it is ANMOL (ANM on line) new and easy for anm and as well as all for us to take care proper level of data of per ANM.

1. ```````````````````````````````````````````````````
```````````````````````````````````````````````````
``````````````````````````````````````GUIDED BY : Dr. V.K. Arora Sir
Dr. Sangeeta Ma’am
PRESENTED BY: Dr.Ayushi Vaishy
Dr. Namita Kumari

2. INDEX
oIntroduction
oBackground
oRole of ANM
oGeographical representation of registered ANMs
oTraining of ANMs
oGeographical representation of ANMs training centre
oANMs role with ASHA
ANMOL
 Introduction
Key features
Journey to ANMOL
Key modules
Brief description of the modules
Open house discussion

3. Making ANM Online
• Taking into account the issues faced by ANM
and to improve the overall standards of the
child and maternal health services provision in
India and related data collection, The ministry
of health and family welfare , government of
India, with support from UNICEF was
introduced an android based tablet based
application ANMOL.

4. INTRODUCTION
• DEFINITION : Auxiliary nurse midwife (ANM) is a
village –level female health worker in India who is
known as the first contact person between the
community and the health services.
ANMs are regarded as the grass-root workers in
the health organization pyramid.
Their services are considered important to provide
safe and effective care to village communities. The role
may help communities achieve the targets of national
heath programmes.

5. • CHANGES OF THE NURSING
AND MIDWIFERY IN INDIA
OVER THE YEARS

7. BACKGROUND
Years 1966 1973 1975 2005 8 april 2016
Initiated
by
Mukherjee
committee
Kartar singh
committee
Shrivastava
committee
National
rural health
mission
Ministry of health
and family welfare
Training of
ANMs
mainly
focused on
midwifery
and
mother
and child
health
•Combined the
functions of
health services
& changed the
role of ANMs.
•There should
be 1 ANM
available per
10,000-12,000
people
Expanded the
role of ANM as
multipurpose
health worker
along with
maternity care
including child
heath care
(immunization)
and primary
curative care of
villagers
Focused on
improvising
primary
health care
in village
and further
increased
the
importance
of the ANM
as a link
between
health
services and
community
ANM-ONLine has
been started by
giving android tabs
for betterment of
quality,effectiveness
and timeliness of the
delivery of quality
services especially to
rural population, to
ensure better
healthcare for
women and children.

8. ROLES OF ANM
 Education about prevailing health problems and
method of preventing and controlling
 Promotion of food supply and proper nutrition
 An adequate supply of safe water and basic sanitation
 Maternal and child health care ,including family
planning
 Immunization against infectious diseases
 Prevention and control of endemic diseases
 Appropriate treatment of common diseases and
injuries
 Provision of essential drugs

9. The use of auxiliary nurse
midwives is recommended for:
Performance of neonatal resuscitation
Administration of intravenous fluid as part of treatment for
postpartum hemorrhage (PPH)
Internal bimanual uterine compression for PPH
Suturing of minor perineal /genital lacerations
Initiation and maintenance of injectable contraceptives using a
standard syringe
Insertion and removal of intrauterine device (IUDs)

10. The use of auxiliary nurse midwives should be
considered for the following interventions, but with
targeted monitoring and evaluation:
• Initiation and maintenance of kangaroo
mother care for low birth weight infants
• Administration of anti-hypertensives for
severe high blood pressure in pregnancy
• Insertion and removal of contraceptive
implants

11. HEALTH INFRASTRUCTURE IN
TYPICAL DISTRICT LEVEL
Level of health care
institute
Population
norm
Human resource available
District hospital 2-3 million Obstetrician, anesthetist, pathologist, pediatrician,
general doctors, nurses
Community health
centre (CHC)
80,000-1,20,000 Any specialist , general doctors , nurses
PHC 30,000 General doctor, nurse, LHV , ANM
Sub-centre 5000 ANM
Village level
functionaries
1000 ASHA

12. • Geographicalrepresentation
of registeredANMs , nurses
andLHVs in INDIA

14. Changes in training and
placement of ANMs
 Earlier there was full course of three years in
nursing and a minimum of 6 months of
midwifery
 Now it has changed to two years duration
(one and half years in some institutes ) which
included 9 months of midwifery and 3 months
of community experience.

15. POLICY LEVEL
STRENGTHENIN
G NURSING AND
MIDWIFERY
SERVICE
DELIVERY
HUMAN
RESOURCES
MANAGEME
NT SYSTEM
EDUCATION
COUNCILS
AND
ASSOCIATION
S
FOCUS OF THE STUDY

16. TRAINING
Each ANM trainee was to conduct 30
Antenatal examinations, 20 deliveries
including home deliveries and babies as
part of the practical training as per the
requirements of the new syllabus.

17. Contd…..
Consequently many ANMs (FHWs) had
inadequate practice of midwifery skills
during training. Another opportunity to
learn midwifery skills was the field
placement to PHCs.

18. Geographical Distribution of Auxiliary
Nurse Midwife Training Centre
(ANMTC): Current Scenario

19. ANM’s Role with ASHA
 ANMs will act as resource persons for the
training of ASHA.
She will utilize ASHA in motivating the pregnant
women for coming to sub-centers for initial
check-ups.
ANM will guide ASHA in motivating pregnant
women for taking full course of iron and folic acid
tablets and tetanus toxoid injections etc.

20. Contd….
ANM will educate ASHA on danger signs of
pregnancy and labor so that she can timely
identify and help beneficiary in getting further
treatment.
She will take help of ASHA in updating eligible
couple register of the village concern and
bringing married couple to the sub- centers
for adopting family planning.

22. ANMOL - Auxiliary Nurse Midwife (ANM) Online
ANMOL acts as a job aid to the ANMs by
providing them with readily available
information such as due list, dashboard
and guidance based on data entered etc.
Videos / audios on subjects like high risk
pregnancy, immunization, family planning
etc are also available in the application
for use by ANMs.
• Real time data entry/update by the ANM
• Improved quality of the data
• Readily available training contents
• Internet connectivity is not constraint

24. KEY FEATURES
 Integrated with Reproductive child health (RCH) portal for
seamless data flow.
 Ticketing system for ANMs to rise any issues with
screenshot.
 online notifications for ANM.
 Frequently asked questions.
 Provision to provide service to beneficiaries out of
catchment area.
 Auto-synchronization.
 Delete unsynchronized /rejected records upcoming videos
chat modules.
 Monitor ANMs performance through web interface.
 Restore and backup local data (admin privileges).

25. • On world health day 2016, the Minister for
health and family welfare in India , Mr Jagat
Pratap Nadda launched the ANMOL application
in front of a huge audience.
• “ANMOL will be revolutionary application
that will give a significant boost to improve
health services in INDIA” “The ANMOL
application will help implement health
programmes successfully at the grassroots
levels” said J.P Nadda
• The government of India plans to roll out
ANMOL to 293,000 ANMs in a phased
manner.

26. Journey to ANMOL
•Data entry was done by
BEOs
•Data was captured by ANMs
in different registers for
different programs
•Workplan provided by BEOs
MCTS
Application
•Data entry was done by
BEOs
•Data was now being
captured in a single
integrated RCH Register
•Workplan provided by BEOs
RCH
Application •Data entry done by ANMs,
thereby giving them
ownership of data
•Acts as a job aid
•Workplan is just a single
click away
ANMOL
Application

27. Key Modules in ANMOL
• Eligible Couple
– Registration
– Tracking of Family
Planning Services
• Pregnant Women
– Registration
– ANC Services
– Delivery details
– PNC Services
• Child
– Registration
– Tracking of
Immunization
Services
– Child Medical
• Dashboard
– Registration
– Family Planning
– ANC Services
– Delivery Outcome
– PNC Care
– Immunization
– Critical Indicator
– KPI Factsheet
• Counseling
– Video
– Audio
– eBooks
– eTutorials
– User Manual
• Workplan
– Sub Centre wise
– Village wise
– Service wise
– ANM wise
– ASHA wise
– Beneficiary wise
– High Risk Pregnant
Women
– Low Birth Weight
Children
• VHND
– Due List
– Logistic Planning
– Logistic Used

28. ANMOL – Splash Screen
• Select language – Choose between
Hindi/English
• ANM Login – For ANMs
• Admin Login – For Medical Officers
Incharge

29. How to Login??
• Select State and enter ANM Id
• All records associated with the
ANM ID will be downloaded.
• Set your Password, default
password is ANMs phone
number registered on
MCTS/RCH Application.
• Login into the Application.

30. Home Page
ANM Details
Hierarchy
details of the
ANM
Syncs data on
the server

31. Menu List

32. Pregnant Women Module
• PW Registration – To
register an unregistered PW
• ANC Details – To enter the
ANC details of PW
• Delivery Outcome – To
enter the delivery details of
PW
• PNC Details – To enter the
PNC details of both mother
and infant
• Infant Details – To enter the
infant details after delivery
• Maternal Death, Abortion
list Infant Death – Displays
a list of all such cases

33. How to Register a PW?
• Some fields which were entered
in EC section will be auto
populated.
• The remaining details needs to
be filled.
• Click on “Save” and PW will
move into ANC Section.

34. How to update the ANC Services of PW?
Once Saved, the details
appear in the form of a table
When delivery is mentioned
as “Yes”
The PW moves into the
“Delivery Outcomes” List

35. Alert Messages – During ANC

36. How to update the PNC Services
of Mother?
Once the PNC Details are saved,
the visits appear at the bottom in
the form of a table

37. How to update the Infant details?
Once the Delivery
Outcomes details are
entered, the Infant is visible
in the “Infant Details” List.
• Once the Infant details
are saved, it is only when
the data is first synced
online with the RCH Server,
RCH Child ID is generated.
• Then the Child is visible in
“Infant PNC” section and
“Child Registration” Section.

38. Child Module
• Direct Birth Registration –
To register a new Child
• Child Registration – To
register a child whose
infant details are entered in
the PW section
• Child Tracking – To enter
the Immunization services
details of child
• Child Death, Case Closure –
Displays list of such cases
who are either reported as
dead or case is closed due
to migration or any other
reason.

39. How to register a Child?
The Child whose infant
details were entered
and was synced on the
RCH Portal, is now
visible in the Child
Registration Section,
Once the Child is registered
and Saved, it appears in the
“Child Tracking List”

40. How to update the Immunization
services of a Child?

41. Growth Monitoring Chart

42. Dashboard
• Dashboard acts like a Report card
for the ANM. It gives a clear picture
of all the beneficiaries that are
registered by the ANM, the services
that have been provided to them
along with those which are due for
certain services.
• It highlights important indicators
under eight main sections.
• It helps her to quickly evaluate
the scenario in her catchment area
and identify critical areas where
focus is needed.

43. Dashboard Screen
To easily switch
between different
types of sections
It clearly mentions
the estimates
along with the
actual
achievements
Query builder to
generate the
dashboard for a
particular
facility/ASHA.

44. How to view dashboard
indicators?

45. RCH Register
• It is simply soft copy of the
Integrated RCH Register.
• It has been categorized
further into 7 types for easy
identification of beneficiaries.

46. Counseling
• ANMOL acts as job aid for the
ANMs.
• This section provides the ANM
with certain audio visual content
along with relevant reading material.
• ANMs can use this to counsel the
beneficiaries, to generate awareness
among them to adopt healthy
practices.
• They can also use this to enhance
their skills and knowledge so as to
deliver quality services to the
community.

47. Video Counseling

48. Audio Counseling

49. eBooks
• Readily available reading
material for the ANMs.
• They can use this as a
refresher training material.

50. eTutorials
• This is mainly provided for the
ANMs so that they can enhance
their skills in order to provide
quality of care to the
community.

51. Workplan

52. Sync Status
• The data can be synced on the
RCH Portal by two methods:-
 Automatically – As and
when the tablet comes in the
range of internet
connectivity. The Application
will sync the data onto the
Portal.
 Manual – Click on the Sync
All button and all the records
will be synced onto the
portal and the status will be
displayed.

53. Feedback from Happy ANMs
“ The ANMOL tablet is like my akka
(elder sister in Telegu), a constant
guiding support that helps me
overcome my day-to-day issues. It
saves me lot of time. My job has
become very easy since I started using
it. Now I can solve all my problems
myself. I use ANMOL to make better
connections with the people in the
village and understand their problems
better by talking to them” SUJATHA
(ANM , Andhara Pradesh )

54. REFRENCES
• "Tnai Journal". Tnaionline.org. 2007-04-20. Archived from the original on 2016-03-
04. Retrieved 2016-01-07.
• "WHO | Achieving Millennium Development Goal 5: is India serious?". Who.int.
2008-02-12. doi:10.1016/S0140-6736. Retrieved 2016-01-07.
• "An Auxiliary Nurse-Midwife in India Sets an Example for Family Planning".
Jhpiego. Archived from the original on 2016-02-15. Retrieved 2016-01-07. S.L. Goel
(1 January 2008).
• Rural Health Education. Deep & Deep Publications. pp. 9–.
• ISBN 978-81-8450-115-5. "Indian Nursing Council, Official indian nursing council
website, Government India, Establish Uniforms Standards, Training Nurses,
Midwives, Health Visitors". Indiannursingcouncil.org. Retrieved 2016-01-07.
• "RURAL HEALTH CARE SYSTEM IN INDIA" (PDF).
• National Rural Health Mission. Retrieved 7 January 2016.[permanent dead link] "Indian
Public Health Standards (IPHS) Guidelines for Sub-Centres" (PDF).
• Government of India. Retrieved 7 January 2016. "HEALTH INFRASTRUCTURE IN
RURAL INDIA" (PDF). IIT, Kanpur. Archived from the original (PDF) on 4 March 2016.
Retrieved 7 January 2016.