National training strategy - Ministry of Health and Family Welfare

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Matrix of Skills for
Service Provision
National Training Strategy for In-service Training under National Rural Health Mission
Skill up-gradation for improved service delivery
Skill up-gradation is an essential component of in-service training
programmes. The skill up-gradation required varies enormously depending
upon the qualifications of the personnel and the institution where he/she is
working. While the core components will be the same whether it is primary,
secondary or tertiary care institution, there will be substantial variation
in skills required for management of complications. For example core
components of antenatal screening is same at all levels; however women
with severe PIH will be referred to secondary care institutions for further
management and referral to tertiary care institutions will be done if there are
added problems like renal failure. There will also be variations depending
on the services being provided in the institution. For example an MO in an
ordinary PHC may not need skills for performing tubectomy, vasectomy
or MTP; all these will be needed if the MO is working in 24 hour PHC.
Some broad guidelines are available regarding the type of services that
should be provided in different institutions. A matrix has been prepared for
skill required for various personnel in different institutions which could be
used for both training need assessment as well as for identifying potential
trainers and training venues.