Training

Immunization training

Progress and Issues

“Review cum Workshop on Immunization Programme” 18 – 20 May 2011, New Delhi

Dr. Renu ParuthiTraining Focal Person

WHO-NPSP

Immunization training of Medical Officers Immunization Handbook,

Facilitators’ Guide and training kits developed by GoI in 2008, revised in 2009

All training materials supplied from the national level to the states.

TOTs conducted during 2009 at national, regional and state level coordinated by NIHFW and WHO-NPSP and 1000 trainers trained

Immunization training of Medical Officers - Progress

21,000 out of 60,000 (35%) MOs trained till date in 2

years

Training is completed (>90%) by only 5 states of AP,

Punjab, Meghalaya, Puducherry & D&N Haveli

Good progress (>50%) in 8 states of Assam, Tamil Nadu,

Haryana, Delhi, Chandigarh, Goa, Sikkim and D&D

Training has not started after TOTs in 4 states of

Himachal Pradesh, J & K, Tripura and Lakshadweep.

Slow progress (<50%) in rest of the 18 states.

Immunization training of Medical Officers – Issues and Interventions required

Issues Priority is not given to MO

training

Only one or two training centers

involved in the state

Attendance in the sessions is

poor

Training guidelines are not

followed

Lack of regular reporting of the

progress of training by the states

Name-based database of trained

MOs is not maintained.

Recommendations

Priority needs to be given to

complete the training by 2011 –

2012.

Need to decentralize the training in

few states as Bihar, Jharkhand,

Chhattisgarh and Rajasthan.

States with Partner support to

ensure monitoring of the quality of

training

Report the progress regularly to the

national level along with name based

database of trained MOs.

Immunization training of Health workers Immunization Handbook for HWs

and the Facilitator’s Guide first developed in 2006

Revised and updated based on recommendations of the performance assessment study of HW training conducted in 2009

Two days training of all HWs needs to be conducted (for new HWs as well refresher for those trained more than 3 years back).

Hindi and English version of handbooks sent from national level to the states.

Translation and printing in local language to be done by the states with PIP funds.

Immunization training of Health workers – Progress and Issues

How many states have started the training of health workers after the TOTs?

Any Issues? Any support required regarding the

training materials or the Training of trainers?

Training of Vaccine & Cold Chain Handlers

Any person handling vaccines & cold chain at PHC/CHC/District/ divisional/regional/state level

Using Handbook for Vaccine and Cold Chain Handlers (2010) – English (2000+2000) and Hindi (9000)

Two days, residential, batch size – 15 Three TOT trained trainers full time both days Use ILR/DF/Cold box/vaccine carriers/ stabilizers as

per handbook Interactive – demonstration, hands on practice,

exercises, role play, film on cold chain, etc.

Status of Cold Chain Handlers’ Trainings 221 state trainers trained in 9 TOTs (2010-11) All states covered except Lakshadweep and

Dadra & Nagar Haveli Trainings started – An. Pradesh, Arunachal

Pradesh, Bihar, Chandigarh, Delhi, Goa, Gujarat, Haryana, J & K, Jharkhand, Karnataka, Maharashtra, Mizoram, Odisha, Puducherry, Punjab, Rajasthan, UP, Uttarakhand (19) .

30% (751/2504) district trainers trained - State TOTs

20% (6586/32800) cold chain handlers trained

Issues

Whom to train? CCH in PHCs/CHCs, district level

Planned for one-day training in state PIPs Translation into local languages Non residential training Regular monitoring needed Information regarding trainings planned

not conveyed in time - facilitation Reports of trainings conducted not

conveyed regularly

Need for name-based database

Trained CCH - reduced AEFIs and vaccine wastage

CCHs at ILR points keep changing – tracking ILR points for untrained CCH for training

DIOs/district CCTs and SEPIOs/SCCOs can maintain database at own level, track ILR points to train new CCH, supportive supervision & monitoring

Reporting format – name-basedDETAILS OF VACCINE AND COLD CHAIN HANDLERS TRAINED (2-DAYS)

Reporting date:

S. No.

Name of Vaccine/Cold Chain Handler trained

Designation, place of posting

District State Training dates

Training venue

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

Signature

What needs to be done?

Translation of module into local language Train district trainers Plan to train all handlers in 2011-12 Ensure quality training Regular reporting, name-based data

base at district, state and national level Prepare training plans / share training

dates (states and district level)

Information sharing – VCCH trainings

Training plans and training reports - Immunization Division with copy to Director, NIHFW every month

Soft copy (excel format) of name-based tracking format to [email protected] and [email protected]

Training of Refrigerator Mechanics & Cold Chain Officers

At State Health Transport Organization, Pune

Repair and maintenance of cold chain equipments

1722 mechanics and CCOs trained since 1983

Trainings conducted at SHTO, Pune – 2007-10

Training on maintenance of WIC/WIF (154 technicians)

TOT for stabilizers’ repairs (29)

Training on repair of non-CFC ILR and DF (457 from 38 states/UT)

Training of solar equipment maintenance (98 from 16 states)

Current training need

Induction training for Cold Chain Technicians – UP(20), Punjab (9), Bihar (5), other states (3)

Training for repairs and maintenance of non-CFC ILR/DF – three batches

Training for repairs of voltage stabilizers – three batches

THANK YOU!

Questions?

Support needed?