Training of Trainers of Medical Officers in Immunisation. 20 th to 22 nd April, 2009 Venue: NIHFW. Report

Transcription

1 Training of Trainers of Medical Officers in Immunisation 20 th to 22 nd April, 2009 Venue: NIHFW Report NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE NEW DELHI

2 Training of Trainers of Medical Officers in Immunisation (20 th to 22 nd April, 2009) Course Director Prof. Deoki Nandan Course Coordinator Dr. M. Bhattacharya Course Co-coordinator Dr. P. Deepak Course Associate Ms. Vinod Joon NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE NEW DELHI 2

3 Training of Trainers of Medical Officers in Immunisation (20 th to 22 nd April 2009) Background The need for training and reorienting health workers and medical officers in immunization had been felt for the past few years due to the introduction of newer vaccines and advances in cold chain and vaccine technology. In this context, a handbook and facilitators guide for training of health workers in Immunisation had been developed by the Government of India with support from partner agencies and training of the health workers is underway in almost all the states in the past two years. For the training of Medical Officers in Immunisation, a Handbook on Immunisation and a Facilitators Guidebook has been developed. Master Trainers were trained in a workshop at NIHFW from 9 th to 11 th September Following this, a TOT was organized from 17 th to 19 th September 2008 at Jaipur by NIHFW where trainers from Rajasthan and Uttar Pradesh were trained. Following the introduction of Hepatitis B in ten states, it was decided by the GOI that NPSP-WHO will be conducting the TOTs for Medical Officers in Immunisation in these ten states, UP, Bihar and other smaller states. NIHFW will be conducting the TOTs for the rest of the states. A TOT for trainers from Uttarakhand, Delhi and Gujarat was organized at NIHFW, New Delhi from April 20-22, Nominations were invited for five participants from Delhi, ten from Uttarakhand and ten from Gujarat. Overview Objective of the Workshop To familiarize the Trainers from the states with the contents and methods for Immunisation Training of Medical Officers to enable them to effectively conduct divisional / district level trainings of Medical Officers. 3

4 Training Methodology The training schedule in the Facilitators Guide was followed with minor variations. The first two days had classroom trainings. The third day had a field visit and presentations thereafter followed by the concluding sessions. The training tool kit to be used by the trainers in their trainings was used for this TOT. To make it participatory, the experiences of the participants from Gujarat related to the recent Hepatitis B outbreak in Modassa and its relation to safe injections and immunization waste disposal and the activities conducted by the state government were shared with the other participants. This made the training more interesting. 4

5 Programme schedule Day-I (20 April 2009) Time Topics Facilitators Registration 09: Welcome Prof. Deoki Nandan Pre-testing Dr P Deepak Introduction of Participants, Participants Expectations Prof. M Bhattacharya and Training Overview (Unit-1) Tea Immunization Schedule and FAQs (Unit-2) Prof. Deoki Nandan Planning Immunization services (Unit-3) Dr Gyan Singh Lunch Warm-up 1 Participants Cold chain and logistics management (Unit-4) Prof. M Bhattacharya Tea Safe injections and Waste disposal (Unit-5 ) Dr P Deepak Adverse Events Following Immunization (AEFIs) (Unit-6 ) Dr R K Batra Evaluation of the day Participants Day-II (21 April 2009) Program of the day Participants Community Involvement and Communication Dr Renu Paruthi (Unit-7 ) Supportive supervision (Unit-8 ) Prof. Deoki Nandan Records and Reports (Unit-9) Dr Gyan Singh Lunch Warm-up 2 Participants Using data for action (Unit-9) Dr P Deepak Tea VPDs and Surveillance of VPDs (Unit-10 ) Dr R K Batra Film on Immunization Preparation for the field visit and Evaluation of the day Participants Day-III (22 April 2009) Field visit to PHC/CHC & Session site (Units All facilitators 3,4,5,6,7,8,9 & 10) Lunch Preparation of presentations on field visit All facilitators observations Discussion and presentations on field visit All facilitators observations Course evaluation and feed back Participants Distribution of certificates and conclusion Prof. Deoki Nandan Evaluation 5

6 While the pre and post test questionnaires were filled by the participants, they were not submitted. The answers were discussed for clarity and the use of the poster on Pre and post test was also described. Feedback The participants feedback on the training quality was as follows: Strongly agree Agree Disagree Strongly disagree 100% 80% 60% 40% 20% 0% Training venue was adequate for this training Boarding and lodging facilities were comfortable Refreshments and meals were satisfactory Training content was helpful in carrying out Training methodologies were suitable for the content There was opportunity for active participant Handbook and other handouts were helpful Field visit provided practical information There was enough time to cover all material Objectives of the training were met The participants feedback on the coverage of the units in the Handbook was: 100% 80% 60% 40% 20% Poor Fair Good Excellent 0% Unit 1 Introduction and overview of UIP Unit 2 Immunisation schedule and FAQs Unit 3 Planning Immunisation services Unit 4 Cold Chain and Logistics Management Unit 5 Safe Injections and Waste Disposal Unit 6 Adverse Events Following Immunisation Unit 7 Community Involvement and Communication Unit 8 Supportive Supervision Unit 9 Records, Reports and Using Data for Action Unit 10 VPDs and VPD Surveillance 6

7 The participants feedback on facilitators was: Mastery of Training Content Asking questions to assess participants' understanding level Use of active training methods (small groups, role plays) 1 0 Answering participants questions satisfactorily Dr Deoki Nandan Dr M Bhattacharya Dr Renu Paruthi Dr R K Batra Dr Gyan Singh Dr P Deepak Keeping to time Summarizing according to learning objectives at the end of the session Conclusion Most of the trainers found the Handbook, Facilitators Guidebook and the Training Kit very useful for the training. Some of the trainers felt that the trainings were too rushed and some time for discussions should be kept aside. All trainers felt that the methodology was very participatory and interesting. Some of the participants were not satisfied with the boarding and lodging arrangements and the food and refreshments served during the training. The sharing of experiences of the participants of Gujarat on the Modassa Hepatitis B outbreak made many of the sessions interesting. 7

8 Facilitators and Participants Name, Designation and Phone/mobile Organisation Facilitators 1. Dr. Deoki Nandan, Director, NIHFW Dr. M Bhattacharya, Dean, NIHFW cha_nihfw@yahoo.co.in 3. Dr. Renu Paruthi, RI Trng. Focal paruthire@npsuindia.org Person, NPSP-WHO 4. Dr Satish Gupta sgupta@unicef.org 5. Dr R K Batra, Principal, HFWTC, principalhfwtc@yahoo.com Delhi 6. Dr Gyan Singh, CMO, NIHFW Dr P Deepak, Consultant (Imm. Trngs.), NIHFW drpdeepak1@gmail.com 1. Dr. B.S. Jesalpura, Assoc. Professor, Div. Training Centre, Bavla, Ahmedabad 2. Dr. Bimal Buch, Principal, HFWTC, Rajkot 3. Dr. Kamlesh Parmar, State Immunization Officer, Gujarat 4. Dr. Narottam Pradhan, Sr. RI Consultant, UNICEF, Bihar 5. Dr. Prakash Vaishnav, Associate Professor, SIHFW, Sola, Ahmedabad 6. Dr. K.R. Shah, Sr. Medical Officer (EPI), SIHFW, Ahmedabad 7. Dr. Jay K. Sheth, Asstt. Professor, Deptt. of P & SM, Smt. NHL Municipal Medical College, Ahmedabad 8. Dr. Patel Umed V, Associate Professor, PDU Medical College, Rajkot Participants bsjmeri@yahoo.in bimal_buch@rediffmail.com drkamlesh_17@yahoo.co.in npradhan@unicefbihar.org /- 23, drpdvsihfw@hotmail.com krshah22@gmail.com jayksheth@yahoo.com drumedvpatel@yahoo.co.uk 8

9 9. Dr. Hitesh M. Shah, Tutor, Govt. Medical College, Surat 10. Dr. M. I. Sama, D.T.C., Ahmedabad 11. Dr. Sushma Datta, State Immunisation Officer, Uttarakhand 12. Dr. Shailaja Bhatt, Paediatrician, J.L.N. Distt. Hospital, Rudrapur 13. Dr. Kiran Bisht, DIO, Distt. New Tehri 14. Dr. Meenu Rawat, DIO, Distt. Dehradun 15. Dr. B.K. Biswas, DIO, Distt. Rudraprayag 16. Dr. K.C. Bhatt, Sr. Epidemiologist, Div. H & FWTC, Haldwani 17. Dr. S.K. Thapliyal Paediatrician (Medical Officer), Guru Gobind Singh Govt. Hospital, Raghubir Nagar, New Delhi 18. Dr. Sonal Kumar, HFWTC, Saraswati Vihar 19. Dr. Kiran Anand, Medical Lecturer, HFW TC, C Block, Saraswati Vihar 20. Dr. N.C. Tewari, Medical Officer, MOFC, Lalkan (Nainital) 21. Dr. Nutan Mundeja CMO (NFSG), O/o Chief District Medical Officer, North West Dispensary Building, Rohini, Sector-13, Delhi drhitesh12@rediffmail.com /-3 (O), (M) (O) (R) (M) (M) (M) (M) dr_sama_mi@yahoo.com drsushmadatta@gmail.com (M) bkbiswas69@gmail.com (M) (M) sunilkthap@yahoo.co.in (M) drsonal26@rediffmail.com (M) (M) (M) kirananand2003@yahoo.co.in dr_nutan_mundeja@yahoo.c o.in 22. Dr. Raju Gupta Spl. Grade I (Paediatrics), O/o Project Director, 16, Rajpur Road, 4 th Floor, Rear Block, Delhi 23. Dr. Rashmi Pant, Paediatrician, Female Hospital, Haldwani (M) (O) (M) drrajugupta@yahoo.com 9

10 24. Dr. Usha Gunjiyal, DIO, Pithoragarh 25. Dr. Kashmira Shroff, i/c Assoc. Professor, Div. Trg. Centre, Padra, Vadodara 26. Dr. Kiran M. Shah, Medical Officer, Div.l Trg. Centre, Sachin, Dist. Surat 27. Dr. Kiran Arora CMO, NFSG, Mty Home, A Block, Mangol Puri 28. Dr. Sunil Kumar Panday, Paediatrician, CHC, Bhadrabad, Haridwar 29. Dr. Rahul Singh Bhadouria, Consultant, Routine Immunization, UNICEF Bhopal 30. Dr. Leena Mane, Routine Immunization Officer, WHO- NPSP Unit, Bulandshahar drkash27@gmail.com , , (M) , (M) sachindtc@yahoo.co.in drkjarora@yahoo.co.in (M) sunilpanday_llrm@yahoo.co.i n rahulsinghbhadouria@gmail.c om drleenamane@gmail.com 10

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