DESCRIPTION OF MEMBERS OF

JOB
THE HEALTH TEAM

PHC
1. Medical Officer,
health team at the primary
1. He is the captain of the
hours attending
health centre. He devotes the morning
in the afternoon he
to patients in the out-door;
supervises the field work.
as to cover all the
2 His tour programme is so designed
basic health services including family planning.
and
3. He will plan and implement UIP as per guidelines
ensure maximum possible coverage of the population in
the PHC. He will ensure proper storage of vaccine and
maintenance of cold chain equipment. He will ensure
adequate supplies of vaccine and miscellaneous items
required for the effective implementation of UIP.
4. He will ensure proper implementation of IMNCI as per
guidelines.
5. He will visit schools in the PHC area at regular intervals
and arrange for medical check up and immunization.
6. He will organize and conduct tubectomy and vasectomy
camps.
7. Organize training of all health personnel like ASHA,
anganwadi worker, Dais etc.
8 He ensures that national health programmes are being
implemented in his area properly.
9. He visits each subcentre regularly on fixed days and
hours andprovides guidance, supervision and
leadership to the health team.
10. He spends one day in each month
organising staft
meetings at the primary health centre to discuss thee
problems and review the progress of health activies
T1. The success of a
primary health centre depends largely
on the team leadership which the medical officer is able
to provide. The medical officer must be the planner, the

promoter, the director, the supervisor, the coordinator

as well as the evaluator.
Second Medical Officer JOB DESCRIPTION OF MEMBERS OF THE HEALTH TEAM
The second medical 2.2 Spread the message of family planning to the
officer performs identical duties. couples and motivate them for family planning
2. Health worker Male individually and in groups.
and Female
Under The 2.3 Distribute conventional contraceptives and oral
Multipurpose
worker female and Worker Scheme, contraceptives to the couples, provide facilities
one health worker
male are one
posted at each
health and to help prospective acceptors in getting family
sub-centre and are
expected to cover
(3000 in tribal and population
a of
5000
hilly areas). However, health worker
planning services, if necessary, by accompanying
female limits her them or arranging for the Dai/ASHA to
activities among 350-500 families.
accompany them to hospital.
A. HEALTH WORKER 2.4 Provide follow-up services to female family
FEMALE (HWF)
She will carry out planning acceptors, identifty side effects, give
the following functions treatment on the spot for side effects and minor
1. Maternal and Child
Health complaints and refer those cases that need
1.1 Register and provide care to attentionby the physician to the PHC/Hospital.
pregnant women
throughout the period of pregnancy. 2.5 Establish female depot holders, and
provide a
1.2 Ensure that every pregnant woman makes at least continuous supply of conventional
3 (three) visits for Ante-natal to the depot holders. contraceptives
1.3 Test urine of pregnant women for
check-up. 2.6
albumin and Build rapport with
acceptors, village leaders,
sugar. Estimate haemoglobin level. ASHA, Dais and others and utilize them for
1.4 Refer all pregnant women to PHC for RPR test for promoting Family Welfare Programme.
syphilis. 2.7 Identify women leaders and help the Health
1.5 Refer cases of abnormal Assistant (Female) to train them.
pregnancy and cases
with medical and gynaecological 2.8 Participate in Mahila Mandal meetings and utilize
problems to
Health Assistant Female (LHV) or the such
Primary gatherings for educating women in Family
Health Centre. Welfare Programme.
1.6 Conduct deliveries in her area when called for. 3. Medical Termination of Pregnancy:
1.7 Supervise deliveries conducted by Dais and assist 3.1 Identify the women requiring help for medical
them whenever called in. termination of pregnancy and refer them to
1.8 Refer cases of difficult labour and newborns with nearest approved institution.
abnormalities, help them to get institutional care 3.2 Educate the community of the consequences of
and provide follow-up to the patients referred to septic abortion and inform them about the
or
discharged from hospital. availability of services for medical termination of
1.9 ANM will identify ie beneficiaries, complete pregnancy.
necessary formalities and obtain necessary 4. Nutrition
approvals of the competent authority before 4.1 Identify cases of malnutrition anong infants and
disbursement to the beneficiaries under Janani young children (zero to five years), give the
Suraksha Yojana (JSY), and by 7th of each month necessary treatment and advice and refer serious
will submit accounts of the previous month in cases to the Primary Health Centre.
the
prescribed format to be designed by the State. 4.2 Distribute Iron and Folic Acid tablets as
ANM will prepare a monthly work schedule in the to pregnant women,
prescribed
nursing mothers, and young
meeting of all accredited workers to be held on children (up to five years) as per the
4.3
guidelines
Administer Vitamin A solution to children as per
every 3rd Friday of
every month, which is
mandatory. The guideline under JSY is to be the guidelines.
followed. 4.4 Educate the community about nutritious diet for
1.10 Make at least two post-natal visits for each mothers and children.
delivery happened in her areas and render advice 4.5 Coordinate with Anganwadi Workers.
regarding care of the mother and care, feed of the 5. Universal Programme on Immunization (UIP) :
newborn. 5.1 Immunize pregnant women with tetanus toxoid.
1.11 Assess the growth and development of the infant 5.2 Administer DPT vaccine, oral poliomyelitis
and take necessary action required to rectify the vaccine, measles vaccine and BCG vaccine to all
defect. infants and children, (Hepatitis-B in pilot areas) as
1.12 Educate mothers individually and in groups in per immunization schedule.
better family health including maternal and child 5.3 Ensure injection safety.
health, family planning, nutrition, immunization, 6. Dai Training:
control of communicable diseases, personal and
6.1 List Dais in her area and involve them in
environmental hygiene.
1.13 Assist Medical Officer and Health Assistant promoting Family Welfare.
6.2 Help the Health Assistant (Female)/ LHV in the
(Female) in conducting antenatal and postnatal
clinics at the sub-centre, training programme of Dais.
7. Communicable Diseases:
2. Family Planning 7.1 Notify the M.O. PHC
2.1 Utilise the information from the eligible couple immediately about any
abnormal increase in cases of
and child register for the Family Planning fever with rigors, fever withdiarrhoea/dysentry,
rash, fever with
programme. She will be responsible for jaundice or fever with unconsciousness which she
maintaining eligible couple registers and updating comes across during her home visits,
at all times.
take the
necessary measures to prevent their spread, and
 10.Treatment of minor ailments
to enable him to
inform the Health Worker (male)
take further action. 10.1 Provide treatment for minor ailments, provide
first-aid for accidents and emergencies and refer
of fever during her
7.2 If she comes across a case cases beyond her competence to the Primary
blood smear, administer
home visits, she will take
treatment for malaria and inform Health Centre/Community. lealth Centre or
presumptive nearest hospital.
Health Worker (male) for further action.
skin patches, especially if 10.2 Provide treatment as per Indian Svstem o
7.3 Identify cases of Medicine (ISM), as needed, at the local level.
accompanied by loss of sensation, which she
comes across during her home visits and bring 11. Team Activities
them to the notice of the Health Worker (male)/ 11.1 Attend and participate in statf meetings at
MO (PHC). Primary Health Centre/Community Development
7.4 Assist the Health Worker (male) in maintaining Block or both.
record of cases in her area, who are under 11.2 Coordinate her activities with the Health Worker
treatment for malaria, tuberculosis and leprosy, (male) and other health workers including the
and check whether they are taking regular Health volunteers/ASHA and Dais.
treatment, motivate defaulters to take regular 11.3 Coordinate with the PRI and Village Health and
treatment and bring these cases to the notice of the Sanitation Committee.
Health Worker (male) or Health Assistant (male. 11.4 Meet the Health Assistant (Female) each week
7.5 Give oral rehydration solution to all cases of and seek her advice and guidance whenever
diarrhoea/dysentry/vomiting. necessary.
Identify and refer all cases of blindness including 11.5 Maintain the cleanliness of the sub-centre.
suspected cases of cataract to M.O., PHC. 11.6 Dispose medical waste as per the guidelines.
7.6 Education, counselling. referral, follow-up of 11.7 Participate as a member of the team in camps and
cases STI/RTI, HIV/AIDS. campaigns.
7.7 Where Filaria is endemic
Identification of cases of lymphoedema/ B. HEALTH WORKER MALE (HWM) (38)
elephantiasis and hydrocele and their referrals
to PHC/CHC for appropriate management. I. Record-keeping
Training of patients with lymphoedema/ He will;
elephantiasis about care of feet and home 1. Survey all the families in his area and collect general
based management remedies. information about each village/locality in his area.
Identification and training of drug distributors 2. Prepare, maintain and utilize family records and village
for mass drug distribution of DEC on National registers containing columns for recording particulrs
Filaria Day.
concerning FP, immunizations, vital events, environmental
Vital Events sanitation, other local health programmes, educational
8.1 Record and report to the health authority of vital activities, services rendered and achievements, etc.
events including births and deaths, particularly of
mothers and infants to the health authorities in II. Vector borne disease
her area. a. Malaria
8.2 Maintenance of all ne relevant records 1. Identify fever cases.
concerning mothers, children and eligible couples 2. Make thick and thin blood slides.
in the area 3. Send the blood slides for laboratory examination.
Record Keeping 4. Administer presumptive treatment.
9.1 Register (a) pregnant women from three months 5. Record the results of examination of blood slides.
of pregnancy onward (b) infants zero to one year 6. Administer radical treatment to positive cases.
of age; and (c) women aged 15 to 44 years. 7. Educate the community on the importance of blood smear
examination for fever cases, insecticidal spraying of
9.2 Maintain the pre-natal and maternity records and
houses, treatment of fever cases.
child care records
b. Filaria endemic areas
9.3 Prepare the eligible couple and child register and
maintaining it up-to-date. 1. Identification of cases lymphoedema/elephantiasis, and
hydrocele and their referral to PHC/CHC for appropriate
9.4 Maintain the records as regards contraceptive
management.
dis ution, 1UD insertion, couples sterilized, 2. Training of patients with filariasis about care of the feet
clinics held at the sub-centre and supplies
received and issued. and home based remedies.
3. Identification and training of drug distributors for mass
9.5 Prepare and submit the prescribed weekly/ drug administration of DEC on national filaria day.
monthly reports in time to the Health Assistant c. Japanese Encephalitis endemic areas
(Female).
He will guide the suspected cases of JE to nearest PT
9.6 While maintaining passive surveillance register for
CHC for diagnosis and treatment. He will make a list of all
malaria cases, she will record
JE cases.
No. of fever cases.
d. Kala-azar endemic areas
No. of blood slides prepared.
No. of malaria positive cases reported. He will guide the suspected cases to the nearest PHCC
tor treatment. He will keep a record of
No. of cases given radical treatment. diagnosis and
cases and make sure that they take complete treatment.
suc
IIl. Communicable diseases JOB
DESCRIPTION OF MEMBERS OF
1, Identify cases of
THE
HEALTH TEA
tetanus, acute
diarrhoea/dysentery,
iaundice, encephalitis, fever with rash
diphtheria, whooping cough
3.
4.
Distribute conventional
Provide facilities and contraceptives to the couples.
847
eye infections and
Male and M.O. PHC and notify the
Health Assistant sterilization in obtaininghelp to
prospective acceptors of
2. immediately
Carry out control measures about these cases. 5. Provide follow-up
the services.
services to male
Assistant Male and until the acceptors. family planning
assist him in arrival of the Health 6. Establish male depot holders
measures. carrying out these in the
3. Give Oral Assistant Male and Health Assistantarea. Help the Health
Rehydration solution to all cases of them and provide a (Female) in training
dysentery/vomiting. diarrhoea/ continuous
contraceptives to the depot holders.supply
of conventional
4. Educate the
community about the importance of
and preventive measures against control 3. Accredited Social Health Activist
and about the
importance of communicable diseases The job
(ASHA)
treatment. taking regular and complete role with
responsibility of ASHA, and the
integration of her
5. ldentify and refer anganwadi and ANM are described in detail on
cases of page 381.
discharge genital sore or urethral
or
non-itchy rash over the body to
Officer. Medical 4. Health Assistants, (Male and
Female) (39)
6. Identify and refer all cases of Under the multipurpose worker's scheme the
suspected cases of cataract to blindness including assistant male and female are
health
M.O.PHC. expected to cover a population
of 30,000 (20,000 in tribal and
IV. Leprosy hilly areas). Health Assistants
(male and female) will supervise 6 health workers each, of the
1. Identify cases of skin patches, corresponding category. The job functions of these health
especially if accompanied
by loss of sensation and refer these assistants (male and female) regarding (a)
cases to M.O. PHC for administration; (6)
further investigations. maintaining human relations skill; (c) methods of supervision
2. Check whether all cases of are similar. But in the technical
treatment. Motivate defaulter toleprosy
are taking
regular aspects, their supervisory
take functions are different.
3. Maintain patient records. regular treatment.
COMMON JOB FUNCTIONS FOR THE HEALTH
V. Tuberculosis ASSISTANTS (MALE AND FEMALE)
1. Identify especially 15 years and above with
persons The HA will;
prolonged cough or spitting of blood and take sputum 1. and guide the health workers in the
smears from these individuals. Refer
cases to the
Supervise
health
delivery
of
services to the community;
care
M.O.PHC for further investigations.
2. Strengthen the knowledge and skills of the health
2. Check whether all cases of tuberculosis are workers
taking regular in their different areas;
treatment. Motivate defaulters to take
regular treatment.
3. Educate the community on various health education
3. Help the health worker in improving their human relations
aspect of tuberculosis programme. skill;
4. Help and guide the health workers in planning and
4. Assist the village Health Guide/ASHA and similar village organizing their programmes;
health volunteers to carry-out DOTS activities, and to
5. Promote team work among the health workers;
motivate the TB patients in taking regular treatment.
6. Coordinate the activities with other workers and
agencies;
VI. National Blindness Control Programme 7. Visit each worker periodically; observe and guide the
Identify and refer all cases of blindness including health workers in the day-to-day activities;
suspected cases of cataract to MO, PHC. 8. Arrange group meetings with leaders and involve them in
spreading the message for various health programmes;
VII. Environmental sanitation
9. Scrutinize the maintenance of records of the health
1. Chlorinate public water sources including wells at regular
workers to guide them in their proper maintenance;
intervals. 10. Conduct regular staff meetings for the health workers;
2. Educate community on (a) the method of disposal of liquid 11. Attend staff meetings at PHC/Block.
wastes; (b) the method of disposal of solid wastes;
(c) home sanitation, (d) advantage and use of sanitary type 12. Assess the progress of work of the health workers
of latrines; (e) construction and use of smokeless chulhas. periodically and submit their assessment reports to M.O.
PHC;
VIII. Expanded programme on immunization 13. Assist the medical officers of the PHC in the organization
1. of the different health services in the area;
Administer DPT vaccine, oral
poliomyelitis vaccine,
measles vaccine (where available) and BCG vaccine to all 14. Participate in mass camps and campaigns in health
infants and children in his area. programmes.
2. Assist the Health Worker Female in administering tetanus 15. Indent, procure and supply material to health workers;
toxoid to all pregnant women. 16. Prepare, maintain and utilize prescribed records and
3. Assist the Health Assistant Male in the school reports;
immunization programme. 17. Review, consolidate and submit periodical reports to M.O.
PHC; and
IX. Family planning 18. Attend to cases referred by the workers and reter cases
1. Utilize the information from the eligible couple and child beyond her/his competency to the PHC/hospital.
register for the family planning programme. 19. Collect and compile the weekly reports of births and
2. Spread the message of family planning to the couples and deaths occuring in their areas and submit them to the MO
motivate them for family planning individually and in and educate the community regarding the need for
PHC;
groups. registration of vital events.
 COMMUNITY
HEALTH CARE OF THE
848

FUNCTIONS FOR THE HEALTH ASSISTANT VII. Family planning

SPECIFICJOB planning.
(FEMALE) (39)
1. Personally motivate resistant cases for family
male depot
2. Guide the Health Worker Male in establishing
will: the Health Worker Male and
The health Assistant (female) holders with the assistance of
house visiting; supervise the functioning.
1. Carry out supervisory of Family Planning camps
2. Guide the health worker (female) in establishing women
3. Assist M.O.PHC in organization
holders for distribution of conventional
and drives.
depot on the availability of services for
contraceptives; 4. Provide information and refersuitable cases
Conduct MCH and family planning clinics and carry out medical termination of pregnancy
3. institutions.
educational activities. to the approved
cases of vasectomy, tubectomy,
for dais and women leaders Ensure follow-up of all
4. Organize and conduct training 5.
Planning acceptors.
with the help of health workers; IUD and other Family
sub-centres at least once a week on
5. Visit each of the 4 VIlI. Nutrition infants and
malnutrition among
fixed days and 1. Ensure that all cases of
calls from the health workers are given the necessary
6. Respond to urgent young
children (0-5 years)
to the PHC.
trained dais and render necessary help; treatment and advice
and refer serious
cases
in Vitamin A are
Mahila Mandals, teachers, etc., Folic Acid and
7. Organize and utilize the 2. Ensure that Iron and
the family welfare programmes; beneficiaries as prescribed.
distributed to the
resistant cases for family planning;
8. Personally motivate
the availability of services IX. Control of blindness
9. Provide information
on
cases of cataract
of pregnancy and refer suitable c a s e s All c a s e s of blindness
including suspected Centre.
medical termination Health
Officer of Primary
to the approved institutions;
and be referred to Medical
w o m e n and
the immunization of all pregnant
10. Supervise
children (zero to five years). HOSPITALS
health centres, the present
primary
Apart from the sector
SPECIFIC JOB FUNCTIONS
OF HEALTH the G o v e r n m e n t
health services of
organization of sub-divisional/tehsil/taluka
ASSISTANT (MALE) (39) of rural hospitals,
consists and teaching
specialist hospitals
I. Malaria Worker Male during hospitals, district hospitals,
the work of Health
1. Supervise institutions.
to upgrade the rural
Concurrent visits.
(a) Rural hospitals :It is now proposed
2. Check minimum of 10% of the houses in a village. (allopathic/traditional system of medicine) to
c a s e he come dispensaries of PHCs are
3. Collect thick and thin smears from any fever centres. At present a good
number
administer presumptive treatment of primary health headquarters which
across and will tehsil/Sub-divisional/taluka
located at
PHCs may be shifted to the
anti-malarial drugs. interior
prescribed dosage of in his area. also have hospitals. Such Sub-divisional
Administer radical treatment to positive cases
to convert the
4.
during
insecticides local rural a r e a s . It is proposed as to c o v e r a
of Sub-divisional health centers so
5. Supervise the spraying hospitals into
have an
with the Health Worker (Male). These centres will
spraying along population of 5 lakhs (15).
to them.
II. Communicable diseases epidemiological wing attached
of diseases are proposals to convert the
1. Be alert to the sudden outbreak
of epidemics (b) District hospitals: There Health Centre (15). A hospital
diarrhoea/dysentery, fever
with rash, jaundice, district hospital into Distrio
such as
cough or tetanus, acute health centre in the following respects : (a) in a
enecephalitis, diphtheria, whooping differs from a
in a health
curative;
take all possible remedial hospital, services provided a r e mostly
measures.

eye infections and notifiable and curative -

Take the necessary control

m e a s u r e s when any
centre, the services are preventive, promotive
2. i.e., it has
to him. Carry out the destruction of all integrated; (b) a hospital has no catchment area,
disease is reported from
of the Health Worker Male. Patients may be drawn
stray dogs with the help no definite area of responsibility.
of the A health centre, on the other hand, is
any part country.
the health
III. Leprosy
and complete responsible for a definite area and population; (c)
1. Ensure that all cases of Leprosy take regular team in a health centre is a optimum "mix" of medical and
the Medical Officer PHC about any
treatment and inform in hospital, the team consists of
only
paramedical workers; a
defaulters to treatment.
the curative staff, i.e., doctors, compounders, nurses, etc.
Today, the role of the hospital in the community is being
IV. Tuberculosis
debated. The current opinion is that the hospital should not
Ensure that all cases of tuberculosis take regular and
complete treatment and inform the M.O. PHC about any remain take ivory tower of disease" in the community, but
an an
defaulters to treatment.
should active part in providing health services to tne
community. Experience has shown that the health of the
V. Environmental sanitation cannot be improved by multiplying hospitals
community
Help the community in the construction of alone.
kitchen garden
(a) safe water source (b) soakage pits (c) latrines Under theMultipurpose Workers Scheme, it has been
compost pits (1) Sanitary
(d) manure pits (e their construction. Suggested to the States to have an integrated set-up at n
(g)smokeless chulhas andofsupervise by having a Chief Medical Officer of the distri
chlorination water source including wells. district level
Supervise the with 3 Deputy CMO's (drawn from the cadre of existingare
VI. Expanded programme
on Immunization Surgeons, District Health Officers and District Family Wef
of
school going children with
ot all Male.
1. Conduct immunizationWorker Officers) with each of the Deputy CMO being in charand
the Health one-third of the district for all the health, Family Weltar.ri
the help of all children from one to five MCH programmes. It has been suggested that the dIs
immunization ot
2. Supervise the pattern should be based on the number of PHOs.
years.
selected and are being trained (6). alreaday

Role and responsibility of ASHA

ASHA will be a health activist in the
community who will
Create awareness on health. Her
responsibilities will be as
follows(38)
1 ASHA will take steps to create
information to the community onawareness and provide
determinants of health
such as ,nutritioñ,
basic sanitation and hygienic
practices, healthy living and
working
information on existing health services, conditions,
and the need for
timely utilization of health and family welfare services.
2. She will counsel women on
birth
preparedness,
importance of safe delivery breast-feeding and
complementary feeding, immunization, contraception
and prevention of common infections including
reproductive tract
infection/sexually transmitted
infection and care of the young child.
3. ASHA will mobilize the community and facilitate
them
in accessing health and
at the
health related services available
anganwadi/sub-centre/primary
health centres,
such as immunization, ante natal check-up, post natal
check-up, supplementary nutrition, sanitation and other
services being provided by the government.
4. She will work with
the village health and sanitationa
committee of the gram panchayat to develop
comprehensive village health plan.
5. She will arrange escort/accompany pregnant women
and children requiring treatment/admission to the
nearest pre-identified health facility i.e. primary health
centre/community health centre/First Referral Unit.
6 ASHA will provide primary medical _care for minor
ailments such as diarrhoea, fevers,and first-aid for
minor injuries. She will be a provider of directly
observed treatment short-course (DOTS) under revised
pational tuberculosis control programme.
She will also act as a depot holder for essential
provisions being made available to every habitation like
oral rehydrationtherapy, iron folic acid tablet,
chloroquine, disposable delivery kits, oral pills and
condoms etc. A drug kit will be provided to each ASHA.
Contents of the kit will be based on the
recommendations of the expert/technical advisory
group set up by the government of India, and include
both AYUSH and allopathic formulations
8. Her role as a provider can be enhanced subsequently.
States can explore the possibility of graded training to
her for
providing newborn care and management of a
range of common ailments, particularlychildhood
illnesses.
She will inform about the births and deaths in her
village and any unusual health problems/disease
outbreaks in the community to the sub-centre/primary
health centre.
She will promote construction of household toilets
under total sanitation campaign.
 NATIONAL RURAL HEALTH MISSION 407
Role and integration with Anganwadi (38)
Anganwadi worker will guide ASHA in performing
following activities: (a) Organizing Health Day once/twice a
month. On health day, the women, adolescent girls and
children from the village will be mobilized for orientation on
health related issues such as importance of nutritious food,
personal hygiene, care during pregnancy, impor tance of
antenatal check up and institutional delivery, home remedies
for minor ailment and importance of immunization etc. AWWs
will inform ANM to participate and guide organizing the Health
Days at anganwadi centre; (b) AWWs and ANMs will act as
resource persons for the training of ASHA; (c) IEC activity
through display of posters, folk dances etc. on these days can
be undertaken to sensitize the beneficiaries on health related
issues.; (d) Anganwadi worker will be depot holder for drug
kits and will be issuing it to ASHA. The replacement of the
consumed drugs can also be done through AWW; (e) AwW will
update the list of eligible couples and also the children less
than one year of agein the village with the help of ASHA;,and
(f) ASHA will support the AwW in mobilizing pregnant and
lactating women and infants for nutrition supplement. She
would also take initiative for bringing the beneticiariesfrom
the village on specific days of immunization, health check-ups/
health days etc. to anganwadi centres.

Role and integration with ANM (38)

Auxiliary Nurse Midwife (ANM) will guide ASHA in
performing following activities: (a) She will hold weekly/
fortnightly meetng 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 activity; (b) AWWs and ANMs will act as
resource persons for the training of ASHA; (¢) ANMs will
inform ASHA regarding date and time of the outreach session
and will also guide her for bringing the beneficiary to the
outreach session; (d) ANM will participate and guide in
organizing the Health Days at anganwadi centre; (e) She will
take help of ASHA in updating eligible couple register of the
village concerned; (f) She will utilize ASHA in motivating the
pregnant wome for coming to sub-centre for initial check
ups. She will also help ANMs in bringing married couples to
sub-centres for adopting family planning; (g) ANM will guide
ASHA in motivating pregnant women for taking full course of
iron and folic acid tablets and tetanus toxoid injections etc.
(h) ANMs will orient ASHA on the dose schedule and side
effects of oral pills; (i) ANMs will educate ASHA on danger
signs of pregnancy and labour so that she can timely identify
and help beneficiary in getting further treatment; and
G) ANMs will inform ASHA on date, time and place for initial
and periodic training schedule. She will also ensure that
during the trainingASHA gets the compensation for
performance and also TA/DA for attending the training.