Gu|de||nes for 1ra|n|ng under

Iam||y |ann|ng
ur Sushma uure[a
AssLL Commlssloner (l)
MCPlW CCl
Iam||y |ann|ng Saves L|ves
Access|b|e and Lffect|ve Iam||y |ann|ng
serv|ces reduce materna| morta||ty by
3S by s|mp|y prevent|ng un|ntended
bab|es be|ng born
easons for Low Acceptance of
Iam||y |ann|ng Methods
S oor Access to I serv|ces
I|xed day regu|ar serv|ces unava||ab|e at sub d|str|ct
|eve|
24]7 nC IDs not prov|d|ng ster|||sat|on serv|ces
S oor Manpower deve|opment aL sLaLe level
L|tt|e efforts to |ncrease manpower for ID M|n||ap
Laparoscop|c ster|||zat|on and NSV
Dnderut|||zat|on of tra|ned prov|ders
S Lack of Contracept|ve updates aL sLaLe/dlsLrlcL
S Lack of Concerted ILC]8CC strategy or lamlly
lannlng
Strateg|es
S Sca||ng up ILC lnLenslve campalgn on
varlous meLhods o l
S Lnhanc|ng the prov|der CapaclLy bulldlng
o provlders Lhrough quallLy Lralnlng
S Contracept|ve update or provlders
S Strengthen |og|st|cs regardlng supply o
equlpmenLs lnsLrumenLs and maLerlals
W A ma[or pre requlslLe or provldlng
quallLy healLh care servlces ls upgradlng
Lhe skllls knowledge o all healLh
personnel
Nat|ona| 1ra|n|ng Strategy
nsures lnLegraLed Lralnlng programmes
Lo encompass Lhe vasL Lralnlng needs
address lssues o plannlng
operaLlonallsaLlon o healLh aclllLles
synchrony o supplles
CuallLy lssues
lund low mechanlsms
o|e of Stakeho|ders (contd)
W uelne Lhe role o each o Lhe sLake
holders lnvolved ln Lralnlng such as
SM ulrecLor SlPlW SLaLe ulrecLoraLe
o PlW l/C u1C uMs l preparaLlon
o comprehenslve Lralnlng plans
Lralnlng calendars
o|e of Stakeho|ders
W -aLlonal Level
1rg ulvlslon ln MCPlWlssulng o broad
guldellnes on Lralnlng maLLers relaLed Lo
pollcy declslon
-lPlW-odal lnsLlLuLe Lo coordlnaLe all
Lypes o Lralnlngs
SLaLe level
SlPlW/C1ls ConducL 1o1s or all Lypes o Lrgs
o|e of Stakeho|ders (contd)
CoordlnaLe Lralnlngs or dlsLrlcLs wlLh
SLaLe 1ralnlng CoordlnaLor sLaLe nodal
olcer SM
W ulsLrlcL
uMCs uMs prepare calendar
or conducLlng Lralnlng o perlpheral
healLh uncLlonarlesMCs nurses LPv
A-Ms PW(M) Lab 1ech eLc
|str|ct 1ra|n|ng |an
W ulsLrlcL a unlL o Lralnlng
W 1ralnlng need assessmenLLoLal Lralnlng
load calculaLlon
W 8aLch slze duraLlon venue as per
guldellnes
W 1o have a specllc Llme rame or each
Lralnlng
W llnanclal plan as per guldellnes
W ulsLrlcL Lralnlng plan Lo be a parL o ulsLrlcL
AcLlon lan
State 1ra|n|ng |an
W ulsLrlcL 1ralnlng lans complled collaLed
W reparaLlon o a plan or Lralnlng o
Lralners
W uaLa base o Lralned manpower
W reparaLlon pro[ecLlon o resources ln
l
W lormulaLlon lmplemenLaLlon o CuallLy
Assurance Culdellnes
W ueveloplng a plan or proper uLlllzaLlon o
Lralned personnel
Lx|st|ng Gaps
W verLlcal Lralnlng programmesneed
lnLegraLlon
W SLaLe ulsLrlcL Lralnlng plans noL as per
needs
W 1ralnlng noL synchronlzed wlLh need o
healLh aclllLles supplles
W oor monlLorlng o posL Lralnlng ollow up
W uaLa bank o Lralned manpower noL
malnLalned
Lx|st|ng Gaps(contd)
W Lack o coordlnaLlon beLween PealLh
SoclLles uepLL o PealLh Servlces
SlPlW/C1ls ln sLaLes
b[ect|ve
1o enhance Lhe provlder base aL
perlpheral aclllLles or provldlng quallLy
lamlly lannlng servlces
C||n|ca| 1ra|n|ngs |n
Iam||y |ann|ng
1ypes
W IDC |nsert|on tra|n|ngs
Interva|
IDC
W M|n||ap Ster|||zat|on 1ra|n|ngs
W Laparoscop|c Ster|||zat|on 1ra|n|ng
W NSV tra|n|ng
equ|s|tes for C||n|ca| 1ra|n|ngs
W 1ra|ners rolclenL and behavlor model
W C||n|ca| tra|n|ng s|tes PosplLals wlLh
sulclenL case load
W 1ra|n|ng mater|a|s qulpmenLs consumables
W Anatom|ca| pe|v|c mode|s humanlsLlc
Lralnlng Lo develop sklll wlLhouL ln[urlng Lhe
cllenL
W 1ra|nees ApproprlaLe selecLlon o Lralnees
ey Areas |n C||n|ca| 1ra|n|ngs
W Screen|ng Lhe cllenL based on MC
W 1echn|ca| competency as per sLandards
W Counse||ng sk|||s and lnormed consenL
W Infect|on prevent|on pracLlces
adherence Lo sLandards
W Io||ow up and managemenL o
compllcaLlons
C||n|ca| 1ra|n|ngs
A|ternat|ve Methodo|ogy of 1ra|n|ng
W CompeLency based cerLllcaLlon
W PumanlsLlc Lralnlng pelvlc models
W 8ased on adulL learnlng prlnclples
W oslLlve learnlng cllmaLe
W 1ralned as a Leam rom same aclllLy
W laclllLaLlve supervlslon aL all levels
Competency 8ased
1ra|n|ngs
IDC tra|n|ng
Cascade type of tra|n|ng
Nat|ona| |eve| state Lralners Leam (3 no) o
CynaecologlsLs rom SlPlW/uP/ Medlcal
College SLaLe rogramme Clcer SLaLe
-urslng Advlser
urat|on 6 days
b[ect|ves 1o develop
W C||n|ca| tra|n|ng sk|||s
W 1echn|ca| update
IDC 1ra|n|ng (contd)
State Leve|
1ra|n|ng S|te aL SlPlW or Medlcal College or
dlsLrlcL Lralnlng Leam
1ra|nees CynaecologlsL rom uP/SuP ulsL 8CP
olcers aculLy rom nurslng Lralnlng schools
A-M1C
8atch S|ze 3 Lo 6
1ra|ners SLaLeLevel Lralners
urat|on 6 days
b[ect|ves 1o develop
W Cllnlcal Lralnlng skllls
W 1echnlcal updaLe
IDC 1ra|n|ng (contd)
|str|ct Leve|
1ra|n|ng S|te uP/CPC/PC/A-M1C/u1C
1ra|nees MCs LPvs SLa nurses and A-Ms aL
cllnlcal Lralnlng slLes (uP/uuP/CPC/ PC) and
A-M1C/u1C
8atch S|ze 3 Lo 6
1ra|ners ulsLrlcLLevel Lralners
urat|on 6 days
b[ect|ves 1o develop
W uevelop cllenL screenlng and counsellng skllls
W uevelop compeLency ln luCu lnserLlon
W lnecLlon prevenLlon and wasLe managemenL
W lollow up care managemenL o compllcaLlons
W MalnLenance o reglsLers
IDC 1ra|n|ng (contd)
Methodo|ogy
W days Lralnlng on elvlc models Lo develop
compeLency uslng Lhe learnlng gulde aL Lhe class
room Lralnlng slLe
W days on cllenLs aL Lhe cllnlcal Lralnlng slLe
W MaLerlals or Lralnlng
luCu 8eerence manual or MCs and -urses
laclllLaLor's gulde
CperaLlonal gulde and monlLorlng checkllsL
1ra|n|ng |n IDC
Agenda for r|entat|on workshop |n IDC
W 1ra|nees CynaecologlsLs Medlcal olcers
and nurses o Cynaecology ueparLmenL
W Number of tra|nees 3
W Venue Medlcal college/ dlsLrlcL hosplLal
rom where Lhe CynaecologlsL has
undergone 1o1 aL -aLlonal/SLaLe level
W 1ra|ners CynaecologlsLs who have
undergone 1o1
IDC 1ra|n|ng (contd)
urat|on hours
1op|cs
l and lLs lmporLance
- Cvervlew o varlous conLracepLlves
- lamlly plannlng counsellng
- MC and cllenL assessmenL
- luCu servlce dellvery guldellnes
- lnecLlon prevenLlon pracLlces SLandard unlversal
recauLlons
- vldeo show on Lechnlque o luCu lnserLlon ln Lhe
lmmedlaLe posL parLum perlod
- uemonsLraLlon on models
IDC 1ra|n|ng (contd)
1ra|n|ng mater|a|s
W luCu manual
W elvlc model (Zoe)
1ra|nees CynaecologlsLs or senlor medlcal olcers o l unlL
/ Cbs Cynae uepL o medlcal colleges and dlsLrlcL hosplLals
Number of tra|nees 8 / baLch
urat|on of tra|n|ng days
Venue Medlcal college/ ulsLrlcL hosplLal sLrengLhened or
lmmedlaLe posL parLum lnserLlon o luCu by Lralned servlce
provlders
1ra|ners who have undergone -aLlonal/SLaLe 1o1 (one Lralner
or Lhree Lralnees)
M|n||ap 1ra|n|ng
1ra|n|ng s|tes
Cllnlcal Lralnlng slLes uP/SuP/ l8uS wlLh case
load or Lralnlng
1ra|ners CynaecologlsL or senlor M88S docLor
who ls conducLlng S/lnLerval mlnllap
1ra|nees M88S docLors rom hosplLals and
uncLlonal CPC/ PC
urat|on days
M|n||ap 1ra|n|ng (contd)
Methodo|ogy class room Lralnlng sesslons
uslng models buL mosLly on cllenLs
b[ect|ves
W uevelop Lhe skllls o screenlng Lhe cllenL as
per MC and counselllng
W Io||ow |nfect|on prevent|on pract|ce aL all
levels
W Competency to perform Abdom|na|
1ubectomy as per sLandards under Local
AnaesLhesla
W lollowup and Management of prob|ems
1ra|n|ng |n Laparoscop|c
Ster|||zat|on
1ra|n|ng s|tes Cllnlcal Lralnlng slLes uP/SuP/ l8uS wlLh
case load or Lralnlng
1ra|ners CynaecologlsLs cerLlled as Lralners
1ra|nees A Leam o gynaecologlsL/surgeon sLa nurse
and C1 Lechnlclan rom hosplLals and uncLlonal CPC
8atch S|ze Cne Leam
urat|on days
b[ect|ves
W uevelop Lhe skllls o screenlng Lhe cllenL as per MC
and counselllng
W Io||ow |nfect|on prevent|on pract|ce aL all levels
W Competency to perform Abdom|na| 1ubectomy as
per sLandards under Local AnaesLhesla
W lollowup and Management of prob|ems
NSV 1ra|n|ng
1ra|n|ng s|tes Cllnlcal Lralnlng slLes uP/SuP/CPC/PC
wlLh case load or Lralnlng
1ra|ners SLaLe -Sv Lralners and dlsLrlcL Lralners
1ra|nees CynaecologlsLs/surgeons/M88S docLors rom
hosplLals /CPC/PC
8atch S|ze Lo
urat|on 3 days
b[ect|ves
W uevelop Lhe skllls o screenlng Lhe cllenL as per MC
and counselllng
W Io||ow |nfect|on prevent|on pract|ce aL all levels
W Competency to perform Abdom|na| 1ubectomy as
per sLandards under Local AnaesLhesla
W lollowup and Management of prob|ems
Cha||enges |n C81
Cllnlcal 1ralnlng SlLe
W SulclenL case load Lo be moblllzed
W Adherence Lo Lhe sLandard Lechnlques
W uevoLed Lralners and Llme spenL on Lralnlng
W CompeLency cerLllcaLlon o Lhe Lralnees
W roper placemenL o Lhe Lralned person
Cha||enges |n C81 (contd)
W SupporLlve supervlslon o Lhe Lralned
person
W SLrengLhenlng o Lhe physlcal aclllLles
W erormance sLandard assessmenL on
[ob Lralnlng
W MonlLorlng and evaluaLlon o Lhe ouLpuL
o Lhe Lralnlng relaLed Lo lncrease ln
uLlllzaLlon o servlces
C||n|ca| 1ra|n|ng S|te
numan|st|c 1ra|n|ng
nandson 1ra|n|ng
econtam|nat|on
8|oMedca| Waste Management
Gu|de||nes] Manua|sI 1ra|n|ng
W perat|ona| Manua| A|ternat|ve Methodo|ogy of
1ra|n|ng Intrauter|ne Contracept|ve ev|ce
W IDC eference Manua| for Med|ca| ff|cers
W IDC eference Manua| for Nurs|ng ersonne|
W eference Manua| on Immed|ate ost partum IDC
W perat|ona| Gu|de||nes on I|xed ay Stat|c approach
for Ster|||sat|on Serv|ces Capac|ty 8u||d|ng for Ma|e
fema|e Ster|||sat|ons
W Gu|de||nes for 1ra|n|ng |n Iema|e Ster|||sat|on for
rogram ff|cers 1ra|n|ng Coord|nator and 1ra|ners
W NSV Curr|cu|um for Vasectomy Serv|ce rov|ders
1ra|ners' Manua|
Gu|de||nes for Serv|ce
Intervent|ons
W Manua|s on Standards |n Iema|e and ma|e
ster|||zat|on and ua||ty assurance
W Standard operat|ng procedures for
Ster|||sat|on Serv|ces
W perat|ona| Gu|de||nes on I|xed ay Stat|c
approach for Ster|||sat|on Serv|ces
W eference manua| for M|n||ap tubectomy
W Check ||st for mon|tor|ng the qua||ty of
tra|n|ngs as we|| as serv|ces
W IDC C||n|ca| Serv|ce e||very Gu|de||nes
Lnsur|ng ua||ty Care
ua||ty to be ensured through
MonlLorlng mechanlsm
SLaLe and ulsLrlcL CuallLy Assurance
commlLLees
ulsLrlcL CMCs/ uy CMCs u1Cs uP- and
ulsLrlcL prog Managers
8lock level olcers and supervlsors
eport|ng and feedback dlssemlnaLlon o Lhe
observaLlons and correcLlve measures
Way Iorward
W lnvolvemenL o ASPA/AWW or communlLy
moblllsaLlon
W CapaclLy bulldlng o servlce provlders Lo work
as a Leam Lop prlorlLy or quallLy servlces
W SLrengLhen monlLorlng and supervlslon aL all
levels
W sLabllshlng CuallLy Lralnlng cenLres
1hank ou