central training plan 2010-11
DESCRIPTION
Central Training Plan 2010-11. PROF. DEOKI NANDAN, MD, FAMS, FIAPSM, FIPHA, FISCD Director ([email protected], www.nihfw.org). Need for a National Training Plan. HRD is critical for improving performance, efficiency and effectiveness of health systems and delivery of health services - PowerPoint PPT PresentationTRANSCRIPT
Central Training Plan2010-11
PROF. DEOKI NANDAN, MD, FAMS, FIAPSM, FIPHA, FISCD
Director([email protected], www.nihfw.org)
Need for a National Training Plan
• HRD is critical for improving performance, efficiency and effectiveness of health systems and delivery of health services
• It has become all the more important as new health programs are introduced.
• All the health care personnel need updating of both knowledge and skills.
• Focus on in-service training/on-the-job training is necessary to improve content and quality of services to cater to emerging needs for training.
• In-service training is necessary for all category of personnel – service providers, programme managers, bio-statisticians, etc.
Core Strategies
1. Needs assessment- Review state training plans – PIPs and RoPs, to assess training needs and loads.
2. Develop a Central training plan and strategy to meet the gaps and needs
3. Quality improvement and management of training through standardizing curriculum, resource material and standards (including proficiency certification)
4. Strengthen capacity for training through trainers’ training and infrastructure support
5. Coordinate implementation of trainings in the states with optimal utilization of all available health facilities and human resource.
6. Establish training information management systems, monitoring, supervision and support
Review of Training
NIHFW reviewed the State PIPs and ROPs for 2010 -11
Progress in 09-10 of in-service training indicated by the states.
Training programmes planned by states for 2010-11
Four Thematic Areas
◦Maternal Health
◦ Child Health
◦ Family Planning
◦Disease Control
Review was conducted on the following four thematic areas and in the context of NIHFW has done in the last
seven years in conducting training of trainers since beginning of NRHM
Abstract of Training Load (2010-11)
• Trainings/Activities covered
• Category of staff to be trained
• Number to be trained in 2010-11
• Duration of Training
• Place of training
• Status of TOT
• Availability of training modules and teaching aids
• Availability of monitoring formats
Maternal Health(9 High focus states + 3 NE States)
Ass
am
Bih
ar
Ch
hat
tisg
arh
Jhar
khan
d
Mad
hya
Pra
des
h
Ori
ssa
Raj
asth
an
Utt
arak
han
d
Utt
ar P
rad
esh
Aru
nac
hal
Pra
des
h
Meg
hal
aya
Nag
alan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce o
f T
rain
ing
Tra
inin
g M
od
ule
s &
Tea
chin
g A
ids
Ava
ilab
le
Tra
iner
s
Fo
rm o
f M
on
ito
rin
g a
nd
A
chie
vin
g T
arg
ets
Ava
ilab
le
SBA
25 253 – 6
WeeksIdentified District Hospitals YES
TOT trained Obstetrician/ MO/ SN& Paed. M.O. YES
EMOC
48 24 45 24 32 85
Batches 24 64 13
Batches 5 275 16 WeeksIdentified Medical College/ DH YES
Faculty Med. College (Gyn)/
Distt Gynaecologist. YES
EMOC REFRESHER 15 15 YES YESBEMOC
288 150 40 500100
Batches 978 YES YESLSAS
20 48 15 32 16 36 60 16 72 43
Batches 5 324 18 weeksIdentified Medical College YES
Faculty Med. Coll. (Anes)/ Distt Anaes YES
Blood Storage
39 39 3 days
Insitute where blood banks are available YES
I/C of Training Insitutte YES
RTI/STI
165 500 324 480 175 40 90 1774 2 Days
Identified Medical Colleges/ RHFWTC YES
Oriented team of trainers at state level YES
MTP/MVA
250 220 120 54 120 200 40 120 509
Batches 30 1204 15 daysIdentified Training Institutes YES
Gynaecologist from Medical Colleges YES
MTP/MVA Refresher 30 30 YES YESBSU 184 30 214 YES YESIMEP 1500 633 2133Core Skill training 90 90Other MH Trg. 10 10
SUB- TOTAL 771 792 2193 424 1208 234 260 80 256 130 763 7111
NAME OF THE
TRAINING/ ACTIVITY
STATES
Data has been taken from the information received from the state (Information is not given in state ROP).
Training Load (Maternal Health)
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
MO's
CATEGORIES
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ach
ing
Aid
s
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g
an
d
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
MTP/MVA 51 100 151 YES YESAdv. LAP Trg 8 8 YESRTI/ STI TOT 168 168 YES YESMTP/MVA (TOT) 30 30 YES YESLSAS TOT 20 20 YES YESCEMOC Refresher 40 40 YESCEMOC TOT 10 10 YESEMOC TOT 8 30 1 39 YES YES
SUB- TOTAL 168 51 8 8 100 130 1 466SBA 320 800 1120 YES YESRTI/STI
160 160 2 Days
Identified Medical
Colleges/ RHFWTC YES
Oriented team of trainers at state level YES
MTP/MVA 120 300 420 YESMTP/MVA refresher 30 30 YES
SUB- TOTAL 630 800 300 1730SBA 864 60 924 YES YESIMEP 56 56 YES YESRTI/STI
1200 20 1220 2 Days
Identified Medical
Colleges/ RHFWTC YES
Oriented team of trainers at state level YES
SUB- TOTAL 1200 864 20 116 2200Blood Storage
39 184 223 3 days
Insitute where blood banks are available YES
I/C of Training Insitutte YES
RTI/STI 160
750 PHCs 160 YES YES
Other MH Trg. 10 10BSU 184 30 214 YES YES
SUB- TOTAL 39 368 190 10 607RTI/STI GNM 25 25MH Training FAMILY
WELFARE21
Batches21
BatchesSBA MO Ayush 150 150DAI TRAINING DAI 1000 120 1120JSY Others 56 56
NAME OF THE
TRAINING/ ACTIVITY
LT
SN
ANM
SPECIALIST
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Training Load (Maternal Health)
CATEGORIES
STATES
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Assam
Bih
ar
Ch
hatt
isg
arh
Jh
ark
han
d
Mad
hya P
rad
esh
Ori
ssa
Raja
sth
an
Utt
ara
kh
an
d
Utt
ar
Pra
desh
Aru
nach
al
Pra
desh
Meg
hala
ya
Nag
ala
nd
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce o
f T
rain
ing
Tra
inin
g M
od
ule
s &
Teach
ing
Aid
s
Avail
ab
le
Tra
iners
Fo
rm o
f M
on
ito
rin
g
an
d
Ach
ievin
g T
arg
ets
Avail
ab
le
SBA TOT MO/DRCH/PRINCIPAL
ANMTC/ O&G/ Peads/
ADDITIONAL CMHO/ CS 50 100 36 90 276 YES YES
SBA SUPPORTIVE
LHV/SN/MASTER TRAINERS
150 150 YES YESSBA Trg. For Ex. Tribal 36 36 YES YESRTI/STI 1080 1080 YES YESSBA 1632 1632 YES YESSBA
252 554 2000 300037
Batches 5806 YES YESRTI/STI
1200 1200 2 Days
Identified Medical
Colleges/ RHFWTC YES
Oriented team of trainers at state level YES
Mapedir MO/ SUPERVISOR 76 76 YES YES
Mapedir 2126 2126Core Skill training 1800 1800SBA 1500 1500 YES YESRTI/STI 160 160 YES YESBSU
MO/LT60
6 Batches 60 YES YES
RTI/STI SN/GNM 120 120 YES YESRTI/ STI MO/SN 350 350 YES YES
RTI/ STI MO/LT/SN70
Batches70
Batches YES YES
RTI/ STIMO/ANM/
HW(M)23
Batches23
Batches YES YES
IMEP BMO/SN/BEE3
Batches3
Batches YES YES
TOTAL8160 1836 6200 7672 4232 3898 3356 510 3862 465
81 Batches 1758 41949
NAME OF THE
TRAINING/ ACTIVITY
SN/ANM
Training Load (Maternal Health)
CATEGORIES
STATES
SN/ANM/LHV
ANM/LHV
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
Child Health(9 High focus states + 3 NE States)
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
T
ea
ch
ing
Aid
s
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g
an
d A
ch
iev
ing
T
arg
ets
Av
ail
ab
le
IMNCI
552 432 52 70 120 1226 8 days
National/ State/ District Training Centres YES
Faculty of Paediatrics and P&SM
Deptt. YESFIMNCI
480 336 730 30 1576 11 days
Medical College/ District Hospital
Final Approval Awaited.
Available. TOT done NO
FBNBC18
50 Batches 18 YES YES
FIMNCI (TOT) 48 5 53 YES YESNSSK
678 48 8 734 2 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMMUNIZATION 60 60 YES YESNSU 100 100 YES YESNew Born & Child Stabalization Unit (FRU) 3 3 YES YES
SUB- TOTAL 1080 1074 480 730 100 18 98 70 120 3770IMNCI 70 120 190 YES YESFIMNCI
480 36013
Batches 840 11 days
Medical College/ District Hospital
Final Approval Awaited.
Available. TOT done NO
FBNC 18 18 YES YESNSU 400 400 YES YESNSSK
722 722 2 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
SNCU
72 72 4 days
SNCUs/ District Hospital YES
Available from NNF YES
New Born & Child Stabalization Unit (FRU) 3 3 YES YES
SUB- TOTAL 480 722 360 400 90 3 70 120 2245
NAME OF THE TRAINING/ ACTIVITY
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Training Load (Child Health)
MO's
STATES
CATEGORIES
Data has been taken from the information received from the state (it is present in the state ROP as batch size
S.N.
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
As
sam
Bih
ar
Ch
hatt
isg
arh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
des
h
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce o
f T
rain
ing
Tra
inin
g M
od
ule
s &
Te
ach
ing
Aid
s
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g
an
d A
ch
iev
ing
Ta
rge
ts A
va
ila
ble
NSSK 48 48FIMNCI
13 13 11 days
Medical College/ District Hospital
Final Approval Awaited.
Available. TOT done NO
SNCU 24 24PAEDIATRICS 3 3
SUB- TOTAL 48 37 3 88IMNCI
50 45 95 8 days
National/ State/ District Training Centres YES
Faculty of Paediatrics and P&SM
Deptt. YESNSSK 354 354 YES YES
SUB- TOTAL 354 50 45 449IMNCI
ANM
52 70 120 242 8 days
National/ State/ District Training Centres YES
Faculty of Paediatrics and P&SM
Deptt. YESSNCU LT 6 6IMNCI
AWW
70 80 150 8 days
National/ State/ District Training Centres YES
Faculty of Paediatrics and P&SM
Deptt. YESFIMNCI ANM/GNM 30 30SNCU X-RAY
TECHNICIAN 6 6IMNCI
CDPO
39 39 8 days
National/ State/ District Training Centres YES
Faculty of Paediatrics and P&SM
Deptt. YESIMNCI BASIC
PHYSICIAN 552 552 YES YESIMMUNIZATION COLD CHAIN
HANDLER 100 100 YES YESIMMUNIZATION COLD CHAIN
KEEPER 18 18 YES YESIMMUNIZATION TECHNICIANS
(COLD CHAIN) 89 89 YES YESIMMUNIZATION DATA ENTRY
OPERATORS/ COMPUTER
ASSISTANTS
NAME OF THE TRAINING/ ACTIVITY
LHV
SPECIALIST
CATEGORIES
STATESTraining Load (Child Health)
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
NSSKMO/ANM
2730 2730 2 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
NSU TRG 576 192 768Sick New Born Care
160 96 120 376 4 days
SCNUs/ District Hospital YES
Available from NNF YES
F-IMNCI 96 72 183 351 11 days
Medical College/ District Hospital
Final Approval Awaited.
Available. TOT done NO
F-IMNCI TOT 15 15NSSK
1290100
Batches 3750150
Batches 5040 2 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
Other CH Trg. 1924 1924
IMNCI 10032 3840 13872 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
Child Health Training
IYCF195
Batches195
batches YES
IMNCI
LHV/ OTHER SUPERVISOR
984500
Batches 984 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMNCI
ANM/LHV/ ASHA
1580 Batches 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMNCI SN/ANM 1440 1440 YES YES
IMNCIANM/LHV/LS
7200 9600 16800 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMNCI Supervisory
480 480 2 days
District/ Sub-district
Hospital YesAvailable. TOT done Yes
IMNCI
936 936 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMNCI
ANM/AWW/ HE/LHV
14136 14136 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
NAME OF THE TRAINING/ ACTIVITY
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
CATEGORIES
MO/SN
ANM/LHV/MO
Training Load (Child Health)
ANM/AWW
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
STATES
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ac
hie
vin
g T
arg
ets
A
va
ila
ble
FOLLOW-UP IMNCI 1392 1392 2 days
District/ Sub-district
Hospital YesAvailable. TOT done Yes
IMNCI 552 552 8 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IMNCI MO/ PARA MEDICAL/ SOCIAL
WELFARE PERSONNEL 384 384 YES YES
FIMNCI & SNCU MO/ANM/SN336 336 4 days
SCNUs/ District Hospital YES
Available from NNF YES
IMMUNIZATION ANM/LHV/HW(M)/ NURSE MIDWIVES 4800 4800 2 days
District Training Centers
Trained Trainers
IMMUNIZATIONANM/HW(M)/
LHV2 days
District Training Centers
Trained Trainers
Care of Sick Children & SAM
ANM/MTC INCHARGE
96 Batches 20 20
Care of Sick Children & SAM
MEDICAL AND PARA
MEDICAL
4 Batches
4batches
NSSKMO/SN/ANM
1536 235 200 1971 2 days
District/ Sub-district
Hospital YESAvailable. TOT done YES
IYCFMO/DDM/ DRCHO 600 600 YES YES
IYCF BLOCK LEVEL
33603360 YES YES
IYCF 970 970School Health SCHOOL
TEACHERS194
Batches194
Batches
16090 18594 10540 15000 7004 13754 2924 2443 405 290 759 770 88573TOTAL
STATES
CATEGORIESNAME OF THE
TRAINING/ ACTIVITY
Training Load (Child Health)
HE/LHV
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
ANM/LHV/AWW/
SAHAIYYA
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
Family Planning(9 High focus states + 3 NE States)
As
sam
Bih
ar
Ch
ha
ttis
garh
Jh
ark
ha
nd
Ma
dh
ya P
rad
es
h
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
des
h
Aru
na
ch
al
Pra
des
h
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ach
iev
ing
Targ
ets
Av
ail
ab
le
Minilap
240 152 50 24 50 30 100 22 12 29 24 733
12 working
days
Identified training
Institutes YESGynaecolo
gist YESMinilap Refresher 66 66 YES YESIUCD 480 175 688 25 156 90 1614 YES YESNSV
190 40 30 100 150 100 48 198 29 30 915 5 days YES
Master/ State Level
Trainers YESNSV Refresher 84 84 YES YESContrac. Update 300 300 900
7 Batches 40 1540 YES YES
SUB- TOTAL 540 342 90 834 150 1080 266 245 970 77 214 144 4952NSV 81 81 YES YESLaproscopic Sterlization
150 40 12 50 20 8 3 24 307
12 working
days
Identified training
Institutes YESGynaecolo
gist YESIUCD TOT 25 160 185 YES YESLaproscopic Sterlization TOT 48 48 YES YESNSV TOT 108 108 YES YES
SUB- TOTALMinilap 30 30 YES YESIUCD 395 360 175 150 40 1120 YES YESLaproscopic Sterlization
150 40 50 20 100 8 368
12 working
days
Identified training
Institutes YESGynaecolo
gist YESSUB- TOTAL 150 435 50 410 100 183 150 40 1518
MO's
NAME OF THE
TRAINING/ ACTIVITY
SN
Specialist
CATEGORIES
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Training Load (Family Planning)STATES
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Ass
am
Bih
ar
Chh
attis
garh
Jhar
khan
d
Mad
hya
Prad
esh
Ori
ssa
Raj
asth
an
Utta
rakh
and
Utta
r Pr
ades
h
Aru
nach
al P
rade
sh
Meg
hala
ya
Nag
alan
d
Tota
l
Dur
atio
n of
Tra
inin
g
Plac
e of
Tra
inin
g
Trai
ning
Mod
ules
& T
each
ing
Aid
s A
vaila
ble
Trai
ners
Form
of M
onito
ring
and
Ach
ievi
ng T
arge
ts A
vaila
ble
IUCD
2400 1482 480 2500 360 175 3870 115 404 80 11866 5 days
Identified training Institutes YES YES
Other Trg. 182 182 YES YESSUB- TOTAL 2400 1482 480 2500 360 175 3870 297 404 80 12048 YES YES
IUCD LHV
276 175 25 476 5 days
Identified training Institutes YES YES
IUCD PHN 37 37 YES YES
LaproscopicSterlization
OT Technician 150
40
50 20 8 268
12 working days
Identified training Institutes YES
Gynaecologist YES
ContraceptiveUpdate
HEALTHCARE
PERSONNEL
2 Batches
YES YES
Training Load (Family Planning)
Data has been taken from the information received from the state (it is present in the state ROP as batch size
NAME OF THE
TRAINING/ ACTIVITY
CATEGORIES
STATES
ANM
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Ass
am
Bih
ar
Chh
attis
garh
Jhar
khan
d
Mad
hya
Pra
desh
Ori
ssa
Raj
asth
an
Utt
arak
hand
Utt
ar P
rade
sh
Aru
nach
al P
rade
sh
Meg
hala
ya
Nag
alan
d
Tota
l
Dur
atio
n of
Tra
inin
g
Pla
ce o
f Tra
inin
g
Trai
ning
Mod
ules
& T
each
ing
Aid
s A
vaila
ble
Trai
ners
Form
of M
onito
ring
and
Ach
ievi
ng T
arge
ts A
vaila
ble
IUCDMO/ANM
152Batches YES YES
IUCD MO/LHV/SN 1200 1000 2236 4436 YES YESIUCD SN/LHV 1376 1376 YES YESContraceptiveUpdate
ANM/LHV/ MHW
48 Batches YES YES
Minilap MO/SN 295 295 YES YESLaproscopic Sterlization Trg 280 280 YES YESLaproscopic Sterlization Refresher Trg
72 72 YES YESTOTAL 7680 684 4370 2746 6500 3740 2968 1397 12019 751 1598 552 45005
Training Load (Family Planning)
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
SURGEON/SN
NAME OF THE
TRAINING/ ACTIVITY
STATES
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
CATEGORIES
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Disease Control
(9 High focus states + 3 NE States)
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
RNTCP Retraining
1490 150 1640 5 days
Identified Central Institute YES YES
RNTCP400 400 3 days STDC YES
Master TrainersAvailable YES
DOTS + MDR50 50 3 days STDC YES
Master TrainersAvailable YES
TB/HIV292 30 322 1 day
District TBCenter YES
Master TrainersAvailable YES
NLEP 950 150 1100 3 days District LevelNLEP Refresher 1650 1650 1 day District LevelNVBDCP
300 1891 75 104
Batches 25 2301 2 days YES YESNVBDCP Retraining 11 11 YES YESNPCB 250 3 253 YES YESNPCB Refresher 120 120 3 days Medical College YES YESIDSP 208 334 250 217 452 271 290 117 642 145 63 100 3089 YES YESMental Health
16 16SUB- TOTAL 508 334 4991 2074 462 391 290 916 642 145 88 111 10952
RNTCP YES YESRNTCP Retraining YES YESNPCB 20 20 YES YESNPCB Refresher 120 120 YES YESIDSP 500 500Mental Health
108 108SUB- TOTAL 500 120 128 748
NVBDCP 250 250RNTCP YES YESRNTCP Retraining YES YESMental Health
1765 1765SUB- TOTAL 250 1765 2015
NAME OF THE
TRAINING/ ACTIVITY
Training Load (Disease Control Programme)STATES
ANM
MO's
CATEGORIES
SN
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Ass
am
Bih
ar
Ch
hat
tisg
arh
Jhar
khan
d
Mad
hya
Pra
des
h
Ori
ssa
Raj
asth
an
Utt
arak
han
d
Utt
ar P
rad
esh
Aru
nac
hal
Pra
des
h
Meg
hal
aya
Nag
alan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce o
f T
rain
ing
Tra
inin
g M
od
ule
s &
Tea
chin
g A
ids
Ava
ilab
le
Tra
iner
s
Fo
rm o
f M
on
ito
rin
g a
nd
A
chie
vin
g T
arg
ets
Ava
ilab
le
NVBDCP 275 275RNTCP Retraining YES YES
SUB- TOTAL 275 275RNTCP 60 160 220RNTCP Retraining 80 80 2 days DTBC YES
Master TrainersAvailable YES
NVBDCP120 378 60 20
3Batches 40 80 818 5 days YES YES
NVBDCP Retraining 60 60NLEP 146 146NLEP RefresherIDSP 5 5
SUB- TOTAL 120 529 180 20 120 240 40 80 1329NVBDCP 300 300RNTCP
SUB- TOTAL 300 300
NVBDCP 1000 250 21 3416
Batches 100 1405RNTCP 2180 2180 YES YESRNTCP Retraining YES YES
SUB- TOTAL 1000 0 0 2430 21 0 34 0 0 0 100 3585NPCB 15 6 21NVBDCP
SUB- TOTAL 15 6 21NPCB 56 10 66NPCB Refresher 120 120 5 days
District Hospital
SUB- TOTAL 56 120 10 186RNTCP 3 days STDC YESIDSP
SUB- TOTAL
NAME OF THE
TRAINING/ ACTIVITY
Training Load (Disease Control Programme)
HW(M)
HS(M)
SPECIALIST
120LTs
CATEGORIES
STATES
LHV
PMOA
PHARMACIST
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Ass
am
Bih
ar
Ch
hat
tisg
arh
Jhar
khan
d
Mad
hya
Pra
des
h
Ori
ssa
Raj
asth
an
Utt
arak
han
d
Utt
ar P
rad
esh
Aru
nac
hal
Pra
des
h
Meg
hal
aya
Nag
alan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce o
f T
rain
ing
Tra
inin
g M
od
ule
s &
Tea
chin
g A
ids
Ava
ilab
le
Tra
iner
s
Fo
rm o
f M
on
ito
rin
g a
nd
A
chie
vin
g T
arg
ets
Ava
ilab
le
RNTCPMOTCs
6 6 12 days
Indentified Central Institute YES YES
RNTCP STLS 15 days STDC YES YESRNTCP DTO 3 3 YES YES
RNTCP
COMMUNITY VOLUNTEERS
400 400 1 dayDistrict Training Center YES YES
RNTCP
PRIVATE PRACTICNOR
S 100 100 2 daysDistrict Training Center YES YES
NVBDCP ASHA 450 550 1000NVBDCP ENTOMOLOGI
STNVBDCP MO AYUSHNVBDCP
MTS1
Batch
NVBDCPSPRAY
WORKER16
Batches
NVBDCPSPRAY TEAM
16 Batches
IDSP
MEDICAL COLLEGE DOCTORS
3 Batches 32 32
IDSP
BLOCK HEALTH
TEAM17
Batches7
Batches
NPCBSCHOOL
TEACHER 4000 416 4416 1 dayDTC/ Others Places
NAME OF THE
TRAINING/ ACTIVITY
Training Load (Disease Control Programme)
CATEGORIES
STATES
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
As
sa
m
Bih
ar
Ch
ha
ttis
garh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ach
ing
Aid
s A
va
ila
ble
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
RNTCP/ Re Training/ TB/HIV
SN\ANM\LHV1 day
District TBCenter Yes
Master TrainersAvailable YES
RNTCP 800 800 1 dayDistrict TBCenter Yes
Master TrainersAvailable YES
RNTCP Retraining 400 400 1 day
District TBCenter Yes
Master TrainersAvailable YES
NVBDCP
RNTCP
MPHS/ PHARMACIST
/NURSING/
BEEO 821 821RNTCP 10 days STDCNLEPIDSP DATA
MANAGER/ DEO
2 Batches
3 Batches
2 Batches
4 Batches
2-3 Batches
4 Batches
1-2 Batches
6 Batches
1 Batch
27 Batches
IDSPSN/
PHARMACIST 460 740 480 100 600 640 260 1420 320 140 220 5380
IDSP
MEDICAL COLLEGE
PHARMACIST/ NURSES/
MRT2-3
Batches 24 24
NPCBASHA/AWW/H
W 9600 9600
NPCBANM/HW/
SAHAIYYA 1200 1200
NVBDCPMPHS(F) / MPHS(M) 500 40
16 Batches 540
NVBDCP CMO/DMO 33 7 40NLEP ANM/LHV 2900 2900
TB/HIVMPHS/ MPW/
LT 68 68
DOTS + MDRPARAMEDICA
LS 100 100 3 days STDC YesMaster TrainersAvailable YES
Deafness Control Programme
MO/PARA MEDICALS/
HEALTH WORKERS
TOTAL 4216 1408 14940 17729 1146 11462 2011 8671 2704 610 603 1152 37494
NAME OF THE
TRAINING/ ACTIVITY
Training Load (Disease Control Programme)STATES
MPHS(M) /MPHW(M)
MPW (M&F)
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
Data has been taken from the information received from the state (it is present in the state ROP as batch size
CATEGORIES
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Other Programmes(9 High focus states + 3 NE States)
Assam
Bih
ar
Ch
hatt
isg
arh
Jh
arkh
an
d
Mad
hya P
rad
esh
Oris
sa
Raja
sth
an
Utt
arakh
an
d
Utt
ar P
rad
esh
Aru
nach
al
Prad
esh
Meg
hala
ya
Nag
ala
nd
To
tal
Du
rati
on
of
Train
ing
Pla
ce o
f T
rain
ing
Train
ing
Mo
du
les &
Teach
ing
Aid
s A
vail
ab
le
Train
ers
Fo
rm
of
Mo
nit
orin
g a
nd
Ach
ievin
g T
arg
ets
Avail
ab
le
Disaster Management 200 200Management Training 200 200Accountancy Training 600 600Gender Sensitization 100 100Programme Management 240 240Integ Service Delivery (TOT)
100100
Accountancy Training TOT 30 30
240 100 630 500 1470ENT Training 3 3
Cardiology/ENT/Ortho./ NeuroTraining Skills 400 400
403 403AYUSHHMIS 4384 4384Life Saving Skills
4384Waste Management TOTWaste Management Training 3550 3550
3550New Technology for Healthcare
SENIORS HEALTHCARE PROVIDERS 25 25
Training on PPP in Health Sector
STATE LEVEL OFFICIALS
25 25Public Health Management/ Hospital Good Practisers
STATE & DISTRICT LEVEL OFFICIALS
220 220Hospital Management Training
HOSPITAL MANAGER
35 35Family Life Education
School Prinicples100 100
Foundation Training
Health Education Officers 200 200
Skill Upgradation TOT
ANMTC Tutors
Training Load (Other Programme)
NAME OF THE TRAINING/ ACTIVITY
STATES
MO's
CATEGORIES
HOSPITAL STAFF
SPECIALIST
ANM
Data has been taken from the information received from the state (it is present in the state ROP as batch size
SUB- TOTAL
SUB- TOTAL
SUB- TOTAL
SUB- TOTAL
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Data has been taken from the information received from the state (Information is not given in state ROP).
As
sa
m
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
de
sh
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g
an
d
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
Accountancy Training
BLOCK LEVEL ACCOUNTANTS 95 95
Accountancy Training
DISTRICT LEVEL ACCOUNTANTS 13 13
Accountancy Training 4 4Programe Management 90 90NRHM Programe Management
LHV/ANM7155 7155
Management Training
CDMO/DY.CDMO213 213
Management Training
BPMU/MO206
Batches206
batches
NRHM Management Training
DISTRICT ADMINISTRATIVE OFFICERS/ DIST.
HEALTH EDUCATION OFFICERS 75 75
HMISDISTRICT LEVEL
USERS 108 108
HMISBLOCK LEVEL
USERS 447 447
HMISBELOW BLOCK LEVEL USERS 9670 9670
Name Based Tracking System
DISTRICT LEVEL USERS
135 135Name Based Tracking System
BLOCK LEVEL USERS
447 447
Name Based Tracking System
ANM/ASHA/ ASHA FACILITATORS/ LHV/BEE/PHC
ACCOUNTANTS 41348 41348
Training Load (Other Programme)
NAME OF THE TRAINING/ ACTIVITY
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
CATEGORIES
STATES
SPMU/DPMU
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
As
sam
Bih
ar
Ch
ha
ttis
ga
rh
Jh
ark
ha
nd
Ma
dh
ya
Pra
de
sh
Ori
ss
a
Ra
jas
tha
n
Utt
ara
kh
an
d
Utt
ar
Pra
de
sh
Aru
na
ch
al
Pra
des
h
Me
gh
ala
ya
Na
ga
lan
d
To
tal
Du
rati
on
of
Tra
inin
g
Pla
ce
of
Tra
inin
g
Tra
inin
g M
od
ule
s &
Te
ac
hin
g A
ids
Av
ail
ab
le
Tra
ine
rs
Fo
rm o
f M
on
ito
rin
g a
nd
Ac
hie
vin
g T
arg
ets
Av
ail
ab
le
MIS Format
STATISTICAL OFFICER/
INVESTIGATOR CUM COMPUTOR
550 550MIS FormatMFP
ProMIS DISTRICT DRUG
STORE MANAGER/ DEO/MO
100 100Computer Training
BEE/LHV/ COMPUTOR 150 150
BCCDPHN/DHV/ ANM
TUTORS150 150
BCC DPMU 1000 1000
IEC/BCC/IPCMO/CDPO/LS
LHV/NGO 150 150IEC/BCC/IPC AWW/ANM 3500 3500Administration/ Finance
CDMO/CS100 100 200
Logistics Management
STORE KEEPERS/PHARMACISTS 660 660
Training on Medicine Preparation
COMPOUNDERS
Orientation on Referral Transport
MO/ACMO/DIO72 72
Others TrainingCIVIL SURGEON/
DPM2
Batches2
BatchesTOTAL 52885 8306 100 1385 108 15829 4 86551
Training Load (Other Programme)
NAME OF THE TRAINING/ ACTIVITY
CATEGORIES
STATES
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
BPMU
COLOURS -- denotes
GREEN - Data has been taken from the information received from the state (it is present in the state ROP as batch size)
RED - Data has been taken from the information received from the state (Information is not given in state ROP).
ORANGE - Data has not been provided but the budget is reflected in ROP
YELLOWISH GREEN - Actual training Load will be higher as some
states have mentioned only batches for few of the trainings.
S.No.Category of Participants MO S/N ANM LHV
MPW (M)
MPHS (M) LTs. Pharmacist Specialist SPMU DPMU
1 Assam 26 8 8 6 2 3 5 1 32 Bihar 17 4 7 4 2 1 5 23 Chhattisgarh 19 7 6 6 2 1 6 1 24 Jharkhand 30 7 19 11 3 3 7 2 65 Madhya Pradesh 21 9 5 4 2 2 6 1 26 Orissa 22 9 6 3 3 1 3 1 1 2 27 Rajasthan 22 7 4 4 3 1 6 2 2 1 18 Uttarakhand 17 9 7 3 3 2 4 2 49 Uttar Pradesh 24 11 7 9 6 4 4 2 13 110 Arunachal Pradesh 23 4 8 2 5 3 5 2 211 Meghalaya 20 5 6 3 3 3 5 212 Nagaland 18 4 6 3 4 2 2 1 1 1 1
Maximum 30 11 19 11 6 4 7 2 13 2 2Minimum 17 4 5 2 2 1 2 1 1 1 1
State wise Total Number of Training (Category wise)
S.No. Name of State District Hospital
Blood Bank
FRUs CHCs PHCs Sub-Center
1 Assam #22 25 38 103 844 4592
2 Bihar 25 24 22 70 1641 8858
3 Chhattisgarh NA 13 NA 136 721 4741
4 Jharkhand #24 20 22 194 330 3958
5 Madhya Pradesh 46 28 NA 270 1149 8834
6 Orissa #32 14 NA 231 1279 6688
7 Rajasthan 33 14 365 349 1503 10742
8 Uttarakhand #18 7 10 55 239 1765
9 Uttar Pradesh 71# 48 NA 515 3690 20521
10 Arunachal Pradesh 13 NA 52 44 116 592
11 Meghalaya 6 2 NA 26 103 401
12 Nagaland 11 1 27 21 86 397
TOTAL 301 196 536 2014 11701 72089
State wise Total Number of Health Facilities
•Source: Rural Health Statistics 2008 #Information taken from MOHFW website
Number of Health Facilities of other DepartmentsS.No. Name of State Railway
s Hospital
ESI Hospitals/ Dispensaries
Armed Forces Central Police Forces P & T Hospitals
Hospitals
Dispensaries
Army Air Force
Navy ITBP CRPF BSF CISF Assam Rifles
1 Assam 7 2 28 0 1 0 2 4 0 0 1 Dispensary
+ 41 Hospital
4
2 Bihar 6 NA 24 3 0 0 0 2 0 0 0 43 Chhattisgarh 3 3 12 0 0 0 0 0 0 2 0 1
4 Jharkhand 2 3 13 1 0 0 0 3 0 1 0 2
5 Madhya Pradesh
5 7 44 6 1 0 2 5 1 2 0 5
6 Orissa 3 6 50 0 0 0 0 1 0 1 0 37 Rajasthan 9 5 65 5 0 0 0 2 0 3 0 5
8 Uttarakhand 7 3 0 0 8 1 0 0 0 1
9 Uttar Pradesh 18 16 116 11 3 0 2 6 0 1 0 10
10 Arunachal Pradesh
NA NA NA 0 0 0 4 0 0 0 0 NA
11 Meghalaya NA NA NA 1 0 0 0 0 0 0 1 Dispensary + 1 Clinics
1
12 Nagaland NA NA NA 0 0 0 0 0 0 0 1 Hospital 0
S.No.
Name of State Medical College
SIHFW
RHFWTC ANM Schoo
l
GNM School
Nursing College CGHS
B.Sc. M.Sc. P.B.B.Sc.
Dispensaries
Empanelled Hospital
1 Assam 3 1 1 9 17 6 3 3 3 5
2 Bihar 6(G)+3(P) 1 3 27 9 0 0 0 1 9
3 Chhattisgarh 2(G)+1 (P) 1 1 10 11 32 11 8 NA NA
4 Jharkhand 3 0 1 16 16 3 0 1 1 4
5 Madhya Pradesh 5 (G)+3(P) 1 3 76 67 84 20 28 5 28
6 Orissa 3(G)+1(P) 1 2 53 39 14 4 3 NA 4
7 Rajasthan # 6 (G)+2(P)
1 2 11 155 102 5 32 6 24
8 Uttarakhand # 2(G)+1(P) 0 2 6 6 5 2 1 1 4
9 Uttar Pradesh 9(G) + 9(P) 1 11 27 116 25 4 6 30 85
10 Arunachal Pradesh
0 0 0 2 2 0 0 0 NA NA
11 Meghalaya 1 0 1 2 7 1 0 0 1 NA
12 Nagaland 0 0 0 1 1 0 0 0 NA NA
TOTAL 60 7 21 240 446 272 49 82 48 163
State wise Teaching/Training Institutions including CGHS
•Source: Rural Health Statistics 2008• #Information taken from MOHFW website
1. Some states (Uttarakhand for some Disease Control Programme) Assam, Haryana, Madhya Pradesh etc. (for RCH) have started giving the Comprehensive Training Plan for planning training at least in some programmes.
2. States like Maharashtra and Orissa have started integration of training for a few categories - Orissa for Lab technicians across both Health & FW and Maharashtra for MO within RCH programme components in 09-10.
3. Tamil Nadu has proposed assessment of skill also in each trainee (using OSCE) at the beginning of the course and focus on training for whatever knowledge or skill the trainee lacks.
4. Haryana, J & K, Assam, Meghalaya and a few other states have proposed to integrate the trainings in 10-11.
Major findings of the review
4. The ROP reflects only those trainings where there is financial commitment from GOI to the state. This abstract does not include Training of master trainers, PDC etc. as these are done by institutions with funding directly from GOI and not from state PIP.
5. The abstract includes training proposed by states but perhaps not approved in ROP. There are certain trainings for which the funds have been approved but do not meet technical norms.(e.g IMNCI for MO and SBA for MO)
6. The budget has been reduced in the ROP for certain trainings but there has been no proportionate reduction in training load.
7. Many of the functional facilities are not being utilized for training at all or optimally.
1. Prepared the curricula and other details for each category for the integrated training strategy,
2. Incorporated integrated training strategy for training of all state level programme officers, SIHFW faculty, PMU personnel as well as medical college faculty.
3. Most trainees have understood the importance of such strategy as well as the advantages.
4. But the health systems in the state are yet to internalise it as is evident from the training planned in the PIPs.
NIHFW over the last seven years has
ISSUES &
CHALLENGES
1. After decades of vertical training, transition to integrated training is difficult and states are taking time to adapt to it. Even under the same programme eg. RCH vertical training occurs even when trainers and trainees are the same eg. Immunization Training done every year.
2. Each category of personnel has a number of training programmes for different aspects of service delivery.
3. Some people go repeatedly for training while others do not get any opportunity for training.
ISSUES
Category of Participants
Range of trg prog in ROP 2010-11
MO 17 to 30
S/N 4 to 11
ANM 5 to 19
LHV 2 to 11
MPW (M) 2 to 6
MPHS (M) 1 to 4
DPMU 1 to 2
SPMU 1 to 2
LTs. 2 to 7
Specialist 1 to 13
Pharmacist 1 to 2
Category of participants and
No. of trainings available
4. Training Plans are not based on need of the district/state for skilled human resource; Adhocism prevails.
5. Lack of prioritisation eg selection and training of personnel from those centres where facilities and case load exist so that they can become functional.
6. No clear cut plan for developing all the categories of staff for training at defined intervals.
7. Training is theory based rather than skill and programme oriented.
8. Lack of uniformity in duration, emphasis and methodology of training.
Issues (contd)
9. Non functional District training Centres/Teams (DTCs), ANMTCs etc
10. Existing trainers may not be equipped with necessary skills to impart the training.
11. In EAG states, where there are large number of untrained personnel and trainers are few, the states feel they cannot complete training; backlogs keep growing and programme implementation suffers.
12. No linkage between training institutions, trainer and trainee and no follow up.
Issues (contd)
9. Lack of follow up after any training regarding putting to use the new skills.
10. There is no planned supervision as an aspect of continued education.
11. State ownership of SIHFWs?
12. No appropriate linkage between NIHFW, SIHFWs and HFWTCs & other training institutions.
13.Hospitals not providing services as per norms.
Issues (contd)
Challenges
• Human Resource Planning at the national and state level.
• Plan for appropriate pre service training so that we get personnel suited to the job- this requires reorientation of medical and paramedical education
• Proper induction training at all levels. The new incumbents to be sent for induction before placement.
Challenges (cont)
• A training plan which takes into account the various categories and some system of time bound training
• Proper utilization of the trained manpower
• Finally- not to forget the private/NGO sector which provides much of the health care- we should partner with them in capacity building too.
• New initiatives of exposing the private sector to national health problems, policies, programmes and contribution they can make is a priority area to be given due consideration.
SUGGESTED SOLUTIONS
1. State & district need to prepare training plan based on National Training Strategy
– Skilled manpower required for No. of facilities & type of services to be provided
– No. of institutions required for imparting training.
2. To identity training institutions and trainers
– Identify all available hospitals/institutions in all sectors i.e. govt., PSUs, railways, ESI, Armed Forces, NGOs & pvt. sector with adequate case load
– Ensuring that personnel in these institutions are trained and are providing services as per GOI norms and they have necessary equipments and consumables.
3. Institutions:
• Each state to have its own apex training institutions linked, on one hand, to NIHFW, and, on the other, to the other training institutions in the state is essential.
• Each institute should be supported by appropriate subject experts with adequate field experience; co-opting local medical college faculty would benefit a lot.
• Training institutions should have infrastructure support like library, hostel, computers, communication, AV aids etc.
• SIHFW/state institutes should also be capable of undertaking training courses in organizational development/Change, leadership skills etc.
4. Coordination between MoHFW (training division), Program divisions, NHSRC and NIHFW for planning, implementation and monitoring, and resource material development.
5. Resource pool of trainers in different areas (including NGOs Experts, Retired Govt. Personnel interested in training, Experts from Corporate Sectors, Universities etc.).
6. Integration of training as far as possible.
• Reduces time needed to train personnel – each category of worker learns skills for all tasks to be performed
• The primary and secondary care workers will learn about all the H&FW programmes and may learn to look at the multiple problems people have and learn to provide all needed care to the person/community,
• Ever-present problem of retraining of physicians when they get shifted to different levels, or between programmes eg. from RCH to malaria or malaria to TB will not be there.
Horizontal integration at each level
7. Desk Monitoring:
Training information system - Collection, Compilation and analyze of monthly training performance reports submitted by States & providing feed back to States for any deficiency or lacunae for improvement.
State wise monthly/quarterly/annual performance reports on training
Quarterly and annual report would indicate number trained, how many of these trained came from institutions where that services was not being provided and how many institutions have been made functional with the services by using these trained personnel.
Analyses and providing feedback to MoH&FW every month.
8. Field Monitoring:
Developing monitoring tools for quality of training for various categories of health personnel.
NIHFW, SIHFW & office of the regional Director would undertake monitoring visits to (minimum of 5%):
- assess hospitals and training institutions
- assess content and quality of training
9. In order to enable routine monitoring GoI may incorporate progress in training in MIS; MIS should not only give numbers trained but also number of facilities where services have been made functional using such trained personnel.
10.Creation of GIS for available trainers in public and private sector for sharing resources and geographic coverage with training. Filling in the geographical gap based on the above exercise.
11.Supervision & monitoring of the trainings conducted by States/districts by the central teams on the lines of NRHM
12.Training Module for all health personnel need to be standardized including:
– Core clinical content
– Other required knowledge (Management, Finance, Gender, etc.)
– Opportunities to practise the skills during training.
Summary• There is a need for comprehensive & rational
training plan• Trainings to be conducted as per requirement &
based on specific facility/district plan • Once the training plan is developed :
• Identification of training sites/ centres• Visit by programme officials • Accreditation of training centres & trainers • Send list of such accreted institutions to the state/centre• Prepare schedule of posting of trainees & posting them after training • Timely release of trainees by the states
• Prepare Plan for Monitoring of training including budget.
• Monitor the quality of training during the training
• Follow up visit
• Submit the report by facility/districts wise
Training should be the priority for achieving the
NRHM goals