Details for Reform Option "Updating the training syllabus of female health workers, Kerala"
The curriculum for training Junior Public Health Nurses (JPHNs) to become Female Health Supervisors in Kerala had not been updated for 20 years.
In July 2004 the Kerala State Government, with funding from the European Commission-supported Sector Investment Programme, asked the Principal of the Public Health Training School in Trivandrum to look again at the job descriptions of its female health workers to redefine their roles and responsibilities and then redesign the training curriculum to ensure they had the correct skills necessary to fulfil these job descriptions.
The task involved:
(i) Job analysis.
(ii) Defining the objectives of the curriculum in view of the job description and expectations.
(iii) Listing subjects which must be taught and then ranking by priority.
(iv) Decide method of instruction (ie theory or practical) and time needed to teach each subject.
(v) Devise a method of evaluation of trainers and trainees.
In order to make these decisions, workshops were held with the additional secretary Health and Family Welfare (H&FW), the Director of Health Services (DHS), Additional DHS (Sector Reform Cell), Additional DHS (Planning) and experts from the Public Health Training School, representatives from concerned associations and unions and representatives of JPHNs.
The module is for 6 months training and ends with an examination. Those who pass are promoted to the supervisory posts. This training is mandatory for promotion.
Cost for preparing the training module is INR 1,65,000.
Training cost not included.
Up-to-date training: Female health workers are now given tailor-made training to fit their job requirements.
Definition of job responsibilities.
Who needs to be consulted
H&FW directors at State level.
Female health workers.
The development of the curriculum is a one-off cost which has already been met with assistance from the European Commission. The Health Services Department will now conduct training through the State Budget.
Chances of Replication
The revised curriculum (available in the References section) may be useful for all States.
Dr K Sandeep, Technical Secretary, Sector Reform Cell,
Directorate of Health Services, Kerala. March 2006.