VVVVVOLOLOLOLOL.2 I.2 I.2 I.2 I.2 ISSUESSUESSUESSUESSUE 1 M 1 M 1 M 1 M 1 MARCHARCHARCHARCHARCH 2010 2010 2010 2010 2010

Quarterly Newsletter of Indian Nursing Council

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INCThe Indian Nursing Council isan Autonomous Body under theGovernment of India, Ministry ofHealth and Family Welfare. Itwas constituted by the CentralGovernment under section 3(1)of the Indian Nursing CouncilAct, 1947. more...

FuturesThe Futures GroupInternational India Pvt. Ltd.specializes in the design &implementation of Public Healthand Social Programs. It smission is to develop anddeliver innovative, locallyrelevant. more...

CBCIThe Catholic Church in India,organised under the umbrella ofthe Catholic Bishops’conference of India (CBCI) has152 archdioceses/ diocese.more...

Performance IndicatorView InstitutesNursing Expts/Master TrainerView TrainersView Training Calender

View Data EntryData Entry Operators

Nurses Trained : 27612

Trainers Trained : 550

Master Trainers Trained : 115

TONs Conducted : 286

TOTs Conducted : 22

Zone wise - Summary of Trainings

Nur

ses/

Trai

ners

NURSES TRAINERS

TRAINING ZONES

EAST NORTH NORTH EAST SOUTH WEST

210 146 54 202 29

3,838

4,618

2,385

11,250

5,429

Supported by Global Fund for AIDS, Tuberclosis and Malaria (GFATM)

ContentsContentsContentsContentsContentsEditorial Board:

Mr. T. Dileep Kumar

Dr. Asha Sharma

Mrs. K.S. Bharati

Dr. Jayarani Premkumar

Dr. Kalpana Mandal

Dr. Swati Kambli

Dr. Mahasweta Bose

Dr. Nizara Das

Dr. S.N. Misra

Dr. Dilip Vaswani

Content and Design:Shanta MisraCover:Home Page of TMIS, accessedthroughwww.indiannursingcouncil.org

Please submit your contributions/articles to INC Newsletter at:incindia.newsletter@gmail.com

Published by the Indian NursingCouncil, Combined CouncilsBuilding, Kotla Road, TempleLane, New Delhi 110002.

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GFGFGFGFGFAAAAATM RTM RTM RTM RTM Round 7ound 7ound 7ound 7ound 7

TTTTTraining Update (March 2010)raining Update (March 2010)raining Update (March 2010)raining Update (March 2010)raining Update (March 2010)

Activity Achievement

This Quarter Cumulative

Number of Institutions conducted trainings 47 48

Number of Master Trainers trained 25 115

Number of Trainers trained 88 550

Number of Nurses trained 9577 27612

The President’s Desk 3

GFATM Nurses Training- Achievements in this quarter 4

In Conversation 7

Photo Gallery 8

AIDS and Stress management 10

World AIDS Day 11

NACO Study - Challenges in HIV/AIDSProgramme 12

Issues faced by Nurses 13

INC Announcements 14

Nurses Speak 15

The President’s DeskThe President’s DeskThe President’s DeskThe President’s DeskThe President’s Desk

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In 2010 the GFATM 7 programme has delivered activities and overallachieved good results. We have met our targets of training trainers andnurses in HIV/AIDS prevention, care and treatment and look forward tothe future with enthusiasm.

A major achievement in this quarter has been the launch of theComputerised Trained Nurses Management Information System (TMIS).This online data base provides information on all indicators for the GFATMproject and detailed data about all nurses trained under this project,through a digital dashboard. This can be viewed by accessing the IndianNursing Council website. We will utilise the TMIS to effectively track theprogress of this project. The first Cross Learning workshop in Puri broughttogether a large number of trainers to share their views on the projectand the involvement of staff nurses in HIV/AIDS prevention, care andtreatment. Congratulations to all Trainers who successfully qualifiedand became Master trainers.

In this issue, we are happy to have Dr. Punitha Ezhilarasu from CMC,Vellore sharing her experiences and contributions towards the NursingProfession.

Several of you have sent excellent feedback about the trainingprogramme and your work for the HIV/AIDS prevention programmes.We are delighted to share some of them with our readers. A photogallery takes you through various activities in this quarter. Our‘Announcements’ section describes details about ANM, GNM and otherteaching facilities.

I thank you for your enthusiastic response and look forward to yourcontributions in our future editions of the INC newsletter.

Sincerely,

Mr. T Dileep Kumar

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Ms. K. S. BharatiAsst. Secretary INC& Project Director,

The New Year 2010, started on a bright note withmore number of staf f nurses getting trained and beinginvolved in the HIV/AIDS prevention and care services.In this quarter, another 9577 staff nurses were trainedunder the project. Cumulatively, a total of 27612 nursesfrom across all states and from the different level ofhealth care facilities, including tertiary hospitals, districthospitals, CHC/PHC and Community care centershave been trained so far. In addition three TOT (trainingof trainers) courses were conducted, one each inColleges of Nursing, RAK, New Delhi, CMC, Velloreand West Bengal, GCON, SSKM Hospital Kolkata andanother 88 faculty members from different Nursingschool and colleges were trained as trainers for thisproject.

Besides the training courses, the other activitieswithin this quarter are detailed below.

Monitoring and Evaluation and ComputerizedMonitoring and Evaluation and ComputerizedMonitoring and Evaluation and ComputerizedMonitoring and Evaluation and ComputerizedMonitoring and Evaluation and ComputerizedManagement Information systemManagement Information systemManagement Information systemManagement Information systemManagement Information system

The Futures Group supported the Indian NursingCouncil in developing the Training ManagementInformation System (TMIS) for the GFATM project. Theweb based TMIS was formally launched by Mr. DileepKumar, President INC during a Consensus Workshopof all 55 Principals and Coordinators in Kochi on the13th -14th February 2010. The MIS includes all details

GFATM Nurses Training Project- Achievements in this Quarterabout the training program, such as, the details of all55 institutes. Training calendar, database of nursesand trainers trained including details about theirpresent work, a feedback from all trainees etc. ThisMIS is available for all to view from the Indian NursingCouncil website at www.indianursingcouncil.org.

All data into the MIS get entered by the designateddata entry operators positioned in each of the 55institutes within a week after completion of the training

program. In addition, a centrally positioned “Help desk”is available to support data management and dataanalysis. Data analysis provides information of alltrained staff nurses district-wise and institution-wise.

Consensus WConsensus WConsensus WConsensus WConsensus WorkshoporkshoporkshoporkshoporkshopA Consensus workshop for Principals and Training

Coordinators of all 55 institutes was organized at Kochiin Kerala on the 13th and 14th February 2010. The goodpractices and issues related to the GFATM trainingprogram was discussed among all the staf f.Recommendations provided by the institutions weretaken into consideration for further improvement of thetraining courses. Of particular concern, was theproblems faced by the institutions in getting staffnurses deputed for the training from the hospitals,especially understaffed hospitals. All institutions wererequested to organize sensitization workshops for allNursing Superintendents within their state.

For the first time a grading system for performancewas developed and shared with the institutions. Thistakes into account quantitative and qualitativeLaunch of the TMIS by the President, INC

The TMIS Home page

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indicators which provide a ranking for institutions andindividual trainers separately.

Upgradation workshop for TUpgradation workshop for TUpgradation workshop for TUpgradation workshop for TUpgradation workshop for TrainersrainersrainersrainersrainersThe Master trainers for the GFATM project are

senior faculty of the different nursing colleges andschools and with some experience of teaching andworking with HIV/AIDS patients. These master trainerswere the first groups who underwent training withinthis project. They were provided with a mandate oftraining both other trainers and staff nurses. The first3 batch of TOTs had provided 90 master trainers. Inorder to achieve the target of 110 Master trainers forthe project, 30 top trainers from all regions were invitedfor a selection workshop to test their knowledge andskills as trainers and upgrade them as Master trainers.Of these, 26 trainers were successfully identified andselected as Master trainers to increase the pool ofMaster trainers to 116.

TTTTTally Wally Wally Wally Wally Workshop for Finance Stafforkshop for Finance Stafforkshop for Finance Stafforkshop for Finance Stafforkshop for Finance StaffA workshop for Finance Officers and DEO cum

accountants of the SR and SSRs of the North Zonewas organized in Behror, Rajasthan on the 26th and27th March 2010 to orient them on the use of the Tallysoftware. This software is used for accountingpurposes and offers extremely high reliability data.During the workshop, the participants were providedtwo days hands-on training on Tally 9.2. On day 1, allthe participants were briefed about the benefits aboutTally 9.2, how to operate the accounting software and

also how the same can be integrated with the GFATMproject to provide timely and fool proof quarterlystatement of expenditure to INC. On day 2, theparticipants were provided a worksheet based on thepossible expenses incurred for the project and all weretrained on entering the same in the software to providethe hands-on training.

Cross LearCross LearCross LearCross LearCross Learning Wning Wning Wning Wning WorkshopsorkshopsorkshopsorkshopsorkshopsSharing of experiences is one way of updating the

knowledge of the trainers across the regions. PeriodicCross Learning workshops on a regional basis hasbeen planned within the GFATM Nurses trainingproject. As the name suggests these Cross learningworkshops are designed with the primary objective ofall trainers sharing their experiences with their fellowtrainers from other institutions and improving upon theirtraining skills and knowledge of the subject. The firstsuch workshop was conducted in this quarter for theEast and North- East Zones in Puri, Orissa on the 13 th

and 14th March 2010, and around 50 trainersparticipated in this two-day program. Apart fromexperiences from individual trainers, the draf tmentoring plan and the use of better communicationin training programs were also highlighted. Participantsprovided feedback on the technical content and thecurriculum and suggestions for improvement of thetraining programs in future. Representatives of the localPLHIV network shared their views on the care andsupport services being provide to them and also thediscussed the enhanced role of the nurses in

Consensus Workshop, Kochi

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addressing stigma and discrimination in health carefacilities and in counselling services.

Orientation Workshop for New SSRsAs per discussion with NACO, a revision of SSRs

was done to accommodate institutions in the high HIVprevalent districts. The new SSRs that were identified

are – CON, Symbiosis, Pune, CON, NIMHANS,Bangalore, and CON, LHMC, New Delhi. These threeinstitutions together with three other SSRs, which hadnot started their training programs were invited for anorientation program to INC, New Delhi on the 26th

February 2010. All details of the project were sharedand discussed with the Principals and their staff.

“Oh God! Take me up”, cried one lady,“For me to take care there is nobody,If I have to live I need somebody,Because HIV virus took me far from everybody”.

HIV AIDS is a cause for separation,This has put millions in desperation,Their immunity has been led tocomplete destruction,Thus, it has become an obstruction;In their health’ s construction.

Men and women have started wearing mask,They are not able to complete their task,Irrespective of various religious and caste;Human immuno virus spread so fast.

There are so many patients,In our lovely institution,To whom our doctors, after evaluation;Diagnose their illness and improve their health.

We have charming nurses,Following doctors instructions,Administering them medications;And improving their nutrition.

Along with interaction,As well as socialization,The hard work of health workers;Has become great markers.

HIV AIDS,Has become nowadays,For away from darken shades;Coz of lovely nightingales.

Learn to live dear patients,Ready to give, Yes, We all,Love and care, we have;So guide you through your life.

Your life is a precious treasure,Say welcome to your new life,Take all the preventive measures;And say Bye Bye to HIV AIDS.

Hence,Stamp on All misconceptions,Leave all your unwanted worries,Improve your God made Relations;Only with trust and affection.

“Oh God! Don’t take me”, cried again the lady“For my little children need me,I will reach my disastrous end”.

Ms.Susan JohnsonB.sc.Nsg.IV Year.

Bel-Air College of NursingPanchgani – 412 805

HIV/AIDS

Regional Cross Learning Workshop for East and North East Zones held in Puri

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In Conversation

Dr. Punitha EzhilarasuProfessor & HeadDepartment of Medical, SurgicalNursing & CNE and ResearchCollege of NursingCMC, Vellore

Dr. Punitha, completed her B.Sc & M.Sc Nursingfrom College of Nursing, CMC, Vellore. She wasawarded Ph D in nursing in the year 2000 by TN DrMGR Medical University, Chennai. She is the first PhDin nursing from the same university. She furtherobtained a Diploma in Health Management &Leadership from Georgia State University, USA.

She started her professional career as clinicalinstructor at college of nursing, CMC, Vellore andcontinues to work in the same institution in differentcapacities and is currently the Professor & Head, Dept.of Medical Surgical Nursing and Dept. of Cont.Nsg.Education & Research.

She was sent to Sri Lanka as a WHO Consultantand has attended WHO Consultation meetings atGlasgow, Johannesburg, Bangkok. She has servedas member of expert/core committees of GOI and INC.She has visited Universities in Sweden, Scotland, USAand UAE and has also worked in Riyadh as aprofessional nurse, in Dubai as a tutor and asAssociate professor at RAK Medical and HealthSciences University, Ras Al Khaimah, UAE. She is theEditor in Chief of the Indian Journal of continuingnursing education and has published 15 papers atnational and international journals.

Dr. Punitha talks of her experience in CMC Vellore,her inspiration and her contribution to CMC, Vellore inconversation with Shanta Misra for the INC Newsletter.

Q. Respected Ma’am, looking back at a longand illustrious career, what was the turning pointin your life? And who was your inspiration?

A. More than once I have experienced turningpoints in my professional life. I would like to state two.Completing my Masters in Nursing after my marriageand starting my career as Junior Lecturer in thedepartment of Surgical nursing in the year 1983 underthe leadership of Mrs Violet Jayachandran, who was

the then Professor & HOD, was my first turning point.

When I was given the opportunity to take up theresponsibility as Additional Deputy Dean in 1987, at theage of 31 years. Followed by Deputy NursingSuperintendent at the age of 34 years, I began toappreciate leadership in education and service. Myinterest in administration was further strengthened whenI underwent a 3 month course on Health managementand Leadership at Georgia State University, Atlanta, USAwhich was sponsored by CMC, Vellore.

Mrs Violet Jayachandran was my inspiration andhas been my mentor since the time I had joined thedepartment of Surgical Nursing in 1983, until herretirement in 1990 and even till now. I am what ambecause of her influence and my role model. She wasresponsible in shaping my professional life. Myhusband, Dr Daniel Ezhilarasu (Principal, VoorheesCollege) had been my constant emotional support,inspiration and encouragement without whom I wouldnot have been able to achieve all what I had achievedin my professional life. Dr Mary Sulakshini Immanuel,my PhD guide & Former Dean and Miss A. Kuruvilla,former Dean had also contributed towards myprofessional life. My students, patients and colleaguesalso taught me many things in my life.

Q. Having both taught and studied abroad, doyou feel nursing education is different in India?

A. Nursing education in India is different in someaspects in comparison with education in USA, UK,Sweden and UAE. The Indian curriculum is as goodas the western curriculum and equivalent tointernational standards and has more hours/credits ofclinical instruction. The modes of delivery in the westfocus more on self directed learning which includesPBL, Group Discussion, projects & assignments. Thestudent population has more adult learners and in theirattitude they exhibit students’ rights and maintain closerelationship with faculty. High tech educational medialike high fidelity simulations and e- learning boardsare liberally used.

Q. Does the nursing curriculum need to beupgraded to meet the demands of today in India?

A. Yes Indian nursing council has always tried toupdate the UG and PG curriculum as per the growingneeds of India.

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Cross Learning Workshop-Puri Consensus Workshop-Kochi

Q. You have research interests in Value basededucation and Problem based learning, for thebenefit of our readers, can you explain these termsfor them?

A. Value based education is the training designedto support the integrated personal and professionaldevelopment of learners. It is aimed to strengthen thepersonal principles and the core values of theprofession. Value clarification exercises, personalnarratives/stories, critical incidents and personalexperience are some useful methods that usetechniques of reflection and discussion.

Problem based learning is a student centredinstructional method in which students solve problemsand reflect on their learning experiences. Learning isdriven by open ended problems/ situations. Studentswork in small groups and teachers take the role offacilitators of student learning. It involves differentsteps like brain storming, identifying gaps in knowledgeand in learning issues, gathering information,presenting and sharing what was learnt, and givingfeedback.

Q. Over a period of thirty years, what are thechanges that you have noticed in CMC Vellore?

A. At the College of Nursing, more programmeslike Ph.D speciality nursing courses, family nursepractitioner course have been started.

Newer department like Continuing NursingEducation & Research department was started duringmy tenure as Dean. During the same time, the Collegeof Nursing was designated as WHO CollaboratingCentre for Nursing and Midwifery; the institution

received Five star rating at NACC Accreditation. Thecollege has become study centre for PhD Consortium.It was identified as Regional centre for GFATM, Project.

Student intake has increased in all the programmes.

Faculty number has increased tremendously tomeet the demands in supervision of hospital nursingservice, as the hospital has expanded with severalhigher specialities.

Integration of nursing education and service hadbeen strengthened over the period of time.

There is more emphasis in clinical research andfaculty are conducting more research.

In terms of infrastructural growth, a new Collegeof Nursing has been built with all the physical facilitiesin a different campus, new library exclusively for thecollege is being built and will be completed soon. Ihad the opportunity to plan the new college as theDean during my tenure.

Q. A word of advice for our nursingprofessionals who may wish to emulate you…

A. The nursing community should strive forexcellence in nursing practice and education,

Must adhere to professional values and remaincaring, and compassionate,

Improve educational and clinical practices basedon evidence generated through research,Updateknowledge through periodic CNE’s,Maintain self imageand self esteem,Strive for professional autonomy.

Thank you Dr. Punitha Ma’am for talking with INCNL and sharing your views with our readers.

Photo Gallery

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Photo Gallery

Nurses Training – Belair CON, Panchgani Refurbished Training Classroom – Belair CON, Panchgani

Behror Workshop TON - Ujjain

Master Trainers workshop-BehrorTON in NINE, PGI, Chandigarh

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Complexities in life have increased today. Today,one has to adapt to many stressful situations.

It’s a crisis for a human being when a test resultfor HIV infection is positive. A person has to face manychallenges in life thereafter. Every moment demandseffective decision making for a PLHIV. The outcomeof this could be severe depression, substance usedisorders, many times suicidal thoughts and attemptswhich are a negative adaptation to crisis/stress in life.

As nurses have a crucial role in the managementof HIV/AIDS and ART, they can help PLHIV to adaptpositively to all challenges and crisis situations in theirlife.Crisis areas for PLHIV could be:-• Diagnosis of HIV• Occurrence of OI• Progression of stages of AIDS• Terminal illness• Financial loss• Disintegration of family• Discrimination

A nurse has a KEY Role in counselling PLHIV oncrisis management along with counselling on goodnutrition, hygienic measures, ART adherence, creatingoptimism and hope in the PLHIV, so that he/she

HIV/AIDS AND STRESS MANAGEMENT

Dr. Smt. Swati KambliPrincipalInstitute of NurseEducation(INE)Mumbai

develops confidence in living life meaningfully.

In stress management techniques variousprinciples in managing ‘self’ need to be emphasized.These are:1. One must learn to view any event in the life verynaturally. When we attach too much meaning to it thatadds to stress in life.2. Positive thinking is an important step in managingall ups and downs in life effectively and successfully.One has to focus on smaller achievements thatoverlook any major failure in life.

3. Minimizing expectations from others and life, helpin reducing the effect of stress on human body andmind.4. One cannot expect at all times concern and aloving and caring attitude from others, thus PLHA needto face discrimination courageously and confidently.5. Moderate amounts of exercise will enhancerelease of endorphins chemical substances releasedby neurons will help in the prevention of various CNSand Cardio vascular disorders and minimizes the illeffects of stress on human body.6. Other ways to manage stress are good nutrition,good amount of sleep and rest, warm bath, prayers,yoga, meditation, spending time with pets, listeningto music, reading good books, developing goodhobbies etc.

So one must believe that, Life is very precious, isa gift to us, whatever small corner that is Provided tous, Let us brighten it and add life to the days of others.So that we believe that life is very beautiful and helpothers also to believe the same.

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REPORT

WORLD AIDS DAY

The World AIDS Day was observed on 1st Dec. 2009at NEIGRIHMS, Shillong. Organized by the Departmentof Microbiology, NEIGRIHMS, in collaboration with theDepartment of Social and Preventive Medicine andCollege of Nursing, the Staff of GFATM Project Round-7also took part along with them.

Doctors, nurses & other staff, B.Sc nursing students,M.B.B.S students general patients and attendants etc.had gathered in the OPD Ground floor to observe one ofthe most important global event i.e. World AIDS Day withthe theme, “UNIVERSAL ACESS AND HUMANRIGHTS”. Historically this important day has beenobserved annually since 1st Dec, 1988. This is the dayfor increasing awareness, fighting prejudice, improvingeducation and raising funds. This day is important as itreminds people that HIV has not gone away. There aremany things yet to be done, which still remain aschallenges to this modern civilized world.

Message for the Day:Message for the Day:Message for the Day:Message for the Day:Message for the Day:According to Prof. (Dr.) A.C.Phukan, Head of

Department, Microbiology & I/c ICTC & SRL(NACO),NEIGRIHMS who had said a few words on this daythat, “People living with HIV/AIDS(PLHAs) are themirror that reflects the cracks already existing in thesociety. They are not just to be cured and supported,but are to be valued for their wealth of experience.

HIV infected person can live with productivity andeffectiveness for many years. Respecting the Dignityand Right of the concerned, avoiding stigmatizationand rejection helps in creating social changes whichis needed most, to overcome the AIDS epidemictoday”. He also stated that, “This World AIDS Dayprovides us the opportunity to take action and ensurethat Human Rights are protected and global targetsfor HIV/AIDS prevention, treatment and care are met.We are wearing the AIDS awareness international symbol“RED RIBBON” to remind our commitment. “STOP AIDS:KEEP PROMISE”.

PPPPParararararticipation of GFticipation of GFticipation of GFticipation of GFticipation of GFAAAAATM Staff:TM Staff:TM Staff:TM Staff:TM Staff:Mrs. Nizara Das, Professor-cum-Principal, Project

Coordinator, College of Nursing NEIGRIHMS Shillongalso welcomed in the introductory address on WorldAIDS Day, the participants of the Training of NursesProgram. This was followed by activities from theGFATM Staff such as Mr. Binod Kr.Biswa, F & AO,Mrs. Atifa Begum, RTCO, Miss. Sibalis Marwein,Accountant, Miss. Mary Shallyne Kharkongor/DEO, Mr.Kelius Massar/Attendant, were distributed theaccessories/ Kits of HIV/AIDS prevention guidelines etc.

It was a fruitful participation to mark the World AIDSDay to spread awareness among the common people.

To mark the occasion B.Sc Nursing students andM.B.B.S students put up a few posters on the theme,“UNIVERSAL ACESS AND HUMAN RIGHTS” in theOPD area of NEIGRIHMS.

World AIDS Day 2009 successfully ended with theDirector NEIGRIHMS declaring the opening of theWorld AIDS Day POSTERS for public followed by lightrefreshments and a vote of thanks from the organizers.

Mrs. Nizara DasPrincipal-cum-ProjectCoordinatorGFATM Project Round-7College of NursingNEIGRIHMS, Shillong-18

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‘Challenges in HIV/AIDS Prevention, Care and TreatmentProgram in India : Policies and Priorities under National AIDS Control

Programme Phase-III (2007-12)’

Dr Ruchi SogarwalProgram Of ficer-Evaluation &ResearchNational AIDS Control Organisation,New DelhiFor full article mail at ruchi.dr@gmail.com

The paper entitled, ‘Challenges in HIV/AIDSPrevention, Care and Treatment Program in India :Policies and Priorities under National AIDS ControlProgramme Phase-III (2007-12)’ has been published inSAARC-Journal of Tuberculosis, Lung Diseases and HIV/AIDS, Vol II ( 1), 2010 (pp 1-7).

This paper explores the pertinent challenges ofGovernment’s HIV/AIDS Prevention, Care and Treatmentprogram in India. It also provides an opportunity to assessthe HIV response to understand what must be done toensure that India is on course to achieve the goal ofuniversal access to prevention and treatment. The paperis based on the review of annual action reports, policydocuments, etc… published by national and international,governmental and non-governmental organizations(UNAIDS, WHO, UNGASS, Ministry of Health and FamilyWelfare) and interactions with key program managersand implementers at state, district and various facilitylevels.

Study findings conclude that program is well–structured and well–tailored considering the national aswell as local needs, ensuring implementation of evidence-informed policies and programs. Being a large countrywith wide variations in social, geo-physical and healthservice patterns across the States and regions, it wasnecessary to prepare a plan that is technically soundand uniform but allows flexibility and adaptability at thelocal level.

The NACP-III is guided by the three-ones principleand this acts as a unifying factor for the national responseand helps to set standards of quality for HIV/AIDSprevention and treatment programs. Strategic andprogram interventions are evidence-based and result-oriented with scope for innovations and flexibility. Priorityis accorded to specific local contexts and interventionsplanned accordingly. To maintain quality and standards

of the services uniformly across the country and monitorthe programs consistently to assess the progress towardthe national goals, operational guidelines for SACS,DAPCU and all facilities, have been developed. Theseguidelines work as referral document for implementingunits and service delivery systems.

Setting up of DAPCU has made programmanagement and implementation easier, which hashelped in better monitoring, linkages within the programand with general health systems at the district level.However, it has been suggested that DAPCU should beset up in a need-based and state specific mannerdepending upon the size of the district, extent of theproblem and estimated number of high-risk population.DAPCU should be set up irrespective of categorizationof district based HIV Sentinel Surveillance alone. Districtsnot having DAPCU should have some alternatearrangement for monitoring at district level.

The convergence of decentralized delivery systemwith other health system is helpful in long termsustainability of the program. The main challenge lies inincreasing the availability of prevention and treatment inresource-limited areas. The expansion of HIV preventionand treatment services is currently hindered by weakinfrastructure, limited human and financial resources, andpoor integration of HIV-specific interventions withinbroader reproductive and child health services.

Technical staff appointed for program implementationand service delivery is contractual. The attrition rate ofcontractual staff is very high due to job insecurity, lack ofbenefits/incentives and lack of growth options. Highturnover of staff and frequent transfer of regular staffespecially Project Directors is also a constraint in someStates.

There is need to strengthen monitoring andsupervision of program managers at SACS and DAPCUto take informed decisions.

It would be important to examine these issues atnational and state levels and take corrective actions toachieve the goal of halting and later reversing theepidemic of HIV/AIDS in India.

The study is based on the observations of a fewprogram sites, DAPCU and SACS Offices asrepresentativeness of sites was not the goal of the study.

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Issues faced by Nurses in HIV / AIDS Care

I have been working as a Project Coordinator forGFATM at RAKCCON. I have often come acrossparticipants from various states who share theirexperiences regarding the challenges they face in theirdaily lives while working as Nurses providing care andsupport to patients with HIV / AIDS.

Mentioned here are the most common challengesfaced by them while performing duties and thepossible solutions to overcome these problems.

The most common problem faced by nurses duringtheir posting in wards is lack of staffing and resources.Under staffing is common in hospitals and nurses areoften required to put in extra hours to manage thework pressure. This can be overcome byimplementation of proper staffing schedule withadequate leave and revising HR policies if needed.The problems need to be highlighted to the relevantauthorities at the earliest so that corrective action maybe planned for the same. “A stitch on time savesnine.”

Another problem faced by nurses is the lack of in-service education and counseling services along withlack of knowledge among nursing staff and studentsregarding HIV/AIDS. This can be overcome byimplementation of in-service education for nursingpersonnel, improving the supply of training materialand kits as well as encouraging staf f to share theirknowledge and organizing in-house up skill trainings.Institutions should be encouraged to organize skilldevelopment workshops, AIDS training andawareness programs, and promote continuingeducation among nurses so that the workforceremains updated and equipped to provide up-to-datenursing care at all times.

Institutions should encourage their nursing staff toparticipate in workshops organized under the GFATM

Project which is jointly run by Government of India,INC and WHO. This would not only upgrade their skillsbut will also train them adequately to provide betterhealthcare. In the long run, this will improve the qualityof nursing care and would be a win – win situation forthe nursing personnel as well as the patients.Eventually the institutions will have an adequatenumber of well trained nursing personnel who wouldunderstand the challenges of their roles and adaptthemselves accordingly to provide quality health care.“Better late than never.”

Since nurses also face lack of support from familyand friends for their work, due to the stigma attachedto AIDS / HIV, this can be overcome by distribution ofeducational material about AIDS / HIV and conductingawareness programs which will in the long run help inremoving the stigma attached to HIV / AIDS. Theirfriends and family would realize the risks involved inproviding care to patients with HIV / AIDS and thusappreciate the specialized work done by the nurse. ‘Itis never too late to appreciate good work.”

Nurses of ten face lack of job satisfaction due tochallenging work environment, under payment and attimes abuse of nurses by patients and their relatives,non-provision of extra leaves in case of long dutyhours. They should bear in mind that long duty hoursare a pre job requisite and they had joined thisprofession by choice and not by force. The mind needsto be diverted from the daily routine which can be doneby the regular practice of Yoga and stress relievingexercises for better physical and mental health ofnursing personnel. They can also take a break fromregular office work to spend more time with family. Thiswill help them de-stress themselves and prepare themto start their duties with a fresh zeal. “It is better tobe self- driven than be driven by others.”

Nurses are looked upon as prime care providersin patient care and thus it is all the more necessarythat the nursing personnel are adequately trained andeducated enough to keep up with the demands andchallenges of providing quality health care to thepatients. Let us work proactively and in coordinationtowards achieving our goal of providing Quality HealthCare.

Mili BhattacharyaProject CoordinatorGFATM – RAKCON

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GNM PROGRAMMEFor School of nursing with 60 students (i.e., an

annual intake of 20 students):

Qualification of Teaching StaffCategory No.Required Minimum qualification

and experiencePrincipal 1 M.Sc. Nursing with 3 years

of teaching experience orB.Sc. Nursing (Basic) / PostBasic with 5 years ofteaching experience.

Vice- 1 M.Sc. Nursing or B.Sc.Principal Nursing (Basic) / Post Basic

with 3 years of teachingexperience.

Tutor 4 M.Sc. Nursing or B.Sc.Nursing (Basic/Post Basic)or Diploma in NursingEducation andAdministration with2 years of professionalexperience.

Additional 1 M.Sc. Nursing or B.Sc. Tutorfor Interns Nursing (Basic/Post Basic)

or Diploma in NursingEducation andAdministration with2 years of professionalexperience.

ANM PROGRAMMEANM PROGRAMMEANM PROGRAMMEANM PROGRAMMEANM PROGRAMMETeaching faculty for 40 annual admission

Qualification of Teaching Staff:Category No.Required Minimum qualification and

experience

Principal 1 M.Sc. Nursing with 3 yearsof teaching experience orB.Sc(N) with 5 years ofteaching experience.

Nursing 8 B.Sc.Nursing/Diploma inTutor Nursing Education &

Administration/Diploma inPublic Health Nursing with2 years clinical experience.

INC Announcements - - - - - TTTTTeaching Feaching Feaching Feaching Feaching Facilitiesacilitiesacilitiesacilitiesacilities

Note:Teacher student ratio should be 1:10 for student

sanctioned strength.

GNM and B.Sc. (N) with 60 annual intake ineach programmeProfessor –cum- Principal 1Professor – cum- Vice Principal 1Reader / Associate Professor 1Lecturer 4Tutor / Clinical Instructor 35

Total 42

Note:No part time nursing faculty will be counted for

calculating total no. of faculty required for a college.

Irrespective of number of admissions, all facultypositions (Professor to Lecturer) must be filled on thesanctioned seats.

All nursing teachers must possess a basicuniversity or equivalent qualification as laid down inthe schedules of the Indian Nursing Council Act, 1947.They shall be registered under the State NursingRegistration Act.

All teachers of nursing other than Principal andVice-Principal should spend at least 4 hours in theclinical area for clinical teaching and/or supervision ofcare every day.

POST BASIC DIPLOMA SPECIALTYPROGRAMMES

Full time teaching faculty in the ratio of 1:5.Minimum number of teaching faculty should be 2 (two).

Guest faculty: multi-disciplinary in relatedspecialties.

Qualification of Teaching Staff:

Minimum qualification and experienceM.Sc. Nursing in Respective Subject/SpecialtyProgrammes. With 3 years of teaching experience.Post Basic Diploma in Specialty Programmes. With3 years of teaching experience.

1515151515

INC Calendar of Events 2011-20121. 1st Oct 2010 to 31st Jan 2011 - Submission of New Proposals to INC, with all the

requisite documents

2. 30th June 2011 - Declaration of the results for collegiateprogramme

3. 15th July 2011 - Declaration of the results for school programme

a. For New Nursing Programme the institute has to submit the following documents, Duly filledin application form along with requisite fee, copy of registration Certificate of society etc.,project Report indicating available physical, clinical & teaching facilities budgetary provision,Essentiality certificate on before 31.01.2011. (Application form is available on the websitewww.indiannursingcouncil.org)

b. Indian Nursing Council has relaxed/exempted the Govt. order for the institution which hasany nursing program recognised by Indian Nursing Council.

c. For M.Sc.(N) Programme.

If the institution is recognized for B.Sc (N) programme and if one batch has passed outafter found suitable by INC, then the institution will be exempted from NOC/Essentialitycertificate of the State Government for M.Sc (N) programme.

Super Speciality Hospital can start M.Sc (N) programme, however they have to getNOC/Essentiality certificate from Government to start the M.Sc (N) programme.

Website:www.indiannursingcouncil.co.inE-mail: secy2010@indiannursingcouncil.org

PHONE: 23235570, 23235619FAX: 23236140

Public NoticeIndian Nursing Council

Nurses SpeakDuring the GFATM training programs, all the

participants have been very active and enthusiastic. Manyparticipants shared their experience with PLHIV. It wasfelt that the use of local language intraining was more effective inconveying the right message acrossto the participants especially in caseof participants from the governmentsector. Group interaction was verygood and interesting. A lot of innovativeideas and creativity was shown by the

participants in carrying out the group activities and roleplays. Time management by the resource persons ishighly appreciated. Majority of the speakers used

innovative approaches like drawingpictures, storytelling etc. to introducethe units.

Unit 7 (Infection Control andPEP) and unit 15 (Challenges facedby the Nurses) proved to beinteractive sessions and participantsmade sure that their doubts were

16 Printed at Veerendra Printers, New Delhi 110005. Tel. 28755275

their workplace and expressed their confidence inproviding care to them and many were even referredto ART center, PLHIV Network, ICTC etc... Mrs VeenaShetty, coordinator of “Jeevana Sangarsha” (PLHIVNetwork) who is a positive speaker for TON at MCON,Manipal, said that she receives many phone calls fromPLHAs from different districts who are not yet into mainstream with some hope as they are referred by thestaff nurses who have undergone training underGFATM project and she is working on empowermentof PLHAs. Nowadays, participants seem to be moreeager to attend the sessions than before which reflectson the positive feedback given by the earlierparticipants.

Staf f nurses from Chikkamaglur district planned toarrange training on HIV/AIDS and ART to ASHAworkers at their PHC/CHCs in cooperation withMedical Officer and DAPCO.

Many participants expressed that it is the besttraining program which they have attended so far whencomparing with other training programs and there weretraining programs which finish without even meetingobjectives and expressed their satisfaction over goodaccommodation and food.

To ensure the quality of the training, internalresource persons meet frequently to discuss aboutthe issues and concerns which are care of every nowand then. University authorities were also updatedabout the project on a regular basis. For betterperformance, advisory committee meetings (involvinguniversity representatives) were also held at regularintervals. Manipal University is being very supportivefor this program, and we try to get one universityrepresentative to address the participants duringsession. MCON. Manipal has completed refurbishmentof GFATM training hall and conducted seven out ofeight sessions in the refurbished training hall.

Dr. Anice George, Principal, Manipal College fo Nursing, Manipal

cleared by the resource persons. Especially withreference to unit 7, majority of the participants wereknowledgeable and expressed their helplessness topractice the same because of lack of resources suchas manpower, money and material support at theirworkplace.

Yoga session in Complementary Therapy unit washighly appreciated by all. Few resource personsdemonstrated guided imaginery, reflexology andaroma therapy which was found to be very interesting.They also stressed on the fact that these therapiesare not just beneficial for PLHIV but also for theparticipants in relieving their stress and in maintaininggood physical health.

For the better understanding of the participantsRegistration form and Pre and Post Test questionnairesare translated to regional language Kannada and

Bilingual formatswere given toparticipants.

Visit to ARTcenter and ICTCcenters seemedto be very usefuland manyp a r t i c i p a n t sopinioned that

though ICTC and ART services were available in theirhospitals, they had not visited ICTC/ART centers andwere less aware about its functioning system.Participants were also of the opinion that it is veryimportant to be aware of these and refer more clientsto these ICTC/ART centers. CBOs, FBOs, CCCs,NGOs, ICTCs, ARTs and DICs list with contact detailsof each districts of our coverage area were displayedon the notice board and participants were foundmaking a note of the same during each session.

Overall response to the program has been excellentand a PLHIV meet was organized by staff nurses ofMadikeri District in the January to March 2010 quarteryielding results. It was told by DAPCO that the existingnon functioning PLHIV Network renewed its licenseand is functioning better. Even many PLHIV arevoluntarily helping ART center and ICTC center bymany ways i.e. as a positive speaker, to identify thedefaulters of ART etc. Many participants contacted theresource persons when they come across PLHIV at

Nurses Speak from page 15