Transcript Slide 1

Central Training Plan
2010-11
PROF. DEOKI NANDAN, MD, FAMS, FIAPSM, FIPHA, FISCD
Director
([email protected], www.nihfw.org)
Need for a National Training Plan
• HRD is critical for improving performance, efficiency and effectiveness of
health systems and delivery of health services
• It has become all the more important as new health programs are
introduced.
• All the health care personnel need updating of both knowledge and
skills.
• Focus on in-service training/on-the-job training is necessary to improve
content and quality of services to cater to emerging needs for training.
• In-service training is necessary for all category of personnel – service
providers, programme managers, bio-statisticians, etc.
Core Strategies
1.
Needs assessment- Review state training plans – PIPs and RoPs, to assess
training needs and loads.
2.
Develop a Central training plan and strategy to meet the gaps and needs
3.
Quality improvement and management of training through standardizing
curriculum, resource material and standards (including proficiency
certification)
4.
Strengthen capacity for training through trainers’ training and infrastructure
support
5.
Coordinate implementation of trainings in the states with optimal utilization of
all available health facilities and human resource.
6.
Establish training information management systems, monitoring, supervision
and support
Review of Training
NIHFW reviewed the State PIPs and ROPs for
2010 -11
 Progress in 09-10 of in-service training
indicated by the states.
 Training programmes planned by states for
2010-11
Four Thematic Areas
Review was conducted on the following four thematic
areas and in the context of NIHFW has done in the last
seven years in conducting training of trainers since
beginning of NRHM
◦ Maternal Health
◦ Child Health
◦ Family Planning
◦ Disease Control
Abstract of Training Load (2010-11)
•
Trainings/Activities covered
•
Category of staff to be trained
•
Number to be trained in 2010-11
•
Duration of Training
•
Place of training
•
Status of TOT
•
Availability of training modules and teaching aids
•
Availability of monitoring formats
Maternal Health
(9 High focus states + 3 NE States)
Training Load (Maternal Health)
SBA
25
25
3–6
Weeks
Identified District
Hospitals
YES
EMOC
48
24
45
24
32
EMOC
REFRESHER
BEMOC
8
5
Batches 24
64
3
1 Batches
5
15
288
150
40
100
Batches
500
275
Identified Medical
16 Weeks College/ DH
YES
15
YES
978
YES
LSAS
Blood Storage
MO's
20
48
15
32
16
36
60
16
72
3
4 Batches
40
90
1774
Identified
18 weeks Medical College
Insitute where
blood banks are
3 days
available
Identified Medical
Colleges/
2 Days
RHFWTC
9
50 Batches
30
1204
15 days
633
30
214
2133
763
90
10
7111
5
39
324
39
RTI/STI
165 500 324
480
175
YES
YES
YES
MTP/MVA
250 220 120
MTP/MVA
Refresher
BSU
IMEP
Core Skill
training
Other MH Trg.
54
120
184
30
30
200
40
120
1500
90
SUB- TOTAL 771 792 2193 424
1208
234
260
80
256
10
130
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Identified Training
Institutes
YES
YES
YES
TOT trained
Obstetrician/
MO/ SN&
Paed. M.O.
Faculty Med.
College (Gyn)/
Distt
Gynaecologist.
Form of Monitoring and
Achieving Targets
Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Madhya Pradesh
STATES
YES
YES
YES
YES
Faculty Med.
Coll. (Anes)/
Distt Anaes
I/C of Training
Insitutte
Oriented team
of trainers at
state level
Gynaecologist
from Medical
Colleges
YES
YES
YES
YES
YES
YES
MTP/MVA
Adv. LAP Trg
RTI/ STI TOT
MTP/MVA
(TOT)
LSAS TOT
CEMOC
Refresher
CEMOC TOT
EMOC TOT
100
51
8
8
SBA
RTI/STI
SN
8
320
100
30
630
SUB- TOTAL
YES
YES
YES
YES
40
10
30
130
40
10
39
466
1120
YES
YES
YES
YES
YES
YES
1
1
160
420
300
60
56
2 Days
20
20
864
116
1220
2200
RTI/STI
LT
223
750
PHCs
160
160
Other MH Trg.
10
BSU
SUB- TOTAL
RTI/STI
GNM
MH Training
FAMILY
WELFARE
SBA
MO Ayush
DAI
DAI TRAINING
1000
Others
JSY
39
184
368
30
190
10
25
21
Batches
150
120
56
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
10
214
607
25
21
Batches
150
1120
56
YES
Oriented team
of trainers at
state level
YES
YES
YES
YES
YES
2 Days
Identified
Medical
Colleges/
RHFW TC
3 days
Insitute
where blood
banks are
available
Blood Storage
184
Identified
Medical
Colleges/
RHFW TC
30
1730
924
56
ANM
39
Form of Monitoring
and
Achieving Targets
Available
30
20
864
1200
SUB- TOTAL 1200
Trainers
30
20
300
800
Training Modules &
Teaching Aids
Available
YES
YES
YES
YES
800
160
120
MTP/MVA
MTP/MVA
refresher
Place of Training
YES
168
168
Duration of Training
151
8
168
8
SPECIALIST
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
51
SUB- TOTAL
SBA
IMEP
RTI/STI
Madhya Pradesh
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Maternal Health)
STATES
YES
YES
YES
Oriented team
of trainers at
state level
YES
YES
I/C of Training
Insitutte
YES
YES
YES
YES
YES
Form of Monitoring
and
Achieving Targets
Available
Trainers
Training Modules &
Teaching Aids
Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Maternal Health)
STATES
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
SBA TOT
MO/DRCH/
PRINCIPAL
ANMTC/ O&G/
Peads/
ADDITIONAL
CMHO/ CS
50
100
SBA
LHV/SN/MAST
SUPPORTIVE
ER TRAINERS
SBA Trg. For
Ex. Tribal
RTI/STI
SBA
SBA
SN/ANM
90
276
YES
YES
150
150
YES
YES
36
36
1080
1632
YES
YES
YES
YES
YES
YES
YES
YES
1080
1632
252
RTI/STI
36
554
2000
37
Batches
3000
1200
Mapedir
Mapedir
Core Skill
training
SBA
RTI/STI
BSU
MO/
SUPERVISOR
ANM/LHV
1200
76
2126
76
2126
1800
1800
1500
160
1500
160
MO/LT
RTI/STI
RTI/ STI
SN/GNM
MO/SN
RTI/ STI
MO/LT/SN
RTI/ STI
MO/ANM/
HW(M)
IMEP
5806
SN/ANM/LHV
120
350
70
Batches
23
Batches
3
Batches
BMO/SN/BEE
TOTAL
6
Batches
60
8160 1836 6200 7672
4232
3898
3356
510
3862
81
465 Batches 1758
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
60
120
350
70
Batches
23
Batches
3
Batches
41949
2 Days
Identified
Medical
Colleges/
RHFW TC
YES
Oriented team
of trainers at
state level
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Child Health
(9 High focus states + 3 NE States)
52
70
120
1226
8 days
480
336
730
FBNBC
MO's
FIMNCI (TOT)
NSSK
18
48
678
60
IMMUNIZATION
NSU
New Born &
Child
Stabalization
Unit (FRU)
30
1576
5
18
53
50
Batches
48
8
734
60
100
100
SUB- TOTAL
1080
1074
480
730
100
3
98
18
IMNCI
FIMNCI
480
120
120
13
Batches
360
FBNC
NSU
NSSK
70
70
400
S.N.
722
722
SNCU
72
New Born &
Child
Stabalization
Unit (FRU)
SUB- TOTAL
480
722
360
400
90
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
72
3
3
70
120
3
2245
YES
Faculty of
Paediatrics
and P&SM
Deptt.
YES
Final
Approval Available.
Awaited. TOT done
NO
YES
YES
District/
Sub-district
2 days
Hospital
3
3770
190
840
18
400
18
11 days
Form of Monitoring
and Achieving
Targets Available
432
Trainers
552
FIMNCI
National/
State/
District
Training
Centres
Medical
College/
District
Hospital
Training Modules &
Teaching Aids
Available
IMNCI
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Child Health)
STATES
11 days
Medical
College/
District
Hospital
District/
Sub-district
2 days
Hospital
SNCUs/
District
4 days
Hospital
YES
YES
YES
YES
YES
Available.
TOT done
YES
YES
YES
YES
YES
YES
YES
Final
Approval Available.
Awaited. TOT done
YES
YES
NO
YES
YES
YES
Available.
TOT done
YES
YES
Available
from NNF
YES
YES
YES
Training Load (Child Health)
Place of Training
Training Modules &
Teaching Aids
Available
Trainers
Form of Monitoring
and Achieving
Targets Available
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
48
Duration of Training
NSSK
FIMNCI
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Chhattisgarh
STATES
11 days
Medical
College/
District
Hospital
Final
Approval
Awaited.
Available.
TOT done
NO
8 days
National/
State/
District
Training
Centres
8 days
National/
State/
District
Training
Centres
8 days
National/
State/
District
Training
Centres
8 days
National/
State/
District
Training
Centres
48
SPECIALIST
13
24
SNCU
PAEDIATRICS
SUB- TOTAL
48
13
24
3
88
3
3
37
IMNCI
LHV
NSSK
354
354
SUB- TOTAL
50
45
50
45
95
354
449
IMNCI
ANM
52
SNCU
IMNCI
LT
70
120
6
242
6
AWW
70
FIMNCI
SNCU
ANM/GNM
X-RAY
TECHNICIAN
30
6
80
150
30
CDPO
39
IMMUNIZATION
IMMUNIZATION
IMMUNIZATION
IMMUNIZATION
BASIC
PHYSICIAN
COLD CHAIN
HANDLER
COLD CHAIN
KEEPER
TECHNICIANS
(COLD CHAIN)
DATA ENTRY
OPERATORS/
COMPUTER
ASSISTANTS
YES
YES
YES
Faculty of
Paediatrics
and P&SM
Deptt.
YES
YES
Faculty of
Paediatrics
and P&SM
Deptt.
YES
YES
Faculty of
Paediatrics
and P&SM
Deptt.
YES
6
IMNCI
IMNCI
YES
YES
Faculty of
Paediatrics
and P&SM
Deptt.
552
39
552
YES
YES
100
100
YES
YES
18
18
YES
YES
89
89
YES
YES
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Training Load (Child Health)
Duration of Training
Place of Training
Training Modules &
Teaching Aids Available
Trainers
Form of Monitoring and
Achieving Targets
Available
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Madhya Pradesh
STATES
2 days
District/
Sub-district
Hospital
YES
Available.
TOT done
YES
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
MO/ANM
NSSK
NSU TRG
Sick New Born
Care
2730
576
160
2730
768
192
96
120
376
YES
Available
from NNF
YES
11 days
SCNUs/
District
Hospital
Medical
College/
District
Hospital
Final
Approval
Awaited.
Available.
TOT done
NO
2 days
District/
Sub-district
Hospital
YES
Available.
TOT done
YES
8 days
District/
Sub-district
Hospital
YES
Available.
TOT done
YES
Available.
TOT done
YES
4 days
MO/SN
F-IMNCI
F-IMNCI TOT
NSSK
96
72
100
Batches 3750
1290
Other CH Trg.
IMNCI
Child Health
Training
IMNCI
IMNCI
150
Batches
1924
10032
351
15
5040
1924
3840
13872
195
Batches
195
batches
ANM/AWW
IYCF
IMNCI
183
15
LHV/ OTHER
SUPERVISOR
500
Batches
984
ANM/LHV/
ASHA
984
1580
Batches
SN/ANM
1440
YES
8 days
8 days
1440
ANM/LHV/LS
IMNCI
IMNCI
Supervisory
IMNCI
7200
9600
480
ANM/LHV/MO
936
IMNCI
ANM/AWW/
HE/LHV
District/
Sub-district
Hospital
District/
Sub-district
Hospital
14136
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
16800
8 days
480
2 days
936
8 days
14136
8 days
District/
Sub-district
Hospital
District/
Sub-district
Hospital
District/
Sub-district
Hospital
District/
Sub-district
Hospital
YES
YES
YES
Available.
TOT done
YES
YES
YES
Available.
TOT done
YES
Yes
Available.
TOT done
Yes
YES
Available.
TOT done
YES
YES
Available.
TOT done
YES
Training Load (Child Health)
Training Modules &
Teaching Aids Available
Trainers
Form of Monitoring and
Achieving Targets
Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Madhya Pradesh
STATES
Yes
Available.
TOT done
Yes
YES
Available.
TOT done
YES
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
FOLLOW-UP
IMNCI
IMNCI
IMNCI
MO/ PARA
MEDICAL/
SOCIAL
WELFARE
PERSONNEL
FIMNCI & SNCU
1392
HE/LHV
1392
552
552
384
384
IMMUNIZATION ANM/LHV/HW(
M)/ NURSE
MIDWIVES
IMMUNIZATION
ANM/HW(M)/
LHV
Care of Sick
Children & SAM
4800
336
4 days
4800
2 days
2 days
96
Batches
4
Batches
ANM/MTC
INCHARGE
MEDICAL AND
PARA
MEDICAL
20
NSSK
1536
School Health
MO/DDM/
DRCHO
ANM/LHV/
AWW/
SAHAIYYA
TOTAL
235
200
1971
600
3360
970
SCHOOL
TEACHERS
15000
7004
13754
YES
YES
Available
from NNF
YES
Trained
Trainers
Trained
Trainers
2924
2443
405
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
290
759
770
District/
Sub-district
2 days
Hospital
YES
Available.
TOT done
YES
600
YES
YES
3360
YES
YES
970
194
Batches
194
Batches
16090 18594 10540
SCNUs/
District
Hospital
District
Training
Centers
District
Training
Centers
20
4
batches
MO/SN/ANM
IYCF
IYCF BLOCK
LEVEL
IYCF
YES
MO/ANM/SN
336
Care of Sick
Children & SAM
District/
Sub-district
2 days
Hospital
District/
Sub-district
8 days
Hospital
88573
Family Planning
(9 High focus states + 3 NE States)
Minilap
240
Minilap
Refresher
IUCD
NSV
152
50
50
30
100
22
12
29
24
733
25
156
90
66
1614
66
480
175
688
190
40
30
100
150
100
48
198
29
30
84
SUB- TOTAL
300
540
342
90
NSV
Laproscopic
Sterlization
150
40
Specialist
300
834
81
12
25
7
900 Batches
150 1080
266
245
50
20
970
8
915
84
40
77
1540
214 144 4952
81
3
24
Form of Monitoring and
Achieving Targets Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
12
Identified
working training
Gynaecolo
days
Institutes YES
gist
YES
YES
YES
MO's
NSV
Refresher
Contrac.
Update
IUCD TOT
Laproscopic
Sterlization
TOT
NSV TOT
24
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Madhya Pradesh
Training Load (Family Planning)
STATES
5 days
YES
YES
Master/
State Level
YES
Trainers
YES
YES
YES
YES
YES
YES
YES
12
Identified
working training
Gynaecolo
days
Institutes YES
gist
YES
YES
YES
160
307
185
48
108
48
108
YES
YES
YES
YES
30
1120
YES
YES
YES
YES
SUB- TOTAL
Minilap
IUCD
Laproscopic
Sterlization
30
360
395
175
150
40
SN
SUB- TOTAL
150
150
40
435
50
50
20
410
100
100
8
183
150
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
40
368
1518
12
Identified
working training
Gynaecolo
days
Institutes YES
gist
YES
IUCD
ANM
2400
1482
480
2500 360
SUB- TOTAL 2400
1482
480
2500 360
Other Trg.
175 3870 115 404 80 11866
182
182
175 3870 297 404 80 12048
IUCD
LHV
276
IUCD
175
PHN
Laproscopic
OT
Sterlization
Technician 150
Contraceptive HEALTH
2
Update
Batches
CARE
PERSONNEL
25
37
40
50
20
8
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
476
37
Identified
training
5 days Institutes YES
YES
YES
Identified
training
5 days Institutes YES
YES
Form of Monitoring and
Achieving Targets Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
Assam
NAME OF
THE
CATEGORIES
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Family Planning)
STATES
YES
YES
YES
YES
YES
12
Identified
working training
Gynaecolo
Institutes YES
gist
268 days
YES
YES
YES
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
IUCD
152
MO/ANM
Batches
IUCD
MO/LHV/SN 1200
1000
2236
4436
IUCD
SN/LHV
1376
1376
Contraceptive ANM/LHV/
48
Update
MHW
Batches
Minilap
MO/SN
295
295
Laproscopic
Sterlization
Trg
280
280
Laproscopic SURGEON/SN
Sterlization
Refresher Trg
72
72
TOTAL
7680 684 4370 2746 6500 3740 2968 1397 12019 751 1598 552 45005
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Form of Monitoring and
Achieving Targets Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
Assam
NAME OF
THE
CATEGORIES
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Family Planning)
STATES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Disease Control
(9 High focus states + 3 NE States)
RNTCP
Retraining
1490
150
1640
5 days
Identified
Central
Institute
400
400
3 days
STDC
YES
50
50
3 days
YES
30
150
322
1100
1 day
3 days
STDC
District TB
Center
District Level
1650
1 day
District Level
2301
2 days
YES
YES
YES
YES
YES
YES
YES
Medical College YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
DOTS + MDR
292
NLEP
NLEP
Refresher
NVBDCP
950
MO's
1650
300
NVBDCP
Retraining
NPCB
NPCB
Refresher
IDSP
Mental Health
10
25
11
3
11
253
208
334
250
217
452
120
271
290
117
642
145
63
100
120
3089
508
334
4991
2074
462
391
290
16
916
642
145
88
111
16
10952
20
20
3 days
SN
120
120
500
500
SUB- TOTAL
NVBDCP
RNTCP
RNTCP
Retraining
Mental Health
75
250
SUB- TOTAL
RNTCP
RNTCP
Retraining
NPCB
NPCB
Refresher
IDSP
Mental Health
1891
4
Batches
Form of Monitoring and
Achieving Targets Available
YES
YES
Master Trainers
Available
YES
Master Trainers
Available
YES
Master Trainers
Available
YES
RNTCP
TB/HIV
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Madhya Pradesh
Training Load (Disease Control Programme)
STATES
500
120
108
128
250
108
748
250
ANM
SUB- TOTAL
250
1765
1765
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
1765
2015
NVBDCP
RNTCP
Retraining
120
378
5
529
120
HS(M)
2 days
818
5 days
Form of Monitoring and
Achieving Targets Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
80
60
20
3
Batches
120
40
80
1000
SPECIALIST
180
300
1000
0
0
20
120
240
40
80
YES
YES
YES
YES
YES
YES
300
250
2180
21
2430
15
21
16
Batches
34
0
15
56
56
Master Trainers
YES Available
YES
5
1329
300
34
0
6
0
0
100
100
1405
2180
3585
21
6
10
21
66
10
120
186
PMOA
SUB- TOTAL
DTBC
YES
60
146
300
HW(M)
SUB- TOTAL
RNTCP
IDSP
80
60
SUB- TOTAL
NPCB
NPCB
Refresher
160
275
220
146
SUB- TOTAL
NPCB
NVBDCP
275
60
LTs
SUB- TOTAL
NVBDCP
RNTCP
RNTCP
Retraining
275
YES
RNTCP
RNTCP
Retraining
NVBDCP
NVBDCP
RNTCP
275
LHV
SUB- TOTAL
NVBDCP
Retraining
NLEP
NLEP
Refresher
IDSP
Jharkhand
Bihar
Assam
NAME OF
THE
CATEGORIES
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Disease Control Programme)
STATES
120
120
PHARMACIST
SUB- TOTAL
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
5 days
District
Hospital
3 days
STDC
YES
MOTCs
RNTCP
RNTCP
RNTCP
RNTCP
RNTCP
NVBDCP
NVBDCP
NVBDCP
NVBDCP
NVBDCP
NVBDCP
IDSP
IDSP
NPCB
STLS
DTO
COMMUNITY
VOLUNTEERS
PRIVATE
PRACTICNOR
S
ASHA
ENTOMOLOGI
ST
MO AYUSH
6
3
3
400
400
100
District
100 2 days Training Center YES
1000
450
550
1 day
SPRAY
WORKER
SPRAY TEAM
32
416
District
Training Center YES
YES
32
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
4416 1 day
Form of Monitoring and
Achieving Targets Available
YES
YES
YES
17
7
Batches Batches
4000
Trainers
YES
YES
YES
1
Batch
16
Batches
16
Batches
3
Batches
Training Modules &
Teaching Aids Available
Place of Training
Indentified
Central
12 days Institute
15 days STDC
6
MTS
MEDICAL
COLLEGE
DOCTORS
BLOCK
HEALTH
TEAM
SCHOOL
TEACHER
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
Assam
NAME OF
THE
CATEGORIES
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Disease Control Programme)
STATES
DTC/ Others
Places
YES
Form of Monitoring and
Achieving Targets Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Jharkhand
Chhattisgarh
Bihar
CATEGORIES
Assam
NAME OF
THE
TRAINING/
ACTIVITY
Madhya Pradesh
Training Load (Disease Control Programme)
STATES
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
RNTCP/ Re
Training/
TB/HIV
RNTCP
RNTCP
Retraining
NVBDCP
SN\ANM\LHV
1 day
800
800
1 day
400
400
1 day
MPW (M&F)
District TB
Center
District TB
Center
District TB
Center
MPHS/
PHARMACIST
/
NURSING/
BEEO
RNTCP
821
821
RNTCP
MPHS(M)
10 days STDC
NLEP
/MPHW(M)
IDSP
DATA
2
3
2
4
2-3
4
1-2
6
1
27
Batches Batches Batches Batches Batches Batches
Batch
Batches
MANAGER/ Batches Batches
DEO
SN/
PHARMACIST
IDSP
460
740
480
100
600
640
260
1420
320
140 220
5380
MEDICAL
COLLEGE
PHARMACIST
/ NURSES/
2-3
MRT
IDSP
Batches
24
24
ASHA/AWW/H
W
NPCB
9600
9600
ANM/HW/
SAHAIYYA
NPCB
1200
1200
MPHS(F) /
16
MPHS(M)
NVBDCP
500
40
Batches
540
CMO/DMO
NVBDCP
33
7
40
ANM/LHV
NLEP
2900
2900
MPHS/ MPW/
LT
TB/HIV
68
68
PARAMEDICA
DOTS + MDR
LS
100
100
3 days
STDC
MO/PARA
MEDICALS/
Deafness
HEALTH
Control
WORKERS
Programme
TOTAL
4216
1408 14940 17729
1146
11462
2011
8671
2704
610
603 1152
37494
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Master Trainers
Yes Available
YES
Master Trainers
Yes Available
YES
Master Trainers
Yes Available
YES
Master Trainers
Yes Available
YES
Other Programmes
(9 High focus states + 3 NE States)
Disaster
Management
Management
Training
Accountancy
Training
Gender
MO's
Sensitization
Programme
Management
Integ Service
Delivery (TOT)
Accountancy
Training TOT
SUB- TOTAL
ENT Training
SPECIALIST
Cardiology/ENT
/Ortho./ Neuro
Training Skills
SUB- TOTAL
AYUSH
HMIS
ANM
Life Saving
Skills
SUB- TOTAL
W aste
Management
TOT
HOSPITAL STAFF
W aste
Management
Training
SUB- TOTAL
SENIORS
New
HEALTHCARE
Technology for
PROVIDERS
Healthcare
Training on
STATE LEVEL
PPP in Health
OFFICIALS
Sector
Public Health
STATE & DISTRICT
Management/
Hospital Good
LEVEL OFFICIALS
Practisers
Hospital
HOSPITAL
Management
MANAGER
Training
Family Life
School Prinicples
Education
Foundation
Health Education
Training
Officers
Skill
ANMTC Tutors
Upgradation
TOT
200
200
200
200
600
600
100
240
100
240
100
100
240
100
30
630
500
3
30
1470
3
400
403
400
403
4384
4384
4384
3550
3550
3550
25
25
25
25
220
220
100
100
200
200
35
35
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Form of Monitoring and
Achieving Targets
Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Other Program m e)
STATES
Accountancy
Training
Accountancy
Training
Accountancy
Training
Programe
Management
NRHM
Programe
Management
Management
Training
Management
Training
NRHM
Management
Training
HMIS
HMIS
HMIS
Name Based
Tracking
System
Name Based
Tracking
System
Name Based
Tracking
System
TRAINING LOAD GIVEN FOR COMBINED GROUPS OF FUNCTIONARIES
BLOCK LEVEL
ACCOUNTANTS
95
DISTRICT LEVEL
ACCOUNTANTS
13
95
13
4
SPMU/DPMU
90
4
90
LHV/ANM
CDMO/DY.CDMO
DISTRICT LEVEL
USERS
BLOCK LEVEL
USERS
ANM/ASHA/ ASHA
FACILITATORS/
LHV/BEE/PHC
ACCOUNTANTS
7155
213
213
206
batches
75
75
206
Batches
BPMU/MO
DISTRICT
ADMINISTRATIVE
OFFICERS/ DIST.
HEALTH
EDUCATION
OFFICERS
DISTRICT LEVEL
USERS
BLOCK LEVEL
USERS
BELOW BLOCK
LEVEL USERS
7155
108
108
447
447
9670
9670
135
135
447
447
41348
41348
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
Form of Monitoring
and
Achieving Targets
Available
Trainers
Training Modules &
Teaching Aids
Available
Place of Training
Duration of
Training
Total
Nagaland
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Jharkhand
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Other Programme)
STATES
MIS Format
MIS Format
MFP
ProMIS
Computer
Training
BEE/LHV/
COMPUTOR
DPMU
100
100
150
150
150
1000
MO/CDPO/LS
LHV/NGO
150
1000
150
3500
AWW/ANM
CDMO/CS
150
3500
100
STORE KEEPERS/
PHARMACISTS
100
200
660
660
15829
72
2
Batches
86551
COMPOUNDERS
MO/ACMO/DIO
CIVIL SURGEON/
DPM
TOTAL
52885
72
2
Batches
8306
100
1385
108
Data has been taken from the information received from the state (it is present in the state ROP as batch size
Data has been taken from the information received from the state (Information is not given in state ROP).
Data has not been provided but the budget is reflected in ROP
Actual training Load will be higher as some states have mentioned only batches for few of the trainings.
4
Form of Monitoring and
Achieving Targets
Available
Trainers
Training Modules &
Teaching Aids Available
Place of Training
Duration of Training
Total
Meghalaya
Arunachal Pradesh
Uttar Pradesh
Uttarakhand
Rajasthan
Orissa
Madhya Pradesh
Nagaland
550
DISTRICT DRUG
STORE MANAGER/
DEO/MO
BCC
Others Training
550
BPMU
DPHN/DHV/ ANM
TUTORS
IEC/BCC/IPC
Administration/
Finance
Logistics
Management
Training on
Medicine
Preparation
Orientation on
Referral
Transport
Jharkhand
STATISTICAL
OFFICER/
INVESTIGATOR
CUM COMPUTOR
BCC
IEC/BCC/IPC
Bihar
CATEGORIES
Assam
NAME OF THE
TRAINING/
ACTIVITY
Chhattisgarh
Training Load (Other Programme)
STATES
COLOURS -- denotes
GREEN - Data has been taken from the information received
from the state (it is present in the state ROP as batch size)
RED - Data has been taken from the information received from
the state (Information is not given in state ROP).
ORANGE - Data has not been provided but the budget is
reflected in ROP
YELLOWISH GREEN - Actual training Load will be higher as some
states have mentioned only batches for few of the trainings.
State wise Total Number of Training (Category wise)
Category of
S.No.
Participants
1
Assam
2
Bihar
3
Chhattisgarh
4
Jharkhand
5
Madhya Pradesh
6
Orissa
7
Rajasthan
8
Uttarakhand
9
Uttar Pradesh
10 Arunachal Pradesh
11 Meghalaya
12 Nagaland
MO
26
17
19
30
21
22
22
17
24
23
20
18
S/N
8
4
7
7
9
9
7
9
11
4
5
4
ANM
8
7
6
19
5
6
4
7
7
8
6
6
Maximum
Minimum
30
17
11
4
19
5
LHV
6
4
6
11
4
3
4
3
9
2
3
3
MPW
(M)
2
2
2
3
2
3
3
3
6
5
3
4
MPHS
(M)
3
1
1
3
2
1
1
2
4
3
3
2
LTs.
5
5
6
7
6
3
6
4
4
5
5
2
11
2
6
2
4
1
7
2
Pharmacist Specialist SPMU DPMU
1
3
2
1
2
2
6
1
2
1
1
2
2
2
2
1
1
2
4
2
13
1
2
2
2
1
1
1
1
2
1
13
1
2
1
2
1
State wise Total Number of Health Facilities
S.No.
Name of State
District
Hospital
Blood
Bank
FRUs
CHCs
PHCs
SubCenter
1
Assam
#22
25
38
103
844
4592
2
Bihar
25
24
22
70
1641
8858
3
Chhattisgarh
NA
13
NA
136
721
4741
4
Jharkhand
#24
20
22
194
330
3958
5
Madhya Pradesh
46
28
NA
270
1149
8834
6
Orissa
#32
14
NA
231
1279
6688
7
Rajasthan
33
14
365
349
1503
10742
8
Uttarakhand
#18
7
10
55
239
1765
9
Uttar Pradesh
71#
48
NA
515
3690
20521
10
Arunachal Pradesh
13
NA
52
44
116
592
11
Meghalaya
6
2
NA
26
103
401
12
Nagaland
11
1
27
21
86
397
TOTAL
301
196
536
2014
11701
72089
•Source: Rural Health Statistics 2008
#Information taken from MOHFW website
Number of Health Facilities of other Departments
S.No. Name of State
Railway
s
Hospital
Armed Forces
ESI Hospitals/
Dispensaries
Hospital Dispensarie
s
s
2
28
Army
Central Police Forces
Navy
ITBP
CRPF
BSF
CISF
0
Air
Force
1
0
2
4
0
P&T
Hospitals
0
Assam
Rifles
1
Dispensary
+ 41
Hospital
4
1
Assam
7
2
3
Bihar
Chhattisgarh
6
3
NA
3
24
12
3
0
0
0
0
0
0
0
2
0
0
0
0
2
0
0
4
1
4
Jharkhand
2
3
13
1
0
0
0
3
0
1
0
2
5
5
7
44
6
1
0
2
5
1
2
0
5
6
7
Madhya
Pradesh
Orissa
Rajasthan
3
9
6
5
50
65
0
5
0
0
0
0
0
0
1
2
0
0
1
3
0
0
3
5
8
Uttarakhand
7
3
0
0
8
1
0
0
0
1
9
Uttar Pradesh
18
16
116
11
3
0
2
6
0
1
0
10
10
NA
NA
NA
0
0
0
4
0
0
0
0
NA
11
Arunachal
Pradesh
Meghalaya
NA
NA
NA
1
0
0
0
0
0
0
1
Dispensary
+ 1 Clinics
1
12
Nagaland
NA
NA
NA
0
0
0
0
0
0
0
1 Hospital
0
State wise Teaching/Training Institutions including CGHS
S.No
.
Name of State
Medical
College
SIHF
W
RHFWTC
ANM
Schoo
l
Nursing College
GNM
School
B.Sc.
M.Sc.
CGHS
P.B.B.Sc Dispensarie Empanelle
.
s
d Hospital
3
3
5
1
Assam
3
1
1
9
17
6
3
2
Bihar
6(G)+3(P)
1
3
27
9
0
0
0
1
9
3
Chhattisgarh
2(G)+1 (P)
1
1
10
11
32
11
8
NA
NA
4
Jharkhand
3
0
1
16
16
3
0
1
1
4
5
Madhya Pradesh
5 (G)+3(P)
1
3
76
67
84
20
28
5
28
6
Orissa
3(G)+1(P)
1
2
53
39
14
4
3
NA
4
7
Rajasthan
1
2
11
155
102
5
32
6
24
8
Uttarakhand
#6
(G)+2(P)
# 2(G)+1(P)
0
2
6
6
5
2
1
1
4
9
Uttar Pradesh
9(G) + 9(P)
1
11
27
116
25
4
6
30
85
10
0
0
0
2
2
0
0
0
NA
NA
11
Arunachal
Pradesh
Meghalaya
1
0
1
2
7
1
0
0
1
NA
12
Nagaland
0
0
0
1
1
0
0
0
NA
NA
TOTAL
60
7
21
240
446
272
49
82
48
163
•Source: Rural Health Statistics 2008
• #Information taken from MOHFW website
Major findings of the review
1. Some states (Uttarakhand for some Disease Control
Programme) Assam, Haryana, Madhya Pradesh etc. (for RCH)
have started giving the Comprehensive Training Plan for
planning training at least in some programmes.
2. States like Maharashtra and Orissa have started integration
of training for a few categories - Orissa for Lab technicians
across both Health & FW and Maharashtra for MO within RCH
programme components in 09-10.
3. Tamil Nadu has proposed assessment of skill also in each
trainee (using OSCE) at the beginning of the course and
focus on training for whatever knowledge or skill the trainee
lacks.
4. Haryana, J & K, Assam, Meghalaya and a few other states
have proposed to integrate the trainings in 10-11.
4. The ROP reflects only those trainings where there is financial
commitment from GOI to the state. This abstract does not
include Training of master trainers, PDC etc. as these are done
by institutions with funding directly from GOI and not from state
PIP.
5. The abstract includes training proposed by states but perhaps
not approved in ROP. There are certain trainings for which the
funds have been approved but do not meet technical norms.(e.g
IMNCI for MO and SBA for MO)
6. The budget has been reduced in the ROP for certain trainings
but there has been no proportionate reduction in training load.
7. Many of the functional facilities are not being utilized for training
at all or optimally.
NIHFW over the last seven years has
1. Prepared the curricula and other details for each category
for the integrated training strategy,
2. Incorporated integrated training strategy for training of all
state level programme officers, SIHFW faculty, PMU
personnel as well as medical college faculty.
3. Most trainees have understood the importance of such
strategy as well as the advantages.
4. But the health systems in the state are yet to internalise it
as is evident from the training planned in the PIPs.
ISSUES
&
CHALLENGES
ISSUES
1. After decades of vertical training, transition to integrated training
is difficult and states are taking time to adapt to it. Even under
the same programme eg. RCH vertical training occurs even when
trainers and trainees are the same eg. Immunization Training
done every year.
2. Each category of personnel has a number of training programmes
for different aspects of service delivery.
3. Some people go repeatedly for training while others do not get
any opportunity for training.
Category of participants
and
No. of trainings available
Category of
Participants
Range of trg prog in ROP
2010-11
MO
17 to 30
S/N
4 to 11
ANM
5 to 19
LHV
2 to 11
MPW (M)
2 to 6
MPHS (M)
1 to 4
DPMU
1 to 2
SPMU
1 to 2
LTs.
2 to 7
Specialist
1 to 13
Pharmacist
1 to 2
Issues (contd)
4. Training Plans are not based on need of the district/state for skilled
human resource; Adhocism prevails.
5. Lack of prioritisation eg selection and training of personnel from
those centres where facilities and case load exist so that they can
become functional.
6. No clear cut plan for developing all the categories of staff for
training at defined intervals.
7. Training is theory based rather than skill and programme oriented.
8. Lack of uniformity in duration, emphasis and methodology of
training.
Issues (contd)
9. Non functional District training Centres/Teams (DTCs), ANMTCs etc
10. Existing trainers may not be equipped with necessary skills to impart
the training.
11. In EAG states, where there are large number of untrained personnel
and trainers are few, the states feel they cannot complete training;
backlogs keep growing and programme implementation suffers.
12. No linkage between training institutions, trainer and trainee and no
follow up.
Issues (contd)
9. Lack of follow up after any training regarding putting to use
the new skills.
10. There is no planned supervision as an aspect of continued
education.
11. State ownership of SIHFWs?
12. No appropriate linkage between NIHFW, SIHFWs and HFWTCs
& other training institutions.
13. Hospitals not providing services as per norms.
Challenges
• Human Resource Planning at the national and state level.
• Plan for appropriate pre service training so that we get
personnel suited to the job- this requires reorientation of
medical and paramedical education
• Proper induction training at all levels. The new
incumbents to be sent for induction before placement.
Challenges (cont)
• A training plan which takes into account the various
categories and some system of time bound training
• Proper utilization of the trained manpower
• Finally- not to forget the private/NGO sector which
provides much of the health care- we should partner with
them in capacity building too.
• New initiatives of exposing the private sector to national
health problems, policies, programmes and contribution
they can make is a priority area to be given due
consideration.
SUGGESTED SOLUTIONS
1.
State & district need to prepare training plan based on National Training
Strategy
– Skilled manpower required for No. of facilities & type of services to be
provided
– No. of institutions required for imparting training.
2.
To identity training institutions and trainers
– Identify all available hospitals/institutions in all sectors i.e. govt., PSUs,
railways, ESI, Armed Forces, NGOs & pvt. sector with adequate case
load
– Ensuring that personnel in these institutions are trained and are
providing services as per GOI norms and they have necessary
equipments and consumables.
3. Institutions:
•
Each state to have its own apex training institutions linked, on
one hand, to NIHFW, and, on the other, to the other training
institutions in the state is essential.
•
Each institute should be supported by appropriate subject
experts with adequate field experience; co-opting local
medical college faculty would benefit a lot.
•
Training institutions should have infrastructure support like
library, hostel, computers, communication, AV aids etc.
•
SIHFW/state institutes should also be capable of undertaking
training courses in organizational development/Change,
leadership skills etc.
4. Coordination between MoHFW (training division), Program
divisions, NHSRC and NIHFW for planning, implementation
and monitoring, and resource material development.
5. Resource pool of trainers in different areas (including NGOs
Experts, Retired Govt. Personnel interested in training,
Experts from Corporate Sectors, Universities etc.).
6. Integration of training as far as possible.
Horizontal integration at each level
• Reduces time needed to train personnel – each category of
worker learns skills for all tasks to be performed
• The primary and secondary care workers will learn about all
the H&FW programmes and may learn to look at the
multiple problems people have and learn to provide all
needed care to the person/community,
• Ever-present problem of retraining of physicians when they
get shifted to different levels, or between programmes eg.
from RCH to malaria or malaria to TB will not be there.
7. Desk Monitoring:
 Training information system - Collection, Compilation and analyze of
monthly training performance reports submitted by States &
providing feed back to States for any deficiency or lacunae for
improvement.
 State wise monthly/quarterly/annual performance reports on
training
 Quarterly and annual report would indicate number trained, how
many of these trained came from institutions where that services
was not being provided and how many institutions have been
made functional with the services by using these trained
personnel.
 Analyses and providing feedback to MoH&FW every month.
8. Field Monitoring:
 Developing monitoring tools for quality of training for
various categories of health personnel.
 NIHFW, SIHFW & office of the regional Director would
undertake monitoring visits to (minimum of 5%):
-
assess hospitals and training institutions
-
assess content and quality of training
9. In order to enable routine monitoring GoI may incorporate progress in
training in MIS; MIS should not only give numbers trained but also
number of facilities where services have been made functional using
such trained personnel.
10.Creation of GIS for available trainers in public and private sector for
sharing resources and geographic coverage with training. Filling in the
geographical gap based on the above exercise.
11. Supervision & monitoring of the trainings conducted by States/districts
by the central teams on the lines of NRHM
12. Training Module for all health personnel need to be standardized
including:
– Core clinical content
– Other required knowledge (Management, Finance, Gender, etc.)
– Opportunities to practise the skills during training.
Summary
• There is a need for comprehensive & rational
training plan
• Trainings to be conducted as per requirement &
based on specific facility/district plan
• Once the training plan is developed :
• Identification of training sites/ centres
• Visit by programme officials
• Accreditation of training centres & trainers
• Send list of such accreted institutions to the state/centre
• Prepare schedule of posting of trainees & posting them
after training
• Timely release of trainees by the states
• Prepare Plan for Monitoring of training
including budget.
• Monitor the quality of training during the
training
• Follow up visit
• Submit the report by facility/districts wise
Training should be the
priority for achieving the
NRHM goals