💸Cash Payment No Advance Call Girls Surat 🧿 9332606886 🧿 High Class Call Girl...
National Health Training Center
1. National Health Training Center
(Source : DOHS annual report FY 2075/76)
BPH at pokhara university (2011-2015 )
MPH at parul university (2019-2021)
Binam Raj Shrestha
(4 years experiences in public health sectors)
2. outline
• Introduction to NHTC
• Goal, Objectives, Strategies
• New organizational structure of NHTC
• Major Activities Conducted by NHTC
• Issues and Recommendation
3. Introduction:
• National Health Training Center (NHTC) was established in 1993 AD
• As the national body for coordinating and conducting all training activities under
MOHP.
• There are seven provincial training centers(Dhankuta , Pathaliya ,Kathmandu,
Pokhara , Butwal , Surkhet And Dhangadhi) and 49 clinical training sites.
4. Goal:
• The overall goal of NHTC is to build a technical and managerial capacity of health
service providers at all levels to deliver quality health care services towards
attainment of the optimum level of health status.
5. Objectives:
• To standardize the training learning resource packages(LRP) i.e. Trainer’s Guide,
Participant's handbook and reference Manual of different trainings.
• To organize and conduct in services trainings to address the need of the country
and to support the quality of care by enhancing the service provider’s
competency.
6. • To ensure quality of training activities by different mechanisms in adherence to
national standards and to enhancing the capacity of different training sites
• To adopt and promote innovative training approaches
• To strengthen mechanism and capacity for post training follow up and support
7. Strategies:
• Assessing, standardizing and accrediting training and training activities and
clinical training sites.
• Developing and standardizing training packages.
• The institutional capacity development of all training sites
• Conducting pre-service, in-service, orientation, refresher, long-term and short-
term trainings as per national requirements.
8. • Integrating and institutionalizing training activities.
• Develop links with professional career development organizations.
• Strengthening the Training Information Management System (TIMS)and develop
trainer's pool at federal, provincial and local level.
13. Training Material Development :
• According to TOR of training material development section of NHTC, different
training manuals were developed or revised with support from external
development partners
14. Skill development :
The Skill Development Section of NHTC conducted following programs :
Pre-service training:
• NHTC provides two types of pre-service trainings; the Diploma in Biomedical
Equipment Engineering (18 months) and Anesthesia Assistant Course (1 year).
• The CTEVT accredited DBMEE training is targeted for the plus two science
graduate who will work as biomedical equipment technician after training
completion to perform preventive and repair maintenance of healthcare
equipment.
15. Upgrading Training:
• In-service upgrading trainings are designed and conducted as per the needs of
program divisions and centers.
• The training packages aim to develop the skills to implement new programs and
improve job performance.
16. U p grading courses Competency and clinical based courses
• Senior auxiliary health worker
training ( 6 months)
• Senior auxiliary nurse- midwife
( 6 months)
• Auxiliary nurse- midwife
Padnam (P) (6 months)
• Auxiliary health worker- P ( 6
months)
• Auxiliary health worker(15
months) Auxiliary nurse-
midwife ( 18 months)
• Skilled birth attendance
• Advanced skilled birth
attendance
• Rural ultrasonography (USG) for
senior nurses
• Medico-legal Training
• Non-scalpel vasectomy
• Intrauterine Contraceptive
Device (IUCD)
• Postpartum intrauterine
contraceptive device (PPIUCD)
• Minilaps
• Implants
• Safe abortion services
• Comprehensive abortion care
• Medical abortion
• Mid-level practicum (MLP)
• Palliative care
• Pediatric nursing care
• Gender based training
• Clinical training skills (CTS)
• Operation theatre
• Technique and management
(OTTM)
• Infection prevention (IP)
• Mental health
• Comprehensive family
planning (CoFP) counseling
• Primary trauma care (PTC)
and emergency trauma
management (ETM)
• Adolescent and sexual
reproductive health (ASRH)
Types of Upgrading and Competency and Clinical-based Training Courses
17. Competency and clinical-based training courses:
• NHTC organize various competency and clinical based training for existing
government health workers in coordination with multiple clinical training sites to
upgrade the knowledge and skills of the service providers in multiple clinical
areas.
• These in-service trainings are based on local need and demand and are supported,
developed, and updated according to the national and international practice and
scientific evidence. Twenty courses are offered.
18. Refresher training:
• A range of refresher trainings are conducted as per the needs of divisions and
centers to develop the skills for implementing new programmes and to improve
job performance.
• In this fiscal year 2074/75, the refresher training courses include for skilled birth
attendants (SBAs),VIA/CRYO, family planning and palliative care.
19. Orientation programmes:
NHTC supports the divisions and centers to develop orientation packages and
prepare pools of trainers for conducting orientations for health and non-health
workers including for Health Facility Operation and Management Committee
(HFOMC) members and orientation program on planning at local levels.
20. Basic training:
Basic trainings are organized for Female Community Health Volunteers (FCHVs)
who are newly recruited by the local mother’s group among the member. The
duration of this course is 18 days.
21. Service Induction training:
NHTC has begun providing induction training for all gazetted 3rd level Officers of
all health service groups from 2072/73. The one month courses (24 days working
day) are provided for all health service disciplines.
22. Other training includes:
• Induction Training for newly recruited officers (health personnel)
• Training on the Transaction Accounting and Budgetary Control System (TABUCS)
• Biomedical equipment assistant training (BMEAT)
• Biomedical equipment training for users (cold chain, laboratory, X-ray)
23. Training Accreditation and regulation:
• Accreditation and regulation section of NHTC is responsible for accrediting
appropriate non-clinical and clinical competency based training courses and
training sites.
• All Institutions must be accredited before providing training courses.
• This section is responsible to monitor and regulate learning resource material.
24. Institutional Capacity Development:
• NHTC focuses on the following activities for the institutional capacity development of
training:
• Physical facilities:
• Training programme development:
• Capacity building:
• Training Working Group:
• Develop Training Databank (TIMS):
• Follow –up enhancement (FEP)
25. Physical facilities:
• NHTC supports /facilitate for infrastructure developments of PHTCs, hospitals
and district level training sites(as per need and demand from Provincial
Government.
• Along with this, it reviews and ensures the presence of adequate physical facilities
and equipment.
26. Training programme development:
• NHTC develops the training programmes as per the need of MoHP, DoHS and
other stakeholders and facilitates coordination between divisions, centre, districts
and training sites.
• NHTC also plans, implements, and manages different trainings and supports
training improvement in coordination and collaboration with external development
partners, NGOs, private providers and medical colleges.
27. Capacity building:
• NHTC develops the capacity of central and regional level staff in different training
and development specialized areas.
• It strengthens and enhances knowledge and skill of staff by providing an
opportunity to participate in different national and international workshop,
seminar, training, and different programs.
28. Training Working Group:
• A high-level Training Working Group (TWG) is formed in the leadership of
NHTC.
• This TWG comprises the membership of government and external development
partners which meet on regular basis to discuss training quality improvement,
curriculum development, certification, and training accreditation.
29. Develop Training Databank (TIMS):
• Training information management system is a web application to manage the
training recording, reporting and certification at a centralized location for different
training sites and province wise.
• It manage all training related data including trainers and participant’s profile ,
training information ,training record log and certification.
30. Follow –up enhancement (FEP)
• There is evidence that to retain the knowledge's and skill of health worker, follow
–up and enhancement (FEP) is essential.
• In this regards NHTC has a policy , NHTC in collaboration with nick Simons
Institute (NSI) initiated a follow –up and enhancement program since 2011.
31. • FEP allows assessing the knowledge and skill of trainees to find the gaps and
provide on-site coaching and it also assesses the enabling environment in terms of
drugs ,equipment, team support.
• The FEF team also provides feedback to trainees health facility operation and
management committee(HFOMC),province and central level stakeholders so that
they can be fulfill the gaps.
32. issues Recommendation
1. Manage a separate pool of trainers
from different disciplines
2.Unplanned selection of participants:
– Training plan for programme and
service(district and respective division)
– Training as incentives rather than need
based and carrier development
3.Multi‐door trainings
4. Lack of strategic and uncoordinated
approach to training, e.g. staff may be
trained but lack the equipment required
or opportunities to practice their skills.
1.Consolidate the overall training needs of
health service providers
2. Consolidate all training programme run by
divisions and centers through NHTC.
3. Improve the quality of training by
regularly updating trainers, by post-training
follow-up, by preparing a roster of master
trainers and by ensuring training quality as
per guidelines
4. Recognize competency based training for
career development
5. Establish a national health resource unit at
NHTC
33. issues Recommendation
5. Focus of training on transfer of
knowledge (theory) rather than
developing practical skills
6. Inadequate training follow up
mechanism
7. Selection process and criteria of Sr.
AHW, Sr. ANM(age and level)
8. System of ‘irrational and frequent’
transferring of staff
6. Design and develop practical training which
encourages ‘learning by doing’ and links directly
to an individual’s job/ tasks
7. Rapidly assess the needs of NHTC, RHTCs
and training sites including infrastructure and
human resources.
8. Make transfer policies and guidelines
9. Revise the selection criteria for upgrading
training
10. Develop regulating bodies to ensure quality
and standard of training
