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Capacity Building
of Human Resource in Health
Institute of Health & Family Welfare, WB
A Case Study

Presented by:

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



 HRH Workshop for Eastern Zone, Bhubaneswar

                                           Date: 04 January 2012
Institute of Health & Family
Welfare




             Institute of Health & Family Welfare, West Bengal   2
Trainings Conducted At IHFW
                            TRAINING                                 DURATION(in days)

 Medical Teachers’ Training                                          6

 Induction Training                                                  12

 STG Project Oriented Training                                       1/ 2
 Integrated Disease Control Training                                 5
 Administrative and Financial Skill Training for various             3/ 6
   cadres
 Training of newly appointed Assistant Superintendents               3
  (non-medical) on Administrative and Medico Legal
   issues
 Training of Trainers, under NRHM/ RCH II for SBA &                  2/ 5/ 6
   IUCD
 Disease Control Training                                            varies
 New born care, BEmOC, CEmOC trainings                               “
 Distance Learning Programs                                      5/6
  ◦ One Year Certificate Course In H&FW Management
                                       Institute of Health & Family Welfare, West Bengal   3
Approaches To Training

             Systems
            Approach to
              training




  Participatory      Informative
Systems Approach To
             Training
                 TNA


  EVALUATION
                        OBJECTIVE

IMPLEMENTATION
  PROGRAMME
                        DESIGNING
                       PROGRAMME
Training Methods/ Mechanism
   Workshop
   On- Job
   Class Room
   Hands On
   Field Trip
   Modular Training
   Micro-teaching

   FOCUS NOT ONLY ON KNOWLEDGE &
    CERTIFICATION- LITTLE ON SKILL
Learning Tools

                         Lecture & Discussion

Demonstration –
    Return                                                    Brain Storming
 Demonstration
                            Participatory
                              Learning

   Field Trip                                                      Role Play


                            Group Work/
                            Presentation

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

                                        Institute of Health & Family Welfare, West Bengal   7
Medical Teachers’ Training
                                                         Pre-test & Post-test mean scores for 24 batches
35.00
                                                         Pre-Test
                                                         Post-Test                              31
30.00                                                                                                                   30
                     29                                                             29                      29                                                   29
                              28                                                                      27                      28    27                     28                28
            27                         26                                  26             26                      26                                 27
25.00                                           26                26                                                                                                   25


20.00
                              17                                           17                                           17
                                                16       16       16                            16    16                                  16
15.00                15                15                                           15                      15                                             15          15
            14                                                                            14                      14          14    14               14          14          13

10.00


 5.00


 0.00
        1        2        3        4        5        6        7        8        9    10    11    12    13    14    15    16    17    18    19   20    21    22    23    24



                                                                                                             Institute of Health & Family Welfare, West Bengal                8
Customization Of Training
Methods
  Role Of MO      • Brainstorming


 Risk Factors     • Role Play/ Exercise


    Disease       • MCQ followed by LD / Case Presentation

 Guidelines For   • Actual / Audio & Visual
  Management

  Informative     • LD


   Planning       • Group Work


                           Institute of Health & Family Welfare, West Bengal   9
Ensuring Capacity Of Capacity
          Builders
            KNOW WHAT TO INSTRUCT?

                HOW TO INSTRUCT?

        ABLE TO COMMUNICATE EFFECTIVELY

             BE FLEXIBLE IN APPROACH

       KNOW THE PSYCHOLOGY OF THE TRAINEE

              FACILITATORS MEETING
Total Load vs Total Trained -
  2011



                                                             62%


Total Load = 2246




                                        Achievement (in %) of
                                        participation over load

                    Institute of Health & Family Welfare, West Bengal   11
Institute of Health & Family Welfare, West Bengal   12
Medical Teachers’ Training

   Training course on
    Education Science Technology
    for Medical Teachers since
    July 2009.
    ◦ Duration : 6 days
    ◦ Batch size : 25


   Already conducted 25                         Handbook For Medical
    batches                                           Educators
                                                  MEDICAL TEACHERS
    ◦ ~ 540 medical teachers from                  TRAINING COURSE
      17 different Medical Colleges

                                 Institute of Health & Family Welfare, West Bengal   13
Standard Treatment
    Guidelines
   Systematically developed statement designed to assist
    the providers and their clients in making decisions about
    appropriate health care for specified clinical
    circumstances.




       STANDARD TREATMENT GUIDELINES    STANDARD TREATMENT GUIDELINES
       2011 & OPERATIONAL MANUAL        2010 & OPERATIONAL MANUAL


                                       Institute of Health & Family Welfare, West Bengal   14
Challenges We face

 All divisions functioning in a Vertical way

NO Convergence of activities | Lack of Coordination             Lack of
                                                                coordination
                                                                • Health
           Common Participant Pool                                 societies
                                                                • DH&FW
                                                                • SIHFW/CTI

           Duplication / Multiplicity


             Poor Participation

                                     Institute of Health & Family Welfare, West Bengal   15
Continued..

                                     Challenges
              Lack of Infrastructure


              Shortage of Human Resource


              Poor monitoring /follow up/tracking


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

              Data bank of trained personnel not
              maintained


              Lack of role clarity


                                              Institute of Health & Family Welfare, West Bengal   16
Initiatives being taken at
IHFW
   Augmentation & Upgradation of the physical
    infrastructure & human resources of IHFW, other
    peripheral institutes
   Capacity building of trainers (ToT) in consultation
    with the NIHFW & state government
   Role clarity of Trg Institutes
    From vertical training to integrated training
   From knowledge transfer to skill up-gradation
   Feed back evaluation of participants for
    continuous quality improvement & facilitators
    meeting

                            Institute of Health & Family Welfare, West Bengal   17
Continued..
              Initiatives being taken at
              IHFW
                 Monitoring of training sites, health care
                  facilities in HFD districts-review performance
                 Monitor process & outcome of trg by checklist
                 Disseminating knowledge through
                  publications and seminars.
                 Database: trg. Instt, trainees &trainers
                 Conducting applied and operations research -
                  apply knowledge in learning
                 Networking with other govt. & non-govt org.

                                        Institute of Health & Family Welfare, West Bengal   18
THANK YOU !

Prof. (Dr.) Akhil Bandhu Biswas

Director
Institute of Health and Family
Welfare
West Bengal

Email:
akhilbandhubiswas@gmail.com



                         Institute of Health & Family Welfare, West Bengal   19

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Hrh workshop final 02feb2012

  • 1. Capacity Building of Human Resource in Health Institute of Health & Family Welfare, WB A Case Study Presented by: Prof. (Dr.) Akhil Bandhu Biswas Director, Institute of Health and Family Welfare, West Bengal HRH Workshop for Eastern Zone, Bhubaneswar Date: 04 January 2012
  • 2. Institute of Health & Family Welfare Institute of Health & Family Welfare, West Bengal 2
  • 3. Trainings Conducted At IHFW TRAINING DURATION(in days)  Medical Teachers’ Training 6  Induction Training 12  STG Project Oriented Training 1/ 2  Integrated Disease Control Training 5  Administrative and Financial Skill Training for various 3/ 6 cadres  Training of newly appointed Assistant Superintendents 3 (non-medical) on Administrative and Medico Legal issues  Training of Trainers, under NRHM/ RCH II for SBA & 2/ 5/ 6 IUCD  Disease Control Training varies  New born care, BEmOC, CEmOC trainings “  Distance Learning Programs 5/6 ◦ One Year Certificate Course In H&FW Management Institute of Health & Family Welfare, West Bengal 3
  • 4. Approaches To Training Systems Approach to training Participatory Informative
  • 5. Systems Approach To Training TNA EVALUATION OBJECTIVE IMPLEMENTATION PROGRAMME DESIGNING PROGRAMME
  • 6. Training Methods/ Mechanism  Workshop  On- Job  Class Room  Hands On  Field Trip  Modular Training  Micro-teaching  FOCUS NOT ONLY ON KNOWLEDGE & CERTIFICATION- LITTLE ON SKILL
  • 7. Learning Tools Lecture & Discussion Demonstration – Return Brain Storming Demonstration Participatory Learning Field Trip Role Play Group Work/ Presentation Pre and Post test as well as Feedback regarding training and trainers is also collected for quality assessment & improvement. Institute of Health & Family Welfare, West Bengal 7
  • 8. Medical Teachers’ Training Pre-test & Post-test mean scores for 24 batches 35.00 Pre-Test Post-Test 31 30.00 30 29 29 29 29 28 27 28 27 28 28 27 26 26 26 26 27 25.00 26 26 25 20.00 17 17 17 16 16 16 16 16 16 15.00 15 15 15 15 15 15 14 14 14 14 14 14 14 13 10.00 5.00 0.00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Institute of Health & Family Welfare, West Bengal 8
  • 9. Customization Of Training Methods Role Of MO • Brainstorming Risk Factors • Role Play/ Exercise Disease • MCQ followed by LD / Case Presentation Guidelines For • Actual / Audio & Visual Management Informative • LD Planning • Group Work Institute of Health & Family Welfare, West Bengal 9
  • 10. Ensuring Capacity Of Capacity Builders KNOW WHAT TO INSTRUCT? HOW TO INSTRUCT? ABLE TO COMMUNICATE EFFECTIVELY BE FLEXIBLE IN APPROACH KNOW THE PSYCHOLOGY OF THE TRAINEE FACILITATORS MEETING
  • 11. Total Load vs Total Trained - 2011 62% Total Load = 2246 Achievement (in %) of participation over load Institute of Health & Family Welfare, West Bengal 11
  • 12. Institute of Health & Family Welfare, West Bengal 12
  • 13. Medical Teachers’ Training  Training course on Education Science Technology for Medical Teachers since July 2009. ◦ Duration : 6 days ◦ Batch size : 25  Already conducted 25 Handbook For Medical batches Educators MEDICAL TEACHERS ◦ ~ 540 medical teachers from TRAINING COURSE 17 different Medical Colleges Institute of Health & Family Welfare, West Bengal 13
  • 14. Standard Treatment Guidelines  Systematically developed statement designed to assist the providers and their clients in making decisions about appropriate health care for specified clinical circumstances. STANDARD TREATMENT GUIDELINES STANDARD TREATMENT GUIDELINES 2011 & OPERATIONAL MANUAL 2010 & OPERATIONAL MANUAL Institute of Health & Family Welfare, West Bengal 14
  • 15. Challenges We face All divisions functioning in a Vertical way NO Convergence of activities | Lack of Coordination Lack of coordination • Health Common Participant Pool societies • DH&FW • SIHFW/CTI Duplication / Multiplicity Poor Participation Institute of Health & Family Welfare, West Bengal 15
  • 16. Continued.. Challenges Lack of Infrastructure Shortage of Human Resource Poor monitoring /follow up/tracking Induction training not given to all MOs prior to/ at the time of their joining services. Data bank of trained personnel not maintained Lack of role clarity Institute of Health & Family Welfare, West Bengal 16
  • 17. Initiatives being taken at IHFW  Augmentation & Upgradation of the physical infrastructure & human resources of IHFW, other peripheral institutes  Capacity building of trainers (ToT) in consultation with the NIHFW & state government  Role clarity of Trg Institutes  From vertical training to integrated training  From knowledge transfer to skill up-gradation  Feed back evaluation of participants for continuous quality improvement & facilitators meeting Institute of Health & Family Welfare, West Bengal 17
  • 18. Continued.. Initiatives being taken at IHFW  Monitoring of training sites, health care facilities in HFD districts-review performance  Monitor process & outcome of trg by checklist  Disseminating knowledge through publications and seminars.  Database: trg. Instt, trainees &trainers  Conducting applied and operations research - apply knowledge in learning  Networking with other govt. & non-govt org. Institute of Health & Family Welfare, West Bengal 18
  • 19. THANK YOU ! Prof. (Dr.) Akhil Bandhu Biswas Director Institute of Health and Family Welfare West Bengal Email: akhilbandhubiswas@gmail.com Institute of Health & Family Welfare, West Bengal 19