TRAINING AND SUPERVISION OF HEALTH WORKERS WHO ARE IN FRONT LINE HELPING TEAMS. > training > supervision > training of ANM, ASHA, HEALTH GUIDES, LOCAL DAIS, FEMALE ATTENDERS, MULTIPUPOSE WORKERS >Need of these both > role of nurse > why we do care about the traning of health workers

1. WELCOME !!
MISS RAJOSI KHANRA
M.Sc.Nursing 1st Year

2. TRAINING
AND
SUPERVISION
OF
HEALTH WORKERS

3. OBJECTIVES OF THE TOPIC
3
1 Training
● Introduction
● Objectives
● Need of training
● Essential components
● Health workers
1. ANM
2. Multipurpose health workers
3. Village health guides
4. Local dais
5. Anganwadi workers
6. ASHA
7. Female health assistant
2 Supervision
● Objectives
● Supervisory function
3 Role of nurse

4. TRAINING
Training is a systematic
activity performed to modify
the skills, attitudes and the
behaviour of an employee to
perform a particular job.
4

5. 5
OBJECTIVES
OF TRAINING
● Increase motivation
● Quick learning
● Higher productivity
● Standardisation of procedures
● Less supervision
● Economical Operations
● Preparation of Future Managers
● Better management.

6. NEEDS FOR TRAINING IN HEALTH
6
● New knowledge or resources or
approaches.
● Changed health needs
● Inadequate or inappropriate
training

7. Changing
role of health
workers
Promotion
or
change of
job.
Deterioration
in the quality of
care provided
by individual
workers.
7
Health
workers
own needs
to learn

8. ESSENTIAL COMPONENTS
OF TRAINING
8
● Identification of needs/training need
assessment .
● Objectives
● Sequential and progressive learning

9. 9
Awareness
and
acceptance
of the value of
continuing education.
Follow-up
and
reinforcement
Comprehensiveness
Problem
solving
● Continuity
● Coordination

10. TRAINING OF
AUXILIARY NURSE MIDWIVES
● ANM is a village level female health worker in India who is the
first contact person between the community and health
services.
● ANMs are playing an important and vital role in Maternal
Child Health and Family welfare services in the rural areas.
● Therefore it is essential that the proper training be given to
them so that quality services will be provided to the rural
population.
● They are posted in Sub Centre, Primary Health Centre and
Rural Family Welfare Centres and other Health Centres.
● The training duration of ANM course is two years with
minimum qualification is 10th pass.
● Senior ANM with 5 years of experience is given 6 months
promotional training to become Lady Health Visitor/Health
Assistant(Female).
● The Lady Health Visitor/Health Assistant are giving supportive
supervision and technical guidance to ANMs in sub- centres.
10

11. TRAINING OF MULTI PURPOSE
HEALTH WORKERS
● This was approved during the 6th Five Year Plan and by 1984 it
became 100% centrally Sponsored Scheme.
● Training duration is one year. 10 th class pass candidates are
selected.
● On successful completion, they posed at the sub centre along
with an ANM/Health worker.
● At sub center along with female multipurpose health worker, a
male multipurpose health worker is also needed.
● The functions of MPHW are mainly in the areas of National
Health Programmes like
⇗Malaria
⇗Leprosy
⇗Tuberculosis
⇗limited involvement in Universal Immunization Programme
⇗Diarrhoea Control Program and in family welfare services
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12. TRAINING OF
VILLAGE HEALTH GUIDE
● The village health guides are mostly women and
this scheme was started on 1977.
● They are chosen by the community in which they
work.
● The village health guide must be a permanent
resident of the local community and have minimum
formal education VI class.
● Training is conducted every month.
● The criteria includes she must be a woman of the
village who will visit everyone, represent every one
by village communities themselves.
● After selection they undergo training in the nearest
PHC for 200 hours in 3 months. Each village health
guide covers 1000 rural populations.
12

13. TRAINING OF LOCAL DAIS
● They are expected to play a vital role in
propagating small family norms, emphasis is
given on asepsis so that home deliveries are
conducted under safe hygiene to reduce
maternal and child mortality.
● Training: The training is for 30 working days. She
is a paid a stipend of Rs.300 during her training
period. Training is given at the PHC, Sub-centre
or MCH centre for 2 days in a week, and on the
remaining four days of the week they accompany
the health worker .
● After successful completion of training, each dais
is provided with a delivery kit and a certificate.
13

14. TRAINING OF
ANGANWADI WORKERS
● Under the ICDS(Integrated Child Development
Services) scheme, there is an anganwadi for a
population of 1000, there are about 100 such
workers in each ICDS project.
● Training: Training in various aspects of health,
nutrition and child development for 4 months.
● She is a part-time worker and is paid an honorarium
of Rs.200-250 per month for the services rendered,
which include health check-up, immunization,
supplementary nutrition, health education, non-
formal pre-school education and referral services.
● The beneficiaries are especially nursing mothers,
other women(15-45 years) and children below the
age of 6 years.
14

15. TRAINING OF
ASHA WORKERS
● ASHA training comes under the National Rural Health
Mission.
● ASHA must be a woman resident of the village.
Married/divorced preferably in the age group of 25-45
years. She should be a literate woman qualified up to
10th standard. ASHA will be chosen through community
groups, self-help groups, Anganwadi Institutions, Village
Health Committee and the Gram sabha 1.
● At the village level it is recognised that ASHA cannot
function without adequate Institutional support, Women
Committees, village health and sanitation committee of
the Gram Panchayat, peripheral health workers
especially ANMs and Anganwadi workers.
● She will counsel women on birth preparedness,
importance of safe delivery, breast feeding,
complementary feeding, immunization, contraception
and prevention of common infectious diseases like RTI
and STD. 15

16. FEMALE HEALTH ASSISTANT/LHV TRAINING
● One female health assistant/lady health visitor
supervises and guides the work of female
health workers of 6 subcenters.
● For selection as a trainee to female health
assistant programme, 5 years experience as
ANM is required.
● Duration of training is 6 months.
● After training, she is given the post of female
health assistant.
● At present, there is no such training
programme for male health assistants.
16

17. SUPERVISION
Supervision means observing the
subordinates at work to see that
they are working according to plans
and policies of the organisation and
maintaining the time schedule and
to help them in solving their work
Problems.

18. OBJECTIVES OF SUPERVISION
● To help the staff to do their job
skillfully and effectively to give
maximum resources, and cost
effectiveness.
● Guide or assist in Meeting
predetermined work objectives
or targets.
● In nursing, preventive,
promotive, curative and
rehabilitative care to people.
● Help to promote effectiveness
of the subordinates /staff
ensuring that the Subordinate
staff does what he/she is
supposed to do.
● Help to motivate subordinates
to maintain high morale.
● Help the members of the team
to Recognize problems, identity
solutions & to take Actions.
● Help to develop team spirit &
promote teamwork for effective
functioning.
18

19. SUPERVISORY FUNCTIONS OF CHN
19
Observation of Records
● Observing the records
collected and
maintained at the sub
centres and PHCs.
● Making necessary
correction and giving
guidance.
Examining the work of female health
assistants and female health workers
employed at the sub centres and PHCs.
● Ensuring and certifying
their attendance at the
sub centre.
● Looking after their job
charts and role.
● Personal guidance and
advice.
Educational Function
● Arranging for continuing
nursing education (CNE)
and in service training of
nursing personnel
employed at the health
centres.
● Arranging training of
ASHAS, local dais (TBAS).

20. CONT…
20
Personnel Evaluation
● Comparing the job chart and actual work
done.
● Evaluating the achievement of workers
employed at the health centres in the field of
reproductive and child health, control of
communicable diseases and in other national
programmes.
● Preparing checklists for evaluation.
● Sending reports or recommendations
regarding appraisal of health workers.
Supervision of Field Work
● Observation of the actual home
visits.
● Observation of the technique of
home visit.
● Supervising the nursing services
provided through home visits.
● Achievement of home visits.
● Giving guidance for home visiting.

21. FUNCTION OF NURSE
IN TRAINING AND SUPERVISION
To supervise the work
of nursing personnel
who are working under
her responsibilities.
To take disciplinary
actions for any
mistakes.
To guide the person
while giving training.
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To correct their
mistakes while doing
procedures.
To encourage the
trainer during training.
To teach the right
method of procedure.

22. SUMMARY…

23. 23
ANY Q. ??

24. CONCLUSION
We can say that under the multipurpose
health worker programme, the role of
community health nurse is extensive in
personnel supervision but in practice the
main power of supervision lies with the
incharge of primary health centre
/community health centre. Because of this,
proper evaluation of nursing personnel's
work is not performed. Hence, it is
necessary to delegate proper authorities to
the community health nurse through
decentralisation of power.

25. BIBLIOGRAPHY
A. Swarnkar Keshav, Community health nursing, 4th edition, N.R.Brothers(2021),
Page no.-(750-752)
B. Basavanthappa BT, Community health nursing, 3rd edition, volume 2, Jaypee
the health science publisher (2016), page no- 1161,1163
C. Dash Bijayalaskmi, A comprehensive textbook of Community health nursing,
1st edition, Jaypee the health science publishers(2017), page no- (678-679)
D. https://www.slideshare.net/AmruthaHoney1/training-supervision-of-health-
workers
E. https://www.slideshare.net/krupamathew3/training-and-supervision-of-health-
workers
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