rmnch+a services- skill assessment workshops conducted...
TRANSCRIPT
RMNCH+A SERVICES- SKILL ASSESSMENT WORKSHOPS CONDUCTED AT KSIHFW,
THIRUVANANTHAPURAM WITH THE SUPPORT OF NRHM STATE OFFICE, KERALA.
REPORT
INTRODUCTION.
Competence encompasses knowledge, skill, abilities and traits. And it is a major determinant of provider
performance and quality of healthcare outcomes. Competency is gained in healthcare profession
through pre service education, in-service training, and work experience. Conventional educational and
training practices has been focusing more on knowledge aspects and thus leaving a huge gap between
the knowledge and skill of the students and trainees. The data released by MOHF&W on IMR and
service data from HMIS also indicate that although services are being provided as per the
numbers indicated in the HMIS but the same is not translated into proportionate decrease in
outcome indicators like IMR, MMR, etc. The recommendations of expert group such as CRM &
the JRM teams also recommend that the skills during ANC, INC & PNC and also for ENBC,
resuscitation, IUCD, needs improvement. It was in order to address these issues that GoI has
suggested a need based competency enhancement of nursing staff across the country with the
objective of strengthening their competency levels and thus improve their knowledge and skills.
In understanding the importance of competency enhancement of the its healthcare providers,
Department of Health and Family Welfare has taken urgent step in streamlining the plan of
action. A state level planning meeting was conducted on 15 December 2013, at Conference Hall,
KSIHFW in order to lay down the roadmap for this. The meeting was attended by Dr. P.K
Jameela, DHS, Dr. K.V. Beena, SPM, RCH, Dr. R Ramesh, Principal KSIHFW and other state
level officials concerned with training and Development. Dr. P.K Jameela, Director Health Services
addressed the group and stressed the importance of providing quality of RMNCH+A Services at each
and every delivery points. For this skill assessment and competency development of service providers
especially nurses is an important strategy. Dr. Beena K.V, SPM, RCH presented in detail about the
concept of Skills Lab Training. Dr. Ramesh, Principal, KSIHFW presented the details on setting up of a
Skills Lab. Smt. Sobhana M.G, Senior Consultant, SHSRC presented the operational guidelines for skill
assessment of nurses for strengthening competency of Health care providers on RMNCH+A services.
The major decisions of the meeting are as follows.
Setting up of proposed skill lab at KSIHFW attached to W&C Hospital Thycaud,
Thiruvananthapuram.
Principal KSIHFW is designated as the state level nodal officer for setting up of skill lab,
coordinate the TOT for district level skill assessment and RMNCH+A skill lab training.
Skill assessment of all nurses working in delivery points across the state to be assessed in
a time bound manner during January to April 2014.
Four to Five TOT to be conducted in January 2014 for developing the district skill
assessment team
The composition of the district team and the time schedule for the TOTs identified.
The Skill Assessment team shall consists of
RCHO-1
DPM-1
Gynaecologist -1,
Paediatrician 1
JAMO-1
MO preferably trained in NSSK/ IMNCI-1
DNO-1
Tutors from Nursing College/School- 2
Staff Nurse with PG in OBG-2
Following the TOT the team has to conduct the skill assessment of the nurses from
delivery points. Time line for the activities also detailed in the annexure.
Based on the skill assessment the nurses will be given competency based training
RMNCH+A for six days as per Govt of India guidelines.
Decisions also taken to ensure the placement of trained Staff Nurses in the RMNCH+A
service delivery areas and not to shift them for two years after training
Skill assessment of those ANMs who are working in delivery points of high focussed
districts eg. Tribal hospital also to be done. It will be done in the second phase.
The state focus person will be SPM (RCH) and Principal KSIHFW.
Planning of District Level Orientation of Assessment Team.
Being the state nodal officer of Setting Up of Skills Lab and Orientation training of District Level
Assessment Team, The Principal KSIHFW has convened a planning meeting at the Principals Chamber.
The other participants of the meeting were Dr. Sanal Kumar. J.G, Assistant Director, KSIHFW, Smt.
Shobhana. M.G, Dy Director Nursing (Senior Consultant, Nursing, SHSRC), Smt. Jona.V. Consultant R.O
CTI, Mr. Bitty Thomas, Consultant R.O CTI, and Mr. Shafeek, J, Technical Assistant, CTI. The meeting
finalised the dates and schedule of the two day orientation Programme. Dr. Sanal Kumar and Smt.
Chandralatha were asked to coordinate the training and Smt. Jona, Mr. Bitty and Mr. Shafeek were
asked to assist them in conducting the training.
The Schedule of the programme and Resource Persons
Orientation of District Level Assessment Team for strengthening the competency
based training ofHealth Care Providers in RMNCH+A Service
Programme Schedule
DAY- 1 Conference Hall, KSIHFW, Thiruvananthapuram.
Time Session Resource Person
09.30 AM to 10.00
AM
Registration
10.00 AM to 11.00
AM
Inauguration Dr.K. Ellangovan IAS
Secretary, Health and Family
Welfare
Govt. of Kerala
Objectives of the workshop Dr.M. Beena IAS
State Mission Director, NRHM,
Kerala
Key note Address Dr. P. K Jameela
Director of Health Services
11.00 AM to 11.15 AM- Tea Break
11.15 AM to 12.00
PM
Overview of Govt. of India road map for
strengthening RMNCH Services
Dr. N Sreedhar
Addl. DHS (FW), DHS, Kerala
12.00 PM to 01.00
PM
Introduction to Competency-based Training
and OSCE method of evaluation
Prof. R. Latha
Registrar, Nursing Council
01.00 PM to 02.00 PM- Lunch Break
02.00 PM to 02.45
PM
Concept of Skills Lab Dr. K. V Beena
State Programme Manager(RCH),
NRHM, Kerala
02.45 PM to 03.45
PM
Demonstration on Key RMNCH services:-
Ante Natal Care
Dr.Renuka
Consultant, W&C Hospital, Thycaud
03.45 PM to 04.00 PM- Tea Break
04.00 PM to05.00
PM
Demonstration on Key RMNCH services:-
Intra Natal Care
Dr. Lisa
Consultant, W&C Hospital Thycaud
DAY- II
Five batches of orientation workshop for District Assessment Team was conducted as scheduled
below.
Sl. No. Dates of Training Participating Districts
1 16/01/2014-17/01/2014 Thiruvananthapuram, Kollam pathanamthitta
2 24/01/2014-25/01/2014 Wayanad, Kasaragod , Kannur
3 31/01/2014- 1/02/2014 Kozhikkod, malappuram, Palakkad
4 04/02/2014-05/02/2014 Kottayam, Idukki, Eranakulam
5 18/02/2014-19/02/2014 Alappuzha, Thrissur
Time Session Resource Person
09.00 AM to 09.30
AM
Demonstration of Haemoglobin Estimation by
using sahli’s haemoglobin meter
Smt. Sarojam, DLT, DMO(H)
09.30 AM to 10.45
AM
Demonstration on Key RMNCH services:-
New born care
Dr.Bennet Xylem
Consultant Paediatrician
GH Neyyattinkkara
10.45 AM to 11.00 AM- Tea Break
11.00 AM to 12.00
PM
Demonstration on Key RMNCH services:-
Family Planning
Dr.Jayalal Mohan
Consultant, Training
NRHM, Kerala
12.00 PM to 01.00
PM
Demonstration on Key RMNCH services:-
Infection Control
Dr. Amar S. Fettle
State Nodal Officer
ARSH, NRHM
01.00 PM to 02.00 PM- Lunch Break
02.00 PM to 04.00
PM
Operational Guidelines for Knowledge and Skills
Assessment and group work
Smt. Sobhana M.G
Dy. Director (Ng)
Directorate of Health Services
04.00 PM Valedictory Function
Batch- I
1. Swarga Rani. B, Head Nurse, Govt. Victoria Hospital, Kollam
2. Geethika. K, Staff Nurse, Govt. Victoria Hospital, Kollam
3. Bindu. M. Pillai, Staff Nurse, W & C Hospital, Thycaud, Thiruvananthapuram
4. Sangeetha. S, Staff Nurse, W & C Hospital, Thycaud, Thiruvananthapuram
5. Dr. SangeethSivankutty, Assistant Surgeon, RRMTH, Nedumgolam, Kollam
6. Dr. Anju Mary Varghese, Assistant Surgeon, CHC Elanthoor, Pathanamthitta District
7. Khadeeja. V.R, DNO i/c, DMO(H), Kollam
8. Dr. Bindu Earnest, JAMO, DMO(H), Kollam
9. Dr. Shabeer, Pediatrician, Govt. Victoria Hospital, Kollam
10. Asitha. T.Cleetus, Nursing Tutor, Govt. School of Nursing,Elanthoor, Pathanamthitta
11. Mrs. LijiBeegam. A, Nursing Tutor, Govt. School of Nursing,Elanthoor, Pathanamthitta
12. P.R. Sugathakumari, District Nursing Officer Thiruvananthapuram
13. Dr. Deepa. R.Nair, Consultant O&G, DMH, Peroorkada, Thiruvananthapuram
14. Dr. Sailaja.M, Junior Consultant, OBG, W&C Hospital, Thycaud, Thiruvananthapuram.
15. Dr. P.N. Vidyadharan, District ProgrammeManager, NRHM Pathanamthitta
16. Dr. Ajitha. V, RCH Officer, DMOH, Pathanamthitta
17. Dr. Manjulabhai. N.S, JAMO, DMO(H), Thiruvananthapuram
18. Dr. Premlal. S, RCH OfficerDMO(H)Thiruvananthapuram
19. Dr. Manoj. M.R, Consultant Pediatrician, W &C Hospital, Thycaud, Thiruvananthapuram
20. Dr. Subhagan, District ProgrammeManager, Kollam
21. Dr. ReebaSara Mathew, Jr. Consultant ( O&G) General Hospital Adoor, Pathanamthitta
22. Dr. Meera. P, Jr. Consultant Pediatrician, GH Adoor
23. K. Ushakumari, Principal, School of Nursing, Kollam
24. S. Usha Devi, Principal, Govt. of School of Nursing for SC/ST, Ashramam, Kollam
25. Dr. Kavitha M.K, Consultant O&G, Govt. Victoria Hospital, Kollam
26. Dr. Thomas Alphonse, JAMO, DMO(H), Pathanamthitta
27. Dr. Sheeja A.L, RCH Officer, DMO(H), Kollam.
Batch- II
1. Dr. Jothi P.M, Junior Administrative Medical Officer, DMO(H), Kannur
2. Dr. Mini K. Unni, Jr. Medical Consultant, DH Kanhangad, Kasargode
3. Dr. SunithaNandan ,Supdt. DH Kanhangad, Kasargode
4. Dr. Unni. B, Junior Consultant, Pediatrician, DH Kannur
5. Dr. Cynthia A.K, Junior Consultant, DH Kannur
6. Smt. N. Vasumathi, District Nursing Officer , DMO(H), Kannur
7. Smt. Anitha P.P, Principal, Govt. School of Nursing, Kannur
8. Smt. Sobha P.A, Nursing Supdt. DH Mananthavadi
9. Smt. Hazel Sujatha, Nursing Supdt. Grade I, DH Kanhangad, Kasargode
10. Smt. Divya K.P, Staff Nurse, DH Kanangad, Kasargode
11. Smt. Thresia E.M, Principal, Govt. School of Nursing, Kanhangad, Kasargode
12. Smt. Shamna K.M, Nursing Tutor, Govt. School of Nursing, Kannur
13. Smt. Aniamma Abraham, Staff Nurse, District Hospital, Kannur
14. Dr. Sreena S, Asst. Surgeon, PHC Cheeral, Wayanad
15. Smt. Aashly K.A, Govt. School of Nursing, Wayanad
16. Smt. Umakumari. R, Nursing Tutor, Govt. School of Nursing, Wayanad
17. Dr. Ramesh Kumar. T, Junior Consultant, Gynecology, GH Kalpetta, Wayanad
18. Ms. Rajeswary. U, Staff Nurse, GH Kasargode
19. Smt. Thresiamma E.C, DPHN, DMO(H), Kanhangad, Kasargode District
20. Sri. Thomas K.J, Principal, JPHN Training School Kasargode
21. Dr. GeethaGurudas, Junior Administrative Medical Officer, DMO(H), Kasargode
22. Dr. MuhammedAsheel, District Programme Manager, NRHM, Kasargode
23. Dr. Thufail V.B, Asst. Surgeon, W&C Mangattuparamba, Kannur
Batch- III
1. Dr. Bindhu. S. Kumar, Gynecologist, Govt. W & C Hospital, Palakkad
2. Smt. Pushpaja. K. V, Staff Nurse, Govt. G.H, Kozhikode
3. Dr. NazeeraKozhithodi, Jr. Consultant OB&G, DH, Perinthalmanna, Malappuram
4. Mr. T. Kesavan, DNO, DMO ( H), Kozhikode
5. Dr. Rajasree. K.S, Jr. Consultant ( OB&G), Govt. G.H, Kozhikode
6. Dr. Akhilesh Kumar, Asst. Surgeon, CHC Thiruvangoor, Kozhikode
7. Mr. K.Srinivasan, Principal i/c, Govt School of Nursing, Manjery, Malppuram
8. Dr. Ravi.K.V, Jr. Consultant, Pediatrician, W&C Hospital, Kozhikode
9. Dr. Habeeb. A, Jr. Consultant, Pediatrician, GH Manjery, Malappuram
10. Dr. AjiAyroor Thomas, Asst. Surgeon, W&C hospital, Palakkad
11. Dr. Renuka. R, Dy. DMO (H) (RCH i/c), Malappuram
12. Dr. Shibulal. A, Medical Officer, CHC Puzhakkattiri, Malappuram
13. Mrs. Assa Deep. T.S, Nursing Tutor, Govt. School of Nursing, Palakkad
14. Smt. Shyma. P, Nursing Tutor, Govt. School of Nursing, Palakkad
15. Smt. C. Jayalakshmi, DNO i/c, DMO (H), Palakkad
16. Smt. Jiji George, Staff Nurse, GH Manjery, Malappuram
17. Smt. Hemambika. K.K, Staff Nurse Grade I, GH, Manjery, Malappuram
18. Smt. Jayalakshmi.N, Nursing Tutor, Govt. School of Nursing, Kozhikode
19. Ms. Molly Thomas, Nursing Tutor, Govt. School of Nursing, Kozhikode
20. Smt. Remabai. K, Staff Nurse, W&C Hospital, Kozhikode
21. Smt. SunithaKoopilakkal, Nursing Tutor, Govt. School of Nursing, Manjery, Malappuram
22. Mr. Durairaj, Social Science Instructor, HFWTC, Kozhikode
23. Smt. Devaki. M.K, DPHN, DMO (H), Malappuram
Batch- IV
1. Dr. Jijo Varghese, Assistant Surgeon , District Hospital, Idukki
2. Dr. Kala. K, Junior Consultant O&G, District Hospital, Kottayam
3. Dr. R. Santhakumari, RCH Officer, DMO(H), Ernakulam
4. Minimol. M.S, Nursing Supdt. Grade II, District Hospital, Idukki
5. Renjini Devi T.S, Staff Nurse, General Hospital, Changanasserry
6. Deepa E.C, Staff Nurse, General Hospital, Changanasserry
7. Sinimol Joseph, Nursing Tutor, Govt. School of Nursing Idukki
8. Sasikala T.K, Nursing Tutor, Govt. School of Nursing, Idukki
9. Jincymol Mathew, Staff Nurse, District Hospital Idukki
10. Sinimol Augustine, Staff Nurse, THQH Nedumkandam, Idukki
11. Dr. Laly P. Abraham, Consultant Pediatrics, District Hospital, Kottayam
12. K. Vijayamma, DNO i/c, DMO(H), Kottayam
13. Dr. D Balachandar, Consultant Pediatrics, General Hospital, Changanasserry, Kottayam
14. Dr. Asha K John, Junior Administrative Medical Officer, DMO(H), Idukki
15. Dr. Lal Antony. K, Asst. Surgeon, DMO(H), Kottayam
16. Dr. Premod P.S, Junior Consultant O&G, Thodupuzha
17. P.D Sali, Staff Nurse Thaluk Head Quarter Hospital, Thrippunithura, Ernakulam District
18. Dr. RinuAnaz, Consultant Gynecologist, THQH Adimali, Idukki
19. Rubi Joseph, MCH Officer, DMO(H), Ernakulam
20. Dr. Minu Mathew, Junior Administrative Medical Officer, DMO(H), Ernakulam
21. Lailamani M.V, Principal, Govt. School of Nursing, Ernakulam
22. Usha M.V, Nursing Tutor, Govt. School of Nursing, Ernakulam
23. Preetha. S, Staff Nurse, General Hospital, Ernakulam
24. Dr. Lalithambal. R, Pediatrician, GH Ernakulam
25. Dr. Pauly K.A, Gynecologist, GH Ernakulam
26. Dr. N Nizar, District Programme Manager, Kottayam.
Batch- V
1. Dr. Rani. S.J, Junior Consultant ( O&G), W & C Hospital Alappuzha 2. Smt. BinduScaria, Staff Nurse, W & C Hospital Palakkad 3. Smt. Geetha .M, Staff Nurse, W & C Hospital Palakkad 4. Smt. Anila Ramesh, Nursing Tutor, Govt. School of Nursing, Thiruvananthapuram 5. Smt. Aswathy. K, Nursing Tutor, Govt. School of Nursing Thiruvananthapuram 6. Dr. Ajithkumar. S.L, JAMO, DMO (H), Kozhikode 7. Dr. Jayasree. P.K, RCH Officer, DMO(H), Palakkad 8. Dr. Ashadevi, RCH Officer, DMO (H) Kozhikode 9. Dr. Safia. M, Pediatrician, THQH Adimaly 10. Dr. MuralidharaNallaraya. A, RCH Officer, DMO (H), Kasargod 11. Dr. Jayasing .K.G, Consultant Pediatrician, THQH Chalakkudy, Thrissur 12. Dr. P.P. Ramesh Kumar, Consultant O &G, DH, Thrissur 13. Dr. Rekha. T.R, Deputy Superintendent, Govt. Mental Health Center Thrissur 14. Smt. Sathyabhama. C.K, MCH Officer, DMO (H), Thrissur 15. Dr. Anand. P.M, Asst. Surgeon, PHC Krishnapuram, Alappuzha 16. Smt. P. M. Sulekhabi, Grade -I Nursing Supdt., DMO (H), Thrissur 17. Smt. P.N. Omana, Principal, Govt. School of Nursing, Thrissur 18. Smt. Shagi.P.I, Nursing Tutor, Govt. School of Nursing, Thrissur 19. Smt. Omana. T. D, Nursing Tutor, Govt. School of Nursing, Thrissur 20. Dr. Unnikrishanan. K, RCH Officer, DMO (H) Thrissur 21. Smt. Bessy. P.A, Staff Nurse, DH Thrissur 22. Smt. Raziya. E.K, Staff Nurse, DH, Thrissur 23. Smt. Lillykutty. C.J, Nursing Supdt, DH Mananthavady 24. Smt. Lisamma Joseph, Govt. School of Nursing, Kottayam 25. Dr. N. Rajendran, Principal, H&FWTC, Kozhikkode 26. Sri. Vijayan. K, Faculty, H&FWTC, Kozhikode 27. Dr. Vidya. PV, RCH Officer, DMO (H) Alappuzha 28. Smt. G. VasanthakumaryAmma, DNO, DMO (H), Alappuzha 29. Dr. Anil Vincent, Junior Consultant , Pediatrics THQH Thuravoor, Alappuzha 30. Dr. N. Sajeera, JAMO, DMO (H), Alappuzha 31. Dr. Suraj. V. V, Pediatrician, THQH Bathery, Wayanad 32. Dr. Dahar Mohammad V.P, Medical Officer, CHC Panamaram, Wayanad 33. Smt. Pravitha Wilson, Staff Nurse Grade II, Govt. Mental Health Center, Thrissur 34. Dr. Amrish. T.T, Pediatrician, W & C Hospital, Palackad 35. Dr. Manoj. L, District Prgramme Manager, National Health Mission, Alappuzha 36. Dr. Sreehari. M, District Programme Manager, National Health Mission, Palakkad 37. Dr. Bijoy. E, District Programme Manager, National Health Mission, Wayanad 38. Smt. LathaSukumaran, Nursing Tutor, Govt. School of Nursing, Kottayam 39. Smt. Smitha. A.R, Staff Nurse, W& C Hospital, Alappuzha 40. Smt. Leelamma, A. N, Staff Nurse, G.H Alappuzha 41. Smt. Ligi. K.G, Nursing Tutor, Govt. School of Nursing, Alappuzha
42. Smt. Kanakamma. D, Principal, Govt. School of Nursing, Alappuzha 43. Dr. Santhosh. T, RCH Officer, DMO (H) Idukki 44. Dr. Baby. P.K, RCH Officer DMO (H), Kannur 45. Dr. T. S.Sidhardhan, District Programme Manager, National Health Mission, Kannur 46. Dr. V. Jithesh, RCH Officer,DMO(H), Wayanadu
The Conduct of the Training
The orientation of District Level Team for Assessment Team for strengthening the competency of Health
Care Providers in RMNCH+A Services was conducted at Conference Hall, KSIHFW between 16/10/2014-
19/02/2014. The first two days workshop was attended by participants from Thiruvananthapuram,
Kollam and Pathanamthitta. The Inaugural meeting began by the registration of participants at 9.30 AM
on 16/01/2014. The training was inaugurated by Dr. P.K Jameela, DHS, Kerala who in her inaugural
address stressed the importance of Competency based Training in Kerala scenario and urged the
participants to implement the programme with utmost enthusiasm. Dr. M. Beena IAS , State Mission
Director, NRHM explained the objectives of the workshop.
The five orientation programmes (2 days each) conducted from 16/01/2014 to 19/02/2014 were
attended by 145 participants from different districts. During the 2 days programme the district teams
have also prepared the tentative action plan for the competency assessment of staff nurses working in
delivery points of their concerned districts. The trainings were conducted according to the following
schedule.
The following are the Major Highlights of the Programme.
Interdisciplinary Team as participants
The team had mix of administrators and service providers.
National Level and State level trainers.
Distribution of resource materials based on national guidelines
Skill stations set up for Demonstration and practice of skills
Return demonstration by the participants.
Different training methodologies to sustain the interest of learners
State of art Training Hall and good training environment
Category wise list of participants
The follow up
Action Plan for District Level assessment
As the nodal office of the District Level Skill assessment of Nursing Personnel working in delivery points
The State Institute has requested action plan from the district for the skill assessment. And all the
districts have submitted their action plan. Many districts have already started their assessment.
The district level Action Plan for Skill Assessment.
District level Action plan for skill assessment of staff nurses working in delivary points
Sl
No
Name of
District
No of
Delivery
points
Number
of staff
Nurses
Number
of
Batches
to be
assessed
Assessment
venue Date of assessment
1 Kasargode 5 198 8
Govt Nursing School
Auditorium, Kanhangad
14.02.2014,21.02. 2014, 25.02.2014 ,28.02.2014 ,
7.03.2014,14.03.2014,21.03.2014,28.03.2014
2 Kannur 7 360 15
District
Hospital( Mini
Confrence
Hall & Tele
Medicine
Hall)
17/2/2014 to 20/2/2014 , 24/2/2014 to
26/2/2014 , 4/3/2014 to 7/3/2014 &
10/3/2014 to 12/3/2014
3 Kozhikode 10 473 10
Govt. School
of Nursing
Kozhikode
26.02.14, 28.02.14, 03.03.14, 04.03.14,
05.03.14, 10.03.14, 11.03.14, 12.03.14,
13.03.14, 14.03.14
4 Malappuram 11 350 14
Govt. Nursing
School,
Manjeri
26-02-14, 28-02-14, 01-03-14, 07-03-14,
11-03-14, 12-03-14, 13-03-14, 15-03-14,
18-03-14, 19-03-14, 20-03-14, 22-03-14,
25-03-14, 27-03-14
5 Thrissur 9 225 9
DH Thrissur
&Govt school
of Nursing
28/02 2014, 01-03-14, 03-03-14, 04-03-
14, 07-03-14, 11-03-14, 12-03-14, 13-03-
14, 17-03-14
6 Ernakulam 9 436 17
Govt. Nursing
School ,
Ernakulam
28.02.2014 to 20.03.2014
7 Alappuzha 6 300 12 W&C
Alappuzha
28-02-14, 01-03-14, 05-03-14, 06-03-14,
07-03-14, 10-03-14
8 Kottayam 5 300 12
NRHM
Conference
Hall,
Kottayam
26-02-14, 28-02-14, 03-03-14, 04-03-14,
05-03-14, 10-03-14, 12-03-14, 13-03-14,
15-03-14, 17-03-14
Monitoring of the Skill Assessment .
As a support for districts in skill assessment, state level observers are designated in order to monitor and
evaluate the implementation of the assessment. The principal suggested the state level monitors and it
is sent as a note to the DHS who will direct the person concerned to monitor the implementation of
assessment in their concerned Districts. The following are the state level monitors suggested by the
principal
Sl.No. Name of the Observer Allotted Districts
1 Dr. R. Ramesh , Principal, KSIHFW Kasaragod , Kannur
2 Dr. N.Rajendran, Principal, H&FWTC, Kozhikode Kozhikode, Malappuram
3 Dr. Sanil Kumar. J.G, Assistant Director, KSIHFW Palakkad , Thrissur
4 Dr. Jayalal Mohan, Consultant Training, NRHM Ernakulam, Pathanamthitta, Idukki.
5 Smt. Shobhana. M.G, (Dy. Director Nursing )Senior
Consultant Nursing , SHSRC Alappuzha, Kollam
9 Kollam 9 175 7
District
Training
Centre
,Kollam
20-02-14, 21-02-14, 28-02-14, 07-03-14,
11-03-14, 12-03-14, 13-03-14
10 Pathanamthitta 5 204 8
School of
Nursing,
Elanthoor
24.02.2014, 26.02.2014, 28.02.2014,
1.03.2014, 3.03.2014, 05.03.2014,
07.03.2014, 10.03.2014
11 Trivandrum 12 377 16
W&C
Hospital,
Thycaud
12/3/2014, 13/2014, 15/3/2014,
17/3/2014,
18/3/2014, 19/3/2014, 22/3/2014,
24/3/2014, 25/3/2014 REMAINING
BATCHES IN NEXT MONTH
12 Palakkad 8 277 11
IMA Hall
Palakkad &
School of
Nursing
Palakkad
25-02-2014, 26-02-2014, 28-02-2014, 01-
03-2014, 05-03-2014, 07-03-2014, 10-03-
2014, 11-03-2014, 12-03-2014, 13-03-
2014, 14-03-2014
13 Idukki 5 164 6
Conference
Hall, DMO
Office, Idukki
28/02/2014 to 14/03/2014
14 Wayanad 5 132 5
DH
Mananthavady 10-03-2014 to 28-03-2014
6 Sri. K.Vijayan, Senior HI, H&FWTC, Kozhikode Wayanadu
7 Smt. Chandralatha, Health Education Extension Officer,
KSIHFW Thiruvananthapuram, Kottayam
Data Collection and Planning of Competency Based Training.
The Summated scores of the knowledge and skill assessment is to be collected from districts and the
data must be analysed. Based on the analysis further trainings must be planned.
District Level Activities
As per the guidelines of Govt of India and guidance given to the district level teams at the state level
orientation workshops, district level was prepared and all the staff nurses working at delivery points
were invited for a skill assessment of 5 basic skills. Total numbers of 3043 staff nurses were assessed
and the assessment score of the each skill they underwent are detailed below.
Assessment Scores of Staff Nurses whose Knowledge/ Skill assessment was done at the
district level
SL
NO
Name of the District No of Staff
Nurses Assessed
SN with reasonable
Knowledge
( In Actual Figures)
SN with reasonable
Knowledge
( In Percentages)
1 Thiruvananthapuram
180
129 72
2 Kollam 133 79 59
3 Pathanamthitta
196
161 82
4 Alappuzha
300
206 69
5 Kottayam
282
197 70
6 Idukki
98
75 77
7 Eranakulam
400
316 79
8 Thrissur
210
127 60
9 Palakkad
216
141 65
10 Malappuram
311
223 72
11 Kozhickode
218
161 74
12 Wayanandu
62
48 77
13 Kannur
276
194 70
14 Kasaragod
161
116 72
Total 3043
Assessment of Staff Nurses for Basic Skills in RMNCH+A Services.
SL No Skill Station Staff Nurses
Assessed
Staff Nurses with
Reasonable Skill ( In
Actual Figures)
Staff Nurses with
Reasonable Skill ( In
Percentages)
1 Measuring of Blood
Pressure
2981 1956 66
2 Practice of Hand
washing
1984 1355 68
3 Breast Feeding Practices 278 75 27
4 Haemoglobin Testing 843 52 6
5 Plotting of Partograph 3043 287 9
6 Insertion of IUCD 3043 288 9
7 Newborn Resuscitation 3043 986 32
8 Introducing IV Cannula 62 58 94
Conclusion.
From the Skill Assessment of the staff nurses working in delivery points in all the
districts, it can be inferred that they require basic skills training for improving the quality of
RMNCH+A services. It is suggested to have full fledged skill based training to the staff nurses on
RMNCH+ A Services.