Thursday, 10 July 2014

Capacity Building in Healthcare

On 18th June 2014 we had a guest lecture by Dr Ashok Dayalchand, Founder  &  Director , Institute of Health Management,  Pachod.
Dr Ashok cited health management models which includes essentially 5 resources namely:-
1. HR

These 5 resources are the input which produce desirable outputs like objectives, change, increase in utilization of services and increase in quality of care.
He articulated the 8 game changers in the Health Management which are-
Monthly needs assessment and micro planning.
Build capacity of nurse and midwives.
Build capacity of primary level staff in Behaviour change Communication.
Make supervisory cadre functional and productive.
Build capacity of NHCs for CBM
Medical Officers
Capacity Building of block and district health managers.
Training of trainers
He  emphasized on the 3 main reasons that result in neonatal and maternal mortality-
(a) Delay in identifying symptom
(b) Delay in transportation
(c) Delay in services at the health centre

Dr Ashok also talked about the importance of capacity building. Capacity building not only includes training but also HR, ORGANIZATIONAL, INSTITUTIONAL DEVELOPMENT AND ALSO LEGAL FRAMEWORK.He also mentioned about the health workers in India called AASHA. Among every 1000 people thereis 1 community health worker. 900 thousand such workers are trained. 1 such midwife is present for the service of every 5000 population.
He also brought into notice serious issues like early child marriage, domestic violation, etc.35-60% female undergo domestic violationand more than 45% female marry before the age of 18.
Towards the end of the session Dr Ashok drew our attention towards the importance of COMMUNITY DIAGNOSIS and also Child Health and Nutrition. 80% of malnutrition is seen in children less than 3 years of age. Lastly he discussed Growth Faltering and how it can be beneficial to eradicate malnutrition. Growth Faltering is defined as current weight same as or less than previous month.
He ended the lecture by a very interactive question-answer session.


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