Central Training Plan 2010-11

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

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Aru

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ch

al

Pra

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sh

Me

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To

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Tra

inin

g

Pla

ce

of

Tra

inin

g

Tra

inin

g M

od

ule

s &

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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


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



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



CATEGORIES

STATES




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



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


CATEGORIES

STATES

SN/ANM/LHV

ANM/LHV





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




FBNC 18 18 YES YESNSU 400 400 YES YESNSSK

722 722 2 days



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


Training Load (Child Health)

MO's

STATES

CATEGORIES


S.N.



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




SNCU 24 24PAEDIATRICS 3 3

SUB- TOTAL 48 37 3 88IMNCI

50 45 95 8 days



Deptt. YESNSSK 354 354 YES YES

SUB- TOTAL 354 50 45 449IMNCI

ANM

52 70 120 242 8 days



Deptt. YESSNCU LT 6 6IMNCI

AWW

70 80 150 8 days



Deptt. YESFIMNCI ANM/GNM 30 30SNCU X-RAY

TECHNICIAN 6 6IMNCI

CDPO

39 39 8 days



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


LHV

SPECIALIST

CATEGORIES

STATESTraining Load (Child Health)





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



NSU TRG 576 192 768Sick New Born Care

160 96 120 376 4 days

SCNUs/ District Hospital YES


F-IMNCI 96 72 183 351 11 days




F-IMNCI TOT 15 15NSSK

1290100

Batches 3750150

Batches 5040 2 days



Other CH Trg. 1924 1924

IMNCI 10032 3840 13872 8 days



Child Health Training

IYCF195

Batches195

batches YES

IMNCI

LHV/ OTHER SUPERVISOR

984500

Batches 984 8 days



IMNCI

ANM/LHV/ ASHA

1580 Batches 8 days



IMNCI SN/ANM 1440 1440 YES YES

IMNCIANM/LHV/LS

7200 9600 16800 8 days



IMNCI Supervisory

480 480 2 days


Hospital YesAvailable. TOT done Yes

IMNCI

936 936 8 days



IMNCI

ANM/AWW/ HE/LHV

14136 14136 8 days





CATEGORIES

MO/SN

ANM/LHV/MO


ANM/AWW



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

A

va

ila

ble

FOLLOW-UP IMNCI 1392 1392 2 days


Hospital YesAvailable. TOT done Yes

IMNCI 552 552 8 days



IMNCI MO/ PARA MEDICAL/ SOCIAL

WELFARE PERSONNEL 384 384 YES YES

FIMNCI & SNCU MO/ANM/SN336 336 4 days

SCNUs/ District Hospital 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



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


HE/LHV





ANM/LHV/AWW/

SAHAIYYA


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


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


gist YESSUB- TOTAL 150 435 50 410 100 183 150 40 1518

MO's

NAME OF THE

TRAINING/ ACTIVITY

SN

Specialist

CATEGORIES


Training Load (Family Planning)STATES




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)


NAME OF THE

TRAINING/ ACTIVITY

CATEGORIES

STATES

ANM




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)


SURGEON/SN

NAME OF THE

TRAINING/ ACTIVITY

STATES



CATEGORIES



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


TB/HIV292 30 322 1 day

District TBCenter 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





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


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





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





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


RNTCP 800 800 1 dayDistrict TBCenter Yes


RNTCP Retraining 400 400 1 day

District TBCenter 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)



CATEGORIES




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)


STATES

MO's

CATEGORIES

HOSPITAL STAFF

SPECIALIST

ANM


SUB- TOTAL

SUB- TOTAL

SUB- TOTAL

SUB- TOTAL




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




CATEGORIES

STATES

SPMU/DPMU





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



CATEGORIES

STATES





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

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Central Training Plan 2010-11

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