Table 3 Paid and unpaid activities performed by Mitanins
Purpose | Paid activities | Unpaid activities |
|---|---|---|
Health Education | Home visits for health education—newborn care and young child care (0–15 month age children) | Home visits for health education—young child care (16–35 month children) |
Home visits for health education—pregnant women | ||
Home visits for follow-up of chronic disease cases—e.g. hypertension, diabetes, mental disorders, blood disorders | ||
Home visits for prevention of vector-borne and water-borne diseases e.g. dengue, malaria, diarrhoea | ||
School health meetings with students | ||
Meetings in community for health education on a wide range of health issues | ||
Delivering services directly | Testing and treatment of malaria | Identification and treatment of illnesses at Mitanin's home or by visiting families—diarrhoea, cold and cough in children, pneumonia in children, sick newborn, skin ailments, pain, minor injuries, reproductive-tract infections, eye infection |
Contraceptive distribution and counselling | ||
Linkage with formal services | Attending monthly immunisation session/village health and nutrition day (classified as a monthly routine task) and bringing children for immunisation | |
Bringing pregnant women to local ante-natal care session, | Identification of high risk pregnancies, taking pregnant women to secondary care facilities for ante-natal check-ups, diagnostics and management | |
Identification of referrals and accompanying them to health facilities—deliveries, sterilisation, cataract, severely malnourished children | Identification of referrals or accompanying them to higher health facilities—sick newborn, pneumonia, non-communicable diseases, mental illnesses, injuries or other illnesses | |
Identification of presumptive cases of tuberculosis, leprosy; referring them to health facilities for confirmation; follow-ups for treatment adherence | Referrals for IUCD (other than PPIUCD) | |
Specific campaigns for linkage with services—pulse polio, de-worming, filaria prophylaxis | Campaign for Vitamin A supplementation | |
Bringing patients especially above 30 years age individuals to health and wellness centres for screening of non-communicable diseases | ||
Action on social determinants of health (SDOH) | One monthly meeting of village health nutrition sanitation committee—for action on social determinants (classified as a monthly routine task) | Other community meetings for action on social determinants |
Visits to officials of non-health sectors (water, food, employment etc.) | ||
Home visits, community meetings and action on opposing gender based violence | ||
COVID-19 related actiona | Home visits for COVID-19 related tasks-door to door survey to find persons with influenza symptoms, monitoring home isolation | |
Bringing individuals for testing, bringing individuals for COVID-19vaccination | ||
Data collection and reporting related to COVID-19 | ||
Recording and reporting | Collecting data on population, symptoms and risk factors of multiple diseases in individuals using community based assessment checklist | Other surveys asked by government health officials |
One monthly meeting for reporting to supervisors (classified as a monthly routine task) | Other meetings for reporting or for receiving instructions about activities for specific government campaigns and other priorities | |
Recording data in CHW register and updating monthly (classified as a monthly routine task) |