10. TRAINING (a) HEALTH AND FAMILY WELFARE TRAINING CENTRES
(Rs. in Lakhs).
Budget Estimates 1992-93
Plan
Revised Estimates 1992-93
Budget Estimates 1993-94
450.00 450.00 450.00 In order to impart inservice training to Staff working at Primary Health Centres, 47 Health and Family welfare Training Centres have been established in the country. The assistance under this includes vehicles, equipment such as dupucator, projector, construction of buildings, contingency for purchase of educational material, maintenance. POL grant for the vehicles, rent and stipend for the trainees besides pay and allowances to the staff. These training centres under-take training of medical and para-medical personnel engaged in delivery of Primary Health Care. They also impart basic training to Health worker (MALE).
(ii) TRAINING OF MPWs (MALE)
(Rs. in Lakhs)
Budget
Estimates 1992-93
Revised Estimates 1992-93
Budget Estimates 1993-94
Plan
250.00
250.00
250.00
The scheme was initiated in the year 1982 to meet the additional demand of Multipurpose Workers (Male) after conversion of the unipurpose worker into multipurpose workers. This is a pre-service training imparted to candidates with minimum qualifications of 10th Pass with duration of training at prcscnt being one year. This training programme was initially sanctioned at 44 HFWTC+3 special schools during the 6th Five Year Plan. As this training capacity is not enough to meet the additional requirement of training 50,000 MPWs(M) during the 7th Five Year Plan, a proposal for opening of 85 new schools was prepared and got approved by Expenditure Finance Committee. 50 of these schools were sanctioned in September, 1987 with an admission capacity of 60 each. Due to constraints of funds, remaining 35 schools could not be sanctioned. (iii) FAMILY WELFARE TRAINING AND RESEARCH CENTRE, BOMBAY
Budget Estimates 1992-93 Plan Non-Plan (Rs. in Lakhs) Revised Budget Estimates Estimates 1992-93 1993-94
15.00 20.00
15.00 21.00
15.00 23.00
The Family Welfare Training and Research Centre Bombay is directly under the administrative control of the Department of Family Welfare. This training Centre is entrusted with imparting training to faculty members of various Health and Family Welfare Training Centres. It also conducts one year Diploma Course in Health Education, provides in service Training in Primary Health Care and integrated Training on National Health for District Health Officer. District Education and Media Officers. ORIENTATION
Budget Estimates 1992-93
TRAINING OF MEDICAL AND PARA-MEDICAL PERSONNEL
(Rs. in Lakhs)
Revised Estiates 1992-93
Budget Estimate 1993-94
Plan
80.00
80.00
80.00
The enormous expansion of health manpower in trie rural areas has necessitated establishment of District Training Centres to work out the calendar of activities of training programme for all categories of workers. These centres set up in-service training programme for MPW(F), MPW(M) and public Health Nurses. Besides, the cost of training programmes for MOS, BEEs and teachers of ANM schools, Promotional training schools and MPW(M) schools is also borne under this scheme.
(v) TRAINING
OF
ANMs/LHVs
IN IUD INSERTIONS
(Rs. in Lakhs) Budget Estimates 1992-93 Plan 500.00 Revised Estimates 1992-93 50.00 Budget Estimates 1993-94 50.00
In view of the importance of the training of the grass root functionaries in the technique of IUD insertions and Oral Pill administration and with a view to increasing the number of facilities right at the door steps of the acceptors, it is essential that proper training and skill development of these grass root workers is re-started as this will go a long way in increasing Family Welfare Programme performance as well as increase the retention rate of IUDs and continuation rate of Oral Pill.
(vi) INVOLVEMENT OF ISM PRACTITIONERS
(Rs. in lakhs) Budget Estimates 1992-93 Revised Estimates 1992-93 Plan 10.00 10.00 Budget Estimates 1993-94 10. 00
Under the scheme, a key organiser, perferably Government ISM aocior is selected who identities 15 to 20 private pracuuoners at each FHCs level. These identified private practitioners in ISM are imparted training in various aspects of Family Wel-fare and Primary Health Care. The initial training for each practitioner is of 3 days duration which is followed by re-orientation training of 3 to 4 days every 3 months. The key organiser who is to travel 5 to 6 days in a month to meet the private practitioners is paid Rs. 150 as fixed T'A during the training. The private practitioners are given Rs. 300 per training spell and also Rs. 25 as per diem during the training period. The scheme is being implemented in two States of Rajasthan and Uttar Pradesh. (vii) ESTABLISHMENT OF LAPARASCOPIC TRAINING SCHOOL AND INVOLVEMENT OF INDIAN MEDICAL ASSOCIATION
(Rs. in Lakhs) Budget Estimates 1992-93 Revised Estimates 1992-93 15.00 Budget Estimates 1993-94 15.00
Plan
30.00
Responding to increase in demand for laparascopic sterilisations in view of its simplicity, 20 laparascopic Training Centres have been set up so far, for imparting training to post-graduate gynae colqgists surgeons in the conduction of Laparascopic sterilisation. Nine more additional centres have been sanctioned in 1991-92. Besides this, training to private practitioners registered with IMA is also imparted to equip them with this technique. After successful completion of training, laparascopes are made available to them at 50 per cent subsidy subject to a maximum of Rs. 30,000. (viii) TRAINING OF ANMs, LHVs DAIS
(Rs. in Lakhs) Budget Estimates Revised 1992-93 Estimates 1992-93 ANMs/LHVs DAIS 1500.00 170.00 1500.00 170.00 Budget Estimates 1993-94 1100,00
There are 476 ANM/TRG. Schools Female Health Worker Training schools (348 schools run by Government and 128 run by voluntary organisations) with an admission capacity of 21620 are functioning in the country. Out of 128 schools run by voluntary organisations, about 45 schools are getting grant-in-aid as per trie approved pattern of assistance. There are 4o Promouonal Training schools with an admission capacity of 3081 are functioning in the country, These msututions are training me required numoer ot ANMs who are required lor the rural area to man me suo-cenues. Against the 1.32 lakh sanctioned posts of AiNMs, uierc are l.2l lakh ANMs in
position having a shortfall of 11000 and also another additional 8000 ANM posts are required to meet the target of 100 per cent required number of sub-centres on the basis of accepted population norm which means there is a shortfall of about 19000. Similarly, against the sanctioned posts of about 24,000 posts of LHVs, there are only about 21,000 LHVs in position having a shortfall of about 3000 posts. During the year 91-92, 5760 ANMs and 839 LHVs have been qualified (information from the major States is vet to be received). During the year 92-93 it is expected that about 15,000 ANMs will qualify (duration of ANM training is 18 months). Majority of the deliveries in the rural areas are conducted by Dais. It is, therefore, essential to train them so as to conduct aseptic deliveries besides improving their skills to enable them to assist in educational aspects of Immunization, MCH and FWP. It was envisaged that each village will have one trained Dai and all untrained Dias will be trained. A scheme of 30 working days training of Dais is conducted at sub-centres and PHCs. During the period of training each Dai is paid a stipend of Rs. 10 per day besides a kit costing Rs. 150 which is given after completion of training. Apart from this, Rs. 3 per case of delivery is given to them. So far about 5.90 lakhs Dais have been trained.