RIHFWK - Regional Institute of Health & Family Welfare, Kashmir

Curriculum For Integrated Skill Training of Medical Officers

S. No	Topic	Contents
1.	Introduction to RCH programme	Concepts and components of RCH programme Changed role of MO (PHC) Demographic transition Gender sensitivity; Male participation
	Communication
2.	1. Communication for Behaviour change	Individual and group behaviour Factors promoting RCH behaviour Behaviour change and adoption of new behaviours Principles of communication Communication models/ methods
	2. IPC and Counselling	Concepts of IPC and counselling Importance to the RCH Programme Effective use of IPC and counselling
	3. Planning IEC programme at PHC level	Areas where IEC inputs required Resources required
	4. Social Mobilization	Approaches of social mobilization, PLA methods, campaigns net working etc.
	Management
3.	Community Needs Assessment, Decentralized Planning and Preparation of Action Plan (Annual Plan) for PHC	Need for district specific rates Need for estimating beneficiaries for each service based on district data Requirements based on district data Decentralized planning Preparation of Action Plan (Annual) Epidemiological surveillance
	Managing Human Resources at PHC	Supportive supervision Training needs assessment Performance appraisal of technical staff On the job training Team building leadership
	Logistics, Supply and financial Management	Management of Materials Records and reports Management of financial resource at PHC
	Monitoring, evaluation and use of MIS	Importance, concept and methods of monitoring and evaluation Components of MIS and its use for monitoring and evaluating; using appropriate indicators
	Quality improvement	Meaning of quality services Use of various methods and tools for improving quality

	Maternal Health
4.	Antenatal care		Early identification of pregnancy Monitoring of pregnancy Risk factors and complications Investigations Counselling and Health Education Supervision of PHC staff Management of minor ailments and anaemia Referral Maintenance of records
	Intra-natal care for safe delivery		Intra-partum care Management of 1st. Stage of labour Management of second stage of labour Management of 3rd stage of labour Referral Record maintenance
	Post-natal care of the women		Post-natal care Health Education Complications
	Prevention of unwanted pregnancy		Different types of contraceptives Identify and estimate the need for different types of contraceptives Participation planning for FP
	Provision of appropriate contraceptives		Selection of beneficiaries Mode of action Correct use of the method Indication and contraindication of each method Effectiveness Benefit, disadvantages and side effects
	Appropriate services for management of unwanted pregnancy		Need to identify early pregnancy, need for utilization of safe abortion services. Details of procedure of MTP/ MR, appropriate follow-up Counselling, complication and management of unwanted pregnancy and referral Need for post- abortal contraception
	Diagnosis and management of RTI/STI		Epidemiological factors of RTI/ STI, clinical features of common RTI/ STI. Diagnosis and management of RTI/ STI. Prevention of RTI/ STI. Referral
	Human immunodeficiency virus (HIV). Acquired Immuno-deficiency syndrome (AIDS)		Modes of transmission of HIV Lab. Diagnosis of HIV and AIDS; clinical features STD as a risk factor for HIV infection Blood transfusion and HIV infection Women and HIV infection Prevention and control of AIDS AIDS awareness programme Counselling Referral
	Child Health
5.	1. New born care at birth	Care of new born at birth Maintaining temperature Cord care Resuscitation of newborn Examination of the newborn Breast feeding
	2. Normal New born care	Feeding Physiologic variation Neonatal infections
	3. High risk newborn care	Identification and management of high risk newborn
	4. Health education Message on new born care	Messages for home care of new born
6.	Nutrition	Nutritional needs at different ages (0-5 years) Malnutrition - Causes, and identification Assessment of severity of malnutrition Treatment of malnutrition Prevention of malnutrition Baby friendly hospital initiative (BFHI
7.	Immunization	Vaccine preventable diseases Immunization schedule Vaccine storage, and cold chain maintenance Adverse reaction to vaccination Identification of deteriorated vaccine Surveillance 7. Monitoring and supervision
8.	1. Diarrhoea	Classification of diarrhreal diseases Assessment of dehydration Management of diarrhoea and dehydration Prevention of diarrhoea Surveillance; AFP Surveillance Monitoring and supervision of diarrhoeal control measures
	2. Acute respiratory infections (ARI)	Diagnosis of ARI Management of ARI Prevention of ARI Health education Surveillance Monitoring and supervision
	3. Child development	Developmental milestones for first 0-5 years Delayed development
9.	Adolescent health	Physical growth and development Nutritional needs in adolescent and teenage pregnancy Psychological and emotional changes in adolescents Developmental anomalies Problems of adolescent drug, addiction and STD/AIDS Counselling
10.	Sick child and emergencies	Common Emergencies/Sickness: Fever, Malaria Convulsions, T.B Poisoning Accidents 2. Provision of first aid 3. Referral

Tables show that all aspects of the RCH Programme, including neonatal care, infant health, under-5 care, antenatal, intranatal and post natal care, adolescent health, contraception, STI/ RTI's, etc, are dealt with by carefully-drawn faculty. The 5-day practical programme further refines the clinical skills. Particular emphasis is put on counselling so that the trainees learn how to engage in fruitful group as well as interpersonal sessions, to empower their clients to take correct and responsible decisions, which would increase acceptance of services voluntarily and eagerly.

Pre-testing is done both at the beginning of the course as well as before every new session; it helps the speakers and facilitators to improve their interactive skills. Audiovisual aids are used liberally, and each session is followed by participatory interaction as well as practical exercises. Where needed, role playing is resorted to. Post-training evaluation shows that the training programmes are very well-taken and found useful, thought-provoking and action-oriented.

In addition to the photocopied material, all the trainees receive a special manual prepared by the Institute to help them disseminate their knowledge and skills to their paramedics.

Scores of films on different aspects of maternal and child health are screened.

Table VI: District-wise breakup of medical officers completing the Integrated Skill (Foundation) Training under the RCH programme. (March 2000 - March 2004)

S. No.

District

No. of doctors trained

Srinagar

Baramulla

Budgam

Kupwara

Pulwama

Ananatnag

Total

( Kashmir Division )

294

* (294 doctors trained in 29 batches)

RIHFW Kashmir

Curriculum For Integrated Skill Training of Medical Officers