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Monday, 30 September 2019


Under the Multi Purpose Health worker’s scheme One female health
Assistant is posted at each sub centre covering a population of around 2,500
(1,500 in tribal area). She will carry out the following functions.
General instructions:
1. She should work under the administrative control of the Medical Officer
PHC and technical supervision and guidance of the Female health
2. She should stay at her official head quarters and available for the
community for all maternity care services.
3. Should be in uniform with identity card.
4. Should prepare map of her allocated area, enumerate the population,
collect data of all parameters and keep family Health Records and
Village Health Profile
5. All the ANMs have to discharge all the duties as assigned by the PHC
Medical Officers.
Maternal and Child health:
1. Register pregnant women within 12 weeks after confirmation of
pregnancy and provide care to pregnant women throughout the period
of pregnancy.
2. Conduct urine tests for pregnant women for albumin and sugar and
estimate haemoglobin level at clinic in addition to recording Blood
3. Ensure that all pregnant women get HBsAg, HIV & VDRL test done.
4. Make at least 4 ante natal visits and 3 post natal visits for each delivery
conducted in her area and provide health education on mother and
child care.
5. Distribute iron and Folic acid tablets to all pregnant and lactating
6. Provide immunization for pregnant women with Td.
7. Tracking of all pregnancies by name for scheduled ANC services.
8. Refer abnormal and high risk cases of pregnancy to Medical officer PHC
and higher facilities for further management.
9. Motivate all pregnant women for institutional deliveries.
10. Refer all cases of difficult labour and abnormalities of new born to
the nearest hospital for institutional care and provide health education
on mother and child care.
11. Educate the mother on the importance of breastfeeding, family
health, family planning, nutrition, immunization, personal and
environmental hygiene.
12. Assess the growth and development of the infant and take action to
rectify for any defects.
13. Administer BCG, Hep.’B’, Penta Valent, Rota MR, JE, DPT,IPV,
OPV (Oral polio vaccine) and Vit – A solution to all infants and children.
14. Track all dropouts and left outs for Immunization and vaccinate.
15. Assist the Medical officer and the Female health supervisor in
conducting MCH clinic at the sub centre.
Family planning:
1. Maintain Eligible couple register properly and utilise the information for
motivation of couples for acceptance of Family planning methods.
2. Distribute conventional contraceptive and OP cycles to the couples on demand
3. Provide follow up services to all family planning acceptors, identify side
effects if any and provide on the spot treatment for minor complaints.
4. Establish female depot holders for conventional contraceptives in the
community and provide a continuous supply to them.
5. Maintain record of the supplies received and issued under
contraceptives, IUD insertions, vaccines, drugs, and other materials.
6. Assist the female health supervisors in training the depot holders, village
leaders, local dais and other local women group and utilise them for the
promotion of family welfare and MCH programmes.
Medical termination of pregnancy:
1. Identify women in need of Medical Termination of Pregnancy (MTP) and
refer them to the nearest health facility for Comprehensive Abortion
1. Identify cases of LBW and Malnutrition in infants and children and refer
to AWCs / NRCs for supplementary Nutrition and treatment.
2 Distribution of IFA to adolescents.
Communicable Diseases
1. Keep the Medical officer informed of any abnormal increase in case of
diarrhoea, Dysentery, Poliomyelitis, neo natal tetanus and fever etc.
2. Screen for hypo pigmented patches for detection of leprosy cases.
3. Screen for fever cases, treat, report, and give health education for
prevention of mosquito bites.
4. Provide treatment to minor ailments, first aid and refer cases to the
Primary health centre for further diagnosis and treatment.
Non Communicable Daises:
1. All ANMs have to conduct population screening for Hypertension/
Diabetes / 3 common cancers i.e. breast, cervix and oral for women and
oral, lung, and prostate cancer for Men.
2. To identify common mental illness in the community as directed by PHC
Medical Officer.
3. Identify Dental health, oral health, ENT and Eye problems, treat / refer
4. Screen for Geriatric problems.
Health Education:
1. Participate in the local Mahila mandal meetings, and spread the
message on female age at marriage, spacing methods etc.
2. Coordinate with other departmental staff like Anganwadi workers, gram
sevaks in promoting the services under the programme.
3. Educate mothers regarding home management of diarrhoea with ORS
and preparation and usage of ORS.
4. Educate mothers on early diagnosis of Pneumonia in child and other
ailment and refer case for treatment PHC.
5. Posters / paintings on key messages Immunization schedule and other
national programmes to be displayed.
Reports and Records:
1. Maintain all the records and reports as prescribed under RCH.
2. Records all the births and deaths occurred in her area.
3. Prepare the action plans for her area with the help of Female health
4. Assist the medical officer, female health supervisor, and the
Multipurpose Health Extension Officer during their visits and in
conducting school health clinics.
5. Attend the monthly staff meetings at PHC and receive directions from the
Medical officer about the nature of activities to be carried out.
6. Actively participate in the Pulse Polio Immunization and other national
programmes in preparing the lists of all eligible beneficiaries and other
7. Attend to such other duties as entrusted by the Medical officer and
Female health supervisor for the promotion of family welfare and MCH  services.


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