Role of Community Health Workers
The role of community health -workers is crucial for early case detection and complete treatment { EDCT } of malaria cases . Chw are the front-line health workers who collected B.S. from house to house visits or perform RDT to fever cases and gave timely radical treatment . They maintain records of all blood smear collection , RDT results , which are help him for data collection and reporting .
Chw’s used the following register for VBD serveillance .
Case detection and managment forms :- are M-1 , M-2 , M-3 , M-4 .
1) M-1 :- family health register ie report of serveillance by chw/mpw /anm /asha . It is actually a list of all fever cases.This form is to be filled by any health workers ,who is directly involved in case detection and treatment .
2)M-2 :- Laboratory request form for slide examination . It is filled in duplicate copies by chw ,anm , asha whenever blood slides need to be sent to the laboratory for blood sample examination .If two B.S. collected by health workers ina day and are needed to be examined ,they are entered into M-2 and send to the PHC lab. within two days , due to avoiding timelag or EDCT .
3 ) M-3 :- Record of slides examination in PHC Laboratory .
4 ) M-4 :- Fortnightly reporting form from subcentre ,Phc , district ,state .It is villagewise ,subcenterwise , Agencywise , fortnight and monthly consolidation of all M-1 forms ,including chw ,anm , asha , ( all total active , passive , contact, mass blood smear Collection ) and positive cases details report . This report is made in triplicate and two copies are forwarded to phc on 25 ‘th of month for the second fortnight and 10’ th of the following month for first fortnight .
5 ) M-7 :- Details of malaria positive cases register .
6) M-8 :- Blood smears receipt / entry register .
7) M-9 :- Epidemiological evaluation register or Master file .
8 ) M-11 :- Weekly / Monthly sevingram .
The other important register should be kept with onself by the chw
- Container servey register
- Guppy fish hatchery register
- Guppy fish distribution log book
- Villagewise breeding places register
- Villagewise linelist of private -practioners and private lab register.
- Ten days working programme register ( Daily -Diary monthwise )
- Posirive -cases details register for malaria ,filaria , Dengue , Chikun-guniya ,JE , CHK, Zika-virus and others )
- Migratory population servey register .
- MMDP -register .
- Formate -A , hydrocele patient register.
- Formate -B , Eliphantasiasis patient register.
- MF-6 :- Monthly report of malaria programme of phc spraying .
Integrated vector control forms
- VC:- Primary record of IRS
- VC-1S :- Wall Stencil
- VC-2 :- District IRS output form
- VC-3 :- Primary record of bednet delivery and impregnation
- VC-4 :- Bednet delivery and impregntion form.
Health workers will take all precautions to use properly sterilised needles and clean slides while collecting blood smears.
He will put stencil on the wall of each household with date and signature at the time of fortnightly domiciliarly visits.
He will have a ten days domiciliarly house to house visit schedule gsve by M.O. / DHO.
Role of CHW (Female ) ie ANM.
- ANM will be responsible for collecting blood smears from all antenatal and postnatal cases, under her care as well as from infants .
- During her visits ,if a pregnant woman has history of fever or has fever , she will collect from her ,thick and thin blood smear and keepm records in M-2 register .
- It should be kept in mind that malaria is a very serious complicate in pregnancy and postpartum period leading to high mortality .
- She will take the blood smears to the nearest malaria clinic /phc laboratory on the priority within 24 to 48 hours .
- She will obtain the result of blood smears and give radical treatment to malaria positive as per species wise drug schedule / guidelines .
