1. Human resources development in the integrated disease surveillance project IDSP training module for state and district surveillance officers Module 13

2. Learning objectives List different types of training planned Describe the people involved as trainers List the quality assurance activities Describe the induction trainings  Types  Duration  Site of training  Curricula of different types  Time line

3. Principles for human resources development in the Integrated Disease Surveillance Project No additional staff to be employed Existing personnel will be provided training Training will be provided locally Public private partnership Quality assurance process in the training of the trainers process

4. Categories of trainees I.State and district surveillance teams II.Medical officers III.Clinical medical officers IV.Sub-block staff V.State and district level laboratory staff VI.Laboratory staff at sub district level VII.Data entry operators VIII.Statisticians at district and state level

5. Level 1 trainers National network of training Institutions Selected on the basis of definite criteria Responsibility for training state and district surveillance teams Coordination by the central surveillance unit functioning under the ministry of health and family welfare

6. Level 2 trainers Members of the district and state surveillance team Trained by the level 1 trainers Primary responsibility of training  District personnel  Sub-district personnel

7. Level 3 trainers Block medical officers Will train the sub block staff

8. Induction training courses 1.State and district teams (The trainers) 2.Medical officers - Primary efferent arms PHC / CHC / Urban Health services / Medical colleges 3.Medical officers - Important afferent arms Private sector 4.Peripheral workers 5.Microbiologists and technicians - State and district 6.Laboratory technicians at sub district level 7.Data entry operators - State/ district/ sub district 8.Data managers - District and State

9. Course 1 for state and district teams Overview and introduction to surveillance Basic epidemiology pertaining to surveillance Collection and transmission of data Laboratory Analysis of data Response to outbreaks Supervision, monitoring and evaluation Feedback Training Inter-sectoral collaboration

10. Course 2 for medical officers in primary and community health centres Introduction to surveillance Collection and transmission of data Laboratory Basics of analysis and interpretation of data Response to outbreaks Supervision, monitoring and evaluation

11. Course 3 for other medical officers Introduction to surveillance Collection and transmission of data Basics of laboratory confirmation

12. Course 4 for health workers Introduction to surveillance Syndrome description Filling up forms Transmission of data Collection of specimen Biosafety Basic response to outbreaks

13. Course 5 for state and district laboratories Introduction to surveillance Hands on training on diagnosis of specific diseases  Culture  Sensitivity  Serology Quality assurance Biosafety

14. Course 6 for laboratory assistants Introduction to surveillance Testing for specific techniques  Sputums for acid-alcohol fast bacilli  Malaria smears  Typhi-dot test Biosafety

15. Course 7 for data entry operators Introduction to surveillance Data entry

16. Course 8 for data managers Introduction to surveillance Extracting data from computers Analysis of data

17. Location and duration of the training Target audienceSiteDuration 1. TrainersRegion / state6 days 2. Medical officersDistrict headquarters3 days 3. Other officersDistrict headquarters1 day 4. Health workersCommunity health centre2 days 5. MicrobiologistsRegion / state6 days 6. Lab assistantsDistrict headquarters3 days 7. Data operatorsDistrict headquarters2 days 8. Data managersRegion / state3 days

18. Quality assurance through mixed model series and parallel mode 25% faculty for health worker training at the sub-district level will be from state and district surveillance team (2 levels higher) 25% of the faculty for district level training will be from the selected national institutes of training Independent external evaluation Continued funding for training determined for institutions and groups

19. Points to remember (1/2) 112,000 personnel of different category will need to be provided training during the induction phase  Phased approach allowing completion in 3-6 months for nine states in first phase Most of the personnel will be trained for performing tasks at the sub-district and district levels in 2-3 days

20. Points to remember (2/2) Quality assurance:  Mixed model of series  Parallel system where core trainers are represented in the lower order training sessions  Random external evaluation and feed back Retraining and continuous medical education is provided through:  On-the-job supervision and training  Web based training – credit system  Regular refresher training  Annual peer interaction - continuous medical education