1. I N T R O D U C T I O N Family Welfare Training and Research Centre, ( F.W.T.& R.C.) Mumbai, was the first Family Planning Training Centre, established in June 1957 Under Union Ministry of Health and Family Welfare at “Parekh Hospital ” at 332, S.V.P. Road, Khetwadi, Mumbai – 400 004. After the inception of other Central Training Institutes (C.T.I.s) in other parts of the country, the Ministry of Health & Family Welfare allotted certain states to each C.T.I. for the purpose of In-service Training responsibilities and divided the country into six zones, as shown in the map. Family Welfare Training & Research Centre, Mumbai is made responsible to fulfill the training needs of state and district level health personnel of the Western Zones of India, which includes the states of Madhya Pradesh, Andhra Pradesh, Gujarat, Goa; and Union Territories of Daman, Diu and Dadra and Nagar Haveli. In order to have maximum utilization and to prevent wastage of training effort, it has been decided by Rural Health Division, that the Central Training Institute can call for nominations of the candidates from the Health & Family Welfare Training Centres of all the states vide letter No. Z.22025/8/89-RHD dated 16th April 1990. In December 1986, the Centre was approved by Rural Health Division, Ministry of Health & Family Welfare, New Delhi for conducting a one year Diploma course in Health Education. Family Welfare Training & Research Centre is also conducting community based Research Projects in the field of health and family welfare, AIDS & RCH. The Ministry of Health & Family Welfare, New Delhi identified FWTRC as a collaborative Training Institute to carry out WHO Fellowship Programmes. FWTRC is collaborating Training Institute for conducting Training of Mid-Level District Level Manager under Immunization Strengthening Project (RCH) for district level officers from Western Zone of India. Family Welfare Training & Research Centre, Mumbai Annual Report 2004-05 2. O B J E C T I V E S O F T H E C E N T R E 1. To organise and conduct the one-year course of “Diploma in Health Promotion Education” for sponsored candidates from India & abroad. 2. To organise Training of Trainers in key health area. 3. To impart training in Primary Health Care, Family Planning & other integrated National Health Programmes to different categories of Health personnel, deputed from the states in the Western Zone of India. 4. To supervise and guide the students from other institutes, placed for field placement training with the centre. 5. To provide technical guidance and training to the staff of Health & Family Welfare Training Centres & Rural Training Centres of Western Zone of India, which are under the jurisdiction of the Family Welfare Training & Research Centre, Mumbai. 6. To carry out experimental training course for District level staff whenever required by the Training Division, Govt. of India, Ministry of Health & Family Welfare. 7. To arrange educational programmes for workers of Voluntary Agencies, worker groups and general public in different Health and Family Welfare aspects. 8. To organise programmes on population, family life and sex education and education for awareness in AIDS for various colleges, schools, voluntary agencies, out of school youths in slums & for other organisations, on request. 9. To provide maternal and child health, family planning and other welfare services to people through the urban clinic. 10. To carry out research studies related to training and education in the Health & Family Welfare Sector. 11. To carry out Community Based Research in the field of Health & Family Welfare, AIDS, Reproductive & Child Health. 12. To organise out reach activity and health camps to provide preventive, promotive & curative services to remote areas. Family Welfare Training & Research Centre, Mumbai Annual Report 2004-05 3. TRAINING ACTIVITIES AT FWTRC 3.1DIPLOMA IN HEALTH PROMOTION EDUCATION Family Welfare Training & Research Centre, Mumbai was approved for conducting one year Diploma course in Health Education in December 1986, by Rural Health Division of Ministry of Health and Family Welfare, Govt. of India under scheme of 'Development of National Trained Health Manpower' for the training of specialists and para-medical workers. The Diploma in Health Education Course is affiliated to the Deemed University of International Institute for Population Sciences (I.I.P.S.), Mumbai - 400088 The training programme is action-oriented with an in-built concurrent field-work spread over the whole academic year. Thus, the participants learn to identify their functions, tasks and roles and they are equipped with basic knowledge and skills to perform their jobs effectively by doing these jobs in the community placement in the field. The training programme is converted to two semister based prgramme divided into eight specific teaching units or areas since 1998-99. 3.1.1 OBJECTIVES : The objectives of the training are : General Objective : To develop Health Education Specialists needed to provide Effective Health Promotion and Education activities. Specific Objectives : At the end of the training course, the student are able to - 1. Relate the basic health sciences and apply this knowledge in Health Promotion & Education. 2. Apply the knowledge of Behavioural Sciences with Community Organization and Community Development in bringing about desirable changes in the health behaviour of the community and to make Health Promotion and Education Programmes in the Community Programmes. 3. Apply simple statistical methods and demographic techniques in his/her present Job situation for programme planning and for conducting surveys and research studies related to health. 4. Perform the role of Health Education Specialist in the community conducting Health Promotion and Education Programmes effectively by proper application of concepts, principles, objectives and approaches of Health Promotion and Education. 5. Explain Health Policy, Health Care Delivery System, Development skills in Public Health Administration for effective implementation of IEC component of National Health Programmes, along with Health Promotion and Education activities. 6. Become an effective Communicator, for advocacy in Health Promotion and Education in the Community. 7. Plan, implement and evaluate Health Promotion and Education Programmes in community by positive Family Welfare Training & Research Centre, Mumbai Annual Report 2004-05 and constructive attitudes on the identified health problems. Keeping in mind, the curriculum was revised by this Centre and was approved by the Academic Council of I.I.P.S. Deemed University, Mumbai. During the year 2004-2005 a final selection of 22 sponsored candidates was made. Five candidates from state of Maharashtra, fifteen candidates from state of Andhra Pradesh, one candidate from state of Orissa and one candidate from Maldives joined and continued the DHPE course. 3.1.2 TRAINING METHODOLOGY : A. Audio-visual workshop (D.H.P.E.) Training is imparted through class room sessions, laboratory session and observational visits. Three workshops were organised to develop special skills in preparation of A.V.aids. Senior Artist conducted these workshops. Trainees prepared useful audio-visual aids, which were utilised in the field areas for the various health education activities. B. CONCURRENT FIELD-WORK : The trainees worked in the field area through-out the course. During the concurrent field work, they could simultaneously apply the knowledge gained in the class rooms to actual field situation and could learn by doing. Trainees were divided into three groups and placed in a slum community of 5000 population each, close to the Centre. In this community, they identified the health problems and planned, implemented and evaluated a health education programme in reference to a selected problem over a period of time. The urban field areas were chosen before the course began and three Group Guides were made responsible to guide the students in the field and also in their day-to-day work, with a ratio of 5 to 6 students per group guide. Faculty members who are experienced in Public Health guided the students in the field . This was carried out in a phased manner over a period of time. The health problems selected for health promotion education activities in the community were- • ARI • Oral Health • Malaria Family Welfare Training & Research Centre, Mumbai Annual Report 2004-05 Extra stress was laid on the above health problems identified in the community for health promotion education programme during concurrent field training. The group organised various health promotion education programmes including exhibition on health problems, their prevention and treatment in the field area. Health check-up camps were arranged. Group talks, demonstrations and return demonstrations were organised on the health problems, its prevention and treatment in order to make it more effective and easy to understand. C. FIELD-TRIP : A study tour for the Diploma in Health Promotion Education trainees was organised from 18/12/2004 to 24/12/2004 to observe some Voluntary Health Projects and some Government Organisations in Maharashtra. The following Projects were visited 1. Health & Family Welfare Training Centre, Pune 2. IEC Bureau, Pune 3. State Family Welfare Bureau, Pune 4. Vadu Health Project, Pune 5. Jyotsna Arogya Prabhodhan, Dehu An observational visit was planned for the students to visit the following institutions involved in the field of Health Education, in the month of February 2004