Health Training Performance Analysis in Maharashtra
The Public Health Institute in Nagpur conducted training programs in 2013-14 and proposed a plan for 2014-15. The evaluation included the structure and information of health training centers in Maharashtra, physical performance, and training load achievements in maternal, child health, and family planning. Results showed varied performance levels in different training programs, with some areas meeting targets while others fell short. The report highlights achievements and areas needing improvement in health training initiatives.
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PUBLIC HEALTH INSTITUTE, NAGPUR Performance of Training 2013-14 Impact of Training Proposed Plan of Training 2014-15
1.STRUCTURE OF TRAINING IN MAHARASHTRA : Secretary, Public Health Director, Health Services Mission Director, NRHM Additional Director, Training Jt.Director, NRHM Addl. B Trg. Jt. Director, FW RCH Trg. PHI (SIHFW),Nagpur HFWTC, HFWTC, HFWTC, HFWTC, Amravati HFWTC, HFWTC, HFWTC, Nashik Aurangabad Kolhapur Pune Thane Nagpur District Health Training Center 33 & BTT-7
Information of Health Training Centres, In Maharashtra. Health & Family Welfare Training Centers District Block Sr. No. Training Centers Training Centers Nagpur, Wardha, Gondia (BJW), Chandrapur, Bhandara, Gadchiroli Amaravati, Akola,Washim, Yavatmal, Buldhana Nagbhid- Dist. Chandrapur, Allapalli- Dist. Gadchiroli Chikhaldara, & Dharni - Dist.Amaravati, 1 Nagpur 2 Amaravati Nashik, Dhule, Jalgaon, Ahmadnagar, Nandurbar Kalvan - Dist.Nashik, Akkalkuwa - Dist.Nandurbar Nil 3 Nashik Pune, Satara, Solapur 4 Pune Aurangabad, Beed, Jalna, Parbhani, Osmanabad, Latur, Hingoli, Nanded Nil 5 Aurangabad Kolhapur, Sindhudurg, Sangli Nil 6 Kolhapur Thane, Raigad, Ratnagiri Vikramgarh - Dist. Thane, 7 Thane Total 7 33 7
Physical Performance of Training 2013-14
Training Load Achievement 2013-14 In Maternal Health Training Highest Performance In SAB training ,923 ANM/LHV/SN were trained with 100 % achievement of target In BEmOC training , Out of 300 ,323 (108 % ) MO were trained. In MTP/MVA (MO) & RTI/STI (MO,ANM/LHV/SN ) training , above 75 % of the target has been achieved Poor Performance In CEmOC and LSAS, as willingness/ written concern is necessary the target achieved is 30%.
Training Load Achievement 2013-14 Contd In Child Health Training Highest Performance All the training programme conducted under child health, for all cadre had been achieved above 60 % In Child health training programme ,the performance are IMNCI (91%), FIMNCI (60%), NSSK (95%), FBNC (70%) , IYCN (77%), RI (93%) and care of Sick children (71 %)
Training Load Achievement 2013-14 Contd Family Planning Training Performance Highest Performance IUD ,PPIUCD ,Minilap, Laparoscopytraining programme conducted under family panning , 55 % target is achieved . Poor Performance In Newer CuT-375 insertion one day sensitization training 33 % of the targets is achieved in NSV training, 22% target is archived as the training is to be conducted in camps only and the criteria 25 cases per trainer is not fulfilled during camps
Training Load Achievement 2013-14 Contd ARSH Training Performance Above 91 % of staff has been trained under ARSH training. In which 349/320 (109 %) MO and 583 /638 (91%) paramedical staff, ANM/LHV were trained .
Training Load Achievement 2013-14 Contd NRHM Training Performance Above 71 % of ASHA were trained udder different training like Induction module and ASHA training Module VI and VII Phase I to III . ASHA training Module VI and VII Phase IV had 0 % training performance as the ASHA were not fully trained under Phase I to III Under Programm Management training 87 % staff (DHO/CS. DPMU/BPMU ) out of 1500 were trained 71 out of 80 Newly recruited MO are trained under NRHM
Impact of Training The rate in comparison to 2005 are IMR from 36 to 25 MMR has reduced from 130 to 87 TFR has reduced from 2.2 to 1.8 NMR has reduced from 37 to 18 CMR has reduced from 10 to 6.4
Proposed Training Programme 2014-15
Planning of 2014-15 To achieve the state target for the year 2014-15 Following training program has been planned 1. Hand on training given in Skill Lab 2. BEmOC and CEmOC for obstretic care 3. RTI/STI, MTP/MVA,LSAS 4. RI, FBNC, F-IMNCI, NSSK, IMNCI , IYCN 5. Minilap ,NSV,IUCD, PPIUCD, Laparoscopy
Technical Training 2014-15 Under State Health training policy ,139 technical training were planned for all Cadre For Group A , Cadre 1. Medical Officer MMHS 2. MODTT/HTT 3. THO 4. DHO/ADHO/ADHS/DTO /BMO/DRCHO Principal HFWTC CS/RMOP Clinical/ADHS No .of training 12 6 12 8 8
Technical Training 2014-15 Cont For Group B 1 Administrative Officer 2 Statistical Officer 3 District Extension & Media Officer 6 4 DMO/DFO/Biologist 5 Sr. Scientific Officer/ Bio Chemist Cadre No of Training 1 5 9 6
Technical Training 2014-15 Cont For Group C 1 ANM/MPW 2 LHV/SN/HA/HS 3 X-ray Tech 4 Lab. Technicians 5 Pharmacist 6 Statistical Cadre 7 Opth Officers/ Assistance Cadre No of Training 14 11 2 2 3 10 2
Technical Training 2014-15 Cont For Group D 1 Attendant 2 Vehicle Cleaner 3 Nursing orderly 4 Sweeper 5 Helper 6 Mukadam 7 Peon/Watchman/Other class IV servant Cadre No of Training 3 1 1 2 2 2 3
Technical training cadre wise batches & budget for the year 2014-15 Total Budget Rs. In Lacs. Group No. of Batches A B C D 201 39 2415 660 3315 141.63 45.47 1065.57 165.00 1417.67 Total
Instruction to DHO /CS 1. Select /Nominate the trainees as per criteria. 2. Relive Mo/staff immediately as per schedule programme. 3. Periodic Training Needs Assessments of district health staff and set priorities. 4. Maintain data base of trainers and trainees. 5. Concurrent monitoring of training quality through maintain on performance basis. 6. Trained staff should be placed at suitable position/department
Training centers DTT/HTT 1. Physical and Financial performance audit to be done by DHO/CS offices and report to be submitted to DD with copy to respective HFWTC. 2. Recruit/Depute regular staff (MO, LHV,HA )at DTT &HTT 3. Training staff should not be changed frequently.
