| What is an essential component of in-service training programmes? | Skill up-gradation for improved service delivery | National Training Strategy for In-service Training under National Rural Health Mission 22 Matrix of Skills for Service Provision 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. | 129 | definition | 1.000 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | National Training Strategy for In-service Training under National Rural Health Mission 22 Matrix of Skills for Service Provision Skill up-gradation for improved service delivery Skill up-gradation is an essential component of in-service training programmes. | 34 | page=34,block=0 | 0.700 | valid |
| What is the mandate for in-service training under the National Rural Health Mission (NRHM)? | to improve performance of Health and Family Welfare Programmes | The mandate for in-service training is to improve performance of Health and Family Welfare Programmes. The operationalisation of National Rural Health Mission has set in motion a process of decentralised and horizontally integrated implementation of the disease control as well as administration of the programmes of the Ministry. It has laid for itself the goals of reducing MMR to less than 100 per 100,000 live births, IMR to less than 30 and TFR to 2.1 by 2012. The National Training Strategy will ensure integrated training programmes to encompass the vast training needs and the expanded trainee universe, address the issues of planning and operationalisation of health facilities, synchrony of supplies, gender, quality issues and fund flow mechanism of all trainings. | 39 | definition | 1.000 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | The mandate for in-service training is to improve performance of Health and Family Welfare Programmes. | 9 | page=9,block=0 | 0.700 |
| How could better quality service at an affordable cost affect the demand for services in hospitals? | increase the demand for the utilisation of such services in these hospitals | The Private Sector and NGO are increasingly providing services for the people. Their participation in Training Programmes for National Diseases Control & RCH Programmes would benefit them by knowledge upgradation regarding programme components, and also information on facilities and inputs available from the Government Machinery for providing services. These facilities and supplies would enable these institutions to provide better quality service at an affordable cost which in turn will increase the demand for the utilisation of such services in these hospitals. This would help the population, state and country to attain their health goals. As their caseloads improve these institutions could perhaps also undertake skill training for Peripheral Health Care Personnel. | 492 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | These facilities and supplies would enable these institutions to provide better quality service at an affordable cost which in turn will increase the demand for the utilisation of such services in these hospitals. |
| What benefit does the participation of the private sector and NGOs in training programmes provide to them? | knowledge upgradation regarding programme components, and also information on facilities and inputs available from the Government Machinery | The Private Sector and NGO are increasingly providing services for the people. Their participation in Training Programmes for National Diseases Control & RCH Programmes would benefit them by knowledge upgradation regarding programme components, and also information on facilities and inputs available from the Government Machinery for providing services. These facilities and supplies would enable these institutions to provide better quality service at an affordable cost which in turn will increase the demand for the utilisation of such services in these hospitals. This would help the population, state and country to attain their health goals. As their caseloads improve these institutions could perhaps also undertake skill training for Peripheral Health Care Personnel. | 191 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | Their participation in Training Programmes for National Diseases Control & RCH Programmes would benefit them by knowledge upgradation regarding programme components, and also information on facilities and inputs available from the Government Machinery for providing services. |
| What determines the variation in skill up-gradation required for service delivery? | the qualifications of the personnel and the institution where he/she is working | National Training Strategy for In-service Training under National Rural Health Mission 22 Matrix of Skills for Service Provision 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. | 323 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | The skill up-gradation required varies enormously depending upon the qualifications of the personnel and the institution where he/she is working. |
| What does NRHM aim to achieve by integrating Health, Family Welfare and AYUSH programmes? | services are provided through a single window | The major focus of NRHM is to provide all promotive, preventive and curative services needed by the people in an integrated fashion, so that services are provided through a single window. In order to achieve this, it is imperative that Health, Family Welfare and AYUSH programmes are effectively integrated and delivered through an effectively functioning primary health care infrastructure. NRHM also envisages convergence of services with relevant ministries/departments like Women & Child Development, Rural Development (Drinking Water/Sanitation) and Education. It also recognizes that community and Panchayati Raj Institutions have a major responsibility in planning, monitoring and assisting service providers as also in awareness building and improving utilisation of available facilities. | 141 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | The major focus of NRHM is to provide all promotive, preventive and curative services needed by the people in an integrated fashion, so that services are provided through a single window. | 5 |
| What ensures appropriate implementation of health programmes by students and trainees? | understand the rationale, components as well as strategies of all the programmes and what needs to be done by who and how | The Medical Colleges are the intellectual capital and think tanks at state level & need to be fully utilised for knowledge up gradation; Medical Colleges and the Medical College Hospitals given their vast and diverse case load and the experienced expert faculty would be the best skill upgradation training centres. The Medical and Nursing Colleges and schools can ensure that their undergraduate and postgraduate students as well as participants in training courses understand the rationale, components as well as strategies of all the programmes and what needs to be done by who and how are communicated clearly so as to enable appropriate implementation of the programmes and provide good quality health care. The Medical College Hospitals would act as Apex Training Centres by practising the programme components in | 467 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | The Medical and Nursing Colleges and schools can ensure that their undergraduate and postgraduate students as well as participants in training courses understand the rationale, components as well as strategies of all the programmes and what needs to be done by who and how are communicated clearly so as to enable appropriate implementation of the programmes and provide good quality health care. |
| What flexibility is allowed to districts in adhering to the uniform package of training? | sufficient flexibility to take into consideration their own requirements and particular conditions within certain uniform norms | National Training Strategy for In-service Training under National Rural Health Mission 14 District should be taken as a unit of training. The training is to be seen as a responsibility of the district administration. The states are to be encouraged to develop strategy so that there is ownership. The district must ensure that all personnel are exposed to the training programmes at regular specified intervals. Since the responsibility of arranging for the training would be at the district level, stress should be laid on capacity building at the district itself to train peripheral health care providers. The district would need to adhere to the uniform package of training but may have sufficient flexibility to take into consideration their own requirements and particular conditions within certain uniform norms. | 690 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | The district would need to adhere to the uniform package of training but may have sufficient flexibility to take into consideration their own requirements and particular conditions within certain uniform norms. |
| What impact could improved caseloads have on private sector and NGO institutions? | undertake skill training for Peripheral Health Care Personnel | The Private Sector and NGO are increasingly providing services for the people. Their participation in Training Programmes for National Diseases Control & RCH Programmes would benefit them by knowledge upgradation regarding programme components, and also information on facilities and inputs available from the Government Machinery for providing services. These facilities and supplies would enable these institutions to provide better quality service at an affordable cost which in turn will increase the demand for the utilisation of such services in these hospitals. This would help the population, state and country to attain their health goals. As their caseloads improve these institutions could perhaps also undertake skill training for Peripheral Health Care Personnel. | 714 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | As their caseloads improve these institutions could perhaps also undertake skill training for Peripheral Health Care Personnel. | 25 | page=25,block=0 |
| What is the purpose of taking a history of past pregnancy, past history, and family history during maternal health care? | to identify women at risk of complications | National Training Strategy for In-service Training under National Rural Health Mission 24 Skills for Reproductive and Child Health Programme Maternal Health Care Care during pregnancy including identification of women with complications and Mgmt./Referral of those with complications (1) Universal registration of all pregnant women before 12 weeks, (2) ascertain LMP and calculation of EDD, (3) History taking of past pregnancy, past history, family history etc, (to identify women at risk of complications), (4) record height, (5) record wt. | 465 | relationship | 0.970 | https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/national_training_strategy_final.pdf | National Training Strategy for In-service Training under National Rural Health Mission 24 Skills for Reproductive and Child Health Programme Maternal Health Care Care during pregnancy including identification of women with complications and Mgmt./Referral of those with complications (1) Universal registration of all pregnant women before 12 weeks, (2) ascertain LMP and calculation of EDD, (3) History taking of past pregnancy, past history, family history etc, (to identify women at risk of complications), (4) record height, (5) record wt. |