for provision of health care including preventive and curative, but is also an administrator and liaises with community, formally through VHW and TBA etc. and informally through his contacts with people for community development. 

2.       Administrator

          2.1     The HEALTH OFFICER Incharge is the resident HEALTH OFFICER. He is available 24 hours for emergency cases. In the morning & evening he sits in the BHU for his routine duties as per notified time schedule.

          2.2     For the purpose of discipline, the HEALTH OFFICER incharge BHU is immediate officer and leader of the BHU health team which, in addition to the BHU staff and out-reach workers, includes those working at satellite clinics, sub health centre, MCH centre, TB clinic, dispensaries etc. in the revenue limits of BHU. All reports/complaints made by him will carry weight and action must be taken by the competent authority.  In case, the HEALTH OFFICER is not satisfied by the action, or if undue delay occurs, without any prejudice by his seniors, he will report to the higher authorities/echelon in the hierarchy. 

          2.3     All the staff working at BHU and out-reach workers would mark their daily attendance in the register maintained by the HEALTH OFFICER and kept in his office. They will operate from BHU.

          2.4     He prepares and maintains duties roster for BHU health team and organizes it in accordance with the objectives set for the BHU.  In this regard, he must observe principle of effectiveness and efficiency.  In other words, he ensures efficient utilization of human resources available to him.

          2.5     He is responsible for cleanliness and general maintenance, in all respect, of BHU. His performance evaluation will be based on achievement of the objectives laid down for BHU and BHU health team.

          2.6     He supervises and ensures efficient utilization of material and monetary resources available to the BHU health team.

          2.7     He, in the capacity of incharge BHU health team, is responsible for data gathering; demographic profile, epidemiological characteristics and health statistics (of union council/BHU's revenue limit).

          2.8     He should facilitate the task of local planning and goal setting.  He shall, in this respect, provide information on local conditions.  Based on this information, the HEALTH OFFICER would also think and propose certain plans and strategies.

          2.9     He should ensure maintenance of stock register by the concerned officials in the BHU and attached health facilities.  Any requirement, additions or replacements, he shall pass to the DO (H) and the same channel will be observed after receipt of the indented items.  The HEALTH OFFICER would verify all such receipts before disbursements.

          2.10   He is controlling officer for the BHU health team and all the bills, applications etc from the staff are channeled through him. Any correspondence, without having been forwarded by him, shall not be entertained at the DO (H) etc office.

          2.11   In the capacity of HEALTH OFFICER incharge BHU, it is his responsibility that all the forms and registers for all the facilities under his control are kept updated and the information required by the higher echelon in the hierarchy, is submitted in time.

3.       Community Development

          3.1     Activities of the BHU health team are essentially aimed to help individual communities to attain a level of health so as to make them socially and economically productive.  The primary health care has been considered to be the most suitable approach to achieve such objective. This includes clean environment and water supplies, care of mothers during pregnancy and child birth (MCH), family planning, nutrition, health education, immunization and early treatment of diseases.  The HEALTH OFFICER BHU is responsible for provision of these component activities to the recipient individuals and communities.

          3.2     To achieve its aims the BHU health team, under the guidance of the HEALTH OFFICER incharge, promotes community participation. 

          3.4     The BHU health team should also work closely with the workers from the other allied sectors, such as teachers, agriculture extension workers and religious leaders etc.

4.       Provider of Health Care

          4.1     General

                   The HEALTH OFFICER incharge is responsible himself, directly and indirectly through the members of the BHU health team for provision of primary health care to the people (see job summary and section on community development)

          4.2     Preventive

(a)  All the out-reach and static staff of EPI, MEP, TBCP, LEP, ARI, DDC, CDC and other vertical programrs report to the HEALTH OFFICER incharge for duty (in the revenue limits of BHU).

(b)  All the supplies pertaining to the programrs as given above, are received and distributed to the respective health workers, under his supervision.  In this respect, the HEALTH OFFICER would ensure that regular supply of consumables is

maintained and he should take appropriate action immediately to avoid any stock outs.

(c)   He would ensure that the targets of health workers belonging to various programrs are timely achieved.

(d)  The MCH staff works under the HEALTH OFFICER, who evaluates and sees that they perform their job in accordance with their job description and achieve the targets set for them.

(e)   The performance evaluation and working of the sanitation staff, in accordance with their job description, is responsibility of the HEALTH OFFICER.  He would ensure that an optimal standard of sanitation and clean environment is maintained.  Also these measures extend to the water reservoirs and other sources of water supply.

(f)    As per provisions of Para 2.7, the HEALTH OFFICER should be aware of the epidemiological characteristics and the health statistics of the BHU's commanded area.  He should, therefore, take appropriate measures to effectively combat foci of communicable diseases, if any, before its eruption into epidemic.

(g)  Family planning activities at the BHU, MCH and other outlets of Health Department are carried out under the supervision of HEALTH OFFICER and he shall ensure that the targets, in this respect, set for various health workers are achieved.  He also keeps a liaison with the family planning outlets and out-reach workers of the Department of Population Welfare and keeps himself abreast of their activities and achievements.

(h)  On behalf of the DO (H), the HEALTH OFFICER is ex-officio Food Inspector for the revenue limits of BHU, he is posted in.  He shall collect samples of various food items served and or stored at hotels, restaurants, stores, and shops for analysis by the Government Public Analyst under information to the DO (H), who would then follow the case for punitive action in the appropriate courts of law.

4.3       Curative

·         The curative duties of the HEALTH OFFICER include diagnosis, treatment and referral of individual patients coming to the BHU and the communities falling within the revenue limits of BHU.

·         When a patient comes to the BHU, after having been registered, he is examined and a diagnosis (provisional or final) is established.

·         If the patient requires an out door treatment, available at BHU, this is offered. However, if the patient needs admission/special investigation, he will be referred to the RHC in the first instance. In special case, patients may be referred directly to THQ/DHQ Hospitals.

·         If the patient suffers from some notifiable disease/communicable disease then the HEALTH OFFICER would adopt appropriate measures as per standing instructions including screening of the locality/community, the patient has come from.  Depending upon the results of screening, he would take measures to combat the situation. In this process he would keep his higher authorities informed/notified and will seek their help if required.

5.       The HEALTH OFFICER will keep a record of all the events observed and actions under taken by him, in pursuit of his duties, in the appropriate forms and registers.

6.       Medico-Legal. Any medico- legal case reporting to the BHU, the HEALTH OFFICER after administering first aid, would immediately refer to RHC without stitching the wound in-order to keep the nature of injury in original shape.

LADY HEALTH VISITOR

JOB TITLE          -        Lady Health Visitor (LHV)

BPS                      -        9

JOB DESCRIPTION OF LADY HEALTH VISITOR AT BHU

¨      To promote community health by working with individuals, families and communities for the welfare of mother and children through MCH's static and out-reach domiciliary services.

¨      She is responsible for pre, intra and post natal care to the expectant mothers including TT immunization advise them on appropriate family planning methods, good breastfeeding practices, nutrition and growth monitoring, treatment of minor diseases and referrals in case of complications.

¨      Her job extends to the care of infants and preschool children including EPI, CDC, ARI, Nutrition and growth monitoring and Health Education.

¨      She manages all this with the help of Dai/midwife, TBAs and CHWs who are given initial and periodical refresher training arranged and supervised by her of their duties towards Mother and Child.

 

HEALTH / MEDICAL TECHNICIAN

JOB TITLE          -        Health Technician (Male & Female)

BPS                      -        9

JOB DESCRIPTION OF HEALTH TECHNICIAN

          1.       Duties as Officiating or as Assistant to the HEALTH OFFICER

                   All the duties assigned to him by the HEALTH OFFICER I/C, health facility (BHU). However, in case when the HEALTH OFFICER is absent or is not in position, then all his duties (as in the job-description of HEALTH OFFICER I/C BHU) are to be carried out by the Health Technician.

          2.       Duties while on Out-reach services

                   All the duties as contained in the Job description for the out-reach team. The Health Technician; male and female, carries out out-reach duties for two days a week preferably along with the LHV of the health facility.

DISPENSER/DRESSER

JOB TITLE          -        Dispenser/Dresser

BPS                      -        6, (33% Selection grade)

JOB DESCRIPTION OF DRESSER

§  He performs duty, both in the out-patient and in-patient departments and is responsible for the efficient dressing of the patients.

§  He indents linen/dressing material required for dressing and maintains the ledgers/stock accordingly.

§  He dispatches the dirty linen for washing and receives back the washed linen.

§  He prepares and keeps the dressing trolley in order and ready for emergency.

§  He prepares the dressing drums for autoclaving by himself or at the central autoclave unit.

§  He accompanies the HEALTH OFFICER in the out-patient and his in-patient's round and assists him in examination of the patients.

§  He carries out dressing of the patients with simple injuries and assists in or carries out dressing of serious injuries under the guidance of medical attendant/officer.

SCHOOL HEALTH & NUTRITION SUPERVISOR

JOB TITLE          -        School Health & Nutrition Supervisor

BPS                      -        17

JOB DESCRIPTION OF SH&NS AT BHU

·         School Health & Nutrition Supervisor (SH & NS) will be an outreach person with base in the BHU.

·         He / she would be working under the supervision & guidance of Health Officer I/C BHU.

·         He/she will implement the School Health & Nutrition Program in the catchment area of the BHU.

·         He/she should have complete list and record of Primary & Elementary schools in the area of jurisdiction.

·         He/she will be responsible to train the school teacher for health screening of the students. SH & NS alongwith teachers, will also be conducting health screening in the schools regularly.

·         SH & NS will also train the LHVs / female paramedics of the BHU, for health screening of the girls students. They will accompany the male SH & NS for girls school at the time of half yearly screening of students.

·         The SH & NS should be working in the field, at least three days a week. All office work will be completed in the remaining days, including the management of referred patients/students. He/she would try to arrange appointments of the students with the doctors in his/her presence.

·         Schools falling in the catchment area and the visit program of SH & NS duly approved by the Health Officer I/C should be displayed in the BHU.

·         SH & NS will establish communication channels with the schools, coordinating his/her activities with them and duly informing in advance the visit schedule.

·         SH & NS should be present in each school at the time of screening. The time table should be prepared in a manner that screening is not done in two schools on the same day.

·         SH & NS will submit monthly report and post screening report on prescribed format to the Health Officers for comments and signature. The screening report should be submitted not later than two months after screening.

·         After signature of Health Officer, SH & NS will submit these reports to the Program Director, DHDC. Where there is no PD DHDC, the report will be submitted to DO(H).

·         In coordination with the schools, SH & NS would impart health education, to create awareness amongst teachers & students about common health problems.

·         He/she would ensure that the students referred for medical attention by the teachers are seen by concerned health professionals.

·         He/she would provide the feed back to the concerned teachers about the outcome of referral.

·         SH & NS will collect the referred slip from the teachers after Medical Officer has given the advice and the slip is signed by the parents.

·         The SH & NS will be responsible for keeping the record of all the students referred to the medical facility i.e BHU / RHC.

·         The SH & NS will also keep a close liaison with parents of the referred children and inform them of the doctor’s advice.

·         In case of referral to the RHC he/she will coordinate the visit of students with the doctors in the health facility and ensure treatment at RHCs.

·         SH & NS will attend the meetings of School Councils and brief the members about his / her activities.

·         These responsibilities of SH & NS are only with respect to the School Health Program. They will be assigned roles and responsibilities separately for other activities as per their job description.