review of hfwtcs of hfwtcs.pdf · district hospital, medical college hospital and few sub-district...

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Status of HFWTCs

2009-10

National Institute of Health and Family Welfare

Munirka, New Delhi – 110067

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Index

SL. NO. CONTENTS PAGE NO.

1. Foreword i

2. List of Abbreviations iii

3. Executive Summary v‐vi

4. Review 1‐3

5. Salient Findings 4‐12

6. Summary Sheet of States 15‐20

Andhra Pradesh 21‐24

Bihar 25‐27

Chhattisgarh 28

Delhi 29

Gujarat 30

Haryana 31

Himachal Pradesh 32

Jammu & Kashmir 33

Jharkhand 34

Karnataka 35‐36

Kerala 37

Meghalaya 38

Maharashtra 39‐42

Manipur 43

Madhya Pradesh 44‐46

Orissa 47‐48

Punjab 49

Rajasthan 50‐51

Tamil Nadu 52‐54

Uttar Pradesh 55‐61

West Bengal 62‐64

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Foreword The National Institute of Health and Family Welfare (NIHFW) has a mandate to promote development of a system for continuing in-service training for H&FW personnel at different levels thus contributing to the bigger goal of human resource development. Hence NIHFW has attempted to assess the status of Health and Family Welfare Training Centres (HFWTCs) over the years. Health and Family Welfare Training Centres have been established in the country with the objective to improve the quality of services by providing in-service orientation training to the medical and para-medical personnel engaged in the delivery of health and family welfare services. There are 44 Health and Family Welfare Training Centres funded by the Department of Family Welfare, Government of India functioning in the country. The present study has been undertaken in 2009. Structured formats for collection of information were sent to HFWTCs to assess the current status of their infrastructure and to identify the existing gaps so that steps may be taken to strengthen these training institutions. This report gives the findings of the present study and the recommendations are based on the findings. It has been observed that some of the salient findings and recommendations made earlier are relevant even today. In 1991 NIHFW undertook a countrywide study to review the existing status of Health and Family Welfare Training Centres (HFWTCs). Four regional workshops were organized at Hyderabad, Kolkata, Lucknow, Nagpur and one at NIHFW New Delhi during 1991-92 to report on functioning of Health and Family Welfare Training Centres and formulated proposals for their strengthening. The report was published in 1991-92 for the states of Andhra Pradesh, Kerala, Haryana, Himachal Pradesh, Delhi, Madhya Pradesh, Maharashtra, West Bengal, Assam, Meghalaya, Bihar, Gujarat, Rajasthan, Orissa and Karnataka. This study was preceded by study in 2001 in which information of HFWTCs and RTCs was collected. The report was preapred based on the information collected on structured format sent to the HFWTCs.

Dr. Deoki Nandan Director, NIHFW

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List of Abbreviations

A/V Audio Visual Aids ANMTC Auxiliary Nurse Midwife Training Centre BP Blood Pressure CTI Collaborating Training Institute DH District Hospital DTC District Training Centre FRU First Referral Unit HFWTC Health and Family Welfare Training Centre IPP India Population Project IUCD Intra Uterine Contraceptive Device MCH Maternal and Child Health MEIO Media Extension Information Officer MIS Management Information System MLCD Medical Lecturer cum Demonstrator NRHM National Rural Health Mission OHP Overhead Projector PHC Primary Health Centre PHN/PHNI Public Health Nurse/Public Health Nurse Instructor POL Petrol, Oil & Lubricant PRI Panchayati Raj Institution RCH-I Reproductive Child Health –I RFPTC Regional Family Planning Training Centre RHFWTC Regional Health & Family Welfare Training Centre RIHFW Regional Institute of Health & Family Welfare RTC Regional Training Centre SIHFW State Institute of Health & Family Welfare SSI Social Science Instructor WCD Women & Child Development

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EXECUTIVE SUMMARY

To train various categories of health personnel to perform their job functions effectively in implementing the various health programmes successfully, the Government of India started HFWTCs at the rate of 1 per million population. Thus, NIHFW undertook a desk review of the status of infrastructure and training undertaken by 47 HFWTCs which are funded by Department of Health and Family Welfare, Government of India located in 21 states and UTs. Information was obtained from total of 44 training institutions from 21 states viz: Andhra Pradesh (4), Delhi (1), Gujarat (1), Haryana (1), Jharkhand (1), Kerala (1), Karnataka (2), Maharashtra (4), Meghalaya (1), Madhya Pradesh (3), Orissa (2), Rajasthan (2), Tamil Nadu (3), Uttar Pradesh (7), Bihar (3), Himachal Pradesh (1), Punjab (1), J&K (1), Chhattisgarh (1), Manipur (1) and West Bengal (3). Three of the 47 HFWTCs (HFWTCs, Thycaud, Kerala; HFWTC Guwahati, Assam and HFWTC Ahmedabad, Gujarat) were excluded from the study as they have been upgraded to SIHFWs. Most of the large states have 1-7 HFWTCs, whereas North-East states like Manipur and Meghalaya have one HFWTC each.

Infrastructure

Most of the HFWTCs have good infrastructure facilities with adequately furnished classrooms and library with good number of books. 39 institutions have hostel facility but only 16 institutions have mess facilities available round the year. HFWTC, Kolkata, HFWTC, Jalpaiguri, HFWTC, Delhi and RHFWTC, Patna do not have hostel facility. Only 13 HFWTCs are located within the hospital premises. Majority of the training institutions have their own vehicles for transportation of trainees except HFWTCs, Bhagalpur, Muzaffarpur and RHFWTC, Shillong. • Provision of Classrooms and Audio Visual Aids The AV teaching aids are available in most of the institutions except HFWTC, Muzzafarpur, HFWTC, Kolkata and HFWTC, Nadia. Over Head Projector is available in 36 centres, LCD in 26 and desktops in 24 centres. Laptop is available in only 12 HFWTCs. Although most of the training institutions have adequate infrastructural facilities, there may be need for upgradation/modernization so that appropriate A/V aids including LCD projector be provided in all the training institutions. A part of the fund under NRHM could be sanctioned as administrative

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expenses for the above purpose. Alternatively, a room and equipment may be provided either in the training institution or at the district hospital. The LCD projector facilities would be helpful in taking theory sessions as well as demonstrating the procedures like measuring weight, BP, IUCD insertion etc., prior to the trainees practicing the techniques in the OPD and wards of the district hospital using highly skilled human resource at the state level.

• Manpower The manpower available in the various institutions, varies enormously both in terms of numbers and in terms of area of specialization e.g. 16 centres have one sanctioned post of PHN/PHNI, 20 centres have 2 posts, 2 centres have 3 posts, 1 centre has 4 posts, 1 centre has 6 posts and 3 centres have not given the sanctioned posts of PHN/PHNI. There are lot of vacancies in the manpower of the training centres. Sixteen centres do not have the post of MLCD in the institute and 6 centres do not have Principals. There is lot of variation in the nomenclature of the staff positions like some of the centres have a post of Sanitary Engineer and some have Senior Sanitarian post for Sanitary Inspector. • Appropriate Placement of Manpower/Human Resource The gaps in human resource in the various HFWTCs may need to be appropriately filled. The human resource should have qualifications, experience and skills as would be needed for providing training especially skills for those peripheral health personnel who are posted below district level. Training Most of the HFWTCs undertake about 6-8 training courses per year mostly of theoretical type. They may be required to coordinate skill-based training for all services that need to be provided for the health of the population. In addition they may have to coordinate/undertake training pertaining to administration and management of the health care facilities and the health system.

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Review of HFWTCs

Soon after attaining Independence India undertook the mammoth task of creating the health care infrastructure to meet the health care needs of the vast population of India. This included setting up of medical and nursing colleges for pre-service education and training institutions for undertaking in-service training. When the HFWTCs were created with a norm of 1 HFWTC for one million population in the sixties and seventies there was very little peripheral health care infrastructure; PHCs, sub-centres and the manpower thereof etc. had not been fully developed. The district hospital, medical college hospital and few sub-district taluk hospitals provided health care. Outreach if any were provided by the uni-purpose workers for vertical programme e.g. malaria, leprosy, family planning etc. Since the hospitals had well trained doctors, nurses and other paramedical staff, the peripheral workers were trained by programme officers of each of the vertical programmes, the major role of the HFWTCs undertook was dissemination of knowledge regarding family planning, MCH and some health programmes like tuberculosis control, etc., their staffing pattern and the other infrastructures were developed to support this role.

By the 1980s India established a vast infrastructure for peripheral health care

including manpower for integrated outreach services in each of the villages. The team leader for delivering health care services (preventive, promotive and curative) at the peripheral level is the Medical Officer PHC (MOPHC). He/She has a team of Multipurpose Health Assistants/Supervisors (M&F) and Multi-Purpose Health Workers (Male & Female), who are the most peripheral outreach health care providers and in addition there are staff nurses, lab technicians and some support staff (facility-based) for providing the health care services. All of these people need technical, communication and managerial skills including skills for supportive supervision for their subordinates to enable them to provide good quality integrated health and nutrition services.

India is also currently undergoing demographic, health and nutrition transition

and hence having dual burden in many areas; increasing non-communicable diseases with no reduction in maternal and child morbidity and mortality as well as in communicable diseases; also problems of under-nutrition as well as over-nutrition. There has been some marginal decline in children under the age of 14 years; with increasing longevity of population >60 years.

Given these factors, the HFWTC and other training institutions need to ensure

skill up-gradation of all in-service personnel especially peripheral health care so that they can provide good quality health care services in the current situation. NIHFW undertook a review of status of HFWTCs in the country with regard to manpower, AV Aids, hostel facilities, location vis-à-vis a well functioning medical college or district hospital and the kind of training undertaken by the centers in the last few years.

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Table 1.1: Numbers of HFWTCs in the States

# In Andhra Pradesh HFWTC(M) of Guntur and Vishakapatnam has been converted into RTCs. * Population as per census 2001. **No. of districts as per DLHS III. *** There are 44 HFWTCs with 3 SIHFWs.

S.N State Total Population *

No. of Districts **

No. Of HFWTCs

Remarks

1 Uttar Pradesh 16,61,97,921 70 7 2 Maharashtra 9,68,78,627 35 4 3 Bihar 8,29,98,509 37 3 4 West Bengal 8,01,76,197 19 3 5 Andhra Pradesh# 7,62,10,007 24 4

6 Tamil Nadu 6,24,05,679 30 3 7 Madhya Pradesh 6,03,48,023 45 3 8 Rajasthan 5,65,07,188 32 2 9 Karnataka 5,28,50,562 27 2

10 Gujarat 5,06,71,017 25 2 HFWTC, Ahmedabad has been upgraded to SIHFW.

11 Orissa 3,68,04,660 30 2

12 Kerala 3,18,41,374 14 2 HFWTC, Thiruvananthapuram has been upgraded to SIHFW.

13 Jharkhand 2,69,45,829 22 1 14 Assam 2,66,55,528 26 1 HFWTC Guwahati has

been upgraded to SHFWTC.

15 Punjab 2,43,58,999 20 1 16 Haryana 2,11,44,564 20 1 17 Chhattisgarh 2,08,33,803 16 1 18 Delhi 1,38,50,507 9 1 19 Jammu & Kashmir 1,01,43,700 13 1 20 Himachal Pradesh 60,77,900 12 1 21 Meghalaya 23,18,822 7 1 22 Manipur 21,66,788 8 1

Total 541 47***

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Table 1.2 Population and the Districts of States not having HFWTCs

*Population as per census 2001. **No. of districts as per DLHS III.

S.No. State Total Population *

No. of Districts**

1. Uttarakhand 84,89,349 13

2. Tripura 31,99,203 4

3. Nagaland 19,90,036 7

4. Goa 13,47,668 2

5. Arunachal Pradesh 10,97,968 13

6. Puducherry 9,74,345 4

7. Chandigarh 9,00,635 1

8. Mizoram 8,88,573 8

9. Sikkim 5,40,851 4

10. Andaman & Nicobar Islands

3,56,152 2

11. Dadra & Nagar Haveli

2,20,490 1

12. Daman & Diu 1,58,204 2

13. Lakshadweep 60,650 1

Total 62

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I. Salient Findings

A. Current role and training undertaken by the HFWTCs Health and Family Welfare Training Centres have been established in the country with the objective of giving in-service training to health personnel in the rural health sector. These training centers are set-up with 100 per cent financial assistance from the central government. There are 44 HFWTCs in the country at present. HFWTCs have been giving basic training to MPWs (M) as well, from 1982. The HFWTCs also take up in-service training under various vertical national programmes. At present HFWTCs are providing in-service training under Reproductive and Child Health Programme. Most of the courses they undertake are knowledge-based courses; this includes some TOT courses for ASHA recently. In some states like Tamil Nadu and Maharashtra, HFWTCs undertake coordination of/conduct skill upgradation courses.

B. Availability of Human Resources

There is tremendous variation in the type of staff and number available in the HFWTCs.

(i) Technical Staff Table 1.3 shows that 6 HFWTCs do not have a Principal posted currently. Of 44 institution, post of MLCD in 11 institutions the post is lying vacant. Two HFWTCs have 2 posts of MLCD sanctioned out of which 1 is filled and other is vacant. In the case of PHNI the range of number of sanctioned post is 1 to more than 4. In 24 institutions all posts of PHNI are filled, 16 institutions have vacant posts and 3 institutions do not have sanctioned post for Public Health Nurse Instructor. Twenty Eight HFWTCs have 1 sanctioned post of Social Science Instructor, of these the post is filled up only in 6. Five HFWTCs have 2 posts of Social Science Instructor, out of these 4 centres have vacant posts. Ten HFWTCs do not have any sanctioned post of Social Science Instructor. Eighteen centres have 1 sanctioned post of Sanitary Inspector out of which 14 posts are vacant. Similarly, 7 centres have sanctioned post of 2-4 of which 6 are vacant and 18 centres do not have sanctioned post.

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Table 1.3 Technical Staff

* Incomplete information is given by Meghalaya regarding the staff post.

Table 1.4 Support Staff

* Incomplete information is given by Meghalaya regarding the staff post.

No of centres Total Centres

(44*) Posts filled Post(s) vacant

Principal 43 Sanctioned post (1) 37 6 MLCD

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Sanctioned post (1) 26 11 Sanctioned post (2) 1 1 No sanctioned post of MLCD 4 PHNI

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Sanctioned post (1-3) 23 15 Sanctioned post (4 & above) 1 1 No sanctioned post of PHNI 3 Social Science Instructor

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Sanctioned post (1) 6 22 Sanctioned post (2) 1 4 No sanctioned post 10 Sanitary Inspector

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Sanctioned post (1) 4 14 Sanctioned post (2-4) 1 6 No sanctioned post 18

No of centres Total Centres

(44*) All posts filled Post(s) vacant

Clerical Staff Sanctioned post 1-5 7 12

43 Sanctioned post 6-10 18 4 No sanctioned post of Clerical Staff 2 Grade IV

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Sanctioned post 1-5 1 7 Sanctioned post 6-10 7 6 Sanctioned post 11-15 4 12 Sanctioned post 16 or more 0 3 No sanctioned post of Grade-IV 3 Driver

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Sanctioned post 1-3 19 22 No sanctioned post of Driver 2 Others

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Sanctioned post 1-10 3 16 Sanctioned post 11-20 1 22 Sanctioned post more than 20 0 1

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(ii) Support staff Clerical staff: The sanctioned posts of clerical staff range from 1-10. One institution has more than 10 sanctioned posts whereas 2 centres sanctioned posts of clerical staff. Twenty five centres have all posts filled and 16 centres have vacant posts. Absence of clerical support staff will make it difficult for conducting courses as the faculty will need to undertake all the ministerial tasks also in addition to actual conduct of the training courses. Grade IV staff: Three institutions do not have any sanctioned post of Grade IV staff. In 19 centres more than 10 posts are sanctioned, out of these only 4 centres have filled all the posts. The remaining 21 centres have 1-10 sanctioned posts, of which only 7 centres have filled all the posts. Without adequate number of Gr. IV (Support Staff), the trainees are facing inconvenience while residing in the hostel due to lack of support services. Drivers: Two institutions have no sanctioned post of driver. The sanctioned post of Driver in the other 41 institutes range from 1-3. Nineteen institutions have filled all the posts of drivers whereas 22 institutions have vacant posts. Absence of drivers will limit the institutions from taking the trainees to hospitals for skill training. Others: Many of the centres have several other sanctioned posts like Epidemiologist, Sub-Divisional Engineer, Statistician, Artist-cum-Demonstrator, Communication Officer, Management Instructor, Accountant, Dy. MEIO, Health Extension Educator, Maternal Child Health Officer, Health Education Instructor, Sr. Health Inspector; many of these posts have been lying vacant for more than 10 years.

C. Provision of classrooms, teaching aids and Library facilities • All HFWTCs have adequate number of classrooms.

Graph-1

Classroom availability

22 22

0

5

10

15

20

25

1-2 3-5

Num

ber

12

Library facilities

1316

7

1

7

0

4

8

12

16

20

< 500 500-1000

1000-5000

notgiven

NoLibrary

Books available

Num

ber

• OHP is available in 36 of HFWTCs (8 institutions indicated non-

functioning of OHP), LCD is present in 26 of the centres and 24 have desktops but laptop is available in only 12 HFWTCs (Graph-2).

Graph-2

• Except HFWTC, Nadia, West Bengal, all other HFWTCs in the country have

library facility. Sixteen institutes have more than 1000 books, 13 institutes have 500-1000 books and 7 institutes have less than 500 books (Graph-3).

Graph-3

D. Hostel and Mess facilities • 39 institutions have hostel facilities (no. of hostel rooms varies from 1 to more than

30) 12 institutions have more than 30 rooms in the hostel. Nine institutes have 10 or less rooms. 5 institutions do not have hostel facility (Graph-4).

36

2624

12

0

10

20

30

40

OHP LCD Desktop Laptop

Num

ber

Availbility of teaching aids

13

16

19

9

0

5

10

15

20

Round the year Only during courses

No mess

Num

ber

Mess availability

Graph-4

• While 35 training institutes have mess facility in the training centre; only 16

institutions have mess round the year and the remaining have mess available only if there is any training. Nine HFWTCs do not have a mess at all (Graph-5).

Graph-5

• Other amenities like water/electricity have to be provided so that the participants can stay in the HFWTCs. HFWTC Jabalpur, MP has expressed the need for getting boring done in order to have sufficient water in their training centre.

• Absence of hostel mess and other amenities will have an impact on the use of

the HFWTCs for training as well as in the type of courses that can be conducted in such centres. Lack of such facilities will prevent proper residential training as participants will cite the lack of basic amenities and not stay in the hostel.

9

12

6

12

5

0

4

8

12

16

1-10 10-20 20-30 >30 No Hostel

Num

ber

No. of Hostel rooms

Hostel availability

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Number of trainings and availability of mess and hostel As can be seen from the Graph-6, while the availability of mess and hostel has certainly helped institutions to conduct more courses, the absence of hostel and mess has not prevented some institutions from conducting trainings. There are also few institutions who inspite of having both hostel and mess have not conducted any training (Graph-6).

Graph-6 E. Transport availability • Vehicle is available in 41 of the training institutes, out of which 22 centres have 1-

2 vehicle, 15 have more than 2 vehicles while 4 did not give the exact number of vehicles on the road. Three institutions do not have a vehicle i.e. HFWTC, Bhagalpur, HFWTC, Muzafarpur and RHFWTC, Shillong.

Graph-7

22

15

3 4

0

5

10

15

20

25

1-2 >2 No vehicle

No. not given

Num

ber

Vehicle availability in the HFWTCs

Trainings conducted and availability of hostel

8

22

0

1312

11

0

2

4

6

8

10

12

14

1-5 6-15 >15 no trainings

No. of trainings

Ava

ilabi

lty o

f hos

tel r

oom

s

yesno

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• Even in those with adequate number of functioning vehicles, the use was limited

due to inadequate POL budget and hence there is difficulty in taking trainees to the hospitals or field areas for training (Graph-7).

F. Linkage with hospitals/health care facilities

• The linkage of HFWTCs with hospitals/health care facilities is very poor.

Only 13 HFWTCs are located within the campus of hospital, and another 7 are located within 1-2 km from the hospital; 11 centres are located more than 5 km away from the hospital and 12 of them are located within 2-5 km. (Graph-8). In case the HFWTC is far away from the hospital, posting of trainees in the hospital especially round the clock for skill up-gradation becomes very difficult.

Graph-8 G. Number of trainings and availability of technical staff and teaching aids

Graph-9

13

7

12 11

10

4

8

12

16

Num

ber

Distrance from the hospital

Location of HFWTC in relation to Hospital

0

1

0 0

9

3

7

21

9

6

1

0

3

6

9

12


No.

of t

each

ing

Aids

No. of trainings

Trainings conducted and availability of teaching aids

no teaching Aids 1-3 >3

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Graph-10

As can also be seen from the graphs availability of staff and teaching aids (Graph-9 and 10) has facilitated conduction of more trainings but absence or limited availability of either or both has not deterred some institutions from conducting trainings. Similarly in a few instances inspite of availability of all facilities and staff the institutions have not conducted any/adequate number of trainings. Admittedly in all the above four cases the quality of training would have suffered in many ways and hence it should be prevented; those institutions in spite of limitations are trying to conduct training must on priority be provided with all support infrastructures.

• HFWTC Nadia doesn’t have any teaching aids but conducted 8 trainings since last three years.

• RHFWTC Kurnool, RHFWTC Bilaspur and RTC Vishakhapatnam have more than 3 teaching aids but conducted only 4 trainings.

• RHFWTC Patna didn’t conduct any training although it has more than 3 teaching aids.

• HFWTC Kozikode, HFWTC Madurai, HFWTC Egmore, RHFWTC Dharwad, RHFWTC Gulbarga, RHFWTC Kangra, HFWTC Amritsar and RHFTC Shillong have less than 3 teaching aids but conducted more than 15 trainings.

• RHFWTC Bhagalpur has both hostel and mess facilities but did not conduct any training in last three years. Similarly HFWTC Varanasi and RHFWTC Gorakhpur have both facilities but conducted less than 5 trainings.

0

45

0

3

6

23

45

12

0 0

3

001234567

<25% vacant

25-50% vacant

>50% vacant

all filledTech

nica

l sta

ff (%

vac

ant)

Trainings conducted and staff availability


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• HFWTC Egmore has 60% technical posts vacant but conducted 16 trainings likewise

• Jhansi has 83% vacant posts but conducted 12 trainings.

• RFPTC Kangan and RHFWTC Bilaspur have only 33.3% vacant posts and hence conducted only 3-6 trainings.

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Recommendations

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Recommendations Based on the findings of this review as well as earlier reviews of HFWTCs conducted by the NIHFW in the last 15-20 years as well as our experience in coordinating in-service training in the country under IPP, RCH-I and NRHM, following is suggested:

I. Rationalisation of number and role of HFWTCs Given the increase in population as well as huge increase in health care infrastructure especially peripheral health care personnel and the need to provide comprehensive health care services for the population, there may be necessity to review the norms for HFWTCs in terms of the number/state, their role and liaison with:

State level training institutions like SIHFW, ANMTC, DTC.

Tertiary health care facilities like, Medical College Hospital, District Hospital, as well as FRU, PHC and Sub-centre.

Linkage with health care facilities would be required since the health care services providers in the tertiary and secondary care level would be the ideal trainers to provide skill upgradation training for peripheral health care workers.

Number of HFWTCs • The existing population norms of 1 HFWTC/10 million population may

still be retained. However the total number of available training centres at above district level in each state HFWTCs/Regional HFWTCs/RTCs/Divisional Training Centres need to be enumerated and shortfall if any need be corrected by creation of new HFWTCs located in the division or areas where there are none. The creation if any for each state may need to be in accordance with current (2001 Census) population; in certain areas like the North-East a HFWTC may be given for a group of states.

Proposed role of HFWTC in In-service training • Coordination of training especially for the MO PHCs (all administrative

arrangements for successful conduction of training e.g. ensuring letters are sent on time, ensuring early and appropriate nominations, payment of TA/DA, ensuring stay and transport where needed etc) as well as liaison with hospitals and some support at the hospitals so that the trainees do get to practise the skills.

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• The faculty posted at HFWTCs need to develop liaison with the Programme Management Support Unit (PMSU) as well as other district level personnel of Dept. of WCD, PRI, AYUSH and Dept. of Drinking Water and Sanitation in order to orient all on the mechanisms of implementing convergence in provision of services and local ownership and oversight of the programmes. The linkages with PMSU will also help the HFWTCs to institutionalise planning for training from sub-centre upwards and have an updated database of trained personnel as well as the current availability of qualified and/or trained personnel in the various health facilities in a district.

Funding to HFWTCs and ANMTCs • Since HFWTCs are centrally sponsored institutions, it is recommended

that the funds to these institutions may be routed through NIHFW instead of State treasury. This will not only ensure that these institutions will get the funds on time, but also NIHFW can monitor the quantity and quality of training being imparted by these institutions.

• NIHFW can develop norms for rationalization of the funding to HFWTCs and ANMTCs along with Objectively Verifiable Indicators for inputs and processes and perhaps for outcomes (like number of skill-based training conducted, no. of faculty whose skills have been upgraded and no. of functional equipment and the duration of the equipment being not functional).

II. Rejuvenate Training Package

Human Resource • There may be need for rationalisation of the technical manpower available at

HFWTCs; both type of staff as well as number of each type. The rationalisation needs to take into account the type of trainings both in-service and may be some others envisaged in the HFWTC in the next 10-20 years.

• In case it is envisaged that they take an active role in skill upgradation in-

service training of MOPHC there may be need for appropriately qualified faculty/staff e.g. Preventive and Social Medicine, Nursing Tutor/PHNI, expertise in Communication; similarly need for staff with expertise in accounting, MIS and Finance may be required as the HFWTC need to also orient/train the MOPHC in these areas; the HFWTC can also take up training of PMSU at block level. The staff at the HFWTC will need to have linkages with the specialists posted at District Hospital/Medical College Hospital and FRU (especially Obstetrics & Gynaecology, Paediatrics, Medicine and Surgery) so that the trainees get adequate exposure in the facilities for practice of the skills.

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Need to provide minimum posts at each HFWTC

It is recommended that there should be minimum posts at each HFWTC to

prevent the disparity of number and category of staff. Apart from technical and support staff 10 consultants of various fields should be appointed at each HFWTC which are as follows:

o Consultant (MCH) o Consultant (Nursing) o Consultant (Public Health) o Consultant (IT) o Consultant (Social Science) o Consultant (Management) o Consultant (Statistics/Demography) o Consultant (Environment Health) o Consultant (Training Education) o Consultant (Communication)

• All the above consultants and the specialists at the medical college

hospital/district hospital will need upgradation of their knowledge at periodic intervals so that they can ensure appropriate skill and knowledge upgradation of their trainees.

• Similarly there is a need for rationalisation of support staff for HFWTC, it is

suggested that in place of technical assistant or computer assistant, skilled person should be appointed who is efficient in statistical package, accounts software and data entry. The office support staff need to be proficient in use of modern technology like computers. Outsourcing of some of the services like housekeeping, kitchen, security, horticulture, cleaning etc using mechanisms already being practised in the concerned districts may be considered.

• All the faculty and staff should be involved in the training programmes and

they should be encouraged to take up research work other than regular training activities.

• Frequent transfer of faculty staff should be avoided and vacant positions of

various categories may be filled-in as early as possible.

• Those institutions inspite of limitations are trying to conduct training must on priority be provided with all support infrastructures.

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Infrastructure Provision of Teaching Aids and expansion of Seminar room/Classroom • Effort should be taken to increase the number of classrooms especially in

those HFWTCs which have only 1-2 classrooms and undertake renovation wherever required. It is also suggested to expand the seminar room/classroom to accommodate more participants at a time.

• There is the need to strengthen teaching and training aids like computer

(desktop or laptop, mike and LCD projectors etc) in the HFWTCs in almost all the states. A part of funds under NRHM could be sanctioned as administrative expenses for the above purpose.

• All of the HFWTCs should have video conference facility that would be useful

in taking theory sessions as well as demonstrating the procedures like measuring weight, BP, IUCD insertion etc., prior to the trainees practicing the techniques in the OPD and wards at the district hospital.

• All the HFWTCs need to have a good library with standard textbooks as well

as copies of all guidelines for all health and family welfare programmes.

• The HFWTCs should have computer lab with internet connectivity so that the staff of HFWTCs as well as the trainees can access and download information/guidelines, monthly performance reports etc. pertaining to programmes for use of themselves/trainees.

• To strengthen the health information system, it is recommended that each

HFWTC have their own website so that necessary information could be availed. Apart from this, database could be created on the website about the trainings and the participants.

III. Provision of Residential Facilities

• Provision of facilities for stay at clinical training site

Since the focus is on skill upgradation, there has to be provision of at least 2 rooms/dormitory with basic amenities in district hospital/sub-district hospital/FRU (functioning) to accommodate 2-3 persons so that the trainees can be posted round the clock in the hospital. This will not only help the trainees to practice the skills required at the clinical training site with supportive supervision/mentoring by the trainers; a spin off benefit for the hospital is that the hospital staff have some trainees who will share in the workload in OPD, labour room etc.

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A part of the funds provided under NRHM for upgradation/maintenance of DH/FRU/SDH may be used for the purpose, especially in those places where the training institutions are located far from the hospital.

• Provision of residential facilities

It is suggested that adequate and proper residential facilities (both boarding and lodging) are required in all the HFWTCs for the trainees so that the training can be truly residential. The hostel/quarters in district hospitals if available could also be explored for use of trainees.

• Renovation of guest house/hostel

The guest house and hostel should be renovated and furnished to provide ease and comfort while stay during training. Computer with internet facility could also be provided in the guest house for the participants.

• Those institutions inspite of limitations are trying to conduct training must on priority be provided with all support infrastructures.

IV. Other Infrastructures

• Transport facilities

It is recommended that either adequate provision be made for transport of trainees to the hospitals/FRU/PHC etc and/or the HFWTCs may be permitted to outsource for vehicles using the mechanism that the districts are using.

• Linkage with FRU, PHC and sub-centre

Every HFWTC must have linkage with a functioning FRU, PHC and sub-centres in view of a possible wider role in orienting new entrants like the PMSU for demonstrating the infrastructure as well as the functioning of the peripheral health care facilities and manpower.

V. Capacity building of faculty

In order to successfully undertake the task of training the MO PHC the trainers at the HFWTC as well as the medical college faculty and DH specialists, need to have the knowledge of programme including changes in the programmes and the skills for which they should be providing training. They (trainers) need to be practicing the skill in the hospitals as a routine. Supplies and functional equipment need to be made available to operationalise health care facility where trainee will work after training. In addition there is need for upgradation of the knowledge and skills of the functionaries in computer applications, accountancy, MIS etc.

25

• Diploma/Course in Public Health should be started at each HFWTC as a medium to generate revenue.

• All faculty members should be encouraged to engage in research work in addition to regular classes.

VI. Role of CTIs in supervision of HFWTCs

The faculty of CTIs should visit the HFWTCs frequently for evaluation and guidance of these institutions. They need to monitor, do handholding and play a role of mentor, wherever necessary. Training curricula may be prepared with the help of CTIs.

VII. Review Meeting

It is recommended that a three day Regional Review Meeting be conducted at NIHFW with the Principals and Faculty of HFWTCs in order to finalise the minimum manpower, infrastructure requirements as well as the human resource issues.

26

1. Andhra Pradesh

District Name

Staff position

Principal MLCD Social

Science Instructor

PHN / PHNI

Sanitary Inspector

Clerical Staff Driver Grade IV

Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

RHFWTC (Male), Kurnool

1 1 1 1 1 1 1 0 No 9 7 3 3 15 14 11 5 42 32

S.No. Name of

the HFWTC

Infrastructure

facilities

Teaching Aids Mess & Hostel facility Transport Location

No. of trainings conducted

2006-07 2007-08 2008-09

1.1 RHFWTC (Male), Kurnool

It has 3 class rooms, a library containing 1396 books.

3 Blackboards, 2 OHP, 1 LCD Projector, 1 Desktop and 1 Laptop.

It has hostel facility with room capacity of 10. Mess services are available throughout the year.

It has three vehicles in running condition.

Located within the campus of hospital.

1 - 3

27

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

Regional Training Centre (Male), Vishakapatnam

1 1 1 1 1 1 1 0 1 1 10 10 3 3 15 10 15 8 48 35

S.No.

Name of the HFWTC

Infrastructure facilities

Teaching Aids Mess & Hostel facility

Transport Location No. of trainings conducted

2006-07 2007-08 2008-09 1.2 RTC(Male),

Vishakhapatnam

It has 2 classrooms, a library containing 4919 books.

2 Blackboards, 2 OHP, 1 LCD Projector, 2 Desktop with no Laptop.

It has 10 rooms in the Basic Hostel and 12 rooms in General Hostel thus a total of 22 rooms. Mess services are available only during training.


It is located 4 km away from the Hospital.

1 1 4

28

District

Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RTC, Guntur 1 1 1 0 1 1 1 0 No 2 2 2 1 No 14 9 22 14

S.No.

Name of the HFWTC




2006-07 2007-08 2008-09

1.3 RTC, Guntur It has 2 classrooms, a library containing 440 books.

1 OHP, 1 LCD Projector, Blackboard, Desktop and Laptop not available.

It has hostel facility with room capacity of 40. Mess services are not available.

It has two vehicles in running condition.

It is located 2.5 km away from the Hospital. 1 1 3

29

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC (Male), Hyderabad

1 1 1 1 1 1 No 6 4 3 3 15 10 11 7 38 27

S.No.

Name of the HFWTC




2006-07 2007-08 2008-09 1.4 RHFWTC(Male

), Hyderabad It has 2 classrooms, a library containing 1873 books.

1 OHP, 1 LCD Projector, 1 Desktop, Blackboard and 1 Laptop.

It has hostel facility with room capacity of 10. Mess services are available throughout the year.


It is located 5 km away from Hospital 2 3 3

30

2. Bihar

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector Clerical Staff Driver Grade

IV Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Bhagalpur

1 1 1 1 1 0 1 0 No 3 2 2 1 4 3 8 5 21 13

S.No Name of the HFWTC




2007-08

2008-09 2009-10

2.1 HFWTC, Bhagalpur

It has 4 class rooms, a library containing more than 1000 books

4 Blackboards, 1 Desktop, 1 OHP and LCD projector, Laptop not available.

It has hostel facility with room capacity of 54. Mess services are available only during training.

There is no vehicle available.

It is located 5 km away from the hospital.

The institute was identified only for RCH Training upto 2005 and since then there has been no such training programme.

31

District Name

Staff position


Science Instructor

PHN / PHNI



Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Patna

1 1 1 0 1 0 1 1 1 0 2 2 2 1 5 2 10 7 24 14





2007-08

2008-09 2009-10

2.2 HFWTC, Patna


6 Blackboards, 1 Desktop, 2 OHP & 1 LCD projector are available with no Laptop.

There is no hostel and during training hostel in SIHFW is used on rent. Mess services are available only during training.

It has 1 vehicle on road. Sometime mode of travel for participants is by rented vehicle.

It is located 1.5 km away from the hospital

No training has been conducted since 2006, so Principal has asked NIHFW to give instruction to SIHFW so that training could be conducted at the centre.

32

District Name

Staff position

Principal MLCD

Social Science Instruct

or

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Muzzafarpur

1 1 1 1 1 0 1 0 No 4 0 2 1 1 0 9 6 20 9





2007-08

2008-09 2009-10

2.3 HFWTC, Muzzafarpur

It has 2 class rooms, a library with old books, no new books have been purchased.

No teaching aids are available except 3 Blackboards.

It has hostel facility with room capacity of 10. No Mess services are available.

There is no vehicle available.

It is located 5 km away from the hospital

Nil

33

3. Chhattisgarh

District Name

Staff position

Principal MLCD


or

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Billaspur

1 1 1 0 No 1 1 6 6 2 1 14 14 7 6 32 29

S.No

Name of the HFWTC




2007 2008 2009

3.1 RHFWTC, Bilaspur

It has 3 class rooms, a library of which number of books is not given.

Black Board, White Board, 1 LCD Projector, 1 Desktop and 2 OHP are available. Laptop is not available.

It has Hostel facility with room capacity of 34. Mess services are available only during training.

It has one vehicle in running condition.

It is located 4 km away from the hospital. 2 3 1

34

4. Delhi

District Name

Staff position

Principal MLCD


or

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Delhi

1 1 2 2 No 2 2 No 4 2 1 1 5 2 10 1 25 11

S.No Name of the

HFWTC



Transport Location No. of trainings conducted Year not

mentioned 4.1 HFWTC,

Delhi It has 1 class room, a library containing more than 100 books

Blackboard, 1 Desktop. 2 OHP & 1 LCD projector are available. Laptop is not available.

No facility of Hostel & Mess is available.


It is located 3 km away from hospital 7

35

5. Gujarat

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Rajkot

1 0 1 1 1 0 2 2 No 5 4 3 3 10 10 15 8 38 28





2006-07

2007-08 2008-09

5.1 HFWTC- Rajkot


2 OHP, 1 LCD Projector, 9 Desktops, 1 Laptop are available. No information about Blackboard.



It is located 3 km away from hospital

4 4 4

36

6. Haryana

District Name

Staff position


Science Instructor

PHN / PHNI



Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Rohtak

1 1 1 1 1 0 2 2 1 0 6 5 3 1 14 7 15 7 44 24

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

6.1 HFWTC, Rohtak


2 Black Board/White Board, 1 LCD Projector, 1 Desktop and 2 Laptops are available. OHP facility is not available.



It is located within the campus of the hospital.

2 2 3

37

7. Himachal Pradesh

District Name

Staff position


Science Instructor

PHN / PHNI



Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Positi

on

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Kangra

1 1 No 2 2 2 1 7 5 1 1 13 10

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

7.1 RHFWTC, Kangra


Blackboard, 2 LCD Projectors, 4 desktops and 2 laptops are available. OHP facility is not available.



It is located 1 km away from the campus of the hospital.

8 6 3

38

8. J&K

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RFPTC, Kangan, Srinagar

1 1 1 1 No 1 0 No 3 2 2 1 8 7 11 4 27 16





2007 2008 2009

8.1 RFPTC, Kangan, Srinagar


1 Blackboard, 1 OHP and 1 Desktop are available. Facilities of LCD Projector & Laptop are not available

No Hostel & Mess facilities are available


It is located within the campus of Trauma Hospital, Kangan

1 1 1

39

9. Jharkhand

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Hazaribagh

1 1 1 1 1+1 0 1 0 No 5 4 2 1 4 4 5 4 21 15

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

9.1 HFWTC, Hazaribagh


2 Blackboards, 2 Desktops are available. OHP, LCD projectors and Laptop not available

No information given about Hostel. Mess services are available throughout the year.

It has vehicle (number not given).

It is located 3 km away from the Hospital. 1 1 1

40

10. Karnataka

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWT, Dharwad

1 1 1 1 1 0 2 1 1 0 2 1 3 2 18 13 25 12 54 31

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

10.1 RHFWTC, Dharwad


1 OHP, 1 LCD Projectors, Desktop & Laptops not available. No information about Blackboard.

It has Hostel facility with room capacity of 14. Mess services are available only during training.

It has three vehicles in running condition

Located within the campus of hospital.

12 28 14 -

41

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

10.2 RHFWTC, Gulbarga

It has 2 class rooms, a library (number not given).

1 blackboard, 2 OHP, 2 LCD Projectors with no desktop and laptop.

It has Hostel facility with room capacity of 14. No Mess services are available.

It has one vehicle in running condition

It is not located within the campus of hospital but very near i.e. ¼ km.

- 11 10 7

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Gulbarga

1 1 1 1 1 0 1 0 No 4 4 3 3 6 4 9 4 26 17

42

11. Kerala

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Kozhikode

1 1 1 1 1 0 3 3 2 0 6 5 3 1 11 8 11 7 39 26

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

11.1 HFWTC, Kozhikode


2 Blackboard, 2 OHP are available. LCD Projector, Desktop and Laptop are not available

It has Hostel facility with room capacity of 14. Mess services are available during the training.


It is located 7.5 km away from the Hospital.

21 Nil 1

43

12. Meghalaya

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFTC, Shillong

Info. not given 27 25

S.No Name of the

HFWTC




2007-08 2008-09 2009-10

12.1 RHFTC- Shillong


Blackboard, 1 OHP, 2 desktops are available. LCD Projector are Laptop are not available

It has Hostel facility with room capacity of 6. Mess services are available during the training.

It has no vehicle in running condition.

It is located 6 km away from the Hospital. 7 6 4

44

13. Maharashtra

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Nagpur

1 1 No 1 1 3 3 5 4 2 2 7 7 11 9 30 27

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

13.1 HFWTC, Nagpur


It has facility of 3 blackboards, 1 OHP, 3 LCD projectors, 5 Desktop and 2 Laptops.

It has hostel facilities with 16 rooms and mess facility is available round the year.

It has four vehicles in running condition.

It is located 4-7 km away from hospital. 6 16 23

45

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Pune

1 1 1 1 1 0 2 2 3 2 6 5 2 2 9 8 14 11 39 32

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

13.2 HFWTC, Pune


3 blackboards, 4 OHP, 2 LCD projectors, 1 Desktop and 1 Laptop are available.

It has Hostel facility with room capacity of 34. Mess services are available throughout the year.


It is located within the campus of Hospital. - 12 14

46

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctione

d

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Nasik

1 1 1 1 No 2 1 No 7 5 2 2 9 9 13 11 35 29

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

13.3 HFWTC, Nasik


1 blackboard in each class room, 4 OHP, 5 LCD projectors, 5 Computers (Desktops & Laptops) are available.

It has hostel facility with room capacity of 21. Mess facility is available round the year.


It is located within the campus of hospital. 11 11 12

47

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctione

d

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Aurangabad

1 1 No No 2 2 No 7 7 2 2 9 9 18 18 39 39

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

13.4 HFWTC, Aurangabad


1 OHP, 2 LCD projectors, 2 Desktops and Blackboards are available.

It has hostel facility with room capacity of 16. Mess facility is available round the year.


It is located 1 km away from MGM Hospital and 5 km from GMC Hospital.

- 2 5

48

14. Manipur

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Imphal

1 1 1 1 No 2 2 1 0 6 5 3 1 13 10 15 5 42 25

S.No Name of the

HFWTC




2007 2008 2009

14.1 RHFWTC, Imphal


4 Blackboard/Whiteboard, 3 OHP, 1 LCD projector, 4 Desktop 2 Laptop are available.

No Hostel & Mess facilities available.


It is located 200 mt. away from the campus of the hospital.

5 3 4

49

15. Madhya Pradesh

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWT, Gwalior

1 1 1 1 1 0 2 2 1 0 6 5 3 2 14 13 14 4 43 28

S.No Name of the

HFWTC




2007-08 2008-09 2009-10

15.1 RHFWTC- Gwalior

It has 3 classrooms, a library (number of books not mentioned).

4 blackboards, 1 OHP, 1 LCD projector, 2 Desktop and 1 Laptop available.

It has hostel facility with room capacity of 38. Mess services are available round the year.

It has four vehicles in running condition.

It is 3 km away from the hospital. - 12 -

50

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Jabalpur

1 1 1 0 1 0 2 2 1 1 7 7 3 3 11 11 3 3 30 28

S.No Name of the

HFWTC




2007-08 2008-09 2009-10

15.2 HFWTC- Jabalpur


5 blackboards, 3 OHP, 1 LCD projector, 1 Desktop available with no Laptop.

It has hostel facility with room capacity of 54. Mess services are available during the training.


It is located 2 km away from hospital.

14 10 7

51

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Indore

1 1 1 1 1 0 2 2 No 7 5 3 1 14 10 14 9 43 29

S.No Name of the

HFWTC




2007-08 2008-09 2009-10

15.3 RHFWTC- Indore

It has 4 classrooms and library (no. of books not given).

1 blackboard, 4 OHP, 4 LCD projectors, I desktop & 1 laptop.



It is located within the campus. 29 3 (upto

22-7-08) -

52

16. Orissa

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Cuttack

1 1 1 1 1 0 2 1 1 0 6 4 1 1 13 13 12 7 38 28

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

16.1 HFWTC, Cuttack


Blackboard, 2 OHP, 1 LCD projector, 1 Desktop available with no Laptop.



It is located within the campus of hospital.

Details not given

53

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Sambalpur

1 1 1 0 No 2 2 2 0 6 3 1 0 14 8 11 7 38 21

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

16.2 HFWTC, Sambalpur


4 blackboards, 2 OHP available. LCD projector, Desktop & Laptop are not available

It has hostel facility with room capacity of 16. Mess services are available only during the training.


It is located within the campus of hospital. Details not given

54

17. Punjab

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Amritsar

1 0 No 3 3 4 3 6 5 1 1 14 13 13 8 42 33

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

17.1 HFWTC, Amritsar


4 blackboards, 1 OHP, 5 Desktop are available. Facilities of LCD projector and Laptop are not available.

It has hostel facility with room capacity of 35. Mess services are available only during training course.


It is located 2 km away from the hospital. 5 6 5

55

18. Rajasthan

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Ajmer

1 1 1 1 1 0 1 1 No 2 2 3 3 7 6 10 3 26 17

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

18.1 HFWTC, Ajmer


3 blackboards, 4 OHPs, 2 LCD projector, 2 desktops and one laptop.

It has hostel facility with room capacity of 15. Mess services are available only during training course.


It is located 1 km away from paediatric hospital and 9 km from maternity hospital.

- 3 3 3

56

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Jaipur

1 0 1 1 1 1 1 1 No 3 3 1 1 7 7 7 2 22 16

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

18.2 HFWTC, Jaipur

It has 5 classrooms, a library (no. of books not given)

Blackboards and OHP are available but number is not given. No LCD projector, Desktop and Laptop.



It is located 4 km away from the hospital.

2 3 - -

57

19. Tamil Nadu

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, GIRHFWT

1 1 1 0 1 1 1 1 1 1 No 5 5 10 9

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

19.1 HFWTC, GIRHFWT


4 Blackboard, 2 OHP, 1 LCD Projectors, 1 Desktop and no Laptop.

It has a hostel facility with room capacity of 13. Mess services are available throughout the year.

Vehicle is available (number not given).


2 8 9

58

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Egmore

1 1 1 0 1 0 1 1 1 0 6 6 3 2 4 3 11 6 29 20

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

19.2 HFWTC, Egmore


2 OHP, 1 LCD Projector available. Blackboard, Desktop and Laptop are not available.

It has a hostel facility with room capacity of 17 rooms. Mess facility is not available.


It is located ½ km away from hospital. 12 4 -

59

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Madurai

1 1 1 1 1 0 4 4 2 0 3 3 3 3 5 2 8 3 29 17

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

19.3 HFWTC, Madurai


5 Blackboards, 2 OHP, 2 LCD Projector available. Desktop and Laptop are not available.

It has a hostel facility with a room capacity 23. Mess services are available throughout year.



6 12 5

60

20. Uttar Pradesh

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWT, Meerut

1 1 1 0 2 0 2 2 1 0 7 4 3 3 14 11 13 1 44 23

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.1 RHFWTC, Meerut


3 blackboards, 2 OHP available. LCD Projector, Desktop and Laptop are not available.

It has hostel facility with room capacity of 49 (39 in old and 10 in new hostel). Mess services are available round the year.

It has 4 vehicles in running condition.

It is located within the campus of hospital 4 1 - -

61

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Allahabad,

1 1 1 0 1 0 2 1 3 1 No 7 2 15 5

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.2 HFWTC, Allahabad,


2 blackboards and 1 OHP are available. LCD projector, Desktop and Laptop are not available.

It has hostel facility with room capacity of 49 (Main Hostel-26, BHW(M) Hostel-11 and Female Hostel-18). Mess services are available round the year.

Vehicles are available (no. not given).


6 3 - -

62

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Agra

1 1 1 0 2 2 2 2 No 4 2 3 3 11 11 8 7 32 28

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.3 HFWTC, Agra

It has 2 classrooms, a library containing approx. 1000 books.

2 blackboards, 1 OHP are available. LCD projector, Desktop and Laptop are not available.



It is located 4 Km away from the hospital Details not given

63

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWTC, Lucknow

1 0 1 1 1 0 1 1 1 0 5 3 2 2 8 5 9 5 29 17

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.4 HFWTC, Lucknow


2 blackboards, 2 OHPs are available. LCD projector, Desktop and Laptop are not available.



It is located within the campus of the hospital. Details not given

64

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Varanasi

1 0 1 1 1 0 2 1 1 0 7 4 3 2 9 9 14 3 39 20

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.5 HFWTC, Varanasi

It has 1 classroom, a library containing 920 books.





- 3 1 -

65

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWT, Gorakhpur

1 1 1 1 1 0 2 2 1 0 7 4 3 1 17 11 16 6 49 26

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.6 RHFWTC, Gorakhpur





It is located 10 km away from the District Female Hospital.

3 1 2 1

66

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

RHFWT, Jhansi

1 0 1 0 1 0 2 1 1 0 6 2 3 1 8 8 13 2 36 14

S.No Name of the

HFWTC




2006-07

2007-08

2008-09

2009-10

20.7 RHFWTC, Jhansi


2 blackboards, 1 LCD projector and 1 Desktop are available. OHP and Laptop are not available.

It has hostel facility with room capacity of 40. Mess facility available only during the training.

It has 1 vehicle in running condition.

It is located in the Medical College Campus and 8 km away from the hospital.

4 5 2 1

67

21. West Bengal

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Kolkata

1 1 2 1 1 0 1 0 No 4 2 3 1 5 1 5 0 22 6

S.No Name of the

HFWTC




2006-07 2007-08 2008-09

21.1 HFWTC- Kolkata


OHP, LCD projectors, Desktop and Laptop are not available except blackboard.

It has no facilities of Mess and hostel.


It is located 2-30 km away from hospital. 1 1 1

68

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Nadia

1 1 1 1 2 0 2 2 1 0 5 1 3 1 16 6 8 1 39 13

S.No Name of the

HFWTC


Teaching Aids

Mess & Hostel facility


2006-07 2007-08 2008-09

21.2 HFWTC, Nadia

It has 1 class room, no information about library.

No teaching aids.

Hostel building is available where 60 students can be accommodated. During the training participants maintain their own mess while staying at the centre.


It is located opposites side of JNM hospital, participants can walk to the hospital on the other side of the road which is dividing the two institutes.

7 1 -

69

S.No Name of the

HFWTC


Teaching Aids

Mess & Hostel facility


2006-07 2007-08 2008-09

21.3 HFWTC, Jalpaiguri

It has 1 class room & a Library of which number is not given.

5 blackboards and 1OHP are available. LCD projector, Desktop and Laptop are not available.

No hostel facility is available. Mess services are available round the year and have 6 rooms available in it.


It is located 2-30 km away from hospital.

1 1 1

District Name

Staff position


Science Instructor

PHN / PHNI

Sanitary Inspector


Staff Others Total

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

Sanctioned

In Position

HFWTC, Jalpaiguri

1 1 1 0 2 0 2 2 1 0 6 5 3 2 12 7 9 1 37 18

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