Annual Administrative Report 2010-11 - Department of Health ...

ANNUALreport2011Institute of Health and Family WelfareDepartment of Health and Family WelfareGovernment of West Bengal

From the Director’s DeskThe Institute of Health and Family Welfare (IHFW) is the training wing of the Department ofHealth and Family Welfare, Government of West Bengal. IHFW carries out its activities with aview to improve the knowledge and skill of the providers through conducting different kinds ofhealth related trainings, in situ and in identified training centers since 1995. The institute is inthe process of bringing out its first annual report titled “Annual Report 2011”. This is the firsteffort, ever made, in this direction and reflects its activities in brief, since its inception.The IHFW has a mandate to improve the total effectiveness of health care delivery by impartingknowledge and technical skills at different levels. IHFW has been identified as a CollaboratingTraining Institute between the Department, National Institute of Health and Family Welfare,and the Ministry of Health and Family Welfare, Government of India.It also carries out several related activities such as planning for and conducting research works,development/ modification of training modules, tools for facility assessment with a view toimprove quality etc.In absence of the regular in-position staff, the Consultants serve as an important helping handespecially in monitoring and evaluation of (i) Training Sites for Gap Analysis, (ii) RCHII/ NRHMrelated Training Status and Utilization in the High Focus Districts of the state. Results of suchactivities indicate the need for strengthening the peripheral training institutes, both in terms ofinfrastructure and effective functioning, that are either not used optimally or not at all. IHFWhas submitted reports on the issue to the Department.In fine, the Annual Report not only reflects the activities already carried out but also dwellsupon important future plans. It becomes mandatory to strengthen and augment IHFW in termsof human resource and physical infrastructure in order to commensurate with the increasingscope and load of training.Hope our endeavor will be appreciated. However, any opinion, suggestion for improvement ofthe report will be appreciated and considered thankfully for betterment of future issues.I convey my sincere thanks to all the consultants, staff and also my higher authorities for theirwhole hearted support, cooperation and constructive suggestions.Wish the Institution an everlasting progression.Prof. (Dr.) A. B. BiswasDirectorInstitute of Health and Family WelfareKolkata, West Bengal3 | P a g e Institute of Health and Family Welfare

MessageMESSAGEIt is encouraging to learn that the Institute of Health & Family Welfare (IHFW),Department of Health & Family Welfare, Government of West Bengal, is publishing an“Annual Report 2011”. This is the first effort of its kind. The Institute also plans topublish similar reports in future.The “Annual Report 2011” not only reflects the achievements since its inception,i.e. 1995, but also projects its future plans.I wish the effort a grand success.4 | P a g e Institute of Health and Family Welfare

MessageMESSAGEIt is a great pleasure to learn that the Institute of Health & Family Welfare,Department of Health & Family Welfare, Government of West Bengal is going to publishan “Annual Report – 2011” for the first time.The Institute of Health & Family Welfare is the Collaborating Training Institute ofthe National Institute of Health & Family Welfare, New Delhi and has been playing agreater coordinating role in the RCH-II/ NRHM related trainings. The Institute hasalready expanded its activities in terms of introducing additional trainings. It is alsoconducting research work on several health related issues, the outcome of which will beof immense help to the Department of Health & Family Welfare to take steps forbetterment of the health related services of the community.The report includes the activities of the Institute since its inception which will beof immense help for the users.The efforts to inform the public on its activities through the Annual Report –2011 is commendable and I wish this endeavour a great success.5 | P a g e Institute of Health and Family Welfare

ContentsOverview of the Institute 09History 09Mission and Vision 10Organogram 11Governing Body 11National Collaboration 12• Role of IHFW as a CTI to the NIHFWOperational Structure 13Human Resource 13Physical Infrastructure 14Facilities 15Activities 15• In-service Trainings• Monitoring• Research• PublicationsPerformance Review 30Summary of Accomplishments 30Way Forward 41AnnexureList of Governing Body Members 43List of Administrative and Financial Sub-Committee Members 447 | P a g e Institute of Health and Family Welfare

AcronymsANCANMASHAAWWBMOHCMOHCTIDHDTCFRUGNMGoIGoWBH&FWMOMOHFWNGO(s)NRHMPDCPHCPIPRCHRHFWTCSCSDHSTGTOTWBWBHSWBMESAntenatal CareAuxiliary Nurse cum MidwifeAccredited Social Health ActivistAnganwadi WorkerBlock Medical Officer of HealthChief Medical Officer of HealthCollaborating Training InstitutionDistrict HospitalDistrict Training CenterFirst level Referral UnitGeneral Nursing cum MidwiferyGovernment of IndiaGovernment of West BengalHealth and Family WelfareMedical OfficerMinistry of Health and Family WelfareNon-governmental Organization (s)National Rural Health MissionProfessional Development CoursePrimary Health CenterProgramme Implementation PlanReproductive and Child HealthRegional Health and Family Welfare Training CentreSub CenterSub-District / Sub-Divisional HospitalStandard Treatment GuidelinesTraining of TrainersWest BengalWest Bengal Health ServicesWest Bengal Medical Education Services8 | P a g e Institute of Health and Family Welfare

Overview of the InstituteHISTORYThe “Institute of Health and Family Welfare” was established in the year 1994 and has beenoperational since 1995.This Institute was built in Kolkata with financial support of the WorldBank assisted IPP-IV Project. And it was handed over to the Department of Health andFamily Welfare, Government of West Bengal in 1994. The Institute functions as anautonomous body under the Department of Health and family Welfare, Government ofWest Bengal.The Institute’s objective since its foundation has been:A. To organize training program for state, district and block level officers;B. To train trainers from Health and Family Welfare Training Centers, Rural TrainingCenters and Training Schools for Auxiliary Nurse cum Midwives (ANMs);C. To conduct training need assessment surveys, design new training programs andprepare training material;D. To evaluate effectiveness of training at various levels in coordination with othertraining organizations;E. To conduct applied and operations research in clearly identified areas;F. To disseminate knowledge generated through publications and seminars;G. To work in collaboration with other institutions in West Bengal interested ontechnical and management issues related to health and family welfare.A portrayal of all the activities of the IHFW is detailed in the subsequent sections.9 | P a g e Institute of Health and Family Welfare

MISSION AND VISIONMISSIONTo act as think tank, catalyst & innovator formanagement of public health and related healthand family welfare programmes by pursuingNational Health Policy prescribed under thevarious five year plans of the Government, withthe aim to reach out health for all by 2020.IHFW is to be seen as an apex technical instituteof the state of West Bengal, mainly funded by theMinistry of Health & Family Welfare, Governmentof India, for promotion of health & family welfareprogrammes in the state through education,training, research, evaluation, consultancy andspecialized health care services.VISION10 | P a g e Institute of Health and Family Welfare

ORGANOGRAMThe governance structure of Institute of Health and Family Welfare as formulated during itsfoundation is depicted below.GoverningBodyAcademic &Technical SubcommitteeDirector -SecretaryAdministration& Finance SubcommitteeUnits/DepartmentsFacultyGOVERNING BODYThe governing body is the apex board under which the IHFW functions. The members meetannually to review the progress and functioning of the institute. A report on variousactivities for the entire year along with the financial report is presented to the corecommittee of the governing body for assessment and decision.11 | P a g e Institute of Health and Family Welfare

NATIONAL COLLABORATIONGovernment of India has identified National Institute of Health and Family Welfare (NIHFW)as the nodal institute for National Rural Health Mission (NRHM)/ Reproductive and ChildHealth II (RCH II) trainings.NIHFW is engaged in monitoring of ongoing training activities in all the states, ensuring thequality of training, conducting training of health care providers with the support of 18Collaborating Training Institutions (CTIs) identified by it in the country.IHFW is the CTI of NIHFW for the state of West Bengal. As a CTI the IHFW is responsible forcoordination of all the NRHM/ RCH II related trainings conducted in West Bengal, capacitybuilding and monitoring of identified training institutes and master trainers of the state.Role of IHFW as a CTI to the NIHFW• To act as liaison between the State, NIHFW and MOHFW for implementation andcoordination of Comprehensive Training Plan (CTP).• Develop and maintain database for all types of trainings conducted under NRHM.• Accreditation of new training institutions based on guidelines through andcoordination with other agencies involved in the training related to health at thestate level.• Prepare action plan for implementing the state training plan in coordination withthe State Training Department / State Training Coordinator.• Help and support the identified training institutes to prepare curricula for eachtype of training to be conducted.• Ensure availability of training materials (develop modules/ manuals as required).• Capacity building of (TOT) trainers with the help of NIHFW.• Monitor all types of training with help of related state level officials.• Ensure quality during the training program.• Submission of periodical progress reports, obtain feedback from NIHFW and takefollow up action accordingly.• Help state in preparation of Programme Implementation Plans (PIPs).• Completion of Professional Development Course (PDC,) if allotted.• Coordinate with and support NIHFW in national level Training, Research andMonitoring.12 | P a g e Institute of Health and Family Welfare

Operational StructureThe institute is housed alongside the Department of Health and Family Welfare of thestate, Swasthya Bhawan. It functions as the apex training institute for all the trainingsbeing conducted in the state. Entire functioning runs under the supervision of theDirector of IHFW. He is assisted by the teaching faculty, consultants, administrativeofficer and other subordinate officers. The policies, regulations, budget etc areregulated and reviewed periodically by the Governing body.HUMAN RESOURCEStaff at IHFW is a mix of regular, contractual and outsourced employees. The regularposts are under the West Bengal Medical Education Service (WBMES).Teaching Faculty• Director• Professor• Associate Professor• Assistant ProfessorSanctioned Disciplines: Community Medicine, Paediatrics, Obstetrics andGynaecologyAdministration and Finance• Administrative Officer• Cashier• Office Assistant, Junior Assistant, Library Assitant• Junior Assistant cum typist, Group D (Attendant - office & hostel)RCH II/ NRHM staff sponsored by NIHFW, New Delhi• Consultants (Medical, Paediatrics, Community Medicine, Research Officer)• Technical Staff (Personal Assistant, Accounts and Computer Assistants)Outsourced Staff• Housekeeping and Security13 | P a g e Institute of Health and Family Welfare

Seven teaching posts for IHFW have been sanctioned by the Department of Health andFamily Welfare, GoWB to augment the academic functioning of the institute. Except forthe post of Professor (Community Medicine), all other regular posts of WBMES remainvacant till date.PHYSICAL INFRASTRUCTUREThe institute operates in a three storied building located adjacent to the Department ofHealth and Family Welfare, GoWB. The entire campus is spread across six acres of landin the heart of the city.The institute at present has one conference hall and two well equipped seminar hallswith capacity of 40 and 25 each respectively. In addition there is a computer laboratoryhaving 18 computers with internet facility. There are only two rooms available toaccommodate faculties and consultants.Computer Laboratory, IHFWOwing to increasing demand of trainings and space constraint, two new large seminarhalls along with two faculty rooms have been constructed on the second floor. Those14 | P a g e Institute of Health and Family Welfare

are planned to be furnished with state of the art audio-visual teaching aids such asinteractive board, conference system etc.FACILITIESLibraryThe Institute, with help of NRHM, is trying to develop its own library.HostelThe Institute has boarding and lodging facilities for trainees and guests. It canaccommodate about fifty two persons at a time. It is a two storied building housedinside the campus of the institute. It has a mix of single, double and triple bedded rooms(both AC and non AC). The canteen is located in its ground floor. It is an outsourcedservice. Food and accommodation are available at reasonable rates.ACTIVITIESOver the years the IHFW has been very active in various activities such as conductingvarious trainings, monitoring, developing guidelines etc. The training performance hasnot only been voluminous but also continuously improving quality and skills.The ongoing STG Project and Medical Teachers Training being implemented throughoutthe state have created an unprecedented history. IHFW has been attaching morerational approach towards the Skilled Attendant at Birth (SAB) training of the state withscientific reallocation and decentralization of such trainings amongst several MedicalColleges and Institutions as far as practicable. Capacity building amongst the health careproviders in conducting safe delivery and providing new born care through this trainingis an essential prerequisite for reduction of Maternal Mortality Ratio (MMR), InfantMortality Rate (IMR) and Neonatal Mortality Rate (NMR).Some of the best performance trainings in the current year have been cited as follows:1. Medical Teachers’ Training2. Induction Training3. STG Project Oriented Training4. Administrative and Financial Skill Training for various cadres15 | P a g e Institute of Health and Family Welfare

5. Training of newly appointed Assistant Superintendents (non-medical) onAdministrative and Medico Legal issues.6. Training of Trainers, under NRHM/ RCH II for SBA and IUCD (Alternative Method)7. Disease Control Trainings:a. Malariab. Integrated Training for control of Acute Diarrhoeal Diseases, Vector BorneDiseases and Leprosy8. Distance Learning Training on Post Graduate Certificate Course in Health andFamily Welfare Management.Besides, trainings are getting enriched with publications of training guides, handbooks,project work and proper evaluation of all trainings, with follow up activities.The institute’s website ( www.ihfwkolkata.org ) has training modules’ information,articles etc for knowledge sharing.Enlisted below is a snap shot of the various activities of IHFW:1.INSERVICETRAININGS2.MONITORING3.RESEARCH4.PUBLICATIONI. INSERVICE TRAINING PROGRAMSThe institute has organized a large number of various types of in-service trainings inhealth care since its inception.Details of Trainings conducted at the training instituteA. Medical Teachers’ TrainingTeachers of Medical Colleges functioning under the West Bengal Medical EducationServices cadre are given this training.16 | P a g e Institute of Health and Family Welfare

The Directorate of Medical Education, Department of Health and Family Welfare,GoWB along with the IHFW, after appreciating the need of the teachers to undergoformal training in, had started this training course in this Institute since 2009. Thedeveloped reference materials i.e. a handbook and power point presentations areshared with the participants during training and are also available on the institute’swebsite.The aim of this short course is not only to improve the pedagogical skills of medicalteachers but also to expose them to various novel aspects of teaching – learningprocess that have evolved in recent years.Category TrainedDuration: Medical Teachers of different Medical Colleges (Professor,Assistant Professor, Associate Professor etc)(RMO cum Clinical Tutors to be introduced from 2012): 6 daysB. Induction TrainingThe Induction training involves orientation and training of the newly recruitedmedical officers under WBHS as an initial preparation for taking up the clinical aswell as administrative responsibilities in the place of his/her posting. The goal is toorient them about the government rules, regulations, working environment,responsibilities and associated factors.In accordance with the resolutions adopted in the Governing Body meeting, allnewly recruited medical officers under the WBHS are regularly getting this trainingfrom IHFW. The institute had performed and made a fair progress in this regard asper the target endorsed by the Health and family Welfare Department’s recruitmentlist.Category TrainedDuration: Medical Officers (MOs), Block Medical Officer of Health(BMOHs), Additional Medical Officers (AMOs): 12 days (for MOs, BMOHs)6 days (for AMOs)17 | P a g e Institute of Health and Family Welfare

C. Administrative & Financial Skill Development TrainingsThis training is intended to orient and develop the administrative and financial skillsof medical personnel under Department of Health and Family Welfare, GoWB.Category TrainedDuration: Principals of Medical Colleges, Medical Superintendent cumVice Principals (MSVPs), Deputy DME, Additional DME, OtherAdministrative Officers, ACMOH: 3 days (for ACMOH)6 days (for others)D. Training on Administrative and Medico-Legal IssuesCategory TrainedDuration: Newly Recruited Assistant Superintendents (non-medical): 3 daysE. Standard Treatment Guidelines(STG) Project Oriented TrainingsStandard Treatment Guidelines are systematically developed statement designed toassist the providers and their clients in making decisions about appropriate health carefor specified clinical circumstances. A document has been developed by the Departmentof Health and Family Welfare for use of the Medical Officers working at the PrimaryLevel Health Care Facilities and was piloted in two districts of West Bengal (North 24Paraganas and South 24 Paraganas) in 2009. And since 2010 it was further scaled upother districts of the state.(i)Training of Facility Heads on the implementation of STGCategory TrainedDuration: Facility Heads of PHC/ BPHC/ RH(CHC): 2 days18 | P a g e Institute of Health and Family Welfare

(ii) Training of District and Sub Division level monitoring officers as assessors of facilityin service Quality AssuranceAn Operational Manual has been prepared for facility assessment. The Deputy CMOHs(I)of the districts have been identified as Nodal Officers to lead the programme at thedistrict level. An essential drugs and equipment list has been prepared based on theSTG, which have been adopted by the Department of Health and Family Welfare, GoWB.Category TrainedDuration: MOs to act as assessors of facility for ensuring Quality Servicebased on Operational Manual: 2 days(iii) Orientation of Data Entry Operators (DEO)Orientation of DEOs have been imparted for assisting the CMOH in data entry,analysis and suggesting follow up action as per Operational Manual.Category Trained : DEOsDuration: 1 dayRCH TRAININGSA. Training of Trainers on Skilled Attendance at Birth (TOT on SBA)The trainings have been carried out in a cascade pattern.Category Trained : G&O Specialists and Paediatric SpecialistsDurationCategory Trained: 2 days: Medical Officers and Nursing StaffDuration : 5 daysB. ToT on IUCD (Alternative Methodology in IUCD services)Category TrainedDuration: Dy. CMOHs, DMCHO, DPHNO, Specialists, MOs (G&O), Nursingpersonnel: 5 days19 | P a g e Institute of Health and Family Welfare

DISEASE CONTROL TRAININGSA. Integrated Training on Leprosy, Vector Borne diseases & Acute DiarrhoealDiseasesGuidelines on “Management of Diarhhoea in Children”, for Medical Officers as wellas for indoor Nursing personnel have been developed.Category TrainedDuration: Medical Officers: 5 daysB. Training of MOs of Kolkata Municipal Corporation(KMC) on MalariaCategory TrainedDuration: Medical Officers of KMC: 2 daysDISTANCE LEARNING PROGRAMMESA. One Year Certificate Course In Health and Family Welfare ManagementB. One Year Certificate Course In Hospital ManagementOwing to the growing recognition of the need to provide management education todoctors, nurses etc, NIHFW and a few other state training institutions have beenorganizing the above short term in-service courses. IHFW is the study center for easternzone and is responsible for the contact programmes, as per directives of the NIHFW.OTHER TRAINING ORIENTATIONS / WORKSHOPS/ SEMINARSIn addition to the above mentioned regular training programs, IHFW had beenorganizing a host of disease control programs, workshops, seminars on different healthtopics co-organized with the Department of Health & Family Welfare, GoWB/ MoHFW,20 | P a g e Institute of Health and Family Welfare

GOI/ Development Partners since its inception. Some of such training orientations /workshops/ seminars are enlisted below:• Study Visit of Parliamentary Delegation of Vietnam to Kolkata, West Bengal• Disease Control Programso Malariao Diarrhoeao Kala Azaro H1N1o Japanese Encephalitis• Disaster Management• Ethical Practice in Pharmacology (WHO sponsored)• Training on Central Board of Health Intelligence (CBHI) (with MoHFW, GOI)• Skill up-gradation on various specializations under State Health SystemDevelopment Project II• New born care, BEmOC, CEmOC trainings were conducted in various DistrictHospitals and Medical College Hospitals.NEW TRAININGS PLANNED TO BE COMMENECED FROM YEAR 2012 Training of Program Officers/ Medical Officers on Prevention and Control of Arsenicosis Management of Snake Bite Orientation for Assistant Superintendents (non-medical) on:~ Janani-ShishuSurakshaKaryakram (JSSK) Programme~ RogiKalyanSamiti (RKS)~ Training on Condemnation of articles Sensitization Workshop on NRHM for CMOHs/ Program Officers, GoWB21 | P a g e Institute of Health and Family Welfare

Study Visit of Parliamentary Delegation of Vietnam to Kolkata, West Bengal,December 201122 | P a g e Institute of Health and Family Welfare

MEDICAL TEACHERS TRAININGObjectiveMedical teachers usually take up the teaching profession without undergoing formaltraining in the technique of teaching prior to their posting as medical teachers and theyvery often find themselves handicapped while imparting training.Teachers have, over a period of time, desired to undergo a suitable training course andlooked for a document to fall back upon as a handy reference material at the time of need.The training and the reference material will help the medical teacher in enhancing theirteaching skill.Appreciating the need the Directorate of Medical Education in collaboration with theInstitute of Health and Family Welfare has developed a six days’ training course onEducation Science Technology for Medical Teachers and is carrying out the said trainingsince July 2009.A hand book has been developed for medical educators containing medical teachers’training course, principles of Medical Education, Research and Technology. This documentis a compendium of the hand outs that were used during the training. The handouts have23 | P a g e Institute of Health and Family Welfare

undergone several revisions and fine tuning over time. The compendium is so designed thatit not only is useful for the medical teachers but also for all who are engaged in impartingknowledge to their students in any stream. It serves as a tool for self improvement.Enhancement in the pedagogical skills of the teachers will directly benefit the studentswhich in turn will have a long term impact on the quality of medical education in the state.Teachers who are Assistant Professors, Associate Professors and Professors have beenincluded in the training. From twenty fifth batch of training the RMO cum clinical tutors willalso be included.Hard copies of the hand book are being shared with the trainees at the time of training. It isalso available in the website of the institute i.e.www.ihfwkolkata.orgAchievement till dateTwenty four batches of teachers from all the medical colleges have undergone training thedetails of which are reflected hereunder.NAME OF THE MEDICAL COLLEGESPARTICIPANTS(till December 2011)1 Medical College,Kolkata 522 IPGME&R Kolkata 613 Calcutta National Medical College 584 N.R.S. Medical College 595 R.G.Kar Medical College 636 BankuraSanmilani Medical College 397 North Bengal Medical College 508 School of Tropical Medicine 209 Burdwan Medical College 5510 Midnapore Medical College 4011 Dr.B. C Roy PG Instituteof Paediatric Sciences 512 Department of Health & Family Welfare, GoWB 313 Institute of Medical Science & SUM Hospital 114 College Of Medicine &SagoreDutta Hospital 115 Bangur Institute of Neurosciences & Psychiatry (BIN) 116 Murshidabad Medical College 117 Regional Institute of Ophthalmology (RIO), Kolkata 6TOTAL 51524 | P a g e Institute of Health and Family Welfare

STANDARD TREATMENT GUIDELINESThe Standard Treatment Guidelines (STG) are systematically developed statement designedto assist the providers and their clients in making decisions about appropriate health carefor specified clinical circumstances. In order to streamline treatment at the Primary HealthCare facilities, the IHFW steered the development of a Draft STG and guided its piloting inthe districts of North and South 24 Paraganas from July to December 2009. Activities underthe pilot were reviewed on March 2010 in a state level meeting under the chairmanship ofthe Additional Chief Secretary and in presence of the Honorable Health Minister of WestBengal.Steps initiated by IHFW1. Development and printing of the Revised Edition of the STG in January 2010 andimparting training with the help of the document.2. Facility assessment for gap identification and adoption of corrective measures with thehelp of the Operational Manual developed for facility assessment. The primary objectiveof introduction of STG is to standardize treatment, infrastructure, human resources,capacity building, and supply of logistics and develop good prescription practices withthe overall objective to improve the quality of services at the primary level health carefacilities of the state. IHFW revised the “Operational Manual” used during the pilot. Theoperational manual is a tool used to identify gaps for adoption of corrective measures atfacility, district and state level. Monitoring officers were trained in the technique offacility assessment and Data Entry Operators in data management. Faculty membersfrom the department of Community Medicine and Pharmacology assisted in the facilityassessment during the pilot.25 | P a g e Institute of Health and Family Welfare

3. Training of facility heads of four Phase I districts, and training of monitoring officers anddata entry operators of all the districts have been completed.4. Training of facility heads of the remaining twelve Phase II districts. Facility heads of thePhase II districts are in progress since March 2011. One faculty member either from theDepartment of Pharmacology or Community Medicine of Kolkata based medical collegeshave been identified for each of these districts to assist the Chief Medical Officer ofHealth in organizing the training sessions for the facility heads.TimelinePilot Phase : June – December 2009Phase I : June 2010 – August 2011Phase II : June 2011 – March 2012Publication and Sharing of the Second Edition of STGThe second edition of STG was released by IHFW in February 2011. Complimentary copiesof the guidelines have been shared with all the state level programme officers, contributors,libraries of medical colleges of the state and trainees. The documents and power pointpresentations can be accessed through the institute’s website also.26 | P a g e Institute of Health and Family Welfare

II.MONITORINGAs a responsibility of CTI, the Consultants attached to IHFW under the RCH-II/ NRHM(sponsored by NIHFW) periodically visit the districts for monitoring. Monitoring isconducted as per the directions, guidelines and tools laid down by NIHFW, preparedin consultation with the MoHFW, GOI.A. Assessment of Training Sites for Gap AnalysisThis included identification and monitoring of various training institutes in WestBengal. A total of 37 training centers in the following categories were covered insixteen districts of the state.• Auxiliary Nurse Midwives Training Center (ANMTC)• Health and family Welfare Training Center (HFWTC)• Rural Training Center (RTC)The reports were shared with NIHFW. The NIHFW has compiled the reports andsent to the IHFW. The compiled report has been shared with State HealthAuthorities for taking necessary follow up action.B. Assessment of the RCHII/ NRHM related Training Status and Utilization in theHigh Focus DistrictsAs per the directives of MoHFW, GOI and NIHFW, the consultants were orientedand given the task to monitor training status on RCH issues in the High FocusDistricts (HFDs) of West Bengal. For WB the following six districts have beenidentified:a. Cooch Beharb. Jalpaiguric. DakshinDinajpurd. Bankurae. Puruliaf. Birbhum27 | P a g e Institute of Health and Family Welfare

The objective is to identify gaps and suggest means for improvement at thefacility, district and state level, and to convey the proposal to NIHFW seekingtheir guidance.The facilities/areas covered included:• State level planning and training activities• District level planning and training activities• Healthcare Facilities at district levelo District Hospital;o First level Referral Unit;o Primary Health Centers (24x7); ando Sub- centersThe activity has been completed and the reports have been sent to the NIHFWfor compilation and views. The reports have also been shared with State HealthAuthorities for taking necessary follow up action.III.RESEARCHCurrently the Institute is conducting a research study on “Status of Birth Preparednessand Complication Readiness” in Bankura and Uttar Dinajpur, West Bengal, with financialsupport from NRHM – Data collection has been completed in both the districts, dataanalysis is going on and report is expected to be submitted soon.IHFW is also assisting in research study on “Evaluation of training outcome onDiarrhoea Case Management” in Nadia district of West Bengal, under NRHM.The Institute is assisting and evaluating many other research activities.28 | P a g e Institute of Health and Family Welfare

IV.PUBLICATIONSThe IHFW in its endeavor to improve the quality of the health care delivery and relatedtrainings has guided the development and publication of several documents, shownbelow.STANDARDTREATMENTGUIDELINES2011&OPERATIONALMANUALSTANDARDTREATMENTGUIDELINES2010&OPERATIONALMANUALHANDBOOK FORMEDICAL EDUCATORSMEDICAL TEACHERSTRAINING COURSEOther Guidelines being developed by IHFW in collaboration with the Department ofHealth and Family Welfare, GoWB include:• Guidelines for Management of Diarrhoea in Children for Medical Officers working atDistrict/ Sub-District level, 2011• Guidelines for Management of Diarrhoea in Children for Nursing Personnel Working atIn-patient Department• Field Guide and Participant Handbook for Detection, Management and Surveillance ofArsenicosis cases.29 | P a g e Institute of Health and Family Welfare

Performance ReviewSUMMARY OF ACCOMPLISHMENTSYear 2011In the year 2011, IHFW had organized and conducted a gamut of trainings across national,state and district level. They can be broadly specified into categories like: trainings onNational Health Programmes, Medical teachers’ training, administrative and financial skilldevelopment of various cadres of staff employed in the government set up, implementationof STG for the state etc. Many seminars, workshops, state level meetings and study visitswere hosted as well.Total Load versus Total Trained - 2011Other trainings & workshops etcTotal Load = 3052871894%All Regular Trainings140084662%Total Load = 2246Total TrainedBacklogAchievement (in %)of participationover load30 | P a g e Institute of Health and Family Welfare

The graph below represents the training names conducted in the calendar year 2011 andtheir respective training achievement in numbers.P.G. CertificateCourse of Health &Family WelfareManagement , 25Malaria Trg, 119OtherTrgs, workshopsetc, 287SBA (ToT), 56IUCD (ToT), 86STG (at IHFW), 45Teachers Trg, 163Induction Trg, 126IntegratedTrainingLeprosy, VectorBorne diseases& ADD, 237 Trg on onlinereporting of HMISand MCTS, 24STG (Districtlevel), 327Administrativeand FinancialSkillDevelopmentTraining, 91Trg on MedicoLegal Issues inHealth Care, 101SYNOPSIS OF SOME OF THE MAJOR TRAININGS - 2011INDUCTION TRAININGAchievement (participation)Year 201165%Total TrainedBacklog61Achievement (in %)of participationover load68% 48% 112% 44% 92% 48% 44%1148 13281417 121122313 1412 11March June July August September November December Year 201131 | P a g e Institute of Health and Family Welfare

INDUCTION TRAINING 2011Batch wise District ParticipationMarch June July August September November December Year2011Training Load* 25 25 25 25 25 25 25 175Total Trained 17 12 28 11 23 12 11 114Achievement 68% 48% 112% 44% 92% 48% 44% 65%(in %)Number of Participants - District wiseBankura 0 1 2 0 2 2 1 8Barddhaman 0 0 2 0 1 0 0 3Birbhum 2 0 0 0 1 0 0 3Darjiling 0 0 2 0 2 0 0 4Howrah 3 3 2 0 0 0 1 9Hoogly 3 2 2 2 2 2 2 15Jalpaiguri 0 0 2 2 2 0 1 7Koch Bihar 3 0 1 0 0 0 0 4Maldah 0 0 2 2 1 2 2 9Purba0 1 1 0 2 1 1 6MedinipurPaschim0 3 0 0 1 0 0 4MedinipurMurshidabad 0 0 3 2 1 0 1 7Nadia 3 0 0 0 2 1 0 6North24-3 2 2 2 2 0 2 13parganasPuruliya 0 0 2 0 0 0 0 2South24-0 0 1 1 2 0 0 4ParganasUttar Dinajpur 0 0 2 0 2 2 0 6Dakshin0 0 2 0 0 2 0 4Dinajpur*Per batch size = 2532 | P a g e Institute of Health and Family Welfare

INTEGRATED TRAINING ON VECTOR BORNE DISEASE CONTROLPROGRAMME, ACUTE DIARRHOEAL DISEASES AND LEPROSYBatch wise District ParticipationDate June July August September October November DecemberTraining Load* 50 100 50 75 25 50 50 400Total Trained 26 46 41 45 20 27 32 237Achievement(in %)Year201152% 46% 82% 60% 80% 54% 64% 59%Number of Participants District wiseBankura 1 4 3 0 2 0 4 14Barddhaman 0 0 3 0 2 2 1 8Birbhum 2 0 4 0 0 0 1 7Darjiling 4 0 0 0 0 0 0 4Howrah 0 6 3 4 1 0 2 16Hoogly 0 4 2 3 1 4 0 14Jalpaiguri 3 3 5 3 2 2 2 20Koch Bihar 2 0 0 0 1 0 1 4Maldah 4 0 6 7 2 3 4 26PurbaMedinipurPaschimMedinipur0 5 6 5 0 1 0 170 8 0 6 2 2 4 22Murshidabad 5 0 1 3 0 0 2 11Nadia 0 3 4 2 1 2 2 14North24-parganas0 3 4 9 0 0 3 19Puruliya 0 4 0 0 3 3 0 10South24-Parganas0 0 0 0 0 3 2 5Uttar Dinajpur 0 6 0 0 0 5 4 15Dakshin5 0 0 3 3 0 0 11Dinajpur*Per batch size = 2533 | P a g e Institute of Health and Family Welfare

VBDCP, ADD & LEPROSY TRAINING 2011Achievement (participation)Year 2011Year 201123716359%December462961%November131252%October20 580%September453060%August41982%JulyJune2646245452%46%Total TrainedBacklogTRAINING OF TRAINERS ON SKILLED ATTENDANT AT BIRTH – district levelMonthTrainingDuration(in days)Districts(s)Training LoadActualParticipationAchievementin %(participation)February 5 Maldah 10 10 100%March 2MaldahMurshidabad10 7 70%August 2 PurbaMedinipur 10 9 90%5 Murshidabad 10 10 100%November 2 Howrah 10 4 40%2 Murshidabad 10 6 60%December 5 Howrah 10 10 100%Year 2011 70 56 80%*Per batch size = 1034 | P a g e Institute of Health and Family Welfare

TRAINING OF TRAINERS ON IUCD – district levelTraining Load versus PartcipationTotal Trained, 86Backlog, 14District wise PartcipationMaldah16%Purba Medinipur18%Murshidabad18%Koch Bihar15%Kolkata9%Purulia24%35 | P a g e Institute of Health and Family Welfare

The Progress over the years – before 2011A comparative chart of performance of the major trainings in the last three financial years isgiven below.Performance Report for the Last 3 Financial Years0 50 100 150 200 250 300SAB (ToT)Administrative & Financial Skill Trg for nonmedicalAsst. Supers254774109Administrative & Financial Training forAMOsInduction Trg for MOs/BMOHsSTG72173112144130163229255IUCD (ToT)5474Medical Teachers Trg174238Pandemic Influenza Trg55Kalaazar Trg12Workshop on H1N1Workshop on W.B Health Scheme for MSVP/Supers43103Malaria TrgCertificate Course of H&FW ManagementCertificate course in Hospital Management272221712008-2009 2009-2010 2010-2011Note: List is not exhaustive36 | P a g e Institute of Health and Family Welfare

STATEMENT OF VARIOUS TRAINING PROGRAMMES OVER THE YEARSTraining Year NumberofBatchesActualnumber ofParticipantsNumber of ParticipantsProposedAGT 1998 - 99 5 115 125HOUSE-HOLD SURVEY 2000 - 01 1 15 15PNDT 2003 - 04 3 72 105COMMUNICATION 2001 - 02 5 87 1002002 - 03 7 106 240CERTIFICATE COURSE 2005 - 06 1 22 22HOSPITAL2005 - 06 1MANAGEMENT 2007 - 08 1MANAGEMENT 2001 - 02 6 127 2102002 - 03 18 324 6302003 - 04 3 79 105IST (MO) 2004 - 05 8 80 80CME (Workshop) 2004 - 05 1 20MAINSTREAMING 2005 - 06 4 97 100GENDER ISSUEADMINIS-TRATIVE TRG. 2005 - 06 1 24 24FOR WBPHAS CADRENLEP PROGRAMME 2005 - 06 1 18 181998 - 99 3 35 902001 - 02 4 83 1202002 - 03 4 104 120INDUCTION TRG7-DAYS ORIENTATIONTRG.PROG. ONBEmOC& SBA FOR G&OSPECIALISTSORIENTAIONPROGRAMMEON PUBLIC HEALTHTRG. OF DISTRICT PMUSTAFFANAES-THESIST TRG.PROG. FOR LIFE SAVINGADMINISTRATIVETRAINING FOR2003 - 04 7 138 2802004 - 05 20 448 6002005 - 06 12 272 3602008 - 09 15 294 4502006 - 07 1 4 42006 - 07 1 22 252006 - 07 1 45 542006 - 07 2 10 102005 - 06 1 15 1537 | P a g e Institute of Health and Family Welfare

MEDICAL OFFICERSOF WBPH&AS CADRE2-DAYS ORIENTATION 2006 - 07 16 420 480TRG.PROG. ONBEmOC& SBA FOR G&OSPECIALITSTSSAB for Staff Nurse 2006 - 07 18 244 3702007 - 08 43 1028 1180TRG.PROG. FOR SICK 2006 -07 12 69NEW BORN CARE UNITNATIONAL LEVEL 2006 - 07 1 29 29ORIENTATIONTRAINING AT STATELEVEL TRAINERS OF SBATRAININGONMORBIDITY &MORTA-LITY CODINGUSING ICD-102006 - 07 1 45 54WORKSHOP ONDISSEMINATION OFQUALITY ASSURANCEMANUALS ORSTANDARDTRAINING PROG. ONNEWLY RECRUITEDBMOH UNDERWBPH&AS CADRE2006 - 07 1 32 322007 - 08 3 109 110TRAINING PROG.ACMOH FORWBPH&AS CADRE2007 - 08 6 142 1521 YR. POST GRADUATECERTIFICATE COURSE INHEALTH & FAMILYWELFAREMANAGEMENTTHROUGH DISTANCELEARNING AT KOLKATA2007 - 08 2 10 2038 | P a g e Institute of Health and Family Welfare

ADMINISTRATIVE &FINANCIAL TRG. OFPRINCIPAL & MSVP &JT. DME, ASST. DME,DY. SUPDT., ASSTT.SUPDT. OF ALLMEDICAL COLLEGES &HOSPITAL2007 - 08 5 80 87STANDARD TRAININGPROTOCOLSTANDARD TRAININGPROTOCOL(WORKSHOP)2008 - 09 14 255 3502008 - 09 9 224 -SAB (NEW) 2008 - 09 20 115 240IUCD 2008 -09 4 44 80INDUCTION TRAININGFOR ADDITIONAL2008 – 09 9 173 200MEDICAL OFFICERS’TEACHERS’ TRAININGPROGRAMME2009 - 10 9 176 186VECTOR BORNEDISEASE PROGRAMME2007 -08 46 599 678Note: List is not exhaustive39 | P a g e Institute of Health and Family Welfare

Way ForwardThe Government of India has made it necessary for every state to have a strong network oftraining institutions with State Institute of Health and Family Welfare (SIHFW) as an apexinstitution in the state for providing technical, administrative guidance and leadership totraining for the health professionals in the state. The SIHFW is expected to be supported atthe district level by District Training Center (DTC) and Auxiliary Nurse cum Midwife TrainingCenters (ANMTCs). The national training strategy for NRHM 2005 – 12 has clearly stated thecritical role of SIHFW in designing, delivering and monitoring of in-service training programsfor the states in order to improve the total effectiveness of the health care delivery system.Thus it becomes mandatory for the Department of Health and Family Welfare to strengthenand augment the Institute of Health and Family Welfare in terms of Human Resource(academic and administrative staff), Physical Infrastructure and content of Academic/Training Curriculum. This is also applicable in case of the peripheral training centers.As far as infrastructure is concerned the original accommodation constructed for IHFW hasbeen distributed to other departments and IHFW is deprived of ideal requirement ofaccommodation. The basic requirements of Academic/ Training and administrativeaccommodation should commensurate with the scope of training which is increasing day byday.As a result of the above inadequacies, the IHFW/CTI Kolkata has been performing much lessof activities than it is expected to. In order to improve its performance in future thefollowing steps are proposed to be/ being planned:I. ROLE CLARITY• The CTI will act as a link between the State, NIHFW and MOHFW for theimplementation and coordination of Central Training Plan in the State withthe State Training Department/ Officers. Proper guidance and comprehensiveinstructions from MoHFW to the State Health Departments, for linkingIHFW/CTI with other training institutes of the state is an importantprerequisite in this regard.40 | P a g e Institute of Health and Family Welfare

II.AUGMENTATION AND UPGRADATION OF HUMAN RESOURCE AND PHYSICALINFRASTRUCTURE• Up-gradation of IHFW’s infrastructure by constructing a teaching wing withhostel facilities on the space available within its premises.• IHFW needs to be equipped with state of art seminar/ conference rooms,appropriate furniture, equipment, vehicle etc.• To support the IHFW’s vision of being seen as an apex technical institute, itbecomes mandatory to make provision for human resource in variousdisciplines/ levels for the institute.• Create and fill up the posts as per the organogram proposed by NIHFW:i. Director (1)ii. Joint Director Administration (1)Department wise:-iii. Professor (1)iv. Associate Professor (1)v. Assistant Professor (2)vi. Research Officer (3)vii. Consultants (4) andviii. Support staff• The institute should have the following disciplines/ departments which includePublic Health, Medicine, Paediatrics, Gynaecology & Obstetrics, Statistics andDemography, Behavioural Science, Training Technology, Health Management andEconomics, Information Technology.• Provision must be made to utilise the services of various faculties from MedicalColleges by the state as and when necessary.III.TRAINING• Capacity building of trainers (ToT) in consultation with the NIHFW & stategovernment.• Help and support the identified training institutes to prepare curricula foreach type of training to be conducted in coordination/consultation with therelevant programme officers.• It will prepare a database and update it regularly by capturing data on the: List of training institutions (both public and private) List of trainers at different level (a) National,(b)State and (c)District41 | P a g e Institute of Health and Family Welfare

List of trainees (on different types of trainings being undertaken) Develop training plans on different issues taking intoconsideration:- Categories- Load- Size and number of batches- Trainers – trainees ratio- Make available training modules from MOHFW, NIHFW, andState Programme Officers or developed them if notavailable etc.IV.MONITORING AND RESEARCH• Post training and tracking of trained personnel. Monitor process and outcomeof training by assessing improvement in knowledge and skill of the traineesand reviewing their performance by using available tools or developing them,if unavailable.• Regular review of performance of peripheral training institutions like RegionalHealth and Family Welfare Training Centres (RHFWTC), DTC, ANMTC.• CTIs should not confine themselves to training only but also be engaged inextensive research work. Coordinate and support in state and central levelresearch and monitoring and assist to apply the learning in improving thehealth status of the community.• Help state in preparation of PIPs.• Coordinate with and support NIHFW in National level Training, Research andMonitoring.42 | P a g e Institute of Health and Family Welfare

List of Governing Body MembersChairmanVice-chairmanSecretaryMembersShri Sanjay Mitra, IASPrincipal SecretaryDepartment of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Prof. Sushanta Kumar BandyopadhyayDirector of Medical Education & Ex-Officio Secretary, WBDepartment of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Prof. Akhil Bandhu BiswasDirectorInstitute of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Dr. B. R. SatpathiDirector of Health ServicesDepartment of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Mr. Dilip Ghosh, IASMission Director, NRHM, Commissioner (FW) & Secretary to theGoWBDepartment of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Dr. P. MalhotraRegional Director, KolkataMinistry of Health & Family Welfare, Government of IndiaSalt Lake, Kolkata 700098Vice-ChancellorWest Bengal University of Health Sciences, Kolkata 70006443 | P a g e Institute of Health and Family Welfare

List of Administrative and Financial Sub-committee BodyChairmanProf. Sushanta Kumar BandyopadhyayDirector of Medical Education & Ex-Officio Secretary, WBDepartment of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091MembersMr. P.K. LahiriSpecial Secretary (GA Branch)Department of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Mr. A. K. MallickAdditional DHS (AA&V)Department of Health & Family Welfare, GoWBSalt Lake, Kolkata 700091Mr. Tapas MallickJoint DHS (Accounts)Department of Health & Family Welfare, GoWBSalt Lake, Kolkata 70009144 | P a g e Institute of Health and Family Welfare

For further information contact:INSTITUTE OF HEALTH AND FAMILY WELFARE(Department of Health and Family Welfare, Government of West Bengal)29, GN Block, Sector – V, Bidhan NagarKolkataWest BengalPin code: 700 091Phone Number: (033) 2357 4531, 2357 7645Tele Fax Number: (033) 2357 8870Website: www.ihfwkolkata.orgEmail: ihfwkolkata@gmail.com45 | P a g e Institute of Health and Family Welfare