MLHP - MIDDLE LEVEL HEALTH CARE PROVIDER - ENHANCING SOFT SKILLS - NURSING

1. ENHANCING
SOFT SKILLS
Middle Level
Health Care
Provider

2. AYUSHMAN BHARAT
A comprehensive Primary health Care through health
and wellness centres and health insurance
Components
• Strengthening of subcentres and PHC
• Inclusion of mid level health care provider
• Capacity building
• Behaviour change communication
• Programme Management

3. HEALTH & WELLNESS CENTRES
A high quality comprehensive people centred care with
the principle being “time to care” to be no more than 30
minutes.
Sub centres are transformed as health and wellness
centres, health team consists of
– One Mid-level Health Provider,
– Multi-purpose workers – two female and one male
– Team of ASHAs at the norm of one per 1000.

4. SERVICES IN SUBCENTRES

5. SERVICES IN SUBCENTRES

6. MLHP
• Mid Level Health Provider (MLHP) will be Community
Health Officer (CHO)
• A BSc. in Community Health or a Nurse (GNM or B.SC)
• An Ayurveda practitioner trained and certified through
IGNOU/other Public Health/Medical Universities

7. MLHP SKILLS
MLHP
Skills
Public
health skills
Bio medical
Waste
management
First aid and
stabilisation
Diagnostic
skills
Reproductive
and
adolescence
Maternal
Health
New born
& Child
Health
skills
Treatment
of CD, NCD
Digital
Reporting
Supportive
supervision

8. DIAGNOSTIC SERVICES IN SUB CENTRES

9. DIAGNOSTIC SKILLS NEEDED
12
Rapid card test(Dipstick) – Pregnancy
Digital Hemoglobinometer – Hemoglobin
Glucometer
Rapid card test
– Blood sugar
– Malaria
HIV
Dengue
Hepatitis B
Syphilis
Multi parameter urine strip (Dipstick) – Ph, Specific, gravity, ketone,
protein, nitrite, glucose, bilirubin, leucocyte.

10. TEST FOR PREGNANCY
12
• Rapid Card Test (Dipstick Method)
• A rapid chromatographic immunoassay
• Qualitative detection of human chorionic gonadotropin in
urine
• The test utilizes a combination of antibodies including a
monoclonal hcg antibody
• Positive specimens (Urine containing hcg Antigen) react with the
specific antibody-hcg- colored conjugate to form a colored line

11. RAPID CARD TEST (DIP STICK)
PROCEDURE : Place the test device on a clean
and level surface.

12. RAPID CARD TEST (DIP STICK)
INTERPRETATION OF RESULTS

13. RAPID CARD TEST (DIP STICK)
LIMITATIONS
• Only a qualitative test
• Very dilute urine specimens, may not contain
representative levels of hCG.
• False negative results may occur
• Very low levels of hCG (less than 50 mIU/mL) cannot be
detected
• A number of conditions other than pregnancy, including
trophoblastic disease cause elevated levels of hCG

14. TEST FOR HEMOGLOBIN
• A palm-sized nanobioelectronic device with self- calibration
sensors that takes <60 s for each hemoglobin estimation.
• Based on the principle of reflectance photometry.
• Capillary, venous, or arterial whole-blood sample can be used for
the hemoglobin estimation
• The range of measurement is 0–25 mg/dl.

15. Cont…
• The Digital Hemoglobinometer Strips
are thin contain chemical reagents.
• The strips vial has a unique code to be
entered in the device each time the strip
is loaded.

16. TEST FOR BLOOD SUGAR
GLUCOMETER
• A palm sized electronic device with test strips containing
chemicals that react with glucose in the drop of blood
• The size of the drop of blood needed varies from
0.3 to 1 μl.
• Time taken to read the strip range from 3 to 60 seconds

17. TEST FOR BLOOD GLUCOSE - PROCEDURE

18. RAPID DETECTION TEST- PROCEDURE

19. MULTI PARAMETER URINE TESTING
• Compare each reagent area to its corresponding color blocks on the
color chart and read at the times specified.
• Proper read time is critical for optimal results.
• Obtain results by direct color chart comparison.

20. PREPARATION OF BLOOD SMEARS

21. TREATMENT IN SUB CENTRES
• Treatment in sub centres is provided as a follow up only
after the prescription of medical officer in PHC
3
COMMUNICABLE
DISEASES
• Malaria,
• Dengue,
• Chikungunya,
• Filaria,
• Kalazar,
• Japanese
Encephalitis,
• TB and
Leprosy.
NONCOMMUNICABLE
DISEASES
• Hypertension
• Diabetes
Mellitus

22. TREATMENT SKILLS
Case
identification
Standard
Treatment

23. CASE DETECTION

24. MLHP SOFT SKILLS
Soft
Skills
Empathy
Communication-
Verbal, Non
Verbal, Written,
Virtual.
Behavior
Mannerisms
Attitude
Team Work
Relationship
Management
Techno-
Savvy
Time
Management
Proactiveness

25. EMPATHY

27. BEHAVIOUR

28. MANNERISMS

29. ATTITUDE

35. THANK
YOU