Introduction to Guidebook for Enhancing Performance of Health Workers Sub Centre te hi thingtlangah chuan hriselna lam kawnga hmalakna leh inenkawlna hmunpui ber an ni a. Thingtlanga hriselna kawnga hmalakna ah chuan Sub Centre te leh Anganwadi Centre te atang hian hma lak a ni ber a ni. Hetianga a Sub Centre-ten thingtlang lama damlo lo chhawntu hmasa ber an nih avangin, anmahni tawka tih changtlun pawh a ngai reng a ni Indian Public Health Standards hnuaiah hian Sub Centre-in hriselna lama hma a lo lak ve theihte daun fel thlap a ni a. Sub Center bial khat chhung rau rau ah pawh mipui tamna leh nu leh naupang tamna ah chuan Reproductive and Child Health services hi ngaihpawimawh ber tur a ni a. Amaherawhchu, Sub Centre awmna rau rauvah pawh RCH lama an hmalakna a that chuan chu bial chu PHC ang hu-a hlan kai dante pawh a awm a ni. Hetiang a lo nih chuan hnathawktu - Community Health Officer te, Laboratory Technician te pawh SC pantu mipui an pun dan ang zelin lak belh theih dan te pawh duan a ni. He kaihhruaina bu duan lai hian SC awmna hmun inang lo tak tak te pawh ngaihtuah tel vek ani a. Zau taka thlirin, SC leh ASHA hma lak dan turte chu heng a hnuaia dinhmun 6 ah te hian a infawmkem vek a ni: a) Sub Centre-a hnathawkte post zat b) Sub Centre dinna khaw riruang leh mipui chenho dan (hlat tak taka khaw te reuh te te awm te, bawk te – 1 sq km atanga 30 sq km piah lam te) c) Bial chhunga mipui awm zat (tribal leh tlang ramah chuan 3000 chin, phaiah 5000 chin; 1000 atanga 10,000 thleng pawhin a bial theih a ni) d) Total Fertility Rate (TFR) emaw Crude Birth Rate (CBR). Mipui 5000 awmna bialah TFR 3 aia sang emaw CBR 30/1000 aia a san chuan khai rualin bial khatah naupang kum khat hnuai lam 150 an awm ang a, Nu nau pai 150 (a dik takah 165 a ni ang a mahse nau chhiat te lak tellin 150-a chhut a ni, 10% wastage tiin). e) Nau char sak tur a health worker te mipuiin an pan tam dan a zirin. (Hmun thenkhatah chuan SC in 1% chauh an tih sak thei a, hmun thenkhat High focus state ah te chuan nau an char sak hi 30% lai a ni thei) f) Kha SC area-a Sikserh natna emaw Kala-azar a hluar dan a zirin. SC area API 10 aia a san chuan Health Worker chu a hna pangngai bakah Malaria Control hnaah a buai belhchhah dawn a, lehlamah chuan API 2/3 erawh chu a hna a zangkhai deuh dawn a ni
Transcript
Introduction to Guidebook for Enhancing Performanceof Health Workers
Sub Centre te hi thingtlangah chuan hriselna lam kawnga hmalakna leh inenkawlnahmunpui ber an ni a. Thingtlanga hriselna kawnga hmalakna ah chuan Sub Centre te lehAnganwadi Centre te atang hian hma lak a ni ber a ni. Hetianga a Sub Centre-tenthingtlang lama damlo lo chhawntu hmasa ber an nih avangin, anmahni tawka tihchangtlun pawh a ngai reng a ni
Indian Public Health Standards hnuaiah hian Sub Centre-in hriselna lama hma a lo lak vetheihte daun fel thlap a ni a. Sub Center bial khat chhung rau rau ah pawh mipui tamnaleh nu leh naupang tamna ah chuan Reproductive and Child Health services hingaihpawimawh ber tur a ni a. Amaherawhchu, Sub Centre awmna rau rauvah pawh RCHlama an hmalakna a that chuan chu bial chu PHC ang hu-a hlan kai dante pawh a awm ani. Hetiang a lo nih chuan hnathawktu - Community Health Officer te, LaboratoryTechnician te pawh SC pantu mipui an pun dan ang zelin lak belh theih dan te pawh duana ni.
He kaihhruaina bu duan lai hian SC awmna hmun inang lo tak tak te pawh ngaihtuah telvek ani a. Zau taka thlirin, SC leh ASHA hma lak dan turte chu heng a hnuaia dinhmun 6ah te hian a infawmkem vek a ni:
a) Sub Centre-a hnathawkte post zatb) Sub Centre dinna khaw riruang leh mipui chenho dan (hlat tak taka khaw te reuh
te te awm te, bawk te – 1 sq km atanga 30 sq km piah lam te)c) Bial chhunga mipui awm zat (tribal leh tlang ramah chuan 3000 chin, phaiah 5000
chin; 1000 atanga 10,000 thleng pawhin a bial theih a ni)d) Total Fertility Rate (TFR) emaw Crude Birth Rate (CBR). Mipui 5000 awmna bialah
TFR 3 aia sang emaw CBR 30/1000 aia a san chuan khai rualin bial khatahnaupang kum khat hnuai lam 150 an awm ang a, Nu nau pai 150 (a dik takah 165 ani ang a mahse nau chhiat te lak tellin 150-a chhut a ni, 10% wastage tiin).
e) Nau char sak tur a health worker te mipuiin an pan tam dan a zirin. (Hmunthenkhatah chuan SC in 1% chauh an tih sak thei a, hmun thenkhat High focusstate ah te chuan nau an char sak hi 30% lai a ni thei)
f) Kha SC area-a Sikserh natna emaw Kala-azar a hluar dan a zirin. SC area API 10aia a san chuan Health Worker chu a hna pangngai bakah Malaria Control hnaah abuai belhchhah dawn a, lehlamah chuan API 2/3 erawh chu a hna a zangkhai deuhdawn a ni
Heng a chunga tarlante han khaikhawm a bih chian chuan thil tam tak a kaihhnawih tel ani. He kaihhruaina buah hian hrileng beihpui thlak lo awmsa pawh telh a ni a.Amaherawh chu State tin ten anmahni awmna a zirin a tul dan leh State-in angaihpawimawh dan ang in a lo her rem ve thei a ni.
HE GUIDEBOOK AH HIAN HEALTH WORKER HNATHAWH DAN TUR HMUN RUKAH A THEN HRANG THLIAH A CHUNGTE CHU:
1.1) Sub center ah hnathawh tur te:A) General OPD:
1) Heng natna tlanglawn enkawl te entirnan khawsik, kawthalo, rulhuthlo pek,inhliam tenau first aid pek leh STI/RTI leh a dangte
2) Khawsik engpawh blood smear emaw RD test lak sak a, malaria alo nihchuan treatment pek emaw refer a ngaih pawh a refer .
Damlo tupawh natna benvawn nei, thlatin in check tur emaw damdawi la tura lokal te lo ngaihven a, entirnan TB , zunthlum, epilepsy, asthma leh a dangte.Heng damlo te hi hmunpui zawk a treatment an lo tan tawh te enkawl zui. Hrileng a awm in PHC hnai bera medical officer hnenah a hriattir vat tur ani.
B) Reproductive and child health1) Sub center pawn lam a immunization session leh VHND chhim ve lo te
hetiang hun a service an pek thin- ANC registration leh check up, hridannapek, tab IFA , indanna te pawh hmaih lo va pe ve in leh AEFI a lo awm areport bawk tur a ni.
2) Nauchhar theina hmun(DP) a nauchhar sak3) Indanna kawnga mamawh bik nei te- emergency contraceptives, IUD, oral
contraceptives, condom pek emaw dah sak.4) ASHA drugs kit a tul hun a dahkhah sak.
C) Diagnostic service : Heng test te hi a tul hun a tihsak tur ani1) Pregnancy test2) Haemoglobin test3) Urine test- albumin leh sugar4) Blood sugar
D) ASHA in amah hmu tur a a rawn refer te lo en turinE) Record leh register te enkawl a update in report te a siam tur a ni. Ama Sub
centre bul hnai a damlo a refer theih na tur damdawiin address , telephonenumber leh service an pek theih te awlsam taka a hmuh theih tur in a dah langtur ani.
F) Kar khatah vawi khat heng ni bik atan hian dah theih ni se Tleirawl kum 10-19 inkar (adolescent) tan bik clinic Family counseling clinic Natna benvawn clinic
Tar leh upa te clinic
1.2) VHND a tih tur te:1) Hridanna pek2) Naupai check up3) Nau nei tawh check up4) IFA tablet sem(nau pai leh nau hnute pe lai tan thla 6 chhung ei tur)5) Condom leh Oral pill sem6) Family planning counseling neih7) Natna tlanglawn neite enkawlna pek8) Natna benvawn nei enkawl tur a lo kal te enkawl chhunzawmna pek9) Khawsik an awm a blood slide emaw RD test tih a, a tul ang a enkawlna pek10) Raipuar l eh naupangte than dan enzui a, eiin chungchang leh hnute pek
dana kaihhruaina pek.
1.3) FIELD/HOME visit neih a tih tur te:
1) Raipuar sub centre emaw VHND a ANC check up nei ve ngailo te ngaihpawimawhhmasak a tlawh hmasak tur, a bikin nau neih hnai tawh te chu damdawiina naunei tur a hrilh hriat tur a ni
2) Bialfan lai a a tul chuan nauchhar emaw ASHA lo phungbawm turin emaw ASHAawmlohna khua a VHND a kal bawk silo nu nau pai leh nau nei tawh te enkawl.
3) Hridanna lak hun a la ve lo naupang te thur chhuah a, hridanna lakleh huna la ngeitur a hrilh.
4) ASHA in nausen damlo, naubuk zang, nau eichhiate a lo refer tawh kal theilo tetlawh chhuak a, kal ngei tur a hmalak pui.
5) Chhunkaw thenkhat ASHA in hrisselna hawi zawnga hma la tur a a lo tih lehfamily planning method hmang tangkai tura tih a hlawhchham tawh te leh VHNDrawn kal thalo te zawngchhuak a cho phur tur a hmalak.
6) Damlo thenkhat natna benvawn nei, sub centre emaw VHND a kal lo te leh rawn inenkawl zui lo te nibik(special clinic) siam a rawn inentir ngei tur a fuih.
7) ASHA emaw thisen la thei tu an awm lohna hmun kha ngaihpawimawh hmasak a,Malaria ni ngeia rin te blood smear emaw RDT lak sak a, a tul anga enkawlna pek.
8) ASHA ten ina naupiang zawng zawng home based new born care ti ngei tur a en puia, ASHA in engemaw chang a a enkawl theih loh te enkawlna pek leh refer .
9) LLIN thosilen sem leh hmandan endik. DDT thataka an kah theihna tur a hmalakleh chhungtin ten thosilen an neih sa damdawia chiah sak.
10) Raicheh emaw naupang kum5 hnuailam thi an awmin an thih dan verbal autopsyneih sak
11) Bial fan laiin khaw mipuite kohkhawm in an khaw mamawh mil in hriselna lamahkaihhruaina emaw thurawn a pe thin ang.
12) Heng ang case te hi hrechhuak a, zawngchhuak in hmunpui zawk a refer tur anni,chungte chu: mitdel, bengngawng, rilru kimlo, phungzawl, naute pianhlimadiklohna nei te, pianphunga rualbanlo, naute damlo, naupang tlakchham nei te,naupang mahni rualpuite phaklo.
1.4) Health worker in a bial chhungah heng thupui hmang hian zirtirna a pe thin ang:
1) Rai laia hlauhawm chhinchhiahna hrilhriat2) Mithiam kuta nau neih pawimawhna leh nau neihna hmun tur kawhhmuh3) Nau neih zawh a inenkawlthat pawimawhna4) Ei leh in tur tha5) Thla 6 chhung nu hnute tui chuah rin6) Thla 6 hnu ah hnute chauh ring lova chawdang pek tel leh hnute nghei hnu a
chawtha ei chhunzawm dan tur.7) Kawthalo ORS leh zinc a enkawl, taksa a tui tlachham rang taka hriatchhuah.8) Hritlang awmna leh thawhah enkawl (pneumonia leh thawhah lanchhuah dan
1) A chunga hna zawng zawng an tih bakah register ah hnathawhte ziah luh a, subcenter leh a hmunhma enkawl nan nitin darkar 1 hun hman bakah; inrinniahregister leh data ziah luh te, report siam leh review meeting neih nana hman turani.
2) Kan hnathawhte record kan vawnna chhan ber chu mahni inendik nan leh bialchhunga hmalak zel dan tur ruahman nan hei hian hriselna lama hmalakna te a tihmasawn dawn ani. Hetiang rilru pu hian kan record vawn te hmang tangkai a,report pek tur anih avanga register hnawh khat mai lovin. HMIS/MCTS pawhregular taka update leh vawn tur ani. Bial chhungah nau piang leh thi an awm in ahun tak ah chhinchhiah tur ani bawk.
3) Hemi in a lantir chu sub centre a thawk ten an sub center huam chhunga chhuntinte hming list neiin an enkawl tur theuh an insem ang
4) Duhthusam chuan sub center tin te hian an mahni huam chhunga chhungtin tanfile/folder an nei theuh tur ani. A nih loh pawhin register pangngaiah chhungkawkhat tan phek 2 theuh chhinchhiahna siamin register a vawng tur a ni. He registerhi ASHA nena tang kawp in an enkawl ang a, naupang hminghmerh in hridannamamawh te , an bial chhung a high risk pregnancy awm te an chhinchhiah bawkang. He folder te hian heng te hi a nei tur ani:
MCP card nu leh naupang zawng zawng tan TB/ HIV/ Leprosy / kala azar enkawlna la te tan card hran siam tur.
Special clinics ( Tleirawl te tan, family planning, natna benvawn enkawlna etc.) emawnatna benvawn nei enkawlna la mek te tan card hran siam sak.
5) VHSNC meeting a telpui a, thurel te dahtha in a vawng tha tur ani. MPW in untiedfunds te hi anihna tur ang tak a kaihruaina zulzuia an hman theihnan hma lak tura ni .
6) Programme hrang hrang hnuai a report te a hun taka siam a, thehluh tur ani. Eg:MCTS, HMIS etc.
WEEKLY WORK PLAN FOR MULTI-PURPOSE WORKER
* Mipui 5000 chin zelah kar khatah damlo 30 atanga 50 awm tura rin a ni.
Non Hi-focus state ah chuan naute 150 leh naupai 150 beisei ani a, Hi-focus stateah naute 150 atanga 200 beisei ani, naupai zat te pawh hetiang zat hi beisei ani.
Chuvangin Non hi-focus state ah chuan thlatin in naupang 60 immunization pektur awm anga chhutchhuah theih ani, Immunization Session khatah naupang 15awm tura beisei ani.
Hi-focus state ah thla tin naupang 100 immunization pek tur neih beisei ani,immunization session khatah naupang 25 beisei ani thung.
* Khua/bawkte emaw khawchhungah mipui 5000 aia tam an awm chuanImmunization Session hi kar khatah vawi 2 tal neih tur ani. Health worker(F) 2neih hi duhthusam ani, 5000 aia tlem awmna hmunah chuan kar khatah vawi 1neih a tawk a ni.
1) * Sub centre ah Health worker 2 an awm anih chuan, kar khat a ni 4 chuCommunity visit (Home visit, Field visit) neih tur ani. Sub centre hi karkhatah ni 5 chhung hawn thin tur ani a(Monday - Friday), Home visit hi karkhatah belh khawmin darkar 30 tlawh tur ang a ngaih a ni. Inrinniahregister leh data ziah luh te, report siam leh review meeting neih nana hman turani.
* ASHA tin ten kar khatah darkar 12 atang a darkar 15 home visit nei tur an ni,Mipui 5000 ah ASHA 5 awm tur an ni a, an zavai a home visit nana an hun hmanbelhkhawm chu darkar 60 atang a 75 a ni.
* Sub centre chhungah In 1000 atanga 1200 awmna ah home visit neihin In khatahminute 30 tal hman tur ani. Tin, In tin tlawh nan darkar 500 atanga 600 anmamawh dawn tihna ani a.kan staff dinhmunm ngaihtuah in kar khatah homevisit nan darker 100 chauh emaw kan hmang thei dawn a ni. Chumi awmzia chu inpakhat hi kar 6 danah vawi khat kan tlawh thei dawn tihna a ni.
* Health worker 1 hian ni khatah In 10 atanga 12 a tlawh tur ani, a rem anihchuan chhungkua 4 emaw 5 te hmun khatah (hmun remchangah) a hu hovinhousehold visit a tih theih ang, Health worker ten self help group, Mahila Mandal,MHIP, YMA te nen tangkawpin Community Health Education pek thin tur ani.
(Khawchhunga chungkaw awm zat chu Health worker in an insem ang.Health worker leh ASHA ten anmahni chanpual an siam theuh tur ani, chhungkawpakhat hmaih an ni tur ani lo.)
Kar tina Health worker te work plan te hetianga tarlan ani –
2.1 - Health worker 2 sub centre delivery point ah.
2.2 - Health worker 2 sub centre delivery point nilovah.
2.3 - Health worker a mala awm Sub centre ah.
2.1
2.1 WEEKLY WORK PLAN FOR 2 MPW SUB CENTRES (DELIVERY POINTS)
a Hetah hian Health worker 1 in Sub centre a lo vil ang.
b A vil lo zawkin Home visit, Community, Outreach te Health education te a lo ti turani.
c Hetiang a tih anih chhan chu naunei tur te lo chhawmdawl leh safe Delivery kartluana an lo tih theih nan ruahman ani.
Days 1st Health worker 2nd Health worker
Site of Service Delivery Site of Service Delivery
Day 1Sub Centre :Special Day Clinic : Adolescent WellnessClinic a nei tur ani (a hna thawh pangngaibakah)
Field visit (Home visit. Outreach) a titur ani.School Health Programme a bawhzuitel tur ani.
Day 2Field visit (Home visit. Outreach)a ti tur ani.School Health Programme a bawhzui tel turani.
Sub CentreSpecial Day Clinic : FamilyCouncelling Clinic a nei tur ani (ahna thawh pangngai bakah)
Day 3 Sub Centre VHNDVHND a neihpui tur ani
Day 4 VHNDVHND a neihpui tur ani Sub Centre
Day 5
Chawhma lamah health worker 2(emaw awm zawng zawng) Sub Centre ah an awmang
Chawhnu ah weekly meeting Sub Centre ah ASHA facilitator te AWW te nen hmantur ani.
Day 6Sub CentreSpecial Day Clinic : Chronic Illness Clinic anei tur ani (a hna thawh pangngai bakah)
Field visit (Home visit, Outreach) a titur ani.School Health Programme a bawhzuitel tur ani.
* Duh chuan kartin ang zawng pawhin a kalpui theih ang. Health worker 1 in SubCentre leh Special Day Clinic kar khat chhung a lo enkawl anga a pakhat zawkinHome visit leh VHND etc . a kalpui thung ang. Hei hi kar tin in an inbanlek a ngaithung ang. Kartin inbanlek anih pawhin day 5 ni a an tih tur hi a chunga tarlanangin kalpui ani ngei tur ani.
* Health worker Sub Centre a awm hian nitin darkar khat register/record lehreport maintain/vawnfel nan hun an dah awl tur ani.
2.2
2.2 WEEKLY WORK PLAN FOR 2 MPW SUB CENTRES (NON-DELIVERY POINTS)
a Heng Health worker ten nitin Home visit an ti tur ani. Hemi Home visit an kal ahhian a hnuaia tarlan angin an kalpui tur ani.
b Health worker 1 in chawhma in Sub Centre a enkawl tur ani a, chawhnu lamahchhungkua 6 atanga 8 a tlawh ziah tur ani.
c Health worker Sub Centre a awmlo zawk hian nilengin Home visit ati tur ani.Chhungkua 10 atanga 12 tal a tlawh chhuak tur ani.
Days 1st Health worker 2nd Health workerSite of Service Delivery Site of Service Delivery
Day 1
Chawhma Sub Centre ah :Special Day Clinic : Adolescent WellnessClinic neih tur ani, mahni hna pangngaibakah.Chawhnu :Field visit (Home visit. Outreach)
Field visit (Home visit, Outreach) a ti turani.School Health Programme a bawhzui teltur ani.
Day 2Field visit (Home visit, Outreach) a ti turani.School Health Programme a bawhzui teltur ani.
Chawhma :Special Day Clinic : Family CouncellingClinic a nei tur ani (a hna thawhpangngai bakah)Chawhnuah:Field visit (Home visit. Outreach)
Day 3Chawhma Sub Centre ah :
Chhawhnu :Field visit (Home visit. Outreach)
VHNDVHND a neihpui tur ani
Day 4 VHNDVHND a neihpui tur ani
Chawhma Sub Centre ah :
Chhawhnu :Field visit (Home visit. Outreach)
Day 5Chawhma: Field visit, Home visit, Outreach
Chawhnu weekly meeting Sub Centre ah ASHA facilitator te AWW te nen hman turani.
Day 6
Chawhma Sub Centre ah :Special Day Clinic : Chronoc Illness Clinicneih tur ani, mahni hna pangngai bakah.Chhawhnu :Field visit (Home visit, Outreach)
Field visit (Home visit, Outreach)) a ti turani.School Health Programme a bawhzui teltur ani.
* Duh chuan kartin ang zawng pawhin a kalpui theih ang. Health worker 1 in SubCentre leh Special Day Clinic karkhat chhung a lo enkawl anga a pakhat zawkinHome visit leh VHND etc. a kalpui thung ang. Hei hi kartin in an inbanlek a ngaithung ang. Kartin inbanlek anih pawhin day 5 ni a an tih tur hi a chunga tarlanangin kalpui ani ngei tur ani.
* Health worker Sub Centre a awm hian nitin darkar khat register/record lehreport maintain/vawnfel nan hun an dah awl tur ani.
2.3
2.3 WEEKLY WORK PLAN FOR 1 MPW SUB CENTRES
aHealth worker 1 chauh awmna ah chuan Immunization, Outreach Session/VHND kar khatahvawi khat theuh chauh a awm ang, ni hnih chhung Sub Centre ah a awm ang a, Communityvisit tan ni hnih a ani bawk ang.
bSub Centre hi khaw lian zawkah a awm anih chuan Health worker chuan Sub Centre hizingah darkar hnih emaw darkar thum chauh a hawng ang a, abak chu Home visit neih nana hmang thung ang. Chu chu belhkhawmin kar khatah Home visit ni 4 emaw darkar 12atanga 15 a hmang dawn tihna ani.
Day Site of servicedelivery Service provided Detailed activities to be under
taken/remarks
Day 1 Sub CentreChawhma : Immunization
Chawhnu : OPD Clinic
Vaccine lak, Vaccine pek tur te list siamAWW te nen siam tur, Immunization pektur ANC leh Minor ailment treatment pektur.
Day 2 Field visit Community visitPNC/ANC miss te va endik, Laparoscopeoperation ti ho va endik, IDSP screening tihtur, Health Education pek tur.
Day 3 Fields/AWWCentre
VHND leh record maintainthat
ANC, PNC leh IFA pek chhuah,Vaccination, Nutrition and CareCouncellling pek, MCP Card update a pekchhuah, Counter foil filled up/update lehrecord maintain tur.
Day 4 Sub CentreChawhma : Clinic OPD
Chhawhnu : FamilyPlanning Clinic
IUCD insertion nu mamawhte PHC ahSterilization emaw MTP ti tura kalpui tur,Eligible Couple Councelling ah FamilyPlanning method chungchangah pek tur,Contraceptive sem, Eligible Couple Registerupdate leh maintain tur.
Day 5 Headquarter/Field
Forthnightly meeting : Karkhatna leh kar lina ah neihtur.
Community visit : Karhnihna leh kar thumna ahneih tur
Kar khatna meetingah monthly work plansubmit tur, kar lina ah report submit tur,LBW leh Malnutrition naupang (0-5 yrs)AWW te nen identified a refer tur,Community visit : he hunah hian VHNDatan a hman theih ani, fixed day neih lohnaah.
Minor natna te treatmnent pek, ANC misste ANC tihsak tur, high risk nu naupai teidentify a refer tur.Meeting ah ASHA te orientation pek turani a, motivate leh guide bawk tur ani.
* Sub Centre Delivery point anih chuan, Nu naunei tur a rawn kal in Health workerchu an bulah nau aneih hma chu a awm ngei ngei tur ani.
Health worker chuan a hna thawh tur te a pawimawh dan indawtin a thliar hrang tur ani,Sub Centre a naunei tur te bula awm chu a hna pawimawh hmasa ber a ni.
03. Sub Centre- a Damdawi leh Mamawh dang te:Sub Centre tin hi Damdawi leh inenkawlna Hmanrua pek an ni a; heng damlo enkawlnaatana an mamawh te hi an hman zawh hma ngeia an bialtu PHC-ah Health Worker ten anindent vat tur ani. Damdawi leh mamawh Sub Centre-in nghei lova a awm hi HealthWorker mawhphurhna a ni.
3.1 Damdawi leh thil dang tlanglawn
ORS (Tui al Damdawi) Iron Folic Acid tablets (IFA tablets) Trimethoprim & Sulphamethoxazole (Cotrimazole/Septran tablets) Methyl Rosanilinium/Gentian Violet crystals(Siam sa loh) Zinc sulphate tablets (tuia zawp thei chi) IFA Syrup Vitamin A Syrup Paracetamol Tablets Albendazole Tablets Dicyclomine Tablets (Cyclopam ang chi) Inj.Salbutamol Chloramphenicol Eye Ointment Povidone Iodine (Betadine) Ointment Cotton Bandage Lapua Pregnancy Test Kit (Rai Test-na)
3.2 Nau chharna SC-a kawl ngei ngei tur (SC chu Delivery Point a nih chuan)
BCG, DPT, OPV, Measles, Hepatitis B, JE (vaccine hi Routine ImmunizationSchedule-a mi chu a awm kim tur a ni a, vaccine thenkhat JE ang hi beihpui thlaklai a nih chuan a awm bawk tur a ni. Heng vaccine hi a bialtu PHC-ah vawn dan diktaka vawn tur a ni
Amoxycillin capsules Inj. Vitamin K Cotrimoxazole Syrup Cotrimoxazole tablets 80-400mg (Puitling tan) Paracetamol Syrup Plaster (Leucoplast & Micropore) Savlon Solution (Antiseptic) Povidone Iodine solution 5% (Betadine) Clove Oil (Lawngpar hriak, hei hi ha na a hnawih atan) Gum paint (hahni na-a hnawih tur)
Primaquine tablet (2.5mg & 7.5mg) DEC (Di Ethyle Carbamazine) tablet, Filaria awmna hmunah MDT Kit, Phar enkawl lai neite bialah National Vector Borne Disease Control Programme hnuaiah Malaria hrik en nan
Rapid Diagnostic Kit (RDK) DOT Centre an nih tel chuan TB Damdawi RNTCP-in a sem angin an kawl tur a ni
3.5 Hmanruate
Thermometer Inbukna (naupang leh puitling tan) BP Enna Sana, a second chhiar theih ngei chi Vaccine dah vawhna lian chi (Cold Box)
Vaccine Carrier Mid Upper Arm Circumference Tape (MUAC Tape; naupang an kum phu ang zelin
an rit em tih enna, MUAC tape-a teh hian naupang ei chhiat avanga thang thei loleh dam thei lo te a hriat dawn a ni)
Hemoglobinometer (Hb enna) Hub cutter (syringe hman zawha a hriau tan bunna) Colour Coded Bins ( a Sen, Eng leh Dum; bawlhhlawh paih tur azira a rawng
theuhva paih tur) Urine Test Kits (Hetah hian zunah protein leh sugar a awm em tih a en theih a, kal
na leh zunthlum a hriat theih ang a, a bik takin ANC ah rai laia thisen sang lutukleh zunthlum te a en theih a ni)
A hnuaia checklist atang hian Health Worker te chuan an hnathawh dan an inenfiah theidawn a ni
4.1 Checklist 1-na: Rai atanga nau neih thlenga hlauhthawn tur te:
Nau pai laiin:
Thisen nei tlem (Anaemia), lung phu zawt zawt, chau hma em em, awm mai maipawha thaw chham
Luak leh luak chhuak uchuak Khawsik sang Lu na/mit vai ruai/luhai Kaih Taksa pum vung chhuak Zunram thiar laia thip leh sa Rei lo te te chhunga zun chhuak reng/zung ngun lutuk Serh atanga rimchhia hnang rimchhe chhuak, khawsik chungin emaw khawsik tel
lo pawhin BP Sang (140/90 mmHg) leh a chung lam Darkar 24 aia rei nau vei si lova tui put Thi emaw bawlhhlawh dang serh atanga put Nau pai che lo
Nau vei/neih dawn laiin:
Nau vei si lova tui bawm keh Serh atanga thi put Kaih Darkar 12 aia rein au vei Nau hlam tang
Hmai leh kutte vung emaw vung tel lo pawha kaih, lu na lutuk, khaw hmuh fiah lo Khawsik Nu thaw hah leh nau hnute pe thei lo khawpa thaw lak harsa Serh atanga bawlhhlawh hnang rimchhe chhuak Hnute tang nasal eh a hmur kak Zung thei lo emaw zun laia thip Nau neih zawha mizia inthlak ta riau
4.2 Checklist 2 na- Nau piang hlim ena hlauhthawn tur te:
Naute chu a khua a sik emaw han khawiha a vawh ngiai chuan Naute in hnute a hnek duh tlat loh chuan (Oral thrush a nei a ni mai thei; a ka
chhung enin pan emaw white patches, var thek thek a awm em) Naute chu a dam loh hmel (zawi lutuk emaw tlei lo tak) A thaw lak a rang llutuk (minute 1 ah vawi 60 aia rang a thawk chuan) emaw thaw
lak a harsat chuan Thawk zawngin a awm a sep vak vak em Lai hrui zai chahna lai kha a sen emaw a vung emaw hnai a la em Naute pian hlim atan a che lo lutuk em (naute pangngai chu an pian hlim hian an
kutke te, an lute hi vawi tam minute khatah an ti che thin a ni) Jaundice Vuna te reuh te tea sen thek thek, hnai awm emaw khawihli ang lian pakhat pawh Kaih Naute kua chu a that loh chuan/a ekah thisen a tek chuan/ naute a pian atang
darkar 24 chhunga a zun a ek theih loh chuan Nautein eng emaw pian sualna a neih chuan Mitek ngah lutuk, naute mit chu a sen tel a nih chuan Naute piang hlim zawi lutuk
4.3 Checklist 3 na- In lama tlawh huna tih turte:
Heng a hnuaia mite hi an ina tlawh hmasak ah nei ang che1. Nu nau pai2. Nu nau nei hlim3. Nau piang hlim4. Nausen leh naupang ei chhe lutuk (natna benvawn, rulhut, nachang hriat loh
vang,retheih vang etc) pawh a ni thei
5. Nupa la insiam lote6. Natna benvawn nei te7. Naupang kawthalo leh awmna vei te
Nau pai Sub Centre-a a huna lo kal thei lo te VHND-a lo kal tura fuih Nu nau nei hlim te anmahni inchhung lum ngeia va tlawh leh a tul anga enkawl Naupang vaccine pek nia dawng ve lote va thur chhuah a a lehpek atana
chhinchhiah Nausen leh naupang dam lo damdawiin changtlung zawka kal thei tura lo buaipui Chhangkhatna hmang duh lo/ngam lo chhungkuate theih ang tawka hrilhfiah a,
hmang ve tawh tura an rilru sukthlek tir Dam lo Malaria rinhlelh te thisen lak te, felfai taka chungho chu lo chhinchhiah leh
a positive te Damdawi dika lo enkawl Phar emaw natna benvawn Sub Centre level-a enkawl harsa zual te hmun pui
zawka inentir tura lo fuih emaw an theih loh chuan in lama inenkawl theih chinchin lo enkawl
Thosi kap ten uluk taka an kah lo endik te, sawrkar thosilen a hmanna tur diktakah an hmang em tih en fiah te
Raicheh emaw naupang an thihin a theih anga ranga enquiry nei turin ASHA leh Anganwadi Worker te nen tang kawpin hriselna lama hma sawnna turin
chhungkua angin emaw sawrkar atanga hamthatna dawng thei chin – Nu, Tleirawl,naupangte fuih ho thin ni se
4.4 Checklist 4 na – Counseling na thupui te:
Hmeichhe lehkha thiam tir Naupang lutuka inneih Nau pai laia inenkawl dan Nau pai laia zuk leh hmuam tih that lohzia Nau nei tura lo inhmakhawsuih – khawnge neih a tum, tunge lo buaipui tur te In lam aia Damdawiina nau neih that zawk leh him zawk zia Nau vei mahnia inhriat dan leh thil duhawm lo lo thleng palh thei lo inhriat dan Nu nau pai pawhin nau vei hun lai emaw a hun hmaa thil hlauhthawnawm lo
thleng palh a lo inhriat ve theih dan Nau pai lai leh neih zawh hnu pawha inentir a pawimawhzia hriattir Nau titla emaw chhiat emaw te an inenkawl zui zel dan tur hrilh hriat Rai laia ei leh in chungchang leh hahdam tura thurawn pek (hei hi nu chauh hrilh a
tawk lova, an pasalte emaw, an chenpuite mi puitling hriat ngeia sawi a tha, aninthlahrung thei a):
1. Nu hian nau a pai laiin a chaw ei pangngai aiin chakna 300 kcal amamawh belh a, nau a hrin hnuin 500kcal. Chuvangin a chaw eipangngai aia tam a ei tur a ni. Chaw/eitur ei ngun mai sela
2. Protein tamna lampang, chana, badam, artui, sa, bekang, bête, behlawirah, dal, bekang sa (nutrela) ang chi leh mahni in lama kan hmuh theihthlai te hian chakna a pek bakah thisen a siam a ni
3. Thei ei tam tur a ni (Sunhlu, kawlthei, serthlum etc) Mizorama kanhmuh ang hi. Heng hian kan chaw ei a iron kha thisen siam nan a lotanpui a ni
4. Thingpui emaw coffee emaw chaw ei kham darkar khat tal hnuah chauhin tur a ni. Thingpui leh coffee chaw ei khama in nghal hian kan taksaathisen insiam tur kha a lo dal ve a ni
5. Ek khal lo turin fibre ei hnem tur a ni – thlai hnah hring te6. Zanah darkar 8 mut a chhunah darkar 2 chawl hahdam se, rit te chawi
lovin hna hram te thawk lo sela7. Nau pai laiin nu chuan zuk leh hmuam, zu leh Damdawi ngaih theih,
opium ang chi te a hmang tur a ni lo8. Eng Damdawi pawh daktawr rawn lova ei loh tur a ni
Nu thenkhat nau pai laia ei leh in chungchanga a bika ngaihsak tur te:1. Nu nau pai buk zang lutuk ( 45kg aia zang)2. Nu nau pai laia zawi lutuk3. Tleirawl (kum 10-19, Adolescent) laia nau pai4. Nau neih hmasak atanga kum 2 chhunga nau a pai lehin5. Phir pai te6. HIV positive nu nau pai te
Nau hnute leh chaw pek dan chungchang:1. Nau pian atanga darkar khat chhunga hnute pek tur, a bik takin hnute
tui chhuak hmasa colostrum hi2. Naute a lo pianin hnute pek hmain engmah thil dang pek loh tur3. Naute hnute pek laia pawm dan dik tak zirtir tur4. Naute chu thla 6 a tlin thlengin hnute tui chauh pek tur, a mamawh tur
tui pawh hnute tuiah a hmu nghal a ni Nau pai laia nupa nun hman chungchang zirtirna pek tur Nau piang hlim enkawl dan chungchang:
1. Nausen chu tuam lum ngei a ni a, hmun luma dah a ni a, pangngai takina thaw a, hnute a hne tha ngei a, a lai hrui a fai a thi a hnam lo tih chianngei tur a ni
2. Naute chuan damdawiin a chhuahsan hmain hri danna – BCG/OPV 0Dose/Hepatitis B ( Birth dose, a pian atanga darkar 24 chhungin) a hmungei tur a ni
3. Nu chu naute lai hrui, mit leh vun enkawl dan zirtir ngei tur a ni4. Naute chuan hnute a hne tha tih chian ngei tur a ni5. Ina haw hmain naute taksa leh awm danah engmah hlauhthawnawm a
awm lo tih chian ngei tur a ni
6. Naute nu leh chhungte chu hri danna lak zawm zel pawimawhnahrilhfiah tur a ni
Nau piang hlima thil hlauhthawnawm thleng thei te – enkawl vat tur a ni1. Naute in hnute a hnek that duh loh/theih lohvin2. Naute khua a sik emaw han tawha a vawh ngiai chuan3. Naute chuan thaw lak a harsat in4. Naute ek a thisen a awmin5. Naute kut phah leh ke phah a lo en chhuahin6. Naute chu a kaihin
Family Planning chungchang, chhangkhatna lamah te fa neih duh zatchungchangah te counselling pek tur a ni
Sawrkar atanga hamthatna an dawn theih JSY, JSSK leh thil dangte hrilh hriat tura ni
Sikserh laka inven dan zirtir bawk tur a ni
4.5 Checklist 5-na: Nau Pai laia Enkawlna chungchang:
Nuin a fa hmasa a pai lei leh neih laia a hriselna chungchang chik taka zawh tur ani
Nu chuan nau a pai ngei a ni tih chian tur a ni (PTK positive) Nuin a fa hmasa a pai laiin taksaah harsatna, tuna a nau pai mek nghawng
leh thei thil a awm em tih finfiah tur Tuna Nuin nau a pai mek ti hlauhthawnawm tur hian Nuin harsatna/dam
lohna a nei em tih chik taka en tur Nu thi neih hnuhnun ber intan ni atanga nau neih tur ni chhut sak tur Nu nau pai chu ra so leh luak chhuak, luak ngun, thin thip vung vung, ek
khal leh zung tam uchuak tein a awm em tih zawh fiah tur Nu nau pai chu rai nena inkaihhnawih thil hlauhthawnawm a vei em tih
ngun taka en a, heng chung chang zawhna te hi zawh tur a ni:1. Khawsik2. Luak ngun/ luak nasa3. Serh thak emaw serh atanga bawlhhlawh ni dang ang lova chhuak4. Thin phu dawt dawt leh ni dang aia chau hma5. Awm mai mai emaw chet hleka thaw chham zel6. Taksa pum vung emaw hmai vung emaw a pahnihin7. Nasa taka lu na leh mit vai/ khaw hmuh fiah lo thut8. Ni dang aia zung tlem leh zun laia thip9. Serh atanga thi chhuak/put10.Nuin a nau pai che thin a hriat tak loh11.Serh atanga nau pai tui lo put chhuak
Nu nau pai chu a fa hmasa a pai lai leh a neih lai chungchang chik takazawh tur a ni
1. Fa engzat nge a neih tawh a, dam a piang vek an ni em,; nge nauchhiat emaw thi sa a piang an awm em tih te zawh tur a ni
2. Nu chu a fa hmasa te an lo pian a an rih zawng te (a hriat lohchuan a awm ang tur), perinatal period (nau neih hma ni 7 chhungleh nau neih hnu ni 28 chhung) a nau neih nena inkaihhnawih engpawh harsatna a tawk em, engtin nge a lo awm tak zel tih thlengachipchiar taka zawh a ngai a ni
3. Nu chu a fa hmasa a pai laiin harsatna – rai no laia nau chhiatchhen, nau a chhiat hnua BP sang take maw kaih a nei em; nau pailaiin a thi a put em (Antepartum Haemorrhage), nau a letlingzawngin a lo pai tawh em (Breech presentation), nau har /kumkuruh te lutuk/ inhliam nasa/ nau neih hnua thi hawrh/ nauneih hnua sang taka khawsik te a lo nei tawh em
4. Nu chuan a fa hmasa te a neihin neih pangngai nge zai chhuah,eng vanga zai ngai nge/ hip chhuah/ delivery forceps hmanga pawhchhuah nge/ nau letlinga piang nge/ nau hlam amaha chhuak theilo kuta lakchhuah ngai (Manual delivery of placenta) a tawng emtih te zawh tur a ni
5. Nuin a fa hmasa a pai/ neihin thisen pek ngaiin a awm em tih tezawh tur a ni bawk
Nu nau pai chu tuna a rai lai emaw a hma atanga natna a neih te chik takazawh tur a ni a:
1. Thisen sang (BP sang)2. Zunthlum3. Lung natna ( chet hleka thaw chham mai, thin phu dawt dawt)4. Khuh benvawn, khaka thisen tel, khawsik dam hlei thei lo (TB a lo
ni thei)5. Kal natna6. Kaih thin (Epilepsy natna a lo ni thei)7. Thaw hah chhuak thin emaw Asthma vei tih hriat sa8. Mit liam (Jaundice)9. Sikserh (Malaria)10.Natna dangte – Nau leh chi kawng natna (RTI), Mipat
Hmeichhiatna atanga natna inkaichhawn chi (STI), HIV/AIDS,anmahni chhunkaw lama natna khirh leh benvawn vei te an awmem
Nu nau pai chuan thil chin dawklak – zuk leh hmuam, zu in, damdawi ruihnana hman a nei em tih te thiam taka zawh chhuah tur a ni
Nu chu a taksa ngun taka endik tur a ni a:1. A dang em (Hb hniam)2. Mar phu (Pulse – a regular em, a rang lutuk/muang lutuk em/ mar
deh theih mang lovin a awm em)3. Thaw lak zat (A thaw rang lutuk/ thaw lak a harsatin hmel em)4. Jaundice( mitmu varah a lang hmasa ber ang)5. Vung (Kheimit ah emaw taksa dangah pawh, serh vung an nei em
tih pawh en tel tur, an hmai/mit a buiin I hria em)6. Rih zawng (Buk zang lutuk emaw rit lutuk, I buk hmain bukna kha
a dik ngei a ni tih chian hmasa la)7. Hnute endik sak bawk tur
Nu chu a dul ngun takin check sak tur a ni leh a:1. Nu nau pai chhul chu a san zawng (fundal height) teh tur a ni. Hei
hian a nau pai leh nau pum chhunga a than dan a lantir2. Nau chhul chhunga a awm dan endik tur , a pangngai nge, a
letling nge, a khamphei zawng3. Nau lungphu minute khat pumhlum chhiar ngei ngei tur a ni4. Nu dulah ser emaw a hmaa lo zai tawhna hnu a awm em tih en
ngei ngei bawk tur a ni.( Ser a lo awm tawh chuan nau a vei laiinzaina hnu a tet thei a ni). Ser bakah hian thil dang –pan/hliam/bawk eng pawh a pangngai lo a awm em tih en tur a ni
Laboratory lama inentirna:1. Rai finfiah ngeina atana zun test2. Hb test leh thisen pek a lo ngaih thut pawha Blood Group leh Rh
factor Test3. Zuna albumin leh sugar a awm em tih test4. Malaria leh Syphillis atan Rapid Test neih tir tur a ni
Heng natna te hi tunah emaw tunhma in a neih leh neih loh zawt ang che:
1) Thisen sang (hypertension)2) Zunthlum(diabetes)3) Hah deuh a thawchham(breathlessness on exertion) emaw mahni inhriat khawp a
lungphu rang leh phu dup dup(palpitation)4) Khuh benvawn, khaka thisen awm, khawsik rei(tuberculosis)5) Kal natna6) Kaih(convulsion)7) Thawchham/thawhah(asthma)8) Mitliam(jaundice), Malaria, STI/RTI. Heng natna hi chhungkuaah nei an awm tawh
thin em tih zawh tel tur.
Zuk leh hmuam a ti em, zu a in thin em tih te zawh tel bawk tur a ni.
Physical examination:
1) General examinationa) A dawldang em(pallor)b) Marphu (pulse)c) Thawk ran zawng (respiratory rate)d) Mitliam(jaundice)e) Vung (edema)f) Blood pressureg) Rih zawng (weight)h) Breast examination
2) Abdominal examinationa) Rai len zawng emaw chhul thlen sang zawng (fundal height) en ang che.b) Naute awmdan hrechiang tur in nu pum chunglam , a sir lam leh a tai
lampang te palpate la.c) Naute lungphu ri (fetal heart sound) ngaithla la.d) Nu dul vel ah ser emaw thildang chhinchhiah tlak a awm em tih en ang che
Laboratory investigation tih tur te:
1) Pregnancy test2) Haemoglobin test3) Urine test- albumin leh sugar4) Rapid test for malaria leh syphillis
Tih tur te:
1) IFA tablet pek rualin IFA mamawhna leh pawimawhna leh thisen tlakchhamhlauhawmna hrilhhriat tur a ni.
2) TT injection
Micro-Birth Planning and Counseling:
1) Nu raipuar a lo kal in health worker in a register anga, MCP card ah ziak lut in JSYcard a siamsak ang a, BPL certificate emaw certificate dang a tul ang a hman tura siamsak ang.
2) Naupai in entir hunte, TT injection a lak hun tur te leh a nau neih hun tur te ahrilh hre bawk ang.
3) Nau neihna hmun tur leh nauchhartu tur chungchangah rem a ruat pui ang.4) Engemaw thila refer ngai anih pawh in a refer na hmun leh kal dan tur a rel pui
ang.5) Thil tul hrang hrang te ngaihtuah in, nu nau nei tur contact number la in a kal dan
tur te a ngaihtuahpui ang.
6) Heng a senso tur sum hi delivery points sub center a MPW te hnenah a awm ngeitur ani. Delivery points ni lo te tan pawh JSSK atangin an senso a phuhruk theih.
4.6) Post Natal check up:
Post partum visit
In tlawh hun IN a nau nei/ Sub center anau nei
PHC leh a chunglama naunei te darker 48 damdawiina awm te tan
Vawi khatna Ni khatna(darkar24 chhung) Hospitala piangah chuan angailo
Vawi hnihna Nau neih ni atanga nithumna
Nau neih ni atanga nithumna
Vawi thumna Nau neih atang ani sarihna Nau neih atang ani sarihna
Vawi lina Nau neih atanga kar ruk na Nau neih atanga kar ruk na
Nau neih zawh a nu tlawh hmasak bera zawh tur te:
1) Nau neihna hmun?2) Nau chhartu?3) Nau neih laiin harsatna a nei em/ Thi put emaw kaih emaw nikhaw hre lovin a awm
em?4) Ke na, pum na, khawsik, zun fep far emaw hnute na etc?5) Naute in Nu hnute a hne tan tawh em?6) Chaw pangngai a ei thei tawh em?7) Insawiselna dang a nei em?
Examination:
1) Marphu, B.P, khawsik leh sik loh, thawk ran zawng en rawh.
2) A dawldang em en rawh3) A pum dap la, fel lo a awm em en rawh.4) Serh leh a bul velah thler, vung, hnai chhuak te a awm em5) A indanna puan en la, thi a tam leh tamloh, a thi lo chhuak chu a pangngai em. A
rimchhiat leh chhiatloh fiah ang che6) A hnute ah chuan bawk a awm em, khawih zawngin a na em, a hnute hmur ah kak
a awm em enfiah la, a hnute pek lai en ang che.
Heng ah te hian health worker in thurawn pe in a tul anga tihsak ang (Management /Counseling)
1) Nau neih hnua in enkawl dan leh in vawn thianghlim dan2) Nu tan a chaw tha3) Indanna4) Nau pianghlim register5) IFA tablet pek6) Nu hnute pek
Naute tlawh huna zawhna zawh tur:
1) Naute chu entikah nge a zun a, a ek?2) Nu-in naute hnute a pe tan em? Harsatna hnute pekah a nei em?3) Khawsik a nei em?4) Hnute a hne tha em?5) Thawk lamah harsatna anei em?6) Laihrui chu a sen emaw a vung emaw hnaichhuak a awm em?7) Nausen chu a nihtur ang aiin a harhvang lovem?8) Pan/khawihli a nei em?9) A kaih em?
Examination:
1) Minute khat chhunga a thawk ran zawng chhiar tur2) Thawk harsat vang a thawk zawng a awm khuar dek dek a awm em?3) Naute chu a dang(pallor) emaw eng(jaundice) emaw lei leh hmui duk(central
cyanosis)4) A khau sik leh sikloh en5) Laihrui chu a thi emaw a sen emaw hnai a awm em endik tur6) A vun ah pan emaw a awm em7) Naute chu a tah dan leha chet dan endik8) Mit ek emaw hnaichhuak emaw a nei em
9) Piansualna a nei em, a pianchhuah laiin inhliamna a nei em
Heng ah te hian health worker in thurawn pe in a tul ang a tihsak ang (Management /Counseling):
1) Naute enkawltu chuan naute chu thianghlim takin a enkawl tur ani.2) Naute chu a pian atanga darkar 24 hnu lamah chauh bual ang che.3) Naute chu vawt lo turin dah ang che4) A lai hruiah chuan engmah hnawih lova, a rova dah tur a ni.5) Naute chu a hnute hne lai chik takin thlir la, a hnek dan dik leh dik loh en ang che.
Nau neih zawh a Nu tlawh vawi 2 leh vawi 3 na ah:
Tlawh vawi khatna a zawhna bak ah heng te hi a nu hnenah zawt ang che:
1) Nau pian hnu darkar24 leh a hnu lamah serh atanga thi chhuak a la awm reng em?2) Serh atangin thil rimchhia chhuak a awm em?3) Khawsik a nei em?4) Hnute tang emaw khawih zawng a na a awm em?5) Zun zawnga na emaw harsatna a nei em?6) Nu chu chau in emaw awm nuamlo a nei em?7) Nu chu a hlim lovin tah chhhuak deuh leh, rilru hlim lovin a awm em?
Examination:
1) Marphu, BP leh khawsik leh sikloh em en ang che.2) A dawldang em en rawh3) A pum chu khawih la, a chhul chu a a tawm (contract) tha em4) A serh leh a bul te enfiah la, hnai emaw vung a awm em?5) A puan indanna chu en la, a thi awm dan leh leh a serh atanga thil chhuak chu a
pangngai em en rawh6) A hnute khawih la bawk emaw khawih zawng a na awm em en la7) A hnute hmur chu enfiah rawh
Heng ah te hian health worker in thurawn pe in a tul anga tihsak ang (Management /Counseling):
1) Ei leh in tha leh in dim dan kawngah thurawn a pe ang2) In dan dan a hrilh fiah ang
Naute tana tlawh vawi 2 leh vawi 3 naah:
Naute tlawh vawi 1 na a zawhna ngai bawk kha a zawt leh ang.
Examination: health worker in hengte hi a endik ang
1) Naute chuan hnute a hne tha em?2) Thawk lak zawnga harsatna awm leh awmloh en la(a rang emaw a muang emaw
thawk zawng a thawk hartsat vang a awm khuar kawk kawk a awm em)3) Naute chu a khua a sik em emaw khawih in naute chu a vawt vek em4) Naute chu a eng em a kut leh a ke en rawh5) Naute lai chu a vungin, thil chhuak a awm em6) Naute ek chu a tuiin thi a tel em7) Naute chu a kaih emaw, eu/er vak vak emaw a nei em?
Heng ah te hian health worker in thurawn pe in a tul ang a tihsak ang (Management /Counseling):
Vawi khat tlawhna bakah heng te hi telh tur a ni:
1) Naute chuan hnute tui chauh thla 6 chhhung chawah a ring tur in ahrilh/thurawn ape ang.
2) Naute in hnute a hnek duh a piang in pek tur a ni a, emaw darkar 2 danah tal a petur in a hrilh ang
3) Thla ruk(6) hnu ah chuan hnute tui bak ah chaw dang a ei tel bawk tur in a hrilhang, hnute chu a pangngai ang in a chhunzawm ang.
4) Naute in rihna a hloh chungchang5) Naute thianghlim taka vawn chungchang6) Naute damloh chungchanga hlauhawmchhinchhiahna (danger sign) nu chu a zirtir
in, alo awm chuan khawi hmunah nge, khawiah nge kal tur a hrilh ang.7) Hridanna lak hun a hrilh ang.
Nau neih hnuah nu vawi 4 tlawhnaah:
Nu hnenah chuan heng hi zawt rawh:
1) Serh atanga thi put a tawp tawh em?2) A thlatin bi thi neih a nei tan leh tawh em?3) Serh atang bawlhhlawh rimchhia chhuak a awm em?4) Zun zawnga na emaw harsatna a nei em?5) Awlsam takin a chau em emaw nawmsamlohna anei em?6) Nau hnute pekah harsatna a nei em?
Examination: Hengte hi en ang che
1) Marphu, B.P, khawsik leh sikloh en ang che.2) A dawldang em? En rawh3) A serh leh a bul te enfiah la, hnai emaw vung a awm em?4) A hnute khawih la bawk emaw khawih zawng a na awm em? En ang che.
Heng ah te hian health worker in thurawn pe in a tul anga tihsak ang (Management /Counseling):
1) Ei leh in tha leh in dim dan kawngah thurawna pe ang2) In dan dan a hrilh fiah ang.
Naute tana tlawh vawi 4 na: Naute nu hnenah chuan heng te hi zawt rawh
1) Naute chuan hridanna a lak theih chin tur ang te ala em?2) Naute in nu hnute a hne tha em?3) Naute buk chu engzat in nge a rih belh4) Naute I n harsatna eng emaw a nei em?
Examination:
1) Naute buk tur2) Naute chu a harhvang nge a zawi en ang che.
Heng ah te hian health worker in thurawn pein a tul ang a tihsak ang (Management /Counseling):
1) Naute thlaruk a tlin thleng a nu hnute tui chauh hnek tir pawimawhna uar takahrilh tur a ni.
2) Nu hnenah naute in heng a hnuai a harsatna te hi a neih chuan doctor awm hnaiber hnenah hruai vat tur in hrilh rawh :a) Naute in hnute hne tha duhlob) Naute chu damlo hmel a put in (zawi emaw chiauhiar)c) Naute khua a sik emaw han deh a a pang a vawh chuan.d) Naute a kaih chuane) Naute chu a thaw rang emaw thawk a harsat chuanf) Naute ek ah thi a awm chuang) Naute kua a that loh in
3) Nu chu naute hridanna a lak leh hun leh hmun tur hrilh rawh.
PERFORMANCE MONITORING BY SUPERVISOR:
Supervisor chu Block Program Manager/Medical Officer/ Supervisor / Sarpanch emaw Statein a ruat a ni tur a ni. Surpervisor an nih ang in MPW te thil tih an endik tur a ni a, an tihdik loh leh thiamloh lai te hrilhhria a zirtir in an pui tur a ni.
Supervisor chuan kaihhruaina leh tawhpuina tha a pek theih nan a hnuai a mi te hi a titur a ni :
Thutlukna siam kawngah MPW te tel tir in, an zirtirtu / kaihruaitu ang in a awmtur a ni.
MPW in hna thataka a thawh theih nan engtiklaipawhin a tanpuiin a chophur tur ani.
MPW in a hnathawhna leh a hnathawhna hmun chungchanga lungawilohna thu a thlentheihna tur committee ‘Grievance Redressal Committee’ District level ah a awm tur a ni.CMO emaw a aiawh in he committee hi a hovang.
5.1 VHND a MPW in a tih tur supervisor in a endik tur te:
THIL AWM TURTE Yes/No A TIH TUR TE YES/No Remarks
1.VHND a tihturte a tan hma invaccine zawng zawng a awmkim tur ani.
2.Hmanrua awm turte :Inbukna (puitling leh
naute)Examination tihna tur
dawhkanPardahHaemoglobinometerUrine test naKutkawr(gloves)SlidesStethoscope leh BP
