REPORT OF SIHFWs/CTIs
FOR
NRHM TRAINING
OCTOBER 2008
Contents
Page No
1. Executive Summary 3 - 5
2. State Health & Family Welfare Training Centre, Shimla 6 – 9
3. State institute of Health & Family Welfare, Mohali 10 – 13
4. State institute of Health & Family Welfare, Panchkula 14 - 17
5. State institute of Health & Family Welfare, Lucknow 18 - 22
6. State institute of Health & Family Welfare, Jaipur 23 - 26
7. State institute of Health & Family Welfare, Ahemdabad 27 - 31
8. State Institute Health Management & Communication, Gwalior 32 - 36
9. KEM Hospital Research Centre, Pune 37 - 40
10. State institute of Health & Family Welfare, Bangalore 41 - 44
11. Institute of Public Health, Poonamallee 45 - 48
12. State institute of Health & Family Welfare, Thycaud 49 - 52
13. Indian Institute of Health & Family Welfare, Hyderabad 53 - 57
14. State institute of Health & Family Welfare, Bhubaneswar 58 - 63
15. State institute of Health & Family Welfare, Patna 64 - 68
16. Institute of Health & Family Welfare, Kolkata 69 - 72
17. State institute of Health & Family Welfare, Guwahati 73 - 76
18. Child In Need Institute, Kolkata 77 - 80
19. State institute of Health & Family Welfare, Raipur 81 - 84
EXECUTIVE SUMMARY
NIHFW has been identified as the Nodal Agency for coordinating training under NRHM for the whole country. In order to enable NIHFW to carry out this huge task 18 Collaborating Training Institutions (CTIs) were to be identified to liaise with the State/UT allotted to them. The CTIs are either State Institute of Health or Family Welfare or reputed NGOs operating at state level. The list of such CTI and State/UTs allotted to them is given below:
Sl. No. / Name of the Collaborating Training Institution / State / UT1. / State Health & Family Welfare Training Centre, Shimla / Himachal Pradesh
2. / State Institute of Health & Family Welfare, Mohali / Punjab
3. / State Institute of Health & Family Welfare, Panchkula / Haryana
Jammu & Kashmir
Chandigarh
4. / State Institute of Health & Family Welfare, Lucknow / Uttar Pradesh
Uttrakhand
5. / State Institute of Health & Family Welfare, Jaipur / Rajasthan
6. / State Institute of Health & Family Welfare, Ahmedabad / Gujarat
Daman & Diu
7. / State Institute of Health & Management & Communication, Gwalior / Madhya Pradesh
8. / King Edward Memorial Hospital (KEM) Research Centre, Pune / Maharashtra
Goa
D & N Haveli
9. / State Institute of Health & Family Welfare, Bangalore / Karnataka
10. / Institute of Public Health, Poonamalee / Tamil Nadu
A & N Island
Pondicherry
11. / State Institute of Health & Family Welfare, Thycaud / Kerala
Lakshawdweep
12. / Indian Institute of Health & Family Welfare, Hyderabad / Andhra Pradesh
13. / State Institute of Health & Family Welfare, Bhubaneshwar / Orissa
14. / State Institute of Health & Family Welfare, Patna / Bihar
Jharkhand
15. / Institute of Health & Family Welfare, Kolkata / West Bengal
16. / State Institute of Health & Family Welfare Training Institute, Guwahati / Assam
17. / Child – In – Need Institute, Kolkata / Manipur
Meghalaya
Mizoram
Nagaland
Sikkim
Tripura
Arunachal Pradesh
18. / State Institute of Health & Family Welfare, Raipur / Chattisgarh
Both NIHFW and the CTI have clear cut terms of reference for carrying out the task of coordinating training.
NIHFW carried out a desk appraisal of the CTIs under NRHM training and the status of each of the CTIs is given in the succeeding pages.
A brief report of the observations is given below:
· All the State Institutes have excellent infrastructure facilities good building with classrooms with adequate audio-visual facilities, library and computer facilities, hostel with boarding and lodging and vehicles or mechanism for outsourcing of transport required.
· The manpower available in the various institutions, varies enormously both in terms of numbers and in terms of area of specialization; some CTIs have Obstetrician, Pediatrician and PSM specialists and hence are able to provide better technical resources for undertaking such tasks as adapting training material and module to meet state needs and also function as faculty resource during TOT courses.
· The institutions have been given eight posts of contractual staff, four consultants and four support staff. Many of the CTIs have not filled the positions in spite of repeated requests to do so. The problem of appointing such contractual post becomes very difficult if the CTI is entirely a government organization. Those CTIs which are autonomous bodies or NGOs have been able to fill contractual posts.
· Faculty of SIHFW/CTI have undergone Master Trainer Trainees conducted by NIHFW for SBA, ASHA, Integrated Service Training under NRHM, PMU, Contraceptive Update and Alternative Training Methodology for IUD as well as PDC. Whenever NIHFW undertakes any kind of orientation training course nominations are on priority requested from SIHFW/CTI.
Administrative Issues:
· NIHFW is represented in the governing body and other advisory committee of SIHFWs as well as selection committee for selection of Director SIHFW in many SIHFWs e.g. SIHFW, Raipur, SIHFW, Rajasthan and IIHFW, Hyderabad. However this is not a norm.
It is suggested that NIHFW should be represented in the governing body and various Advisory Committees of the SIHFWs. Director, NIHFW could even be a Chairman for some of these committees.
Strengths:
· All SIHFWs by and large have good infrastructure.
· Most SIHFWs/CTIs are located in the state capital or in the same city as the administrative headquarter of the State. This enables the SIHFW/CTI to obtain state Programme Officers as resource persons for their TOTs with ease.
· Most CTIs have experience of coordinating the training in their states for the last ten years.
· The visions and objectives of most of the CTIs includes education, training, research, evaluation and providing necessary technical/managerial support to all institutions e.g. IIHFW, Andhra Pradesh and SIHFW, Raipur.
Challenge:
· It is suggested that contractual posts be filled up at the earliest to enable the CTI to carry out its tasks in an effective manner. Constraints for ensuring continuous availability of specialist manpower need be overcome. It is essential that SIHFW/CTI have the required specialist manpower continuously available either in house or as guest faculty from Medical College.
· Most of the CTI are performing their role of assisting the state in identifying the training institutions and in preparation of CTP and Training Calendar. However the extent of coordination and liaison with State Government officials and NRHM Mission Directorate etc. varies tremendously. There are certain states e.g. Bihar, Gujarat, where currently the liaison is good. However in other States CTIs have very poor liaison with the State Government Health Department Officials especially officers looking after Disease Control Programmes. The challenge is to ensure continued good liaison of the CTI with the NRHM Mission Directorate and health dept so that they (CTI) can fulfill their mandate of ensuring trained manpower effectively.
Opportunity:
· The CTI should help the states in identifying training institutions specially district and sub-district health facilities with adequate case load from all sectors (state Govt, PSU, ESI, NGO, Private etc) so that pace of skill training can be enhanced without losing quality.
· SIHFW/CTI should help the state in preparing a state level data base of training institutions trainers including specialist service providers and trainees district-wise so that the state health authorities can take rational decisions on personnel deployment and provision of equipment and supplies to match the skills available.
· SIHFW/CTI should help the states in preparing the training component in PIP, CTP and Training Calendar such that all institutions are used for training, training is done in a synchronous manner and training completed in a defined time period.
· SIHFW/CTI should send monthly progress reports to NIHFW and GOI in a timely fashion.
· Liaison with State/District Mission Directorate, Programme Officer, SPMU, DPMU personnel need to be improved so that the CTI can perform a task of coordinating training under NRHM in an efficient and effective manner.
· SIHFW/CTIs need to undertake monitoring of Programme Performance especially in those areas where training has been undertaken in a synchronized manner to document improvement, if any, in service delivery/skills of service providers.
State Institute of Health & Family Welfare, Shimla, Himachal Pradesh
STATUS REPORT
(September, 2008)
State Health and Family Welfare Training Centre, Shimla
Name & Address
State Health and Family Welfare Training Centre, Parimahal, Shimla-171009.
Tele Fax
0177 – 2620226
Historical Background
This institute was established in 1976 and upgraded in 1979. This is a Government institute under the control of the principal.
Date of Appointment
It was appointed as the CTI w.e.f 1.6.1998. The appointment was renewed every year. National Institute of Health and Family, New Delhi has recognized this institution as collaborating institution for RCH training for the state.
Core Faculty and other Staff
The staff positioning is as follows:
S.No. / Name of Category / POSTSSanctioned / In
Position / Vacant
1 / Principal / 1 / 1 / -
2 / Epidemiologist / 1 / 1
3 / M.L.C.D. / 1 / 1 / -
4 / Communication Officer / 1 / - / 1
5 / Statistician / 1 / 1 / -
6 / Office Superintendent / 1 / 1 / -
7 / Health Education Instructor / 1 / 1
8 / Social Science Instructor / 1 / - / 1
9 / Public Health Nurse Instructor / 1 / 1 / -
10 / Health Education Extension Officer / 1 / - / 1
11 / Sr. Sanitarian / 1 / - / 1
12 / Sr. Health Inspector / 2 / - / 2
13 / Accountant/Store Keeper / 1 / 1 / -
14 / Jr. Assistant/Clerk Typist / 2 / 2 / -
15 / Computer / 1 / 1 / -
16 / Projectionist / 1 / - / 1
17 / Lab. Technician / 1 / - / 1
18 / Laboratory .Attendant / 1 / - / 1
19 / Artist-cum-Photographer / 1 / 1 / -
20 / Driver-cum- Mechanic / 3 / 3 / -
21 / Cleaner / 1 / 1 / -
22 / Peon/Mali/ Chowkidar / 8 / 8 / -
23 / Cook / 2 / 2 / -
TOTAL: / 35 / 25 / 10
Appointment of Consultants/ Support Staff
4 posts of Consultants and 4 posts of Support staff sanctioned to CTI under RCH programme. All posts of 4 Consultants and 3 support staff are lying vacant.
Training Infrastructure & Facilities
They have 2 Conference & 1 Lecture hall. Hostel Facility with dining facility is also available. They have 17 non A/C rooms without a attach Bathroom. They have 1 Tata Spacio, 1 Tata Siera, 1 Bus with 32 seating capacity. They also have 2 drivers. They also have 1 generators. They also have 11 Desktop, 4 printers and 1 Xerox machine.
Master trainer
They have Master trainers in SBA, IMNCI, SPMU and ASHA
Type of Training / No. of Persons TrainedNRHM / 6
ASHA / Book 1 / 39
Book No. 2,3,4
PMU / 3
SBA / 4
IUD 380-A / 2
Role in identification of training Institutions
SIHFW has assisted the State of Himachal Pradesh in identification of training institutions.
Role regarding training Materials
Adaptation, translation, printing & distribution of modules in Hindi.
Collection of Training Calendar and MPR
The training calendar for the year 08 -09 has been received but not date wise for the state. The monthly progress report is sent by the state not regularly.
Role of SIHFW in Developing PIP & CTP
SIHFW Shimla has helped in making the comprehensive training plan for HImachal. This plan incorporates all the training under RCH and other health programmes CTP has been incorporated in the PIP as well.
Training Experience
SIHFW Shimla has been conducting in-service training courses for health functionaries. They have sufficient experience in conducting training activities. Eg. Training in SBA/ IMNCI and ASHA.
Strength
o They have 2 conference halls, which can be used for training purposes..
o They have hostel room facility along with Mess facility in the hostel drinking water R.O facility available
o They are having good infrastructure, having 2 conference hall and 1 lecture hall.
o They have a good library ,which can be used for training purpose.
o They have 3 Vehicles.
o They have been Involved in RCH training from phase-1.
o They have Net facility and are networking with NIHFW.
o Good rapport has been established between NIHFW & SIHFW
Challenge
o Monitoring visit by SIHFW need to be conducted regularly. All the post of consultants are vacant and challenge is to fill up so that monitoring is done
o The rate of training under RCH is slow and it needs to be expedited as per the proficiency norms given by the state.
Opportunities
o SIHFW Shimla should continue to help Himachal Government to identify new training institute as well as help in monitoring of RCH Services as given in the state PIP.
o Assist the state in listing of training centres and health care service delivery institutions in all sectors (district-wise), the services provided in these and the case load.
o SIHFW can help to link with Medical colleges for providing technical guidance and referral support.
o Assist and Train the State/District Officers in collation of report for appropriateness of referral (both time and place) received from various districts/blocks and to identify lacunae in supplies, referral or training for appropriate correction.
o SIHFW can help to identify new institutes and accreditation of private institutes.
o Synchronization in training of all categories of ‘in –position’ health functionaries including programme managers is required. The CTI can assist the state to ensure synchronous training of all health personnel in block, district and state.
o SIHFW can help to develop data base of trainees and help in optimal utilization of the trained man power.