VVVVVOLOLOLOLOL.1 I.1 I.1 I.1 I.1 ISSUESSUESSUESSUESSUE 3 D 3 D 3 D 3 D 3 DECEMBERECEMBERECEMBERECEMBERECEMBER 2009 2009 2009 2009 2009

Quarterly Newsletter of Indian Nursing Council

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Supported by Global Fund for AIDS, Tuberclosis and Malaria (GFATM)

Andhra PradeshGCON, HyderabadGCON, VishakapatnamGCON, AnanthapurGCON, KurnoolSt. Joseph’s CON, NelloreGCON, KadappaVijay Marie CON, Hyderabad

Tamil NaduSt. Xavier, Catholic CON, NagercoilCON, CMC, VelloreSt. Isabelle, SON, ChennaiGCON, Madurai

CON, JIPMER,Pondicherry

KeralaGCON, TiruvananthapuramGCON, KozikhodeGCON, Kottayam

KarnatakaGKON, KIMS, HubliSt. Johns, CON, BangaloreMCON, ManipalGCON, BangaloreCON, NIMHANS,Bangalore

MaharashtraINE, MumbaiCON, AFMC, PuneCON, Belair, SataraHoly Spirit CON, MumbaiKasturba CON, Sevagram, WardhaSymbiosis CON, Pune

GujaratGCON, AhmedabadGCON, BarodaGNS, Rajkot

NINE, Chandigarh

DelhiRAK, CON, New DelhiCON, LHMC, New Delhi

CON, CMC,Ludhiana

Uttar PradeshCSSMU, SON, LucknowCON, BHU, VaranasiGCON, Kanpur

RajasthanGCON, JaipurSFRAN SON, Ajmer

West BengalWBGCON, SSKM, KolkataCON, MCH KolkataMa Sharada CON, Kolkata

CON, Berhampur,Orissa

Nazrath,Patna, Bihar

JharkhandCON, RIMS, RanchiHFSON, RanchiJJSON, Jamshedpur

ChhattisgarhPGCON, BhilaiGCON, Raipur

CON, Guwahati,Assam

GNMSON,Imphal, Manipur

SON, Naga HospitalAuthority, Kohima

CON, NEIGRIHMS,Shillong

CON, Aizwal,Mizoram

Madhya PradeshCON, IndoreRPHTTC, Ujjain

ContentsEditorial Board:

Mr. T. Dileep Kumar

Dr. Asha Sharma

Mrs. K.S. Bharati

Dr. Jayarani Premkumar

Dr. Kalpana Mandal

Dr. Swati Kambli

Dr. Mahasweta Bose

Dr. Nizara Das

Dr. S.N. Misra

Dr. Dilip VaswaniContent and Design:Shanta MisraCover:Map of India showing 55 NursingSchools/Colleges involved inGFATM Nurses Training project

Please submit your contributions/articles to INC Newsletter at:incindia.newsletter@gmail.com

Published by the Indian NursingCouncil, Combined CouncilsBuilding, Kotla Road, TempleLane, New Delhi 110002.

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GFATM Round 7

Training Update (December ‘09)

Activity Achievement

This Quarter Cumulative

Number of Institutions conducted trainings 47 47

Number of Master Trainers trained 0 90

Number of Trainers trained 57 462

Number of Nurses trained 8815 18035

The President’s Desk 3

GFATM Nurses Training Project- Achievements 4

In Conversation 6

Glimpses 7-8

Acupressure 9

Major Activities undertaken in the NationalART program 11

INC Guidelines for Teaching Faculty 14

INC Calendar of Events 2011-12 15

Nurses Speak 16

The President’s Desk

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Greetings to all,

This is the last quarter of the year 2009 and I take this opportunity tothank everyone for the commendable progress made under the GFATM-7 program. As given in this quarterly newsletter, 18,035 nurses havebeen trained by the end of December 2009, refurbishment plans of sixmore nursing institutions along with three others have been approvedthis quarter. Existing classrooms are being renovated to state of theart training halls, with the necessary teaching and training aids. Thisquarter, under the GFATM program, libraries of all 55 nursing institutionshave been provided with books and publications on HIV/AIDS and otherdiseases. Training workshops on M&E and MIS were conducted forthe west and south zone respectively. An update on such activities andachievements of this quarter has been given in this issue. Today,challenges faced by the nursing personnel is numerous, Dr. AshaSharma, Vice President of INC talks about them in Conversation. Underthe NACP III, NACO has taken important toward the implementation ofits ART program. We bring out several important steps taken under theNational ART Program.

Alternative or complementary therapy is gaining recognition overthe past few years, this issue brings you an article on Acupressure.Feedback and glimpses of the training program is always interestingas well as informative. Announcements of INC have been at the end, Ihope it will be useful for all, more information about them are given inthe INC website.

Wishing you the best for the year 2010,

Sincerely,

Mr. T. Dileep KumarPresident, Indian Nursing Council

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Ms. K. S. BharatiAsst. Secretary INC& Project Director,

The Nurses training within the GFATM projectcontinued its progress with an additional 8815 nursesbeing imparted this 5 day training on HIV/AIDS andART in this quarter. The total number of nurses trainedso far till December 2009 has been 18,035. Besides,two TOT (Training of Trainers) programs wereconducted, one each in SSKM, Kolkata and CMC,Vellore. An additional 57 nursing faculty from differentcolleges were trained as trainers.

Monitoring and Evaluation and ComputerizedManagement Information system

A two day Regional training workshop on M&E andMIS was conducted for the West and South ZoneInstitutions by the Futures Group. All Principals andother GFATM staff (Coordinators, Data entry operators(DEO) and finance staff of all west zone institutionswere invited to Mumbai and all aspects of the GFATMproject was discussed. Hands-on training was providedto DEOs and coordinators on data entry andmaintenance of the web-based MIS. Two more similartrainings were organized for South Zone institutionsin Chennai and Hyderabad. A revised “OperationsManual” and the financial guidelines were distributedto all participants. A database of all GFATM staff wasdeveloped and made available on the MIS website.

Mentoring PlanMentoring is a process for the informal

transmission of knowledge, social capital, and thepsychosocial support perceived by the recipient asrelevant to work, career, or professional development.Mentoring under the GFATM project is envisaged as afollow up and supplement to the 5 –day classroomtraining. A draft mentoring guideline and plan has been

developed by the Futures Group in consultation withNursing Experts from INC. A meeting of the StateNursing councils was organized in Delhi and the draftMentoring Plan was shared with the participants. Basedon their feedback the draft was further revised andafter additional feedback from all 55 institutions underthe project and other nursing experts, this plan will befinalized and ready for implementation towards the endof Phase 1 of the project.

The 5 SRs are being promoted as RegionalResource Centers. The mentoring plan will beimplemented under the responsibility of these Regionalcenters. A 2-3 day visit will be made by selected trainerswho will become the mentors for the region and willbe mentoring trained staff nurses from all tertiary,district and sub-district hospitals in their designateddistricts.

Baseline studyA major outcome of the nurses training is to improve

the prevention and treatment services provided in thevarious ART centers, PPTCT centers and the ICTCsacross the country. This indicator is required to bemeasured through a series of studies on the PLHAsatisfaction levels, starting with a baseline study.

A baseline study has been previously conductedby NACO on the satisfaction of PLHAs at the ARTcenter. However, this did not explicitly cover the roleand involvement of the nurses in these centers. In thisregard, the Futures Group conducted a baseline studyon the nurses’ knowledge and involvement in provision

GFATM Nurses Training Project - Achievements in this Quarter

North Zone M&E-MIS workshop by Futures Group,New Delhi

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of HIV/AIDS prevention, care and treatment services.The objective of this study was to understand theirknowledge and skills, related to the care of HIV/AIDSpatients, their attitudes and perception towards them,practice of using Universal Standard Precautions whiletaking care of HIV/AIDS patient, their training anddevelopment needs in order, for them, to be able toprovide the comprehensive care to the PLHAs. As apart of this study, 150 randomly selected nurses,working at medical colleges/tertiary and districthospitals/ART centers/PHCs at 10 category A districtsfrom the five zones, (identified by NACO, GOI), wereinterviewed with the help of semi structuredquestionnaires. Standard software has been used tofor data entry and processing and the data analysis isunder process.

Institutional Assessment and refurbishmentBased on submitted estimates for refurbishment of

the Nurse training institutes, the Challenge FundCommittee at INC, approved the refurbishment plans

for 6 more institutes in addition to the 3 alreadyapproved in the previous quarter. The refurbishmentincludes, renovation of existing classroom into a State-of-the-art training hall equipped with the latest audio-visual gadgets, renovation and refurbishment of limitedcapacity boarding facility for trainees and comfortableseating and furniture for conducting the 5 –day trainingprograms.

Library Books and Teaching aidsA select set of books and other publications on HIV/

AIDS prevention and treatment and other diseases forthe nursing professionals were printed and providedto all 55 nursing institutions within this project. Theseincluded latest treatment and prevention guidelines ofNACO, WHO publications and other relatedpublications of the Indian Nursing Council. Besides,teaching aids, such as wooden penis models forcondom demonstration, female reproductive organs,simulators etc. These aids have greatly facilitated andimproved the trainings.

PHOTO

State level Nursing officers & State Nursing Council Registrars meeting, 11th-12th November 2009, Delhi

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In Conversation

Dr. Asha Sharma obtained her degrees of B.Sc.(H) Nursing (1969); Master of Nursing, (1977); M.Phil(1989) and Ph.D (1997) from Rajkumari Amrit KaurCollege of Nursing, University of Delhi.

She has worked in different teaching posts for 38years in RAK College of Nursing since 1969 and retiredas Principal of RAK College of Nursing in 2007. Shehas taught under graduate, post graduate, M.Phil andPhD courses.

She has presented papers and published articlesat local, state, national and international forums. Shehas been sponsored on WHO fellowship to USA,Thailand and South Korea for WHO meetings and shortterm observation visit.

Presently, working as technical consultant for INCGFATM Project Round -7.

Dr. Sharma in conversation with Shanta Misra forthe INC Newsletter.

Q. Dr. Sharma, what are the challenges facedby the nursing profession today?

A. Numerous challenges are faced by the nursingprofession today. Some of them that require urgentattention of the regulatory bodies are:

(1) Delivery of quality nursing services in all healthcare settings in the existing inadequacies in workingconditions and available nursing manpower;

(2) Acquisition and practice of effectivecommunication skills to satisfy clients, families,community and health care team members in renderingnursing services;

(3) To overcome nursing manpower shortages bystrengthening and increasing admission capacity ofschools and colleges of nursing to improve nurse

population and nurse patient ratio, thereby improvingthe nursing services;

(4) Meeting nursing faculty shortages especially forpost graduate, doctorate and clinical specialtyprogrammes in training both general and specialistnurses,

(5) Inculcating sense of autonomy, accountabilityand responsibility amongst nursing personnel for thecare given and decisions made to improve public imageof nursing;

(6) Improving working conditions in various healthcare settings for providing better nursing care;

(7) Exercise the need for strict control andmonitoring of schools and colleges of nursing forregulating nursing education standards.

So far regulatory bodies i.e. INC and state nursingcouncils have concentrated only on regulating nursingeducation standards and licensure for nursing practice.But there is an urgent need to develop nursing practicestandards and thereby regulate nursing practice.

Q. Ma’am, who in your opinion is a “GoodNurse”?

A. A “Good Nurse” is an individual who is humane,intelligent, understanding, honest, knowledgeable,skilful, dependable, responsible, committed andaccountable for the nursing services she provides toindividuals, families and community in various healthcare settings within the professional ethical boundaries.

Q. The role of Indian Nursing Council today ismore important than ever ………

A. INC has been prescribing the nursing curriculafor various nursing education programmes to establishuniform standards of training for nurses. It monitorsschools and colleges of nursing through inspection toensure adequate physical Infrastructure and clinicalfacilities as per INC norms for quality nursingeducation.

But now INC as regulatory body has to take initiativeand steps to develop a Nursing Practice Act to regulatenursing practice to ensure delivery of quality nursing

Dr. Asha SharmaVice President of INC andPresident of Delhi NursingCouncil

7

services. It should also initiate and promote nursingresearch focusing on nursing education and practicestandards; nursing manpower planning and preparelive register of nursing personnel with the help of statenursing councils.

Q. What is the budget to outlay for nursing forthe year 2010? How will this help states those havefewer nursing institutions?

A. The budget outlay for nursing from the CentralGovernment of India is 2900 Crores for the 11th fiveyear plan for development of nursing. In this budgetoutlay, 132 ANM schools and 137 GNM schools willbe established, 20 state nursing councils and 20 statedirectorates of nursing cells will be strengthened, CEDworkshops will be organized, nursing schools will beupgraded into colleges of nursing, centres ofexcellence and four regional institutes of nursing will

be established. This would help states have moreschools and colleges of Nursing which have fewer innumber to train more nurses and thus improve nursingmanpower status.

Q. Finally, Dr. Sharma, your message for thenursing profession……

A.I think nurses must feel committed and assumeresponsibility and accountability for their work toimprove quality of nursing care, quality of nursingeducation and thus improve the image of nursing as adrop in the ocean makes a difference ultimately, nursesworking in schools/colleges of nursing and nursesworking in various health care settings must aim atcoordinating and collaborating their efforts & servicesto improve quality of nursing services as well as nursingeducation.

Thank you Dr. Sharma for talking to INC Newsletter.

Glimpses of GFATM Training

Indore

Ahmedabad

Mizoram

8

Glimpses of GFATM Training

Imphal Nellore (Training in refurbished classroom)

Ujjain Nagaland Nellore

Ajmer Lucknow

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call it magic. Your pain vanishes before you can lookfor a pain killer. You locate your pain and use jimmy tostimulate it.

What are the acupressure Points?Acupressure points are intervals

along a meridian (channel) that runsthrough the body. There are severalmeridians that map the human body.These meridians are similar to a river asthey all have a beginning and an end andcan converge with other meridians. Ameridian acts as a route connecting theorgans of the body.

It is believed that the human body ischarged by energy that has the ability to fuel the bodyin a self healing manner. The meridians act as anintercessor between the external and internal elementsof the body when one is out of balance disease andillness can occur. By stimulating the pressure pointsalong the meridian the body’s energy flow is pumpedthrough the organs and systems of the body to relievephysical ailments.

Pressure is applied on the specific acupressurepoints along the meridians to increase the along themeridians to increase the flow of energy. It is wise toconsider these acupressure points as valves. Whenthe external or internal environments have beendisturbed the valve (acupressure point) closespreventing a flow of energy by applying pressure to

the acupressurepoint the valveopens releasing theflow of energy to theorgans of the bodies.

Our body workson bio electricity. Theswitch board of theelectric currentflowing in our body islocated in the palmsand soles. In thesepoints one finds thenames of the organsand endocrineglands to which thisswitch points are

The greatest wonder in this cosmos is the humanbody. Our body is equipped with the best and the mostpowerful machines. Heart and lungs are nonstoppumping sets. Eyes are a wonderful camera-cumprojector. Ears are an astounding sound system.Stomach is a wonderful chemical laboratory. Nervesare miles of communication system. Brain is anunparallel computer with infinite capacity. The greatestthing about is the unbelievable coordination of all thesemachines.

In any good machine, provision is made whereby itautomatically stops, when it is mal-functioning andrestarts when you push its switch,(e.g. refrigerator andgeyser). It is not surprising that such provision is madein human body as well. It is true that the system of ourbody is very intricate, but to maintain it is very easy.Nature has provided in our body, an inbuilt mechanismto maintain these machines and to repair them ifnecessary. This science of health which makes use ofthese inbuilt mechanisms is popularly known asacupressure.

What isacupressure?

A c u p r e s s u r emeans the art oftreating diseases andany kind of pain byapplying pressure onspecific points in thebody with the help ofone’s thumb or(Jimmy) blunt objects.Acupressure is veryinteresting and resultoriented. Personssuffering from anytype of pain generally

Acupressure And Its Effectiveness

Mrs. Meena SonavaneMsc (Nsg) P G Diploma inEducation ManagementInstitute of Nursing Education,J.J. Hospital, Byculla, Mumbai

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connected. Pressure isto be applied on oraround all points onthe two palms andsoles only. This willsend the current to thecorresponding organsand activate them.Only intermittentpressure like pumpingis to be done on palms,soles and fingers.

How effective isAcupressure?

C o m p e t e n tinvestigation andstudies indicate thatwhen acupressurepoints are stimulated with pressure it triggers therelease of neuro chemicals and neurotransmitters.Neuro chemical-endorphins are released which is anatural painkiller. Neuro transmitters such asacetylcholine, serotonin, and endogenous opiate likesubstances can reduce pain and increase relaxation.As a result pain is blocked and the flow of blood andoxygen to the affected area is increased. This causesthe muscles and fibers to relax and promote healing.The accumulation of toxins are released andeliminated. This increases the body’s resistance toillness and promotes a longer healthier and increasedvitality of life. When bio-electrical energy flowsthroughout the body an individual feels a sense ofharmony, health and well being.

Acupressure should not be agonizing. It should befor seconds or few minutes. The pressure is appliedby the tip of a thumb, finger, and instrument known asjimmy.

Is there a safe limit to Acupressure?Acupressure is safe to administer as many times

as desired. There are no negative side effects unlikesome drugs. However,

• Acupressure should not be a replacement forvisiting a doctor for serious concerns or be usedin place of prescribed medication.

• Acupressure should be avoided after meal andintense exercise or meditation.

• Mechanical defects, obstructions, fractures,infective disorders are not cured withacupressure.

Acupressure canbe used to:• Maintain and

restore optimalhealth.

• A c u p r e s s u r e ’ shealing touchreduces pain &tensions, increasesvitality of body andenables the body torelax deeply.

• By relieving stressa c u p r e s s u r et h e r e b ys t r e n g t h e n sresistance todisease andpromotes wellness.

• Can prevent relapse of disease by intermittentand periodical treatment.

• Acupressure is a noninvasive procedure and maybe considered as the first line of treatment incertain disorders. If it is used at an early stage ofthe disease it is possible to prevent manycrippling deformities.

• Effective pain management not only reducesphysical discomfort but also promotes earliermobilizations and return to work, fewer clinic visit,shortened hospital stays and reduced health carecosts.

There are different instruments are used togive pressure.

• Acu ball:The acuball is a small ball made of rubber ormetal with protuberances that is heatable.

• Jimmy :Metallic or wooden stick with blunt ends

• Energy roller:The energy roller is a small cylinder withprotuberances.

• Foot roller:The foot roller also known as Krupa Chakra is around cylindrical roller with protuberances.

• Power mat:The power mat (pyramid mat) is a mat with smallpyramid shaped bumps that you walk on it.

• Spine roller:The spine roller is a bumpy roller containingmagnets that is rolled up and down the spine.

“YOUR HEALTH IS IN YOUR HANDS”.

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Major Activities under taken in the National ART programDr. B. B. Rewari, MD.FRCP, Senior Physician, Dr. RML Hospitals, Delhi &

National Program Officer (ART), NACO, New Delhi

The Care, Support and Treatment programmeunder NACP III includes comprehensive managementof PLHA with respect to treatment and prevention ofOpportunistic Infections, Anti-Retroviral Therapy (ART),psycho-social support, home based, positiveprevention and impact mitigation.

ART is offered free of cost to all PHLAs who areeligible for clinical care. Any person who has aconfirmed HIV infection is subjected to furtherevaluation for determining whether he requires ARTor not by undergoing CD4 count and other baselineinvestigations. All those PLHA eligible as per technicalguidelines are initiated on ART.

CST Services -An overviewNo of ART Centers 272No of Link ART Centers 369No. of Community Care Centers 287PLHA Ever Registered with ART Centers 962917PLHA on ART 322561

Regimen wise cost for ART (in Rs. per patient per year)First Line ART 5000Alternate First Line ART 12000Second Line ART 32000

Activities1. Roll out of Second line ART:

The rollout of second line ART began from Jan.2008at 2 sites –GHTM, Tambaram, Chennai and JJHospital, Mumbai on a pilot basis and has now beenexpanded to 10 Centers of Excellence(COE) from Jan2009. Presently, 1303 patients are receiving secondline drugs at these 10 centers. The second line ARTcosts nearly Rs 32,000 per patient per year ascompared to Rs 5000 per patient per year.

alternative first line ART. For evaluation of patients forinitiation on second line and alternate first line, StateAIDS Clinical Expert Panel (SACEP) has beenconstituted at all 10 Centers of Excellence. Themembers of this panel are:

• Nodal Officer of COE/ART centre,• One more ART expert (panel to be formed by

NACO, preferably not from the same ART Centre)• Regional Coordinator/Jt. Director (CST) /

Consultant (CST) at SACSThese panels meet once in a week for decision on

patient’s referred to them with treatment failure / majorside effect.2. National Paediatric HIV/AIDS initiative:

A total of 40,000 CLHA are estimated to be providedART by the end of the NACP – III (2012); centres arebeing upgraded as Regional paediatric Centres ofExcellence that would provide comprehensivespecialized services to Children with HIV AIDS.3. Pediatric Second line ART:

Currently provision of second line ART for childrenhas been made at 10 Centers of Excellence and 7Regional Pediatric Centers across the country.4. Strengthening the capacity of laboratories forCD4 testing:

A baseline CD4 test in essential to decide oninitiation of ART for persons found HIV positive. A total211 CD4 machines have been procured and installedin the country to take care of 272 ART centres5. Technical Resource Group on ART:

Technical Resource Groups have been constitutedon ART, Paediatric issues, Lab. services and CCCsfor discussion and recommendations on varioustechnical and operational issues relating to theprogramme.

1. Alternative first line ART:It has been observed that a small number of patients

initiated on first line ART experience acute/chronictoxicity/intolerance to first line ARV drugs necessitatingchange of ARV drugs to alternative first line drugs.

Presently the roll out of alternative first line ART isrestricted to 10 Centers of Excellence across thecountry. However, all 272 centers have been linkedto 10 Centers of Excellence for second line &

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6. Supply Chain Management for ARV Drugs:All efforts are made to ensure continuity of drug

supply to ART centres and in case of unexpected risein number of patients at any particular centre, re-location of drugs is done in order to ensure that thereare no stock outs.7. Collaboration with intersectoral partners, NGOs& CII:

NACO is strengthening the public privatepartnership by involving corporate sector, intersectoralpartners and NGOs in ART roll out. Presently, 9 ARTcentres are running in collaboration with differentNGOs/corporations.8. Conceptualization and Operationalization onLink ART Centres:

The concept of the link ART centres was developedtaking into consideration the large distances PHLAshad to cover to reach ART centres. These link ARTcentres are being developed at ICTC or CCC, whereby,stabilised patients will get their drugs within their easyreach will have to travel to main ART centre once insix months only. To qualify for LAC, there must beminimum of 50 patients on ART in that particular district.(25 patients in difficult areas) A total of 716 Link centrehave been sanctioned so far and 369 are functional atpresent.9. Community Care Centres:

All ART centres are linked to a Community CareCentre, whereby, patients can be admitted during theperiod of investigation and adherence counselling canbe reinforced. Presently a total of 287 CCCs areoperational and it is planned to have a total of 350CCC across the country, by 2012. Each CCC is linkedto the closest ART Centre.10. Centres of Excellence (COE):

Ten Regional Centres of Excellence are beingestablished in country which will provide state of artservices for PLHAs, be our knowledge hubs, resourcecentres and centre for training of other doctors on HIV/AIDS. These centers will also have facilities for personsof second line ART and alternative first line ART. Thesecenters are:1. J.J Hospital, Mumbai, Maharashtra2. G.H.T.M, Tambaram, Tamil Nadu3. RIMS/ J N hospital, Imphal, Manipur4. STM, Kolkata, West Bengal5. BJMC, Ahmadabad, Gujarat6. BHU, Varanasi, Uttar Pradesh7. MAMC, New Delhi

8. Bowring, Bangalore, Karnataka9. Gandhi Hospital, Secundrabad, Andhra Pradesh10. PGI, Chandigarh12. Smart card:

The Smart Card Project has been started with anoverall Goal to strengthen the monitoring andevaluation framework of the National Anti-RetroviralTreatment programme in India. This project will helppeople who suffer from HIV to be mobile and still haveaccess to the same quality of treatment and care inany part of the country.

a. Much of the affected population is mobile. Thiscard will help in accessing care and support inall parts of the country (presently in 7 states);

b. Monitoring of treatment to ensure adherence tothe treatment plan is essential to prevent thepatient from becoming drug resistant;

c. The patient’s information can be kept confidentialgiven the prejudices against the disease;

d. They prevent the leakage of ARV subsidies,which are often necessary since the treatment isvery expensive and it will Prevents misuse ofhealth subsidies;

e. Plays a crucial role in time-sensitive emergencysituations;

f. Facilitates easy storage of data;g. Gives a cheaper alternative for storing data using

the latest technology;h. Generates a set of important MIS reports that

are immune to human errors; can act as earlywarning signals; help in decentralized decisionmaking; can help in setting regional priorities;

i. Allows for calculating the demographic andregional risks of diseases;

l. Standardizes methods and procedures of treatingailments.

The project is currently being rolled-out in Delhiand six high prevalence states-Andhra Pradesh,Karnataka, Nagaland, Manipur, Maharashtra and TamilNadu. And in the later stage this project will be rolledout across the country.13. Strategic Information Management System(SIMS):

The National AIDS Control Programme in Phase-III intends to intensify the efforts to control and reversethe epidemic in India during its implementation period.Achieving this, calls for a strong Strategic InformationManagement System which is responsive to therequirements of the programme, acts like an ‘earlywarning mechanism’ and support evidence-drivenmanagement.

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Annexure -1: State wise details of patient on ARTMonth -Jan-2010 9.6 Total number of patients alive and on ART

Sr. no State Name No. of ART centers Total (Adult) Total (Pediatric) Total1 Tamil Nadu 36 36947 2439 395862 Maharashtra 43 65409 5102 705113 Andhra Pradesh 31 60328 3304 638324 Karnataka 33 36220 3003 392235 Manipur 7 5236 419 56556 Nagaland 4 1534 97 16317 Delhi 9 6655 600 7255GFATM RD IV 163 212329 14964 2276938 Chandigarh 1 1474 150 16249 Rajasthan 5 6113 404 651710 Gujarat 9 12765 669 1367811 West Bengal 7 5375 275 565212 Uttar Pradesh 10 10039 594 1063313 Goa 1 908 61 96914 Kerala 7 4070 229 429915 Himachal Pradesh 2 708 85 79316 Pondicherry 1 494 51 54517 Bihar 4 4970 232 520218 Madhya Pradesh 4 3267 221 348819 Assam 3 833 30 86320 Arunachal Pradesh 1 26 0 2621 Mizoram 1 635 52 68722 Punjab 5 4253 264 470123 Sikkim 1 28 1 2924 Jharkhand 2 1435 89 152425 Haryana 1 1425 87 151226 Uttaranchal 1 531 53 58427 Tripura 1 102 1 10328 Jammu & Kashmir 2 510 39 54929 Chhattisgarh 2 1345 129 147430 Orissa 4 1997 81 207831 Meghalaya 1 75 2 77GFATM RD VI 76 63808 3799 67607GRAND TOTAL FORNACO CENTER 239 276137 18763 295300

Patients on ART in NACO ART Centres 276,137 18,763 295,300Patients on ART in Intersectoral Health Sector 2,458 21 2,479Patients on ART in GFATM Round II Centres 2,423 66 2,489Patients on ART in NGO Sector 435 39 475GRAND TOTAL 281,453 18,889 300,743

Computerised Management Information System(CMIS): A Computerised Management InformationSystem (CMIS) for monitoring the implementation ofthe National AIDS Control Programme in India wasinitiated in 2001. The CMIS has been designed toprovide continuous critical information on the courseof the HIV/AIDS epidemic in India. The data flows to

the SACS/MACS from all the reporting units (at districtor below district) directly in hard copy. SACS/MACSenter the data and send the soft copy of the data toNACO where the comprehensive database ismaintained through email system. Checks andvalidations have been incorporated in the data entrymodule so as to ensure its authenticity.

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Collegiate ProgrammeQualifications & experience of teachers of college of nursingS.No. Post, Qualification & Experience1 Professor-cum-Principal

- Masters Degree in Nursing- Total 10 years of experience with minimum of 5 yearsof teaching experienceDesirable : Independent published work of highstandard / doctorate degree / M.Phil

2 Professor-cum-Vice Principal- Masters Degree in Nursing- Total 10 years of experience with minimum of 5 yearsof teaching experienceDesirable : Independent published work of highstandard / doctorate degree / M.Phil

3 Reader / Associate Professor- Master Degree in Nursing- Total 7 years of experience with minimum of 3 yearsteaching experienceDesirable : Independent published work of highstandard /doctorate degree / M.Phil

4 Lecturer- Master Degree in Nursing- 3 years experience

5 Tutor/clinical Instructor- M.Sc.(N) or B.Sc.(N) with 1 year experience or BasicB.Sc.(N) with post basic diploma in clinical speciality

M.Sc. (N)If parent hospital is super-speciality hospital like cardio-

thoracic hospital/cancer M.Sc. (N) programme can be startedwith annual intake of 10 M.Sc. (N) in cardio thoracic/cancer.The nursing faculty recruited should be as given below:

Professor cum coordinator 1Reader / Associate Professor 2Lecturer 1The above faculty shall perform dual role.

B.Sc. (N) and M.Sc. (N)Annual Intake of 60 students for B.Sc. (N) and 25 students

for M.Sc. (N) programmeB.Sc. (N) M.Sc. (N)

Professor-cum-Principal 1Professor-cum-Vice Principal 1Reader / Associate Professor 1 2Lecturer 2 3Tutor / Clinical Instructor 19Total 24 5One in each specialty and all the M.Sc.(N) qualified

teaching faculty will participate in both programmes.Teacher Student Ratio = 1 : 10

INC Guidelines for Teaching FacultyGNM and B.Sc. (N) with 60 annual intake in each

programmeProfessor –cum- Principal 1Professor – cum- Vice Principal 1Reader / Associate Professor 1Lecturer 4Tutor / Clinical Instructor 35Total 42

Basic B.Sc. NursingAdmission Capacity

Annual Intake 40-60 61-100Professor-cum-Principal 1 1Professor-cum- Vice Principal 1 1Reader / Associate Professor 1 1Lecturer 2 4Tutor / Clinical Instructor 19 33Total 24 40

Teacher Student Ratio* = 1 : 10(All nursing faculty including Principal and Vice-Principal)*Two M.Sc. (N) qualified teaching faculty, one to be

recruited to start college of nursing, for proposed admissionwith ≤≤≤≤≤ 60 students and 4 M.Sc.(N) qualified teaching facultyfor > 61 and ≤≤≤≤≤ 100 students, and by 4th year they shall have5, 7 M.Sc.(N) qualified teaching faculty respectively.Preferably with one in each speciality i.e., Medical-SurgicalNursing Paediatrics Nursing, OBG Nursing, CommunityHealth Nursing, and Psychiatry Nursing.Part time Teachers / External Teachers*

(i) Microbiology(ii) Bio – Chemistry(iii) Sociology(iv) Bio – Physics(v) Psychology(vi) Nutrition(vii) English(viii) Computer(ix) Hindi / Any other language(x) Any other – clinical disciplines(xi) Physical Education.*(The above teachers should have post graduate

qualification with teaching experience in respective area)NOTE:No part time nursing faculty will be counted for calculatingtotal no. of faculty required for a college.Irrespective of number of admissions, all faculty positions(Professor to Lecturer) must be filled.For M.Sc. (N) programme appropriate number of M.Sc.faculty in each speciality be appointed subject to the

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condition that total number of teaching faculty ceiling ismaintained.All nursing teachers must possess a basic university orequivalent qualification as laid down in the schedules ofthe Indian Nursing Council Act, 1947. They shall beregistered under the State Nursing Registration Act.

INC Calendar of Events 2011-2012

1. 1st Oct 2010 to 31st Jan 2011- Submission of New Proposals to INC,with all the requisite documents

2. 30th June 2011 - Declaration of the results for collegiateprogramme

3. 15th July 2011 - Declaration of the results for schoolprogramme

a. For New Nursing Programme the institute has to submit the following documents,Duly filled in application form along with requisite fee, copy of registration Certificateof society etc., project Report indicating available physical, clinical & teaching facilitiesbudgetary provision, Essentiality certificate on before 31.01.2011. (Application formis available on the website www.indiannursingcouncil.org)

b. Indian Nursing Council

c. For M.Sc.(N) Programme.

If the institution is recognized for B.Sc (N) programme and if one batch haspassed out after found suitable by INC, then the institution will be exemptedfrom NOC/Essentiality certificate of the State Government for M.Sc (N)programme.

Super Speciality Hospital can start M.Sc (N) programme, however they have toget NOC/Essentiality certificate from Government to start the M.Sc (N)programme.

Website:www.indiannursingcouncil.co.inE-mail: secyinc@yahoo.com

PHONE: 23235570, 23235619FAX: 23236140

Public Notice

Nursing faculty in nursing college except tutor/clinicalinstructors must possess the requisite recognizedpostgraduate qualification in nursing subjects.All teachers of nursing other than Principal and Vice-Principalshould spend at least 4 hours in the clinical area for clinicalteaching and/or supervision of care every day.

Indian Nursing Council

Printed at Veerendra Printers, New Delhi 110005. Tel. 28755275

Nurses SpeakPRAISE THE LORD

Greetings from Ujjain.First of all I thank to GOD that our govt. School of

nursing Ujjain, going to upgrade to college of nursingby the help of I.N.C and Directorate of Health servicesBhopal(M.P)

Our RPHTTI, Ujjain has been given an opportunityto conduct the HIV/AIDS and ART training for thenursing personnels under GFATM-7 project. We arehappy to report that we have trained more than 350nurses fromdifferent healthcare settings inUjjain. I feel muchpleasure inexpressing mygratefull thanks andh e a r t i e s tcongratulations toour INC andFutures group foran innovative newsletter for the nursesand by the nurses.

As I havereceived a newsletter that invitedsuggestions and feed back, as a trainer I will say that– “This GFATM-7 project is an evolution and a journeytowards destination- “ that is to prevent and controlHIV/AIDS world -wide. Also this project will definitelyhelp us to put our best feet forward to reach greatheighest of success.

As a trainer I express my feelings through thefollowing few lines.

“GFATM-7 project an adventure, dare it,It is our duty, workship it.It is a challenge, face it,It is dream , realize it.

It is an innitiative, take it,It is a journey , complete it.It is an opportunity, catch it,

It is a promise, fullfill it.Prevent and control HIV/ AIDS is a voice,listen to it,

It is wealth of Nation, acquire it

This project is a miracle and fruitful for all PLHAs.One participant Saira Khan from Ahemdabad Gujrat

states that – “after this training I can provide care toPLHAs because now there is no fear no confusionwhich was within me before this training. This trainingmade us more competant and confident and withvaluable information and knowledge….”

Reva Dutta sister incharge from sister inchargeVictoria Hospital Jabalpur, expressed that – “after

completion of thistraining we are fullyequipped withk n o w l e d g eregarding HIV/AIDSspecially PEP andART and fullyconfident to providequalitative care toPLHAs and theirfamilies. In truesense now we canprevent thetransmission ofinfection in hospitaland community…”.She also expressed

her emotions that after retirement “ I will work in anyinstitution for PLHAs.”

One of the PLHA, expressed that “no one tookinterest or showed concern before l ike youpeople.(nurse participants from Ujjain). I will practiceand follow your words to live a healthy life.

Lastly I wish to express my grateful thanks to Mrs.Bharati, INC, Mrs. S. Mishra, Future Group, Mrs. S.VKamli, Principal co-ordinator INE Mumbai, Miss C.Chouhan Principal Co-Ordinator College of nursingIndore and Mrs. R. Chitre Principal Co-OrdinatorRPHTTI Ujjain for their constant appreciation, supportand encourage me to work successfully for GFATM-7project.

Thanks n regardsMrs. Neha Titus

Ujjain (M.P)