Various types of clinical Trainings have been conducted during various phases of IFPS project as per the need of state for doctors and paramedics. Brief description is as follows:

Contraceptive Technological Update : All medical officers of the Government health department undergo a 3 day contraceptive technology update (CTU) at one of seven selected medical colleges. SIFPSA has developed a package, which introduces them to the latest features of contraception and the basics of counselling and informed choice. Women medical officers are exposed to a further 2 day module on issues related to IUCD insertion. During this session they also get an opportunity to practice on pelvic models and to thus sharpen their IUCD insertion skills.

Abdominal Tubectomy induction training was given to the team of medical officers & staff nurses of 33 SIFPSA Districts through medical colleges. Later on the trainings have decentralized to Divisional level women hospitals.

Laparoscopy Tubectomy is the most preferred method of tubectomy in U.P. However, it requires sophisticated equipment, skilled surgeons and only women medical officers are accepted as providers in rural areas. SIFPSA developed a two day refresher training package for laparoscopy under local anaesthesia. The curriculum covered surgical procedure, post operative recovery, anaesthesia, and management of complications. Participants who were trained laparoscopists were given demonstration of laparoscopic ligation on clients and practice on ZOE models to refine their skills. Whole state was covered for this training. Later on induction training to team of doctors (having appropriate qualifications) and staff nurses doctors was provided through Department of Obstetrics and Gynaecology Medical Colleges Lucknow, Meerut, and Kanpur. During IFPS Phase-II, SIFPSA has continued the training of female sterilization techniques, EmOC and NBC, RTI/STI training. All the trainings were given at Medical college level and districts adjacent to medical college were attached. CSMMU, Lucknow, SN Medical College, Agra, GSVM, Medical College, Kanpur and LLRM, Medical College, Meerut were involved during 2006-08 for imparting these trainings. In CSMMU, Lucknow, provision of training of private doctors in Laparoscopic Tubal Ligation Induction training has been made, in which with a nominal registration amount, any doctor with desired qualification can undertake the training. So far 3 private doctors have been trained in Laparoscopic induction training. SIFPSA has even trained the 2 surgical teams of Sikkim for Laparoscopic Tubal Ligation Induction training on the request of Govt. of Sikkim to assist the national programme. Later on the trainings have decentralized to Divisional level women hospitals.

No Scalpel Vasectomy

In the year 1996 the NSV training for govt. doctors was undertaken. Support was provided for establishing small OT for NSV service delivery centres (SDC) where service providers were posted and IEC / promotional activities. .In 1997 - 1999 service delivery centres were established in 26 districts. Later on SPM Hospital, Lucknow and District Hospital, Jhansi was established as Training Centre for NSV .

Later on camp approach was adopted to meet the requirement of the client load for training.

The project was implemented in 33 SIFPSA districts. Camps were held in districts wherein training to Govt. doctors was imparted by the trainers. Under this activity IEC was a major component in the project, involvement of other rural departments in promotion of male participation was also sought. During these camps, induction trainings, follow-up of newly trained doctors and Refresher trainings were also conducted.

In the year 2005, a static service Delivery cum Training centre as Centre of Excellence (COE) was established in the Urology department of CSMMU, Lucknow  In view of success of COE, three Satellite Centre for NSV  service delivery and trainings have been established at Medical College Meerut, Kanpur & Allahabad.

LHVs (Lady Health Visitors) and ANMs (Auxilliary Nurse Midwives) are the female family welfare supervisors and workers respectively in rural areas. Studies conducted on practices followed by female health workers have shown that their IUCD insertion skills were poor, resulting in frequent infection and high expulsion rates. They were also not able to screen or counsel IUCD clients.

To remedy this situation SIFPSA developed the Clinic Based Family Planning Training (CBFPT) package. Health facilities which had adequate IUCD case load were selected as training sites. A team of one woman medical officer and a public health nurse were chosen as trainers and given a two week TOT on clinical practices and training skills. Each team trains four ANMs in a week-long programme, which includes IUCD insertion practice on ZOE pelvic model and then on at least two clients. The trained ANMs are given IUCD kits and other supplies and followed up by trained Regional Family Welfare Training Centre (RFWTC) staff to verify whether they were performing to standard with respect to IUCD handling, insertion and counselling.

Steps involved :

• Assessment of training needs
• Development of curriculum
• Selection of master trainers
• Selection and upgradation of training sites
• Selection of lead trainers
• Training of lead trainers
• Training of ANMs/LHVs at upgraded clinic sites
• Practice on pelvic models
• Actual IUCD insertion service to clients under observation
• Distribution of IUCD insertion kits and gloves
• Follow up in the field by RFWTC staff
• Reorientation training during follow up
• Certification of ANMs/LHVs as performing to standards