ANTENATAL CLINIC
Learning outcomes
At the end of the visit, the student will be expected to:
- Describe and discuss the purpose of conducting ANCs
- List clinic procedures and services provided at the ANC giving reasons as to why these services are provided
- Describe and discuss the pregnancy record
- List the indications for specialist care and describe the referral process
- Assess the quality of services provided at a ANC
- Describe the usefulness of clinic records and returns
- Discuss the constraints in providing services at ANC and make suggestions to improve these services.
- Critically evaluate the services provided and make recommendations to improve the services
Content areas
- Organisation and flow of an antenatal clinic
- Antenatal investigations
- Supplementation in pregnancy
- Immunization in pregnancy
- Monitoring of the pregnancy in the ANC
- Indications for specialist care and the referral process
- Health promotion, education and antenatal counselling
- Pregnancy Record
- Clinic records and returns
Learning activities:
- Observe service delivery by following a pregnant female through the process of the ANC
- Provide health promotion and counselling to pregnant females and their family members
RECOMMENDED READING MATERIAL
- Conducting Antenatal Clinic, General circular no. 01-24/2014, Ministry of Health, Sri Lanka.
- Family Health Bureau, Annual Report on Family Health Sri Lanka -2014, 'Clinic Activities', pp 14 -15, Ministry of Health, Colombo.
PUBLIC HEALTH MIDWIFE (PHM)
Learning outcomes
At the end of the visit, the student will be expected to:
- Describe the role of the PHM in the delivery of domiciliary maternal and child care services
- Describe the process of registering a pregnant mother and following her up until delivery
- Describe the process of caring for post partum mothers and educating the mother on child care
- Describe child care activities carried out by PHMs
- Describe family planning services provided by PHMs
- Describe health promotional and other health care services provided by the PHM
- Describe the registers and records maintained by PHIs and returns submitted
- Discuss the usefulness of the data gathered and generated by PHIs in relation to their scope of work.
Content areas
- Duties of the PHM
- Organisation of the PHM area
- Registration of fertile couples/ eligible families and provision of domiciliary care
- Registration of pregnant mothers and field and clinic based antenatal care
- Postnatal visits and post partum care
- Registration of infants and well baby care including immunisation
- Growth Monitoring Programme at field and clinic level
- Family Planning services
- Well Woman care
- Indicators of PHM's performance
- PHM's diary, registers and records maintained and returns submitted
Learning activity: Observation of the office of the PHM and delivery of domiciliary care
RECOMMENDED READING MATERIAL
- Duty list of PHM
- Family Health Bureau, Annual Report on Family Health Sri Lanka -2014, 'Clinic Activities', pp 4 -11, Ministry of Health, Colombo.
Public Health Inspector (PHI)
Learning outcomes
At the end of the visit, the student will be expected to:
- Describe the role of the PHI in the control of communicable diseases, investigation of notifiable diseases, school health, food safety, housing, environmental sanitation and safe water
- Describe the process of inspecting a food outlet and follow up action
- Demonstrate an understanding of laws related to habitable housing
- Describe methods of ensuring safe water
- Describe methods of garbage disposal, and environmental sanitation
- Describe the registers and records maintained by PHIs and returns submitted
- Discuss the usefulness of the data gathered and generated by PHIs in relation to their scope of work.
Content areas
- Duties of PHIs
- Organisation of PHI activities
- Notifiable diseases, process of investigation of a notification and activities for control of communicable diseases
- Food Act and activities on ensuring food safety including survey of food handling institutions, formal and informal sampling and legal action
- Ensuring safe water, chlorination of wells and testing water samples
- Basic sanitation facilities available in the area and activities for improving environmental sanitation
- Examining housing plans and sites for recommendations on habitable housing
- School health inspections and activities
- Provision of services for mass population gatherings
- Registers and records maintained and returns submitted
Learning activity: Observation of the office of the PHI, activities for ensuring safe water supply and inspection of a food handling institution
RECOMMENDED READING MATERIAL
- Herath H.M.S.S.D 1989, A manual for the Sri Lanka Public Health Inspector, Ministry of Health, Colombo.
- Duty list of PHI, circu dated
Extended Faculty
North Colombo Teaching Hospital
Colombo North Teaching Hospital (CNTH) which is situated at Ragama in the Gampaha District is 18 km away from the capital of Sri Lanka.
Extended Faculty
Regional Director of Health Services, Gampaha
Regional Director of Health Services is the administrative focal point for 2 district general hospitals, 3 base hospitals...
Extended Faculty
Medical Officer of Health, Ragama