New Activities (2008-09 and 2009-10)
To meet the objectives of NRHM there is a need to increase the pool of trained service providers. There is a change in strategy of training, earlier the trainings were conducted at Medical Colleges, now it is proposed that the clinical trainings are to be institutionalised within the system. Hence the divisional level hospitals will be identified as training centres and doctors from Government will be trained as master trainers at Medical colleges, who in turn will train the doctors/para-medical staff at divisional level hospitals. The new activities include initially strengthening of 10 divisional hospitals as Divisional level clinical training centres and training of trainers for various clinical trainings.
 

Strengthening of 10 Divisional Clinical Training Centres:
 

During the IFPS phase 1, SIFPSA had been involved in providing various types of clinical trainings to doctors and para-medicals in Public Sector. During these trainings Medical Colleges were involved as training centers.  The medical colleges were provided assistance in terms of strengthening of infrastructure, training materials, printing of training manuals, contractual staff etc.  

In order to create a pool of large number of trained service providers in a short period there is shift in training strategy, the trainings are proposed to be conducted at divisional level clinical training centers instead of medical colleges.  However, the medical colleges will be involved in imparting Master Trainers Training to doctors of divisional clinical training centers, who in turn will train doctors and para medicals posted in the districts within the division 

To establish divisional level training centers, the districts identified are Allahabed, Azamgarh, Kanpur Nagar, Moradabed, Meerut, Saharanpur, Mirzapur, Agra, Jhansi & Varanasi., remaining 7 will be strengthened through NRHM Budget. Gaps were assessed and strengthening was done in terms of infrastructure, equipments, training materials, audio/video aids etc. 

Under the project 10 above stated divisional level hospitals have been fully strengthened and equipped Master trainer training for these 10 DCTC’s for IUCD, LT, AT have been successfully completed. Training of service providers for IUCD, LT, AT have already started.
 

Master trainers Training Of Trainers and district trainers training in IUCD Training:
 
Master trainers from 10 Divisional Clinical Training Centres were identified and 62 trainers were trained at DWH, Lucknow.
 

District Trainers Training for IUCD:

 
Master trainers of IUCD training of 10 DCTC have trained 379 district trainers of adjoining 40 districts in IUCD Training at Divisional clinical Training centres.
 

Skilled Birth Attendant of  Medical Officer:
 
Government of India has developed 10 days training package for SBA training of Medical Officers. SIFPSA has piloted this training package and trained  42 doctors from UP.This activity will be expanded in next phase through NRHM fund.
 
 

Re-designing of Subcentre facility in Uttar Pradesh
 

With the aim to fulfill the felt need to improve the design structure of SC buildings after identification of gaps in the existing design structure of SC buildings & sharing of experience & problems with service providers & supervisors, project is piloted on 2 blocks ( single storey SC at Natkur, double storey SC at Amethia Salempur) of district Lucknow to create a more  client friendly service site in order to provide quality RCH services to have a positive impact on the health indicators of far flung & remote villages with the following objectives :-

  • To provide adequate space for specific procedures & objectives.
  • To increase visibility of SC facility for increase uptake of services at sub centers & 24 hour availability of service provider at SC site.
  • To create 2 different SC design models as per need of the terrain.
  • Chief Medical Officer of Lucknow will be the implementing agency.

Till date, single storey SC building at Natkur & double storey SC building at Amethia Salempur is completed. ANMs will be posted at these sub centers by CMO to make the 2 subcenters functional & user friendly, with an expected outcome of an acceptable suitable design with increased uptake of quality RCH services & increased client satisfaction.
 

New Activities (2009-10)
SIFPSA has been identified as nodal agency for clinical family planning trainings by Government of UP. The activities planned in 2009-10 will be according to NRHM PIP and funds will be given from NRHM.
 

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