Training & Supervision of Various Categories of Health Workers

Qualitative services - community depends upon - health functionaries - in turn would mainly depend upon their education and training. Department of Family Welfare had recognized the crucial role of training of health personnel in providing effective and efficient health care to the community

 The pre-service and in-service training for different categories of health personnel are imparted through the following schemes/activities:

I. Basic Training of Auxiliary Nurse Midwife (ANM)/ Multipurpose Health Worker / Lady Health Visitor( LHV)

ANM Multipurpose Health Worker (Female) and LHV/Health Assistant (Female) play vital role in MCH + Family Welfare Service in the rural areas. proper training - quality services

 336 ANM/Multipurpose Health Worker (Female) schools admission capacity of approximately 13,000 42 promotional training schools for LHV/ Health Assistant (Female) admission capacity of 2600 Department of Family Welfare, Government of India.

 to prepare required number of ANMs and LHVs to man the SC, PHC, Rural Family Welfare Centres other Health centres

 The duration -ANM - one and half years minimum qualification -10th pass.

Senior ANM with 5 years of experience is given 6 months promotional training to become LHV/ Health Assistant (Female).

 Health Assistant (Female)/LHV - supportive supervision and technical guidance to the ANMs in sub-centres.

 The staffing pattern -according to the no. of annual admission capacity of the trainees.

40 admission -1 nursing officer, 2 sister tutors, 4 PHN and other supportive staff.

salary to staff stipend to trainee, contingency and rent

Norm (In Rupees) 1. Salary & allowances of staff As per State Government 2. Stipend for trainees 500/- per month/trainee 3. Contingency 10,000/- per annum / school 4. Rent* 60,000/- per annum /school Item

II.

BASIC TRAINING OF MULTIPURPOSE HEALTH WORKER (MALE)

approved during 6th Five-Year Plan 1984 - 100% Centrally Sponsored Scheme. 56 training centres Health & Family Welfare Training Centres and basic training schools Training 1-year duration on successful completion - posted at the subcentre along with an ANM/Health Worker (Female).

The main functions

in the areas of National Health Programmes Malaria, Leprosy, T.B. & limited involvement in U.I.P, Diarrhoea Control Program and in family welfare services.

 The financial norms - salary of the staff, rent for school and hostel, stipend, educational aids and training material, hiring for bus
Item 1. Salary & allowances 2. Rent(for new schools) 3. Rent for hostel (for new schools) 4. Stipend 5. Educational Aids and Training Material 6. Transportation (for hiring bus) 7. Contingency Norm As per State Government 10,000/ month 250 / month / trainee 300 / month / trainee 15,000 / annum 30,000 / annum 50,000 / annum

III. Maintenance & Strengthening of Health & Family Welfare Training Centres (HFWTC)

Director of FW, GOI provide primarily short-term in-service training programmes to the doctors, nurses and para-medical personnel in the rural areas

 At present these training centres are imparting various in-service training for RCH programme. Apart from in-service education, 19 centres also responsible for conducting the basic training of Male Health Workers course of one year.

The training centres have multi-disciplinary staff biomedicine, social services, health education, public health nursing and statistics.

 salary - staff of the training centres + other assistance - contingency, rent for training centres and payment to guest faculty.
Item 1. Salary & allowances of the staff 2. Contingency 3. Rent* 4. Payment to Guest Faculty Revised norms As per State Government 15,000 / annum 40,000 / annum 50,000 / annum

IV. STRENGTHENING OF BASIC TRAINING SCHOOLS

new scheme - introduced - 10th Plan period. strengthening basic training schools of ANM/LHV. The main objective - physical strengthening

V. Reproductive and Child Health Training Programme NIHFW, GOI, 1997 - National Nodal Agency for training under the RCH Programme

organizing and monitoring the RCH training activities - 18 Collaborating Training Institutions (CTIs) in various parts of the country.

The major activities of NIHFW are:

Development of training material and guidelines Training of Trainers. Coordination of training activities. Monitoring of training activities-physical and financial and disbursement of funds.

Types of training activities being conducted under the RCH Programme

Integrated Skill Development Training (IST) Specialized Clinical Skill Training (SST) Specialized Management Training : Specialized Communication Training Immunization Strengthening Project

Integrated Skill Development Training (IST) for different categories - MO (PHC), ANM, LHV, HW (M), HA (M) and Staff Nurse at district levels in all States and UTs. to upgrade the clinical, managerial and communication skills of the peripheral health functionaries to enable them to provide good quality of RCH services.

Specialized Clinical Skill Training (SST)

of MOs in Minilap sterilization and MTP & team of Gynecologist/Surgeons, Staff Nurse and OT Technician for Laparoscopic sterilization and ANM for IUCD insertion are continuing in all the States. to provide good quality of services for prevention and management of unwanted pregnancy.

Specialized Management Training : to enhance the skill of programme managers at district level for effective and better management of the RCH activities. conducted by 7 institutions including NIHFW, IIM Kolkata, IIM Lucknow for State and District level officers.

Specialized Communication Training :

to enhance the communication skills among the IEC officials, the District Media & Education Officers (DMEOs) and the Block Extension Educator (BEEs), Through communication training institutions

Immunization Strengthening Project : training of District Immunization Officers to strengthen Routine Immunization Services. conducted by 5 selected institutes on regional basis for the entire country.

VI. Gandhigram Institute of Rural Health and Family Welfare Trust (GIRHFWT) :
1964 financial support - Ford Foundation, GOI and Govt of Tamilnadu. trains Health and Health related functionaries working in PHC, Corporations / Municipalities, Tamil Nadu Integrated Nutrition Projects.

 The type of training programmes includes Diploma of Health Education of 1 year short courses on orientation training, skill training on different Health & Family Welfare issues for various categories of health personnel e

 upgrading the capabilities of ANMs, staff nurses and students of nursing colleges through the Regional Health Teachers Training Institute (RHTTI). The RHTTI also conducts Diploma in Nursing Education & Administration course.

VII.

Rural Health Training Centre, Najafgarh, New Delhi

1937 assistance - Rockfeller Foundation and There are 3 PHCs under RHTC, Najafgarh. rendering various services to the rural community.

 Training: RHTC is a training centre for the Community Health /Rural Health Training. This Centre is imparting training to nearly 2,500 trainees every year which includes:

 Medical interns Nursing students of 1st and 3rd year of GNM School of Delhi - Approximately, 1200 such students are trained every year. ANM 10+2 (Voc) Trainings related to Rural Health ,Food and Nutrition, Health Economics and Anganwadi Worker etc. Health Education

 Health Care Services OPD, Emergency, MCH, Mobile Team, PP Unit, Malaria, TB Survey:

Other Activities: health camps and other specialist services with the association of Safdarjung Hospital,

Supervision

Examining the work - employed at sub centers and PHCs

Ensuring and certifying their attendance at sub centre. Looking their job charts and roles. Personal guidance and advice

Educational function
Arranging for continuing nursing education in service education. Arranging training for local dais(TBAs).

Observation of records
At PHC Sub centre. Examining the reporting system

Supervision of field work

Observing the home visits of FHW/ANMs and FHA/LHVs.

Observation of techniques of Home visits.

Supervising the nursing services and giving guidance for Home visit.

Personnel Evaluation
Comparing job chart and actual work done Evaluating the achievement of workers Preparing the check list for evaluation Sending reports and recommendations regarding achievements or failures of HWs