Lesson Plan on Roles and Responsibilities of Mid-Level Health Provider /Community Health Officers

Subject Community Health Nursing

Topic Roles and Responsibilities of Mid-Level Health Provider /Community Health Officers
Group 4th BSc Nursing or 2nd year PB BSc
Place (the class room/ demonstration room)
Date & time 30 minutes
Teaching method Lecture cum demonstration, case study
AV aids / instructional aids Power point presentation; Black/White board, Chalk, Duster, LCD, OHP, Charts, etc.
Student Pre requisite The students have learnt about effective communication skills
General Objective By the end of this unit the students will understand the Roles and Responsibilities of Community Health
Officers
Specific objective At the end of the class the students will be able to explain
Different Roles and responsibilities of Mid-Level Health Provider /Community Health Officers
 Clinical functions
 Public health functions
 Managerial functions
Review of previous class National Health Policy 2017
Comprehensive Primary Health Care
Health and Wellness Centre Services
Introduction As part of Ayushman Bharat- Health and Wellness Centre's, the Community Health Officers (CHOs) are a
new cadre of non- physician health workers.
CHOs will play a critical role in provision of expanded range of essential package of services as a part of
Comprehensive Primary Health Care.
They are expected to lead the primary care team at Sub Centre- Health and Wellness Centre, provide clinical
management & ambulatory care to the community and serve as an important coordination link to ensure the
continuum of care

S. No Time Specific objective Content Teaching learning Evaluation

activity
5 Definition CHO /MLHP– T: the teacher would Questions?
1 minutes Objectives of CHOs/MLHP Individuals with professional backgrounds such as BSc. in explain the students 1- Eligibility for a
Community Health or a Nurse (GNM or B.Sc./P.B.B.Sc.) using the power point CHO
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activity
or an Ayurveda practitioner, trained and certified through presentations 2- Objective for
IGNOU/other State Public Health/Medical Universities, S: the students will CHO
and posted at SC-HWC for leading primary health care take notes of the 3- Posting place for
CHO
Or sessions taken
Graduate Nurses (B.Sc. /P.B.B.Sc.), who undergone
nursing training on Indian Nursing Council revised
syllabus 2019, and posted at SC-HWC for leading
primary health care team
Objective
Improve access to healthcare in rural/remote areas for the
marginalized and vulnerable families.
Reduce OOPE (out of pocket expenditure) being incurred
by families on healthcare.
Increase the utilization of public health services at
primary care level.
Reduce fragmentation of care.
Reduce work load of secondary and tertiary care facilities
HWC- Team
 Community Health Officer (one)
 ANM/MPW (Two Female) or ANM/MPW-
female) and MPW-Male
 ASHA (one for 1000 population)
2 15 Roles and Responsibilities of As CHO will be the first point of care or source of T: the teacher would 1. What are Three
minutes a CHO/MLHP information for the health- related issues for the explain the students functions of
community by the virtue of the proximity of HWCs to its using the power point MLHP/CHO
catchment population. 2. Details of
presentations
CHOs are broadly expected to perform the following Clinical
three functions S: the students will Functions of
 Clinical functions to provide ambulatory (out- take notes of the CHO/MLHPs?
patient) care and management. sessions taken 3. Details of Public
 Public health functions for health promotion, Health Functions
prevention and disease surveillance. of
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activity
 Managerial functions for efficient functioning of the CHO/MLHPs?
Health and Wellness Centers. 4. Details of
Clinical Functions: - Managerial
CHO will provide clinical care as specified in the care Functions of
pathways and standard treatment guidelines for the range CHO/MLHPs?
of services expected at the HWC. Six-months training in
Certificate Program in Community Health has covered in
detail the clinical functions that are expected to undertake
at HWCs
1. Early detection, screening and first level
management
2. Undertake referral to enable continuum of care
3. Provide follow up care
4. Provide counselling support
5. Facilitate teleconsultation
Public health functions: -
CHO will undertake the following activities as part of
your public health functions: -
- Ensure collection of population-based data and
planning for organizing services at HWCs
- Community level action for health promotion
prevention
- Disease surveillance
Managerial functions
As a team leader of the HWC Team, CHO will also be
responsible for undertaking managerial and administrative
functions of the HWC such as inventory management,
upkeep and maintenance, and management of untied
funds. Details of the activities to be undertaken for each
of these tasks are as follows: -
1-Recording, reporting and monitoring of service delivery
2-Undertake administrative functions of HWCs
3-Supportive Supervision of HWC team
Other functions of CHOs
Work planning (Calculating beneficiaries in HWC
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activity
catchment area)
Co-ordination with various level of Health Care Delivery
System and community
Social mobilization/ Community Mobilization
Need based training for HWC team
3 10 Work planning and It is important for CHO to estimate the number of 1. Estimated ANCs
minutes calculation of beneficiaries beneficiaries who should avail services at HWC. This per year for
would help in improving coverage of population with 5000population?
essential services and improve access to healthcare for the 2. Estimated
marginalized and vulnerable groups. number of
To calculate some of the key beneficiaries in an area, eligible couples
CHO will need to know the population covered by your for 5000
HWC-SHC and the Birth Rate. The PHC-Medical Officer, population?
MPWs have the recent count of the population of HWC. 3. Estimated
This will need to be updated by a household survey at the population for
beginning of the year by MPWs and ASHAs during NCD screening
Population Enumeration. (use learning aid) for 5000
population?
The Community Health Officer of the ensures that all the
CPHC services will be provided to population falling
under the service area of SHC-HWCs. Thus, enabling a
network of HWCs to deliver CPHC services.

Summary:  Students to summarize the sessions according to the objectives stated;

Evaluation:  On the spot one word class test to be taken (faculty to prepare a questionnaire in prior)

Assignment /  Prepare micro Plan-Universal Immunization Program for a SC-HWC

Application  Outline the steps taken for investigation of an outbreak (example can be taken based on recent disease outbreaks in the
local area)
Bibliography: Induction training module for Community Health Officers; Chapter-3 Roles and Responsibilities of Community Health
Officers