Right to Information Act

OFFICE OF THE DISTRICT MALARIA OFFICER, BHADRACHALAM

                                    KHAMMAM DISTRICT.

Format 4 (1) b (i)

 

            ACTION POINTS:

 

i) Particulars of District  Malaria Office  Organization, Functions and duties.

This post is created in the year 1977 when the modified plan of operations were

implemented in the state through Go.Rt.No.1460/M&H(J.1)Dept,Dt.14-07-1977.

 

ORGANISATION:

1)      District Malaria Officer: This post is created in the year 1977, when the modified plan of operations were implemented in the state.  He is a qualified Entomologist, aftger acquiring sufficient knowledge in the field work.

 

The District Malaria Officer is in complete charge of all NMEP activities in the District.  He shall have a thorough knowledge of all aspects of targets fixed but also the objectives of the modified plan.  He shall ensure that various aspects of programme are implemented efficiently and effectively and be able to keep the D.M.& H.O., Z.O(Malaria) and Additional Director (Malaria) informed of the updated the progress.  His job functions are follows.

 

FUNCTIONS:

 

1) He will work under the Administrative and Technical Control of District

Medical & Health Officer.

 

2)      He is technically responsible to the Zonal Officer (Malaria)

 

3)      He shall exercise technical supervision over NMEP work in the entire District.

 

SURVEILLANCE:

 

1)      He wiil ensure that the targets under active and passive surveillance are achieved by all the agencies in the District.

2)      He will ensure that the work of the surveillance inspector/ Basic Health Worker is reviewed once in a month by the Medical Officer, Primary Health Centre.

3)      He will review the work of surveillance inspector / Basic Health Worker once in a month and make copy to the Zonal Officer.

4)      He will arrange for a review of passive surveillance work of all the agencies by the District Medical & Health Officer.  For this he shall prepare the review and obtain the approval of the District Medical & Health Officer and time orders.

5)      He will ensure that the action is taken on all the defaulters without fail.

SPRAYING:

 

1)      He will finalise spray programme for different Sub Units well in advance.  While preparing the programme, he shall take into consideration both epidemiological and logistic factors.

2)      He will also take advance action to provide adequate number of pumps, spare parts and other auxiliary items to all the Sub Unit Officers.

3)      He will intensively tour to ensure that a good spray is done.  Towards this he shall also arrange necessary training to all the staff recruited.

4)      He will take steps to spray through contract system as per the present policy of Governement.

5)      He will take care to ensure that is no pilferage of DDT for which he shall frequently check up the stocks both in sub unit officers and in the field.

6)      He will review the weekly and monthly reports to be submitted by the sub unit officers.

 

2

LABORATORY:

 

 

1)      He will ensure that every Primary Health Centre has a laboratory.  He shall ensure that all peripheral laboratories function in a proper manner by frequent inspection and every laboratory is inspected by him or by his Assistant Malaria Officer once in three months.

2)      He will convene periodical meeting of the laboratory technicians both to assess the quantum of work and also the pendency if any.  He shall arrange in this meeting to direct the excess blood slides in any laboratory to any other laboratory technician so that the pendency is cleared off.

3)      He will particularly take care to see that buffer water is kept at the laboratory and the stains are filtered every day.  He shall ensure that full capacity of laboratory technician is utilized and that all primary Health Centre laboratories maintain the various registers and records up to date and submit returns in time.  He shall pay particular attention for maintenance of MF 9 and submission of weekly reports in MF 11 form.

 

RETURNS:

 

1)      He will submit his monthly tour report in MF 12 to the District Medical & Health Officer and after obtaining his remarks submit one copy to the Zonal Officer and another copy to the Additional Director (Malaria) before 10th of every succeeding month.

2)      He will furnish a copy of the review of work of surveillance/ Basic Health Inspector every month to Zonal Officer.

3)      He will furnish a copy of the review of the work of Sub Unit Officers including spraying every month to the Zonal Officer.

4)      He will furnish consolidated weekly report in MF 11 form to the Zonal Officer with copy to the Addl.Director (Malaria) every week. This should be dispatched on every Tuesday.  He shall furnish monthly technical report in MF 5 and 6 to the Addl.Director (Malaria), Zonal Officer and Director, Regional Coordination Organisation G.O.1 Hyderabad and the Addl.Director, (NMEP).  This should be dispatched before 20th of every month.  He shall also furnish the supplementary reports of the previous months, along with monthly reports.

5)      He will furnish the epidemiological report by 5th to the Addl.Director (Malaria).

6)      He will submit investigation reports on deaths due to Malaria to Additional Director and also report on out break, containment measures if any promptly.

7)      In case of out breaks sends daily reports to Directorate.

 

ACCOUTNS: 

 

1)      As a Drawing and Disbursing Officer, he shall be conversant with the accounts knowledge and maintain all the basic records like cash book, U.D.Pay Register, contingent register etc, and submit monthly expenditure statement after reconciling the departmental figures with the treasury figures of accounts.

2)      He will also carryout physical verification of stocks prescribed in rules, every year.

3)      He shall watch regularly for the date of expiry of drugs and pesticides and inform the Directorate sufficiently well in advance to arrange diversion.

 

 

 

 

 

 

 

 

3.

PHYSICAL TARGETS:

 

1)      He shall personally achieve the following physical targets every month.

 

a) Tour Days                                             20

b) Night Halts                                           12

c) Sub Units to be inspected                       4

d) PHCs including laboratories to

be inspected                                        6

e) sectors to be inspected                          12

f) sections to be inspected                                    24

g) Villages to be inspected                        48 In each village atleast 10 houses

to be checked.

h) Passive agencies to be contacted          8

i)Investigations / Verifications of

Positives                                              24

 

REGISTERS AND RECORDS:

 

1)      He shall ensure that the following registers and records are maintained.

 

1)      MF 9 Register

2)      MF 7 Register

3)      MF 10 Register

 

 

ASSISTANT MALARIA OFFICER:

 

1)      He is in the cadre of Entomological Assistant.

 

FUNCTIONS:

 

1)      The Assistant Malaria Officer will work under the Technical control of District Malaria Officer.

2)      He will assist in carrying out  fortnightly domiciliary visit of Multi Purpose Workers.

3)      He will help in selection of FTD/DDC/Vol.link worker.

4)      He will help in working out insecticide requirements, their dumping programme and other aspects of logistics.

5)      He will help in organization and supervision of spray operations.

6)      He will carry out consecutive and concurrent supervision of both case detection and spray operation during field visits.

7)      He will help in preparation of reports and returns and ensure that these are sent regularly.

8)      He will help District Malaria Officer in all other technical and administrative functions connected with Malaria Control in the District.

9)      He will be the next in command in the office of District Malaria Officer.

 

 

 

 

 

 

SUB UNIT OFFICER:

 

He is in the cadre of Multipurpose Health Extension Officer ( Senior Health

Inspector).

 

The Sub Unit Officer will be completely responsible for general spray.  During non-spray season., he shall check up surveillance work and laboratory service and furnish his findings to the Medical Officers of the Primary Health Centre with copy to the District Malaria Officer.  The important items of his job chart are.

 

 

 

4.

 

ADMINISTRATIVE:

 

1)      He will work under the administrative and technical control of the District Malaria Officer.

2)      He will have close coordination with the Medical Officers of the Primary Health Centres in his jurisdiction.

3)      He will exercise technical supervision over the surveillance staff and furnish his findings to the concerned Medical Officer with copy to the District Malaria Officer.

4)      He will have administrative and technical control over the spray staff in his Sub Unit.

5)      He will extend necessary co-operation and guidance to the Zonal Entomological team for the Entomological work.

 

SPRAYING:

 

1)      He is completely responsible for general spraying.

2)      He will carry out the spray as per approved programme.

3)      He will ensure that the expenditure of insecticide is not more than the prescribed norms.

4)      He will take adequate precautions for safe custody of insecticide in his Sub Units as well as in dumping places.  He shall maintain insecticide dumping register.

5)      He will furnish weekly and monthly reports in MF 6 to the District Malaria Officer.

6)      He shall carry our any technical instructions issued by the Zonal Officer.

7)      He shall ensure token system of insecticide suspension supply in the field with necessary Geru marking about spray status.

 

SURVEILLANCE:

 

1)      During non-spray season he shall check up the work of surveillance/ Basic Health Inspector and surveillance / Basic Health Worker.

2)      He will furnish a copy of his findings to the Medical Officer, Primary Health Centre.

3)      He will visit the Primary Health Centres and check up laboratory work.  Before checking the laboratory he shall contact the Medical Officer and have preliminary discussions.  At the end of the visit he shall give his findings to the Medical Officer and mark a copy to the District Malaria Offficer.

4)      He will visit as many passive agencies as possible to persuade correction of blood smears and also to ensure regular replenishment of drugs and microslides.

5)      He will conduct preliminary investigations of positive cases in sections not covered by general spray.

6)      He will also check the remedial measures by surveillance/Basic Health Inspectors.

 

 

 

 

REGISTERS AND RECORDS;

HE SHALL MAINTAIN THE FOLLOWING REGISTERS AND RECORDS IN OFFICE.

 

1)      Diary

2)      He shall maintain MF 6 register ( Daily Spray Register)

3)      He shall maintain upto date stock registers

4)      He shall maintain MF 7 register obtaining particulars from surveillance inspector/ Basic Health inspectors.

5)      He shall maintain MF 9 register so as to have effective monitoring.

 

5

PHYSICL TARGETS:

 

1) Tour days                                        20

2) Night Halts                                     12

3) Sectors covered                                6

4) Sections to be covered                    12  ( 3 sections shall be inspected

concurrently)

5) Passive agencies to be contacted      8

6) Verification of positives                 10

7) Laboratories to be visited                 3

 

REGISTERS AND RETURNS

 

1)      Diary in proforma is submitted to District Malaria Officer by 10th of every succeeding month.

2)      Weekly spray reports in MF 6 to DMO and MO PHC concerned.

3)      Monthly spray report in MF 6 to DMO and MO PHC  concerned by 10th of succeeding month

4)      Spray completion report within one week of completion of the round.

5)      Monthly stock report of insecticides to DMO by 10th of succeeding month.

6)      In case of outbreaks, daily report on control measures shall be submitted to the DMO / DM&HO.

 

OFFICE SUPERINTENDENT:

 

The  Office Superintendent is  supervises  both accounts and establishments records and submit files to the Dist.Malaria Officer. All the files routed through the Superintendent. He will supervise the all Sub Units records in the Units.

 

 

SENIOR ASSISTANT:

 

There are two senior Assistant   posts :

 

  1. Sr.Asst.:- One Sr.Asst. should deals with Accounts Section . He maintains all accounts  relating to this office. He will maintain Budget  Control Register, Making Pay Bills,

Submission of DORs to the Directorate of Health.

  1. Establishment:- He deals with service matters of all the staff working under the control  of NAMP.

Court cases, maintenance of Service Registers, Pay fixations, Surrender leaves,all kinds of leaves etc.,.

 

 

 

LABORATORY  TECHNICIAN:

 

 

He is a qualified person in Laboratory work having a certificate course of trained specially in the laboratory.  He will work in the Malaria Laboratory attached to District Malaria Officer / Sub Unit.

 

FUNCTIONS:

 

1)      To record the particulars of all blood slides received in appropriate register, to stain and examine them.

2)      To inform daily about all slides found positive on examination to all concerned officers.

3)      To complete daily diary and get it signed by the Medical Officer – in – charge.

4)      To keep upto date information about Anti Malaria tablets and slides.  To receive necessary report from MPHS / MPHW and to supply clean glass slides (old and new) to them during the periodic meeting held at PHC

 

6.

5)      To fill up necessary graphs and charts regularly and display them in the Laboratory.

6)      To send reports promptly at the specified time.

7)      To send blood slides for cross checks as asked for within 24 hours after receipt of the code number

8)      To inform Medical Officer PHC and DMO in case of increase in backlog and to follow their instructions.

9)      To inform the Medical Officer PHC  and DMO immediately if there is abnormal increase in the number of positive cases.

10)  To inform the concerned officer if for a long time no slides are received from any particular village or section.

11)  To examine 60 slides per day.

 

REGISTERS

 

1)      To enter information about receipt and examination of blood slides in MF 8

2)      To enter information about positive slides and the treatment in MF 7

3)      To enter monthly epidemiological information section wise and village wise in MF 9

 

REPORTS:

 

1)      To send weekly epidemiological report (MF11) every Saturday

2)      To send monthly technical report in MF 4-5

3)      To send monthly passive agencies and FTD reports in MF 10

4)      To send fortnightly positive report ( 1st to 15th , 16th to 30th)

 

CHARTS AND GRAPHS

 

1)      To prepare master chart about active collections and positive blood slides for every section.

2)      To prepare master chart about passive agencies with number of fever cases treated, blood slides collected and positive blood slides detected.

3)      To prepare backlog chart of blood slides which have not been examined.

4)      To prepare a radical treatment backlog chart in which number of cases given Radical Treatment should be given as compared to positive cases detected every month.

5)      To prepare graphs showing monthly blood slides collection and number of positive cases.

 

 

 

MULTIPURPOSE HEALTH WORKER (MALE) : MPHA(M):

 

He is a qualified Health Inspector/ Multipurpose Health Worker trained person.  He has to attend the following work relating to NMEP under Multipurpose Scheme besides his duties under other Public Health Porgrammes.

FUNCTIONS UNDER NVBDCP:

 

  1. He shall have a village wise population register of his sub center for which MF1 of NMEP should be adopted and updated every January.
  2. He will have a fortnightly domiciliary house to house visit schedule developed by the Medical Officer PHC in consultation with the District Malaria Officer.
  3. He will collect blood smears ( thick and thin) from fever cases with history of fever during domiciliary visits to house holds and keep the records in MF2
  4. He will administer presumptive treatment to all cases from whom blood smears are collected and shall ensure that the tablets are swallowed in his presence.
  5. He will advise seriously ill cases to visit PHC for immediate intensive treatment.  All the fever cases with sensorium must be referred to PHC

7.

  1. by him.  The cases shall be referred after collection of blood smear and administration of presumptive treatment.
  2. He will contact all FTDs/DDCs/Voluntary link workers of his area during his visit to the village and collect blood smears and MF 2 for transmission to laboratory.
  3. He will replenish the stock of micro slides and drugs to FTDs and DDCs wherever necessary.
  4. He will keep the records of blood smears collected and patients given Anti Materials in MF2.
  5. He will take precautions to use properly sterilized needles and clean slides while collecting blood smears.
  6. He will put stencil on the wall of each household with date and signature at the time of fortnightly domiciliary visits.

 

SPRAY OPERATIONS:

 

  1. He will supervise the spray operations of 2 to 4 squads.
  2. 13.  He will make an abstract of spray output showing insecticide consumed, squads utilized human dwellings sprayed, missed, locked, refused and rooms sprayed/ rooms missed in the proforma prescribed.
  3. 14.  He will ensure the quality of spray in the human dwellings.  The spray should be uniform.

 

SUPERIOR FIELD WORKER:

 

He is only a trained worker.  He will work under the administrative control of the Senior Entomologist.

 

FUNCTIONS:

 

1)      Each superior field worker is incharge of one squad of 5 field workers.

2)      He should be thoroughly acquainted with the sector allotted to him and the nature and purpose of work entrusted to him.

3)      He shall carry maps of his sector and sub sectors showing all the permanent breeding places and the quantities of each of the larvicide used given by the inspector incharge.

4)      He with his oiling gang shall always carry a dipper with him and frequently check for the mosquito breeding and get it treated on the spot.

5)      He shall be responsible for the equipments supplied to him and shall take proper care of it.

6)      He shall distribute the work to the field workers in such a way that the responsibility of each one of them could be pinned down and at the same time he should be able to see each one of them form time to time while on work.

7)      On returning to the unit office at the end of the days work the equipment and stores should be carefully checked and returned to the inspector.

8)      He shall be required to carry out the work as directed by the inspector in the case of cross checking and work in the laboratory as directed by the laboratory incharge.

 

FIELD WORKER:

 

He is a trained worker who will work under the administrative control of the Superior Field Worker.

 

FUNCTIONS:

 

1)      After the morning roll call the field workers should help the superior field workers in collecting the material and equipment for the days work.

2)      He should check that the equipment is in working order.

3)      He should treat with larvicide very thoroughly the mosquito breeding places assigned to him.

8.

 

4)      He should not allow any mosquito breeding into advanced stage.

5)      He should keep the drains and water collections free of vegetaion.

6)      He should obey the instructions of the superior field worker for all sorts of duties connected with antilarval measures assigned to him.

 

 

 

MECHANIC:

 

He will repairs  of pump sets.

 

ATTENDER:

He will assist to the office, circulation of files , the works assigned  by the office.

 

 

 

CLEANER:

Cleaning of  the Pump sets, Fog machines, vehicle cleaning etc.,.

 

FIELD WORKER:

He is technical worker to collect blood smears, to assist spray operations.

 

SWEEPER:

 

Sweeping the office and premises, office tables, chairs etc.