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
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
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 2008. 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, 2009. 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
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
Programme schedule Day-I (20 April 2009) Time Topics Facilitators 09.00 09.15 Registration 09:15-09.30 Welcome Prof. Deoki Nandan 09.30 10.00 Pre-testing Dr P Deepak 10.00-11.30 Introduction of Participants, Participants Expectations Prof. M Bhattacharya and Training Overview (Unit-1) 11.30-11.40 Tea 11.40-12.00 Immunization Schedule and FAQs (Unit-2) Prof. Deoki Nandan 12.00-13.00 Planning Immunization services (Unit-3) Dr Gyan Singh 13.00-14.00 Lunch 14.00-14.10 Warm-up 1 Participants 14.10-15.30 Cold chain and logistics management (Unit-4) Prof. M Bhattacharya 15.30-15.40 Tea 15.40 16.10 Safe injections and Waste disposal (Unit-5 ) Dr P Deepak 16.00 17.00 Adverse Events Following Immunization (AEFIs) (Unit-6 ) Dr R K Batra 17.00-17.15 Evaluation of the day Participants Day-II (21 April 2009) 09.00 09.15 Program of the day Participants 9.15 10.15 Community Involvement and Communication Dr Renu Paruthi (Unit-7 ) 10.15-12.00 Supportive supervision (Unit-8 ) Prof. Deoki Nandan 12.00-13.00 Records and Reports (Unit-9) Dr Gyan Singh 13.00-14.00 Lunch 14.00-14.10 Warm-up 2 Participants 14.10-15.30 Using data for action (Unit-9) Dr P Deepak 15.30-15.40 Tea 15.40-17.00 VPDs and Surveillance of VPDs (Unit-10 ) Dr R K Batra 17.00-17.20 Film on Immunization 17.20-17.30 Preparation for the field visit and Evaluation of the day Participants Day-III (22 April 2009) 08.30-13.00 Field visit to PHC/CHC & Session site (Units All facilitators 3,4,5,6,7,8,9 & 10) 13.00-14.00 Lunch 14.00-14.45 Preparation of presentations on field visit All facilitators observations 14.45 15.30 Discussion and presentations on field visit All facilitators observations 15.30 16.00 Course evaluation and feed back Participants 16.00 16.30 Distribution of certificates and conclusion Prof. Deoki Nandan Evaluation 5
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
The participants feedback on facilitators was: 6 5 4 3 2 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
Facilitators and Participants Name, Designation and Phone/mobile Email Organisation Facilitators 1. Dr. Deoki Nandan, Director, NIHFW 9971104666 dnandan51@yahoo.com 2. Dr. M Bhattacharya, Dean, NIHFW 9871257894 cha_nihfw@yahoo.co.in 3. Dr. Renu Paruthi, RI Trng. Focal 9810405852 paruthire@npsuindia.org Person, NPSP-WHO 4. Dr Satish Gupta 9810996706 sgupta@unicef.org 5. Dr R K Batra, Principal, HFWTC, 9873435246 principalhfwtc@yahoo.com Delhi 6. Dr Gyan Singh, CMO, NIHFW 9911222494 7. Dr P Deepak, Consultant (Imm. Trngs.), NIHFW 9868878721 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 02714-232106 bsjmeri@yahoo.in 0281-2441255 bimal_buch@rediffmail.com 09909965922 drkamlesh_17@yahoo.co.in 09431800593 npradhan@unicefbihar.org 079-27662811 079-27665964 9825166144 09427952244 079-26602266 079-26579282 0281-2458337/- 23,94269-96010 drpdvsihfw@hotmail.com krshah22@gmail.com jayksheth@yahoo.com drumedvpatel@yahoo.co.uk 8
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 09426444654 drhitesh12@rediffmail.com 0288-2882225/-3 (O), 9879274733 (M) 0135-2720170 (O)2763141 (R) 09412055564 (M) 9927872146 (M) 9411753324 (M) 9411362810 (M) dr_sama_mi@yahoo.com drsushmadatta@gmail.com 9412117285 (M) bkbiswas69@gmail.com 9412005913 (M) 9718518013 (M) sunilkthap@yahoo.co.in 9999461171 (M) drsonal26@rediffmail.com 9899176543 (M) 27014735 9410167445 (M) 27516640 9999888149 (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 9810190624 (M) 23965669 23965908 255210 (O) 9358193477 (M) drrajugupta@yahoo.com 9
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 05964-225142 9837972600 02662-222244 drkash27@gmail.com 0261-2786097, 2392249, 9374531690 (M) 27923558, 9313101992 (M) sachindtc@yahoo.co.in drkjarora@yahoo.co.in 9410860007 (M) sunilpanday_llrm@yahoo.co.i n 09630032900 rahulsinghbhadouria@gmail.c om 9819078558 drleenamane@gmail.com 10