It was observed
during field visits that basic skills of the nursing staffs
were poor in the areas of ANC service, high risk pregnancy
identifications and also records were not maintained properly
In order to strengthen
skills and capacities of Nursing staffs, "ANM Samvad"
is organized which innovatively uses technology for reaching
to ANMs at negligible cost. 4 Samvads have been conducted
with approx. 22000 health workers so far.
• National Health Mission
aims at reducing the MMR and IMR along with provision of
quality healthcare services.
• Compromised quality of ANC services was being observed
at the field level.
• The findings revealed inadequate capacity of ANMs
in conducting basic ANC examination and also incongruous
record maintenance in the RCH register.
• SIHFW skills assessment also highlights poor skills
• Earlier orientations
at CHC level was no so successful due to poor monitoring
• Training ANM through regular mechanism would take
• Orientation of master trainers on SDR preparation
and its implementation at ground level – costly and
- With a vision to enhance and improve
the skills of ANM, boost their confidence and improve
the quality of data “ANM Samvad” was planned
and organised by the National Health Mission, Rajasthan.
- It was an IT based innovative interactive
platform through which honourable Health Minister, Principal
Health Secretary and Special Health Secretary & Mission
Director NHM and state level officers interacted with
total 21997 health workers including 20000 ANM’s
& BCMOs/BPMs/MO I/Cs/LHVs of the state.
- This kind of innovation is first
of its kind in the entire country where interaction of
superiors with field staff, discussion of problem and
finding of solution was done with the use of IT.
constitutes of 34 districts which are further divided
into blocks making a total of 249 blocks in the state.
ANM Samvad is a
video conferencing in which the health staff namely BCMO,
MO, ANM and LHV participated from the district and block
level at “ATAL SEVA KENDRA.”
the state level interaction was done with honourable Health
Minister, Principal Health Secretary and Mission Director
NHM and state level officials.
As the state has
a large health workforce it was difficult to interact
with all at the same time. Hence the ANM Samvad was organised
in 4 rounds ensuring that all the block participated in
in the blocks were randomly identified an divided into
4 batches and were informed of the dates and venue for
The health service
providers of the block participated through the Atal Sewa
Kendra (VC Kendra) located in their respective areas and
at the state level the participation was through meeting
hall of DM&HS..
• Pre and post
test for ANM who are attending ANM Samvad
• Pre-designed Logo, Banner and attendant sheet at
block level (VC)
• A quality video emphasising importance of ANC, how
to do ANC, Importance of SDR, etc.
• Regular interaction by state health department with
ANMs seated at block level
• One pager note for health workers about Dos &
DON’Ts during Ante Natal Checkups
in ANM Samvad
(attendance is less due to MI sessions & Arogya
A zero investment
project in which the government resources were optimally
This novelty in
the health care sector
A unanimous platform
for interaction with senior authorities, demonstration
of correct practices, discussion and clearing of doubts
which arise during rendering of health services.
the ANMs and LHVs after the VC clearly showed an increased
level of confidence and commitment towards their duties
and responsibilities, which itself proves the success
of this innovation.
This being one
of its kind initiatives in entire India, there is scarcity
of literature over it. Hence further research and study
is encouraged over it leading to development and improvisation