CHO Interview

National Health Mission structure: the rural and urban components, state and district health societies, Rogi Kalyan Samiti, untied funds, the Village Health Sanitation and Nutrition Committee and the ASHA, ANM and CHO team at the Ayushman Arogya Mandir · Reproductive, Maternal, Newborn, Child, Adolescent and Nutrition health (RMNCAH+N): Janani Suraksha Yojana, JSSK entitlements, PMSMA, HBNC and HBYC home visits, Rashtriya Bal Swasthya Karyakram and the adolescent health programme · Immunisation delivery: Mission Indradhanush, VHND and session planning, due-lists, cold chain at the sub-centre, left-outs and drop-outs, and vaccine hesitancy counselling in a village · NCD screening and management under NP-NCD: population-based screening of adults for hypertension, diabetes and oral, breast and cervical cancers, the CBAC form, follow-up and drug refill at the Arogya Mandir, and referral pathways · Communicable disease programmes as practised: the National TB Elimination Programme and Ni-kshay, malaria and dengue surveillance, leprosy case detection, the HIV programme and the Integrated Disease Surveillance Programme reporting formats · Health information and digital tools: HMIS and the Reproductive and Child Health portal, ABHA IDs and Ayushman Bharat PM-JAY, teleconsultation from the Arogya Mandir and the limits of these in a low-network area · Community mobilisation: VHSNC meetings, Jan Arogya Samiti, working with the panchayat and school, IEC and behaviour change for sanitation, tobacco and anaemia, and handling rumours during a campaign · Outbreak response at PHC level: recognising a cluster, line listing, notifying the block and district, water and vector measures, and communicating with the community without panic

14+ seeded questions

Antenatal care under RCH: registration and the four or more ANC visits, high-risk pregnancy identification, iron and folic acid and calcium supplementation, tetanus-diphtheria immunisation, birth preparedness and the 108 and 102 ambulance link · Labour room practice: partograph use, the stages of labour, active management of the third stage, recognising obstructed labour and postpartum haemorrhage, and when to refer under the Dakshata and LaQshya quality standards · Essential newborn care: warmth, early breastfeeding within an hour, cord care, eye care, weighing and identification, kangaroo mother care, newborn resuscitation steps and danger signs for referral · Postnatal care and family planning counselling: postnatal visits, breastfeeding problems, danger signs in mother and baby, the basket of contraceptive choices and post-partum IUCD counselling · IMNCI and sick-child assessment: the general danger signs, classification of cough and breathing difficulty, diarrhoea and dehydration, fever and malaria, ear problems and malnutrition, and the colour-coded action · Growth monitoring and nutrition: growth charts, SAM and MAM identification, mid-upper-arm circumference, nutrition rehabilitation centre referral, anaemia in adolescents and vitamin A and deworming rounds · Universal Immunisation Programme as practised: the current national schedule in outline, cold chain and vaccine vial monitor, open-vial policy, safe injection and AEFI recognition and reporting · Paediatric drug safety and communication: weight-based dosing confirmed from the chart, oral rehydration and zinc counselling, paediatric pain and fear, consent from the parent and child protection awareness

14+ seeded questions

The public-health facility ladder: sub-centre and Ayushman Arogya Mandir, PHC, CHC and first referral unit, sub-district and district hospital, and what each is meant to provide under the Indian Public Health Standards · Running a PHC or CHC: staffing norms, duty rosters and night coverage, drug and consumable indenting, the drug and vaccine store, equipment maintenance, Rogi Kalyan Samiti funds and the facility's monthly review · Quality and accreditation: Kayakalp, National Quality Assurance Standards, LaQshya and MusQan in outline, patient-safety incident reporting and infection-control committees · Programme supervision: reading HMIS data to find a problem, supportive supervision visits to sub-centres, ASHA incentive payments, VHND monitoring and handling a programme that is under-performing · Epidemic and disaster preparedness: Integrated Disease Surveillance Programme reporting, rapid response teams, line listing, mass-casualty plans, heat-wave and flood action plans and coordination with the block administration · Health legislation a facility in-charge must know: the Clinical Establishments Act framework, PCPNDT Act duties, Biomedical Waste Management Rules, the Mental Healthcare Act basics, the Epidemic Diseases Act and the Drugs and Cosmetics Act for the pharmacy · Health financing and schemes: Ayushman Bharat PM-JAY empanelment and claims at a government hospital, state insurance schemes, free drugs and diagnostics initiatives and the limits of out-of-pocket protection · Ethics and conduct of a government health officer: private practice rules and non-practising allowance, pharma inducements, handling a complaint against a colleague, grievance redressal and transparency with the community

13+ seeded questions