• 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. 3 Samvads
have been conducted with approx. 16000 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 of
• Earlier orientations
at CHC level was no so successful due to poor monitoring mechanism
• Training ANM through regular mechanism would take long
• Orientation of master trainers on SDR preparation and
its implementation at ground level – costly and time consuming
• 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.
• Rajasthan state
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.”
• Similarly from 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
• The facilities in the blocks were randomly identified
an divided into 4 batches and were informed of the dates and venue
for their participation.
• 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..