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RTRDC Booklet |
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1 Pages 1-10 |
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1.1 Page 1 |
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Regional Training & Resource Development Centers
Population Foundation of India
2000 -2006
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1.2 Page 2 |
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Regional Training & Resource Development Centers
Population Foundation. of India
2000-2006
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1.3 Page 3 |
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Foreword
~ia
has over a million organizations in the non-profit sector. Though
half of them are unregistered yet in response to the felt needs of the
communities they have been in the forefront for formal and non-formal
education, relief & rehabilitation and empowerment & development. In the
area of health, the felt need of the communities has always been for curative
services and therefore preventive & promotive health were not a priority for
the communities. Primary Health Care in India was conceived as the best
and most cost effective strategy to decrease the burden of disease and
disability. Delivering primary health care has been a challenge for the
government in a country like India with diverse culture and tradition.
Realising the great potential of the NGO sector to make an impact in health
status of the country, the Population Foundation ofIndia (PFI) was established
in 1970 by eminent industrialists and health scientists, as an alternative grant
making national organization to the NGOs to enable them to formulate and
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1.4 Page 4 |
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implement programmes and to advocate the lessons learnt for redefining
policies and programmes in Primary Health Care and Family Planning. Since
then, PFI has been enabling grass roots NGOs to implement reproductive
health pogrammes and effectively building their capacities in the process.
Providing financial support to the large NGO sector to implement health
programmes is limited, but building capacities of the NGO sector was
conceived as an essential step for the long term impact.
I thank the Government of India for joining hands with PFI in initially
supporting this initiative in Delhi the experiences of which enabled PFI to
set up 13 Regional Training and Resource Development Centers (RTRDC) in
different states over a period of time. Apart from this, PFI now also functions
as a Regional Resource Centers for capacity building of NGOs in Bihar and
Chhattisgarh for the Mother NGO scheme of the Government of India.
I take this opportunity to extend my appreciation to all the RTRDCs and my
colleagues for making this a successful programme. I would also like to extend
my gratitude towards Dr. K. Srinivasan (Executive Director ofPFI from August
1995 to May 2002) during whose tenure this programme was initiated.
ARNanda
Executive Director
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The mediocre teacher tells
The good teacher explains
The superior teacher demonstrates
William Arthur Ward
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Regional Training & Resource Development Centers
Genesis
The role of Non-Governmental Organizations (NGOs) in health and
socio-economic development and the impact of their contribution are
well known in India. NGOs have been working with the communities
and have always responded to the felt needs of the communities. Many
of them have gradually moved to address health needs while catering
to developmental needs and now NGOs are very proactive in delivering
primary health care. Recognizing this strength of the NGOs and in
order to further enhance their efforts, the Ministry of Health & Family
Welfare, Government of India, supported the Population Foundation
of India (PFI) to build Reproductive & Child Health Care capacities of
the NGOs situated in Delhi in 1998. With this some middle level NGO
functionaries were trained using a comprehensive Reproductive &
Child Health (RCH) training module which included adolescent health
and HN/AIDS.
640 personnel from 305 NGOs were trained through 28 training
programmes for RCH and 160 personnel from 48 NGOs were trained
through 8 training programmes on Behavior Change Communication
(BCC). Feedback from the NGOs who were trained showed that this
was a need of the NGOs working in health. This experience for PFI as
a grant making organization in RCH-HN/AIDS created an urgency to
scale up this training programme in various parts of the country.
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The Scale-up Plan
Realizing the strength of the NGO sector in the country and their role
especially in reproductive & child health, sexual health and HN/AIDS,
the scale up strategy for capacity building of NGOs/CBOs was evolved
at PFI. It was felt that the managerial level functionaries of the NGOs
must be oriented to the holistic concept of Reproductive and Child
Health, Adolescent Health and HN/AIDS. The implementation plan
was to identify nodal agencies who would train NGOs from the
neighbouring districts based on a standardized training module. Over
a period of time 13 nodal agencies were identified from 9 states to
function as the Regional Training and Resource Development
Centers (RTRDCs) for PFI. The RTRDCs created a pool of local
master trainers who were trained by PFI. The vernacular translations
of the modules were
done incorporating
the region specific
health need by the
RTRDCs.
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1.8 Page 8 |
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Nodal Agencies
• MYRADA, Bangalore, Karnataka (2000-2003): Established in 1968,
MYRADAis a non-governmental organization working for micro-
credit initiatives and sustainable development in southern India.
Currently, MYRADAcenters its attention on the districts of Kamataka,
Andhra Pradesh and Tamil Nadu through its 14 active projects.
MYRADAfocuses on the building of appropriate peoples' institutions
rather than on the delivery of goods. While the objective is to help
the poor to help themselves, MYRADAachieves this by forming
Self Help Affinity Groups (SHGs) and through partnerships with
NGOs and other organisations.
Live as if you were to
die tomorrow.
Learn as if you were to
live forever.
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• National Institute of Applied Human Research and
Development (NIAHRD),Cuttack, Orissa (2000-2003):NIAHRD
was founded as a non-political, non-sectarian, not for profit,
development institution and was registered in 1989. Adopting a
holistic approach, NIAHRDplays the role of a catalyst in human
development. It serves the rural poor, tribal communities and the
underprivileged slum dwellers in urban localities, and it strives to
make them increasingly aware about their own problems, and
resolve them through collective efforts, and adopt a process that
helps them to help themselves.
• Bharatiya Grameen Mahila Sangh (BGMS), Indore, Madhya
Pradesh (2001-2003): BGMS was set up in 1961 with an aim
of 'leadership development' among rural women with branches in
14 states/ UTsand a constituent unit of the international organization
- Associated Country Women of the World. BGMS runs Family
Counseling Centres, Family Helper Project, Rural Development
Programmes, Printing Press, Creche, Balwadis, a School, State
Resource Centre for Adult Education, Vocational Training
Institute for Rural Girls, Better Life Options Programme for
Girls and Young Women and acts as a nodal agency for training in
Madhya Pradesh.
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• St. Catherine Hospital (SCH), Kanpur, Uttar Pradesh (2001-2004):
St.Catherine Hospital was established in 1898 and was registered as
a Charitable Society in 1947. The community outreach work of the
institution was started in 1904 and a nursing school in 1931.
In addition to other Maternal and Child Health work, SCH undertook
teaching programs for school teachers and health workers of
Government PHCs with the help of the Nursing School Faculty. SCH
also had undertaken training of indigenous system of medical
practitioners to become Family Planning Counsellors for the whole
of Unnao district.
Where there is
an open mind,
There will always be
a frontier.
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2 Pages 11-20 |
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2.1 Page 11 |
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• Alternative for India Development (AID), Jamshedpur,
Jharkhand (2001-2004):AID was founded in 1982 by the Students
and Youth Struggle Force to work towards enabling tribals, dalits
and other marginalized communities to have basic education, health
and livelihood opportunities. AIDhas been focusing on reproductive
& sexual health, child health and herbal medicine. AID has a multi-
dimensional mobile training team for building local capacities.
• Population Research Center (PRC), Udaipur, Rajasthan (2001-
2004):The PRC was established in 1981 by the Ministry of Health
& Family Welfare, Government of India. PRC undertakes various
research and action research projects related to family welfare
activities. PRC has been involved in training rural medical
practitioners, traditional healers and Panchayati Raj functionaries.
1"' ,rr-, 1".
•.
•
j. ••• .;: --".,:~
Retention is best
when the learner
is involved.
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• Society for Human & Environmental Development (SHED),
Mumbai, Maharashtra (2002-2005): SHED was established in 1982
by Begum Bilkees Latif with the prime objective of promoting the
welfare and improving the living conditions of the slum dwellers
and rural people with special emphasis on health of women, children
and adolescents.
• Gayatri Teerth, Shantikunj, Haridwar, Uttaranchal (2002-2005):
The Shantikunj Ashram complex at Haridwar, was founded in 1971
by the seer-saint-scholar, Pandit Shriram Sharma Acharya. In 1979,
Acharyashri established the Brahmacharchas Research Institute, near
the Shantikunj Ashram, for objective and intensive research towards
integration of science and spirituality. For upliftment of the moral,
I never teach my pupils;
I only attempt to provide
the conditions
In which they learn.
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2.3 Page 13 |
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cultural, spiritual and ethical values, national integration and
development of youth, various trainings are organized regularly.
Elegant dispensaries of Ayurveda, Homeopathy and Allopathy with
qualified doctors render free service to patients.
• Institute of Health Management, Pachod (IHMP), Maharashtra
(2002-2006): IHMP has been working in the under-developed
Marathwada region of Maharashtra for the past 30 years. It has
developed and implemented innovations in the field of primary
health care, reproductive and child health, behaviour change
communication, child development, health and development of
unmarried girls and women's health. Strengthening the NGO sector
in the country through training and capacity building is a key
mandate of the Institute of Health Management.
I cannot teach
anybody anything,
I can only make them
think.
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2.4 Page 14 |
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• Centre for Rural Entrepreneurship & Technical Education
(CREATE), Mirzapur, Uttar Pradesh (2003-2006): CREATEis an
agency which implements various aspects of RCH like organizing
training programs, camps for MCH/RCH services, awareness
programs etc. where Family Planning has been an integral part.
CREATEhas been working on other issues relating to empowerment
of women that have a bearing on health seeking behavior like
creating SHGs and micro-financing.
• India Literacy Board (ILB), Lucknow, Uttar Pradesh
(2003-2006): Established in 1953, ILBis an NGO for the promotion
of literacy, adult education and youth programmes. ILB has been
What I hear,
Iforget
What I see,
I remember
What I do,
I understand.
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training Youth Coordinators and ~ational Service Volunteers of
Nehru YUvaKendras, supervisors of Integrated Child Development
Scheme (ICDS), functionaries ofPanchayati Raj Institutions, creative
writers and puppeteers etc.
• Agragamee, Rayagada, Orissa (2003-2006): Agragamee began its
programme of providing a model of primary education in the tribal
districts of Orissa with support from the Ministry of Human
Resources, Government of India, in 1988. As a follow up of the
household food security programme, Agragamee initiated
Reproductive & Child Health interventions.
1beartof
teaching is
1be tirtof
assisting discovery.
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Course Content
Training Module
ReprodUctive &. Child Health
!.t!.
Training & Resource Development center
••1POPULATION FOUNDATION OF INDIA
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The basics of Reproductive & Child Health including adolescent health,
HN/AIDS, project formulation and monitoring & evaluation were
packaged into a set of 10 training modules to be covered in a 5-day
class room training and I-day field training.
Scenario of the target area:
• Define slums/rural pockets
• Describe the factors responsible for the formation of slums
• State the types of slums/rural pockets and the extent of
their distribution within the states
• Offer comments and also give suggestions for
modifications and improvement
Module II
Role of NGOs in RCH programme:
• Define the different components of RCH
• Comprehend the RCH approach,
ideology and magnitude of problems
• Understand the need for RCH
training for implementers
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Module III Reproductive System and Reproductive Health:
• Understand the reproductive system, it's functions and
processes
• Comprehend various dimensions of responsible and safe
sexual behavior and healthy sexual practices
• Describe the signs and symptoms suggestive of RTIs/STIs
• Describe the preventive measures for RTIs/STIs & HN/AIDS
SECTIDN·2
{"J s.ut MQ'OtUtHOOO
Reproductive and Child Health Services:
1. Evolution of ReH Programmes
• Understand the concept of RCH and the historical
events leading to the evolution of this concept
• Identify the service delivery components under RCH
2. (A) Safe Motherhood
Identify the signs and symptoms of pregnancy in each
trimester
Identify the complications and the danger
signs in pregnancy
Understand the management of labour
and its complications
Describe postnatal care and its
complications
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• Describe normal child development
• Describe the importance of immunization during
childhood and pregnancy
2. (B) Care of Infants & Children
Essential Newborn Care
Exclusive breast feeding
Immunization
Appropriate Management of
Diarrhoea
Appropriate Management of
Acute Respiratory
Tract Infections
Vitamin-A Prophylaxis
Treatment of anaemia
Module V
Population and Planned Parenthood:
• Describe the population scenario of
the country
• Define planned parenthood and
explain its merits
• Describe various contraceptive
devices and explain their utility
and uses
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Module VI Delivery of RCH services and quality of care:
• Identify the main target groups of beneficiaries of the
RCH programme
• List the package of RCH services
• Conduct community needs assessment survey before
planning their RCH service delivery strategies
• Develop and implement RCH service delivery action
plans specific to the needs of the communities
Introduce and improve health oriented individual life
style to promote greater responsibility and awareness
on health issues, including reproductive health and
gender equity
~
Encourage attitudes in favour of
~'''''0Ii4I1'_(""
responsible behaviour, especially in areas
of family, sexuality, reproduction, gender
and racial sensitivity
Address the needs of the community more
effectively
Design messages that are at the centre
of the reproductive health agenda
Module VIII Project Formulation:
• Design a project proposal
• Formulate a project budget
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3 Pages 21-30 |
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3.1 Page 21 |
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Module IX Project Management:
• How to manage the Project
• Project Planning
• Team Management
• Problem solving & Leadership
Module X
Project Implementation, Monitoring & Evaluation:
• Identify the steps in implementing a project
• Define the concepts of monitoring and evaluation and
their use in improving efficiency and effectiveness in
implementing RCH programmes
• Identify the relevant indicators and feedback
mechanisms for monitoring programmes
Attitude is a
little thing
That makes a
big difference
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3.2 Page 22 |
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• The training and resource development programmes was
undertaken in 9 states namely - Uttar Pradesh, Uttaranchal, Madhya
Pradesh, Bihar, lharkhand, Orissa, Maharashtra, Rajasthan and
Karnataka.
• Capacity of 13 nodal agencies were built as Regional Training and
Resource Development Centers for RCH-HN/AIDS.
• 3421 NGOs and 168 eBOs were trained in RCH-HN/AIDS.
• Over 9000 functionaries from the NGOs and CBOs were trained
through 454 training courses.
COU~SE ON REPRODUCTIVE AND CIULD HEALTH
CERTIFICATE OF PARTICI PATION
from
particIpated
the
In
course
10
NGO staff held
buJldmg on RCH fOf
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3.3 Page 23 |
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An RTRDC meet was held at Delhi to review the programme and
feedback was -
• The RTRDCprogramme was a good orientation programme. This
can be further built on by conducting in-depth short courses
complementary to the need of NGOs.
• Nodal agencies functioning as the RTRDC must develop
demonstration sites for a comprehensive implementation of RCH
programmes either by themselves or through partners (Gal NGO).
Wisdom lies neither
in fixity
nor in change,
but in the dialectic
between the two.
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• RTRDC network could form a learning community by sharing
experiences and news through e-groups.
• PFI could organize regional conference for the NGO members
trained through the RTDRC network for building perspectives on
the key issues of gender, quality of care and rights based approach
to RCH programmes.
• RTRDC-NGO networks must take up action research initiatives to
demonstrate results to the government and other agencies.
• Training in leadership skills will enhance quality of the programmes
and promoting leadership in NGOs is essential for advocacy.
Way Forward
The experience of building capacities ofNGOs/CBOs in comprehensive
RCH-HN/AIDS has been very valuable for the Population Foundation
of India. As per the feedback, the Foundation envisages hands on skills
building of NGOs in implementing evidence based RCH-HN/AIDS
programmes and developing leadership for advocacy in quality of care.
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Contributors:
Dr. Kumudha Aruldas
Dr. Sharmila Ghosh Neogi
Mr. Debabrata Bhumiya
Dr. Vlkram Gupta
Secretarial Assistance:
Ms. Prema Ramesh
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POP_()li:'l~.utldation of India
" B-28, Qutab ImtRUtiQpalMea, New Delhi-ll0016, India
Tel: 91-11- '. ':(k4~99771
Fax: 91-11-26852766
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