The Jhpiego Difference Over the years, donors and partners have come to

rely on the “Jhpiego difference” - a standards

driven systems approach, which builds capacity

and ensures sustainability.

Jhpiego India’s Programs in HRH

Strengthening nursing midwifery education:

Striving to improve the quality of pre‐service education for nursing

midwifery cadre in public sector nursing institutions of Madhya

Pradesh, Odisha, Rajasthan and Bihar.

Strengthening Nursing Midwifery Skills for Universal Health Coverage:

Improve the performance and effectiveness of frontline health workers

such as staff nurses, ANMs, ASHAs, AWWs, MPWs-M and their

supervisors, by creating an enabling policy environment and offering

implementation solutions, thereby, resulting in strengthened delivery of

affordable and high-quality health care services for Universal Health

Coverage in the states of Punjab and Madhya Pradesh.

Strengthening nursing education in private sector institutions:

Strengthening Pre-Service Education for nurse-midwives in private

nursing institutions across six states (Bihar, Madhya Pradesh, Odisha,

Delhi/NCR, Haryana and Jharkhand) for accelerating reproductive,

Maternal, Newborn, Child and Adolescent Health (RMNCH+A)

outcomes.

29, Okhla Phase – III, New Delhi – 110020, India. Tel: (91) 11-49575100www.jhpiego.org/india

Technical Expertise Quality

Assurance

Partnerships

Working in India since 2009

Reaching out to government nursing institutions across states

235

13

Partners: MoHFW, GoI, State Govts., INC

3 active grants from US Norwegian governments and the World Bank

and

Addressing India’s Human Resource for

Health (HRH) Challenge: Global Evidence, Local Efforts

India

updated till April 2017

Nurse Midwives are the Backbone of a Strong Healthcare System

What are we up against?

SHORTAGE of Human Resources for Health:

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India ranked as low as 52 of the 57 1countries facing a HRH crisis

2Estimated deficit of over 2 million nurses

Just 1.5 nurse midwives per doctor against 3the WHO norm of 3

18% posts (of staff nurses and ANMs at 4PHCs and CHCs) are vacant

LESSER NUMBERof Nursing Institutions:

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EXISTING: Close to 6000 nursing midwifery

6 institutions (public and private)

NEED: 58 new nursing colleges; 382 new nursing schools and 232 new ANM training centers to help India meet the target of 3

7nurse midwives per doctor by 2025

SUB-OPTIMAL QUALITYof Nursing Institutions:

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61% nursing institutions found unsuitable 5for teaching

Acute shortage of teaching staff and training facilities

LIMITED AUTONOMYfor Nurses:

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Nurses in India do not meet the international definition of a Skilled Birth Attendant (SBA)

Minimal involvement in management of public health programs

Empowering

Nurse Midwives

for Saving Lives

Technical Assistance to MoHFW and states

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·

·

·

at scale

In-service trainings

Development of resource materials

Leveraging NHM funds for nursing

(increased 100 times in last 4 years)

Pre-Service Education strengthening

Competency Based Trainings

·

·

·

Empowering nursing tutors and

service providers

Clinical competencies of more

than 4600 personnel improved/strengthened

731 nursing tutors completed

6-week training

Strengthening Nursing Institutions (ANM/GNM)

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·

·

·

Standards based quality

improvement

59% nursing institutions already

strengthened

47% targeted nursing institutions

have well equipped skill labs

86% institutions have functional

computer labs and libraries

Innovations

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·

Virtual classrooms in all

government nursing institutions of Bihar for enhanced quality of nursing education

E-learning content on Maternal

Newborn Health

Management and Leadership

(for Nursing)

· Through Nursing Cells/

Directorates in 6 states–i.e. Odisha, Uttar Pradesh, Jharkhand, Rajasthan, Madhya Pradesh and Bihar

Policy Influence

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·

·

Career progression

pathways for nurses

Enhanced clinical

autonomy for nurses

Engagement in public

health program management

OPPORTUNITIESŸ Strong commitment of GoI and Indian Nursing

Council (INC): Roadmap for strengthening the nursing cadre in India- Formulated and guiding the country's HRH program

GoI prioritizing and releasing funds under NHM for the nursing cadre

Ÿ

Sources:

1. World Health Organisation [WHO]. Global Atlas of the Health Workforce. Geneva: WHO; 2010.

2. WHO: Wanted: 2.4 million nurses, and that's just in India. 2010 http://www.who.int/bulletin/volumes/88/5/10-020510.pdf

3. Annual report to the people on health, GoI, 2011

4. Towards Universal Health Coverage: Human resources for health in India: Mohan Rao, Krishna D Rao, A K Shiva Kumar, Mirai Chatterjee, Thiagarajan Sundararaman (Lancet 2011).

5. Government of India. Report of the National Commission on Macroeconomics and Health, New Delhi: Ministry of Health and Family Welfare, Government of India, 2005.

6. Indian Nursing Council (as on 31st October, 2015)

7. High Level Expert Group Report on Universal Health Coverage in India, Planning Commission of India- Nov 2011 HRH Program SBMR database and SSV data - updated till March 2017