annual report - wb health

Institute of Health and Family Welfare

ANNUAL report

2011

Department of Health and Family Welfare Government of West Bengal

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The


(IHFW)

is an

autonomous, apex technical institute

under the

Department of Health and Family Welfare,

Government of West Bengal

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From the Director’s Desk

The Institute of Health and Family Welfare (IHFW) is the training wing of the Department of Health and Family Welfare, Government of West Bengal. IHFW carries out its activities with a view to improve the knowledge and skill of the providers through conducting different kinds of health related trainings, in situ and in identified training centers since 1995. The institute is in the process of bringing out its first annual report titled “Annual Report 2011”. This is the first effort, ever made, in this direction and reflects its activities in brief, since its inception.

The IHFW has a mandate to improve the total effectiveness of health care delivery by imparting knowledge and technical skills at different levels. IHFW has been identified as a Collaborating Training Institute between the Department, National Institute of Health and Family Welfare, and the Ministry of Health and Family Welfare, Government of India.

It also carries out several related activities such as planning for and conducting research works, development/ modification of training modules, tools for facility assessment with a view to improve quality etc.

In absence of the regular in-position staff, the Consultants serve as an important helping hand especially in monitoring and evaluation of (i) Training Sites for Gap Analysis, (ii) RCHII/ NRHM related Training Status and Utilization in the High Focus Districts of the state. Results of such activities indicate the need for strengthening the peripheral training institutes, both in terms of infrastructure and effective functioning, that are either not used optimally or not at all. IHFW has submitted reports on the issue to the Department.

In fine, the Annual Report not only reflects the activities already carried out but also dwells upon important future plans. It becomes mandatory to strengthen and augment IHFW in terms of human resource and physical infrastructure in order to commensurate with the increasing scope and load of training.

Hope our endeavor will be appreciated. However, any opinion, suggestion for improvement of the report will be appreciated and considered thankfully for betterment of future issues.

I convey my sincere thanks to all the consultants, staff and also my higher authorities for their whole hearted support, cooperation and constructive suggestions.

Wish the Institution an everlasting progression.

Prof. (Dr.) A. B. Biswas Director Institute of Health and Family Welfare Kolkata, West Bengal

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Message

MESSAGE

It is encouraging to learn that the Institute of Health & Family Welfare (IHFW), Department of Health & Family Welfare, Government of West Bengal, is publishing an “Annual Report 2011”. This is the first effort of its kind. The Institute also plans to publish similar reports in future.

The “Annual Report 2011” not only reflects the achievements since its inception, i.e. 1995, but also projects its future plans.

I wish the effort a grand success.

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Message

MESSAGE

It is a great pleasure to learn that the Institute of Health & Family Welfare, Department of Health & Family Welfare, Government of West Bengal is going to publish an “Annual Report – 2011” for the first time.

The Institute of Health & Family Welfare is the Collaborating Training Institute of the National Institute of Health & Family Welfare, New Delhi and has been playing a greater coordinating role in the RCH-II/ NRHM related trainings. The Institute has already expanded its activities in terms of introducing additional trainings. It is also conducting research work on several health related issues, the outcome of which will be of immense help to the Department of Health & Family Welfare to take steps for betterment of the health related services of the community.

The report includes the activities of the Institute since its inception which will be of immense help for the users.

The efforts to inform the public on its activities through the Annual Report – 2011 is commendable and I wish this endeavour a great success.

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Institute of Health and Family Welfare Kolkata

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Contents

Overview of the Institute 09 History 09 Mission and Vision 10 Organogram 11 Governing Body 11 National Collaboration 12 Role of IHFW as a CTI to the NIHFW

Operational Structure 13 Human Resource 13 Physical Infrastructure 14 Facilities 15 Activities 15 In-service Trainings Monitoring Research Publications

Performance Review 30 Summary of Accomplishments 30 Way Forward 41 Annexure List of Governing Body Members 43 List of Administrative and Financial Sub-Committee Members 44

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Acronyms

ANC Antenatal Care

ANM Auxiliary Nurse cum Midwife

ASHA Accredited Social Health Activist

AWW Anganwadi Worker

BMOH Block Medical Officer of Health

CMOH Chief Medical Officer of Health

CTI Collaborating Training Institution

DH District Hospital

DTC District Training Center

FRU First level Referral Unit

GNM General Nursing cum Midwifery

GoI Government of India

GoWB Government of West Bengal

H&FW Health and Family Welfare

MO Medical Officer

MOHFW Ministry of Health and Family Welfare

NGO(s) Non-governmental Organization (s)

NRHM National Rural Health Mission

PDC Professional Development Course

PHC Primary Health Center

PIP Programme Implementation Plan

RCH Reproductive and Child Health

RHFWTC Regional Health and Family Welfare Training Centre

SC Sub Center

SDH Sub-District / Sub-Divisional Hospital

STG Standard Treatment Guidelines

TOT Training of Trainers

WB West Bengal

WBHS West Bengal Health Services

WBMES West Bengal Medical Education Services

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Overview of the Institute

HISTORY The “Institute of Health and Family Welfare” was established in the year 1994 and has been operational since 1995.This Institute was built in Kolkata with financial support of the World Bank assisted IPP-IV Project. And it was handed over to the Department of Health and Family Welfare, Government of West Bengal in 1994. The Institute functions as an autonomous body under the Department of Health and family Welfare, Government of West Bengal. The Institute’s objective since its foundation has been:

A. To organize training program for state, district and block level officers; B. To train trainers from Health and Family Welfare Training Centers, Rural Training

Centers and Training Schools for Auxiliary Nurse cum Midwives (ANMs); C. To conduct training need assessment surveys, design new training programs and

prepare training material; D. To evaluate effectiveness of training at various levels in coordination with other

training organizations; E. To conduct applied and operations research in clearly identified areas; F. To disseminate knowledge generated through publications and seminars; G. To work in collaboration with other institutions in West Bengal interested on

technical and management issues related to health and family welfare.

A portrayal of all the activities of the IHFW is detailed in the subsequent sections.

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MISSION AND VISION

MIS

SIO

N

To act as think tank, catalyst & innovator for management of public health and related health

and family welfare programmes by pursuing National Health Policy prescribed under the

various five year plans of the Government, with the aim to reach out health for all by 2020.

IHFW is to be seen as an apex technical institute of the state of West Bengal, mainly funded by the Ministry of Health & Family Welfare, Government of India, for promotion of health & family welfare programmes in the state through education, training, research, evaluation, consultancy and specialized health care services.

VISION

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ORGANOGRAM

The governance structure of Institute of Health and Family Welfare as formulated during its foundation is depicted below.

GOVERNING BODY The governing body is the apex board under which the IHFW functions. The members meet annually to review the progress and functioning of the institute. A report on various activities for the entire year along with the financial report is presented to the core committee of the governing body for assessment and decision.

Governing Body

Academic & Technical Sub-

committee

Units/ Departments Faculty

Director -Secretary

Administration & Finance Sub-

committee

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NATIONAL COLLABORATION

Government of India has identified National Institute of Health and Family Welfare (NIHFW) as the nodal institute for National Rural Health Mission (NRHM)/ Reproductive and Child Health II (RCH II) trainings. NIHFW is engaged in monitoring of ongoing training activities in all the states, ensuring the quality of training, conducting training of health care providers with the support of 18 Collaborating Training Institutions (CTIs) identified by it in the country. IHFW is the CTI of NIHFW for the state of West Bengal. As a CTI the IHFW is responsible for coordination of all the NRHM/ RCH II related trainings conducted in West Bengal, capacity building and monitoring of identified training institutes and master trainers of the state. Role of IHFW as a CTI to the NIHFW

To act as liaison between the State, NIHFW and MOHFW for implementation and coordination of Comprehensive Training Plan (CTP).

Develop and maintain database for all types of trainings conducted under NRHM. Accreditation of new training institutions based on guidelines through and

coordination with other agencies involved in the training related to health at the state level.

Prepare action plan for implementing the state training plan in coordination with the State Training Department / State Training Coordinator.

Help and support the identified training institutes to prepare curricula for each type of training to be conducted.

Ensure availability of training materials (develop modules/ manuals as required). Capacity building of (TOT) trainers with the help of NIHFW. Monitor all types of training with help of related state level officials. Ensure quality during the training program. Submission of periodical progress reports, obtain feedback from NIHFW and take

follow up action accordingly. Help state in preparation of Programme Implementation Plans (PIPs). Completion of Professional Development Course (PDC,) if allotted. Coordinate with and support NIHFW in national level Training, Research and

Monitoring.

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Operational Structure

The institute is housed alongside the Department of Health and Family Welfare of the state, Swasthya Bhawan. It functions as the apex training institute for all the trainings being conducted in the state. Entire functioning runs under the supervision of the Director of IHFW. He is assisted by the teaching faculty, consultants, administrative officer and other subordinate officers. The policies, regulations, budget etc are regulated and reviewed periodically by the Governing body.

HUMAN RESOURCE

Staff at IHFW is a mix of regular, contractual and outsourced employees. The regular posts are under the West Bengal Medical Education Service (WBMES).

Teaching Faculty Director Professor Associate Professor Assistant Professor

Sanctioned Disciplines: Community Medicine, Paediatrics, Obstetrics and Gynaecology

Administration and Finance Administrative Officer Cashier Office Assistant, Junior Assistant, Library Assitant Junior Assistant cum typist, Group D (Attendant - office & hostel)

RCH II/ NRHM staff sponsored by NIHFW, New Delhi Consultants (Medical, Paediatrics, Community Medicine, Research Officer) Technical Staff (Personal Assistant, Accounts and Computer Assistants)

Outsourced Staff Housekeeping and Security

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Seven teaching posts for IHFW have been sanctioned by the Department of Health and Family Welfare, GoWB to augment the academic functioning of the institute. Except for the post of Professor (Community Medicine), all other regular posts of WBMES remain vacant till date.

PHYSICAL INFRASTRUCTURE The institute operates in a three storied building located adjacent to the Department of Health and Family Welfare, GoWB. The entire campus is spread across six acres of land in the heart of the city. The institute at present has one conference hall and two well equipped seminar halls with capacity of 40 and 25 each respectively. In addition there is a computer laboratory having 18 computers with internet facility. There are only two rooms available to accommodate faculties and consultants.

Computer Laboratory, IHFW

Owing to increasing demand of trainings and space constraint, two new large seminar halls along with two faculty rooms have been constructed on the second floor. Those

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are planned to be furnished with state of the art audio-visual teaching aids such as interactive board, conference system etc.

FACILITIES

Library The Institute, with help of NRHM, is trying to develop its own library.

Hostel The Institute has boarding and lodging facilities for trainees and guests. It can accommodate about fifty two persons at a time. It is a two storied building housed inside the campus of the institute. It has a mix of single, double and triple bedded rooms (both AC and non AC). The canteen is located in its ground floor. It is an outsourced service. Food and accommodation are available at reasonable rates.

ACTIVITIES

Over the years the IHFW has been very active in various activities such as conducting various trainings, monitoring, developing guidelines etc. The training performance has not only been voluminous but also continuously improving quality and skills. The ongoing STG Project and Medical Teachers Training being implemented throughout the state have created an unprecedented history. IHFW has been attaching more rational approach towards the Skilled Attendant at Birth (SAB) training of the state with scientific reallocation and decentralization of such trainings amongst several Medical Colleges and Institutions as far as practicable. Capacity building amongst the health care providers in conducting safe delivery and providing new born care through this training is an essential prerequisite for reduction of Maternal Mortality Ratio (MMR), Infant Mortality Rate (IMR) and Neonatal Mortality Rate (NMR). Some of the best performance trainings in the current year have been cited as follows:

1. Medical Teachers’ Training 2. Induction Training 3. STG Project Oriented Training 4. Administrative and Financial Skill Training for various cadres

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

6. Training of Trainers, under NRHM/ RCH II for SBA and IUCD (Alternative Method) 7. Disease Control Trainings:

a. Malaria b. Integrated Training for control of Acute Diarrhoeal Diseases, Vector Borne

Diseases and Leprosy 8. Distance Learning Training on Post Graduate Certificate Course in Health and

Family Welfare Management. Besides, trainings are getting enriched with publications of training guides, handbooks, project work and proper evaluation of all trainings, with follow up activities. The institute’s website ( www.ihfwkolkata.org ) has training modules’ information, articles etc for knowledge sharing. Enlisted below is a snap shot of the various activities of IHFW:

I. INSERVICE TRAINING PROGRAMS

The institute has organized a large number of various types of in-service trainings in health care since its inception. Details of Trainings conducted at the training institute

A. Medical Teachers’ Training Teachers of Medical Colleges functioning under the West Bengal Medical Education Services cadre are given this training.

1. INSERVICE

TRAININGS

2.

MONITORING

3.

RESEARCH

4.

PUBLICATION

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The Directorate of Medical Education, Department of Health and Family Welfare, GoWB along with the IHFW, after appreciating the need of the teachers to undergo formal training in, had started this training course in this Institute since 2009. The developed reference materials i.e. a handbook and power point presentations are shared with the participants during training and are also available on the institute’s website. The aim of this short course is not only to improve the pedagogical skills of medical teachers but also to expose them to various novel aspects of teaching – learning process that have evolved in recent years. Category Trained : Medical Teachers of different Medical Colleges (Professor,

Assistant Professor, Associate Professor etc) (RMO cum Clinical Tutors to be introduced from 2012)

Duration : 6 days

B. Induction Training The Induction training involves orientation and training of the newly recruited medical officers under WBHS as an initial preparation for taking up the clinical as well as administrative responsibilities in the place of his/her posting. The goal is to orient them about the government rules, regulations, working environment, responsibilities and associated factors. In accordance with the resolutions adopted in the Governing Body meeting, all newly recruited medical officers under the WBHS are regularly getting this training from IHFW. The institute had performed and made a fair progress in this regard as per the target endorsed by the Health and family Welfare Department’s recruitment list. Category Trained : Medical Officers (MOs), Block Medical Officer of Health

(BMOHs), Additional Medical Officers (AMOs)

Duration : 12 days (for MOs, BMOHs) 6 days (for AMOs)

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C. Administrative & Financial Skill Development Trainings This training is intended to orient and develop the administrative and financial skills of medical personnel under Department of Health and Family Welfare, GoWB. Category Trained : Principals of Medical Colleges, Medical Superintendent cum

Vice Principals (MSVPs), Deputy DME, Additional DME, Other Administrative Officers, ACMOH

Duration : 3 days (for ACMOH) 6 days (for others)

D. Training on Administrative and Medico-Legal Issues

Category Trained : Newly Recruited Assistant Superintendents (non-medical)

Duration : 3 days

E. Standard Treatment Guidelines(STG) Project Oriented Trainings

Standard Treatment Guidelines are systematically developed statement designed to assist the providers and their clients in making decisions about appropriate health care for specified clinical circumstances. A document has been developed by the Department of Health and Family Welfare for use of the Medical Officers working at the Primary Level Health Care Facilities and was piloted in two districts of West Bengal (North 24 Paraganas and South 24 Paraganas) in 2009. And since 2010 it was further scaled up other districts of the state. (i) Training of Facility Heads on the implementation of STG

Category Trained : Facility Heads of PHC/ BPHC/ RH(CHC)

Duration : 2 days

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(ii) Training of District and Sub Division level monitoring officers as assessors of facility in service Quality Assurance An Operational Manual has been prepared for facility assessment. The Deputy CMOHs(I) of the districts have been identified as Nodal Officers to lead the programme at the district level. An essential drugs and equipment list has been prepared based on the STG, which have been adopted by the Department of Health and Family Welfare, GoWB.

Category Trained : MOs to act as assessors of facility for ensuring Quality Service

based on Operational Manual

Duration : 2 days

(iii) Orientation of Data Entry Operators (DEO)

Orientation of DEOs have been imparted for assisting the CMOH in data entry, analysis and suggesting follow up action as per Operational Manual.

Category Trained : DEOs

Duration : 1 day

RCH TRAININGS

A. Training of Trainers on Skilled Attendance at Birth (TOT on SBA)

The trainings have been carried out in a cascade pattern. Category Trained : G&O Specialists and Paediatric Specialists

Duration : 2 days

Category Trained : Medical Officers and Nursing Staff

Duration : 5 days

B. ToT on IUCD (Alternative Methodology in IUCD services)

Category Trained : Dy. CMOHs, DMCHO, DPHNO, Specialists, MOs (G&O), Nursing personnel

Duration : 5 days

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DISEASE CONTROL TRAININGS

A. Integrated Training on Leprosy, Vector Borne diseases & Acute Diarrhoeal Diseases Guidelines on “Management of Diarhhoea in Children”, for Medical Officers as well as for indoor Nursing personnel have been developed.

Category Trained : Medical Officers

Duration : 5 days

B. Training of MOs of Kolkata Municipal Corporation(KMC) on Malaria

Category Trained : Medical Officers of KMC

Duration : 2 days

DISTANCE LEARNING PROGRAMMES

A. One Year Certificate Course In Health and Family Welfare Management

B. One Year Certificate Course In Hospital Management Owing to the growing recognition of the need to provide management education to doctors, nurses etc, NIHFW and a few other state training institutions have been organizing the above short term in-service courses. IHFW is the study center for eastern zone and is responsible for the contact programmes, as per directives of the NIHFW.

OTHER TRAINING ORIENTATIONS / WORKSHOPS/ SEMINARS

In addition to the above mentioned regular training programs, IHFW had been organizing a host of disease control programs, workshops, seminars on different health topics co-organized with the Department of Health & Family Welfare, GoWB/ MoHFW,

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GOI/ Development Partners since its inception. Some of such training orientations / workshops/ seminars are enlisted below: Study Visit of Parliamentary Delegation of Vietnam to Kolkata, West Bengal Disease Control Programs

o Malaria o Diarrhoea o Kala Azar o H1N1 o Japanese Encephalitis

Disaster Management Ethical Practice in Pharmacology (WHO sponsored) Training on Central Board of Health Intelligence (CBHI) (with MoHFW, GOI) Skill up-gradation on various specializations under State Health System

Development Project II New born care, BEmOC, CEmOC trainings were conducted in various District

Hospitals and Medical College Hospitals.

NEW TRAININGS PLANNED TO BE COMMENECED FROM YEAR 2012

Training of Program Officers/ Medical Officers on Prevention and Control of Arsenicosis Management of Snake Bite Orientation for Assistant Superintendents (non-medical) on: ~ Janani-ShishuSurakshaKaryakram (JSSK) Programme

~ RogiKalyanSamiti (RKS) ~ Training on Condemnation of articles

Sensitization Workshop on NRHM for CMOHs/ Program Officers, GoWB

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Study Visit of Parliamentary Delegation of Vietnam to Kolkata, West Bengal, December 2011

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MEDICAL TEACHERS TRAINING

Objective

Medical teachers usually take up the teaching profession without undergoing formal training in the technique of teaching prior to their posting as medical teachers and they very often find themselves handicapped while imparting training.

Teachers have, over a period of time, desired to undergo a suitable training course and looked for a document to fall back upon as a handy reference material at the time of need. The training and the reference material will help the medical teacher in enhancing their teaching skill.

Appreciating the need the Directorate of Medical Education in collaboration with the Institute of Health and Family Welfare has developed a six days’ training course on Education Science Technology for Medical Teachers and is carrying out the said training since July 2009.

A hand book has been developed for medical educators containing medical teachers’ training course, principles of Medical Education, Research and Technology. This document is a compendium of the hand outs that were used during the training. The handouts have

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undergone several revisions and fine tuning over time. The compendium is so designed that it not only is useful for the medical teachers but also for all who are engaged in imparting knowledge to their students in any stream. It serves as a tool for self improvement. Enhancement in the pedagogical skills of the teachers will directly benefit the students which in turn will have a long term impact on the quality of medical education in the state.

Teachers who are Assistant Professors, Associate Professors and Professors have been included in the training. From twenty fifth batch of training the RMO cum clinical tutors will also be included.

Hard copies of the hand book are being shared with the trainees at the time of training. It is also available in the website of the institute i.e.www.ihfwkolkata.org

Achievement till date

Twenty four batches of teachers from all the medical colleges have undergone training the details of which are reflected hereunder.

NAME OF THE MEDICAL COLLEGES

PARTICIPANTS (till December 2011)

1 Medical College,Kolkata 52 2 IPGME&R Kolkata 61 3 Calcutta National Medical College 58 4 N.R.S. Medical College 59 5 R.G.Kar Medical College 63 6 BankuraSanmilani Medical College 39 7 North Bengal Medical College 50 8 School of Tropical Medicine 20 9 Burdwan Medical College 55

10 Midnapore Medical College 40 11 Dr.B. C Roy PG Instituteof Paediatric Sciences 5 12 Department of Health & Family Welfare, GoWB 3 13 Institute of Medical Science & SUM Hospital 1 14 College Of Medicine &SagoreDutta Hospital 1 15 Bangur Institute of Neurosciences & Psychiatry (BIN) 1 16 Murshidabad Medical College 1 17 Regional Institute of Ophthalmology (RIO), Kolkata 6

TOTAL 515

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STANDARD TREATMENT GUIDELINES

The Standard Treatment Guidelines (STG) are systematically developed statement designed to assist the providers and their clients in making decisions about appropriate health care for specified clinical circumstances. In order to streamline treatment at the Primary Health Care facilities, the IHFW steered the development of a Draft STG and guided its piloting in the districts of North and South 24 Paraganas from July to December 2009. Activities under the pilot were reviewed on March 2010 in a state level meeting under the chairmanship of the Additional Chief Secretary and in presence of the Honorable Health Minister of West Bengal.

Steps initiated by IHFW 1. Development and printing of the Revised Edition of the STG in January 2010 and

imparting training with the help of the document. 2. Facility assessment for gap identification and adoption of corrective measures with the

help of the Operational Manual developed for facility assessment. The primary objective of introduction of STG is to standardize treatment, infrastructure, human resources, capacity building, and supply of logistics and develop good prescription practices with the overall objective to improve the quality of services at the primary level health care facilities of the state. IHFW revised the “Operational Manual” used during the pilot. The operational manual is a tool used to identify gaps for adoption of corrective measures at facility, district and state level. Monitoring officers were trained in the technique of facility assessment and Data Entry Operators in data management. Faculty members from the department of Community Medicine and Pharmacology assisted in the facility assessment during the pilot.

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3. Training of facility heads of four Phase I districts, and training of monitoring officers and data entry operators of all the districts have been completed.

4. Training of facility heads of the remaining twelve Phase II districts. Facility heads of the Phase II districts are in progress since March 2011. One faculty member either from the Department of Pharmacology or Community Medicine of Kolkata based medical colleges have been identified for each of these districts to assist the Chief Medical Officer of Health in organizing the training sessions for the facility heads.

Timeline Pilot Phase : June – December 2009 Phase I : June 2010 – August 2011 Phase II : June 2011 – March 2012

Publication and Sharing of the Second Edition of STG

The second edition of STG was released by IHFW in February 2011. Complimentary copies of the guidelines have been shared with all the state level programme officers, contributors, libraries of medical colleges of the state and trainees. The documents and power point presentations can be accessed through the institute’s website also.

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II. MONITORING

As a responsibility of CTI, the Consultants attached to IHFW under the RCH-II/ NRHM (sponsored by NIHFW) periodically visit the districts for monitoring. Monitoring is conducted as per the directions, guidelines and tools laid down by NIHFW, prepared in consultation with the MoHFW, GOI. A. Assessment of Training Sites for Gap Analysis

This included identification and monitoring of various training institutes in West Bengal. A total of 37 training centers in the following categories were covered in sixteen districts of the state. Auxiliary Nurse Midwives Training Center (ANMTC) Health and family Welfare Training Center (HFWTC) Rural Training Center (RTC) The reports were shared with NIHFW. The NIHFW has compiled the reports and sent to the IHFW. The compiled report has been shared with State Health Authorities for taking necessary follow up action.

B. Assessment of the RCHII/ NRHM related Training Status and Utilization in the High Focus Districts As per the directives of MoHFW, GOI and NIHFW, the consultants were oriented and given the task to monitor training status on RCH issues in the High Focus Districts (HFDs) of West Bengal. For WB the following six districts have been identified:

a. Cooch Behar b. Jalpaiguri c. DakshinDinajpur d. Bankura e. Purulia f. Birbhum

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The objective is to identify gaps and suggest means for improvement at the facility, district and state level, and to convey the proposal to NIHFW seeking their guidance. The facilities/areas covered included: State level planning and training activities District level planning and training activities Healthcare Facilities at district level

o District Hospital; o First level Referral Unit; o Primary Health Centers (24x7); and o Sub- centers

The activity has been completed and the reports have been sent to the NIHFW for compilation and views. The reports have also been shared with State Health Authorities for taking necessary follow up action.

III. RESEARCH

Currently the Institute is conducting a research study on “Status of Birth Preparedness

and Complication Readiness” in Bankura and Uttar Dinajpur, West Bengal, with financial

support from NRHM – Data collection has been completed in both the districts, data

analysis is going on and report is expected to be submitted soon.

IHFW is also assisting in research study on “Evaluation of training outcome on

Diarrhoea Case Management” in Nadia district of West Bengal, under NRHM.

The Institute is assisting and evaluating many other research activities.

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IV. PUBLICATIONS

The IHFW in its endeavor to improve the quality of the health care delivery and related trainings has guided the development and publication of several documents, shown below.

Other Guidelines being developed by IHFW in collaboration with the Department of Health and Family Welfare, GoWB include:

Guidelines for Management of Diarrhoea in Children for Medical Officers working at District/ Sub-District level, 2011

Guidelines for Management of Diarrhoea in Children for Nursing Personnel Working at In-patient Department

Field Guide and Participant Handbook for Detection, Management and Surveillance of Arsenicosis cases.


2011

&

OPERATIONAL MANUAL


2010

&

OPERATIONAL MANUAL

HANDBOOK FOR MEDICAL EDUCATORS

MEDICAL TEACHERS TRAINING COURSE

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Performance Review

SUMMARY OF ACCOMPLISHMENTS

Year 2011 In the year 2011, IHFW had organized and conducted a gamut of trainings across national, state and district level. They can be broadly specified into categories like: trainings on National Health Programmes, Medical teachers’ training, administrative and financial skill development of various cadres of staff employed in the government set up, implementation of STG for the state etc. Many seminars, workshops, state level meetings and study visits were hosted as well.

All Regular Trainings

Other trainings & workshops etc

1400

287

846

18

Total Load versus Total Trained - 2011

Total Trained Backlog

94%

62%

Total Load = 305

Total Load = 2246

Achievement (in %) of participation

over load

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The graph below represents the training names conducted in the calendar year 2011 and their respective training achievement in numbers.

SYNOPSIS OF SOME OF THE MAJOR TRAININGS - 2011

INDUCTION TRAINING

SBA (ToT), 56IUCD (ToT), 86

STG (at IHFW), 45

Teachers Trg, 163Induction Trg, 126

Administrative and Financial

Skill Development Training, 91

Trg on Medico Legal Issues in

Health Care, 101STG (District level), 327

Trg on online reporting of HMIS

and MCTS, 24

Integrated Training

Leprosy, Vector Borne diseases

& ADD, 237

Malaria Trg, 119

P.G. Certificate Course of Health &

Family Welfare Management , 25

Other Trgs, workshops

etc, 287

17 1228

1123 12 11

114

8 13 142 13 14

61

March June July August September November December Year 2011

Achievement (participation)Year 2011


68% 48% 112% 44% 92% 48% 44%

65%

Achievement (in %) of participation

over load

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INDUCTION TRAINING 2011 Batch wise District Participation

March June July August September November December Year

2011

Training Load* 25 25 25 25 25 25 25 175

Total Trained 17 12 28 11 23 12 11 114

Achievement (in %)

68% 48% 112% 44% 92% 48% 44% 65%

Number of Participants - District wise

Bankura 0 1 2 0 2 2 1 8

Barddhaman 0 0 2 0 1 0 0 3

Birbhum 2 0 0 0 1 0 0 3

Darjiling 0 0 2 0 2 0 0 4

Howrah 3 3 2 0 0 0 1 9

Hoogly 3 2 2 2 2 2 2 15

Jalpaiguri 0 0 2 2 2 0 1 7

Koch Bihar 3 0 1 0 0 0 0 4

Maldah 0 0 2 2 1 2 2 9

Purba Medinipur

0 1 1 0 2 1 1 6

Paschim Medinipur

0 3 0 0 1 0 0 4

Murshidabad 0 0 3 2 1 0 1 7

Nadia 3 0 0 0 2 1 0 6

North24-parganas

3 2 2 2 2 0 2 13

Puruliya 0 0 2 0 0 0 0 2

South24-Parganas

0 0 1 1 2 0 0 4

Uttar Dinajpur 0 0 2 0 2 2 0 6

Dakshin Dinajpur

0 0 2 0 0 2 0 4

*Per batch size = 25

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INTEGRATED TRAINING ON VECTOR BORNE DISEASE CONTROL PROGRAMME, ACUTE DIARRHOEAL DISEASES AND LEPROSY

Batch wise District Participation

Date June July August September October November December Year 2011

Training Load* 50 100 50 75 25 50 50 400

Total Trained 26 46 41 45 20 27 32 237

Achievement (in %)

52% 46% 82% 60% 80% 54% 64% 59%

Number of Participants District wise

Bankura 1 4 3 0 2 0 4 14

Barddhaman 0 0 3 0 2 2 1 8

Birbhum 2 0 4 0 0 0 1 7

Darjiling 4 0 0 0 0 0 0 4

Howrah 0 6 3 4 1 0 2 16

Hoogly 0 4 2 3 1 4 0 14

Jalpaiguri 3 3 5 3 2 2 2 20

Koch Bihar 2 0 0 0 1 0 1 4

Maldah 4 0 6 7 2 3 4 26

Purba Medinipur

0 5 6 5 0 1 0 17

Paschim Medinipur

0 8 0 6 2 2 4 22

Murshidabad 5 0 1 3 0 0 2 11

Nadia 0 3 4 2 1 2 2 14

North24-parganas

0 3 4 9 0 0 3 19

Puruliya 0 4 0 0 3 3 0 10

South24-Parganas

0 0 0 0 0 3 2 5

Uttar Dinajpur 0 6 0 0 0 5 4 15

Dakshin Dinajpur

5 0 0 3 3 0 0 11


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VBDCP, ADD & LEPROSY TRAINING 2011

TRAINING OF TRAINERS ON SKILLED ATTENDANT AT BIRTH – district level

Month Training Duration (in days)

Districts(s) Training Load Actual Participation

Achievement in % (participation)

February 5 Maldah 10 10 100%

March 2 Maldah Murshidabad

10 7 70%

August 2 PurbaMedinipur 10 9 90%

5 Murshidabad 10 10 100%

November 2 Howrah 10 4 40%

2 Murshidabad 10 6 60%

December 5 Howrah 10 10 100%

Year 2011 70 56 80%


26

46

41

45

20

13

46

237

24

54

9

30

5

12

29

163

June

July

August

September

October

November

December

Year 2011

Achievement (participation)Year 2011


59%

52%

46%

82%

60%

80%

61%

52%

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TRAINING OF TRAINERS ON IUCD – district level

Backlog, 14

Total Trained, 86

Training Load versus Partcipation

Kolkata9%

Koch Bihar15%

Maldah16%

Purba Medinipur18%

Murshidabad18%

Purulia24%

District wise Partcipation

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The Progress over the years – before 2011 A comparative chart of performance of the major trainings in the last three financial years is given below.

Note: List is not exhaustive

47

25

72

255

27

22

109

173

144

229

54

174

55

74

112

130

163

74

238

12

103

43

71

21

0 50 100 150 200 250 300

SAB (ToT)

Administrative & Financial Skill Trg for non-medical Asst. Supers

Administrative & Financial Training for AMOs

Induction Trg for MOs/BMOHs

STG

IUCD (ToT)

Medical Teachers Trg

Pandemic Influenza Trg

Kalaazar Trg

Workshop on H1N1

Workshop on W.B Health Scheme for MSVP /Supers

Malaria Trg

Certificate Course of H&FW Management

Certificate course in Hospital Management

Performance Report for the Last 3 Financial Years

2008-2009 2009-2010 2010-2011

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STATEMENT OF VARIOUS TRAINING PROGRAMMES OVER THE YEARS

Training Year Number of

Batches

Actual number of

Participants

Number of Participants Proposed

AGT 1998 - 99 5 115 125

HOUSE-HOLD SURVEY 2000 - 01 1 15 15 PNDT 2003 - 04 3 72 105

COMMUNICATION 2001 - 02 5 87 100

2002 - 03 7 106 240 CERTIFICATE COURSE

HOSPITAL MANAGEMENT

2005 - 06 1 22 22 2005 - 06 1

2007 - 08 1 MANAGEMENT 2001 - 02 6 127 210

2002 - 03 18 324 630 2003 - 04 3 79 105

IST (MO) 2004 - 05 8 80 80 CME (Workshop) 2004 - 05 1 20 MAINSTREAMING

GENDER ISSUE 2005 - 06 4 97 100

ADMINIS-TRATIVE TRG. FOR WBPHAS CADRE

2005 - 06 1 24 24

NLEP PROGRAMME 2005 - 06 1 18 18

INDUCTION TRG

1998 - 99 3 35 90 2001 - 02 4 83 120

2002 - 03 4 104 120

2003 - 04 7 138 280 2004 - 05 20 448 600 2005 - 06 12 272 360 2008 - 09 15 294 450

7-DAYS ORIENTATION TRG.PROG. ON

BEmOC& SBA FOR G&O SPECIALISTS

2006 - 07 1 4 4

ORIENTAION PROGRAMME

ON PUBLIC HEALTH

2006 - 07 1 22 25

TRG. OF DISTRICT PMU STAFF

2006 - 07 1 45 54

ANAES-THESIST TRG. PROG. FOR LIFE SAVING

2006 - 07 2 10 10

ADMINISTRATIVE TRAINING FOR

2005 - 06 1 15 15

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MEDICAL OFFICERS OF WBPH&AS CADRE

2-DAYS ORIENTATION TRG.PROG. ON

BEmOC& SBA FOR G&O SPECIALITSTS

2006 - 07 16 420 480

SAB for Staff Nurse 2006 - 07 18 244 370 2007 - 08 43 1028 1180

TRG.PROG. FOR SICK NEW BORN CARE UNIT

2006 -07 12 69

NATIONAL LEVEL ORIENTATION

TRAINING AT STATE LEVEL TRAINERS OF SBA

2006 - 07 1 29 29

TRAINING ONMORBIDITY &

MORTA-LITY CODING USING ICD-10

2006 - 07 1 45 54

WORKSHOP ON DISSEMINATION OF

QUALITY ASSURANCE MANUALS OR

STANDARD

2006 - 07 1 32 32

TRAINING PROG. ON NEWLY RECRUITED

BMOH UNDER WBPH&AS CADRE

2007 - 08 3 109 110

TRAINING PROG. ACMOH FOR

WBPH&AS CADRE

2007 - 08 6 142 152

1 YR. POST GRADUATE CERTIFICATE COURSE IN

HEALTH & FAMILY WELFARE

MANAGEMENT THROUGH DISTANCE

LEARNING AT KOLKATA

2007 - 08 2 10 20

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ADMINISTRATIVE & FINANCIAL TRG. OF

PRINCIPAL & MSVP & JT. DME, ASST. DME, DY. SUPDT., ASSTT.

SUPDT. OF ALL MEDICAL COLLEGES &

HOSPITAL

2007 - 08 5 80 87

STANDARD TRAINING PROTOCOL

2008 - 09 14 255 350

STANDARD TRAINING PROTOCOL(WORKSHOP)

2008 - 09 9 224 -

SAB (NEW) 2008 - 09 20 115 240

IUCD 2008 -09 4 44 80 INDUCTION TRAINING

FOR ADDITIONAL MEDICAL OFFICERS’

2008 – 09 9 173 200

TEACHERS’ TRAINING PROGRAMME

2009 - 10 9 176 186

VECTOR BORNE DISEASE PROGRAMME

2007 -08 46 599 678

Note: List is not exhaustive

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Way Forward

The Government of India has made it necessary for every state to have a strong network of training institutions with State Institute of Health and Family Welfare (SIHFW) as an apex institution in the state for providing technical, administrative guidance and leadership to training for the health professionals in the state. The SIHFW is expected to be supported at the district level by District Training Center (DTC) and Auxiliary Nurse cum Midwife Training Centers (ANMTCs). The national training strategy for NRHM 2005 – 12 has clearly stated the critical role of SIHFW in designing, delivering and monitoring of in-service training programs for the states in order to improve the total effectiveness of the health care delivery system.

Thus it becomes mandatory for the Department of Health and Family Welfare to strengthen and augment the Institute of Health and Family Welfare in terms of Human Resource (academic and administrative staff), Physical Infrastructure and content of Academic/ Training Curriculum. This is also applicable in case of the peripheral training centers.

As far as infrastructure is concerned the original accommodation constructed for IHFW has been distributed to other departments and IHFW is deprived of ideal requirement of accommodation. The basic requirements of Academic/ Training and administrative accommodation should commensurate with the scope of training which is increasing day by day.

As a result of the above inadequacies, the IHFW/CTI Kolkata has been performing much less of activities than it is expected to. In order to improve its performance in future the following steps are proposed to be/ being planned:

I. ROLE CLARITY

The CTI will act as a link between the State, NIHFW and MOHFW for the implementation and coordination of Central Training Plan in the State with the State Training Department/ Officers. Proper guidance and comprehensive instructions from MoHFW to the State Health Departments, for linking IHFW/CTI with other training institutes of the state is an important prerequisite in this regard.

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II. AUGMENTATION AND UPGRADATION OF HUMAN RESOURCE AND PHYSICAL

INFRASTRUCTURE

Up-gradation of IHFW’s infrastructure by constructing a teaching wing with hostel facilities on the space available within its premises.

IHFW needs to be equipped with state of art seminar/ conference rooms, appropriate furniture, equipment, vehicle etc.

To support the IHFW’s vision of being seen as an apex technical institute, it becomes mandatory to make provision for human resource in various disciplines/ levels for the institute.

Create and fill up the posts as per the organogram proposed by NIHFW: i. Director (1)

ii. Joint Director Administration (1) Department wise:-

iii. Professor (1) iv. Associate Professor (1) v. Assistant Professor (2)

vi. Research Officer (3) vii. Consultants (4) and

viii. Support staff The institute should have the following disciplines/ departments which include

Public Health, Medicine, Paediatrics, Gynaecology & Obstetrics, Statistics and Demography, Behavioural Science, Training Technology, Health Management and Economics, Information Technology.

Provision must be made to utilise the services of various faculties from Medical Colleges by the state as and when necessary.

III. TRAINING

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

Help and support the identified training institutes to prepare curricula for each type of training to be conducted in coordination/consultation with the relevant programme officers.

It will prepare a database and update it regularly by capturing data on the: List of training institutions (both public and private) List of trainers at different level (a) National,(b)State and (c)District

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List of trainees (on different types of trainings being undertaken) Develop training plans on different issues taking into

consideration: - Categories - Load - Size and number of batches - Trainers – trainees ratio - Make available training modules from MOHFW, NIHFW, and

State Programme Officers or developed them if not available etc.

IV. MONITORING AND RESEARCH

Post training and tracking of trained personnel. Monitor process and outcome of training by assessing improvement in knowledge and skill of the trainees and reviewing their performance by using available tools or developing them, if unavailable.

Regular review of performance of peripheral training institutions like Regional Health and Family Welfare Training Centres (RHFWTC), DTC, ANMTC.

CTIs should not confine themselves to training only but also be engaged in extensive research work. Coordinate and support in state and central level research and monitoring and assist to apply the learning in improving the health status of the community.

Help state in preparation of PIPs. Coordinate with and support NIHFW in National level Training, Research and

Monitoring.

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List of Governing Body Members

Chairman Shri Sanjay Mitra, IAS Principal Secretary Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Vice-chairman Prof. Sushanta Kumar Bandyopadhyay Director of Medical Education & Ex-Officio Secretary, WB Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Secretary Prof. Akhil Bandhu Biswas Director Institute of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Members Dr. B. R. Satpathi Director of Health Services Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Mr. Dilip Ghosh, IAS Mission Director, NRHM, Commissioner (FW) & Secretary to the GoWB Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Dr. P. Malhotra Regional Director, Kolkata Ministry of Health & Family Welfare, Government of India Salt Lake, Kolkata 700098

Vice-Chancellor West Bengal University of Health Sciences, Kolkata 700064

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List of Administrative and Financial Sub-committee Body

Chairman Prof. Sushanta Kumar Bandyopadhyay Director of Medical Education & Ex-Officio Secretary, WB Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Members Mr. P.K. Lahiri Special Secretary (GA Branch) Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Mr. A. K. Mallick Additional DHS (AA&V) Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

Mr. Tapas Mallick Joint DHS (Accounts) Department of Health & Family Welfare, GoWB Salt Lake, Kolkata 700091

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For further information contact:

INSTITUTE OF HEALTH AND FAMILY WELFARE (Department of Health and Family Welfare, Government of West Bengal) 29, GN Block, Sector – V, Bidhan Nagar Kolkata West Bengal Pin code: 700 091 Phone Number: (033) 2357 4531, 2357 7645 Tele Fax Number: (033) 2357 8870

Website: www.ihfwkolkata.org

Email: [email protected]

annual report - wb health

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