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 pre-service 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:

Improving the performance and effectiveness of frontline health workers including nurses, by creating an enabling policy environment and offering evidence based implementation solutions, thereby, resulting in strengthened delivery of high-quality health care services 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 RMNCH+A outcomes.

Operationalization of Health and Wellness Centres (HWCs):

Providing technical assistance to the Govt. of Jharkhand in operationalization of HWCs as well as developing the institutional capacity of the state for training appropriate service providers.

Providing technical assistance to the three high focus states of India (Jharkhand, Assam & Madhya Pradesh) for establishment and operationalization of “Certified Birthing Centres” (CBCs) for provision of round the clock, assured quality birthing services.

Strengthening Midwifery Services in High Focus States of India:

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 Nov. 2017

Strengthening Nursing Midwifery Cadre in the state of Uttar Pradesh:

Implementing activities and strategies for strengthening nursing-midwifery cadre in the state of UP, in alignment with the UP Technical Support Unit (TSU) resulting in improved service provision and better health outcomes. This project aims at strengthening the quality of nursing pre-service education in the state along with strengthening the institutional mechanisms of nursing cadre.

Accelerating the Reduction in MMR and NMR:

Project Alliance for Saving Mothers and Newborns (ASMAN), a major healthcare technology driven initiative in Madhya Pradesh and Rajasthan, is implementing innovative facility-based interventions that enable provision of quality care during and immediately after childbirth.

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

SSER NUMBER

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

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Empowering nursing tutors

and service providers

Clinical competencies of

more than 5,300 personnel (public and private) improved/strengthened

823 nursing tutors completed

6-week training

Strengthening Nursing Institutions (ANM/GNM)

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Standards based quality

improvement

73% of ANM/GNM public

sector nursing institutions already strengthened

90% targeted public sector

nursing institutions have well equipped skill labs

More than 90% public sector

nursing 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

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TUNITIES

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 Sept. 2017