ANM Samvad

• 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.

Ground situation

• 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 ANMs.

Challenges

• Earlier orientations at CHC level was no so successful due to poor monitoring mechanism
• Training ANM through regular mechanism would take long time
• 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 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.

Methodology

• 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 in it.
• 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..