“First Contact Session cum Induction Training Program of ...

“First Contact Session cum Induction Training Program of

Epidemiologists Recruited under IDSP” from 15th to 27th March 2010

Organized By

National Health Systems Resource Centre, New Delhi

in collaboration with

Regional Resource Centre for North-Eastern States, Guwahati

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BACKGROUND:

Integrated disease surveillance project was launched in November 2004 under Ministry of

Health and Family Welfare to strengthen disease surveillance and response to epidemic.

The IDSP has recently recruited candidates from Medical and Public Health background

from different streams as epidemiologists. Epidemiologist working for IDSP would be able to

provide us a good understanding of disease burden by analyzing data and will also act as a

resource person for planning disease control program. Most of the recruited epidemiologist

are either MBBS graduate or MPH or Masters of social sciences with some experience in

health. Thus there is an urgent need to provide in-service training and continued support to

them. Therefore it was proposed to introduce Diploma in Epidemiology in distance learning

mode for the newly recruited epidemiologists with duration of 12 – 18 months.

With reference to this, National Health System Resource Center has given the responsibility

to Regional Resource Centre for North Eastern States to impart training to Epidemiologists

from various states of North-Eastern zone. The First contact program-cum-induction training

of newly recruited epidemiologists from NE states was organized by NHSRC, New Delhi in

collaboration with RRC-NES, Ghy from 15th March 2010 to 27th March 2010.

METHODS USED:

� Power point Presentation

� Experience sharing

� Group discussion, Group Work & Group Presentations

� Case studies

� Demonstrations

� Field Visits

� Brainstorming and

� Other learning techniques

TECHNICAL SUPPORT FOR TRAINING:

Dr V.Rajasekhar, Senior Consultant, NHSRC, Delhi

ACADEMIC COORDINATOR:

Dr. A.C. Baishya, Director, RRC-NES, Guwahati

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RESOURCE PERSONS:

List of Faculty for this program:

Sl.No. Name Designation/Address Contact No. Attended on

Resource Persons

1. Dr. A.C. Baishya Director, RRC-NE, Khanapara,

Guwahati

0361-2360181 From 15th

-27th

March, 2010.

2. Dr. V. Rajshekhar Sr. Consultant, NHSRC. MoH &

FW, GoI, New Delhi

011-26108982 19th

-20th

March,20101

3 Dr. Bishnuram Das Associate Prof, Dept. of

Community Medicine, AMC,

Dibrugarh

94350-20324 18th

- 20th

March,

2010

4 Dr. Swapna D. Kakoty Asst. Prof, Dept. of Community

Medicine, GMC, Guwahati.

94350-30551 15th

-16th

& 25th

–

27th

March, 2010

5 Dr. Debojit Chutia Associate Prof., Dept. of

Community Medicine, SMC,

Silchar

94351-75566 22nd

– 24th

March, 2010

6 Dr. A.K.Brojen Singh Associate Prof., Dept. of

Community Medicine

94360-37373 22nd

- 23rd

March,

2010

7 Dr. Kumarendra Nath Asst. Director of Health

Services(F), Assam, O/o The DHS,

Hengrabari, Guwahati, Assam

97070-20237 26/03/10

8 Dr. Chimanjita Phukan Asst. Prof., Micro-Biologist,

GMCH, Guwahati

98640-93483 25/03/10

9 Dr. B.C. Bhagabati S.S.O, IDSP,O/o- IDSP,NRHM

Building, Khanapara, Guwahati,

Assam

99571-95757 16th

– 17th

March,

2010

10 Dr. Sujata Roy D.S.O 98640-30307 Present on Field

duty on 17/03/10

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VENUE OF THE WORKSHOP:

The Regional Resource Centre for NE States, Guwahati has fully equipped training hall with

full air conditioning. The core committee decided to conduct training here in this institute due

to its central location, which is very near to Gauhati Medical College and availability of

residential facilities which allows for more effective communication and enabling

environment for learning. This arrangement was such that it builds a sense of community in

the group and creates bonds between the participants. The workshop environment was

warm, friendly, comfortable, secure, and close. The group was thought as one body, with

trainer and participants as members of the body. The field sessions were conducted in field

with each group going to respective places of learning like Sub-centre, Primary Health

Centre, Sub-district hospital, District Health Laboratory, SSU, DSU, Outbreak investigation in

villages and Entomological survey in slum areas.

PARTICIPANTS:

Total 08 participants (epidemiologist) attended the program. They were from various states

of North-East region and were posted at the respective states.

Details of the participants:

Assam

1 Ms. Swapnali Saikia State Surveilance Unit,

NRHM Building, Khanapara,

Ghy-22

94354-76634,

Email-

swapnali.saikia07@gmail.

com

Attended from

15/3/10 to

27/3/10

2 Mr. Bibhas Sarmah District Surveillance Unit,

O/o- Joint Director of

Health Services,IDSP, Dist-

Jorhat-1

94017-05566

Email-

[email protected]

Attended from

15/3/10 to

27/3/10

3 Priyansh Shrestha District Surveillance Unit,


Health Services,

Dist- Lakhimpur

9401629359

Email-

priyanshshrestha@yahoo

.com

Attended from

15/3/10 to

27/3/10

4 Bhupen Kr. Nath District Surveillance Unit,

IDSP,


Health Services,

Dist- Sonitpur, Tezpur

9707027046

Email-

[email protected]

Attended from

15/3/10 to

27/3/10

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Manipur

1. Dr. Bharati

Meitram

Khurai Thangjam, Leikai,Imphal-

795010,O/O CMO, Bishnupur.

9615228518

[email protected]

Attended from

15/3/10 to

27/3/10

2 Mr.

Nongmeikapam

Inaoba Singh

o/o The CMO,DSU,

Churachandpur

09862068051

[email protected]

Attended from

15/3/10 to

27/3/10

3 Miss Sonia Devi

Lourembam

SSU, Medical Directorate,

Lamphel, Manipur-795004

9856480132

sonialourembam@gmail.

com

Attended from

15/3/10 to

27/3/10

Arunachal Pradesh

1 Mr. Pronob Gogoi State Survillance Unit,

Directorate of Health Services,

Nahgarlagun,Arunachal Pradesh

09612148138

pronob_gogoi2007@redi

ffmail.com

Attended from

15/3/10 to

27/3/10

Participants

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TRAINING KITS:

The training kits were distributed to all the participants with following material - leather Bag,

pen, pencil, pad, file, and Training materials, CD of proceedings, session power-point

presentations, group photograph, and photographs in CD of trainings.

CURRICULUM AND SCHEDULE

Date Time Sessions Methodology Resource Person

1st

Week(15-3-10 to 20-3-10)

15/03/2010

9:00 am to

1:00pm

Inaugural Function

Introduction by

participants

Mission Director, NRHM-

Faculty to coordinate with

SSO

Session-I

Pre Test

Health care delivery

system in India

Presentation

followed by

discussion

Faculty trained under FDP

2:00pm to

6:00pm

Session-II

Introduction to IDSP

SSO, local DSO & Faculty

trained under FDP Session-III

Role of Epidemiologists

under IDSP

16/03/2010

(Forenoon &

Afternoon)

Introduction to

Epidemiology

Presentation

followed by

discussion


9:00 am to

1:00pm

Session-I

• Discussion on home

assignments.

• Disease transmission

& control strategies

• Infectious disease

epidemiology.


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17/03/2010

2:00pm to

6:00pm

Session-II

Major Health

Programmes(a brief)

and their relationship

with IDSP

Presentation

followed by

discussion


& State Programme

Officer(Communicable

Diseases/M&F)

18/03/2010

(Forenoon &

Afternoon)

Session-I

• Principles of

Surveillance

• Practicals sessions

(case study)

&home

assignments.

Presentation

followed by

discussion


19/03/2010

9:00 am to

1:00pm

Session-I

Health Information &

Basic Medical Statistics

Presentation

followed by

discussion


2:00pm to

6:00pm

Session-II

• Applying basic

statistics in IDSP.

• IDSP Data entry (use

of IDSP portal).

• IDSP data analysis &

interpretation.

• Work out rates and

ratios of reports

cases per reporting

unit/population

• Data presentation.

• Computer practical

sessions.


& State or District Data

Manager.

20/03/2010

9:00 am to

1:00pm

Session-I

Field Visit to SC, PHC

Presentation

followed by

discussion

In group not more than

four.

Each group will be

facilitated by a faculty or

Post Graduate students,

DSO & local MO

2:00pm to

6:00pm

Session-II

Biostatistics


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2nd

Week(22-3-10 to 27-3-10)

22/03/2010

9:00 am to

1:00pm

Session-I

Field visit to CHC &

District/Medical

College Hospital

including visit to

district public health

lab-capturing IDSP data


four.

Each group will be



DSO & local MO

2:00pm to

6:00pm

Session-II

• Discussion on field

visit.

• Practical sessions &

home assignments

on IDSP data, its

analysis &

interpretation.


& DSO

23/03/2010

9:00 am to

1:00pm

Session-I

Outbreak Investigation

Presentation

followed by

discussion


2:00pm to

6:00pm

Session-II

• Hands on

experience on IDSP

• Preparation of field

visit.

Hands on

practice with

IDSP portal

State Surveillance

Officer/DS)/Data Manager,

Faculty trained.

24/03/2010

9:00 am to

1:00pm

Session-I

Field visit


four.

Each group will be



DSO & local MO

2:00pm to

6:00pm

Session-II

• Preventive

measures,

recommendations

& communicating to

media

• Discussion, writing


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report &

Presentation of field

visit.

& DSO

25/03/2010

9:00 am to

1:00pm

Session-I

Entomology

Presentation

followed by

discussion

Faculty trained under FDP,

State/District

Entomologists and State

District Malaria Officer.

2:00pm to

6:00pm

Session-II

Microbiology


& State Laboratory

coordinator.

26/03/2010

9:00 am to

1:00pm

Session-I

Field Visit regarding

Entomological survey

Faculty trained under FDP,

State/District

Entomologists and

State/District Malaria

Officer.

2:00pm to

6:00pm

Session-II

Visit to District

Laboratory to

understand sample

processing and

different tests done.


& State Laboratory

Coordinator.

27/03/2010

9:00 am to

1:00pm

Session-I

• Introduction to

Distance learning

Modules-

Epidemiology &

Biostatistics.

• Take home

assignments

Discussion

Faculty trained under

FDP/PHFI

2:00pm to

6:00pm

Session-II

• Post Test

• Feedback &

Valedictory session

Mission Director,

NRHM/Director Public

Health.

Lunch Break: 1:00pm-2:00pm

Note: Field Visit starts from 8:00 am.

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INAUGURATION PROGRAM:

Inaugural function was conducted on Monday, 15th March, 2010 in presence of Dr. A.C.

Baishya, Director RRC-NES and Dr. Swapna D. Kakoty, Asst. Professor, Dept. of

Community Medicine, GMC, Guwahati.

INTRODUCTION OF PARTICIPANTS: Icebreaking exercise was done. All participants were

introduced to each other and the supporting staff. Various issues including accommodation,

food and other issues related to logistics, curriculum, purpose of this program and schedule

were discussed.

CONDUCTING TRAINING:

Induction Training of Epidemiologist under IDSP was conducted from 15/03/2010 to

27/03/2010 at Regional Resource Centre for North-Eastern States (RRC-NES), Khanapara.

There are eight epidemiologists from the state of Assam, Manipur and Arunachal Pradesh.

Four faculties from the Medical College of Assam and Manipur conducted the training and

thereafter took over as mentors.

The training started with Inaugural function which was presided by the Director of

RRC-NES, Dr. A. C. Baishya. Thereafter, the participants introduced themselves with a

background profile and their short experience with IDSP. The participants were enthusiastic

and appeared eager with the proceedings. Sessions started with an overview of Health Care

Delivery system in India and introduction to IDSP and the role of Epidemiologists in it;

Proceedings of day 1 concluded with these issues.

Day 2nd and 3rd (16th & 17th March, 2010) focused on Epidemiology. Issues

emphasized were fundamentals of epidemiology, importance of epidemiology to public

health practice, measures of occurrence epidemiology of infectious disease and

epidemiology as relevant to IDSP. In addition, course content as specified in the Modules

were covered.

First half of day 4 (18th March, 2010) focused on surveillance. Principle of

surveillance, steps of surveillance cycle and surveillance as applicable in IDSP was

discussed in details. 2nd half of the day apprised the participants of routine source of Heath

Information and basic medical statistics like, Measures of Central tendency, Dispersion,

Types of data etc.

Second week (22nd March, 2010 to 27th March, 2010) of the contact session started

with Outbreak Investigation. The steps of conducting an outbreak investigation, practical

exercise, handling of media, report writing were issued discussed. Field visit to Medical

College was not undertaken because of a non-functioning IDSP system and participants

were taken to SSU where they learned IDSP portal, online reporting and detection of early

warning signals.

Biostatics was taught in greater details where practical assignments were given.

Graphical reorientations of data, normal distribution, basics of tests of significant were

discussed. Measure of effect and exercises on it was done. Participant had lots of doubts in

this session.

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Lectures on Entomology and Mind biology as relevant to IDSP was taken by external

faculties. Vector Binomies and their role in disease control, collection of specimen in IDSP

for laboratory examination were some issued discussed. The week session ended with

distribution of learning materials and CDs. Practical demonstration of the use of CD and

Handbook on it was shown and done by the participants. On the last day, valedictory

session and feedback was done and the participants were assigned respective mentors.

CONDUCTING FIELD VISITS:

Day 5 and 6 (19th & 20th March, 2010) were days of field visit to observe the process of data

generation and treatment under IDSP. Field visit started with visit to Dharapur sub-centre

where participants observed the generation of S form of its onward transmission to PHC.

Thereafter, they visited Azara PHC and observed P form and L form generation and their

onward transmission to DSU. Epidemiologists were then brought to DSU where they

observed the process of data complication, analysis and interpretation and their onward

transmission to SSU. The epidemiologists had lots of questions for each health functionary

in the fields.

Some Photographs:

Figure 1- Participants with Director, RRC-NES and Dr. Swapna D. Kakoty

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Figure 2- Participants with Dr. Swapna D. Kakoty

Figure 3- Participants with Dr. Bishnuram Das

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Figure 4- Participants with Dr. Debojit Chutia & Dr. A. K. Brojen Singh

Figure 5- Participants with Dr. A. C. Baishya & Dr. Swapna D. Kakoty

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