Monitoring report of ASHA HBNC training conducted in Yadgir and Raichur districts
KSHSRC consultant visited training site at Yadgir on 19th & 20th of September 2013 and Raichur training site on 21st of September 2013 where HBNC training was conducted. It was suggested that Practical, field and visual sessions should be incorporated as part of the training as it was found that sessions were didactic in nature and trainers read the stories in a monotonous way. Hands on training would make very interesting and helps to acquire their skills. The contents were predesigned at the state level and Content was found appropriate.
Trainer knowledge: Trainers lacked confidence when the participants asked for clarifying their doubts. Additional information was not available beyond the booklet provided to them. It was suggested to the department that ASHA trainers (who are presently working as Taluk ASHA mentors) need reorientation to strengthen & to build confidence and revise their skills and knowledge as some of them have under gone training in 2008. It was also recommended to invite local experienced medical officers/BHE/ ANMs who are very knowledgeable to take sessions based on their expertise in-case o shortage of master trainers.
Infrastructure and Logistics: There was no training centre in Raichur. Therefore this training was conducted in Gulbarga, which has a regional centre. Though the training center had facilities, it was found that the facilities were not utilized to the fullest extent. Full support & smooth coordination from Regional training centers has to be extended to the Resource persons and trainers who come from other districts. It was suggested to the training center authorities about importance of optimal utilization of the government resources and to provide full support to ensure smooth coordination.
Monitoring & evaluation: Nobody from the district or state level visited the training center and monitored the quality of training, which led to laxity among the trainers. It was recommended that One PHC/Block/District/state level authorities must make a mandatory visit to the training site to monitor the quality of training.
Logistical support: There were 5 ASHAs who had children below 9 months. They had to breast feed their children quite frequently. Separate room/ space was not available for them. It was quite distracting for the training session as the children were crying for mother’s milk. Therefore, it was recommended to provide a separate room to ASHAs who attend the session with their babies.