Job Chart - Health and Family Welfare Department

Quality Improvement Programme 

H R MANUAL 

Job Chart - OZHM 

Department of Health and Family Welfare 

Government of Gujarat

CHC/PHC/HR Manual 

Reference: NABH Standard 

Version No. 2/ Date Of Issue: 

Name of Service CHC/PHC/Human Resource Management Policy– 02 

Name of Manual 

Manual No. 

HR Manual 

CHC/PHC 

Purpose This manual has been developed to ensure proper & 

adequate manpower planning, their recruitment, induction & 

orientation, training, appraisal, motivation & growth and 

grievance redresser. It is ensured that the workers are given 

due rights & are delegated responsibilities, measuring their 

awareness on these issues & satisfaction level in the 

process. 

Scope All the Human resources 

Responsibility 

Prepared by 

Approved by 

Issued by 

Responsibility for updating 

Prepared By: State QA Technical Committee, Commissionerate of Health, 

Gandhinagar-Gujarat 

All members of Medical, Para medical & Housekeeping staff 

associated with hospital services at PHC & CHC. 

State Quality Assurance Technical Committee, Gandhinagar- 

Gujarat 

Department of Health & FW, Gandhinagar-Gujarat 

State Quality Assurance Cell, Commissionerate of Health, MS & ME, 

Government of Gujarat 

State Quality Assurance Technical Committee, Gandhinagar- 

Gujarat 

Approved By: Department of Health & FW-Gujarat

NABH Policy CHC/PHC/Human Resource Manual-02 

NABH Standard Reference: NABH Standard for PHCs & CHCs 

Policy /Version No 2 CHC/PHC 

Page No: Issue Date: Page 3 of 99/ 1 st Jan 2011 

INDEX 

No. Contents Pages 

1 Responsibility for implementation 5 

2 Amendment Sheets 7 

3 Human Resource Policy 9 

4 Index - Man Power Planning & Staffing 9 

5 Job charts 10 

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!* ;]Z1FF SD"RFZLGL OZHM HR-JC-Sec-17 37 

6 Recruitment & Selection Policy 37 

7 Induction & Orientation Policy 38 

8 GF[SZL DF\ NFB, YIF 5KL 5ZLRI TF,LD 38 

9 Human Resource Management DFGJ ;\;FWG DF8[GF GLlTlGIDM VG[ 5âlT 39 

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11 Review Meeting -ZLjI] DL8L\U V\U[GF GLlTlGIDF[ VG[ 5âlT 41 

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13 SD"RFZLVF[GL TF,LDG\] JFlQF"S VFIF[HG 42 

14 SD"RFZLVMGM AFIM0[8F 43 

15 List of certificate of permanent employee lGIlDT SD"RFZLVF[GL OF.,DF\ ZFBJFGF 5|DF65+ 44 

16 List of certificate of outsource employee 

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17 FO - ;ZSI],Z 46 



45 






18 Rights and responsibilities of staff - SD"RFZLVF[GF VlWSFZF[ VG[ OZHF[ 47 

19 Training feedback TF,LDFYL"GM 5|lTEFJ 5+ 49 

20 Training feedback survey form 50 

21 SD"RFZLVF[GL ;]Z1FFGL 5âlT 51 

22 Grievance Redressal Committee 52 

23 Grievance Redressal Policy and SOP OlZIFN lGJFZ6 GLlTlGIDF[ VG[ 5âlT 52 

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29 TF,LD 5KLGM 5|lTEFJ 56 

30 Patient feedback form NNL"GM 5|lTEFJ 5+ 56 

31 Patient feedback survey form 58 

32 SD"RFZLGM 5|lTEFJ 5+ 59 

33 Employee satisfaction survey form 61 

34 lSXMZ I]JF ;,FC ;FZJFZ 5|lTEFJ 5+ 62 

35 AFHS Feedback survey form 64 

36 Indicators used for Quality Assurance And Continuous Monitoring 65 

37 Community Health Center’s & Extra Job Charts 68-81 

38 State Quality Assurance Officer duties and responsibilities 82 

39 District Quality Assurance Officer duties and responsibilities 83 

40 VM5Z[Xg; D[G[HZ sJCLJ8Lq GF6F\q lC;FAq VM0L8f sJU"vZfGF HMARF8" 84 

41 JCLJ8L VlWSFZL SD lC;FAL VlWSFZL sJU"vZfGF HMARF8" 85 

42 Terms of Reference (TOR) for the Post of Data Entry Operator 86 

43 Job Chart / Specific duties and responsibilities of Data Entry Operator 88 

44 Job Chart / Specific duties and responsibilities of State Level Monitoring and 

Evaluation Assistant (Technical) 

88 

45 Job Chart / Specific duties and responsibilities of District level Monitoring 

and Evaluation Assistant (Technical) 

89 

46 Job Chart / Specific duties and responsibilities of Monitoring and Evaluation 

Assistant (RCH Supervisor) at City FP Bureau 

89 

47 XC[ZL VFZ;LV[R VMOL;Z sXC[ZL S]8]\A S





RESPONSIBILITY FOR IMPLEMENTATION: 

� The overall responsibility for implementation of the Human Resource policy is with the 

Superintendent of CHC & Medical Officer of PHC. 

� All members of medical staff are individually responsible for implementing the concerned 

policies & their SOPs/ Protocols in their respective work areas. They are also responsible for 

assuring that the required awareness & training is imparted to the personnel, both hospitalwide 

as well as in their area/unit of work. 

� Superintendent of CHC & Medical Officer of PHC are responsible for provision of resources 

for all such implementation & continuity of quality assurance program. He is also responsible 

for assuring availability of all study material, training documents/ manuals, support 

documents, forms, induction manual for new staff, education material for all clients, both 

internal & external. 

� Superintendent of CHC & Medical Officer of PHC are responsible for delegating someone or 

a team of persons for one day induction training to all new entrants to the organization. Care 

is taken to invite in person all those personnel who have joined the hospital after the 

previous induction training schedule. Old employees/workers can also join these programs 

so as to clearly understand the hospital wide policies especially the HR policies. The 

program is well structured. 

� All members of administration, clinical staff, support services staff, contractual staff are 

directly responsible for learning the hospital-wide HR policies & SOPs in general & those 

applicable to their individual work areas/ span of activities in particular. This they do 

proactively & in the process they maintain proper records of the same. They are also 

expected to cooperate across all functional areas to give quality of their outputs. 

� All personnel report the data measurements to monitor quality as per the requirements of the 

policy. 

Abbreviations 

JC = Job Chart 

HR = Human Resource 

HRM = Human Resource Management/Manager 

CHC Community Health Center 

CDHO Chief District Health Officer 

CDMO Chief District Medical Officer 

RDD Regional Deputy Director 

ACR Annual Confidential Report 








ADHO Assistant District Health officer 

DHO District Health officer 

BHO Block Health officer 

DPC District Project Coordinator 

FHW Female Health Worker 

EMO Epidemic Medical Officer 

MO Medical Officer 

BCC Behavioral Change Communication 

IEC Information Education Communication 

RTI Reproductive Tract Information 

AIDS Acquired Immunodeficiency Syndrome 

BMW Biomedical Waste 

NABH National Accreditation Board For Hospital & Healthcare 

Providers 

SOP Standard Operating Procedures 

ANM Auxiliary Nurse Midwife 

NRHM National Rural Health Mission 








Amendment Sheet -1 

(All midterm amendments need to be documented here. Additional pages may be used, if required.) 








PRIMARY HEALTH CENTRE 

HUMAN RESOURCE POLICY 








Human Resource Policy 

Aim: Employees are the centre point of the workflow in a hospital. Human resource is the most 

expensive resource. A hospital requires services of class I to class IV employees & all activities are 

important and are related with each other. Total development of all employees is important besides 

every employee’s systematic competence and technical expertise. It is important that the work of 

employees is appraised and they identify the importance of their role in total care process. Rights & 

responsibilities need to be clearly defined & communicated to all members of staff & motivational 

tools are regularly used to get compliance. Human resource policies lay the foundation for satisfying 

the above stated objectives. 

PHC/Sec-A-4/PO-1 

Human Resource Policy 

� Human resource is the most important and expensive resource. 

� All activities are important and are related with each other. 

� Development of employee is important for systematic competence and technical expertise. 

� It is important that the work of employees is appraised and they identify the importance of their 

role in total care process. 

� Rights & responsibilities need to be clearly defined & communicated to all members of staff & 

motivational tools are regularly used to get compliance. 

� Human resource policies lay the foundation for satisfying the above stated objectives. 

Central government shall periodically review the staffing norms and modify it somewhat if 

required. States shall as per provision under NRHM explore keeping part time / contractual staff 

wherever deficient. 

PHC/ Sec-A-4/FO-1 

Index - Man Power Planning & Staffing 

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PHC/Sec-A-4/PO-2 

Recruitment & Selection Policy 

Recruitments of medical officers are done by the office of Health commissioner Government of 

Gujarat, Gandhinagar. Contractual medical staff is recruited locally by the CDHO of the district. 

Recruitments of nursing staff are done by the CDHO district Panchayat. 

All other staff is recruited by the CDHO. 

Selection of employees 

� Selections of employee are based on district and state level organization structure. 

� Interview is taken by the medical officer before appointment of outsourced employees. 

� Computer operator Cum Finence Assistant interview is done by ‘Rogi Kalyan Samiti’ and 

selected by them. 

� Employee administration is as per IPHS. 








PHC/Sec-A-4/SOP-1 Induction & Orientation Policy 

All newly inducted staff under goes structured induction training and orientation programs at the 

beginning of their job period. 

One day orientation training is conducted for new employees. It is given by the MO/AYUSH MO. 

Induction and orientation of newly recruited staff including the briefing about hospital, its functioning, 

introduction to staff at various position, vision and mission of the organization. 

Job description in printed form is handed over to the newly inducted employee by the MO. 

� Facility round is taken with the delegated person to orient the newly inducted staff with the 

hospital environment, with special focus on safety issues & hazardous situations/ locations. 

� Socialization is done with the employees of the PHC where formal introduction & interaction 

is facilitated 

� Job specific orientation & socialization is conducted by the immediate supervisor of the 

employee. 

� Job content & work instructions are explained by the departmental person/head. 

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In House Training 

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PHC/Sec-A-4/PO+SOP-2 

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PHOTO 






List of certificate of permanent employee PHC/ Sec-A-4/FO-7 

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Sr.no Name Designation Mob No 

1 

2 








List of certificate of outsource employee PHC/Sec-A-4/FO-7 

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NO NAME DESIGNATION MOB NO 

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 








PHC/ Sec-A-7/FO-1 

Circular; ZSI],Z 

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PHC/ Sec-C-24/FO–1 

Rights And Responsibilities Of Staff 

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PHC/ Sec-C-25/ FO-1 

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Training feedback 

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Training feedback survey form 








FORM - SD"RFZLVF[GL ;]Z1FFGL 5âlT 

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HEALTH CARD 2010 

PHC/ Sec-B-9/FO-1 

Name:- 

Birth Date:- 

I Mark:- 

Living child: - F + M Total:- VACCINATION 

DATE 

Height: - HB:- T.T:- 

Weight: - B. Group:- Hepatitis B 

BMI:- I 

GENERAL EXAMINATION: II 

T: - Oedema:- III 

P: Pallor:- 

B.P:- Thyroid:- 

SYSTEMIC EXAMINATION 

R.S:- P/A: 

C.V.S:- C.N.S: 

PAST HISTORY: 

PERSONAL HISTORY: 

FAMILY HISTORY: 

OB/GY HISTORY: 

(For Female) 



Medical Officer 

PHC ........ 






PHC/Grievance Redresser Committee – 07 

NO NAME DESIGNATION RESPONSIBILITY PHONE NO 

1 

2 

3 

4 

PHC/ Sec-D-37/PO+SOP-1 

Grievance Redresser Policy and SOP 

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8. Indicators used for Quality Assurance And Continuous Monitoring 

Following indicators are measured and monitored by Quality Assurance Committee as a part of Quality 

Assurance And Continuous Monitoring Program Indicators for clinical structure, process and outcome 

No 

Name of 

indicator 

1 Average No of 

OPD/day 


indoor / day 


deliveries /month 


operations /month 


MLCs /month 


village visits 

/month by MO 


total test 

performed in 

laboratory/month 



/month by AYUSH 


vaccination 

against 

workload/month 

10 No of registration 

of vital 

events(birth and 

deaths) against 


Explanation 

Total of OPD 

Cases 

Total of Indoor 

Cases 

Total of deliveries 

/month 

Total of 

operations /month 

Total of MLCs 

/month 

Total of No of 


/month by MO 

Total No of test 

performed in 


Total of village 

visits /month by 

AYUSH 

Total of 

vaccination 

against 


Total of 

registration of vital 

events(birth and 

deaths) against 


1. Process indicators 

Formula/ 

method 

Total of OPD 

Cases 

Total of Indoor 

Cases 

Total of 

deliveries 

/month 

Total of 

operations 

/month 

Total of MLCs 

/month 

Total No of 


/month MO 

Total No of test 

performed in 


Total of village 

visits /month by 

AYUSH 

Total of 

vaccination 

against 


Total of 

registration of 

vital events(birth 

and deaths) 

against 




Source of 

data 


OPD Case Pharmacist 

Indoor Case Pharmacist 

deliveries 

/month 

operations 

/month 

MLCs /month MO 

No of village 

visits /month 

by MO 

No of test 

performed in 

laboratory 

/month 


/month by 

AYUSH 

vaccination 

against 

workload 

/month 

registration of 

vital 

events(birth 

and deaths) 

against 

workload 

Staff nurse 

Staff nurse 

MO 

LT 

AYUSH 

FHS 

FHS 

Remark 






11 Targets achieved 

in National 

programmes as 

per national and 

state guidelines. 

No 

Name of 

indicator 

1 Bed occupancy 

rate 

2 Average length of 

stay 

3 % of institutional 

delivery 

4 Incidence of 

Hospital 

Associated 

Infection 

5 No of needle prick 

injuries/month 

6 No of instances of 

medication error 

7 No of sentinel / 

near miss 

events/month 

No 

Name of 

indicator 

Total of Targets 

achieved 

Explanation 



/month 

--- --- MO 

2. Output indicators 

Formula/ 

method 

Indoor Cases Indoor Cases 

Indoor Cases Indoor Cases 

delivery Cases delivery Cases 

Hospital 

Associated 

Infection Cases 

needle prick 

injuries records 


cases 

sentinel / near 

miss events 

Explanation 

Hospital 

Associated 

Infection Cases 

needle prick 

injuries records 


cases 


miss events 

3. Outcome indicators 

Formula/ 

method 

Source of 

data 


Indoor Cases Staff nurse 

Indoor Cases Staff nurse 

delivery Cases FHS 

Hospital 

Associated 

Infection 

Cases 

needle prick 

injuries 

records 

medication 

error cases 


miss events 

Source of 

data 

1 Crude birth rate FHS 

Infection control 

nurse 

Staff nurse 

Staff nurse 

Staff nurse 

2 Total Fertility Rate BIECO 

3 Crude Death rate FHS 

4 Infant mortality 

rate 


FHS 

5 Pre school FHS 

Remark 

Remark 






mortality rate 

6 Maternal mortality 

rate 

7 No of female 

/1000 male at 

birth 

8 No of complaints 

received against 

PHC 



FHS 

FHS 

BIECO 

NO STATISTICS FREQUENCY OF REPORTING 

1. BOR Monthly 

2. ALOS Monthly 

3. BTO Monthly 

4. Birth Rate Annually 

5. Death Rate Annually 






FOR 

COMMUNITY HEALTH CENTER 

& OTHER JOB CHARTS 








Medical Superintendent: 

� To provide treatment in OPD. 

� Planning, medical supervision and coordination. 

� Medical consultation/Operations/Ward work. 

� Financial and Administrative functions-Administrative work which is be performed 

specifically by the Medical Superintendent under the rules and cannot be delegated to 

lower levels, the matters of general principles and policy in hospital administration; 

sanction of all kinds of leave to gazette staff; appeals of Class III and Class IV staff against 

decisions at lower levels. 

� Day-to-day routine medical administration of the hospital subject to the control and 

general supervision of the Medical Superintendent. 

� Medical Examination (overall in charge of Medical Examination Cell). 

� Free anti-rabid treatment in cases of indigent patients. 

� Sanction of free blood to indigent patients and routine administrative matters of Blood 

Bank. 

� Matters concerning treatment of patients, enquiries and their complaints and related 

parliamentary questions. 

� Medical records for medico-legal cases and court summons relating to them. 

� Matters relating to post-graduates and library. 

� Matters relating to Central Sterilization Room. 

� Matters relating to residents hostel. 

� Call duty after office hours. 

Medical Specialists: 

1) Clinical services 

� To provide treatment in OPD 

� To provide treatment in IPD 

� To provide treatment to casualty patient. 

� To provide treatment to referred patients. 

� To provide referral services. 

� To provide medico legal services. 

� To arrange Laboratory services. 

� To arrange Medical camps. 

� To arrange Family welfare camps. 

� To provide treatment and diagnostic services to the beneficiaries of CHC. 

2) Arrangement and implementation of field work. 

� Decide and distribute responsibility of programs. 

� Integration with Block officer, Taluka development officer, social leaders, medical officers 

and Private organization for implementation of programs. 

� To integrate with AYUSH. 








� To encourage use of toilets along with local governing body. 

� To arrange different camps according to need. 

� Implementation of all national programs. 

� To implement all programs at state level. 

� To implement all programs decided by district and block level. 

� Implementation of Reproductive and child health programs. 

� Implementation of Universal immunization. 

� Implementation of A.F.P. surveillance and Pulse Polio Immunization. 

� Implementation of National Programs of Communicable diseases. 

� Implementation of Leprosy Eradication Program. 

� Implementation of Revised National TB Control Program. 

� To diagnose & treatment of Sexually transmitted diseases. 

� Implementation of School Health Program. 

� Implementation of Sickle cell Anemia control program. 

3) Training and Health education. 

� Implementation and arrangement of different annual programs & training program for 

workers. 

� To provide training of emergency care to the employees. 

� To arrange training of personality development of employees. 

� To provide training of home based care and primary care to the people. 

� To provide health education to patients. 

� To provide different health education to the people. 

� To arrange major seminar, workshops and seminars. 

� 

4) Management services: 

� To arrange duty rosters of employees. 

� To take care and development of building and maintenance of equipment at CHC and sub 

centers. 

� To do financial activities related to CHC. 

� To give regular tour diary to District health officer every month. 

� To supervise services of every employee. 

� Take care of cleanliness of Garden and hospital. 

� Take care of vehicles. 

� To arrange meeting on the basis of fixed agenda. 

� To supervise every sub center every month. 

� Find and solve the problems during visit of field. 

� Collection, integration and timely reporting of records. 

� Take care of every record. 

� Evaluation and instruction of employees work. 

� To assess every program. 








General Duty Medical Officer: 

� He/she works on shift duty for running 24 hours emergency services at the CHC. 

� He accompanies the physician/surgeon in charge for ward rounds. 

� On the day the physician/surgeon in charge is not available for ward rounds, he takes 

rounds of his own ward. It is his sole responsibility to contact the physician/surgeon and 

discuss about the serious cases in the ward. 

� He scrutinizes the clinical documents completed by the nursing staff and make corrections 

where necessary. 

� He also attends to referred cases. 

� He works on the managerial role for the work dedicated to him 

� He is the administrative in-charge of the CHC beyond working hours when the senior 

medical staff is not available. 

AYUSH Specialist: 

Clinical services 

� To provide treatment in OPD 

� To provide treatment in IPD 

� To provide treatment to casualty patient. 

� To provide treatment to referred patients. 


� To arrange Laboratory services. 

� To arrange Medical camps. 

� To provide treatment and diagnostic services to the beneficiaries of CHC. 

Arrangement and implementation of field work. 

� To supervise field worker. 

� Decide and distribute responsibility of programs. 

� Integration with Block officer, Taluka development officer, social leaders, medical officers 

and Private organization for implementation of programs. 

� To integrate with Allopathic system of treatment. 





� Implementation of Reproductive and child health programs. 


� Implementation of A.F.P. surveillance and Pulse Polio Immunization. 

� Implementation of National Programs of Communicable diseases. 

� Implementation of Leprosy Eradication Program. 

� Implementation of Revised National TB Control Program. 








� To diagnose & treatment of Sexually transmitted diseases. 

� Implementation of School Health Program. 

� Implementation of Sickle cell Anemia control program. 

Training and Health education. 

� Implementation and arrangement of different annual programs & training program for 

workers. 







Management services: 

� To arrange duty rosters of employees. 


centers. 




� Take care of cleanliness of Garden and hospital. 









AYUSH Medical Officer: 

1) Services of CHC: 

� To provide AYUSH services in OPD & emergency services within the CHC. 

� To provide treatment to the disease of national programs. 

� To do emergency services of at CHC. 

� To treat patients referred by other doctors. 


� Arrangement of laboratory services. 

2) Arrangement, implementation, monitoring and supervision of divisional services. 












� Implementation of reproductive and child health programs. 


� Implementation of A.F.P. surveillance and pulse Polio immunization. 

� Implementation of national programs of communicable diseases. 

� Implementation of Leprosy eradication program. 

� Implementation of Revised national TB control program eradication. 

� To diagnose and treatment of Sexually transmitted diseases. 

� Implementation of school health program 

� Implementation of Sickle cell Anemia control program 

3) Training and Health education: 

� Implementation and arrangement of different annual programs training program for 

workers. 







4) Management services: 

� To arrange roster duty of employees. 


centers. 




� Take care of cleanliness of Garden and CHC. 









Staff Nurse: 

� To provide nursing services to patients. 

� To do delivery of patient. 

� To provide emergency services. 

� To issue OPD case paper and dispatch medicines if required. 








� To provide treatment to decided case in absence of MO. 

� To arrange Mamta Diwas. 


� Assisting in operation. 

� To provide health education to the patients. 

� To arrange services of Ward. 

� To arrange services of Labor room. 

� To arrange services of operation theater. 

� To sterilize necessary instruments. 

� Proper disposal of Bio medical waste. 

� To do infection control activities. 

� To maintained Buffer stock register. 

� To keep ready all the medicines in IPD, Labor room and OT. 

� To maintain register in IPD, Labor room and OT. 

� To keep update all records in IPD, Labor room and OT. 

� To prepare reports of IPD, Labor Room, OT and send it to the MO. 

Public Health Nurse: 

The Public Health Nurse is a member of the staff of the School of Nursing and is responsible to 

the sister Tutor. She may also be directly responsible to the Matron for the conduct of any Public 

Health Nursing Services which are established in relation to the training program. 

(i) Teaching 

� Planning the Public Health Nursing part of the course in consultation with the sister Tutor 

including Planning and arrangement for observation visits. 

� Consultation with the Tutors and Ward Sister to plan and effect integration of Public Health 

in the entire curriculum. 

� Teaching of health subjects, i.e., hygiene, public health nursing nutrition in collaboration 

with other teachers. 

� Personal guidance and supervision of students in their practice health teaching in the 

hospital and in all aspects of training public health field. 

(ii) Students health 

� Taking special responsibility for the students health. 

� Guidance and supervision of students individually for developing good health habits. 

(iii) General 

� Development of a field for experience for students in public health nursing. 

� Maintenance of records and registers of the public health nursing service. 

� Records of students experience. 








� Reports on students. 

� Help to promote health practices and health education in the hospital wards and 

departments. 

� Any other duty that may be assigned to her from time to time. 

Pharmacist: 

� To prepare consumption reports of medicine every month. 

� To prepare indent of necessary medicines. 

� To maintain minimum quota of medicines at CHC according to rules and regulations. 

� To incurred medicine from higher level on the basis of rule and regulation of CHC. 

� If medicines are not available at CHC than procured it by own self. 

� Proper disposal of expired drugs. 

� Regular updating of records and register. 

� Proper storage of drugs. 

� To issue of case paper. 

� Dispatch drugs to patients. 

� Make patients understand about medicine. 

� Take charges from patients, fixed by government. 

� Cash is submitted to the finance manager. 

� Proper storage of medical records. 

� Send all records report to the higher authority. 

Pharmacist-AYUSH: 

� To prepare consumption reports of AYUSH medicine every month. 

� To prepare indent of necessary AYUSH medicines. 

� To maintain minimum quota of AYUSH medicines at CHC according to rules and 

regulations. 

� To incurred AYUSH medicine from higher level on the basis of rule and regulation of CHC. 

� If AYUSH medicines are not available at block levels than procured it by own self. 

� Regular updating of records and register. 

� Proper storage of drugs. 

� To issue of case paper. 

� Dispatch AYUSH drugs to patients. 

� Make patients understand about medicine. 

� Take charges from patients, fixed by government. 

� Cash is submitted to the finance manager. 

� Proper storage of medical records. 

� Send all records report to the higher authority. 








Lab- Technician: 

� Examine every laboratory according to IPHS. 

� If required send the sample to the other laboratory. 

� Proper recording of details of all samples which sent to other laboratories. 

� Maintain cleanliness of laboratories. 

� Proper disposal of bio medical waste. 

� Examine decided laboratories of state & district level. 

� To dispatch report to the patient. 

� To fix timeline for every investigations. 

� Stick to the decided time of investigations except inevitable conditions. 

� To get necessary chemicals and glassware from district and block level. 

� To purchase chemicals and glassware, those are not available at district and block level. 

� To take care of every instrument. 

� To keep update of all records. 

� Proper arrangement to send all the information in ideal form. 

� To maintain equipment and arrange primary repairing. 

� To repair equipment according to annual maintenance contract (AMC). 

� To procure necessary equipment after taking permission of medical officer. 

� Proper exhibition of all conducted activities. 

� To give training of sample collection to divisional employee 

� To give training of necessary investigation to divisional employee. 

1) Common Laboratory procedures. 

� To keep cleanliness and safety of laboratory. 

� To assure cleanliness of glassware and equipments. 

� To keep microscope in proper condition. 

� To disinfect necessary equipment when required. 

� Proper disposal of samples and infected materials. 

� Proper recording of laboratory reports and send report to the medical officer of CHC. 

� Maintain of monthly reports 

2) Laboratory investigation: 

� Urine Investigation 

� Specific gravity and pH. 

� RBS 

� Protein test 

� Test for bile pigments and bile salts. 

� Tests for ketone bodies. 

� Microscopic examination of urine. 

� Stool investigation 

� Macroscopic examination 

� Microscopic examination 








� Blood investigation 

� Sample collection 

� Hb 

� Blood count 

� WBC count 

� To prepare thin and thick slides for investigation of malarial parasites. 

� ESR 

� VDRL 

� Sputum examination 

� To prepare slides of sputum for examination of TB. 

� Examination of leprosy patient 

� To prepare, stain and examine the slide of skin smear for micro bacterium leprosy. 

� To prepare, stain and examine the slide of nasal smear for micro bacterium leprosy. 

� Semen examination 

� Microscopic examination 

� Sperm count and motility. 

� Examination of throat swab 

� To collect sample of throat swab and examine for Diphtheria. 

� Examination of sample of drinking water 

� To examine water impurity 

� Investigation of above mentioned test and also Aldihide test 

� Recording of all investigation. 

� To find cases of Kala-azar. 

� Investigation of above mentioned test and sample collection of serum from suspected 

cases of Encephalitis 

� Sample collection of serum from virology laboratory. 

� Maintenance of record and register of National Malaria Eradication Program. 

� To keep proper record of progress report of blood investigation. 

� To maintain chart of remaining sample collection for investigation and radical treatment. 

Radiographer: 

� Taking diagnostic radiographs of patients as required by fit cal officers. 

� Advising patients or ward staff regarding preparation of patent before X-ray. 

� Developing and drying the exposed X-ray films. 

� Loading cassettes with X-ray films. 

� Storing unexposed X-ray films properly. 

� Keeping account of X-ray films and other supplies. 

� Maintaining record of X-ray reports or the patients referred 

� Sending radiographs and the opinions of the Radiologist to department concerned. 

� Receiving back the X-ray films after the discharge of patient and filing them in such a way 

that retrieval is easy. 

� Taking precautions to protect himself, patients and other workers of the department from 

hazards of X-ray. 








� Assisting the Radiologist in the deep X-ray treatment. 

� Assisting the radiologist in the training of X-ray technicians. 

� Wearing the film badge at all times of working in the department. 

� Carry portable X-ray apparatus to other departments of the hospital and taking the 

radiographs of patients seriously ill. 

� Keeping the premises of the department clean and adequately stocked with forms and 

stationery required. 

� Maintaining cordial public relations. 

� Performing duties as may be assigned by the hospital authorities 

Ward Boys/ Nursing Orderly: 

� To receive the patients on admission and assist the patient in getting into or out of the bed. 

� To attend to the personal hygiene of patients, washing and cleaning teeth, changing 

clothing, giving enema shaver etc. 

� To prepare the patients for operations, laboratory, X-ray and other investigations. 

� To transport patients to various departments in the hospital. 

� To help in feeding patients and giving drinking water to patients and washing utensils. 

� To assist the nurse in handling and observation of patients and in simple basic nursing 

procedures. 

� To assist in collection and handling of pathological specimens. 

� To assist in the nurse in receiving supplies by running errands to other departments of the 

hospital and in carrying messages to other departments and individuals in the hospital. 

� To make beds for ambulatory patients and assist the nurse in making beds of nonambulatory 

cases. 

� To assist the nurse in getting supplies from the laundry, disinfecting mattresses and 

dispatching dirty lines to the laundry. 

� To wash walls and doors in wards. 

� To assist in sterilization of instruments appliances and dressings, and dressing of post 

operative wounds. 

� To render first-aid to patients in case of emergency. 

� To prepare dead bodies arrange their transportation to the mortuary and assist in terminal 

disinfection. 

� To do any other duty that may be assigned to him. 

Sweepers: 

� To clean wards, floors, sinks, lavatories and toilet seats, windows, walls and other areas in 

the ward and ancillary rooms attached to the wards and keep the hospital grounds clean 

and free from domestic animals. 

� To clean urine pots, bed-pans and other soiled or contaminated appliances. 

� To provide bed pans and urine pots to patients with promptness and prepare patients for 

operations and diagnostic tests. 

� To assist in collection and handling urine and stool specimens. 

� To transport dead bodies to mortuaries and dispose of specimens and organs removed 








during operations. 

� To assist in disinfection of soiled linen, mattresses and terminal disinfection of wards, and 

in conveyance e of solied linen to the laundry. 

� To do such other duties as may be assigned to him. 

Chowkidar: 

� To do duty punctually at the approved area remained alert throughout the period of duty and 

perform the duties diligently and with vigilance. 

� To be responsible for the security of buildings, equipment and patients in the section allotted 

to him. 

� To check that all doors and windows which have to be kept locked during the non-working 

hours of the hospital are securely locked. 

� To check firefighting daily and see that is kept in good working condition and take immediate 

steps in fire fighting in case there is an incident of fire. 

� To go round the area allotted to him to see that no unauthorized persons are in the premises 

and prevent unauthorized movement of personnel, equipment and supplies. 

� To report immediately to higher authorities of unusual occurrence. 

� To remain on duty till relieved. 

� To do duties as may be assigned by the hospital authorities from time to time. 

Dhobi: 

� Collection of or receiving soiled and infected linen 

� Processing soiled linen through laundry equipment. This includes sorting, sluicing and 

infecting, washing, extracting, conditioning, ironing, pressing and folding 

� Inspection and repair of damaged articles, their condemnation and replacement. 

Mali: 

� Gardening. 

� Pouring of water to the plants and trees. 

� To prevent plucking of flowers of garden. 

� To do plantation. 

� To prevent entries of cattle in the garden. 

Aya: 

� To maintain roster of blanket and pillows. 

� To do activity related to infection control. 

� To assist doctor and nurses in patient care. 

� To assist doctor and nurses during delivery. 

� Preparation of bed. 

Peon: 

� To maintain cleanliness of office. 

� Dusting. 

� Arrangement of drinking water. 

� To do activities related to bank, post office, and light bill etc. 

� Cleaning of ceiling and windows. 








� Proper arrangement of files. 

� To keep chair and table in proper condition. 

� Cleaning of furniture. 

Registration Clerk: 

� Guiding patients to various O.P.Ds/Clinics/Departments in relation to their diseases. 

� Preparation of Admission Records of all patients to be admitted. 

� Attending to enquires. 

� Maintenance of Index Cards of patients and Medical Officers 

� Maintenance of Central Admission Register. 

� Arranging funeral vans on request. 

� Sending messages to patient’s relatives and doctors and phonograms. 

� Maintenance of furniture, equipment, stationery medical record forms, etc., lying in the 

Central Admitting and Enquiry Office. 

� Announcement on paging system. 

� Supervision of the staff working in the Central Admitting and Enquiry Office. 

Statistical Assistant/ Data Entry Operator: 

� Disposal of all letters received in the department. 

� Maintenance of files for different subject dealt with in the department. 

� Scrutiny of statistical return complied by the Admission and Discharge Analysis Desk and 

the Medical Statistics Desk. 

� Forwarding of statistical return of the D.G.H.S. and other agencies. 

� Control of furniture, lines and stationery items through proper inventory, preparation of 

monthly indents for these items. 

� Supervision of the department work in the absence of Medical Record Officer. 

� Participation in the training programs of the department. 

Accountant/ Administration Assistant: 

� To do every financial activity came under NRHM. 

� To prepare budget of CHC. 

� To do transaction in bank and keep updating of chaque book and pass book 

� To keep update of all records related to monitory transaction like cash book, voucher, etc. 

� To prepare all the bills and send it for audit. 

� To prepare monthly report and send it to the higher authority. 

� Timely distribution of money to the sub center. 

� To give of financial management to the employee. 

OT Technician: 

� To assist in all surgical cases at all times round the clock in shift duties. 








� Maintaining the OT environment for safe surgery 

� Equipment maintenance of OT & Labor room 

� Supervising the working of the domestic staff working in the Operation Theater and recovery 

room. 

� Being responsible for storage, attendance and accounting of instruments tables and other 

supplies belonging to the operating theatre and recovery room. 

� Taking adequate precautions against fire and other hazards. 

� Keeping the emergency outfit up-to-date and in good working order in the theater. 

� Supervising cleanliness and maintenance of operating theatre. 

� Seeing to the proper sterilization of instruments, lines and other appliances before use. 

� Seeing to the testing of electric equipment by the electrician periodically and decaling of. 

� Ensuring aseptic conditions in clean theaters. 

� Helping in arranging conveyance of patients to and from the operating theatre. 

� Doing any other duty as may be specified by hospital authorities. 

(Other state officers) 








Specific duties and responsibilities will include: 

State Quality Assurance Officer Will: 

1. Assist the Commissioner of Health, Medical Services & Medical Education in Quality 

Improvement Programme. 

2. Monitor the Quality Improvement programme at each level e.g. Sub Centers (IPHS), PHCs 

(IPHS), CHCs (IPHS), District Hospitals (NABH) and Medical College (NABH / NABL). 

3. Monitor the Quality Improvement Programme in Family Planning Services at Govt. Facilities as 

well as Private Facilities. 

4. Coordinate and liaise with District officers / Regional officer and State officers for fulfilled 

the gaps at District level, Regional level or state level. 

5. Coordinate and liaise with Chief District Medical Officers and Assistant Hospital Administration 

in Civil Hospitals for Quality Improvement Programme as per NABH standards & regularly 

feedback of progress report give to Commissioner. 

6. Coordinate and liaise with Dean / Superintendent of the Medical College for Quality 

Improvement Programme in Medical College as per NABH / NABL & regularly feedback of 

progress report give to Commissioner. 

7. Undertake regularly field visits to State/district/block/village level facilities for supervision 

and provide technical support and suggest measures for Quality improvement Programme. 

8. Monitor Quality Improvement programme performance and take measures for improvement of 

programme. 

9. Provide technical and managerial support to State/District level Programme Managers and 

grass root functionaries on Quality Improvement component. 

10. Carry out need assessment for training, prepare training curriculum and plan training 

activities in collaboration with training institutes. 

11. Provide technical support for preparation of IEC material. 

12. Support for social marketing initiatives for Quality Health services. 

13. Ensure that the planned outputs related to Quality Improvement Programme are achieved as 

per the annual work plan of Govt. of Gujarat. 

14. Analyze financial and physical progress report and take corrective measures for improving. 

15. Identify the cause of any unreasonable delay in the achievement of milestones, or in the 

release of funds on the achievement of milestones; and propose corrective action. 

16. Provide regular report/feed back on programme to the Commissioner. 

17. Provide managerial support to State/district and peripheral level programme support staff and 

grass root functionaries. 

18. He will provide necessary support to technical consultants appointed at state and field level 

during their field visits. 

19. He will take appropriate actions in relation to feedback provided by District programme 

officers of the district in consultation with Commissioner. 

20. Advise on the further development of the programme. 

21. Assist the Directorate of Health, FW, Medical Services & Medical Education in all the matters 

relating to Quality Improvement Programme. 

22. Undertake any other duties assigned to him by Commissioner of Health, Medical Services & 

Medical Education and his team. 









District Quality Assurance Officer will: 

1. Assist the Chief District Health Officer in Quality Improvement Programme. 

2. Monitor the Quality Improvement programme at each level e.g. Sub Centers (IPHS), PHCs 

(IPHS), CHCs (IPHS), District Hospitals (NABH) and Medical College (NABH / NABL). 

3. Monitor the Quality Improvement Programme in Family Planning Services at Govt. Facilities as 

well as Private Facilities. 

4. Coordinate with the CHCs Superintendents & Medical officer PHCs for identified the gaps and 

fulfilled these gaps. 

5. Coordinate and liaise with block officers / District officers / Regional officer and State officers 

for fulfilled the gaps at Block level, District level, Regional level or state level. 

6. Coordinate and liaise with Chief District Medical Officers and Assistant Hospital Administration 

in Civil Hospitals for Quality Improvement Programme as per NABH standards & regularly 

feedback of progress report give to State Quality Assurance Officer / Commissioner. 

7. Coordinate and liaise with Dean / Superintendent of the Medical College for Quality 

Improvement Programme in Medical College as per NABH / NABL & regularly feedback of 

progress report give to State Quality Assurance Officer / Commissioner. 

8. Undertake regularly field visits to district/block/village level facilities for supervision and 

provide technical support and suggest measures for Quality improvement Programme. 

9. Monitor Quality Improvement programme performance and take measures for improvement of 

programme. 

10. Provide technical and managerial support to State/District level Programme Managers and 

grass root functionaries on Quality Improvement component. 

11. Carry out need assessment for training, prepare training curriculum and plan training 

activities in collaboration with training institutes. 

12. Provide technical support for preparation of IEC material. 

13. Support for social marketing initiatives for Quality Health services. 

14. Ensure that the planned outputs related to Quality Improvement Programme are achieved as 

per the annual work plan of Govt. of Gujarat. 

15. Analyze financial and physical progress report and take corrective measures for improving. 

16. Identify the cause of any unreasonable delay in the achievement of milestones, or in the 

release of funds on the achievement of milestones; and propose corrective action. 

17. Provide regular report/feed back on programme to the State Quality Assurance officer/ 

Commissioner. 

18. Provide managerial support to district and peripheral level programme support staff and grass 

root functionaries. 

19. He will provide necessary support to technical consultants appointed at state and field level 

during their field visits. 

20. He will take appropriate actions in relation to feedback provided by medical 

officers/programme officers of the district in consultation with Chief District Health Officer. 

21. Advise on the further development of the programme. 

22. Undertake any other duties assigned to him by Chief District Health Officer and his team. 








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Qualification & Experience : 

Graduate preferably with diploma / certificate in computer application 3-5 years of experience in 

MIS systems or information management in NGO or Government sector will be an added 

advantage. 

Knowledge, skills & Abilities : 

1. Good knowledge and sills on various computer application, particularly work processing and 

Excel / spread sheets. 

2. Good knowledge of information management including data analyses and graphic 

presentations. 

3. Basic skills in office management and filling systems. 

4. Good typing and data entry skills. 


To feed data collection through RCH reporting software, compile analyze and present this to State 

/ District level authority for urban health. 

1. To assist in preparation of reports and budget document related to Urban Health Programme. 

2. To handle primary issues related with MIS and computers independently and to ensure proper 

upkeep and maintenance of computers and other peripherals. 

3. To maintain proper filing system of reports and other papers. 

4. To provide secretarial assistance to State / District level authority for urban health. 

5. To attend to any other duties / responsibilities assigned by the to State / District level 

authority for urban health. 

I, ………………………………………….. have read the above contents and hereby accept the offer and 

agree to abide by the same. 

Signature : Date : 








Job Chart / Specific duties and responsibilities of Data Entry Operator : 

To feed data collection through RCH reporting software, compile analyze and present this to State 

/ District level authority for urban health. 

1. To assist in preparation of reports and budget document related to Urban Health Programme. 

2. To handle primary issues related with MIS and computers independently and to ensure proper 

upkeep and maintenance of computers and other peripherals. 

3. To maintain proper filing system of reports and other papers. 

4. To provide secretarial assistance to State / District level authority for urban health. 

5. To attend to any other duties / responsibilities assigned by the to State / District level 

authority for urban health. 

Job Chart / Specific duties and responsibilities of State Level Monitoring 

and Evaluation Assistant (Technical) : 

1. To feed collected data in reporting software, compile, analyze and present this to reporting 

officer. 

2. Coordinate and liaise with State level Programme Manager, Consultant of the NRHM / RCH-II 

program at Central / State / District level/ Block, various departments of the state 

government, Ministry of Health & Family Welfare, Government of India, State institute of 

Health and Family Welfare and other Nodal / Collaborating agencies. 

3. To assist Deputy Director (Urban Health)/Administrative Officer (Urban Health) in preparation 

of reports and budget documents related to NRHM. 

4. To prepare MPRs/ QPRs/ APRs reports and budget documents of National Rural Health Mission 

/ Urban RCH and its timely submissions. 

5. To prepare feed back reports/queries on the reports received from the district; State level 

and other partner agencies. 

6. To prepare feedback / queries on the reports received from the Municipal Corporation / 

District / Regional & Block level. 

7. To handle primary issues related to MIS and computers. 

8. To maintain proper filling system of reports and other papers received regularly. 

9. To ensure proper up keeping and maintenance of computers and other peripherals. 

10. To prepare maps / graphs/ Power Point Presentations for any health Programme. 

11. To provide secretarial assistance to Deputy Director (Urban Health) /Administrative Officer 

(Urban Health) and maintain proper registers and records of the same. 

12. Monitoring of recording / reporting system through field visits and submit visit note with 

appropriate suggestions / actions for improvement. 

13. Support State level Officer, State Health Society in preparation of various software and 

monthly / quarterly reports. 

14. Assist the State Programme Management Unit, State Health Societies, in all the matters 

relating to finance, monitoring & evaluation of NRHM Programme. 

15. Maintain updated telephones and address book. 

16. Take dictation from Officers/consultants and prepare reports as required by 

Officers/consultants. 

17. To attend to any other duties / responsibilities assigned by the authorities and the reporting 

officer. 








Job Chart / Specific duties and responsibilities of District level Monitoring 

and Evaluation Assistant (Technical) : 


officer. 


program at State / District level/ Block, various departments of the state government, State 

institute of Health and Family Welfare and other Nodal / Collaborating agencies. 

3. To assist District level Officer/Administrative Officer (Health)/Administrative Officer 

(FW)/Operation Manager (RCH) in preparation of reports and budget documents related to 

District RCH-II/ District NRHM. 


/ RCH and its timely submissions. 

5. To prepare feed back reports/queries on the reports received from the Block 

level/PHC/CHC/SCs/District Hospital/General Hospital/ Municipal Hospital and other partner 

agencies. 





10. To provide secretarial assistance to District level Officers /Administrative Officer 

(Health)/Administrative Officer (FW)/Operation Manager (RCH) and maintain proper registers 

and records of the same. 



12. Support District level Officer, District Health Society in preparation of various software and 








officer. 

Job Chart / Specific duties and responsibilities of Monitoring and 

Evaluation Assistant (RCH Supervisor) at City FP Bureau : 

To feed collected data in reporting software, compile, analyze and present this to 

reporting officer. 


program at State / District level/ Municipal Corporation various departments of the state 

government, State institute of Health and Family Welfare and other Nodal / Collaborating 

agencies. 

2. To assist District level Officer / Municipal Commissioner / Deputy Commissioner (Health) / 

City RCH Officer / City Family Welfare Officer / Administrative cum Account Officer in 

preparation of reports and budget documents related to Urban Health / Urban RCH/ NRHM. 










4. To prepare feed back reports/queries on the reports received from the Word Dispensary 

/Urban FW Centre/ Municipal Corp. Hospital and other partner agencies. 





9. To provide secretarial assistance to District level Officer / Municipal Commissioner / Deputy 

Commissioner (Health) / City RCH Officer / City Family Welfare Officer / Administrative cum 

Account Officer and maintain proper registers and records of the same. 



11. Support District level Officer, Urban RCH Society in preparation of various software and 






officer. 

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Terms of Reference (TOR) - M & E Assistant (Technical) - District level 

Programme: National Family Welfare Programme 

Reporting relationship: Chief District Health Officer/ District level Officer/Administrative Officer 

(Health)/Administrative Officer (FW)/Operation Manager (RCH) 

Duty Station: District Family Welfare Bureau- 

Summary of job: To compile and present data received from peripheral health facilities of the 

districts, basic analysis of reports, assist in information management and report preparation for 

program monitoring. Also maintain all records and reports relevant to the program and provide 

secretarial assistance to District Program Officer. 

Qualifications & Experience: 

Qualification: Graduate in any discipline with Diploma / Certificate in computer applications. 

Should have expertise in using MS office at least MS Word [having at least good knowledge in word 

processing], Excels [having knowledge of at least data analysis and preparation of charts/ graphs], 

‘Power Point’ [having knowledge of at least preparation of presentation and making a show in 

logical manner as desired by the controlling officers] and ‘Access’ [at least for database 

management]. 

Desirable: Knowledge of computer software (M.S Office/ GIS/ RCH software etc) and hardware. 

Good speed of English & Gujarati data entry. Basic skills in office management and filling systems. 

Good typing and data entry skills in English & Gujarati. 

Experience: Minimum 3 years work experience. Working knowledge in English/Gujarati. 



officer. 







program at State / District level/ Block, various departments of the state government, State 

institute of Health and Family Welfare and other Nodal / Collaborating agencies. 

3. To assist District level Officer/Administrative Officer (Health)/Administrative Officer 

(FW)/Operation Manager (RCH) in preparation of reports and budget documents related to 

District RCH-II/ District NRHM. 



5. To prepare feed back reports/queries on the reports received from the Block 

level/PHC/CHC/SCs/District Hospital/General Hospital/ Municipal Hospital and other partner 

agencies. 





10. To provide secretarial assistance to District level Officers /Administrative Officer 

(Health)/Administrative Officer (FW)/Operation Manager (RCH) and maintain proper registers 

and records of the same. 



12. Support District level Officer, District Health Society in preparation of various software and 








officer. 

Honorarium: Maximum consolidated honorarium @ Rs. 4,500/- per month, based on qualification and 

experience. 

Terms of Reference (TOR) -M & E Technical (RCH Supervisor) – Municipal 

Corporation Level 

Programme: National Family Welfare Programme 

Reporting relationship: District level Officer / Municipal Commissioner / Deputy Commissioner (Health) / 

City RCH Officer / City Family Welfare Officer / Administrative cum Account Officer 

Duty Station: Municipal Corporation Level 

Summary of job: To compile and present data received from peripheral health facilities of the 

districts, basic analysis of reports, assist in information management and report preparation for 

program monitoring. Also maintain all records and reports relevant to the program and provide 

secretarial assistance to District Program Officer. 

Qualifications & Experience: 








Qualification: Graduate in any discipline with Diploma / Certificate in computer applications. 

Should have expertise in using MS office at least MS Word [having at least good knowledge in word 

processing], Excels [having knowledge of at least data analysis and preparation of charts/ graphs], 

‘Power Point’ [having knowledge of at least preparation of presentation and making a show in 

logical manner as desired by the controlling officers] and ‘Access’ [at least for database 

management]. 

Desirable: Knowledge of computer software (M.S Office/ GIS/ RCH software etc) and hardware. 

Good speed of English & Gujarati data entry. Basic skills in office management and filling systems. 

Good typing and data entry skills in English & Gujarati. 

Experience: Minimum 3 years work experience. Working knowledge in English/Gujarati 



officer. 


program at State / District level/ Municipal Corporation various departments of the state 

government, State institute of Health and Family Welfare and other Nodal / Collaborating 

agencies. 

3. To assist District level Officer / Municipal Commissioner / Deputy Commissioner (Health) / 

City RCH Officer / City Family Welfare Officer / Administrative cum Account Officer in 

preparation of reports and budget documents related to Urban Health / Urban RCH/ NRHM. 



5. To prepare feed back reports/queries on the reports received from the Word Dispensary 

/Urban FW Centre/ Municipal Corp. Hospital and other partner agencies. 





10. To provide secretarial assistance to District level Officer / Municipal Commissioner / Deputy 

Commissioner (Health) / City RCH Officer / City Family Welfare Officer / Administrative cum 

Account Officer and maintain proper registers and records of the same. 



12. Support District level Officer, Urban RCH Society in preparation of various software and 






officer. 

Honorarium: Maximum consolidated honorarium @ Rs. 4,500/- per month, based on qualification and 

experience.

Job Chart - Health and Family Welfare Department

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