Improving Mobility of Village Health Nurses.ANM - Nipccd
Improving Mobility of Village Health Nurses.ANM - Nipccd
Improving Mobility of Village Health Nurses.ANM - Nipccd
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Project Name:<br />
Format 3: Efficiency and Expandability<br />
Performance Improvement<br />
Community Level <strong>Health</strong> and Nutrition Functionaries<br />
BACKGROUND INFORMATION<br />
Empowering <strong>Village</strong> <strong>Health</strong> <strong>Nurses</strong>: <strong>Improving</strong> their <strong>Mobility</strong><br />
EFFICIENCY OF THE INTERVENTION (COMMUNITY LEVEL HEALTH & NUTRITION FUNCTIONARY)<br />
Efficiency Criteria Numbers<br />
Efficiency Factors<br />
Human Resource The intervention requires driving trainers, 1. Are the people required for improving performance a scarce resource or are they easily available?<br />
Efficiency<br />
preferably women. A team <strong>of</strong> trainers (Qualified and skilled trainers, esp. women are a scarce resource)<br />
over a batch <strong>of</strong> 30 VHNs<br />
2. Does it require involvement/ recruitment <strong>of</strong> people who are not already existing with the programme or<br />
is the resource internally present? (yes. It requires resources not currently in health systems)<br />
3. Is there consistency between human resource competence and the job they are handling? (Nurse<br />
Materials Efficiency Bicycles and moped are provided to the Midwives 1. Has the trainers intervention cannot increased undertake the numbers mobility <strong>of</strong> training) materials with CLHNF? (yes)<br />
VHNs. There is no information whether 2. Has the change in materials with CLHNF reduced the materials load at level above? (There is no<br />
maintenance kits, helmets, etc. were information on this in the available documents)<br />
provided or not<br />
3. Is the CLHNF overstocking or understocking? what is the evidence <strong>of</strong> stock-out with CLHNF? (No<br />
information is available)<br />
Time Efficiency PROD website mentions approximately<br />
seven months for start-up, one month to<br />
train and another one year for results<br />
Technology Efficiency There is no information on this in the<br />
available documents<br />
Financial Efficiency There is no information on this in the<br />
available documents<br />
1. Is it a quick action intervention for performance improvement? (An one and half years intervention<br />
is likely a short-term quick action intervention)<br />
2. Does bringing in this performance improvement take longer time out <strong>of</strong> CLHNF's routine work time? In<br />
other words, did participation in integrating performance improvement techniques hamper CLHNF's work?<br />
(yes , the VHN had to take around one month's time out <strong>of</strong> her work for training. However, it<br />
reduced the time VHN spent commuting)<br />
1. Does the intervention use easily available gadgets and technology? There is no information on this<br />
in the available documents<br />
2. Are the gadgets and technology user-friendly to CLHNFs? There is no information on this in the<br />
available documents<br />
3. Are the gadgets portable? There is no information on this in the available documents<br />
4. Is the technology universally compatible with other gadgets? There is no information on this in the<br />
available documents<br />
5. Are the gadgets energy efficient? Less use <strong>of</strong> non-renewable fuels and scarcely available energy<br />
sources? There is no information on this in the available documents<br />
There is no information on this in the available documents
Sources <strong>of</strong> Information<br />
1. Human Resource Efficiency: PROD Document<br />
2. Materials Efficiency: PROD Document<br />
3. Time Efficiency: PROD Document<br />
4. Technology Efficiency: PROD Document<br />
5. Financial Efficiency: PROD Document<br />
EXPANDABILITY FACTORS<br />
EXPANDABILITY (COMMUNITY LEVEL HEALTH & NUTRITION FUNCTIONARY)<br />
EXPERT GROUP'S COMMENTS SOURCE<br />
Relevance to the existing problem<br />
Is this aspect <strong>of</strong> performance an issue <strong>of</strong> concern at national and state<br />
levels?<br />
Relevance <strong>of</strong> the performance improvement component in current<br />
programs?<br />
Transferability 1. Consistency (pr<strong>of</strong>ile, job responsibilities) between the CLHNF under<br />
study and those with health systems and WCD Department?<br />
2. Is the solution consistent to existing infrastructure and human<br />
resources?<br />
3. Does the solution have multiple and complex components? How easy<br />
is it to transfer?<br />
4. Did the implementation <strong>of</strong> the model face resistance (from the<br />
Robustness<br />
Comment <strong>of</strong> the Expert Group:<br />
Date <strong>of</strong> Review<br />
community, from the health workers', from the workers' union or the<br />
health systems)?<br />
5. What are the groups that are most likely to resist the integration <strong>of</strong> this<br />
technique? Who are most likely to support it?<br />
1. Has this performance improvement technique been tried over a wide<br />
range <strong>of</strong> population? Was it successful?<br />
2. Has this technique been tried in EAG States? What was the success <strong>of</strong><br />
it?<br />
3. How dependable is this technique on political support from highest<br />
<strong>of</strong>fices? Is it sustainable despite political change and change <strong>of</strong> <strong>of</strong>fice<br />
bearers?<br />
4. Are there funds available to initiate it on a larger scale? Are there<br />
financial, technological, material and human resources available to<br />
sustain it at scale?<br />
Expert Group Member's Names:
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