• 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
• 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
Solution – Brief
• 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
• 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
• 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..