Training activities under RCH II (Revised)For Medical Officer & Paramedical Staff various types of hands of training has been arranged in the State to improvise their skill and technical knowledge. Due to improvisa tion in various skills will get available to community at PHC & sub centre level.
The various key training are as below :- 1. Skilled Attendance at Birth Training Skilled attendance at Birth training will be imparted to -
ANM of PHC HQ as well as subcentres regular & on contract
LHV of PHCs Regular & on contract
Staff Nurses PHC on contract
Staff Nurses RH
Venue - PHC/RH/SDH/DH/Women Hosp. or Accredited Private or NGO Hosp. with more than 50 deliveries per month.
The duration of the training was 15 days. As per GOI instructions it has been increased to 21 days since April 2009
Skilled Attendance at Birth Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained UptoOctober 2011
Trained Since inception
%
10151
4901
1046
844
5745
57
2. Basic Emergency Obstetric Care Training
Basic Emergency Obstetric Care Training is being imparted to -
Medical Offices of 24 X 7 days PHCs ( for 2009-10 ELA will be 50% of the total no of PHCs )
Medical Officers of all RH & SDH
Venue - DH/Women Hosp. or Accredited Private or NGO Hosp. with more than 50 deliveries per month.
The duration of the training was 15 days. As per GOI instructions it has been increased to 21 days since April 2009.
SAB/BEmOC Trg. Is conducted at 67 Trg. sites. Every month one batch is being conducted at District Hospital and Women Hospital alternatively of BEmOC followed by SBA
Basic Emergency Obstetric Care Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load
11-12
Trained Upto Oct. 2011
Trained Since inception
%
4472
3227
924
554
3781
79
3. Comprehensive Emergency Obstetric Care Training
CEmOC training is to be given to MBBS Medical officers having more than 5 years of service so that with the Emergency Obstetric care FRU/SDH will be made functional.
MOs from RH/SDH
Venue & duration – 6 weeks at Sevagram Wardha /BJ Med College Pune /GMC Aurangabad & followed by 10 weeks at designated district hospitals. (BJ Med College Pune /GMC Aurangabad will start functioning from July 2009 onwards. Presently only MGIMS Sevagram is operational.
The duration of the training is 16 weeks.
Comprehensive Emergency Obstetric Care Training Performance of Trained Upto October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained upto Oct. 2011
Trained Since inception
%
182
88
48
15
103
57
4. Life Saving Skills in Anesthesia (LSAS)As per GOI guidelines 18 weeks certificate course for M.B.B.S. Medical Officers who have completed 5 years services. It is being conducted at selected 9 medical colleges.
MOs from RH/SDH
A batch of 4 doctors will be sent to each Medical College.
Venue – 12 weeks training will be given at Medical Collage and 6 weeks at District Hospitals. The centers are: - KEM Hospital & G.S. Medical College Mumbai, LTMG Sion Mumbai, Dr. D.Y.Patil Medical College Nerul Navi mumbai, PDMC Amaravati, GMC Nanded, IGMC Nagpur, GMC Dhule, GMC Miraj, MGIMS, Sevagram, Vardha.
Life Saving Skills in Anesthesia Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto June 2011
Trained Since inception
%
210
141
52
7
148
70
5. CAC (MTP/MVA) IPAS, an International Organization has extended its support in providing Comprehensive Abortion Care. Manual Vacuum Aspiration (MVA), Medical Abortion has been included in the syllabus of this training.
MOs from PHC/ R.H./SDH (MBBS)
Venue – Selected Govt. /Corpo./ NGO Hospitals & all Dist./Women Hosp.
The duration of the training is 4 weeks . If there is adequate case load the duration may be curtailed to 3 weeks.
CAC (MTP/MVA) Training Performance of October2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
1876
1124
312
131
1255
67
6. Integrated Management of Neonatal Childhood Illness
Integrated Management of Neonatal Childhood Illness is the centerpiece of the Newborn and Child Health Strategy in RCH Phase -II. It includes the home and community based component (through ANM and AWWs) and the facility based out patient care component, Management of Sick Neonates and Children in the inpatient setting at PHC/ R.H./ FRUs. Health system strengthening and community participation components have been addressed effectively to ensure effective implementation.
IMNCI initiatives is being implemented in State as a major step towards reduction of Infant Morbidity and IMR in selected 9 districts in Phase I. These districts were Osmanabad, Latur, Chandrapur, Nanded, & Nandurbar,Thane, Nashik, Amravati, Gadchiroli. In Phase II Raigad, Beed, Ahemadnagar, Jalgaon, Dhule, Bhandara, Akola, Washim, Pune, Gondia, Yavatmal. Nagpur, Wardha. Districts. Dist Buldhana were included. During 2007-08 14 more districts were added. TOT was supported by UNICEF from 2006-07 onwards till today. TOT for SR. officers is being conducted at Kalavati Saran Children Hospital, Moulana Azad Medical College, New Delhi. At present IMNCI is being introduced in all the 33 districts. Training is imparted to-
Physicians
MOs from PHC/ Disp
MOs from RH/SDH
HW & AW
ANM / LHV / Staff Nurse (SC/PHC regular as well as on contract)
MPW/HA (Male)
AWW/Mukhya Sevika
Venue – DTT & Dist. Hosp.
HFWTC & Dist. Hosp.
The duration of the training – Basic Trg. : 8 days for MOs/ AW & HW & in batch of 24 trainee. Supervisory Trg. 3 days for Supervisors -HA (M & F) / MS. Facilitator Trg. for 2 days for trained DTT faculty.
IMNCI Training Performance of Trained Upto October2011
Category of Trainee
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
HW & AW
106369
64151
22665
10456
74607
70
Supervisory
8711
4434
1231
461
4762
55
7. Tubectomy / Minilap
As per GoI guidelines Tubectomy training is to be given to MBBS Medical Officers
MOs from PHC/ R.H./SDH (MBBS)
Venue – Selected Govt. /Corpo./ NGO Hospitals & all Dist./Women Hosp.
The duration of the training is 42 days.
Tubectomy / Minilap Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
2195
1221
279
101
1133
60
8. NSV NSV training is imparted during the 5 days operative camp. 2-4 Surgeons are trained in one training session
MOs from PHC/ R.H./SDH
(MBBS with atleast 5 years experience)
Venue – Continuous 5 days operative camp at one or different locations (PHC/RH/SDH/DH)
NSV Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
1725
813
121
6
819
47
9. Laparoscopy
Gynecologist & General Surgeons are to be trained .
MOs (MD/DGO/MS) from DH/RH/SDH & Women Hosp.
Venue – Selected Govt. /Corpo./ NGO Hospitals eg. Sasoon Hospital, Pune, YCM Hospital, Pimpari Chinchwad, Shri Sali Hospital, Manchar, Dist. Pune, Women Hospital – Jalna, District Hospital – Alibag, Govt. Medical College, Dhule
The duration of the training is 12 days. (No second phase training.)
Laparoscopy Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load
11-12
Trained Upto
October 2011
Trained Since inception
%
273
112
35
20
132
48
10. Cu-T
Cama and albless Hospital Mumbai as nodal Training Centre on IUD Insertion for ANMs /LHVs with ZOE Model. This skill based training will be imparted to -
ANM / LHV/Staff Nurses from SC/PHC regular as well as on contract.
Venue DH/Women Hosp. or Accredited Private or NGO Hosp. The duration of the training is 21 days. Training is being imparted with the ZOE model & also as hands on .
IUD Training Performance of October 2011
Category ofTrainee
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained upto Oct. 2011
Trained Since inception
%
Paramedical
14575
4943
2172
1443
6386
44
MO
4270
1417
772
404
1821
43
11. Routine Immunisations
a) Conducted for 2 days for all health workers i.e. ANMs/LHVs/ MPWs/ HAs including contractual ANMS/SNs. TOT is supported by UNICEF.
b) Recently Trg. for MOs on RI has been initiated by GOI with support from UNICEF 7 WHO. During April 2009 we have completed 2 batches of TOT for HFWTC faculties & MO DTTs (duration of trg. 3 days) at HFWTC Pune and PHI Nagpur MOs trg. will start as soon as trg. modules are made available.
Venue – All DTTs /HFWTCs.
The duration of the training is of 3 days.
RI Training Performance of Octoeber 2011
Category of Trainee
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
Paramedical
40343
37627
3608
918
38545
96
MO
5924
2953
2198
1007
3960
67
12. IYCF (Infant &Young Child Feeding )
Infant and young child nutrition training which mainly focuses on importance of early exclusive & extended breast feeding practices in lactating mothers. This training is supported by BPNI & Unicef. All 33 districts are covered in this training in 4 different phases. 1/3 districts have been covered in 3 phases. About 5 to 6 districts are covered in all 4 phases. The training consists of advocacy, training of Pediatricians, MOs, LHVs, ANMs, AWWs & lactating mothers. Last phase of the training is assessment of AWW in knowledge and practices of breast feeding.
IYCF (ANM/LHV/AWW) Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
TrainedUpto Oct. 2011
Trained Since inception
%
56264
23331
11089
3290
26643
47
13. RTI / STI training of laboratory technician & Medical Officers,Staff Nurse, ANMs / LHVs Though this topic was covered under NACP (Family Health Awareness Campaigns ), under IPD Project and STI/RTI sub-project in Nasik district, the approach during the training was syndromic management There has been a considerable period after this training were orgsanised, hence it is necessary to train all MOs and paramedicals under RTI/STI. Further this is an important component of Adolescent Health and as a preventive measure against HIV/AIDS. It is necessary to impart this training to all medical officers and paramedicals in the state. State has started RTI / STI training as per GOI norms during 2010-11.
laboratory technician Priority will be given to train all 24 x 7 PHC & Lab technicians from RH/SDH and newly appointed Lab technicians. Training duration will be 6 days at district hospitals.
Medical Officers Priority will be given to train all MOs from all 24 x 7 PHC & FRUs .Duration of training will be 3 days at HFWTC. During the 2010-11 it is proposed to train selected 640 Staff nurses from District Hospital and also from FRUs will be trained for 2 days at Nursing schools. During the year 2011-12 it is proposed to train 4960 ANMs / LHVs from 24 x 7 PHCs and SCs. Duration of training will be 2 days at DTT.
As universal safety measure and to protect stake holders, MOs & field staff working at PHCs and SCs need to be sensitized on Infection Management and Environment Protection with special focus on Hospital Waste Management. It is proposed to complete this training for all medical officers working at PHCs and Rural Hospitals.
It is proposed to train all paramedicals including ANM,LHV,MPW(M) HA(m) Supervisors etc. This number is 30000. The proposed training period is one day. The training will be conducted at DTT, Block level and RH level for 1 day.
IMEP (PM) Training Performance of October 2011
Total Training Load
Trained Upto 31.03.11
Training Load 11-12
Trained Upto Oct. 2011
Trained Since inception
%
22587
16155
4816
252
16407
73
15. Navjaat Shishu Surksha Karykram (NSSK)
The Government of India keeping this in mind has developed a program on " Basic Newborn Care and Resuscitation " which would address these causes in a large way .
With more and more deliveries occurring at health care institution as a result of the Janani Suraksha Yaojna, it becomes important that the large number of health professionals attending to births, are trained in the simple procedure of resuscitation and basic new born care details of these are.
Preparation for Birth
Care of Baby at Birth
Resuscitation of the newborn baby
Prevention of Infection / Hand wash
Thermal protection / Hypothermia Management
Feeding of normal and low birth weight babies
Transport of neonates / preparation
Training period – 2 days
No. Of Trainees – 32
Training Venue – HFWTC for MOs, DTT for Nurses
Trained Personnel – OBGY & 2 Pediatricians from each districts & all MODDtTs & Labour Room Staff Nurse from each district
Trainers to trainees Ratio -1:8
Mode of Training – Through Mannequin, Demos, Video clips & Training Modules – Classroom
The NSSK training is a specialized training to address interventions of care at birth i.e. prevention of Hypothermia, Prevention of Infection early initiation of Breast feeding & Neonatal Resuscitation
Newborn care and resuscitation is an important starting point for any neonatal program and is required to ensure the best possible start in life. This training is being introduced to arrest the high neonatal mortality in the States.
