The Jhpiego Difference

Over the years, donors and partners have come to rely on the “Jhpiego difference” - a standards driven systems approach, which builds capacity and ensures sustainability.

Jhpiego India’s Programs in HRH

www.jhpiego.org/india29, Okhla Phase – III, New Delhi – 110020, India. Tel: (91) 11-49575100

Working in India since 2009

Reaching out to 214government and private 51 sector nursing institutions across states13

Partners: MoHFW, GoI, State Govts., INC 8 active grants

Addressing India’s Human Resource for

Health (HRH) Challenge: Global Evidence, Local Efforts

Technical Expertise Quality

Assurance

Partnerships

India

updated: April 2018

Nurse Midwives are the Backbone of a Strong Healthcare System

What are we up against?

Ÿ Just 1.5 nurse midwives per doctor against 3the WHO norm of 3

SHORTAGE of Human Resources for Health:

Ÿ 2Estimated deficit of over 2 million nurses

Ÿ India ranked as low as 52 of the 57 1countries facing a HRH crisis

Ÿ 18% posts (of staff nurses and ANMs at 4PHCs and CHCs) are vacant

of Nursing Institutions:

Ÿ EXISTING:

58 new nursing colleges; 382 new nursing schools and 232 new ANM training centers to help India meet the target of 3

7nurse midwives per doctor by 2025

LESSER NUMBER

Ÿ NEED:

6 institutions (public and private) Close to 6000 nursing midwifery

of Nursing Institutions:

Ÿ 61% nursing institutions found unsuitable 5for teaching

Ÿ Acute shortage of teaching staff and training facilities

SUB-OPTIMAL QUALITYfor Nurses:LIMITED AUTONOMY

Ÿ Nurses in India do not meet the international definition of a Skilled Birth Attendant (SBA)

Ÿ Minimal involvement in management of public health programs

Empowering

Nurse Midwives

for Saving Lives

· Development of resource materials

Technical Assistance

· Pre-Service Education strengthening at scale

· Leveraging NHM funds for nursing

· In-service trainings

to MoHFW and states

· Clinical competencies of close to 5,300 service providers (public and private) improved/strengthened

· 929 nursing tutors completed 6-week training

· Empowering nursing tutors and service providers

Based TrainingsCompetency

Strengthening Nursing Institutions (ANM/GNM)

· Standards based quality improvement

· 85% of current intervention ANM/GNM public sector nursing institutions already strengthened

· 95% currently targeted public sector nursing institutions have well equipped skill labs

· More than 90% current intervention public sector nursing institutions have functional computer labs and libraries

· Virtual classrooms in all government nursing institutions of Bihar for enhanced quality of nursing education

· E-learning content on Maternal Newborn Health

Innovations

Management

(for Nursing)

· Through Nursing Cells/ Directorates in 6 states–i.e. Odisha,

Uttar Pradesh, Jharkhand, Rajasthan, Madhya Pradesh and Bihar

and Leadership

· Career progression pathways for nurses

· Engagement in public health program management

Policy Influence

· Enhanced clinical autonomy for nurses

Ÿ Strong commitment of GoI and Indian Nursing Council (INC): Roadmap for strengthening the nursing cadre in India- Formulated and guiding the country's HRH program

OPPORTUNITIES

Ÿ GoI prioritizing and releasing funds under NHM for the nursing cadre

1. World Health Organisation [WHO]. Global Atlas of the Health Workforce. Geneva: WHO; 2010.

Sources:

2. WHO: Wanted: 2.4 million nurses, and that's just in India. 2010 http://www.who.int/bulletin/volumes/88/5/10-020510.pdf

3. Annual report to the people on health, GoI, 2011

4. Towards Universal Health Coverage: Human resources for health in India: Mohan Rao, Krishna D Rao, A K Shiva Kumar, Mirai Chatterjee, Thiagarajan Sundararaman (Lancet 2011).

5. Government of India. Report of the National Commission on Macroeconomics and Health, New Delhi: Ministry of Health and Family Welfare, Government of India, 2005.

6. Indian Nursing Council (as on 31st October, 2015)

7. High Level Expert Group Report on Universal Health Coverage in India, Planning Commission of India- Nov 2011 Program data updated till March 2018