Assistant Professor sum Nursing college SOA,DTU

1. TRAININGAND
SUPERVISION OF
HEALTH WORKERS

3.  Female health
worker
 Male health
worker
 Female health
assistant
 Male health
assistant
 Dai / Anganwadi
worker
 Depot Holder
 Village health
guide
 Voluntary health
accosications
 PHN/DPHNO

6. ON-THE-JOB
TRAINING
VESTIBULE
TRAINING
Specialcoursesor
CLASSROOM TRAINING.
METHODS OFTRAINING

24. ANM/ MULTIPURPOSE HEALTHWPRKERS (FEMALE):
• Sheplays avital role in
maternal& childhealth
aswell asin family
welfare servicesinrural
areas.
• Therefore itis essential
that the proper training
to be given to them so
that quality servicesto
provided to the rural
population.

25. • Forthis purpose 336 ANM/MULTI PURPOSE HEALTH
WORKRES(F) schools with an admission capacity of approx. 13,000 & 42
promotional training schools for LHV/HEALTH ASSISTANT(F) with an
admission capacity of 2600 established by the department of family
welfare, Govt. ofIndia.
• These training institutions are imparting training to prepare required
number of ANM $ LHV to man the sub-centre, PHC, rural family
welfare centre & other health centre in the community.
• The duration of training programme of ANM is 1& 1/2 years & min.
qualificationto this courseis10th passed.
• Senior ANM with 5yrs of experience is given 6mnth promotional
trainingto becomeLHV/HEALTHASSISTANT(f).
• LHV/HEALTH ASSISTANT provide supportive supervision &
technicalguidanceto theANMsinsub-centre.

26. MULTIPURPOSE HEALTH
WORKER (MALE)
 Thebasictraining of multipurpose health worker (m) scheme wasapproved
during6th 5yearplan& takenupsince1984asa 100%centrally sponseredscheme.
 Thetraining isprovidedthrough56training centrethrough health and family
welfare training centre $ through basic training schoolsof multipurpose
healthworker(m).
 Thetraining is of 1yr duration, on successfulcompletion of training, the male
health workersispostedat the subcentre alongwithANM/HEALTHWORKER
(F).
 Themainfunction of the malemultipurposehealthworkers arein the areasof
national health programmelikemalaria, leprosy, TB& limited involvement in
diarrhea control programme& in family welfare services.

27. ACCREDITEDSOCIALHEALTHACTIVIST(ASHA)
One of the key components of the
National Rural Health Mission is to
provide every village in the country
with atrained female community
health activistASHAorAccredited
Social Health Activist. Selected
from the village itself and
accountable to it, theASHAwill be
trained to work asan interface
between the community and the
public healthsystem.

28. Key components ofASHA:
 ASHAmust be awoman resident of the village married/
widowed/ divorced,preferablyinthe age groupof 25to 45
years.
 Sheshouldbealiterate woman with duepreference in
selection to those who are qualified up to 10 standard
wherevertheyareinterested andavailable in goodnumbers.
 ASHAwill be chosenthrough arigorous processof selection
involving various community groups, self- helpgroups,
AnganwadiInstitutions,the BlockNodal officer, District
Nodal officer, the village Health CommitteeandtheGram
Sabha.

29.  Capacitybuilding processofASHAisbeingseenasaprocess.
ASHAwill continuous haveto undergoseriesof training
episodesto acquirethenecessaryknowledge,skillsand
confidencefor performing herspelledout roles.
 TheASHAswill receiveperformance-based incentivesfor promoting
universal immunization, referral andescort servicesfor Reproductive
& Child Health (RCH)and other healthcare programmes, and
construction of household toilets.
 Empowered with knowledge and adrug-kit to deliver first-
contact healthcare, every ASHA is expected to be a
fountainhead of community participation in public health
programmes in hervillage.

30.  ASHAwill be the first port of call for any health related demands of
deprived sections of the population, especially women and children,
who find it difficult to accesshealthservices.
 ASHA will be a health activist in the community who will create
awareness on health and its social determinants and mobilise the
community towards local health planning and increased utilization and
accountability of the existing healthservices.
 She would be a promoter of good health practices and will also provide
a minimum package of curative care as appropriate and feasible for that
levelandmaketimely referrals.

31.  ASHA will provide information to the community on
determinants of health such as nutrition, basic sanitation &
hygienic practices, healthy living and working conditions,
information on existing health services and the need for timely
utilizationof health& familywelfare services.
 She will counsel women on birth preparedness, importance of safe
delivery, breast-feeding and complementary feeding,
immunization, contraception and prevention of common
infections including Reproductive Tract Infection/Sexually
Transmitted Infections (RTIs/STIs) and careof the young child.
 She will act as a depot holder for essential provisions being made
available to all habitations like 0ral Rehydration Therapy (ORS),
Iron Folic Acid Tablet(IFA), chloroquine,
DisposableDeliveryKits (DDK),OralPills&Condoms,etc

32.  ASHA will mobilise the community and facilitate them in accessing
health and health related services available at the Anganwadi/sub-
centre/primary health centers, such as immunization, Ante Natal
Check-up (ANC), Post Natal Check-up supplementary nutrition,
sanitation and other servicesbeingprovidedbythe government.
 At the village level it isrecognised that ASHA cannot
function without adequate institutional Women's committee.
 Committee of the Gram Panchayat, peripheral health workers
especially ANMs and Anganwadi workers, and the trainers of ASHA
and in-service periodic training would be amajor source of support to
ASHA.

33. TRAINING DIVISION
DEPARTMENTOF FAMILY
WELFARE

34. 1. “BasicTrainingofANM/LHV”
2.“BasicTrainingfor MultipurposeHealthWorker (Male)”
3.Maintenanceof HealthandFamilyWelfare Training
Centre
4.GandhigramInstituteof RuralHealthandFamily Welfare
Trust(GIRHFWT)
5.NationalInstituteof HealthandFamilyWelfare (NIHFW)
6. RuralHealthTrainingCentre,Najafgarh
7.FamilyWelfareTraining& ResearchCentre, Mumbai.
8. ASHA

35. 1.BasicTrainingofANM/LHV
 ANMs/LHVs play avital role in MCH and Family Welfare
Service in the rural areas. It is therefore, essential that the
proper training to be given to them so that quality
servicesbe provided to the rural population.
 This purpose 319ANM / MPHW (Female) schools with an
admission capacity of approximately 13,000and 34
promotional training schools for LHV/ Health Assistant
(Female) with an admission capacity of 2600 are
imparting pre-service training to prepare required
number of manpower to man the Subcenters, PHC,CHC,
Rural Family Welfare Centers and Health posts in the
country.

36. 2.BasicTrainingfor
MultipurposeHealth Worker
(Male)• TheBasicTraining of MPHW
(M) scheme was approved
during 6th Five-Year Plan
and taken up byGOIin
1984. There are 49 basic
training schools of
MPHW (Male).
• Duration ofcourse is 1
year and on successful
completion of the
training, the candidate is
posted as MPHW (M) at
the sub- centre.

37. Maintenanceofhealthandfamilywelfaretrainingcenter
• 49 HFWTCswere establishedin the country in order to improve
the quality and efficiency of the Family Planning Programmes.
• Thesetraining centres are supported underSchemeof
“Maintenance of HFWTCs”.Keyrole of these training centres is
to conduct various in-service training programmes of
Department of FamilyWelfare.
• Apart from in-service education some of the selected centres
have an additional responsibility of conducting the basic
training of MPHW’scoursewhere MPWtraining centers are not
available.

38. 4.GandhigramInstituteofRuralHealthand Family
WelfareTrust(GIRHFWT)
• Established in
financial support
1964
from
with
Ford
Foundation,
India and
Tamilnadu. The Health
Government of
Government of
and
Family Welfare Training Centre
at GIRHFWT is one of 49
HFWTCsin thecountry.
manpower working in
• It trains Health and allied
PHC,
Corporations / Municipalities
and Integrated Nutrition
Projects.

39. • Gandhigram Institute is also engaged in upgrading the
capabilities of ANMs, staff nurses and students of
nursing colleges through the Regional Health Teachers
Training Institute (RHTTI).
• TheRHTTIhasundertakenfollowingactivities
a. Diploma in Nursing Education and Administration
(DNEA)
b. Short- term trainingincommunityhealthnursing

40. 5.Family Welfare Training &
Research Centre,Mumbai
Family Welfare Training & Research
Centre (F.W.T.& R.C.),Mumbai is a
CentralTrainingInstituteresponsible
for the in-service training for different
categories of peripheral andgrassroot
levelhealthpersonnel all overthe
country,in thekeyhealth areasof
public health significance viz. Primary
Health Carefor Family Welfare, R.C.H.,
HIV/AIDSand other integrated
National Health Programmes

41.  TheCentreconductsaformal oneyearresidentialacademic program
for DiplomainHealthPromotionEducationfor the candidates
deputed from all-over-the country and alsofor candidates
sponsored byWHO/UNICEF/UNDP/DANIDAetc.
 Thefirst courseof D.H.P.E.wasstartedinthe year1987-88.At present
the 25thbatch of the courseisin progress, with 18 trainees.
 FWTRCMumbai started another residential academic programme
for Post-graduateDiplomainCommunity Health Care,in2007.The
durationof thecourseis15months.

42. 6.NationalInstituteof Healthand FamilyWelfare(NIHFW)
National Institute of Health & Family Welfare (NIHFW) has
been identifiedas the Nodal Institute for training under
NRHMand RCH–II,till 30th September 2012.
NIHFWhaspursued responsibilities of organizing National
Level Training Coursesandcoordinationof the NRHM/ RCH
training activities with the help of 18Collaborating Training
Institutions (CTIs)in variousparts of the country.

43.  Four more institutions i.e. RHFWTCat Srinagar, J& K, RIHFWat
Haldwani, Uttarakhand, Regional Institute of Paramedical and Nursing
Sciences(RIPANS)atAizawlandInstitute of PublicHealth (IPH)at
Ranchi,Jharkhandhavebeenapprovedto functionasCTIs.
 Theactivities undertakenbyNIHFWareasfollows:
i. Central TrainingPlan
ii. HumanResource:Atotal numberof43Consultants and44
TechnicalAssistants areinpositionat18CTIs.
iii. Monitoring ofprogressandqualityoftrainings
iv. Professional DevelopmentCourseinManagement, Public
Health &HealthSectorReformsforDMOs
v. ResearchStudies

44. 7.RuralHealthTrainingCentre,Najafgarh,
NewDelhi
• Ruralhealth training Centre, Najafgarh wasestablished asa
Najafgarhhealth unit with the assistance of ROCKFELLER
Foundation in 1937 and merged in rural health training
centre (RHTC)in1969.
• There are3PHC under RHTCNajafgarh.
1. Palam
2. Najafgarh
3. Ujwa

45. 1. BasicallyRHTC,Najafgarh isatraining Centre for the community
health/rural health training. ThisCentre isimparting training to nearly
2,500traineeseveryyearwhichincludes.
2. Medical interns 3-6months internship of rural health courseunder rural
orientation of medicaleducation(ROME).
3. Nursing students of 1st year of GNM coursefrom different
nursing training schoolsof Delhi arebeing trained. approx. 1200 such
studentsaretrainedeveryyr.
4. ANM 10+2(voc.) training school under CBSEaffiliated with INCis also
being run $every year 20students arebeing admitted for 2yrs certicate
course.
5. Training related to rural health isalsoprovided in the form of different
courseslike PGDHE,TBA,LHV,PHN,food & nutrition, healtheconomics&
anganwadiworkeretc.
6.Healtheducationisanintegral part of training component & service
componentfordemandgeneration& behaviouralchange.