rivate Circulation only Quarterly Newsletter of Indian Nursing Councilelearning.indiannursingcouncil.org/INCNLJune2009.pdf · 2016-01-22 · For P Quarterly Newsletter of Indian Nursing

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Supported by Global Fund for AIDS, Tuberclosis and Malaria (GFATM)GFATM Round 7 - Strengthening Institutional Capacity for

Nurses Training on HIV/AIDS and ART

The President’s Desk 3

GFATM Project - Nurses training onHIV/AIDS prevention 4

Interview with a Nightingale 7

Nursing Profession - Then and Now 8

HIV/AIDS Epidemic Update 10

Training Needs Assessment Report 11

Guidelines to start Nursing Project 12

Nurses Speak 14

Glimpses of GFATM Training 15

Announcements 16

ContentsContentsContentsContentsContentsEditorial Board:

Mr. T. Dileep Kumar

Dr. Asha Sharma

Mrs. K.S. Bharati

Dr. Jayarani Premkumar

Dr. Kalpana Mandal

Dr. Swati Kambli

Dr. Mahasweta Bose

Dr. Nizara Das

Dr. S.N. Misra

Dr. Dilip Vaswani

Content and Design:

Shanta Misra

Cover photograph:Office of the Indian NursingCouncil, New Delhi

Please submit your contributions/articles to INC Newsletter at:[email protected]

Published by the Indian NursingCouncil, Combined CouncilsBuilding, Kotla Road, TempleLane, New Delhi 110002.

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GFATM Round 7

Training Update (JUNE ‘09)

Activity Achievement

This Quarter Cumulative

Number of Institutions conducted trainings 26 26

Number of Master Trainers trained 90 90

Number of Trainers trained 238 238

Number of Nurses trained 2624 2624

Dear colleagues and friends, It gives me great pleasure to announce the launch of the inaugural issue of the quarterly INCnewsletter under the GFATM project. This newsletter has been designed to provide relevantinformation about the nurses training on HIV/AIDS prevention, care and treatment and also providetechnical information and updates on HIV/AIDS. In addition this newsletter would be capturingthe work of nurses in providing quality health care across the states in India.In the present day medical scenario, nurses are the largest group of healthcare providers. They spendmore time in direct contact with patients than any other provider and for most patients, the nurse isthe first, and often, the only contact the patient has with the healthcare system. Almost all antenatalcare is provided by nurses. Deliveries in the healthcare facility setting are assisted by nurses andnurse-midwives.The challenges, faced by nurses today are several: nurses are often required to perform tasks that arenot appropriate for their skills and education. Vast amounts of time are consumed in clerical andhousekeeping tasks. Nurses are often not included in policy decisions in their workplace or in thegovernment.The HIV/AIDS Pandemic has brought about an increased number of patients to the hospitals, whorequire long term care and support. Fear among healthcare workers and a stigma attached to thedisease has often lead to most health care workers shying away from providing medical and nursingcare.The future role of nurses in HIV/AIDS care is envisioned to have both the obligation & expertise toassist other health care providers & the public at large in understanding this health problem. Awarenessof the risk behaviors associated with HIV transmission and the importance of early detection andprompt treatment while maintaining confidentiality are some of key counseling areas that the nurseswould be required to undertake after proper training.The GFATM Round 7 Project (2008-12) seeks to strengthen human and institutional capacities ofthe National Health System to enable accelerated growth of the National AIDS Control program.The objective is to enhance the nurses training and institutional capacities of 55 nurse traininginstitutes.INC has come up with an innovative newsletter for the nurses and by the nurses. In this inauguralissue, we have an in-depth view about the GFATM project. Dr. M E. Patlia, Dean, PG College ofNursing, Bhilai shares her thoughts on receiving the prestigious Florence Nightingale award fornursing for the year 2008.Many of our institutions have contributed articles and feedback from the ongoing training program..The project details of GFATM are provided by Mrs. K. Bharati, Secretary, INC.I look forward to your enthusiastic response to the inaugural issue of the newsletter and the GFATMtraining project. Please feel free to send in your feedback on any issue important to you and thenursing community.

With best wishes

Mr. T. Dileep KumarPresident, INC

The President’s DeskThe President’s DeskThe President’s DeskThe President’s DeskThe President’s Desk

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IntroductionThe Global Fund for AIDS, malaria and Tuberculo-

sis (GFATM) set up in 2002, is a unique global public/private partnership dedicated to prevent and treat HIV/AIDS, tuberculosis and malaria. This partnership be-tween governments, civil society, the private sectorand affected communities represents a new approachto international health financing. Global Fund financingis enabling countries to strengthen health systems by,for example, making improvements to infrastructureand providing training to those who deliver services.The Global Fund remains committed to working in part-nership to scale up the fight against the diseases andto realize its vision – a world free of the burden ofAIDS, TB and malaria. There have been eight roundsof funding by the GFATM for control of AIDS, Malariaand Tuberculosis to various countries including India.The GFATM Round 7 for India provides funding forthe training of nurses and strengthening institutionalCapacity of nursing institutions in India.

Strengthening Institutional capacity for Nursestraining on HIV/AIDS

The current acute shortage of doctors places ad-ditional burden on nurses who are the main care pro-viders in the institutional settings. Existing nurses havenot been comprehensively trained on treatment andcare and anecdotal evidence shows that there isstigma and discrimination due to poor attitudes ofnurses and doctors, resulting in poor care to PLHAsNational AIDS Control Program Phase III, is scalingup the HIV care and treatment response in the country.The scale up includes setting up of 250 ART centres,providing treatment and care to 3,00,000 patients peryear and treating 3,20,000 episodes of opportunisticinfections. This entails a substantial increase of cuttingedge human resources like nurses and counsellorsprovide care, support and counselling.

ObjectivesThe objective of the program is to strengthen nursing

institutions and the nurse trainers; to develop a compre-hensive training curriculum This project aims tostrengthen nursing institutions and the Nurse trainers.Training curriculum and pedagogy will be developed aswell as continuing medical education for nurses through

e-learning, web based learning,workshops etc. Master trainers willbe identified from the institutionsselected and trained as leadtrainers. 90,000 in service traineeswill be trained in foundation and refresher course. FiveRegional Resource Centres will be established and 50nurse training institutes. Each RRC will be in charge ofmentoring support, cross learning and maintaining thequality of training in 8-10 nursing institutes. Aninfrastructure challenge fund will be set up so as to enablerefurbishment of infrastructure.

The project period is from 2008 to 2012.

Expected Outcomes1. Improved quality of faculty,2. improved materials and training aids used in

training,3. Improved training systems,4. Increased output of Nurses5. Increased number of TOTs,6. Improved quality of Nursing care provided to

PLHAs

MethodologyThe Indian Nursing Council (INC) is the Principal

Recipient (PR) for this project. Five leading Nursinginstitutions in the different zones were identified to bestrengthened as Regional Resource Centers (RRC).They function as sub-recipients to the INC. These 5RRCs are-

1. Raj Kumari Amrit Kaur (RAK) College of Nurs-ing, New Delhi

2. Institute of Nursing Education, (INE) Mumbai3. CMC, Vellore4. West Bengal Govt. College of Nursing, SSKM

Hospital, Kolkata5. NEIGHRIHMS, Shillong

A total of 50 other nursing institutions were selectedfrom across the states, particularly from the high HIVprevalent and vulnerable districts with access to ARTcenters. These institutions function as sub-sub recipi-ents (SSRs) to the 5 SRs. For logistics and supervi-sion purposes, these SSRs were assigned to the 5Regional resource centers. Ten of the 50 SSRs comeunder the purview of the Catholic Bishops Conference

GFGFGFGFGFAAAAATM 7 Project - Nurses’ Training on HIV/AIDSTM 7 Project - Nurses’ Training on HIV/AIDSTM 7 Project - Nurses’ Training on HIV/AIDSTM 7 Project - Nurses’ Training on HIV/AIDSTM 7 Project - Nurses’ Training on HIV/AIDSPrevention, Care and TreatmentPrevention, Care and TreatmentPrevention, Care and TreatmentPrevention, Care and TreatmentPrevention, Care and Treatment

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of India (CBCI) and are managed by the CBCI whichfunctions as the additional SR.

Futures Group International India Pvt. Ltd has beenselected through open competition and functions asanother SR in the project which provides Technicaland Management Support to the INC and all the SSRs.

Based on the training needs assessment findings,the existing curriculum was finalised and field testedover 5 days in AIIMS, New Delhi in February ‘09. Sub-sequently, training of trainers (TOT) courses were con-ducted in the colleges of Nursing in AIIMS, New Delhi,SSKM hospital, Kolkata and CMC, Vellore in themonths of March, April and May ‘09. Select nursingfaculty from the various nursing colleges and schoolswere identified and these faculties were then trainedas trainers in the TOT programs. Each TOT programconsisted of 30 participants. The first 3 TOTs produced90 Master trainers who were equipped to conductfurther TOT programs and nurses training programs(TONs). The TONs had 35 staff nurses in each course.Staff nurses were drawn from the clinical departmentsfrom the tertiary medical college hospitals, district

hospitals, CHC/PHCs and certain large NGO/privatesector hospitals.

Achievements till June ‘09As on 30th June ‘09, the following training targets

had been achieved:· Number of institutions conducted

trainings = 26· Number of Master trainers trained

(including experts) = 90· Number of TOTs conducted = 11· Number of Trainers trained = 238· Number of Nurses Trained = 2624In addition, 3 institutions have been approved by

the Challenge Fund committee for refurbishment oftheir institutes as state-of-the-art training centre.

A computerized MIS has been developed and pi-loted and finalised to be installed in all the traininginstitutes. A baseline study on nurses’ involvement inHIV/AIDS prevention and care has been conductedacross 10 representative states.

Mrs. K. BharatiAsst. Secretary, INC & Project Director

Distribution of institutions

Indian Nursing CouncilCBCI Futures Group

CMC, Vellore

St. Isabelle, Chennai

CON, Madurai

ST. Xavier, Kanyakumari

JIPMER, PondicherrySt. Johns Bangalore

CON, Manipal

CON, Tiruvananthapuram

CON, Kozhikode

CON, Kottayam

GCON, HyderabadGCON, Vishakapatnam

GCON, Ananthapur

GCON, Kurnool

St. Joseph’s, Nellore

CON, Cudappa

Vijay Mary, Hyderabad

SSKM, Kolkata

CON, Medical College, KolkataMa Sharada CON, Kolkata

GCON, Berhampur

CON, RIMS, Ranchi

Holy Family SON, Ranchi

Jeevan Jyoti SON, JamshedpurNazrath Hospit al, SON, Mokama, Patna

RAK, Delhi

PGI, Chandigarh

GCON, Jaipur

St. Francis, Ajmer

Apollo Hospital CON, DelhiCMC, Ludhiana

CSMU, Lucknow

BHU, Varanasi

CON, Kanpur

CON, Bhillai

CON, Raipur

INE, Mumbai

AFMC, Pune

Belair, Satara

Holy Spirit, Mumbai CON,

NagpurGCON, Ahmedabad

CON, Baroda

CON, Rajkot

Sevagram, Wardha

CON, Indore

CON, UjjainCON, Hubli

NEIGHRIMS,Shillong

GCON, GuwahatiSON, Imphal

SON, Aizwal

SON, Kohima

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The GFThe GFThe GFThe GFThe GFAAAAATM 7 team in the Indian Nursing CouncilTM 7 team in the Indian Nursing CouncilTM 7 team in the Indian Nursing CouncilTM 7 team in the Indian Nursing CouncilTM 7 team in the Indian Nursing Council

Signing of MOU between Indian Nursing Council and Futures Group

Mr. T. Dileep KumarPresident INC

Ms. K. S. BharatiAsst. Secretary INC &

Project Director,GFATM 7 Project

Dr. Asha SharmaVice President INC &Training Consultant

Mr. P. N. KaulConsultant Finance

Mr. M. L. ChughAdministrative Officer

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Dr. (Mrs.) M.E. Patliais the Dean, PG Collegeof Nursing, Bhillai. Shehas been one of thepioneer members in herefforts to start M.Sc (N)Programme as well as toestablish ChhattisgarhNursing Council. Shehas been instrumental in

formulating ordinance for B.Sc (N) and M.Sc (N) inPt. Ravi Shankar Shukla University, Raipur. She is aMaster Trainer under Global Fund for AIDS Project.She is actively involved in promoting staff develop-ment activities in the state.

She has also introduced computer educationprogramme in 1994 when it was not included in INCsyllabus. She brought change in uniform from sari tosalwar kurta in different colours to keep pace withpresent college status.

INC Newsletter talked to her about her achieve-ment.

Congratulations! Dr. Patlia, for receiving theFlorence Nightingale Award for the year 2008-09.

Q. How did it feel to receive the highest awardfor nursing?

A. I felt very proud, I want to extend my heartfeltthanks to Heavenly Father and also to those whoconsidered my name for this award.

Q Where did you study nursing and why? Whowas your inspiration?

A. I did my B.Sc Nursing from Government Collegeof Nursing in 1970 from M.P and Post Graduation(M.Sc Nursing) from C.M.C Vellore, Tamil Nadu. I wasinfluenced by my mother Late Dr. (Mrs.) Mary George,who always appreciated the dedicated services ofnurses and this, has challenged me to serve the hu-manity through nursing.

Q. Who were the people who supported you?A. God’s unseen support was always with me along

with my parents, teachers, family members,classmates, and co-workers. I was inspired by theFather of the Nation Mahatma Gandhi, and leadingfigures of the nursing profession.

Q. In your opinion, what are the qualities anurse should possess?

A. One who has sincere feelings for patients’needs, is a vigilant and good observer, has an alertmind, good decision making skills, is progressive withinnovative ideas and an orientation toward research,and who utilizes available resources to improve qualityhealth care.

Q. What have been your experiences inmanaging HIV/AIDS patients?

A. In managing HIV/AIDS patients, I feel that theyshould be given a supportive family and sociallyinclusive environment along with treatment, care andsupport.

Q. What are the issues in providing nursingcare to HIV/AIDS patients?

A. Social stigma, non availability of standardprecautionary and prophylactic measures due to whichthey feel insecure while treating HIV/AIDs patients.

Q. Do think that nursing as a profession needsto expand – have more institutions, collegeshaving the nursing curriculum?

A. Though nursing as a profession needs to beexpand like other professions, by following the criterialaid down by INC, one day India will get perfectlytrained nurses, who will take care of the health ofcitizens of India and world wide.

Q. As compared to the west do you think nursesin India have the same opportunities?

A. As compared to nurses in the West, nurses herehave good opportunities especially in metropolitancities like Delhi, Mumbai, Kolkata, Bangalore,Chennai, Hyderabad where clinical opportunities aregood and so nurses are satisfied with their jobs andother facilities. However, nurses need to be encour-aged to move towards the clinical side instead of theeducational side of nursing.

Q. Finally a word of advice for aspiring nurses?A. Do your best and be the best and be proud to

be a nurse in India. Every nurse should try to forge anew path in history and make new innovations andprove to the world that she is different.

InterInterInterInterInterview with a Nightingaleview with a Nightingaleview with a Nightingaleview with a Nightingaleview with a Nightingale

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• A Nurse is one who puts others first overself, a support to the support-less, a heart to theheartless, a privilege to the underprivileged.

THE SPIRIT AND THE LIGHT OF THE LADY WITHTHE LAMP HAS TO BE RELIVED AND REKINDLED.

Now in this new era Nursing is not a call but seemslike a compulsion, which compels an individual to turnto Nursing profession when other greener pasture arenot available. Many are called but a few are chosen.Therefore a selfless service becomes a self consciousservice, Self comes first, patient comes last.

We the Nurses do not agree on our role andfrom time to time our role keeps changing. Nursingbecomes a passport to go aboard. The moretechnical and artificial we are the lesser naturalwe become.

YOU should build a better world, GOD said,I questioned: HOW?The world is such a wondrous place,So complicated now;There’s nothing I can Do!But GOD, all wise and kind, replied:“JUST BUILD A BETTER YOU” - Arty Pereira“Here we are on this earth, with only few more

decades to live, let us devote our life to worthwhileactions and feelings, to great thoughts, real affectionsand enduring undertakings. For life is too short to belittle” - Andre Mourois

TRUE QUALITIES OF A NURSE1. Love for the fellow men2. Honesty and Loyalty3. Intelligent observant And alertness4. Technical competence5. Dependability and adjustability6. Discipline and obedience7. Ability to inspire confidence8. Resourcefulness, economy of time material and

energy9. Courtesy and Dignity

A NURSE THEN & NOWN - Nobility, Knowledge N- Name, FameU – Usefulness, understanding U- Uncouth, UmpteenR – Righteous, responsibility R- RigorousS – Simplicity, Sympathy S – Self motive, StylishE – Efficiency, Equanimity E – Effortless

Nursing Profession Then and NowNursing Profession Then and NowNursing Profession Then and NowNursing Profession Then and NowNursing Profession Then and Now

Nursing profession dated as early as 1500 BC inIndia, as found in Charaka Samahita, where a NURSEmeans: “Knowledge of the manner in which drugshould be prepared or compounded for, administra-tion, cleverness, devotedness to the patient waitedupon and purity (both mind and body) are the fourqualification of the attending Nurse”.

The resurgenceof a Nurse occurred after a longgap of many years. In 1820-1910 Nursing professionchanged rapidly; this owed much to the influence ofFlorence Nightingale to change world’s view of aNurse.

The common conceptions of a Nurse are as follows:

1. A young girl dressed in spotless white apron andcap

2. Putting bandage on patient and giving medicine3. One who works for a patient4. One who helps Doctors and carries out orders5. A professional in her own right

Actually WHO is a real Nurse???

• The First Mother was the First Nurse• Nursing comes from the word ‘Nutritcius’ which

mean to nourish, to cherish, to protect, to support, tosustain etc. It also means to train, to educate, to supplywith essential growth.

• Nursing is a call to service . Service tomankind is the primary function of a Nurse. “I’mconvinced that my life belongs to the whole commu-nity; and as long as I live, it is my privilege to do for itwhatever I can, for the harder I work the more I live. Irejoice in life for its own sake. Life is no brief a candleto me. It is a splendid torch which I got hold for amoment, and I want to make it burn as brightly aspossible before turning it over to future generations,”- George Bernard Shaw.

Tyngkailin LyngdohTutorRapsbun School of NursingLaitumkhrah, ShillongMeghalaya-793003

10. Sympathy, empathy, tact, and poise11. Intelligence and commonsense12. Patience and sense of humour13. Generosity14. Gentleness and Quietness

The fact is, nowadays most of the nurses do allthese out of compulsion (duty) and superficially. Manyof the nurses might not possess all the qualities, butlet us inculcate all these in our minds and hearts, to fitourselves in this noble profession.

“In life, it is worthy of special remark, that when weare not too anxious about happiness and unhappiness,but devote ourselves to the strict and unsparingperformance of duty, then happiness comes itself –nay even springs from the midst of a life of troublesand anxieties and privations” - Wilhelm Von Hamboldt.

A nurse while on duty renders herself mentally,physically, spiritually, socially and is not merely ashadow. Only then can we feel for a mother grievingfor her child in pain, or we can

feel for a husband worrying and anxious for hiswife in labor and fir parents awake waiting and prayingfor the life of their child. Only then we can be there forthem 24 x 7.

As terrorism threatens our today’s world, there is athreat that we nurses might even forget how to SMILEand we starting assuming that:1. It has no value in today world2. Its not a quality of a nurse

3. Patients are highly technical not natural4. Not a part of our duty5. There is no rationale in it6. It is very costly

But, do we know what the fact is?The answer is Patients are deprived of it. Florence

Nightingale during the Crimean war at night she carrieda lamp in her hand with a smile on her face that tookaway the pain of the wounded soldiers. Every night theylonged for her SMILE not for medicine.

In those days the nurses challenged the unchal-lenged uphill tasks, but now its different, we see onlymonetary gains which is artificial, in this vacuum andtemporary world.

Let us not be bought by this world of fame, but letus pledge ourselves to be NURSES who carries theQualities of being “A no vain talker, a nogossiper;……be strictly sober and honest, but morethan, this a devoted Nurse, must have a respect forour call….., must be sound, a close and quick observerand must be nurses of delicate and decent feelings,” -Florence Nightingale.

Lord, teach me to be generous,To serve you as you deserve,To give and not to count the costTo fight and not to heed the woundsTo toil and not to seek for restTo labor and to ask for no reward.Save that of knowing that I’ll do your WILL, O Lord.

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Signing of MOU between Indian Nursing Council and West Bengal Govt. College of Nursing, SSKM Hospital, Kolkata

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According to UNAIDS estimates in mid 2008, thereare 33 million people living with HIV/AIDS in the world.An estimated 2.7 million people were newly infectedin 2007 and 2 million died of AIDS related illness. Thesub-Saharan region of Africa region is the mostaffected region with 67% of the infected people livingthere and about 1/3 of the total AIDS related deathsalso occur in that region. The HIV/AIDS epidemicaffects populations in different regions differently.Women account for 60% of new infections in Africawhereas in the rest of the regions men continue to bethe most infected. Adolescents and young adultsappear among themost vulnerablegroups. Heterosexualsex is the dominantmode of HIVtransmission. Othermodes oftransmission havebeen among menhaving sex with menand unsafe injectionpractices among in-jecting drug users.Access toantiretroviral therapyrose by 47% to cover3 million adults in low and middle income countries. Thepercentage of pregnant women receiving services to pre-vention parent to child transmission increased from 15%in 2005 to 33% in 2007.Decreasing trends in HIV infectionamong pregnant young women have been seen inseveral high prevalence African countries.

The Epidemic in IndiaNew, more accurate estimates of HIV indicate that

approximately 2.31 million (2 million–3.1 million) peoplein India were living with HIV in 2007, with national adultHIV prevalence of 0.34%. Although the proportion ofpeople living with HIV is lower than previouslyestimated, India’s epidemic continues to affect largenumbers of people. Of these, 39% are females and3.5% are children. The epidemic is heterogeneous innature both in terms of route of transmission as wellas geographical spread.

HIV/AIDS Epidemic UpdateHIV/AIDS Epidemic UpdateHIV/AIDS Epidemic UpdateHIV/AIDS Epidemic UpdateHIV/AIDS Epidemic Update

Prevalence trends in India vary greatly betweenstates and regions. Even in the four southern states(Andhra Pradesh, Karnataka, Maharashtra and TamilNadu) where the large majority of people living withHIV are residing, HIV prevalence varies and theepidemic tends to be concentrated in certain districts(NACO, 2005a; World Bank, 2005). Reported adultHIV prevalence in six states included in the recentnational population-based survey (NFHS-3, 2007)varied from 0.07% in Uttar Pradesh, to 0.34% in TamilNadu, 0.62% in Maharashtra, 0.69% in Karnataka,0.97% in Andhra Pradesh, and 1.13% in Manipur.

Prevalence in all otherstates together was0.13%. An earlieranalysis of sentinelsurveillance data alsoshowed that HIVprevalence insouthern states overallwas about five timeshigher than in northernstates in 2000–2004(Kumar R et al., 2006).However, pockets ofhigh HIV prevalence(mainly amongpopulation groups at

high risk of exposure to HIV) have also been identifiedin states where overall prevalence is generally low,warning against complacency.

A total of 200 ART centres provide free antiretroviraltreatment to over 2,20,000 infected adults and childrenPLHAs across the country.

Distribution of PLHA among High BurdenStates: 2007

• Andhra Pradesh 21%• Maharashtra 20%• Karnataka 11%• West Bengal 10%• Tamil Nadu 8%• Gujarat 6%• Uttar Pradesh 4%• Rest of States 20%

A global view of HIV infection in 2007UNAIDS Epidemic Update

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The GFATM project on nurses training in HIV/AIDSrequired a revised curriculum for a 5 - day trainingprogram. In this regard, a Training Needs Assessment(TNA) study was conducted in the beginning of 2009.Based on the findings of this study, the existing cur-riculum was revised further and the present curriculum,is envisaged to enable nurses to provide qualityservices to the PLHAs (people living with HIV/AIDS)in terms of prevention, care, support and treatment.

MethodologyThe study was based on a questionnaire devel-

oped by nursing experts from INC and technicalexperts from Futures Group. The questionnaire hadfour different sections which included- Part I: Demographic Data ; Part II:Knowledge Assessment ; Part III:Attitude Scale; Part IV: LearningNeed areas as perceived by thenurses.

Data was collected through thisself administered questionnaire fromstaff nurses and nursing faculty frommedical colleges & district/sub-district hospitals, government nursestraining institutes and private nursingcolleges. A total of 982 respondentssubmitted the completedquestionnaires and were taken asthe representative sample.

FindingsDemographic Profile of the total respondents

showed that 25% of the nurses were than 40 years ofage.and only 16% were in the age group of 26-30 yearsof age. There were 92.7% female nurses. The averagequalification of 79% of the nurses was a basic qualifi-cation in Nursing; about 34% of the nurses had morethan 15 years of professional experience. Majority ofthe respondents (80%) were staff nurses working at

different health care facilities and 40% of the respon-dents were working in the hospital wards; it was alsoindicated that 37% of the nurses had undergone priortraining in HIV/AIDS.

Tthe Knowledge Assessment showed that thenurses scored the highest in Epidemiology andVirology (71%) and the least in laboratory diagnosisand monitoring (49%).

Attitude Assessment in the study reflected thatmost of them (50%) knew that ART is not a cure forHIV/AIDS and PLHAs should be encouraged to optfor complementary therapies. The nurses felt theyshould work with multidisciplinary teams to reducestress and burnout. More than 70% of the respondents

stated that they should have a safeand supportive environment whilecaring for PLHAs.

In the analysis on PerceivedLearning Needs , it was found thatmore than half of the nurses felt theneed for an in-depth training on HIV/AIDS. The respondents (53%) werekeen to learn more on infection controland universal standard precautions.Nurses also wanted to know moreabout complementary therapies inHIV/AIDS and giving palliative care toPLHAs. The areas which the nursesfound challenging were monitoring

disease progression, infection control, counseling anduniversal precautions.

It was concluded that nurses who had receivedprior training on HIV/AIDS were more comfortableworking with HIV/AIDS patients and there was lessstigma and discrimination. The study also recom-mended that the role of nurses in the context of HIV/AIDS needed more clarity and that senior nursesabove 40 years of age or with more than 10 years ofexperience need to be trained earlier.(The full report is available at www.indiannursingcouncil.org)

Strengthening Institutional Capacity forNursing Training on HIV/AIDS

(GFATM Round 7)Training Needs Assessment (TNA) Report

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SCHOOL OF NURSING (A.N.M. / G.N.M.)1. Any organization under the Central Government,

State Government, Local body or a Private orPublic Trust, Mission, Voluntary registered underSociety Registration Act or a Company registeredunder company’s act wishes to open a School ofNursing should obtain the No Objection/Essentialitycertificate from the State Government.

2. The Indian Nursing Council on receipt of the pro-posal from the Institution to start nursingprogramme, will undertake the first inspection toassess suitability with regard to physical infrastruc-ture, clinical facility and teaching faculty in orderto give permission to start the programme.

3. After the receipt of the permission to start the nurs-ing programme from Indian Nursing Council, theinstitution shall obtain the approval from the StateNursing Council and Examination Board.

4. Institution will admit the students only after takingapproval of State Nursing Council and ExaminationBoard.

5. The Indian Nursing Council will conduct inspec-tion every year till the first batch completes theprogramme. Permission will be given year by yeartill the first batch completes.

COLLEGE OF NURSING (B.Sc. & P.B.Sc.)Guidelines and Minimum Pre-requisites

The following are the minimum pre-requisites forrecognition of a college of Nursing offering Basic B.ScNursing / Post Basic B.Sc. Nursing.

An organization that desires to open a College ofNursing has to furnish the following documentary proofto the Indian Nursing Council and comply with the fol-lowing:1. Any organization under the Central Government,

State Government, Local body or a Private orPublic Trust, Mission, Voluntary registered underSociety Registration Act or a Company registeredunder company’s act wishes to open a School/College of Nursing, should obtain the No Objec-tion/Essentiality certificate from the Stategovernment.

2. The Indian Nursing Council on receipt of the pro-posal from the Institution to start Nursing College,will undertake the first inspection to assess suit-

ability with regard to physical infrastructure, clinicalfacility and teaching faculty in order to give per-mission to start the programme.

3. After the receipt of the permission to start the nurs-ing programme from Indian Nursing Council, theinstitution shall obtain the approval from the StateNursing Council and University.

4. Institution will admit the students only after takingapproval of State Nursing Council and University.

5. The Indian Nursing Council will conduct inspec-tion every year till the first batch completes theprogramme. Permission will be given year by yeartill the first batch completes.Note : If any School of Nursing wants to upgrade

to College of Nursing. Essentiality Certificate for B.Sc.(N) course is not essential, as they already possessEssentiality Certificate for School of Nursing. However,the private institutions have to produce document withregard to resolution of the management for upgradingthe School of Nursing into College of Nursing and INCnorms will be followed, subject to the condition thatthe School of Nursing is found suitable by IndianNursing Council.

Further on approval of B.Sc.(N) programme, theinstitution shall stop admission to G.N.M. programme.

M.Sc. NURSING1. Any organization under the Central Government,

State Government, Local body or a Private orPublic Trust, Mission, Voluntary registered underSociety Registration Act or a Company registeredunder company’s act wishes to open a M.Sc.Nursing programme, should obtain the NoObjection/Essentiality Certificate from the StateGovernment.

2. The Indian Nursing council on receipt of the pro-posal from the Institution to start nursing program,will undertake the first inspection to assess suit-ability with regard to physical infrastructure, clinicalfacility and teaching faculty in order to give per-mission to start the programme.

3. After the receipt of the permission to start the nurs-ing programme from Indian Nursing Council, theinstitution shall obtain the approval from the StateNursing Council and University.

4. Institution will admit the students only after taking

GUIDELINES TO STGUIDELINES TO STGUIDELINES TO STGUIDELINES TO STGUIDELINES TO START NURSING PROGRAMMEART NURSING PROGRAMMEART NURSING PROGRAMMEART NURSING PROGRAMMEART NURSING PROGRAMME

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approval of State Nursing Council and University.5. The Indian Nursing Council will conduct inspec-

tion every year till the first batch completes theprogramme. Permission will be given year by yeartill the first batch completes.

6. If the institution is recognized for B.Sc. (N)programme and if one batch has passed out afterfound suitable by INC, then the institution will beexempted from NOC/Essentiality certificate forM.Sc.(N) programe from the State Government.

7. Super Speciality Hospital* can start M.Sc.(N)programme, however they have to get NOC/Es-sentiality Certificate from respective StateGovernment to start the M.Sc. (N) programme.

*Super Speciality Hospital are eligible to start M.Sc.(N)provided they have respective speciality beds,

Cardio Thoracic beds50-100 bedded Cardiac Hospital, which hasCCU, ICCU and ICU units with own thoracic unitor affiliated thoracic unit.

Critical Care beds250-500 bedded Hospital, which has a 8-10 bedscritical care beds & ICUs.

OBG Speciality beds50 bedded parent hospital having:

i. Mother and neonatal unitsii. Case load of minimum 500 deliveries per yeariii. 8-10 level II neonatal beds.iv. Affiliation with level III neonatal beds

Neuro Speciality bedsMinimum of 50 bedded Neuro care institutionwith advanced diagnostic, therapeutic and stateof the art clinical facilities.

Oncology Speciality bedsRegional Cancer centers/Cancer Hospitals hav-ing minimum 100 beds, with medical and surgicaloncology units with chemotherapy, radiotherapy,palliative care, other diagnostic and supportivefacilities.

Orthopaedic Speciality beds250-500 bedded Hospital, which has a 50 or-thopaedic beds & rehabilitation units.

Psychiatric bedsMinimum of 50 bedded institutes of psychiatryand mental health having all types of patients(acute, chronic, adult psychiatric beds, childpsychiatric beds and de-addiction facilities) , with

advanced diagnostic, therapeutic and state ofthe art clinical facilities.

Paediatrics beds50-100 bedded paediatric Hospital/ unit with pae-diatric surgery and level II or III neonatal units.

Gastroentrology beds50-100 bedded gastroentrology beds.

Nephro-Urology Speciality beds50-100 bedded nephro urology hospital with di-alysis and kidney transplants, urosurgery.

POST BASIC DIPLOMA SPECIALITYPROGRAMMES

The Programme may be offered at:The Government (State/Center/Autonomous) nurs-

ing teaching institution offering diploma or degreeprogrammes in nursing having parent/affiliated Gov-ernment Hospital facilities*

OrOther Non-Govt. nursing teaching institution

offering diploma or degree programmes in nursinghaving parent Hospital facilities*

OrSuper Speciality Parent Hospital** Hospital Facilities for:

Cardio Thoracic Nursing50-100 bedded Cardiac Hospital, which has

CCU, ICCU and ICU units with own thoracic unit oraffiliated thoracic unit.

Critical Care Nursing250-500 bedded Hospital, which has a 8-10

beds critical care beds & ICUs.

Midwifery Nursing50 bedded parent hospital having:

i. Mother and neonatal unitsii. Case load of minimum 500 deliveries per yeariii. 8-10 level II neonatal beds.iv. Affiliation with level III neonatal beds

Neuro Science NursingMinimum of 50 bedded Neuro care institutionwith advanced diagnostic, therapeutic and stateof the art clinical facilities.

Oncology NursingRegional Cancer centers/Cancer Hospitals hav-

14

ing minimum 100 beds, with medical and surgicaloncology units with chemotherapy, radiotherapy,palliative care, other diagnostic and supportivefacilities.

Orthopaedic & Rehabilitation Nursing250-500 bedded Hospital, which has 50 ortho-paedic beds & rehabilitation units.

Psychiatric NursingMinimum of 50 bedded institutes of psychiatryand mental health having all types of patients(acute, chronic, adult psychiatric beds, childpsychiatric beds and de-addiction facilities), withadvanced diagnostic, therapeutic and state ofthe art clinical facilities.

Neonatal Nursing250-500 beds and level II/III NICU facility, NICUbeds: e” 10.

Operation Room Nursing250-500 bedded Hospital having facilities forGeneral Surgery, Pediatric, Cardiothoracic,Gynae and Obstetrical, Orthopaedics, Oph-thalmic, ENT and Neuro Surgery.

Emergency and Disaster NursingMinimum 250-500 beds and ICU facility, 10Emergency beds.

(Information available atwww.indiannursingcouncil.org)

From CMC, VelloreThe College of Nursing, CMC, Vellore has been

given an opportunity to conduct the HIV/AIDS & ARTtraining for the nursing faculty members and staffnurses working in the ART centers/CHC/PHC underthe GFATM 7 project.

We are happy to report that we conducted three(TOT) Training programme for Master Trainers andone Training programme for Training of Nurses (TON)under the GFATM 7. We had totally trained 89 trainersand 35 staf f nurses from February 2009 to May 2009.

CMC, Vellore has got ICTC& an ART Centre,where more patients are getting the comprehensivetreatment for HIV/AIDS. The trainees do visit thecenters and interact with the team members. Most ofthe trainers and the staf f nurses expressed that it isa very useful programme to train/educate the healthteam members and the public.

After the training they visited the patients in theward, they could use the knowledge gained duringthe training and educate the HIV/AIDS patients onbalanced diet, preventive aspects and adherence toART. The verbatim of one our patient (Mr. X) whohad been visited by the trainee was as follows:

“The staff member teaching was very useful. Sheencouraged me take good diet and continuation ofmy drugs. I need to change my lifestyle and learn tolive positively”. (He (Mr. X) is suffering with HIV/AIDSstage 4(WHO) and also diagnosed to have Crypto-coccus meningitis with a CD4 count 74. Mr. X. is beingtreated with Amphoterecin50mg I.V once a day. Since

he is having mild cerebral edema he is prescribedInj. Manitol 20% x50ml -q8h for a week and now twicea day& Acyclovir800mg x5times a day).

With this treatment and continuous supportive carehe is much better and his general health is improving.People living with HIV should be educated to preventopportunistic infections, prevent further HIVtransmission and in some cases delay the progressionof the HIV disease. This training programme will surelyyield fruitful result in among PLHV and bring forthbehavioral modification in the general public towardsattaining the MDGs.

Dr. Jayarani Premkumar

From College of Nursing, ManipalThank you very much for your appreciation. I

would like to inform you that it is not my hard workalone,but also Mrs. Suja Karkada. We could do it onlybecause of the support from our managementespecially Dr. GK Prabhu, Registrar, ManipalUniversity, Dr. Vinod Bhat, and Mr Jagdish Nayak,Finance Director of Manipal University.

The backbone for our success is Dr. Vaswani, whohelped us initially in each and every step.

I am also happy to inform you that ours is the firstinstitute to start TON.

Baby NayakCollege of Nursing, Manipal, Karnataka

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Glimpses of GFGlimpses of GFGlimpses of GFGlimpses of GFGlimpses of GFAAAAATM TrainingTM TrainingTM TrainingTM TrainingTM Training

1 1st Oct 2009 to 31st Jan 2010 _ Submission of New Proposals to INC with all the requisitedocuments.

2 30th June 2010 _ Declaration of the results for Collegiate Programme.

3 15th July 2010 _ Declaration of the results for School Programme.

a. For New Nursing Programme i.e., for ANM, GNM, & B.Sc (N) the Institute has to submit the follow-ing documents:

• Duly filled in application form (requisite fee, copy of Registration Certificate of society etc., ProjectReport indicating available physical, clinical & teaching facilities, budgetary provision, EnglishVersion of the Essentiality Certificate, Consent of the University for Affiliation) latest by 31/01/2010. Document should be duly attested by the Notary (Application form available on the website,www.indiannursingcouncil.org).

b. For P.B.B.Sc (N) Programme there is no need to have Government Order if the Institute isrecognized for B.Sc (N) Programme.

c. For M.Sc (N) Programme:

• If the Institution is recognized for B.Sc. (N) programme and if one batch has passed out afterfound suitable by INC, then the institution will be exempted from NOC/ Essentiality Certificate forM.Sc (N) programme from the State Government.

• Super Speciality Hospital* can start M.Sc (N) programme, however they have to get NOC/Essentiality Certificate from respective State Government to start the M.Sc. (N) programme.

WWWWWebsite of Indian Nursing Council - ebsite of Indian Nursing Council - ebsite of Indian Nursing Council - ebsite of Indian Nursing Council - ebsite of Indian Nursing Council - wwwwwwwwwwwwwww.indiannursingcouncil.org.indiannursingcouncil.org.indiannursingcouncil.org.indiannursingcouncil.org.indiannursingcouncil.org

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