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Ayushman Bharat

Ayushman Bharat. Plenary Session – Capacity Building: State Health Agency, Bihar Arogya Manthan 30 th September 2019. Need for Capacity Building. To define structures and systems with specific roles for all stakeholders in AB- PMJAY

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Ayushman Bharat

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  1. Ayushman Bharat Plenary Session –Capacity Building: State Health Agency, Bihar Arogya Manthan 30th September 2019

  2. Need for Capacity Building • To define structures and systems with specific roles for all stakeholders in AB- PMJAY • To provide stakeholder with essential skills and knowledge to perform their roles • To make use of appropriate methods and tools to enhance and sustain the skills and knowledge of the stakeholders Institutional Structure Human Resources Capacity Sustainable Knowledge Management

  3. State’s Identification and addressing mode • Initiatives for effective identification • Gap analysis at all levels-Policy decision, Planning & evaluation, Program management & implementation • Suggestion and feedback mechanism-from various stake holders • Self assessment of stake holders, review and convergence meetings & workshops

  4. Challenges faced by various Stake Holders • Evolving guidelines of the scheme and up grading of technology features • Non availability of full time Arogya Mitra in all Public Hospitals • Lack of IT knowledge among field functionaries like PMAM &ASHA • Shortfall of manpower (Doctors, Nursing & Ancillary staff )in public hospitals

  5. Best Practices Adopted by State for capacity building • Designed & developed virtual learning - video tutorials of BIS,TMS and Hospital empanelment process • Exposure visits of SHA officials to learn and adopt best practices • Organized districts level orientation workshops for increased inter-sectoral participation • Recruitment drive for state and district level positions

  6. Current Status, Frequency and Methodologies • Current Status: Organized 5 State level workshops and 38 District level workshops for PMAM, Medical Officers and other stake holders. • Frequency: Capacity Building workshops to train Arogya Mitras-monthly, district review via meetings and VC-monthly, State level review of ISA and EHCPs on monthly basis and various committee meetings on monthly basis. • Methodologies: • Classroom Learning- Training sessions, Workshops & conferences • Field & Community based learning- Exposure Visits & Mentorship • Virtual classroom- E-learning, IT Enabled Learning, Video Tutorials & Video Conferences, simulation

  7. Measurement and Tracking mechanism • Questionnaire and assessment of the trainees during sessions-to ensure quality • Keep communication channels open with trainees- through telephonic conversation, dedicated e-mail account and whatsapp group etc. • Track training participants attendance, prepare absentee list and plan catch-up sessions • Plan and conduct de-centralized training events at the district & block level and provide on the job supportive supervision

  8. Evaluate Impact of Training • Pre and post training assessment • Reaction, result (data) analysisand feedback • Studying the effective outcomes-behavior, motivation and positive attitude • Visual confirmation-Role play & Group discussion • Social Ownership-to assess trainer’s ability to teach • Knowledge management- Query analysis to assess gap in training and develop FAQ modules

  9. Strengthening ISA • Orientation & review of state coordination unit in operations management and updating technology enabled areas • Refresher training of resources on BIS, claim processing, Medical audit & Fraud control aspects • Facilitate convergence meeting of ISA with CSC(e-Governance), hospitals & other stake holders ensuring knowledge management

  10. Road Map for Stakeholders • SHAfocuses in the followingthematic areasto achieve desired long term results • Core program areas-Empowering ISA by routine M&E and supportive supervision • IT tools & data analytics-Inviting ideas from stake holders for developing robust IT structure and fraud detection mechanism • IEC & Social mobilization-convergence with line departments for increased community involvement • Audit compliance & Grievance redressal-collaboration with hospitals and call center to provide end to end services

  11. Strategic partnerships • State Health Agency, Bihar is being supported by Development partner-GIZ with a pool of consultants • Collaboration with ADRI for knowledge management ; SIHFW for training and workshop organization • Convergence with CBOs like Jeevika & other NGOs like Care India for HR process& IEC activities • Coordination with NHM to bridge the gap of Human Resources during the first year of program implementation

  12. Case study Case: District level orientation cum convergence workshops (August-September 2019) Rationale & purpose: Increased inter-sectoral participation Methodology: One day workshop targeted at Medical Officers, Health Managers, Line departments, CBOs & NGOs with batch size of 40-50 via audio-visual presentation, group work and role plays Budget & planning: DHS in collaboration with respective Collectorate Outcome: successfully conducted in all 38 districts

  13. Planning ahead…… • Refresher trainings for Arogya Mitra & MEDCO • Designing user friendly training module in Hindi for PMAM &ASHA • Establishment of skill lab in collaboration with call center (State Data Centre) to impart virtual & rotating training • Conduct CME/Seminars for Medical Officers & committee members in partnership with Medical Colleges and ICMR • Develop training calendar, pool of resource persons and facilitators

  14. Thank You

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