Capacity Building of Human Resource in HealthInstitute of Health & Family Welfare, WBA Case Study

HRH Workshop for Eastern Zone, Bhubaneswar

Date: 04 January 2012

Presented by:

Prof. (Dr.) Akhil Bandhu BiswasDirector,Institute of Health and Family Welfare,West Bengal

Institute of Health & Family Welfare

Institute of Health & Family Welfare, West Bengal 2

Trainings Conducted At IHFWTRAINING DURATION(in

days)

Medical Teachers’ Training 6

Induction Training 12

STG Project Oriented Training 1/ 2 Integrated Disease Control Training 5 Administrative and Financial Skill Training for

various cadres3/ 6

Training of newly appointed Assistant Superintendents (non-medical) on Administrative and Medico Legal issues

3

Training of Trainers, under NRHM/ RCH II for SBA & IUCD

2/ 5/ 6

Disease Control Training varies

New born care, BEmOC, CEmOC trainings “ Distance Learning Programs

◦ One Year Certificate Course In H&FW Management

◦  One Year Certificate Course In Hospital Management

5/6

Institute of Health & Family Welfare, West Bengal 3

Approaches To Training

Systems Approach to

training

Informative

Participatory

Systems Approach To Training

TNA

IMPLEMENTATION PROGRAMME

EVALUATION

DESIGNING PROGRAMME

OBJECTIVE

Training Methods/ MechanismWorkshopOn- JobClass Room Hands On Field TripModular TrainingMicro-teaching

FOCUS NOT ONLY ON KNOWLEDGE & CERTIFICATION- LITTLE ON SKILL

Learning Tools

Institute of Health & Family Welfare, West Bengal 7

Pre and Post test as well as Feedback regarding training and trainers is also collected for quality assessment & improvement.

Participatory Learning

Demonstration – Return

DemonstrationBrain Storming

Group Work/ Presentation

Role PlayField Trip

Lecture & Discussion

Medical Teachers’ Training

Institute of Health & Family Welfare, West Bengal 8

1415

17

1516 16 16 17

15 1416 16

1514

17

14 1416

14 1514

1513

27

2928

26 26 26 26

29

26

31

2729

26

30

28 27 2728

29

25

28

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Pre-test & Post-test mean scores for 24 batches

Pre-TestPost-Test

Customization Of Training Methods

Institute of Health & Family Welfare, West Bengal 9

•BrainstormingRole Of MO

•Role Play/ ExerciseRisk Factors

•MCQ followed by LD / Case PresentationDisease•Actual / Audio & VisualGuidelines For

Management

•LDInformative

•Group WorkPlanning

Ensuring Capacity Of Capacity Builders

KNOW WHAT TO INSTRUCT?

HOW TO INSTRUCT?

ABLE TO COMMUNICATE EFFECTIVELY

BE FLEXIBLE IN APPROACH

FACILITATORS MEETING

Total Load vs Total Trained - 2011

Institute of Health & Family Welfare, West Bengal 11

Total Load = 2246

62%

Achievement (in %) of participation over load

Institute of Health & Family Welfare, West Bengal 12

Medical Teachers’ Training

Training course on Education Science Technology for Medical

Teachers since July 2009. ◦ Duration : 6 days◦ Batch size : 25

Already conducted 25 batches ◦ ~ 540 medical teachers

from 17 different Medical Colleges Institute of Health & Family Welfare, West Bengal 13

Handbook For Medical Educators

MEDICAL TEACHERS TRAINING COURSE

Standard Treatment Guidelines

Systematically developed statement designed to assist the providers and their clients in making decisions about appropriate health care for specified clinical circumstances.

Institute of Health & Family Welfare, West Bengal 14

STANDARD TREATMENT GUIDELINES 2010 & OPERATIONAL MANUAL

STANDARD TREATMENT GUIDELINES 2011 & OPERATIONAL MANUAL

Institute of Health & Family Welfare, West Bengal 15

All divisions functioning in a Vertical way

NO Convergence of activities | Lack of Coordination

Common Participant Pool

Duplication / Multiplicity

Poor Participation

Lack of coordination • Health

societies• DH&FW • SIHFW/CTI

Challenges We face

ChallengesLack of Infrastructure

Shortage of Human Resource

Poor monitoring /follow up/tracking

Induction training not given to all MOs prior to/ at the time of their joining services.

Data bank of trained personnel not maintained

Lack of role clarity

Institute of Health & Family Welfare, West Bengal 16

Continued..

Initiatives being taken at IHFWAugmentation & Upgradation of the physical

infrastructure & human resources of IHFW, other peripheral institutes

Capacity building of trainers (ToT) in consultation with the NIHFW & state government

Role clarity of Trg Institutes From vertical training to integrated trainingFrom knowledge transfer to skill up-gradationFeed back evaluation of participants for

continuous quality improvement & facilitators meeting

Institute of Health & Family Welfare, West Bengal 17

Initiatives being taken at IHFWMonitoring of training sites, health care

facilities in HFD districts-review performanceMonitor process & outcome of trg by checklistDisseminating knowledge through publications

and seminars.Database: trg. Instt, trainees &trainersConducting applied and operations research -

apply knowledge in learning Networking with other govt. & non-govt org.

Institute of Health & Family Welfare, West Bengal 18

Continued..

Institute of Health & Family Welfare, West Bengal 19

THANK YOU !

Prof. (Dr.) Akhil Bandhu Biswas

DirectorInstitute of Health and Family WelfareWest Bengal

Email: akhilbandhubiswas@gmail.com