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NEWS |
| 24 Dec 2010 |
 JICA TQM Consultant invited as Guest Speaker for the Seminar on Bio Medical Waste Management in Gwalior (24th December 2010) .. .....Details |
| 16 Dec 2010 |
 The Common Review Mission visits Damoh district (16th - 22nd December 2010) .. .....Details |
| 6 Dec 2010 |
 National Dissemination Seminar of JICA MP RH Project held at NIHFW, New Delhi .. .....Details |
| 19 Nov 2010 |
 JICA Consultants oriented the Data Officers of DoHFW on use of GIS .. .....Details |
| 13 Nov 2010 |
 JICA team invited for the Partners Forum on Womens and Childrens Health, New Delhi .. .....Details |
| 19 Oct 2010 |
 JICA TQM Consultant invited to present a paper at the Asian Network for Quality Congress Delhi 2010 .. .....Details |
| 12 Oct 2010 |
 Dr. Kiran Ambwani, Deputy Commissioner (FP), MoHFW, GoI, visits Tikamgarh for the District level planning for MCH centres of Sagar division .. .....Details |
| 9 Sept 2010 |
 Dissemination Seminar held to share the findings of the Terminal Evaluation Mission .. .....Details |
| 8 Sept 2010 |
 Joint Review Meeting of JICA Project held on 8th September 2010 .. .....Details |
| 30 August 2010 |
 JICA TQM Consultant presented a poster at the Global Maternal Health Conference .. .....Details |
| 17 August 2010 |
 Madhya Pradesh becomes the first State to start the Public Health Management course at State owned Health Institute (SIHMC), Gwalior .. .....Details |
| 14 June 2010 |
 JICA TQM Consultant invited to present paper at Lal Bahadur Shastri National Academy of Administration, Mussoorie .. .....Details |
| 15 June 2010 |
 Chief Representative, JICA India Office visited Project site .. .....Details |
| 24 May 2010 |
 JICA Consultant nominated by DoHFW, GOMP, for Training of Master Trainers on BEmONC at New Delhi .. .....Details |
| Abbreviations |
COUNTERPARTS |
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| Ministry of Health & Family Welfare |
| Department of Health & Family Welfare |
Events Report Current
NATIONAL DISSEMINATION SEMINAR
JICA MP REPRODUCTIVE HEALTH PROJECT
GIS for Health
AWARENESS & PLANNING WORKSHOP ON BIO MEDICAL WASTE MANAGEMENT
NATIONAL DISSEMINATION SEMINAR
JICA MP REPRODUCTIVE HEALTH PROJECT
6 DECEMBER 2010, NIHFW, NEW DELHI
Background
The JICA MP Reproductive Health Project is an
integral part of the National and State Programs NRHM/RCH II. This
Project provides the State DoHFW with Technical Cooperation aiming
at operationalisation of NRHM/ RCH II, especially for development of
the system for maternal health care. The overall goal of the Project
is that “Pregnant women, mothers and new born babies in the project
site become healthier” and the purpose is “To increase the number of
pregnant women and mothers who receive quality services for Safe
Motherhood”. The Project is being implemented in the 5 districts of
Sagar division. There are 37 blocks, and the total population is
6,635,720 with a geographical area of 38,428 km. The Project has
been implemented in two phases; Phase I from September 2005 –
September 2006 and Phase II from January 2007 – January 2011.
JICA/MP-RHP is focusing on the four components, namely Human
Resource Management (HRM), Total Quality Management (TQM), Health
Management Information System (HMIS) and Information, Education and
Communication (IEC) and Behaviour Change Communication (BCC).
Considering the complexity of the Indian public health system, the
dynamic process of NRHM in India in general, and in the state of MP
in particular, and the relevance of the lessons from the Project in
a broader context, it was decided to conduct an in depth External
Evaluation prior to the Joint Terminal Review. The Project
approached the National Institute of Health and Family Welfare for
conducting this evaluation to assess effectiveness of JICA’s
Technical Cooperation with Government of Madhya Pradesh (MP) for
improvement of the quality of Maternal and Newborn Health Care
services.
OBJECTIVES /
PURPOSE OF SEMINAR
To share the Project interventions and its
technical cooperation to operationalise the NRHM guidelines at the
field level and its impact, at the National level.
PARTICIPANT SEGMENTATION / NATURE OF PARTICIPANTS
The delegates comprised of Officials from the
Ministry of Health & Family Welfare, Government of India; Department
of Health & Family Welfare, Government of Madhya Pradesh;
Representatives from various Development Agencies and Members from
Academic institutions (Annexure 1 – List of participants).
The JICA India Office team comprised of Mr. Shinichi Yamanaka, Chief
Representative;
Mr. Taisuke Watanabe, Deputy Resident Representative; Ms. Makiko
Konohara, Program Specialist; Ms. Keiko Haneoka, JOCV Program
Coordinator and Ms. Preeti Manchanda, Program Officer.
Mr. Ochi Naoya, Deputy Director General for Planning, South Asia
Department, JICA Tokyo was specially present to understand the
project interventions and progress.
The JICA MP Reproductive Health Project team comprised of Dr. Yoichi
Yamagata, Project Manager; Ms. Mari Tsuda, Project Coordinator; Mr.
S. Fareed Uddin, Project Operations Manager & Consultant- TQM; Ms.
Richa Som, Consultant- HMIS; Ms. Dimple Save, Capacity Development &
Documentation Coordinator; Ms. Rohini, Capacity Development
Coordinator; Mr. Kamlesh Mishra, Capacity Development Coordinator;
and Mr. Danish Khan, Assistant Manager. The Block Coordinators
included Dr. Imteyaz Ahmed (Damoh), Mr. Shahwar Khan (Chhatarpur),
Mr. Nilesh Dubey (Nowgaon, Chhatarpur), Mr. Manoj Singh Chouhan (Niwari,
Tikamgarh), Mr. Altaf Ali (Jatara, Tikamgarh), Mr. Maroti Lohat (Amanganj,
Panna), and
Mr. Arif Anees (Sagar).
WELCOME ADDRESS
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| Mr. S. Fareed Uddin welcoming the
participants and sharing the objectives of the Seminar |
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Mr.
Shinichi Yamanaka, Chief Representative, JICA India Office, gave the
welcome speech. He thanked the delegates and appreciated their
cooperation and support extended to the Project. He shared that
currently JICA is the largest bilateral agency in the world
providing Technical Cooperation to about 100 countries. India is the
largest partner country of JICA with the Grant Aid and ODA loans
expanding to more than 11 thousand crores. He emphasized that with
kind support of Government of India and Government of MP and strong
initiative by Dr. Yoichi Yamagata and his team, the Project has
contributed towards the implementation of Maternal Health in MP. He
also mentioned about the request for the third phase of the Project
and clarified that the process is going on with the Government of
Japan.
TECHNICAL PRESENTATIONS
Dr. Manohar Agnani IAS, Mission Director NHRM, DoHFW, Madhya
Pradesh
Dr.
Manohar Agnani IAS, Mission Director NHRM, DoHFW, Madhya Pradesh,
made a presentation on “JICA Project’s interventions to support NRHM
activities”. The presentation was focused on the MDG 5 – Improve
Maternal Health. Dr. Agnani appreciated the Project interventions
and shared how the funds of NRHM and the Technical Cooperation of
JICA Project were complementing with each other to improve the
status of maternal health in Sagar division of Madhya Pradesh.
He shared that Sagar division in Madhya Pradesh had one of the worst
indicators in terms of Maternal and Child Health and highly
appreciated the Technical Cooperation of JICA Project in this
difficult area. He shared the experience of his interactions with
ANMs at SIHMC Gwalior during some training. He mentioned that there
was an obvious difference in the knowledge and confidence of ANMs
from Sagar division compared to the rest. He listed down a few
activities where the Project had made a difference within the NRHM
Program:
a. Skill enhancement of ANMs to measure BP, Foetal Heart Rate etc.
b. How to make best use of the untied funds
c. Actual happening of Village Health & Nutrition Days at village
level and community participation
He explained the State’s strategy in the view of decreasing the 3
Delays. He appreciated JICA’s contribution towards the Delays 1 and
3, while he also explained the Janani Express as a measure for
decreasing Delay 2 emphasizing on the Janani Express and call
centres as innovations in the state and their significance in
reduction of maternal mortality. He said that the Project has given
a lesson of building capacities of the existing staff instead of
appointing parallel staff. He thanked the Project for
re-establishing the link between the DoHFW and the MPPCB for Bio
Medical Waste management in health facilities.
Dr. Thaneswar Bir, Professor, NIHFW, New Delhi
Dr. Bir presented the findings of the External Evaluation carried
out by NIHFW in Damoh and Tikamgarh districts of the Project area.
He emphasized on the following 3 major findings of the study:
a. According to the district and block officials, almost all of them
witnessed the increased capacity and responsibility of the ANMs
b. As per the indepth interviews, the ANMs also declared / shared
that their level of understanding and skills has been enhanced and
eventually the have gained more self-esteem.
c. The community also appreciated the improvement
of services provided by the ANMs.
Dr. K.L. Sahu, Regional Joint Director, Sagar Division, DoHFW,
Madhya Pradesh
Dr. K.L. Sahu, Regional Joint Director, Sagar division, DoHFW,
Madhya Pradesh, made a presentation on “Technical Cooperation on
Maternal Health by JICA MP RHP”.
Dr. Sahu shared that he has worked in Sagar division for more than
15 years in different capacities (MO, Specialist, CMHO, and RJD) and
reiterated that it is indeed the most difficult area in the State.
He mentioned that he has been an eye-witness to the dramatic changes
in the capacities of the Frontline workers after the training
provided by JICA Project.
He said, “Earlier also there were many training programs for the
workers, but during the training provided by JICA Project, the
workers had a joyful learning experience. The skills of ANMs in
Damoh and Tikamgarh have been re-vitalised. The ANMs have also
started recording the services and analysis of their work is done
during the review meetings. The community has now accepted the ANMs
as their friend. This could happen only due to constant persuasion,
monitoring and follow up by the Project”.
He also shared that there was a facelift of health facilities in
Sagar division. He finally thanked JICA Project for the hard work in
Sagar division.
Dr. Yoichi Yamagata, Project Manager, JICA/MP- RHP, Madhya Pradesh
Dr. Yamagata made a presentation on “Our Experiments with Optimism –
Retrospect of 5 years of JICA/MP-RHP”. He expressed his desire to
share his optimism so that it spreads in the entire NRHM program. He
discussed about the position of JICA Project within the framework of
NRHM and the role of the Project “to make it happen”. He explained
the importance of Quality and Quantity. Since the ANMs are the most
numerous cadres, quality improvement of each of them would bring an
enormous effect in the quality of total services.
He said that the Project had identified the ANMs as the key role
players within the health system and emphasized that the ANMs were
Multi Purpose workers in the true sense.
He gave the example of PHC Sarra located in remote area of
Tendukheda block of Damoh district, where the services were provided
only by 2 ANMs.
He emphasized on GIS as a tool for monitoring and planning and how
it was used by the Project to show the progress made.
Dr. Yamagata showed a simile of lotus flower as a symbol of
Optimism. He said, “if there is a flower, there should be a root.
That is the essence of Optimism”. He invited the GoI and GoMP
officials to think about multiplying the roots.
OPEN HOUSE - COMMENTS BY PARTICIPANTS
Dr. Sundararaman, Executive Director, NHSRC, New Delhi
Dr. Sundararaman expressed his deep appreciation for their
collaboration with JICA Project and hoped that the continuity would
be maintained. He said that JICA Project was an example of actual
potential of micro experience in a macro scenario and that was the
reason for their collaboration with the Project. He added that JICA
Project is a high quality laboratory where one can test and work in
the field. He gave an example of the Primary Health Registers which
were designed in consultation with JICA Project. Similarly, the
Project was also part of the central pool of trainers for SBA. He
wished for the continuity of the Project without disturbing the
current composition of the Project team.
Mr. Praveen Shrivastava, Deputy Director General (Statistics), MoHFW,
GoI
Mr. Praveen was in agreement to what Dr. Sundararaman and added that
one needs a laboratory before one can experiment and ensure that
they are on the right track.
He wished for the continuity of the Project.
Dr. Kiran Ambwani, Deputy Commissioner, Family Planning division,
MoHFW, GoI
Dr. Ambwani had visited Tikamgarh district recently and had
interactions with the ANMs and block and district officials. She
said that JICA Project worked very silently and there was excellent
trust between the implementers and managers within the health
system. Everyone was working towards the same goal and there was no
friction at any level. She added that she was impressed with the
quality of services provided. She suggested to the Mission Director
if the core competency skills taught during training by JICA Project
could also be incorporated into the curriculum of ANMTCs
(pre-service and in-service) to improve the quality of services.
Dr. P. Padmanabhan, Advisor, Public Health Administration, NHSRC,
New Delhi
Dr. Padmanabhan shared that he has visited few CHCs and VHNDs in the
Project area. According to him, in the current situation, the two
major issues of capacity building are pace and quality of training.
He said, “The Project has developed a good model using low-cost
training materials and the ANMs had a joyful learning experience.
This needs to be used in the current PIP for the high focus states.
For this, there is a need to establish a skill laboratory and
dedicated trainers are required, which is done by the Project. There
is no need to re-invent the wheels; the JICA model could be easily
replicated”.
Dr. S.K. Shrivastava, SIHMC, Gwalior, Madhya Pradesh
Dr. Shrivastava mentioned that he has been associated with JICA
Project since the Development Study in 2000. He shared that all the
Japanese consultants spent time in the field and finally came out
with this Project. He confessed that he was of the opinion that
nothing could happen in Damoh and Tikamgarh. But the Project has
created a link of communication with the health system. Capacity
building of ANMs has led to increased confidence in them. He also
thanked NIHFW for sharing the findings of the evaluation.
Dr. Dileep Mavalankar, Professor, IIM, Ahmedabad
Dr. Mavalankar commented that the Project has shown an excellent
demonstration of how to work in the field and improve the working
environment within the available resources. This could be taken up
by others. However, he expressed his concern over the maintenance of
the same. He suggested of taking the lessons of the Project into the
training institutions. He commented that in the 1980s, similar
activities were done by USAID and DANIDA, but the achievement was
not sustained due to premature retrieval.
He also pointed out the absence of the Maternal Health official from
the State and the role of Supervisory cadre not mentioned in any of
the presentations.
Responses
Dr. Yamagata responded and pointed out the difference between then
and now. Then, it was just a standing alone Project. Now, it is
strongly supported by NRHM. One useful investment by NRHM is the
young managers at district and block level. These are the “agents”
for handing over the interventions of the Project.
Mr. S. Fareed Uddin informed that both, the Assistant Commissioner
Maternal Health, MoHFW, GoI; and the Deputy Director Maternal
Health, DoHFW, GoMP, were out of India. He shared that JICA
Consultants have been a part of the Expert Group for the revision of
SBA Guidelines and have provided inputs from the rural perspective,
which have been incorporated in the guidelines.
He also shared that in Damoh and Tikamgarh districts, interventions
for strengthening the Supervisory cadre have been initiated, but it
needs to be followed up and taken ahead. Hence, it was not included
in the presentation.
Dr. Anjana Saxena, Deputy Commissioner, MH division,MoHFW, GoI
She agreed that NRHM is an ambitious program and the quality of
services need to be improved. JICA Project has been able to do this.
She mentioned that she has not been able to visit Madhya Pradesh,
but have heard that the training provided by JICA is quite labour
intensive, good modules and aids were developed and used, a system
for feedback and monitoring was developed, follow up of skills post
training was done. This not only improved the quality, but it was
also quantified in HMIS.
The ANMs have become very confident and the community respects them.
A cycle of confidence and access has been developed. She ended by
saying that the Government of India would appreciate initiatives by
donors for safe and quality services to ensure Safe Motherhood.
Dr. Khan, NIHFW, New Delhi
Dr. Khan appreciated the excellent implementation by the Project.
However, he expressed his concern regarding the feasibility of the
model and its scalability. He also suggested that the human resource
trained should be local.
Responses
Mr. S. Fareed Uddin answered that the Project had applied the same
technique and trained the local staff as trainers. However, the
scalability needs to be worked out.
Dr. Manohar Agnani shared that he had worked as Project Director for
several projects in the past and was of the opinion that the health
sector needs more investments and capacity to utilize the funds. He
mentioned that JICA Project did not do any new activity, they only
showed a way to utilize the funds and now it was on NRHM to continue
this in other parts of the State. However, there is a need to
develop capacity for scaling up.
Mr. Taisuke Watanabe, JICA India Office, New Delhi
Mr. Taisuke Watanabe expressed his happiness on the Project
experiences being shared at the National level. He hoped that the
achievements of the Project would be used in other parts of India.
FINAL REMARKS by Dr. Yoichi Yamagata, Project Manager, JICA/MP-RHP
Dr. Yamagata thanked the delegates for attending the seminar. He
expressed his happiness to hear positive comments from different
officials and the unanimous support of the delegates for the third
phase of the Project.
He mentioned that NHRM has almost everything to scale up. The only
thing that is required is the liberty for the people to move
(through exposure visits), especially the tutors. What the Project
shows is not Technology, but Feeling. Through the Project, the team
is trying to spread the message of optimism. He also hoped that the
same model would be replicated in other districts and States.
Mr. S. Fareed Uddin, Project Operations Manager and Consultant -
TQM, conducted the program and gave away the vote of thanks.
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| Group Photograph of Project Team with National and State Government Ministry of Health with other participants | ||
GIS for Health
Duration: 19 to 21 Nov,
2010
Venue: Crescent Resort & Club, Sehore
Background
The application of GIS for planning, management
and monitoring is now well known to everyone. Realising the
potentials of using GIS for Health, JICA/MP RHP had initiated the
usage of GIS for the DoHFW. The initial usage with the MH division
of NRHM confined to display of selected CEmONC centers and difficult
areas. The Mission Director, Dr. Agnani had requested the project
team to plot the difficult areas for a meeting at national level on
5 December, 2009 held in New Delhi.
The need to institutionalize the usage of GIS by building in house
capacities was the glaring challenge for the Project. Mr. Rakesh
Munshi, JD (NRHM) agreed and consented to the proposal of building
the capacities of the Data officers to use GIS. It is worthwhile
mentioning here that the GIS software has already been given by the
Project to the NRHM Cell of the state in 2009.
Expected Outputs The participants are able to plot
data using GIS.
Participant Segmentation
| Level | Profile | Number |
| State | State Data Analysts and Oficers | 5 |
| Division | Programmer, RJD office of Sagar Division | 1 |
| District | District Data Analysts | 4 from the districts of Damoh, Chhattarpur, Panna and Tikamgarh. |
Training methodology
The methodology comprised of classroom teaching
and hands on practice. The commands were taught through
demonstration on the LCD projector.
Course Content
The initial sessions on Day 1 focused on
familiarizing the participants with what is GIS, its usage for
health and the components of the software.
Mr. Fareed set the tone of the three day training.
Dr. Yamagata enlightened the trainees with the variety of usages of
GIS in other countries.
Ms. Richa Som linked the purpose of this training with HMIS and the
need to understand what are indicators and what indicator to plot.
The subsequent sessions were structured to let the participants know
new commands in the software and practice it using health dataset.
Training Aids
The total trainees were divided into groups of
two each and each group was given a laptop with the GIS software
loaded on this. This ensured that the participants could practice it
themselves. A manual of GIS was also distributed to the
participants.
Mr. Uday Mahesh, Master Trainer from Tecdatum, Hyderabad, gave a
presentation on what is GIS. Mr. Danish, from JICA/MP RHP was the co
trainer and helped the participants to practice during the hand
holding sessions.
Practices by the Trainees
There were 6 groups and each one of them were
given various topics so that they could practice and learn maximum
commands. Table 1 gives the details of the practical sessions:
| Group members | Topic | GIS applications used |
| Anand & Thomas | MCH Centres of Sehore | Point data, layering |
| Neeraj & Apeksha | CEmONC Centres of MP | Polygon data, layering, combination |
| Dev & Deepak | ||
| Ritujeet & Raghvendra | MCH Centres of one district | Point data, layering |
| Kapil | MCH Centres of Sagar | Point data, layering |
| Manoj | NRHM indicators of district | Polygon data, layering |
Concluding Session
Mr. Rakesh Munshi, JD (NRHM) had come for the
concluding session. He distributed certificates of participation to
all the trainees.
Conclusion
The short duration training was very effective
and all the participants were confident of using the software. They
also realized the multifarious uses of GIS for data presentation,
monitoring, planning and management. The clear display of data on
the map helped them interpret and analyse the data more efficiently,
thus enhancing their ability as a Monitoring and Evaluation Officer.
The trainees could appreciate and realize the utility of GIS in
their day to day functioning.
The challenge is that the participants are able to practice on the
software to gain further mastery on the GIS application. Lack of
immediate practice might lead to the benefits of training being
redundant.
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| Training on GIS in Health & its Applications | Mr. Uday Mahesh explaining GIS & its Applications | Dr. Yoichi Yamagata explaining the usage and importance of GIS |
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| Mr. Danish from JICA/MP RH Project explaining the s/w | Apeksha Sharma, SDO NRHM, MP making presentation | Mr. DK Dubey, Data Analyst, NRHM & Mr. Deepak Sisodia, Tikamgarh making presentation |
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| Mr. Anand B Tripathi, SDA, NRHM-MP & Mr. Deepak Sisodia, Tikamgarh making presentation | Mr. Kapil Choubey, Programmer, JD office, Sagar making presentation | Mr. Rakesh Munshi, JD-NRHM giving Certificates to the participants at the end of the training |
AWARENESS & PLANNING WORKSHOP ON BIO MEDICAL WASTE MANAGEMENT
Background
The Act on Bio medical waste management dated
27/07/98 puts the time limit to abide by all the specifications
required for implementation as 31 Dec, 2002. However, implementation
of Bio medical waste management is yet to be commenced in many
places. One of the hurdles being posed is the low awareness within
the health staff related to this topic.
Given the limitations pertaining to the translation of the 1998 Act
into field implementation, at the behest of CPPCB the RO, MPPCB
decided to hold divisional level workshops with the aim of planning
and awareness generation amongst the health staff. The divisional
workshop for Sagar division was held on 11 September 2009 in Hotel
Paradise at Sagar.
Partnership of MPPCB & JICA/MP RHP
JJICA/MP RHP has been instrumental in commencing the implementation on Bio
Medical Waste management in Sagar division since the past two years. Its
role in bridging the gap between the implementers (Health facilities) and
the regulators (MPPCB) has created a special niche for the Project. It was
with this virtue that the partnership between MPPCB RO Sagar division and
JICA/MP RHP took a more concrete shape with the organisation of this
workshop. The RO MPPCB, Sagar division was the main organizers. The Role of
JICA/MP Reproductive Health Project was as under:
RJD Office, Sagar – to liaison with the RJD
office to ensure participation from all the 5 districts
MPPCB, Sagar – to provide technical support for
designing the workshop agenda and providing reading material
Objectives of the Workshop/em>
The objectives of the workshop were to;
-
Create awareness about the rules and regulations pertaining to Bio Medical Waste management
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Enlighten the participants on how to implement bio medical waste management in their respective health facilities
-
Gain clarity and plan for effective implementation in each of the five districts.
The agenda of the workshop has been attached in Annexure 1.
Participant Segmentation
TThe Regional Officer of Sagar divisional office of MPPCB was keen to invite
the actual “doers” and not merely the officials from the various levels of
health facilities. Therefore the request letter for nomination sent on
behalf of the MPPCB to the various districts categorically mentioned that
“all those who are involved in the actual implementation can also be
nominated”.
Out of over 200 participants, 127 were from the various health facilities in
Sagar division. Table 1 shows the participants from various levels of health
facilities across the five districts. Maximum participation was from
Chattarpur (43) followed by Sagar (38). Minimum participation was from Panna
(8). It is worthwhile mentioning here that on the date of the workshop,
there were incessant rains and there was an apprehension amongst the
organizers that participation might get restricted to only Sagar since the
roads to the neighboring districts had been blocked. Despite the unforeseen
circumstances, the participation was much more than expected. Maximum
participants were from the PHC level (32%) followed closely by CHC level
(31%).
Table 1: District wise distribution of participantsbr />
| LLevel of Health Facility | Damoh | Tikamgarh | Chhatarpur | Panna | Sagar | Total /strong> |
| DH | 3 | 9 | 2 | 14 | ||
| CHC | 8 | 9 | 12 | 2 | 8 | 39 |
| PHC | 4 | 25 | 5 | 7 | 41 | |
| Others | 6 | 6 | ||||
| Private | 5 | 1 | 6 | |||
| MC | 17 | 17 | ||||
| Public Hospital | 4 | 4 | ||||
| Total | 16 | 22 | 43 | 8 | 38 | 127 |
Amongst the cadres which had participated, maximum participation was
from the Medical Officer cadre (39%).
Table 2: Cadre wise distribution of Participants across the 5
districts
| District | MO | SN/ANM | Lab Tech. | Ward Boy/ Ward Servant | Sweeper | PPathologist |
| Damoh | 2 (Govt.) | 3 (Govt.) | 2 | 1 BPM, 1NMA, 1Super, 1 MPW, 1 AN | 1 Bio Cem | |
| 2 (pvt.) | 1 (pvt.) | |||||
| Tikamgarh | 14 | 7 | 1 | |||
| Sagar | 12 (Govt.) | 6 | 1 (Govt.) | 1 | 1 Dresser | |
| 14 (MC.) | 3 (MC.) | |||||
| Panna | 5 | 3 Compounder | ||||
| 1 Dresser | ||||||
| Chhatarpur | 1 | 9 | 3 | 25 Dresser | 5 | |
| Total | 50 | 26 | 10 | 34 | 3 | 1 |
Glimpses of the Workshop
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| Mr. Hemant Sharma, RO MPPCB, Sagar welcoming the Collector-Sagar | Mr. Kamlesh Saraf, Member MPPCB lighting the lamp | Mr. Hiralal Trivedi, Collector-Sagar delivering the inaugural speech |
 |
 |
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| Mr. Hemant Sharma, RO MPPCB, Sagar making the
presentation on Rules & Regulations for Bio Medical Waste |
Mr. Fareed Uddin, TQM Consultant – JICA/MP RH Project making the presentation on implementation of BMW in Health facilities | Ms. Shamla Mani, CEE-New Delhi making the
presentation on implementation of BMW in Health facilities |
 |
 |
| District Planning in Progress/td> | Group Photograph |
Inaugural Session
The Hindi dubbed film on Bio Medical Waste management was continuously
screened and the participants watched it intently.
TThe inaugural session started at 1130 hours. Dr. Aboli Gore from JICA
anchored the workshop. The panelists included the Chief Guest Mr. Hiralal
Trivedi, Collector, Sagar; Shri Kamlesh Saraf, Board Member, MPPCB; Dr. K.
K. Tamarkar, RJD Sagar, DoHFW;
Dr. S. C. Tiwari, Dean Medical College, Sagar; Dr. Yamagata Yoichi, Project
Manager, JICA/MP RHP; Dr. Ms. Shamla Mani, CEE; Dr. Runakar Singh Chauhan,
Commissioner, Nagar Nigam, Sagar and Mr. Hemant Sharma, Regional Officer, RO
Sagar, MPPCB. The guests were facilitated with bouquets and the workshop was
declared open by lighting the lamp.
Mr. Hemant Sharma gave the welcome address and laid out the objectives of
the workshop. Mentioning the need to train the grassroot workers on Bio
medical waste management, he emphasized on the importance of proper
segregation. Highlighting the fact that all the material given in the folder
(to the participants) was in Hindi, he requested the participants to go
through it properly. He also mentioned that the Hindi dubbed movie has been
prepared by JICA/MP RHP and that a copy of the CD will be given to each
hospital. He informed the participants that approximately 6600 kgs of solid
bio waste is generated from the 171 government hospitals in Sagar division
per Distirct. This is exclusive of the liquid waste. Implementation is a
challenge and this workshop had been organized to facilitate implementation,
he said.
Mr. Kamlesh Saraf stressed on the importance of BMW and highlighted its
connection with the spread of infectious diseases like HIV/AIDS etc. He
promised that the Administration would provide help wherever required. He
expressed his thankfulness towards MPPCB’s technical guidance.
Dr. S.C. Tiwari started his speech by stressing on the fact that only 15% of
the waste is hazardous but if not managed properly, it contaminates the rest
85% of the waste. The Health Department staff faces the maximum risk and
exposure and therefore should be over cautious and ensure proper BMW > 60%
of the diseases are Communicable diseases and the key to curb them is
through proper BMW.
Dr. Yoichi Yamagata gave a brief introduction on what is JICA and how it
works. He reiterated that this workshop is for the grassroot workers who in
turn are the main information gateways for the community. Therefore it is
important that the FLW have the right information.
Mr. Hiralal Trivedi, Collector-Sagar District welcomed the participants and
stressed on the importance of BMW. Mentioning that Sagar division is a big
area, he pointed to the fact that systematic waste disposal is not there.
Thanking the MPPCB for this good initiative, he promised all help including
financial and administrative in the efficient implementation of BMW. He also
said that the private Nursing homes would also abide by the recommendations
of this workshop. He said that the recommendations of this workshop should
be implemented immediately. Apart from BMW, focus should also be given on
the cleanliness of the Government health facilities. The Collector concluded
his speech by affirming that everyone should pledge commitment, both
individually as well as collectively, to implement the recommendations of
this workshop.
Dr. K. K. Tamrakar, RJD Sagar, DoHFW, proposed that vote of thanks. He
thanked all the participants for coming for this workshop and added that
pollution is increasing but we ourselves don’t know how much the level of
our awareness is. He asked the participants to go through the material
properly. Quoting - “We cannot change the events but we can change our
approach and attitude to change the events”. He thanked the RO of MPPCB for
this wonderful initiative.
The Inaugural session was followed by the Tea Break.
The Tea break was followed by the three presentations of Mr. Hemant Sharma,
RO MPPCB.
Mr. S. Fareed Uddin, Consultant TQM & Project Operations Manager, JICA/MP
RHP and
Dr. Shamla Mani, CEE India, New Delhi. (Annex 2, 3, and 4).
District planning session/em>
SSince the CMHOs and DPMs were not there, the district wise planning could
not take place. However, consultations related to problems in implementation
were facilitated by the JICA team with each of the district groups. Some of
the problems highlighted have been given below:
|
PROBLEMS IN IMPLEMENTATION |
|
• Non availability of coloured bags and bins. |
Comments from Participants
-
MMO from Chhatarpur District Hospital commented that after today’s presentation I have come to understand that handling of BMW is an urgency, not only important.
-
MO from PHC Bilhari, Sagar, commented that “my immediate task after going
back to my PHC will be to orient the entire staff on BMW.”/p> -
A sweeper commented that “this was for the first time ever that we have been
specially called and things were explained so much in details”
Recommendations of the workshop
-
BBlock level orientations involving all personnel from the health facility on BMW.
-
Authorisation / Renewal formalities to be completed on priority.
-
Procurement of coloured bins and bags as per requirement to be ensured.
-
Construction of deep burial and sharp pits to be done at the earliest./p>
-
Role distribution related to segregation, transportation and disposal to be fixed in each facility.
AWARENESS & PLANNING WORKSHOP ON BIO
MEDICAL WASTE MANAGEMENT 11 SEPTEMBER 2009, SAGAR
AGENDA
| INAUGURATION SESSION | |
| TIME | DETAILS |
| 9.00-10.30 | Registration and distribution of kits |
| 10.30-11.15 | Lighting the Lamp |
| 11.15-11.45 | Refreshments |
| TECHNICAL SESSION | ||
| TIME | SESSION | FACILITATOR |
| 11.45-12.15 | Bio Medical Waste management – Rules and Regulations | MMr. Hemant Sharma Regional Officer MPPCB, Sagar |
| 12.15-13.30 | Implementation of BMW in Health facilities | Mr. S.Fareed Uddin Consultant TQM & Project Operations Manager JICA/MP-RH Project, Bhopal |
| 13.30-14.30 | LUNCH | |
| 14.30-15.30 | Implementation of BMW in Health facilities | Dr. Shyamla Mani Coordinator, CEEbr /> New Delhi |
| 15.30-16.30 | Group Work | District Teams |
| 16.30-17.00 | VVote of Thanks | MPPCB, Sagar |