MLHP (Mid level health provider)
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The document discusses mid-level health providers, their roles, and training. It begins by outlining the objectives of the seminar, which are to introduce mid-level providers, define them, explain their need, discuss their training, and describe their roles and responsibilities. It then provides details on mid-level providers, including their scope of practice and role in bridging gaps between communities and healthcare. The document also discusses India's Community Health Officer program and the services mid-level providers offer, such as maternal, child, and chronic disease care. It concludes by listing the roles and responsibilities of community health officers.
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MLHP (Mid level health provider)
- 2. AIM: At the end of seminar students will get to know about the detail knowledge of Mid level health providers. OBJECTIVES: At the end of the seminar students will be able to – • Introduction of Mid- level health providers. • Define the Mid- level health providers. • Explain the need of Mid- level health providers. • Discuss the training of Mid – level health providers. • Describe the roles and responsibility of Mid- level health providers.
- 3. • The concept of mid-level health provider started 100 years ago in many countries and showed a remarkable change in their health indicators. Since last 10 years, the growth of health professionals is in rise with its new emerging roles. • India is alarming country for disease burden and to cover the huge gap in providing health care facilities, it requires the mid-level health care providers at different settings of the country.
- 4. • Mid-level practitioners, also called assistant practice clinicians, non-physician practitioners are trained health care providers who have a defined scope of practice. This means that they are trained and legally permitted to provide healthcare in fewer situations than physicians and some other heath professionals, but more than other health professionals • Community health officers play a role to bridge the gap between community people and health care facilities.
- 5. According to WHO, mid-level health provider is: A health provider: • Who is trained, authorized and regulated to work autonomously, • Who receives pre service training at a higher education institution for at least 2-3 years, and • Whose scope of practice includes being able to diagnose, manage and treat illness, diseases and impairments, prescribed medicines, as well as engage in preventive and promotive care.
- 6. • In 2019, a new Mid-level Health Care Provider role was introduced in India, known as Community Health Officer. The role was intended for support the health and wellness centres in community level in India.
- 7. • Studies reported around 11.5% households, in rural areas and about only 4% in urban areas, are not receiving any form of OPD care at subcenter, primary health care centers and CHC level. This indicates the low utilization of primary health care for minor ailments or it may be because of inefficient health care services or unavailability of healthcare providers. • In order to expand access to comprehensive primary health care government of India has launched Ayushman Bharat- Pradhan mantra jan Arogya yojana in sept 2018. PMJAY is a centrally sponsored scheme. Under this sub health centers, and primary health centers are being strengthened as health and wellness centers.
- 8. • The services in HWCs will be provided through a midlevel health providers / community health officer placed at a PHC, The MLHP will undergo a certificate in community health through IGNOU or public university. • Community health officers are health care workers with training less than that of a physician but greater than that of more ordinary nurses and other medical assistants. • CHOs are permitted to serve the community independently to diagnose, manage and treat minor ailments and impairments and also engage in preventive Expended Service Delivery.
- 10. MLHP MPW • 2 Female • 1 male
- 12. • Selection process of candidates for MLHP to be designed so as to attract competent and motivated candidates preferential local candidates. • MLHPs trained in a six-month IGNOU accredited ‘Certificate Program in Community Health” to build competencies in public health and primary care theory, skill and experimental earning. • Programme approach by Ministry of Health and Family Welfare on 16th March, 2016. It is a six months programme of 18 credits (8 credits in theory and 10 credits in practical). It has 2 theory and 1 practical course. The programme was designed and developed with the funding of Ministry of Health and Family Welfare, GOI (NHM) and the programme has been launched by IGNOU in January, 2017. • Nursing and AYUSH Practitioner are eligible.
- 13. CHO roles and responsibilities are purely population oriented in public health. They are expected to provide specific service delivery, leadership, supervision, management and take proactive role in all the activities at community level, organize various health program and activity in health promotion according the need These roles of CHO help to bridge the gap between heath care facilities and population seeking health care. ROLES ARE: • Health care services • Administrative and supervision services • Other services
- 15. • Maternal health care: Prenatal care like antenatal checkup, screening for high risk, immunization and supplementation, child birth, postnatal care and if require referral to higher center. • Neonate and infant health care: Management of high-risk newborn, screening of congenital anomalies, IMNCI services, immunization. • Childhood and adolescent health care: Adolescent health counseling, identification of drug abuse, detection of any deficiency, nutritional supplement and referral services. • Reproductive health care: Family planning, prevention and management of STI, identification of gynecological problems and referral services,
- 16. • Communicable diseases: Diagnosis and treatment of vector or water borne diseases, provision of DOTs and DPMR services for leprosy along with referral services. • Illness and minor ailments: Identification and management of fever, respiratory infection, diarrhea, cholera, skin rashes, pain, typhoid. • Non communicable diseases: Screening, prevention, control and management along with follow up and maintenance of treatment modalities. • Eye and ENT: Screening along with primary care of ophthalmic and ENT problem and referral services of any emergency.
- 17. • Oral health: regular checkup and screening of oral health. • Geriatric and palliative care: Health camp organization routine checkup. • Emergency services: Burn, injury, trauma an along with first aid management. • Mental health care: Screening and counseling along with referral services
- 18. • Administrative services: Guidance to other co health workers and maintain inventory, report submission. • Supervision: Supervision of national health program, ASHA, home visit, health promotion activities. • Care pathway: Provide specific care according to standard treatment guidelines. • Case coordinator and manager: Provide communication to higher authority regarding specific case, coordinate in care and management of care.
- 19. • Disaster and outbreak of diseases: Local response to disease outbreak and early management of disaster. • Fund management: Support the team for entitling the fund for various projects and program. • Data management: Record population data with various health indicator and communicate it. • Environmental role: education to community, speak about safe water, sanitation, disposal of waste, pollution control and identity environmental hazard and control.
- 21. Communication skills, interpersonal relationship skills, transcultural competence, assessment skills, training capability, professionalism, advocacy and education.
- 22. Measuring and managing the work environment of the mid-level provider Eilish McAuliffe, Cameron Bowie, Human Resources for Health volume 7,Article number: 13 (2009) • Background Countries having lost most of their highly qualified health care professionals to migration increasingly rely on mid-level providers as the mainstay for health services delivery. Mid-level providers are health workers who perform tasks conventionally associated with more highly trained and internationally mobile workers. Their training usually has lower entry requirements and is for shorter periods (usually two to four years). This paper explores the work environment of mid-level providers in Malawi, and contributes to the validation of an instrument to measure the work environment of mid-level providers in low-income countries.
- 23. • Conclusion The Healthcare Provider Work Index identifies factors salient to improving job satisfaction and work performance among mid-level cadres in resource-poor settings. The extent to which these results can be generalized beyond the current sample must be established. The poor motivational environment in which clinical officers and medical assistants work in comparison to that of nurses is of concern, as these staff members are increasingly being asked to take on leadership roles and greater levels of clinical responsibility. More research on mid-level providers is needed, as they are the mainstay of health service delivery in many low-income countries. This paper contributes to a methodology for exploring the work environment of mid-level providers in low-income countries and identifies several areas needing further research.
- 24. Enlist health care services ?
- 25. • https://ab-hwc.nhp.gov.in/home/aboutus • https://www.who.int/workforcealliance/knowledge/resources/Final_ MLP_web_2.pdf • http://svnc.co.in/wp-content/uploads/2020/04/Mid-Level-Health-Providers- MLHP_R1.pdf • https://link.springer.com/article/10.1186/1478-4491-7-13