The document discusses the roles of various community health workers and frontline workers in rural India, and the training and supervision provided by nurses. It notes that nurses play a key role in providing on-the-job, continuous training and supervision to village health guides, ANMs, anganwadi workers and ASHAs to update their skills and ensure quality healthcare delivery. This involves collaborative efforts between different health professionals to effectively train grassroots workers through appropriate teaching methods and supervision.

1. TRAINING/SUPERVISION
COLLABORATION WITH OTHER
FUNCTIONARIES IN COMMUNITY

2. CONTENT:-
 INTRODUCTION
 DEFINITION
 HEALTH FUNTIONARIES:-
 VILLAGE HEALTH GUIDE
 LOCAL DIAS
 ANGANWADI WORKER
 ANM
 ASHA

3. INTRODUCTION:-
 Nurses play a key role in providing
continuing education and supervision
of Village health guide, ANM,
Anganwadi worker and ASHAs. This is
done on the job while working with
them.

4. DEFINITION:-
TRAINING:-
Training is a continuous process and must go on to
keep self and other health workers updated with
new technology, emerging health problems, new
health programs, envolving system of delivery of
health service and the changes in the health
policies, etc.
SUPERVISION:-
The act of watching a person or activity and
making certain that everything is
done correctly, safelysafely

5. COLLABORATION:-
The situation of two or more people
working together to create or achieve
goal.

6. VILLAGE HEALTH GUIDES:-
INTRODUCTION:-
 A Village Health Guide is a person
with amplitude of social services and
not a full time government functionary.
 The village health guide scheme was
introduced on 2nd

7. THE GUIDELINES OF THEIR
SELECTION:-
 They should be permanent residents
of the local community, preferably
woman.
 They should be acceptable to all
section of the community.


8. TRANING:-
 After selection the health guide under go
short training in primary health center
and sub center of any suitable place of
duration 200hrs, spread over a period of
3 months.
 During the training period they receive a
stipend/month.


9. DUTIES OF VILLAGE HEALTH GUIDE:-
 Treatment of simple ailments and
activities in first aid.
 Mother and child health including
family planning , health education and
sanitation.
 Village health guide provide basic
preventive health care and knowledge
to their villages and help organize and
facilitate woman’s group and the
adolescent girls programs.

10.  They are expected to do community
health work in their spare time of
about 2-3 hours daily for with they are
paid an honorarium.
 The government will not train another
health guide from the same village for
three years.

11. LOCAL DIAS( TRADITIONAL BIRTH
ATTENDANT:-
 Most of the deliveries in rural areas are still handled
by untrained dais who is often the only people
immediately available to women during the perinatal
period.


12. TRAINING:-
 The training is 30 working days.
 Each dai is paid a stipend Rs.300
during her training period.


13.  During her trainIng each Dai is
required to conduct at least 2
deliveries under the guidance and
super vision of the HW(F), ANM OR
HA(F).
 They emphasis during training is on
asepsis so that home deliveries are
conducted under safe hygienic
condition.


14. ACTIVITIES:-
 After successful completion of training
each Dai is provided with a delivery kit
and a certificate.
 She is entitled to receive an amount of
delivery provided the case is registered
with the Sub center/ PHC.
 These Dai is also expected to play a vital
role in propagating small family norm
since they are more acceptable in the
society.

15. ANGANWADI WORKERS:-
 Angan literally means a courtyard.
 Under the ICDS scheme is Integrated
Child health developmental scheme, there
is an anganwadi worker for a population of
1000 and there are about 100 such worker
in each ICDS project.
 As of date over 53029 anganwadi centers
in 366 blocks in Gujarat.
 ICDS scheme was launched on 2nd

16. ICDS TRAINING:-
 Training and capacity building of
functionaries for effective program
implementation is an integral
component of ICDS scheme as the
achievement of the program goals
largely depends upon the
effectiveness of frontline workers in
improving service delivery, providing
quality services and care under the
program.

17. TYPES OF TRAINING COURSES:-
 Induction Training (on initial
engagement/appointment) mainly to
AWWs
 Job/Orientation Training (once during
service period)
 Refresher Training (in-service, once in
every two years)
 Training of Child Development Project
Officers (CDPOs) is conducted by
NIPCCD (Delhi or Indore).

18. Training Through distance learning
mode / web based training and other
training arrangements:-
 Certificate Course of CFN and CCCD
 CFN for supervisors
 CCCD For Anganwadi Workers

19. ACTIVITIES:-
 The anganwadi worker is selected from the
community she is expected to serve.
 She undergoes training in various aspect of
health, nutrition , child development for 4
months.
 She is a part time worker and she is paid an
honorarium of र

20.  The beneficiaries are especially
nursing mothers, other women(15-45
year), and children below the age of 6
year.

21. ANM:-
 In the rural health care system, the
ANM is the key field level functionary
who interacts directly with community
and has been central focus of all the
reproductive, child health programs.
 Over the years with changes in
program priorities, the role and
capacity of the ANM has changed
substantially.

22.  Today’s MPHW is more involved in
family planning and preventive services
in contrast with ANM of sixties who was
providing delivery and basic curative
services to community.


23.  The overemphasis on family planning
targets and the addition of infectious
disease control programs in the ANM’s
already busy schedule had led to
neglect MCH.
 It is important to understand why the
role of the ANM changed from primarily
a midwife to preventive health worker
with focus on family planning and
immunization.

24. ROLES:-
 The roles of ANM and ASHA have
been integrated in various ways.
 The ANM will hold weekly/fortnightly
meeting with ASHA, and provide on
job training by discussing the activities
under taking during the week/fortnight
and provide guidance in case ASHA
encounters any problem.

25.  ANMs will also act as resources
persons for the initial ANMs will also act
as resource persons for the initial and
periodic training and also ensure that
during the training ASHA gets the
compensation for performance and also
TA/DA for attending the training
schedule.
 She will also guide ASHA in bringing
the beneficiary to the out reach
session.

26.  She will utilize ASHA in motivation the
pregnant women for coming to the
Sub center for initial check-ups and
also take ASHAs help in bringing
married couples to Sub centers and
motivating women for taking full
course of Iron and Folic acid(IFA).

27. ASHA:-
 An accredited social health activist (ASHA) is
a community health worker instituted by
the government of India's Ministry of Health and
Family Welfare (MoHFW) as a part of the National
Rural Health MissionNational Rural Health Mission

28. SELECTION:-
 ASHAs must primarily be female residents of the village that they have been selected to serve,
who are likely to remain in that village for the foreseeable future.
 Married, widowed or divorced women are preferred over women who have yet to marry since
Indian cultural norms dictate that upon marriage a woman leaves her village and migrates to
that of her husband.
 ASHAs preference for selection is they must have qualified up to the tenth grade, preferably be
between the ages of 25 and 45, and are selected by and accountable to the gram
panchayat (local government).


29. ROLES AND
RESPONSIBILITY:-
 ASHAs are local women trained to act as health educators and promoters in their
communities.
 Their tasks include motivating women to give birth in hospitals, bringing children to
immunization clinics, encouraging family planning (e.g., surgical sterilization), treating
basic illness and injury with first aid, keeping demographic records, and improving village
sanitation.
 ASHAs are also meant to serve as a key communication mechanism between the
healthcare system and rural populations.
She will act as a depot holder for essential provisions being made available to all habitations
like Oral Rehydration Therapy (ORS), Iron Folic Acid Tablet(IFA), chloroquine,
Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc.

30. TRAINING:-
 She will act as a depot holder for
essential provisions being made
available to all habitations like Oral
Rehydration Therapy (ORS), Iron Folic
Acid Tablet(IFA), chloroquine,
Disposable Delivery Kits (DDK), Oral
Pills & Condoms, etc.
 She will get training over 23 days for
above activities.

31. SUMMARY:-
 Training and supervision of grass root level worker is
the collaborative efforts of all the health professionals
and nurses provide hands on training for them.
 For this nurse must use appropriate methods of
teaching and then must use appropriate methods of
teaching which would create interest among the grass
root level health workers to practice what is learned
and thus gain competency in delivering the services
for which they are employed.

32.  Any doubt ?
ANY QUERY ?

33. THANK YOU