Trainings and ASHA under NRHM

1. Trainings and ASHA under NRHM Dr Dinesh Baswal Assistant Commissioner (Trg) MoHFW-GOI

2. Trainings

3. Trainings under NRHM • NRHM • ASHA trainings • Project Management Unit staff trainings • RCH • Maternal health • SBA, EMOC, LSAS, Blood storage, RTI/STI, & MTP • Child health • IMNCI • Family planning • Minilap, Lap, NSV, IUD, • Others • ARSH • Professional Development Course • Full time courses diploma, Master courses by NIHFW, SIHFW and other institutes • Disease Control Program • RNTCP, NLEP, NBCP, NIDDCP & NVDCP

4. Central Government Trainings Institutes Data Source : *RHS 2008, PIP and State Websites

5. Trainings can be reviewed under major heads i.e. • Infrastructure • Management • Implementation • Supervision • Follow up

6. Training Infrastructure • SIHFW, HFWTC, ANMTC, MPWTC and others (linkages with other states i.e. UTs NEs) • Training capacities of institutions • Infrastructures and logistic status • Faculty position (shortages/ pedagogies) • Need of revision of present Courses (MPW)

7. Training Management • Nodal officers with independent training cells for trainings at various level and with proper linkages (State, District and block level) • Decentralized Planning for trainings (at district level) • Training Planning • Training need assessments • Training Load (for the mission period and yearly) • Development of trainers pool • Selection of trainees (for long duration trainings) • Training integration / Clubbing • Plan to overcome the staff shortage

8. Training implementation • Training preparedness • Nomination in trainings in view of staff shortage • Training logistics (Modules, Trainings Aids etc.) • Facility preparedness for trainees to use their newly acquired skills

9. Training Supervision • During Trainings • To assess trainings infrastructure / capacities • By training experts • To ensure training quality (other then GOI Norms) • Post trainings • Trainings report analysis • Interview with trained staff • Existing supervision models • Integrated Models • Outsourced model

10. Post Training Follow up • To ensure • Placement of Trained Health Workers at right places • Availability of logistic and facility for practicing Skills • Handholding support to trainees • Assess the need of re orientation

11. ASHA

12. ASHA Program • ASHAs are Selected from community • 1 ASHA for 1000-1500 population (relaxed in Tribal and difficult area) • Presently 7.30 Lac of ASHAs are selected • ASHA program is affected by attrition ASHAs leaving works)

13. ASHA trainings • 23 days induction trainings (state specific phase wise) • 76 % are trained in 1-4 modules • Training in module-5 is scaled up • In EAG and NE states 90+% ASHAs are trained in Module 1-4 • States have their specific training models • Government, NGO (HR), PPP model (BH) • Training Module- 5 is developed by NGO (CHETNA) • Periodic trainings (12 days- yearly) are initiated in NE states (Nagaland) • Trainings for newly recruited ASHAs

14. Incentives to ASHA • ASHA are paid incentives for their work to compensated for their wage loss • Incentives given in various health programs JSY, Immunization, RNTCP etc. • Very few states have integrated incentive packages • Need of expanding the incentives in various health program • Single window disbursement of incentives (Plan ?) • Disbursement through Cheque

15. ASHA Support mechanism • State ASHA mentoring groups • Constituted • Meetings and action taken • ASHA resource Center • Effective coordination with NRHM • District / Block ASHA coordinator • Recruitments and trainings • ASHA facilitators • Trainings and support

16. ASHA to interviewed to assess • Selection • Trainings • Incentives • Support Mechanism

17. Thanks