You are on page 1of 21

A Report on

Asha Sahyogini III Step Training Program (Five Day)

Batch I- June 8 -12, 2009

Batch II- June 15 -19, 2009

Batch III- June 22-26, 2009

Venue
Phool Maliyan Bhavan
Bhinay block, Ajmer, Rajasthan

Organized by
Social Welfare Charitable Trust (HQ)
623, Barkat Nagar, Tonk Phatak, Jaipur

Branch Office
Gram Panchayat Building, Bhinay, Ajmer

Prepared by
Dr. Ranjana Vaishnav

1
About SWCT

Social Welfare Charitable Trust is dedicated for social and rural


development of the community. To enhance the capacity and capability of
the deprived community, SWCT registered in year 1994 by Commissioner,
Devasthan Department, GOR, Jaipur “Under Rajasthan Public Trust Act
1958” and also registered under FCRA Act 1976.

The trust is working at national level to achieve their goal of social


development. It is active in Rajasthan, Uttaranchal, Delhi and M.P. both
urban slum and rural remote areas. Since its inception, the trust has gained
realization of the developmental programmes implemented by the
Government, Non Government organization, self or by the corporate
sector.

In this concern the trust has followed the modalities, active participation
and need assessment so the attempts have largely been successful. The
trust has project advisory committee of professionals of different fields to
provide consultation for functional modalities keeping in view the prevailing
issues, need and problems of the area. Over the years SWCT has running
following programs:

Targeted Intervention among Sex workers in Sirohi


Concurrent Evaluation of JSY
• Child Labour Free Village Project (Clfv)
• Child Labour Rehablitation Center (Nclp) Khonagorian (Jaipur) &
Jamuaramgarh Tehsil
• Domestic Cottage Industry Training Programme –
• HIV /AIDS & STD Programme –
• Formation of Self Help Groups.
• Participation in Disaster Management Workshop -
• Consumer Awareness Camp
• Computer Education Program
• Total Sanitation Campaign In Sawai Madhopur
• National Resource Management Awareness Camp
• Celebration of national/international days

2
The Training Program

Under National Rural Health Mission (2005-12), ASHA (Accredited Social


Health Activist) is selected from the Village through Gram Sabha and
accountable to the community. It provides interface between community
and public health system. The training program is organized in three
batches viz.

Batch I- June 8 -12, 2009


Batch II- June 15 -19, 2009
Batch III- June 22-26, 2009

The area for training program is Bhinay block of district Ajmer by SWCT in
collaboration with NRHM. A lot of discussions were held with concerned
authorities and resource persons to make it a successful program. ASHA
resource material provided meaningful support in organizing program.
Program of training and list of participants is given in Annexure I and II. The
same training program was followed in all three batches.

Objectives of the Training Programme

• To orient and sensitize participants about health and family welfare.


• To create understanding about role and responsibility of ASHA.
• To create awareness regarding Family Planning, unsafe abortions,
HIV/AIDS, TB and others health issues.

Following material was provided to the participants:

• Registration Forms
• Pretesting Forms
• Slip pad, pens
• Feed back Forms
• TA Bill etc.

3
The Participants
The participants of the workshop were ASHA member of different villages
of Bhinay block of Ajmer district. Figure 1.1 to figure 1.3 presents the
educational status of the participants and figure 2.1 to figure 2.3 shows the
age of the participants during training program. All of the participants were
educated with experience in their respective field. More than 50 %
participants were in age group 22 to 29 years.

Figure 1.1 Figure 2.1

Figure 1.2 Figure 2.2

4
Figure 1.3 Figure 2.3
The Program

The training programme of first batch was started at Phool Maliyan Bhavan,
Bhinay, Ajmer by eminent guest, Sarpanch Shri Tulsi Ram Ji along with Mr.
S.P. Choudhry, Chairman of SWCT.

The deliberators
• Mr. Choudhry, SWCT
• Mrs. Lalita Verma
• Vaidhya Ashok Pareek
• LHV Mrs. Sheela
• Dr. SK Yadav

The Deliberations

Day 1:
Registration and formal introduction of the participants and trainees were
done. In the brief opening session Mr. Choudhry welcomed participants
and introduced SWCT, Jaipur and its major work on Women and Child. He
requested the participants to fill up pre-testing forms so that the training
programme may address the specific issues with the knowledge more
required among the trainees. The experts in the respective fields discussed
such issues at priority.

After refreshment, Mrs. Lalita Verma reviewed previous trainings to


participants. All the activities trained by previous instructors were also
appraised. This restored the knowledge gained by the participants
previously. The information given by the participants in pre testing forms

5
were analyzed. Pre-testing forms revealed the level of awareness and
expectation of the participants with the programme:

The

above figure indicates the responses collected from the trainees. It reveals
lot of issues for generating awareness and knowledge among them.
Particularly, to the question meant to observe the knowledge about the
HIV/AIDS, out of 41 trainees who filled the pre-testing forms only 13 could
answer the question, one did not answer correctly while 10 trainees did not
respond to it and so on. Most of the participants want to know more about
MCH services, HIV/AIDS, AYUSH and TB.

Vaidhya Ashok Pareek briefed about female foetcide, general and


communicable diseases etc. He also informed that Maternal Mortality Ratio
(MMR) is defined as the number of maternal deaths per 100,000 live births
due to causes related to pregnancy or within 42 days of termination of
pregnancy. In India, over 301 women die out of every 100,000 giving birth
and NRHM aims to cut down this rate.

He also gave details on diarrhea, which is one of the most reasons of child
death. He informed treatment of diarrhea can be given easily at home in
primarily stage. Diarrhea causes of dehydration and malnutrition and need
to be extra preventative measures. Along with liquid diet, Oral Rehydration
Salts (ORS) should be given to a child under observation. Liquid diet
includes yogurt, neembu pani, dal ka pani etc. He showed the following
chart to clear the requirement of ORS.

Amount of ORS according age during first four hour of disease


Age 4 month 4 to 11 12 to 23 2 to 4 5 to 15

6
month year year
ORS 200-400 400-600 600-800 800-1200 1200-2200
(mm)
Glass 1 to 2 2 to 3 3 to 4 4 to 6 6 to 11

During the session, RCH officer Dr. Gorgio and other distinguished
persons visited the program of first batch. They inspected the training
programme and evaluated the activities of ASHA. Also, he presented
comprehensive details to participants about National Rural Health Mission,
its objectives, activities. He showed keen interest in problems faced by
ASHAs in field and gave valuable suggestion.

Informative Session: Mrs. Lalita informed about child development


services, adolescent, women and health, care during pregnancy, care of
new born etc. She delivered speech on child marriages and it’s social and
physical impacts. She also inquired about difficulties faced by ASHAs and
spoke on role of ASHA as supporting: Safe motherhood and delivery,
Village Health Survey, ANM in maintaining Village Health Register,
Member VHSC, Developing VHP, Organizing MCHN Days, Referral
Records. ASHA reinforce community action for universal immunization,
safe delivery, newborn care, prevention of water borne and communicable
diseases, improved nutrition and promotion of household toilets. She
informed that ASHA interact, mobilize and facilitate improved access to
preventive and promotive health care and also provide basic curative care
through her drug kits. She assisted in formulation of village health plan by
the village health and sanitation committee.

LHV Mrs. Sheela gave detail description of Janani Suraksh Yojna, why it is
needed and how it works. She told that Janani Suraksha Yojana (JSY) is a
safe motherhood intervention under the National Rural Health Mission
being implemented with the objective of reducing maternal and neo-natal
mortality by promoting institutional delivery among the poor pregnant
women. The Yojana, launched on 12th April 2005 is being implemented in
all states and UTs. The Yojana is being implemented in all states and
Union Territories. The Yojana has identified ASHA, the Accredited Social
Health Activist as an effective link between the Government and the poor
pregnant women. Her main role is to facilitate pregnant women to avail
Services of maternal care and arrange referral transport.

7
Dr. S K Yadav informed about majors to prevent unwanted pregnancy and
abortion. An abortion is the termination of a pregnancy by the removal or
expulsion from the uterus of a fetus/embryo, resulting in or caused by its
death. Spontaneous abortion (also known as miscarriage) is the expulsion
of an embryo or fetus due to accidental trauma or natural causes before
approximately the 22nd week of gestation; the definition by gestational age
varies by country. Most miscarriages are due to incorrect replication of
chromosomes; they can also be caused by environmental factors. A
pregnancy that ends before 37 weeks of gestation resulting in a live-born
infant is known as a "premature birth". When a fetus dies in uterus after
about 22 weeks, or during delivery, it is usually termed "stillborn".

He enlightened pregnancy can be intentionally aborted in many ways is


called Induced abortion. Reasons for procuring induced abortions are
typically characterized as either therapeutic, criminal or illegal. An abortion
is medically referred to as therapeutic when it is performed to:

• save the life of the pregnant woman;

• preserve the woman's physical or mental health;

• terminate pregnancy that would result in a child born with a


congenital disorder that would be fatal or associated with significant
morbidity; or

• Selectively reduce the number of fetuses to lessen health risks


associated with multiple pregnancies.

An unsafe abortion is the termination of an unintended pregnancy by


persons lacking the necessary skills, or in an environment lacking the
minimal medical standards, or both. He told that unsafe abortion is a
significant cause of maternal mortality and morbidity in the world and
approximately 95% of unsafe abortions take place in developing countries.

After the training programme,


trainees were interacted the
same questions and the
improvement was apparent with
all correct responses. In the

8
evening, after 07.00 PM all participants had dinner and after words cultural
programmes were held for recreation.

Day 2:

The second day was started with “Ish Vandana: Tu


Hi Ram Hai, Tu Rahim Hai…” After this Vaidya
Ashok Pareek gives a motivational speech to the
participants and one of the participant was
selected to review the program of first day. Mrs.
Lalita Verma presented detail review of first day program.

Vaidya Ashok Pareek deliberated at length on family planning issues. He


told that Family planning is the planning of when to have children, and the
use of birth control and other techniques to implement such plans. Other
techniques commonly used include sexuality education, prevention and
management of sexually transmitted infections, pre-conception counseling
and management, and infertility management. The Indian government has
come up with measures to control population and increase awareness of
the benefits of reducing population growth, which include better lifestyle,
education, environment, health and well being of every individual.

A role play on family planning with special issue of temporary and


permanent contraceptives: was prepared and presented by participants
namely Umrav devi, Laxmi, Krishna pareek, Maya devi, Vimla etc.

LHV Mrs. Sheela talked on MTP Act and gave important details on
menstruation and related prejudices. MTP Act helps in medical termination
of pregnancy but by trained doctors. Simulation exercises and other games
were held with participants to make clear the theme of the session.

She informed that normal menstrual cycle comprises bleeding lasting from
one to 5 days occurring at an interval of 28-30 days. There can be normal
variation in interval, duration and amount of flow. Mild pain may be
associated with perfectly normal cycle.

9
After lunch III session was taken by Dr. S K Yadav on T.B. and its
prevention. He explained that Tuberculosis (abbreviated as TB) is a
common and often deadly infectious disease caused by mycobacterium in
humans. Tuberculosis usually attacks the lungs (as pulmonary TB) but can
also affect the central nervous system, the lymphatic system, the
circulatory system, the genitourinary system, the gastrointestinal system,
bones, joints, and even the skin. Tuberculosis is spread through the air,
when people who have the disease cough, sneeze, or spit. One–third of the
world's current population has been infected with M. tuberculosis, and new
infections occur at a rate of one per second.

He informed that the symptoms of tuberculosis include chest pain,


coughing up blood, and a productive, prolonged cough for more than three
weeks. Systemic symptoms include fever, chills, night sweats, appetite loss,
weight loss, pallor, and often a tendency to fatigue very easily.
Tuberculosis treatment is difficult and requires long courses of multiple
antibiotics. Contacts are also screened and treated if necessary.
Prevention relies on screening programs and vaccination, usually with
Bacillus Calmette-Guérin (BCG vaccine). It takes two parallel approaches.
In the first, people with TB and their contacts are identified and then
treated. Identification of infections often involves testing high-risk groups for
TB. In the second approach, children are vaccinated to protect them from
TB. Unfortunately, no vaccine is available that provides reliable protection
for adults.

Vaidhya Ashok Pareek informed participant about HIV/AIDS. He informed


the meaning of HIV and AIDS:
HIV AIDS
Human: Human beings Acquired: We get HIV as a result of
Immuno - deficiency: A weakening it being passed on from a person
in the body’s immune system that who already has it.
fights diseases Immune Deficiency: A weakening
Virus: An infectious organism which in the body’s ability to fight off germs
multiplies and destroys human body and illnesses.
cells. Syndrome: A group of health
problems or diseases that occur
together or one after another.

10
He told that when HIV enters our bodies, it attacks and destroys white
blood cells. White blood cells form part of the immune system that protects
our bodies against germs that could cause diseases. After a person
acquires HIV, he/she can spend a number of years looking healthy and
strong. During this time HIV is slowly damaging his/her immune system,
which weakens his/her body’s ability to fight off germs and illnesses,
resulting into him/her suffering from a combination of illnesses, such as
tuberculosis (TB), pneumonia, diarrhoea and skin infections. Infection with
HIV occurs by the transfer of blood, semen, vaginal fluid, pre-ejaculate, or
breast milk.

All participants enjoyed the last session taken by Mrs. Lalita, Mr. Gupta as
cultural activities including dance and quiz competition. After ending of all
sessions of the day, evening was celebrated with dinner and dance party.

Day 3:

Participants reviewed the second day program with the help of Mrs. Lalita
Verma.

Vaidhya Ashok Pareek spoke at length about malaria and its prevention
techniques. He informed that Malaria is a
vector-borne infectious disease caused by
protozoan parasites. Malaria is one of the
most common infectious diseases and an
enormous public health problem. Only
Anopheles female mosquitoes can transmit malaria, and they must have
been infected through a previous blood meal taken on an infected person.
When a mosquito bites an infected person, a small amount of blood is
taken, which contains microscopic malaria parasites. About one week later,
when the mosquito takes its next blood meal, these parasites mix with the
mosquito's saliva and are injected into the person being bitten. The
parasites multiply within red blood cells, causing symptoms that include
symptoms of anemia (light-headedness, shortness of breath, tachycardia,
etc.), as well as other general symptoms such as fever, chills, nausea, flu-
like illness, and, in severe cases, coma, and death. Symptoms of malaria

11
include fever, shivering, arthralgia (joint pain), vomiting, anemia (caused by
hemolysis), hemoglobinuria, retinal damage, and convulsions. The
symptom of malaria is cyclical occurrence of sudden coldness followed by
rigor and then fever and sweating lasting four to six hours, can have
recurrent fever every 36–48 hours or a less pronounced and almost
continuous fever. Children with malaria frequently exhibit abnormal
posturing, a sign indicating severe brain damage. Malaria has been found
to cause cognitive impairments, especially in children. It causes
widespread anemia during a period of rapid brain development and also
direct brain damage.

He told that malaria transmission can be reduced by preventing mosquito


bites with mosquito nets and insect repellents, or by mosquito control
measures such as spraying insecticides inside houses and draining
standing water where mosquitoes lay their eggs. Work has been done on
malaria vaccines with limited success and more exotic controls, such as
genetic manipulation of mosquitoes to make them resistant to the parasite
have also been considered. He informed that there is currently no vaccine
that will prevent malaria, but this is an active field of research.

LHV Mrs. Sheela gave details about treatment after burn to the
participants. She informed burn is a type of injury that may be caused by
heat, cold, electricity, chemicals, light, radiation, or friction. Burns can be
highly variable in terms of the tissue affected, the severity, and resultant
complications. Muscle, bone, blood vessel, dermal and epidermal tissue
can all be damaged with subsequent pain due to profound injury to nerves.
Depending on the location affected and the degree of severity, a burn
victim may experience a wide number of potentially fatal complications
including shock, infection, electrolyte imbalance and respiratory distress.
Beyond physical complications, burns can also result in severe
psychological and emotional distress due to scarring and deformity. She
also gave presentations on treatment after burn.

In next session Dr. S K Yadav informed about


Rabies and snake biting and its treatment.
Rabies is caused when infected animal bite and
treatment is not taken. Major symptom of rabies

12
is hydrophobia. Person gets fits by loud sound, intense light and wind and
can die within 5 to 6 days. Treatment of rabies is followed in three steps i.
e.
• Cleaning of wound
• Wound to be treated with Rabies immune globulin
• Tissue Culture Vaccine (TCV – Anti Rabies)

Dr. Yadav also informed that out of 3500


species of snakes, only 250 types are
venomous. He detailed how to assist
patient. One should not move the bitten part
and tighten it with bandage. Use suction
bulb to suck the blood. This process is to be repeated for one hour. Take
the patient to hospital and give dose of anti snake Xenon 20 MI IV.

Mrs. Lalita Verma deliberated a session on child marriage and sex


selective abortion. She informed child marriage is a marriage of individuals
before they attain the legal age. The Indian law recognizes 18 years for
girls and 21 years for boys as the age of marriage. Any marriage before the
valid age is termed as child marriage or early marriage. Child marriage
have adverse effects on the health and development of adolescent girls,
since a young girl has little ability to negotiate sexual activity; it typically
culminates in childbearing at a young age, which poses great health risks
for a young girl and for her infant. Young married girls generally face
onerous domestic burdens, constrained decision-making and reduced life
choices. Early marriage, along with little or no education, economic
dependence, denial of decision-making power, inequality within the home
has serious impacts on the health of a girl. Little freedom of choice in the
marriage is allowed for the younger people as a result, cases of
abandonment are increased and it increases the tradition of Nata.

13
In last session Dr. S K Yadav gave details about respiratory infection in
children and national immunization program.

Day 4:

Day four begins with brain storming session taken by Dr. Yadav. All the
participants actively responded the questions raised and reviewed the
activities done in previous sessions.

Dr. Yadav explained the picture of anemia among participants. He


informed Anemia meaning "lack of blood" is a decrease in normal number
of red blood cells (RBCs) or less than the normal quantity of hemoglobin in
the blood. Anemia is the most common disorder of the blood. Anemia goes
undetected in many people, and symptoms can be small and vague. The
signs and symptoms can be related to the anemia itself, or the underlying
cause. Most commonly symptoms are feeling of weakness, fatigue, general
malaise and sometimes poor concentration, sometimes shortness of breath
and exertion. In very severe anemia, the body may compensate for the lack
of oxygen carrying capability of the blood by increasing cardiac output.

WHO's Hemoglobin thresholds used to define anemia (1 g/dL =


0.6206 mmol/L)
Hb threshold
Age or gender group Hb threshold (mmol/l)
(g/dl)
Children (0.5-5.0 yrs) 11,0 6,8
Children (5-12 yrs) 11,5 7,1
Children (12-15 yrs) 12,0 7,4
Women, non-pregnant
12,0 7,4
(>15yrs)
Women, pregnant 11,0 6,8
Men (>15yrs) 13,0 8,1

He firmly recommended that during pregnancy, women should be


especially aware of the symptoms of anemia, as an adult female loses an
average of two milligrams of iron daily. Therefore, she must intake a similar
quantity of iron in order to make up for this loss. Additionally, a woman
loses approximately 500 milligrams of iron with each pregnancy, compared
with a loss of 4-100 milligrams of iron with each period. Possible

14
consequences for the mother include cardiovascular symptoms, reduced
physical and mental performance, reduced immune function, fatigue,
reduced blood reserves and increased need for blood transfusion in the
postpartum period. Vitamin supplements given orally (folic acid) or
subcutaneously (vitamin B-12) will replace specific deficiencies. In severe
cases of anemia, or with ongoing blood loss, a blood transfusion may be
necessary.

Before taking her detailed session Mrs. Sheela inquired participants about
health problems of new born and its treatment and than answered in detail
of their questions. She told that after birth a new born should be observed
in following manner:
• Underweight (below two years)
• Abnormal size of head
• Breathing problem
• Blue or pale body color
• Any accident or injury during delivery
• Problem of fits on second day
• Unable to breastfeed
• High fever
She told if any of the above mentioned symptoms are visible, a child has to
be refer to the doctor and primary treatments could be given.
Vaidya Ashok Pareek informed about Ayurveda, Yoga & Naturopathy,
Unani, Siddha and Homoeopathy (AYUSH) launched in November, 2003
with a view to providing focused attention to development of Education &
Research in Ayurveda, Yoga & Naturopathy, Unani, Siddha and
Homoeopathy systems. Its main objectives are to upgrade the educational
standards in the Indian Systems of Medicines and Homoeopathy colleges
in the country, to strengthen existing research institutions and ensure a
time-bound research programme on identified diseases for which these
systems have an effective treatment, to draw up schemes for promotion,
cultivation and regeneration of medicinal plants used in these systems and
to evolve Pharmacopoeial standards for Indian Systems of Medicine and
Homoeopathy drugs. He also informed how ASHA helpful in achieve these
objectives.

15
Mrs. Lalita Verma informed participants about role of ASHA in safe
motherhood and delivery. She told ASHA is responsible for reorganization
and registration of pregnant women within 6 to 12 weeks of pregnancy. A
pregnant woman should be informed about balanced diet and benefits of
Janani Suraksha Yojna. She also emphasize on the need of care pre and
post delivery and how ASHA can play her role for delivering safe
motherhood services.

In the last session participants prepared posters and slogans on various


social issues (Annexure III).

Day 5:
In stating of 5th day participants looks lit bit exhausted, so a simulation
exercise was done and chart sheets, pen/pencil was distributed among all
the participants. They asked for draw their role and way of working or
counseling on given charts and were divided in batches for easy task. After
this preparation they have to present role play accordingly. These whole
process brought enthusiasm among them.

LHV Mrs. Sheela and Mrs. Lalita detailed the role of ASHA in Mother &
Child Health and Safe motherhood practices. They informed that ASHA
should maintain record of pregnant women in their area and should
encourage pregnant women to come at AWC on MCH day and give regular
counseling as needed. They told that few points should be remembered
when counsel with pregnant women and their family:

LHV Mrs. Sheela explained how to care the woman during delivery.
Pregnant woman should be taken to nearby hospital immediately after
labour pain. If not possible, ANM or trained midwife to invited for safe
delivery. Also, new born is to be fed with first milk within half an hour of
birth. If there is excessive blood flow, fever, tetanus or unconsciousness
and new born is under weight, woman and child should be admitting to
hospital. ASHA should ensure about vaccination and pre and postnatal
health tests and provide IFA tablets. She should contact with families to
motivate them to use iodized salts and deliveries at hospitals.

16
Mrs. Lalita presented how to be good counselor and improve behavioral
practices to ASHA. She advised ASHA should use language that
beneficiaries understand and motivate them to consult their problems
without any hesitation. She also gave guide line how to care new born.
ASHA visit regularly to new born and give necessary instruction and should
maintain weight and growth chart. Mother should be motivated to only fed
breast milk for first six months and after that semi solid food to be given.
They should advise about complete vaccination.

Dr. Yadav spoke on Caring child. He informed that after feeding, it is


important to burp the baby. Burping involves handling the baby in a way
that the excess air swallowed by him during his feed, especially while
drinking breast milk, is released. "To burp baby, lay him across lap with his
tummy down (keep the upper body elevated, else the baby will vomit) for
some time, he says. All babies have a soft spot on the top of their heads.
This is because the bones of the skull have not joined completely. This
soft spot, also called fontanelle, will unite gradually. by the time your baby
is 12 to 18 months old, the soft spot should have disappeared. "It's a myth
that the fontanelle can be joined by massaging this area with oil. Oil has
nothing do with it. It is only the intake of calcium and other nutrients by the
baby that ensures that the fontanelle is joined," said Dr. Yadav.

He told that the components of child health care includes essential


newborn care, immunization, infant and young child feeding, vitamin A
supplementation and Iron and Folic Acid supplementation, early detection
and appropriate management of Acute Respiratory Infections, Diarrhoea
and other infections.

He informed that in all cases of severe malnutrition, one additional dose of


Vitamin A should be given. Infants from the age of 6 months onwards up to
the age of five years should receive iron supplements in liquid formulation
in doses of 20mg elemental iron and 100mcg folic acid per day per child for
100 days in a year. Children 6-10 years of age should receive iron in the
dosage of 30 mg elemental iron and 250mcg folic acid for 100 days in a
year. Children above the age of ten years and adolescents are also to be

17
included in the iron supplementation programme. They shall be
supplemented at the dose rates for adults.

A concluding remark of five days training program was given by Mr.


Choudhry, he gave thanks to all participants, resource person and his team
for well organizing the program. After this certificates were distributed to
participants.
Recommendations and Suggestions:
Major recommendation came out from all three batches are as follows:

• Participants and resource persons recommended that such


programs to be organized in intervals of six month.
• ASHA showed there willing to visit other villages and block/district
level to know and learn other prevalent practices.
• There is need to establish a forum where they can discuss about
different issues.
• Binding of resource books should be improved in quality.
• ASHA should give Medical Kit and training kit.
• IEC material should be given to them.

The comments, opinion and level of satisfaction of trainees were taken in


the evaluation format, which is shown in the following chart:

It showed that most of the participants were satisfy with management,


trainers, venue & food and learning of the program. They also suggested

18
some measures to improve the program which will be considered in
organize trainings.

Annexure I
1st day
Time Subject Methodology Facilitator
9.30-10.00 Registration - Mrs. Lalita and team

Welcome and Inauguration Deep Prajvalan, Guest, Mr. S.P. Gupta


10.00-11.30 Objectives of Program, welcome Micro-lab
Expectations and Introduction to
participants
Review of previous trainings and Brain storming and GD Mrs. Lalita and
11.45-01:30 learning participants
NRHM
ASHA
Women and Child health
1:30-02:00 Lunch Break
02.00- Female foetcide, general and GD and chart Vaidhya Ashok Pareek
03. 30 communicable diseases etc. presentations
Maternal Mortality Ratio,
diarrhea,
03:45- 05:30 JSY Brain storming and GD LHV Mrs. Sheela Bundel

05:45-06:30 Abortion and unwanted Brain storming and GD Dr. S K Yadav


pregnancy
2nd day
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team

Family planning issues Lecture Vaidya Ashok Pareek


10.00-11.30 Role play (family Participats
planning with special
issue of temporary and
permanent
contraceptives)

19
MTP Act and menstruation Poster presentations LHV Mrs. Sheela
11.45-01:30 and GD
1:30-02:00 Lunch break
02.00- 03. 30 T.B. and its prevention Charts and lecture Dr. S K Yadav
03:45- 05:30 HIV/AIDS Lecture questionnaire Vaidhya Ashok Pareek
method
05:45-06:30 Cultural program and quiz Mr. SP Gupta, Mrs.
competetion Lalita

Day 3:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team
Malaria Lecture and question- Vaidya Ashok Pareek
10.00-11.30 answers
Treatment after burn Poster presentations LHV Mrs. Sheela
11.45-01:30 and GD
1:30-02:00 Lunch break
02.00- Rabies and snake biting Charts and lecture Dr. S K Yadav
03. 30
03:45- 05:30 Child marriage and sex selective Brain storming Mrs. Lalita Verma
abortion
05:45-06:30 Respiratory infection in children Dr. S K Yadav
and national immunization
program

Day 4:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team

Anemia Lecture and question- Dr. S. K. Yadav


10.00-11.30 answers
Health problems of new born Poster presentations LHV Mrs. Sheela
11.45-01:30 and its treatment and GD
1:30-02:00 Lunch break
02.00- AYUSH Charts and lecture Vaidya Ashok Pareek
03. 30
03:45- 05:30 Role of ASHA in safe Brain storming Mrs. Lalita Verma
motherhood and delivery
05:45-06:30 Group Activity Poster and slogan Participants
preparations

20
Day 5:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team
Mother & Child Health and Lecture and question- Dr. S. K. Yadav
10.00-11.30 Safe motherhood answers
Counseling GD, Role play LHV Mrs. Sheela ,
11.45-01:30 Behavioral practices of Mrs. Lalita and
ASHA participants
1:30-02:00 Lunch break
02.00- continue Role play -
03. 30
03:45- 05:30 Concluding remarks, - Guest, Vaidhya Ashok
Certificate distribution PareekMr. SP
Choudhry

21

You might also like