training status report 2020-21

1

Training Status Report:2020-21

Training Unit, NHM- Odisha

Training Status Report 2020-21

Mission Directorate National Health Mission

Department of Health & Family Welfare, Govt. of Odisha April, 2021

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CONTENTS Activities under Training:2020-21 Page No

Introduction & Objectives 7

Major Achievements

RMNCAH+N Activities:

Reproductive Health 7

Maternal Health 9

New Born & Child Health 11

Adolescent Health 13

Nutrition 14

Trauma & Emergency Medical Care (TEMC) 14

Health Wellness Centre (HWC) & NCD training 15

Integrated Service Delivery 15

Chronic Obstructive Pulmonary Disease (COPD) 16

NGO, PPP 16

Training under IEC/BCC 17

Training under Nursing 17

National Vector Born Disease Control Programme (NVBDCP) 18

Gender Based Violence (GBV) 18

Training under National Mental Health Programme (NMHP) 19

Training under NUHM 19

Management Development Programme (MDP) 21

Training Review Mechanism 21

Innovations in training 21

Monitoring Mechanism

Innovative Initiatives

Service Bond for LSAS training

Refresher training

Training for Neighboring States

Way forward

Fund distribution in Training PIP: 2020-21 23

Fund Utilization: 2020-21 23

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ABBRIVIATIONS

ANM Auxiliary Nurse Midwife

ASHA Accredited Social Health Activist

AWW Anganwadi Worker

AYUSH Ayurved, Yoga, Unani, Siddha & Homeopathy

BCC Behaviour Change Communication

BP Blood Pressure

BMI Body Mass Index

CBAC Community Based Assessment Checklist

CBE Clinical Breast Examination

COPD Chronic Obstructive Pulmonary Disease

CVD Cardio-vascular Disease

CHO Community Health Officer

CHC Community Health Centre

DHH District Headquarter Hospital

DPHO District Public Health Officer

DM Diabetes Mellitus

FLHW Frontline Health Workers

FBS Fasting Blood Sugar

FRU First Referral Unit

GoO Govt. of Odisha

GoI Govt. of India

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HWC Health and Wellness Center

HT Hypertension

IEC Information, Education & Communication

LHV Lady Health Visitor

MAS Mahila Arogya Samiti

MO Medical Officer

MPW Multipurpose worker

MPHW (M) Multi-Purpose Health Worker (Male)

MT Master Trainer

NCD Non- Communicable Disease

NPCDCS National Programme for Prevention and Control of Cancer, Diabetes, CVD & Stroke

OPD Out Patient Department

OVE Oral Visual Examination

OSCE Objective Structured Clinical Examination

PBS Population Based Screening

PHC Primary Health Center

RBS Random Blood Sugar

RBSK Rashtriya Bal Swasthy Karyakram

RKSK Rashtriya Kishore Swasthy Karyakram

RNTCP Revised National Tuberculosis Control Programme

RMNCAH+N Reproductive Maternal Neonatal Child Adolescent Health and Nutrition

SBCC Social Behaviour Change & Communication

SC Sub- Centre

SDH Sub District/ Divisional hospital

SN Staff Nurse

SNO State Nodal Officer

UPHC Urban Primary Health Center

VHND Village Health and Nutrition Day

VHSNC Village Health Sanitation & Nutrition Committee

VIA Visual Inspection with Acetic acid

WC Waist Circumference

WHO World Health Organization

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Institutional Structure

Health Directorates involved in Training Programmes

Minister of H & FW

Principal Secretary

State Health Society

Mission director NHM

Director Family Welfare

Director Health

Services

Director Blood Safety

Managing Director OSMCL

Director Medical

Edu & Trg

Project Director OSACS

Director Nursing

Director Public Health

Director AYUSH Mission

Director SIH&FW

(O)

Geographic Location of Health

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Source: Census-2011, NFHS-4, SRS:2016-20

DEMOGRAPHIC PROFILE AND VITAL HEALTH INDICATORS IN ODISHA

HEALTH INSTITUTION

# of Govt. Medical College & Hospitals (MCH) 7

# of District Head Quarter Hospitals (DHH) 32

# of Sub- Divisional Hospitals (SDH) including IDH 33

# of Govt. Nursing College 3

# of Govt. ANM Training Centre 21

# of Govt. GNM Training Centre 8

# of CHCs & UCHC ( Non- FRU) including IDH 350

# of CHCs ( FRU) 34

# of DHH FRUs 32

# of SDH FRUs 28

# of Sub- Centers 6688

Total Population (Census-2011) M – 212,12,136 F – 207,62,082 419,74,218

Literacy Rate (Census-2011) M – 81.59%, F – 64.01% 72.87%

Sex Ratio (NFHS-4) 1036

Child Population 0-6-years (Census-2011) 5273194

Child Sex Ratio (0-6 years) (Census-2011) 941

Natural Growth Rate (SRS -2020) 10.9

Crude Birth Rate (SRS -2020) 18.2

Crude Death Rate (SRS -2016) 7.3

Maternal Mortality Ratio (SRS:2016-18) 150

Infant Mortality Rate ( SRS -2020) 40

Total Fertility Rate (SRS -2017) 1.9

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Introduction:

Better quality of health care services at health institution depends on continuous skill building of medical and paramedical personnel. Skill up-gradation is the call of the day. As per the requirement of institutions and the need of the health personnel, the paradigm of training has been shifted from training to quality health care services through skill building, multi skilling & mentoring. Skill building training like SBA, BEmOC, RTI/STI and FP trainings are conducted to ensure the quality of services. Multi skilling of MBBS doctors on Life Saving Anaesthetic Skills (LSAS), Emergency Obstetric Care (EmOC), Blood Storage Unit (BSU) management, training are conducted to functionalise designated First Referral Units (FRUs). As per the guideline of Ayushman Bharat, Govt. of India, training on Health Wellness Centre (HWC) & Non- Communicable Disease (NCD)to functionalise designated “Health Wellness Centre (HWC)” during 2020-21 of the State.

Objectives: To improve the skills and to enable the service providers to ensure high quality services. To develop management skills of health personnel for effective management of public health. To strengthen the service delivery mechanism through multiskilling of health personnel at FRU and 24x7

Institutions. To functionalise designated PHCs and SCs as HWC through HWC & NCD training.

Major Achievements:

As approved in PIP FY:2020-21 NHM, Dept. of H&FW, Govt. of Odisha has implemented training on RMNCAH+N, NCD, NDCP, School Health- AB, Induction Training for CHOs, Multi Skilling & Programme Management training at different levels to achieve the NHM goal. Major training programmes during FY: 2020-21 are as follows: 1. Reproductive Health:

100%

20%

57%66%

86%

95%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Laparoscopic Minilap IUCD Injectable contraceptive

Oral pill FP-LMIS

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Laparoscopic Sterilization training: Laparoscopic sterilization training is provided to a team of 3 members, consisting of Doctor, Staff Nurse & OT assistant for a duration of 12 days. It is conducted at City Hospital, Cuttack. After training the trained team provides Laparoscopic sterilization services for female on fixed day. During FY: 2020-21 total 15 health personnel (MO-5, SN – 5 & OT Attendant – 5) have been trained against the target of 15 team members.

Intra Uterine Contraceptive Devices (IUCD): During FY: 2020-21, 340 MOs have been trained against the target of 600 personnel. Minilap:

Duration of Minilap training is for twelve working days for Assistant Surgeon posted at L2 & L3 institutions. During FY: 2020-21, total 6 Medical Officers have been trained against the target of 30 personnel.

Training on Injectable Contraceptives:

Training on Injectable Contraceptives has been introduced as per GoI guideline during 2020-21. It is 1 day training for MOs, AYUSH Doctors and Staff Nurses. Injectable contraceptives are available up to PHC level. During 2020-21, total 570 (MBBS-30, SN,ANM/LHV- 540) have been trained against the target of 870 health personnel.

Training under Reproductive Health

State load 2020-21 Ach. % of Ach.

Laparoscopic sterilization training 5 batch 5 100

Minilap training for MO 10 batch 2 20

IUCD training for MO 60 batch 34 57

Injectable contraceptive for MO, AYUSH MO, SN, ANM & LHV 29 batch 19 66

Training on Oral pills 29 batch 25 86

FP-LMIS training 314 batch 297 95

Trainees are in Laparoscopic sterilization training

Practical session during IUCD training

Trainees are in Injectable contraceptive training

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2. Maternal Health:

Training under Maternal Health


21 days SBA training of SNs, ANM/LHV & AYUSH MO 572 part. 356 62

10 days BEmOC training 150 32 21

18 weeks LSAS training for MBBS doctor 1 batch 1batch 100

3 days BSU training for MO & LT 1 batch 2 batch >100

12 days CAC certification training 40 batch 16 40

RTI/STI training of MO & LT 2 batch 2 100 3 days Training of service providers on Dakshata 18 batch 10 56

1 day Facility level Training on RMC at 20 DHH / FRUs on "LaQshya Prgramme

18batch 13 72

Skill Attendant at Birth (SAB):

It is implemented since 2007 to reduce the Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) of the State. Total 356 paramedical personnel have been trained against the load of 572 during FY’ 2020-21. Trained personnel are conducting normal vaginal delivery at delivery points (DPs) and FRUs. SAB training has been initiated for paramedical personnel of HWC to ensure that, all HWCs are providing quality delivery services at HWC.

62%

21%

100% >100%

40%

100%

56%

72%

0%10%20%30%40%50%60%70%80%90%

100%

SBA BEmOC LSAS BSU CAC RTI/STI Dakshata LaQshya

Trainees are in 21 Days SAB Training

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Basic Emergency Obstetric Care (BEmOC):

Odisha is the 1st State in the country to implement 10 days BEmOC training for MBBS Doctors of L2 and L3 institution. During 2020-21, total 32 MBBS doctors have been trained against the target of 150 at Dept. of OG, SCB Medical College and Hospital, Cuttack. Low achievement due to COVID-19 pandemic situation. Trained MBBS doctors are conducting normal vaginal delivery as well as assisted delivery at delivery point (DP). BEmOC training at MCH is enhancing the confidence of newly joined MBBS doctor to conduct assisted delivery at DPs. BEmOC training resulted in enhanced monthly delivery at L2 institution. There is decongestion at FRU due to BEmOC training. As per the requirement of HWC, BEmOC training is organized for MBBS doctors of PHC(N) which are designated as Health Wellness Centre (HWC).

Life Saving Anaesthetic Skills (LSAS): LSAS training is organized at Dept. of Anaesthesiology

of Govt. Medical colleges since October 2007. LSAS trained doctors are posted at FRU and administered spinal anaesthesia for CS cases. LSAS training is very useful to address the issue of non availability of anaesthesiologist at FRUs. Till date 164 MBBS doctors of Odisha have been trained and 93 trained doctors are posted at FRUs and administering spinal anaesthesia during CS. During FY: 2020-21, only 3 MBBS doctors have completed 18 weeks of LSAS training, in spite of COVID-19 pandemic situation.

Blood Storage Unit (BSU) management training:

To functionalise FRU, provision of blood is mandatory. To ensure availability of blood for C-section, 3 day BSU Management training is organised by NHM, Odisha at Red Cross Blood Bank, Capital Hospital, Bhubaneswar. MO & LT of BSU are trained to functionalize blood storage unit. During 2020-21 total 24 MOs and LTs (MOs- 19, LTs- 5) have been trained against the target of 20 personnel.

CAC training: Comprehensive Abortion Care (CAC) training is important to minimise maternal death due to unsafe abortion. As per GoI guideline there are “12 days CAC certification training” for MBBS Doctors, “6 days training for SNs” and “3 days refresher training” for master trainers. In Odisha there are 11 CAC training venues at regional level. CAC training is implemented in collaboration with IPAS Development Foundation. During FY: 2020-21, total 97 doctors and SNs (Doctors- 51, SNs- 46 ) have been trained against the target of 160 health personnel. DAKSH Training: As per GoI guideline, Daksh training is provided to the service providers of LR & OT to ensure quality health services. DAKSH training is a hands on training for 6 days. It ensures skill building of service providers working at LR & OT. Total 640 SNs have been trained against the target of 480 during FY: 2020-21.

Certificate distribution during CAC training

Practical session during BEmOC training

Trainees are in LSAS trg at SCB, Cuttack

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DAKSHATA training.: As per GoI guideline, Dakshata is a 3 days training for

the service providers of LR & OT to ensure quality services during delivery. In Odisha, Dakshata training is implemented in collaboration with Jhpiego. As per approved PIP, 5 days TOT being organised for Dakshata Coordinators and DP mentors at regional level during 2020-21. Total 15 Coordinators and 15 DP mentors have been trained during 2020-21.

Respectful Maternity Care (RMC):

The Ministry of Health and Family Welfare, Govt. of India has launched “LaQshya” initiative to improve quality of care in Labour Rooms and Maternity OT in Government Medical College, DHH, SDH and other high case load facilities. In Odisha, there are 98 facilities under the program including 3 Govt. Medical Colleges. Respectful Maternity Care is a universal human right. It includes respect for women’s autonomy, dignity, feelings, privacy, choices, freedom from ill treatment and coercion

and consideration for personal preferences including option for companionship during the maternity. RMC is an attitude that permeates each word, action, thought, and non-verbal communication involved in the care of women during pregnancy and childbirth. A total of 102 doctors, 61 Staff Nurses and 50 attendants trained on RMC components during the FY:2020-21.

3. New Born & Child Health:

Facility Based Integrated Management of Neo natal Childhood Illness ( F-IMNCI) Facility Based Integrated Management of Neo natal Childhood Illness ( F-IMNCI) training is provided to the MOs & SNs of L2 & L3 institutions. It is a 11 days training conducted at Regional training venue. The trained personnel provides curative care as per the standard protocol of F-IMNCI training at health institution. During home visit by the IMNCI trained personnel, cases are referred for treatment to F-IMNCI trained personnel. During 2020-21 total 114 SNs have been trained against the target of 147.

78% 84%100%

50%

77%

>100%

0%10%20%30%40%50%60%70%80%90%

100%

FIMNCI FBNC NSSK Observership IYCF Pneumonia

Trainees are in DAKSHATA training

Trainees are in RMC Trg. at SCB MCH, Cuttack

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Training under New Born & Child Health State load 2020-21 Ach. % of Ach.

11 days FIMNCI training for SN 147 persons 114 78

4 days FBNC training for MO & SN 89 persons 75 84

2 days NSSK training for MO 2 batch 2 100

2 weeks observership training 6 batch 3 50

4 days IYCF training for MO, SN & ANM 45294 batch 34984 77

2 Days Trg on Pneumonia Management for Block MO I/c , MO HWC, & District level Prog. Managers 30 batch 37 >100

Facility Based Newborn Care (FBNC) : FBNC training is provided to SNs and MOs of Special New Born Care Unit (SNCU) and New Born Stabilization Unit (NBSU), established at DHH & FRU respectively. It is 4days training at state level followed by 11 days observer ship training at KEM, Mumbai, Safadarzang Hospital, Delhi and SVPPGIP, Cuttack. Trained MOs and SNs are competent enough to provide quality services at SNCU and NBSU. During FY: 2020-21, total 75 MOs and SNs have been trained against the target of 89.

Navjat Sishu Surakshya Karyakram (NSSK):

During FY: 2020-21, total 2batches of Medical officers of L1, L2, L3 institutions from 30 districts have been trained against the target of 2 batches. Trained personnel are posted at the labour room to address the need of neonatal resuscitation. NSSK training is reducing the incidence of neonatal death at institution level. Resuscitation is the key of survival of asphyxiated baby at labour room. NSSK training is provided to medical and paramedical personnel of all delivery points (DPs). As per the guideline of Govt. of India, NSSK training is implemented for doctors and paramedical personnel of Health Wellness Centre (HWC) during Fy: 2020-21.

Rastriya Bal Swasthya Karyakram (RBSK): National Health Mission (NHM) launched Rastriya Bal Swasthya Karyakram in order to improve the quality of life among children and to provide comprehensive care to all the children under 18yrs of age at community level. This programme, involves screening of children from birth to 18 years of age for 4Ds - Defects at birth, Diseases, Deficiencies and Development delays including disabilities.

Training under RBSK

State load 2020-21 Ach. % of

Ach. Refresher Training of Audiologist & speech Therapist

30 Per 28 93

Refresher training for RBSK MHT Team 33batch 29 88

NSSK training at Capital Hospital, BBSR

93% 88%

10%20%30%40%50%60%70%80%90%

100%

Audiologist & speech

Therapist

RBSK MHT Team

RBSK training at state level

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Training under Routine Immunization: Different training programmes are organized under routine immunization as per PIP 2020-21. The objective of RI training is to upgrade the knowledge and skill of service providers like MO, ANM, cold chain handlers & PHEOs. Inter personal counseling skill is an important area under immunization programme to enhance the IPC skill of health providers at community level. The major achievements in different RI trainings are as follows-

4. Adolescent Health:

Rastriya Kishore Swasthya Karyakram (RKSK): Ayushman Bharat is aimed at making path breaking interventions to address health holistically, in primary, secondary and tertiary care systems, covering both prevention and health promotion. It is a joint initiative of Department of Health and Family Welfare and Department of School & Mass Education. Total 2196 Health and Wellness Ambassadors in 1098 Govt./Govt aided schools planned under the School Health- AB programme for 10 district in Odisha. Total 14160 Health and Wellness Ambassadors have been trained during the FY: 2020-21.

Training under RKSK State load 2020-21 Ach.

% of Ach.

Training on School Health- AB 563 Batches 472 84

Peer Education on Adolescent Health

996 Batches 990 99

Training on Routine Immunization

State load 2020-21

(in batches) Ach. % of Ach.

2 days district level Orientation/ refresher training for service providers on RI

209 150 72

3 days training of Medical Officers on RI & new vaccine 20 16 80 2 days district level cold chain handlers training 40 35 88 Refresher training on Cold Chain Management for CCT & WIC operators

2 2 100

School Health- AB training at District level

PEs are in Adolescent Health trg at District level

72%80% 88%

100%

0%

20%

40%

60%

80%

100%

RI for service provider

RI for MO cold chain handlers trg

CCT & WIC

Trainees are in Routine Immunization training

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Peer Educator Training: Peer Education training under RKSK is provided in 2 districts (Koraput & Bhadrak) to create demand among the adolescents and to ensure timely referral of the adolescents. Under Adolescent Health, confidentiality is an important aspect which is stressed upon during training. Total 990 batches of Peer Educator training completed as per the plan of FY: 2020-21.

5. Nutrition: Eat Right India:

Preventive and Promotive healthcare is the key component of Comprehensive Primary Health Care (CPHC) under Ayushman Bharat- Health Wellness Centre (AB-HWCs). The “Eat Right India” movements, an initiative of Food Safety and Standards Authority of India (FSSAI) to help the community members to make safe and healthy food choices. Under this movement “Eat Right India”. 1021 Medical and Paramedical personnel have been trained during FY: 2020-21 in Virtual platform. Nutrition Rehabilitation Centers (NRC) :

Childhood under-nutrition is an important public health and development challenge in india. Under-nourished children have significantly higher risk of mortality and morbidity. To address the issue of malnutrition,

“ Nutrition Rhabilitation Centre (NRC)” has been established in the country. In Odisha total 67 Nutrition Rehabilitation Centers (NRC) are functional in Health Facilities to provide appropriate and facility based case management to children with SAM for all under 5 children. As per the guideline, NRC team consisting of doctors, Nutritioninst-cum-counseller, nurses, cook, helpers have attended training on NRC & management. During FY:2020-21 total 19 health officials have been trained on NRC management at state level as per the approval in PIP:2020-21.

6. Trauma & Emergency Medical Care (TEMC) Training:

TEMC training is important to stabilize the trauma victims. As per the order of the Road Safety Committee of Hon’ble Supreme Court, TEMC training is mandatory for health personnel of DHH, SDH, CHC and Health Wellness Centre (PHC). In view of the above requirement NHM, Odisha has initiated TEMC training during 2015-16 for DHH & SDH. After training, DHH & SDH have been strengthened to

84%99%

10%20%30%40%50%60%70%80%90%

100%

School Health-AB PE TrainingSchool Health- AB training at District level

Trainees are in NRC Management training

Trainees are in TEMC training at SCB, Cuttack

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provide quality TEMC services to the trauma victims. Dept. of Anaesthesiology of three Medical College & Hospitals (MCHs) are designated as Regional Training Centre for TEMC training. In Odisha all PHCs are designated as HWC. As per the guideline of Govt. of India, TEMC training is mandatory for MOs of HWC. Accordingly 116 MOs of HWCs (PHCs) are trained during 2020-21 against State load 300.

7. Health Wellness Centre (HWC) & NCD trg. :

Primary Health Care in India is selective and limited to RCH and Communicable Diseases. MoH&FW, Govt. of India envisages up-gradation of all SCs to Health and Wellness Centres (HWCs) for provision of comprehensive primary healthcare (CPHC). Comprehensive Primary Health Care i.e Preventive, Promotive, Curative, Palliative, and Rehabilitative care to be delivered within 30 minutes. Capacity building of staff is one of the key mandates to functionalise HWC. Training achievement of HWC &

NCD during 2020-21 is as follows:

8. Integrated Service Delivery:

Integrated Service Delivery training is provided to ensure better skill of counsellors working at DHH, SDH & FRU CHCs for 3 days. Counsellors have been provided skill development training for 3 days at State level. LT of CHCs attended 7 days multi skilling training at Capital Hospital, Dept. of Pathology, MKCG MCH, Berhampur and VIMSAR, Burla during 2020-21. As per approved in PIP, total 98 counsellors and 30 LTs have been trained during 2020-21.

87% 93%76% 84% 80%

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20%

40%

60%

80%

100%

MBBS MO AYUSH MO SN & ANM HW (M&F) VIA

Training on Health Wellness Centre (HWC) & NCD

State load 2020-21

(in person)

Ach. % of Ach.

3 days HWC & NCD trg for MBBS MO 272 237 87

3 days HWC & NCD trg for AYUSH MO 56 52 93

3 days HWC & NCD trg for SN & ANM 578 440 76

3 days HWC & NCD trg for HW(M&F) 2378 2008 84

6 days VIA trg for SN & ANM 30 24 80

Three Days training on NCD at Dist. level

Three Days training on NCD at State level

Counsellors are in Skill Development training

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9. Training on Chronic Obstructive Pulmonary Disease (COPD): It is observed that Chronic Obstructive Pulmonary Diseases (COPD) is increasing day by day in industrial cities of Odisha. As per the GoI guideline COPD, is one of the mandatory services to be provided at HWC. Keeping in view the above requirement, NHM, Odisha organised Certificate Course in COPD & Asthma (CCCA) in collaboration with PHFI, Delhi. There are 8 modules which are covered through 8 days contact session. During 2020-21 total 9 MBBS doctors have completed CCCA course. The trained doctors will be acting as state master trainer to provide training to the MBBS doctors of HWC. 10. NGO, PPP: As per the need of the state total 70 NGOs are working under NHM, Odisha. The contribution of NGO under NHM is praise worthy. NGOs are managing MAA Gruha, PHC, Mobile Arogya Plus Van, Boat Ambulance at periphery. NGOs are also providing high end diagnostic services like CT scan, dialysis, MRI, X-ray services at DHH level. Major training under NGO PPP activities are as follows:

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100%

Counsellor Multi skilling for LT

Training on Integrated Service Delivery


Ach.

3 days training on skill development of counselors

4 batch 4 100

7 days multi skilling training of LTs

10 batch 3 30

Training under NGO/PPP State load 2020-21 Ach. % of Ach.

21 day SAB training for AYUSH MOs & ANM at District level 24 person 17 71

2 days NSSK training for AYUSH MOs & ANM 54 person 31 57 3 days Technical updation training of AYUSH & MBBS 2 batch 2 100 5 days Multi skilling training of Lab Technicians 20 person 9 45 4 day Refresher Training for AYUSH Mos & ANMs of Arogya Plus 2 batch 2 100

2 days refresher training of ANMs engaged at Maternity Waiting Homes 1 batch 1 100

ANMs are in Refresher training at State level

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11. Training under IEC/BCC: IEC/BCC is an important component under health service to change the health behavior of the community. Different IEC/BCC training programmes are organized through SIH&FW Directorate. 4 days TARANG training organized for field level service provider. Major training activities under IEC/BCC for the year 2020-21 are as follows-

12. Training under Nursing:

As approved in PIP: 2020-21, NHM Odisha, conducted skill assessment training of newly recruited SN & ANMs. After TOT, Master Assessors’ conducted skill assessment session for the newly recruited SN & ANM at district level. This training is conducted following Objective Structured Clinical Examination (OSCE) training methodology to ensure the quality and uniformity in assessment. Directorate of Nursing has conducted COVID Management Training at different levels. During COVI-19 2nd wave training organized for SNs working in COVID Hospital, Clinical Nursing staff of DCH / DCHC Hospitals, Medical Colleges and other ICUs (Pvt + Govt), Clinical Nursing staff of ICU Super Specialty Care (Pvt + Govt.), SNs working in hospitals and Medical Colleges (Pvt + Govt.) and for all final year Nursing students. Total 22798 SNs have been trained during FY: 2020-21 in Virtual platform.

Training IEC/BCC

State load

2020-21 Ach. % of

Ach.

4 days training on Taranga - Social Behaviour Change Communication (SBCC)

45 batches

19 batch 42%

Training under Nursing


6 weeks trg of faculty members from ANMTC, GNMTC & College of Nursing at State Nodal Centre 4 batch 3 75

6 days training (ToT) of Nurse Trainers and Medical Officers on Skills Lab 5 person 3 60 6 days DAKSH training for Faculty members & SNs 40 persons 40 100

Active management of Covid -19 26 Batches 26 100

Induction Training of CHOs 315 270 86

71%57%

100%

45%

100% 100%

0%

20%

40%

60%

80%

100%

SBA trg. NSSK Tech. updation Multi skilling for LT Ref. trg for AYUSH & ANM

ANMs engaged at MWH

Trainees are in SBCC Training

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13. National Vector Born Disease Control Programme (NVBDCP):

National Vector Borne Disease Control Programme (NVBDCP) is for prevention and control of vector borne diseases like Malaria, Dengue, Lymphatic Filariasis, Kala-azar etc. As per approved PIP: 2020-21, following training programmes have been conducted under Directorate public health.

14. Training on Gender Based Violence (GBV): 14. Training on Gender Based Violence (GBV): Training on Gender Based Violence (GBV) and Child Sexual Abuse for Health Care Provider is important to minimise violence against women & child sexual abuse at community level. 1 day sensitization training on SOP of GBV has been organised in 7 Govt. Medical Colleges. Total 186 Govt. Officials have been trained against the target of 180 during 2020-21.

Training under NVBDCP State load 2020-21 Ach. % of Ach.

Training of MPHS(M/F) on Malaria & other VBDs 30 batch 23 77

Induction Training of LTs 2 batch 2 100

Management of DF/DHF/DSS on Dengue, Chikungunya 2 batch 1 50

Training of Paramedical personnel on ELF 42 batch 23 55

ToT of DMO/VBDC/MTS on ELF 16 batch 9 56

MOs are in Malaria & VBDs Trg at State level

75% 60%

100% 100%86%

0%20%40%60%80%

100%

6 weeks 6 days ToT DAKSH trg

Covid -19 CHO trg.

77%

100%

50% 55% 56%

0%

20%

40%

60%

80%

100%

Training of MPHS(M/F)

Management of DF/DHF/DSS for

Dengue, Chikungunya

Training of DMO/VBDC/MTS

CHOs are in Induction Training at State level

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Training under GBV State load 2020-21 (Batch)

Ach. % of Ach.

Refresher on SOP on GBV & Child Sexual abuse for health care providers 1 1 100

Training on SOP on GBV & Child Protection for 1 doctor from where each One Stop Centre 1 1 100

Training of SOP on GBV & Child Protection for One Stop Centre & Health personnel 3 3 100

Training of SOP on GBV & Child Protection for Media 1 1 100

Training of SOP on GBV & Child Protection for District Nodal Officers 1 1 100

Sensitization programme on GBV & Child Sexual abuse for Pvt. Clinics. 1 1 100 15. Training under National Mental Health Programme (NMHP): As per the guideline of Govt. of India, different Mental Health training programmes are organized under the guidance of AD, Mental Health, DPH, Odisha. During FY: 2020-21 following mental health training programmes are implemented as per approved PIP .

Training under NMHP


Ach.

Training of PHC-MO, SN, Paramedical staff on NMHP

30 batch 20 Batch 67

3 Days Training of SNs on NMHP 2 Batch 1Batch 50

2 days Training of Counsellors on NMHP

1 1 100

16. National Urban Health Mission (NUHM): As per Govt. of India guideline, National Urban Health Mission (NUHM) launched during Feb’2014. To address the health issues under Rural & Urban population, Govt. of India renamed NRHM as NHM. As per the capacity building requirement of Urban Health, different training & orientation programmes have been initiated during FY: 2020-21. The major focus on capacity building was to functionalize urban PHC/ CHCs & to ensure quality of health services as per IPHS standard.

67%50%

100%

0%

20%

40%

60%

80%

100%

PHC-MO, SN, Paramedical

staff

SNs on NMHP Counsellors on NMHP

Orientation of Service providers on NQAS at State level

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Training at State level under NUHM State load 2020-21 in Person Ach. % of Ach.

Training of Data Assistant cum Accountant (DAA) on finance & Data management 78 78 100

NQAS training for UPHC/UCHC staff & PMU staff 140 140 100

Management Development Program on Urban Health Management Program 56 56 100

Induction Training of newly joined UPHC staff 67 67 100 State level ToT of MAS 35 35 100 State level ToT of SSS 40 40 100

After skill building of health personnel, trained HR is utilized at Urban PHC & CHCs. Apart from facility based training, capacity building of Mahila Arogya Samiti (MAS) , urban ASHAs are also paid due attention. During 2020-21 urban PHCs are converted as Urban Health Wellness Centre (HWC -U) to provide 12 health services including Non Communicable Disease (NCD) & Disease Control Programme (DCP) apart from RMNCH+A. To functionalize HWC, MOs, SNs, ANMs & other paramedical personnel have been trained during 2020-21. The major training achievements under NUHM are as follows.

Training at District/ City level under NUHM State load 2020-21 in Person Ach. % of Ach.

Training on Health & Wellness training of ANMs 488 453 93 Training of RKS member 1164 1148 99 ToT on MAS 180 180 100 Field training of MAS 9396 7520 80 Facility level training on Swachha Swastha Sarvatra (SSS) 2134 1980 93

93% 99% 100%80%

93%

0%

20%

40%

60%

80%

100%

HWC training

RKS training ToT of MAS MAS field training

SSS facility training

Trainees are in HWC & NCD training at State level

100% 100% 100% 100% 100% 100%

0%

20%

40%

60%

80%

100%

Finance Management

NQAS MDP Induction ToT of MAS ToT of SSS

21



17. Management Development Programme (MDP): As approved in PIP: 2020-21 officials from state, district and block have attended Management Development training Programme to enhance their management skill at different reputed institution like NHSRC, NIHFW, New Delhi, IIHMR, Delhi, NIFM, Faridabad and PGI Chandigarh. Total 34 health officials have attended MDP during the FY: 2020-21 in virtual platform. NHM- Odisha sponsored 100 personnel from state, district and block level for ePGPIMRCH –eLearning for 1 year (December2020 – November-2021) at IIPH, Delhi. Another 120 managers have been developed for Management Development Programme training at NIFM, IIHMR, ESCI during FY:2020-21. Due to COVID-19, 2nd wave it is postponed for the time being.

18. Training Review Mechanism: There is a structured review mechanism during training and post training follow-up at different levels. Quality of training and utilization of trained HR is the major concern under training. State Technical Supervisory Team (STST) at state level & District Technical Supervisory Team (DTST) at district level are monitoring different training programmes under RMNCAH+N, NCD & NDCP. On quarterly basis, SIHFW, State Nodal Directorate reviews the performance of all training Nodal Officers and consultants under NHM. Monthly review meeting of training at district level provides an opportunity to review the quality of training organized at district level. Training Review Mechanism at different levels is as follows.

19. Innovation in training:

Monitoring Mechanism: 1. State Integrated Monitoring team (SIMT)

2. State Technical supervisory team (STST)

3. District technical supervisory team (DTST)

Monthly review of trg at State level

Physical/ VC from SIH&FW

Quarterly review meeting of training nodal officers and consultants at State

level

District level monthly review meeting with special focus on training.

Submission of Physical & Financial achievement report by district as per approved PIP.

Director SIH&FW

Director SIH&FW

CDM & PHO

Submitted to NHM & SIHFW

Monthly

Quarterly

Monthly

Monthly

Chair person Periodicity

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Innovative Initiatives: Performance Based Incentive (PBI) for LSAS and EmOC trained doctors Training bond for LSAS trainee doctors LSAS and EmOC training for North Eastern States (Tripura , Meghalaya and Manipur) at SCB

MCH, Cuttack I year PG Diploma / Diploma Courses for SPMU, DPMU and BPMU personnel Partnership with AIIMS, Bhubaneswar for technical inputs.

Service Bond for LSAS training:

Service Bond has been introduced between LSAS trainee MBBS doctors and DHS (O) in LSAS training to ensure that the LSAS trained doctors provide LSAS services at least for 5 years after 18 weeks of training.

Refresher training:

To enhance the confidence level of LSAS & EmOC trained doctors, NHM, Odisha initiated 2 weeks of refresher training to ensure quality of service at FRUs and DPs. Training for Neighboring States:

As per the recommendation of MH Division, MoH&FW, Govt. of India, Training Division, NHM, Odisha has organized Life Saving Anesthetic Skills (LSAS) training and Emergency Obstetric care (EmOC) training for the state of Manipur and Tripura at Dept. of Anesthesiology and Dept. of O.G, SCB MCH, Cuttack during the year 2020-21.

Way forward: Human Resource Management System for Individual Performance tracking Monthly CME at Dist. and Block level personnel through Web VC/ Tele medicine Hub. National and International exposure visits in the field of PH strengthen applied PH

initiatives. Capacity building initiatives for Health personnel of HWC- AB to provide 12 services at

PHC/ SC level. Maintenance of Training Management Information System (TMIS) to develop the

training data base at State / District level. Public Health (PH) skill building of SPMU, DPMU and BPMU personnel through PH

management Courses at reputed Universities.

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Fund Distribution in Training PIP: 2020-21

Fund Utilization: 2020-21

Thematic Division RH MH N&

CH AH RBSK Nursing RI Ayush QA/Q

I HMIS ABHWC

IEC/BCC DCP NCD Other

trg

Total Budget in Lakh

184. 15

430.02

389. 29

189. 00

87. 25

1001. 46

170. 53

62. 30

57. 74

144. 51

698. 10

37. 95

495. 41

127. 21

1279. 87

% 3% 8% 7% 4% 2% 19% 3% 1% 1% 3% 13% 1% 9% 2% 24%

Thematic

Division

RH MH N & CH AH RBS

K Nursin

g RI Ayush

QA/ QI HMIS AB-

HWC IEC/ BCC DCP NCD Other

trg Total

Total Exp.

in Lakh

95. 85

113. 90

202. 60

616. 47

42. 53

463. 36

144.71

15. 63

18. 96

58. 65

284. 35

12. 67

113. 16

25. 30

670. 26

2878. 40

% 52% 26% 52% 326% 49% 46% 85% 25% 33% 41% 41% 33% 23% 20% 52% 54%

RH, 3% MH, 8%

N&CH, 7%

AH, 4%RBSK, 2%

Nursing, 19%

RI, 3%

Ayush, 1%HMIS, 3%

ABHWC, 13%

IEC/BCC, 1%

DCP, 9%

NCD, 2%

Other trg, 24%

RMNCAH+N Training Budget Rs. 5354.79 lakh, FY:2020-21RHMHN&CHAHRBSKNursingRIAyushQA/QIHMISABHWCIEC/BCCDCPNCDOther trgQA&QI, 1%

52%

26%

52%

>100%

49% 46%

85%

25%33%

41% 41%33%

23% 20%

52% 54%

0%

20%

40%

60%

80%

100%

RH MH N&CH AH RBSK Nursing RI Ayush QA/QI HMIS AB_HWC IEC/BCC DCP NCD Others Total

24



Mission Directorate National Health Mission Annex Building, SIH&FW, Unit -8

Bhubaneswar – 751012, Odisha Phone/ Fax-0674-2392479/80

www.nhmodisha.gov.in, E-mail: [email protected]

TRAINING STATUS REPORT: 2020-21

training status report 2020-21

Documents