Kayakalp External Assessor Training 26 th August 2016, Patna

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Kayakalp External Assessor Training 26 th August 2016, Patna Conducted by National Health System Resource Centre in collaboration with State Health Society, Bihar TRAINING REPORT KAYAKALP EXTERNAL ASSESSOR TRAINING

Contents OBJECTIVES OF TRAINING... 2 BACKGROUND... 3 EXECUTIVE SUMMARY... 4 SUMMARY OF THE PRESENTATIONS... 5 PARTICIPANT S FEEDBACK... 7 Most liked sessions... 7 Most useful topics... 8 Annexure I... 9 Annexure II... 12 AGENDA... 12 PHOTO GALLERY... 13

TRAINING DETAILS TRAINING COORDINATORS: Dr Namit Singh Tomar (Consultant, QI, NHSRC, New Delhi) Dr Jagjeet (Consultant, QI, NHSRC, New Delhi) DATE OF TRAINING: 26 th August, 2016 PLACE OF TRAINING: SIHFW, Patna PARTICIPANTS OF TRAINING: 64(List attached in Annexure I) COURSE SCHEDULE: The course schedule (Attached in Annexure II) outlines the contents and learning methods. 1

OBJECTIVES OF TRAINING The objective of Kayakalp External Assessor Training Programme is to impart knowledge and skills of conducting external assessment of Health Facilities against the predefined norms of Kayakalp Programme. To equip assessors with knowledge of key concepts, tools and methodologies of Kayakalp checklists. Provide skill to assessors to independently assess different Areas of concern, Measurable Elements & Checklists. To develop skills and acumen to carry out external evaluation of the facility. To set up pool of External Assessors for state of Bihar. 2

BACKGROUND The Swachh Bharat Abhiyan launched by the Prime Minister on 2 nd October 2014 focuses on promoting cleanliness in public spaces. Public Health Care facilities are a major mechanism of social protection to meet the health care needs of large segments of the population. Cleanliness and hygiene in hospitals are critical to preventing infections and also provide patients and visitors with a positive experience and encourages moulding behaviour related to clean environment. As the first principle of healthcare is to do no harm. It is essential to have our health care facilities clean and to ensure adherence to infection control practices. To complement this effort, the Ministry of Health & Family Welfare, GOI has launched an effort to give Awards to those public health facilities that demonstrate higher levels of cleanliness, hygiene and infection control. 3

EXECUTIVESUMMARY The training was conducted by the team of NHSRC, New Delhi in collaboration with State Health Society, Bihar at Hotel Patliputra Ashok, Patna. The aim of the training was to strengthen assessor s knowledge of key concepts, tools, and methodologies for assessment of Kayakalp. Course curriculum for training was prepared by the NHSRC and was duly syndicated with state. Participants were from diverse background including Chief Medical Superintendent, Gynaecologists, Developing partners, Medical Officers etc., were called by the state for this training. The participants were given: A copy of Checklist of Kayakalp. A folder with writing pad and pen. CDs with the soft copy of the checklists. Feedback form Hard copy of guidelines, exercises and material whenever required during the training The programme had 10 sessions, for 1 day training along with group exercises. Feedback from the participants was taken and the report contains analysis and suggestions given by the participants.the overall rating of the programme in feedback has been good with an overall score of 3.65 on a 5 point scale. 4

SUMMARY OF THE PRESENTATIONS 1. In the starting session Dr Sarita, State Programme Officer Quality Assurance, gave a brief on Kayakalp Programme. 2. This is followed by the session presented by Dr Jagjeet Singh on Overview of Kayakalp Scheme.He had explained following things in his session: Overview of Kayakalp Programme. Objectives of Kayakalp Programme. Key Features of Award Scheme. Roles and Responsibilities of State, District and Facility. Cash Awards. Challenges faced. This session also covered an Overview of Kayakalp Scheme, information about the arrangement of assessment tool, institutional arrangement, 3step assessment key features of the programme He had also explained about challenges faced, roles and responsibilities of state, district and facility in the programme. 3. This was followed by Dr Namit Singh Tomar and she explained about the Assessment Protocols. She covered following points in her presentation:- Kayakalp measurement system. Thematic Areas Assessment methods. Compliance and scoring rule. Improvement Cycle. Prioritization and action plan. 4. This was followed by Dr Sarita presentation on Bio Medical Waste Management Rules 2016. He had explained following things in his session:- Need of managing waste Liability of Hospitals. Bio- Medical Waste Definition. Bio Medical Waste Rule 2016. 5. The next presenter for the day was Dr Jagjeet Singh. He had presented the Thematic Area A & B, Hospital/ Facility Upkeep and Sanitation & Hygiene. During the session, participants were given a detailed explanation about the Hospital Upkeep and Sanitation & Hygiene which include all checkpoints in these Thematic Areas. 5

6. Post lunch sessionwas given by Dr Namit Singh Tomar on Thematic Area C & D, Waste Management and Infection Control. He covered the new Bio Medical Waste Rule 2016 in his presentation. He had covered all the checkpoints of including Hand Hygiene, Personal Protective Equipment etc. 7. A spotting exercise was conducted soon after completing the Thematic Areas A. B. C & D by Dr Jagjeet Singh. All participants were given a sheet in which they have to fill the gap statement, standard and measurable element of the photographs which were shown at that time on the projectors. Based upon the photographs participants were made competent in finding the gaps and to give compliance. 8. After the spotting exercise the presentation was continued by Dr Namit Singh Tomar on Thematic Area E&F, Support Services & Hygiene Promotion. In this session he briefed about support services and explained all the checkpoints under their 2 thematic areas. 9. In the evening session, Dr Sarita showed a Glimpse of last year awards. The presentation was having pictures describing the before and after situation of the Hospital Khagaria. At last the participants were given feedback form for their suggestions on the training.. 6

PARTICIPANT S FEEDBACK Evaluation of participant s feedback is taken on a 6-point scale. Overall average scoring was 3.65 out of 5. Most liked sessions NAME OF TOPIC & PRESENTER An overview of KAYAKALP Scheme, Dr Jagjeet Singh SCORE 3.58 Bio-medical Waste Management Rules, 2016,Dr Sarita 3.53 Assessment Protocol, Dr Namit Singh Tomar 3.63 Assessment of the Thematic Area A &'B', Dr Jagjeet Singh 3.63 Assessment of the Thematic Area C &'D', Dr Namit Singh Tomar 3.75 Glimpse of last year Kayakalp Awardees, Dr Sarita 3.62 Exercise on Scoring,Dr Jagjeet Singh 3.72 Assessment of the Thematic Area E & 'F', Dr Namit Singh Tomar Valedictory & Road Ahead, Dr Sarita 3.73 3.63 7

Most useful topics Exercise on scoring Assessment of Thematic area E & F. Assessment Protocol Assessment of Thematic area A& B. Assessment of Thematic area C& D. Suggestions to improve the training More participatory with real life examples. Exposure visit should be included in training Use of more video displays. Duration of training should be 2 Days Group discussion. Training after every 6 months. 8

Annexure I List of Participants Sr No. Name Mobile no. E-mail Id Designation Organization Saryasachee Kr. DPC(I/C)-cum- 9470263233 dmeoarariabihar@gmail.com 1 Pandit DMEO Araria 2 Dr Navish Ahmad Neyaz 9304010491 navishneyaz@gmail.com Hospital Manager Araria 3 RizwaneelHaque 9931310638 hm.sdharwal@gmail.com Hospital Manager Arwal 4 MukhtaBharti 9473191866 dpmarwalbihar@gmail.com DPM Arwal 5 NagenDr a Kumar Keshari 8271818268 nkkeshri1@gmail.com DPC Aurangabad 6 Sunil Kr. Chaudhary 8986977188 dhbanka@gmail.com Hospital Manager Banka 7 Anjani Mishra 9471007307 dmeobanka@gmail.com DPC-cum-DMEO Banka 8 Pankaj Kumar 9472967899 Hospital Manager Begusarai 9 Shebnam 9386553971 dpcbegusarai@gmail.com DPC Begusarai 10 Dr Md. Mangin 9534385013 DPC Bhagalpur 11 Manoj Kumar 9955005636 Hospital Manager Bhojpur 12 Dr Sujeet Kumar 9835064357 sujeet1974.sk@gmail.com MO Bhojpur 13 JavedAbedi 8271481918 DPC Buxar 14 Dushyant Singh 8409596216 dushyantsinghms@gmail.com HM DH Buxar 15 Bijay Kumar 9471088006 DPC(I/C) Darbhanga Hospital SDH,Benipur, 16 Md. JamshaidAlam 9934039170 jamshaidsdh@gmail.com Manager Darbhanga 17 Bharat Bhushan 8083444581 dpcechamparan@gmail.com DPC Motihari 18 Vijay ChaudraJha 9470074700 jha_vijay29@gmail.com HM Motihari 19 Shailendra Kumar 9135426189 DPC Gaya 20 Sanjay Kr. Ambatha 9386362369 jpnsanjay@gmail.com HM Gaya 21 Arvind Kumar 9473191877 gopalganj.dhs2@gmail.com DPM Gopalganj 22 Amrendra Kumar 9162686274 amrendra.kumar4u@gmail.com HM Gopalganj 23 Upendra Kumar 7277894435 HM Jamui 24 Ravi Shankar Kumar 9835441822 mrshankar955@gmail.com DPC Jehanabad 25 KunalBharti 8051047206 bhartii.kunal@gmail.com HM 9 Jehanabad

26 DrAbhilash 9308064534 MO Kaimur 27 Girish Kumar 9431415394 HM Kaimur 28 KanakLata 9431893116 kanaklatahm@gmail.com HM Katihar 29 Vishal Ranjan 8986505832 vishal.dpc@gmail.com DPC Katihar 30 Shoni Kumar 9472940116 HM Khagaria 31 Hemlata Joshi 7870802337 dpc.khg@gmail.com DPC Khagaria 32 Vishwayee 8299161827 dpckishanganj@gmail.com DPC Kishanganj 33 Sunil Kr. Sharma 9955913011 dhslakhisarai@gmail.com DPC Lakhisarai 34 N.K. Bharti 9006625556 navalkishorebharti@gmail.com HM Lakhisarai 35 Sanjiv Kumar Sinha 9708071090 sadarhospitalmadhepura@gmail.com I/C HM Madhepura 36 PeeyushVardhan 9473383632 B.H.M Madhepura 37 Dr Prasana Mishra 8084252172 prasanamishra11@gmail.com MO Madhubani 38 Abdul Majeed 8863811203 abdul7622@gmail.com HM Madhubani 39 Vikas Kumar 9122716275 dpcmunger@gmail.com DPC Munger 40 MdIaeesec 9931289694 sadarhospitalmunger@gmail.com HM Munger 41 Jay Shankar 9973246246 dhsmuzaffarpur@gmail.com DPC-cum-DMEO Muzaffarpur 42 Praveen Kumar 8409147374 HM 10 Muzaffarpur 43 Anurag Kumar Sinha 9471000956 HM Nalanda 44 Abhishek Azad 7870708085 dpcnalanda@gmail.com DPC Nalanda 45 Rajeev Kumar 9708024185 dhsnawada3@gmail.com DPC Nawada 46 Shailesh Kumar Singh 7277474626 FPC Nawada 47 Santosh Kumar 9771830122 DPM Patna 48 Seema 9431077913 sdhdanapur@gmail.com HM Patna 40 Deepak kr. Vibhakar 9471007330 deepakvibhakar@gmail.com DMEO Purnea 41 SimpiKumari 7461864814 HM Purnea 42 Sanjeev Kumar 8409466433 rohtasdpc15@gmail.com DPC Rohtas 43 Rajesh Kumar Singh 840974178 ds.sadarhospitalsasaram@gmail.com HM Rohtas 44 BinayRanjan 9431255767 HM Saharsa 45 Pranav Kumar 9472985854 I/C DPC cum data manager Saharsa 46 AdityaNathJha 9709708497 dpcsamastipur@gmail.com DPC Samastipur Samastipur 47 BishwajeetRamanand 8986169212 ramanandbishwajeet83@gmail.com HM Ramesh Chandra 48 Kumar 7739275020 dpcdhssaran@gmail.com DPC` Saran

49 Rajeshwar Prasad 9934026542 HM Saran 50 Dhiraj Kumar 8676960416 dhiraj.dhs@gmail.com HM Sheikhpura 51 Md. Shakir Khan 9534917872 DPC Sheikhpura 52 Sunil Kumar 8271877252 dpcdhssheohar@gmail.com DPC Sheohar 53 Sanjay Kumar 9955293261 HM Sheohar 54 S. N. Verma 9546685008 dcmsitamarhi@gmail.com DCM Sitamarhi 55 Immamul 9973344444 siwandhs@gmail.com DPC Siwan 56 NishantSagar 9955993091 HM Siwan 57 Bal Krishna 9431632463 dpcsupaul@yahoo.com DPC Supaul 58 S. Adib Ahmad 9534762216 HM Supaul 59 Neena Rani Sinha 9472667825 DPM Vaishali 60 Md. Mazhar Ali 9430964839 mazharpatna@gmail.com HM Vaishali 61 MdShahanwaj 8603898107 shahanwaj.smu@gmail.com HM Bettiah, W. Champaran 62 Rahul Kumar 9386530884 HM W. Champaran 63 Birendra Kumar 9470658406 dpcwestchamparan@gmail.com DPC W. Champaran 64 Namita 9835833664 DPC Patna 11

Annexure II AGENDA External Assessor s Training on Kayakalp Patna, Bihar Time Session 9:00 am - 9:30 am Speaker Registration 9:30 am 10:00 am Inaugural Address 10:00 am 10:30 am An overview of KAYAKALP Scheme Dr Jagjeet Singh 10:30 am 11:00 am Assessment Protocol Dr Namit Singh Tomar 11:00 am- 11.15 am 11:15 am 11:45 am 11:45 am 12:30 pm 12:30 pm 01:15 pm Tea Biomedical Waste Management Rules 2016 Assessment of the Thematic Area A &'B' Dr Sarita - SPO Dr Jagjeet Singh Dr Namit Singh Tomar 01:15 pm 1:45 pm Assessment of the Thematic Area C &'D' Lunch 01:45 02:15 pm Glimpse of last year Kayakalp Awardees Dr Sarita - SPO 02:15 pm 03:00 pm Exercise on Scoring Dr Jagjeet Singh 03:00 pm 3:45 pm Assessment of the Thematic Area E & 'F' Dr Namit Singh Tomar 3:45 pm - 4:00 pm Tea 4:00 pm 05:00 pm Case Study Dr Jagjeet Singh 05:00 pm - 5:30 pm Valedictory & Road Ahead Dr Sarita - SPO 12

PHOTO GALLERY DR JAGJEET SINGH GIVING THE OVERVIEW OF KAYAKALP PROGRAMME DR NAMIT SINGH TOMAR BRIEFING ABOUT THE ASSESSMENT PROTOCOL OF KAYAKALP PROGRAMME 13

DR SARITA EXPLAINING THE BMW RULES 2016 DR JAGJEET SINGH EXPLAINING THE THEMATIC AREA A & B 14

TRAINEES FOR THE KAYAKALP EXTERNAL ASSESSOR TRAINING DR NAMIT BRIEFING THE THEMATIC AREA C&D 15