``````````````````````````````````````GUIDED BY : Dr. V.K. Arora Sir
Dr. Sangeeta Ma’am
PRESENTED BY: Dr.Ayushi Vaishy
Dr. Namita Kumari
oRole of ANM
oGeographical representation of registered ANMs
oTraining of ANMs
oGeographical representation of ANMs training centre
oANMs role with ASHA
Journey to ANMOL
Brief description of the modules
Open house discussion
Making ANM Online
• Taking into account the issues faced by ANM
and to improve the overall standards of the
child and maternal health services provision in
India and related data collection, The ministry
of health and family welfare , government of
India, with support from UNICEF was
introduced an android based tablet based
• DEFINITION : Auxiliary nurse midwife (ANM) is a
village –level female health worker in India who is
known as the first contact person between the
community and the health services.
ANMs are regarded as the grass-root workers in
the health organization pyramid.
Their services are considered important to provide
safe and effective care to village communities. The role
may help communities achieve the targets of national
• CHANGES OF THE NURSING
AND MIDWIFERY IN INDIA
OVER THE YEARS
Years 1966 1973 1975 2005 8 april 2016
Ministry of health
and family welfare
& changed the
role of ANMs.
be 1 ANM
role of ANM as
curative care of
of the ANM
as a link
been started by
giving android tabs
for betterment of
and timeliness of the
delivery of quality
services especially to
rural population, to
women and children.
ROLES OF ANM
Education about prevailing health problems and
method of preventing and controlling
Promotion of food supply and proper nutrition
An adequate supply of safe water and basic sanitation
Maternal and child health care ,including family
Immunization against infectious diseases
Prevention and control of endemic diseases
Appropriate treatment of common diseases and
Provision of essential drugs
The use of auxiliary nurse
midwives is recommended for:
Performance of neonatal resuscitation
Administration of intravenous fluid as part of treatment for
postpartum hemorrhage (PPH)
Internal bimanual uterine compression for PPH
Suturing of minor perineal /genital lacerations
Initiation and maintenance of injectable contraceptives using a
Insertion and removal of intrauterine device (IUDs)
The use of auxiliary nurse midwives should be
considered for the following interventions, but with
targeted monitoring and evaluation:
• Initiation and maintenance of kangaroo
mother care for low birth weight infants
• Administration of anti-hypertensives for
severe high blood pressure in pregnancy
• Insertion and removal of contraceptive
HEALTH INFRASTRUCTURE IN
TYPICAL DISTRICT LEVEL
Level of health care
Human resource available
District hospital 2-3 million Obstetrician, anesthetist, pathologist, pediatrician,
general doctors, nurses
80,000-1,20,000 Any specialist , general doctors , nurses
PHC 30,000 General doctor, nurse, LHV , ANM
Sub-centre 5000 ANM
of registeredANMs , nurses
andLHVs in INDIA
Changes in training and
placement of ANMs
Earlier there was full course of three years in
nursing and a minimum of 6 months of
Now it has changed to two years duration
(one and half years in some institutes ) which
included 9 months of midwifery and 3 months
of community experience.
G NURSING AND
FOCUS OF THE STUDY
Each ANM trainee was to conduct 30
Antenatal examinations, 20 deliveries
including home deliveries and babies as
part of the practical training as per the
requirements of the new syllabus.
Consequently many ANMs (FHWs) had
inadequate practice of midwifery skills
during training. Another opportunity to
learn midwifery skills was the field
placement to PHCs.
Geographical Distribution of Auxiliary
Nurse Midwife Training Centre
(ANMTC): Current Scenario
ANM’s Role with ASHA
ANMs will act as resource persons for the
training of ASHA.
She will utilize ASHA in motivating the pregnant
women for coming to sub-centers for initial
ANM will guide ASHA in motivating pregnant
women for taking full course of iron and folic acid
tablets and tetanus toxoid injections etc.
ANM will educate ASHA on danger signs of
pregnancy and labor so that she can timely
identify and help beneficiary in getting further
She will take help of ASHA in updating eligible
couple register of the village concern and
bringing married couple to the sub- centers
for adopting family planning.
ANMOL - Auxiliary Nurse Midwife (ANM) Online
ANMOL acts as a job aid to the ANMs by
providing them with readily available
information such as due list, dashboard
and guidance based on data entered etc.
Videos / audios on subjects like high risk
pregnancy, immunization, family planning
etc are also available in the application
for use by ANMs.
• Real time data entry/update by the ANM
• Improved quality of the data
• Readily available training contents
• Internet connectivity is not constraint
Integrated with Reproductive child health (RCH) portal for
seamless data flow.
Ticketing system for ANMs to rise any issues with
online notifications for ANM.
Frequently asked questions.
Provision to provide service to beneficiaries out of
Delete unsynchronized /rejected records upcoming videos
Monitor ANMs performance through web interface.
Restore and backup local data (admin privileges).
• On world health day 2016, the Minister for
health and family welfare in India , Mr Jagat
Pratap Nadda launched the ANMOL application
in front of a huge audience.
• “ANMOL will be revolutionary application
that will give a significant boost to improve
health services in INDIA” “The ANMOL
application will help implement health
programmes successfully at the grassroots
levels” said J.P Nadda
• The government of India plans to roll out
ANMOL to 293,000 ANMs in a phased
Journey to ANMOL
•Data entry was done by
•Data was captured by ANMs
in different registers for
•Workplan provided by BEOs
•Data entry was done by
•Data was now being
captured in a single
integrated RCH Register
•Workplan provided by BEOs
Application •Data entry done by ANMs,
thereby giving them
ownership of data
•Acts as a job aid
•Workplan is just a single
Key Modules in ANMOL
• Eligible Couple
– Tracking of Family
• Pregnant Women
– ANC Services
– Delivery details
– PNC Services
– Tracking of
– Child Medical
– Family Planning
– ANC Services
– Delivery Outcome
– PNC Care
– Critical Indicator
– KPI Factsheet
– User Manual
– Sub Centre wise
– Village wise
– Service wise
– ANM wise
– ASHA wise
– Beneficiary wise
– High Risk Pregnant
– Low Birth Weight
– Due List
– Logistic Planning
– Logistic Used
ANMOL – Splash Screen
• Select language – Choose between
• ANM Login – For ANMs
• Admin Login – For Medical Officers
How to Login??
• Select State and enter ANM Id
• All records associated with the
ANM ID will be downloaded.
• Set your Password, default
password is ANMs phone
number registered on
• Login into the Application.
details of the
Syncs data on
Pregnant Women Module
• PW Registration – To
register an unregistered PW
• ANC Details – To enter the
ANC details of PW
• Delivery Outcome – To
enter the delivery details of
• PNC Details – To enter the
PNC details of both mother
• Infant Details – To enter the
infant details after delivery
• Maternal Death, Abortion
list Infant Death – Displays
a list of all such cases
How to Register a PW?
• Some fields which were entered
in EC section will be auto
• The remaining details needs to
• Click on “Save” and PW will
move into ANC Section.
How to update the ANC Services of PW?
Once Saved, the details
appear in the form of a table
When delivery is mentioned
The PW moves into the
“Delivery Outcomes” List
How to update the PNC Services
Once the PNC Details are saved,
the visits appear at the bottom in
the form of a table
How to update the Infant details?
Once the Delivery
Outcomes details are
entered, the Infant is visible
in the “Infant Details” List.
• Once the Infant details
are saved, it is only when
the data is first synced
online with the RCH Server,
RCH Child ID is generated.
• Then the Child is visible in
“Infant PNC” section and
“Child Registration” Section.
• Direct Birth Registration –
To register a new Child
• Child Registration – To
register a child whose
infant details are entered in
the PW section
• Child Tracking – To enter
the Immunization services
details of child
• Child Death, Case Closure –
Displays list of such cases
who are either reported as
dead or case is closed due
to migration or any other
How to register a Child?
The Child whose infant
details were entered
and was synced on the
RCH Portal, is now
visible in the Child
Once the Child is registered
and Saved, it appears in the
“Child Tracking List”
How to update the Immunization
services of a Child?
• Dashboard acts like a Report card
for the ANM. It gives a clear picture
of all the beneficiaries that are
registered by the ANM, the services
that have been provided to them
along with those which are due for
• It highlights important indicators
under eight main sections.
• It helps her to quickly evaluate
the scenario in her catchment area
and identify critical areas where
focus is needed.
To easily switch
types of sections
It clearly mentions
along with the
Query builder to
dashboard for a
• It is simply soft copy of the
Integrated RCH Register.
• It has been categorized
further into 7 types for easy
identification of beneficiaries.
• ANMOL acts as job aid for the
• This section provides the ANM
with certain audio visual content
along with relevant reading material.
• ANMs can use this to counsel the
beneficiaries, to generate awareness
among them to adopt healthy
• They can also use this to enhance
their skills and knowledge so as to
deliver quality services to the
• The data can be synced on the
RCH Portal by two methods:-
Automatically – As and
when the tablet comes in the
range of internet
connectivity. The Application
will sync the data onto the
Manual – Click on the Sync
All button and all the records
will be synced onto the
portal and the status will be
Feedback from Happy ANMs
“ The ANMOL tablet is like my akka
(elder sister in Telegu), a constant
guiding support that helps me
overcome my day-to-day issues. It
saves me lot of time. My job has
become very easy since I started using
it. Now I can solve all my problems
myself. I use ANMOL to make better
connections with the people in the
village and understand their problems
better by talking to them” SUJATHA
(ANM , Andhara Pradesh )
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• "WHO | Achieving Millennium Development Goal 5: is India serious?". Who.int.
2008-02-12. doi:10.1016/S0140-6736. Retrieved 2016-01-07.
• "An Auxiliary Nurse-Midwife in India Sets an Example for Family Planning".
Jhpiego. Archived from the original on 2016-02-15. Retrieved 2016-01-07. S.L. Goel
(1 January 2008).
• Rural Health Education. Deep & Deep Publications. pp. 9–.
• ISBN 978-81-8450-115-5. "Indian Nursing Council, Official indian nursing council
website, Government India, Establish Uniforms Standards, Training Nurses,
Midwives, Health Visitors". Indiannursingcouncil.org. Retrieved 2016-01-07.
• "RURAL HEALTH CARE SYSTEM IN INDIA" (PDF).
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Public Health Standards (IPHS) Guidelines for Sub-Centres" (PDF).
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Retrieved 7 January 2016.