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REPORT
ON
NATIONAL LEVEL COMMUNITY
HEALTH TRAINEES ANO
TRAINEES WORKSHOP
t
HELII AT
VIIIYA IIHAVAK, BAKflALOKE
4-5 .HIKE 1»»3
4
1
ORGAKISEII BY:
COMMUNITY HEALTH BEPABTMEH
CATHOLIC HOSPITAL ASSOCIATION
OF INIIIA, SECIINIIEHAIIAII-3
1.
Contents
Page
1.
Introduction
1
2.
Executive Summary
2
3.
Report of the Consultation
4
4.
Appendixes:
I.
Time Table
16
II.
Key Note Address
17
III.
Training Modules
IV.
Presentation on Aspects
of Training
V.
Addresses of participants
INTRODUCTION
CHAI has undertakes a comprehensive evaluation of the efforts
of its 2500 member institutions and the central organisation
in connection with the Golden Jubilee celebration in October
1993. This evaluation is directed at identifying the strategy
and action plan needed to meet the challenges in health and
health care for the people of India in the coming decade. As
part of this effort it was decided to facilitate a meeting of
community health training institutions and trainers to look
at the relevant issues.
Two such national workshops had been held previously, in 1988
the first one was facilitated by VHAI and in 1991 the second
one was facilitated by CEO, Bangalore. A suggestion from the
second workshop was to include trainees in these deliberations.
Hence CHAT decided to invite trainees also of the participating
training institutions to give a greater depth to the discussions.
CHAI corresponded with 12 health training groups involved in
middle level training and 1? individual community health
trainers inviting them to the workshop and asking for suggest
ion for the central focus of the workshop. Two documents
arising out of the Delphi policy study organised by CHAI were
circulated along with a brief summary of ■HAl's training
programmes. Those who replied, appreciated the need for coming
together and 9 institutions, 10 trainers confirmed partici
pation and the others intimated inability to participate.
Based on the suggestions and the needs experienced by CHAI
the focus of the workshop was decided. It was decided to
focus on the 'VTiat' and 'How' of training with enough
opportunity given to understand the training efforts of each
group and to arrive at a consences on the objectives of middle
level training in community health.
Based on these delibera,t—
ions it was decided that further collaboration, co-operation
efforts could be explored. Accordingly the workshop was held
at Vidya Bhavan, Bangalore on 4-5 June, 1993.
*&*&*&* 6-*
i
EXECUTIVE SUMMARY
The two day workshop on Community Health Trainers and Trainees
organised by CHAI at Vidhya Bhavan, Bangalore in connection
with its Golden Jubilee celebration began on 4th June 1995.
Nine community health training groups and individual trainers
were present with a total of 57 participants.
The main thrust of the workshop was to explore ways and means
of better net-working and co-operation.
Each group presented their own training modules. In the
context of changing values and socio-economic situation the
groups discussed what should he the objective of the training
they impart and what should be the content and methodology, so
that the training could become more relevant, meaningful and
effective in liberating the marginalised and deprived majority
and improving the quality of their life.
Health, the participants emphasised, should be seen wholistically, giving due importance to human values like co-operation,
sharing, equality, dignity of all, justice and empowerment of
the marginalised. Self-reliance of the common man in health
matters in the context of the trend of commercialisation of
health service was very much stressed.
People centered, experience based and participatory training
method would make community health workers more effective and
relevant.
The workshop came to an end with the drawing up of the
following action plan.
Networkj
Each training group will make use of ’Health Action’ magazine
to share their activities and programmes.
Work towards preparing a directory of trainers for better
co-operation and sharing of resource materials.
Will participate in training programmes of other group.
ii
Accreditation:
During this year different groups will participate,
observe and evaluate the training of various groups
and draw up certain standards of training. The idea
accreditation to the trainees by a corporate trainers
group of training organisations could be considered
after a year.
Collaboration with the Government:
Collaborate with Government whenever possible after
critically analysing the merit of the activity, at the
same time demanding that Government carries out its
duty and not abdicate its responsibility.
*&*&*&*&*
iii
REPORT OF THE NATIONAL CONSULTATION ON "COMMUNITY
HEALTH TRAINERS AND TRAINEES
*■>;*****
Held in connection with the Golden Jubilee celebration of
the Catholic Hospital Association of India.
Date
4-5, June 1995
Venue
Vidya Bhavan, Bangalore.
The workshop began at 9.30 a.m. with a prayer lead by
Fr. 'T.A. Mathias s.j. Based on a passage from St. LK
he highlighted the personal element necessary in the
healing ministry.
Dr. C.M. Francis welcomed the participants on hehalf of
CHAI. He drew the attention of the participants to the
booklet entitled "Seeking the signs of the times" a
discussion document drawn out from the evaluation study
of CHAI. This document, together with the experiences of
the participants will form the basis for the workshop.
He concluded his remark by suggesting that the workshop
could among other things, consider the following points:
a.
Networking among the trainers.
h.
Building up of mutual support and sharing of resources
among trainers.
c.
Collaboration and working together with other
organisations, Governmental and non-governmental,
making use their resources and expertise.
The discussion document "Seeking the signs of the times’*
was taken up by the group and few relevant passages were
read out.
iv
I
Sr. Deepthi explained the dynamics of the workshop. The
following time table was accepted by the group, (see
Appendix I).
Mr. Magimai Pragasam explained a short ice-breaking game to
facilitate the introduction of the participants.
After the tea break the participants in pairs introduced
each other.
Key note_address:
Dr. Mani Kalliath gave the key note address of the workshop.
In the background of the socio-economic, political and
religio-cultural scenario of India as projected by the Delphi
panelists, he highlighted the health situation of India and
the health problems that we are facing today and the trend
for the future.
In this context he emphasised the importance of training
groups to come together to know and understand each other
better and co-ordinate the efforts for greater effectiveness
to collectively face these challenges. (See Appendix II).
Presentation of training modules:
Chair person
Dr. V. Benjamin.
The following training groups - INSA, VHAI, CMAl, CHC,
St. John’s Medical College, AYUSHYA, THREAD, ANITRA and
CHAI gave a brief resume of their training activities
and presented the training module. (See Appendix III).
Group discussion:
After tea at 4.00 p.m. we began the group discussion. The
participants in four groups discussed the following question:
v
"Considering the relevant jjarts of the document, "Seeking
the Signes of the Times", the Delphi report, issues raised
in the presentation and your experiences, what should be
the objectives of our training programmes? What should be
the elements & aspects, that need modification/incorporation
in our training objectives?
Report of the group_discussion:
All the four groups agreed that each training group will have
their specific goals and objectives. However, the following
points should be incorporated if not already present.
1.
Health is to be seen in its totality as involving socio
economic, political, cultural and spiritual aspects of
life.'
2.
Sufficient emphasis should be given to human values like
cooperation, sharing, equality, dignity of all, justice
and empowerment of the marginalised.
3.
Necessity of proper and effective co-ordination,
co-operation and networking of trainers, especially
trainers in a particular geographic region.
4.
Make the people self-reliant in health matters as well
as empower them to demand health service as their right.
In the general discussion that followed the following point
was raised.
Should we work with all the groups or should we take the side
of a particular group? When divisive forces are on the rise
in all spheres and when communalism and regionalism is
becoming a menance, is it proper to side with one group?
vi
L
It was clarified that taking sides with the deprived and
marginalised majority is a bias or discrimination in
favour of the disadvantaged. It is necessary to pay
greater attention to such groups. After brief discussion
and clarification the group accepted this position.
5.6.1993:
The second day’s programme began at 8.45 a.m. with a
prayer lead by Fr. Vimal.
The report of the previous day was read out and passed
with, certain amendments
Chair person
Dr. Rayanna.
During this session different people presented short
and very relevant papers on various topics:
De, Hari John of ANITRA presented a paper on the history
of medicine. She highlighted that the present system of
drugs which originated from the introduction of chemical
drugs and laboratory experimentation into health care
originated from the influence of alchemists.
It took three centuries for this practice to gain
acceptance by the society and health practitioners and
to relegate the holistic approaches and practices
existing to the realm of the ’Unscientific’.
She highlighted that simple practices were the commonly
accepted method of health care before the emergence of
modern medicine.
Dr. Dara Amar presented the very simple, low or no cost
techniques St. John’s Community Health Department uses
on health education.
Dr. K.R. Antony, with the help of a set of transparencies
explained the methodology of i-ianagement, Information
System in Health.
Sr.(Ifcri.) Agnesita, shared her personal convictions that
lead her' to community health involvement, and made her
trainees effective agents of change.
Sr. Eliza gave a brief explanation of the technique and
theory of pranic healing (See the papers enclosed).
vii
Group discussion:
The morning tea break was followed by group discussion.
The Question:
The Goal of health training ultimately means empowering
the people to gain control over their health. Any training,
broadly speaking, promotes values, clarifications and
increasing the knowledge and skills needed to improve life
...situation that one is concerned with. Therefore the goal
of middle level health training will mean in practice to
equip the trainee to motivate, train and provide the
necessary support for the people. Hence some of the areas
that middle level health personnel need to be equipped
with are:
1.
Skills to analyse macro and micro situation of society.
2.
Skills for self learning.
3.
Skills in training.
4.
Leadership skills.
5.
Inter personal, communication and working together.
6.
Media skills.
7.
Management skills for training.
8.
Skills in evaluation.
In your experience of training middle level personnel
in health:
1.
What are the knowledge, skills and attitudes (content)
that are needed by such persons?
2.
What training methodologies could be devisedto promote
this learning? What are the processes involved?
The previous day* s four groups continued today also.
viii
REPORT OF THE GROUP DISCUSSION
1.
Training institutions, trainers and trainees should have
proper attitude, skill & knowledge to have credibility
and effectiveness;
All these 3 groups should have
empathy with the people and be able to identify with the
life of the people with whom they are involved.
2.
The training centre and the training group should have
a learning environment.
3.
The training process should be considered not as
supplying the trainees with knowledge and skill,
rather as drawing out the potentials, knowledge and
skill already there. The same holds good for grass
root training as well.
4.
towards
A proper attitudeAand understanding of traditional
values is very important.
5.
A good training (of the middle level personnel) will
be that by which the trainee becomes completely
independent to develop his/her method of learning,
working and teaching. Acquiring a proper methodology
of learning is also part of a proper training.
6.
Hence, in a training period the emphasis should not
be to impart all required knowledge, but to acquire
skill to learn and research. Training, thus becomes
an on-going process.
Knowledge:
Discussing the knowledge necessary, the groups listed
the following areas:
- Socio-economic situation at micro & macro level.
- Ethics.
- Healih situation of India & Health policy.
ix
Skills:
1.
2.
3.
4.
5.
6.
7.
Skills for analysing micro and macro situation of society.
Skills for self learning.
Skills in training.
Leadership skills.
Inter personal communication and working together.
Media skills.
Management skills for training.
8. Skills in evaluation.
9. Empathy and ability to learn from people.
10. ■Broader understanding, of Community Health with stress
on wholistic approaches.
11 . Skill to generate Community participation.
1 2. Ability to implement training programmes.
13. Ability to address problems of urban poor throuugh
an analysis of the urban situation.
14. Adaptability, flexibility and openness.
15. Ability to liason with the Government and other groups,
especially groups working in the region.
16. Ability to operate with a "Bottom up" approach rather
than a "Top down" approach with centralised package
programmes.
17. Skill to follow up the trainers and support them in
their involvement.
18. Managerial & administrative skills.
The training methodology of community health should be
basically "learning by doing", so that one becomes competent
in community based participatory planning, working and
evaluation.
The following points will be important in the methodology.
The training methodology should be flexible, dependent
on local needs.
Field placement should be an essential aspect of the
training for both trainer and trainee to get sensitised
to the condition and situation of common man as well as
i
learn and interiorise proper values.
x
Situation analysis of the condition of the people
as well as Government resources available is important.
Simulation, role play etc. are effective methodologies
that could be used.
Similarly folk arts should have its proper place in
training programmes.
ACTION PLAN
: Fr. T.A. Mathias s,j.
Chair person
.•
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••• •
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*
•••••
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•
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•
The chairman introduced the session with questions regarding
the following points:
1.
Follow up action to be taken up to promote networking
and better collaboration.
I.
2.
Accreditation of trainees.
3.
Collaboration with the Government.
4.
Expectations from CHAI.
How would we proceed as regards co-ordination and networking?
1.1. Inorder to evolve a proper networking the group
expressed the need for certain mechanisms.
A news letter for information sharing as regards the
activities of the different groups was put forward
as an urgent need.
Dr. C.M. Francis, the editor of Health Action,
suggested that if each group regularly sends information
about its activities to CHAI, the Community Health
Department of CHAI can collate these informations and
it can be published in the Health Action. All the
groups agreed to this suggestion.
xi
1.2. Conmnmity^Health Trainers *_yo£kshop±_1>994:
The need for a similar workshop in 1994 was discussed.
The group felt the need for it as part of promoting
better hetworking and co-operation.
Mrs. Sujata of INSA volunteered to organise the
workshop sometime in May 1994 at Bangalore. The
groups agreed to share the expenses of the workshop.
It was felt that in the coming 1994 workshop, training
'’*’-grbups in development work who have a health ‘component
could also be invited.
1.3. Mutual learning and_support:
To promote better understanding and co-operation among
the different training groups, as well as to promote
the possibility of learning from one another, the
group suggested that when one group is conducting
a training programme, resource persons from other
organisations could be invited. This will provide
an opportunity to observe the training programme, as
also lead to mutual strengthening and improving one’s
programme.
1.4. Directory_of training_groups:
The need for a directory of community health trainers
(training groups) was expressed. It was agreed that
since VHAI had done certain amount of ground work in
this line, this point could be taken up by that
organisation and see the possibility of preparing
the directory. It was agreed in the group that such
a directory should also include groups that give
training in social involvement and development, having
health component.
xii
1.5. 015oul&te_the_literature:
To promote better collaboration, the literature,
training material etc. that one group prepares or
publishes could be circulated among other groups
also.
2. Accreditation:
Points raised during the discussion regarding accreditation:
£
Fear was expressed that if we go for accreditation,
the innovative aspect of the training may get a setback.
£
Accreditation is a basic need for the trainees, especially
those who work in the rural areas.
£
If accreditation process is there, the training programme
will have the following benefits:
- There will be better systematisation, consistency
and accountability in the training.
- The groups will maintain higher standards.
- Accreditation will be a stimulus for training group
to improve the quality of training.
£
Certain minimum standard has to be agreed upon as a
condition for accreditation.
£
As for the finance and personnel involved in the
accreditation, it may not be a major constraint.
£.
Accreditation can be conferied by a corporate body of
member organisations. No outside organisation or
Government should be incorporated into this body.
After clarifying the above points, the group accepted the
following suggestions:
xiii
When different groups conduct a course (training)
representatives from other organisations could be present
(involved). After one year of observation, study and
evaluation we could concretely think of accredition,
when we meet in 1994.
Collaboration with the Government:
3.
'
£ The Government, in practice, may not promote conscientizat. ion and empowerment of the poor, majority in the strict
sense, ie. political empowerment. Maximum it can support
is economic empowerment.
..
■;
£ Government has a lot of resources/
In the form of teaching materials and personnel;
In the form of finance: Especially a lot of foreign
funds meant for grass root training are being chahnelled
through the government; and Government machinery
is not competent to deliver the goods effectively.
Therefore, it was decided that:
Whenever possible, voluntary organisations must
col 1aborate with the Government; it should be a
critical collaboration.
We should not however let Government abdicate its
responsibility. We should rather demand that Government
carries out its duty.
4.
What do the different organisations expect from CHAI?
-
It was expressed that CHAI could continue promoting
the networking.
One organisation expressed that the religious sisters
who are trained in community health are too soon shifted
to other jobs. A minimum period of atleast three years
should be given for the trained person in the job of
community organisation. Could CHAI do something about
it?
xiv
Concluding the workshop Dr. C.M. Francis emphasised the
need for greater networking and cooperation which should
eventually lead to improving the quality of life of more
people. And it is a challenging need, he said, to
improve the quality of life of the marginalised majority
to whom we are committed.
The workshop ended by 5.00 p.m.
Dr* Arvind,
Fr. Sevanand Meloo s.j.
Secunderabad
9th June 193
sm/rm
xv
APPENDIX - I
COMMUNITY HEALTH TRAINERS AND TRAINEES - NATION AL WORKSHOP
Hosted by C.H.A.I. t Secunderabad at Vidya Bhavanf Bangalore
WORKSHOP SCHEDULES - 4t6.1993
9.30
9.35 .
9.45
10.15
10.15
10.45 - 11.30
11.30 - 12.00
Fr. T.A. Mathias.S.J
Prayer
Welcome
Dr. Francis
Workshop dynamics explanations
And
Discussion document on CHAI’s
Evaluation ‘Seeking the Signs
of the times1
Sr. Deepth1
Tea
Introduction of Participants
Key Note Address
Mr. Magimai Pragasam
Dr. Mani Kalliath
Chairperson
12.00 - 1.00
Sharing of training profiles by
Institutions and their trainees
Chairperson
1.00 - 2.00
Lunch
2.00 - 3.00
Sharing of training profile Contd.
3.00 - 4.00
Group discussion on ‘Objectives of
training' of middle level health
personnel
4.00 - 4.30
Tea
4.30 - 5.30
Plenary session - Chairperson
Display of publications / Training
materials
5.30
7.30 - 8.00
Dre V. Benjamin
Sr.;Dara Amar
Dinner
5.6.1993
9.00
9.10
9.30
Prayer
Report of previous day - Chair person
contd.
9.30 - 10.15
Presentation of Papers
10.15 - 10.30
10.30 - 12.30
Tea
Small group discussion 'Content
methodology and process of
training
12.30 - 1.30
1.30 - 3.00
Lunch
Plenary Session
3.00
4.00
Plan of Action
— Chairperson
Concluding session - Chairperson
- 4.00
- 4.30
> •
xvi
-
Chairperson
Er. Vimal- “
Dr; Rayanxia
Ms.' Sujatha de
Magry• t
Fr«. Mathias
Dr. Francis
APMml - II
VOT,UNTARY_3ECTOR COMMIJNITY health training
RELEVANCE AND_I33UES
( KEY NOTE ADDRESS )
/
I.
Golden Jubilee Evaluation:
The chapter starts for us in CHAI from the occasion of Golden
Jubilee Evaluation. A herculean effort has been initiated to
evaluate the efforts of more than 2300 member institutions
spread through out the country and the efforts of the central
organization especially over the last ten years.
This is being
followed up by a process of deliberation wherein the future
directions for the next 10-15 years is being deliberated at the
level of each institution, at the level of regions and at the
national level. The context in which the future direction is
being sought fs^the findings from the response of the member
institution^^all U those connected with CHAI and the Delphi
A
policy panel of experts who discussed the socio economic,
political, cul:.;>ral and health situati-.n that is likeJ'2- to evolve
in the next 10-15 years in India,
The Delphi report
predicts the following scenario.
Projected Scenario
At the national level the avaricious pressures of international
forces in a unipolar world and the interests of the ruling class
7
overwhelm and dominate developmental needs of the very large
majority of the country’s population. The poor majority will be
under greater oppression. The country is steadily being pushed
in the direction with the following features.
Pol itical
- Less autonomy and greater neo,-colonial exploitation in this
•new world order1.
- Political instability at the national/ regional and state level.
- At the regional level problems of separatism on the increase.
- Strengthening of the conservative agenda of the Government
with rightist and communal forces on the ascendency.
- Criminalization of politics.
xvii
J
Economic
- New economic policy would continue and international agencies
would exploitatively pressurise national policy decision.
II
- Lead to devaluation, privatization and liberalization with
escalating prices of essential items.
- Reduction in budget allocation for social service sector
including health in real terms.
percentage outlay for development programmes
199 0-91
9.9%
1991-92
10.5%
1992.93
2.3%
Though World Bank-Country Economic memorandum
(1991) suggests strengthening programs of social
services for the poor (perhaps resulting from the
knowledge of social upheaval elsewhere.
Percentage of total budget allocated for health
in India
86
Developing countries
Developed countries
4%
- 10%
(IMF Govt.Finance statistics)
5
- Industrial community and affluent middle class will be richer
with marginal benefit to organized sector of labour, whereas
unorganised sector (rural and urban) which constitutes the
majority will be poorer.
Percentage of population below
poverty line
- 30%'(.1987-88)
Per capita Nation^production 1989-90(prices)Rs. 4,250/1980-81(prices)Rs. 2,140/- Health Information 1991
Bureau of Health
Intelligence.
Registration^ in employment exchanges,38.8 million
in 1992. 3.6% increase compared to 2.5% last 2
decades.
I
■
I
-Deccan Herald, April 26,1993.
I
xviii
II
- Promotion of cultivation of cash crops rather than essential
food, deforestation and replacement with social forestry and
environmental destruction.
dJLC'i'
<6
■
u
/Pm
- Consumer based production in industry geared to world market
without regard to local needs.
- Throttling of small scale sector by multinationals.
Social and Cultural:
- Consumerism guides the life style, with cultural alienation,
abandonment of traditional practices.
Erosion of values in personal, family and social life leading
to breakdown of families, escalating corruption in social life.
- Religious fanaticism without God - experiences as love,
leading to communa-lism.
Examples of communal violence and
massacres are too many in the recent years.
- Greater awareness among the oppressed groups such as dalit and
tribals but without the means for effective organization which
will be exploited by the ruling class.
- Improvement in literacy without improvement in the quality of
education.
remale literacy
illiterate
National
lArcruviiV)
39.4%
Drop out mrate in (^6-11 years) I-V classes
51%.
8th Five Year Plan document-Sec
Selected Chapters.
Health:
The availability and accessibility to health care will become less
for the majority, whereas the problems of poverty and development
will increase.
1. Inadequate health planning which has a history of being
biased in favour of the needs of the elite class and poor
majority getting little health care.
- Primary health care will be neglected further, with
budgetary allocation for health decreasing in
xix
terms.
XX
*
VHAI 1992.
State of India’s Health
92
91
*
Budget Allocation - Health (in c
(in crores)
Family welfare
92 - 95
282
302
859
1000
n
Backlong staggering, resource requirement to meet target
astronomical, and as such unachievable in near future”.
- Sth Five Year Plan Doc.
7th Five
Year Plan
target
Sth Five
Year Plan
target
12,000
4,400
1 ,250
PHG
Community centre
1 ,500
No. of buildings
yet to be con
structed as per
target 91
37%
25%
54% (sub cent1 s
Sth Five Year Plan Doc.
- The trend will be mushrooming of high cost high technology
super speciality institutions and health care cost spiralling
upwards beyond the reach of even middle class.
’Big business houses have joined the bandvragaon of health
Ministry *
Input of medical equipment tripled between 1980 - 1987.
2. Unwillingness to provide a Rational Drug Policy that will
ensure essential drgns being affordable and available.
Irrational therapies, unethical practices and high cost of
drugs even essential ones will increase under the pressure
of profit oriented drug industry.
'Drug Productions
Drugs
Pencillin
Strepto
Vit. A
Anti TB
DDS
3.
Units
MMV
tonnes
MEV
Tonnes
Tonnes
88-89
330
240
75
660
23
89-90
324
130
95
720
3.5
90-91 (Prov)
230
1 60
80
590
4
Source: H & H Section, Ministry of Petroleum & Chemicalr
Absence of health Education Policy - aimed at developing
positive health attitudes and caPaci^ies
health.
Over production and over specialization among medical profession
which ha
come
'ommercialized profe sion.
Training of paramedical staff sub optimal considerable
mismatch of different categories of personnel, eg..
Doctor/Nurse ratio
4:3
Whereas it should be 1:3
Training ofmedical graduates have outstripped the
needs.
No increase in medical colleges or admission
capacity will be supported.
12:2:14
-8th Five Year plan document.
Yet capitation fee colleges are fighting a court
battle against ban by Supreme Court.
30% sanction^ posts Of specialists I in rural areas lying
j vacant.
14% sanctioned posts of doctors
- Inadequate support tcintermediate and grass root health workers
who are the key groups in the health care manpower pyramid.
4. Lack of commitment to integration of health system, to make the
benefits of western and indi qr-nous systems available.
- Knowledge and usage of nerbs and home remedies and other
traditional practices being lost while ’Injection culture’
and dominance of commercialised allopathy rises.
/vt the same time the health problems of the community are increasing.
1,. Problems of poverty - malnutrition, preventable blindness,
high mortality due to low birth weight babies, childhood
respiratory illness and diarrhoea will increase.
1/3 of infants born are below 2.5 Kg (low birth
weight).
Vitamin A deficiencv in children about
6.5% (National Survey, 1988-89).
2. Communicable disease - TB, Kala Azar, Malaria, ncute respiratory
infection will continue to rise.
TB - in 200 districts short course chimotherapy
started in 7th Plan. However poor case holding,
I
treatment default, drug resistance affecting the
control of TB.
xxi
Sth 5 year plan document
Malaria - about 2 million cases annually reported
atleast 1/3 from tribal areas.
Drug resistants
P.Falciparum cases rising.
- NMEP.
- Sth 5 year plan document.
3. Disease due to inadequate sanitation and protected water.
— Water borne diseases such as Cholera, Typhoid, Diarrhoea,
Hepatitis B willhave high incidence.
1.5 million deaths estimated annually from
diarrhoea.
- Sth 5 year plan document.
4. Diseases due to environmental pollution - Cancer, Allergies,
Respiratory problems will be on the rise.
Cancer - 2 million cases estimated.
- 8th 5 year plan document.
5. Stress related diseases and social illnesses - Alcoholism,
Drug addiction. Smoking, Suicides, Prostitution, STDs and
AIDS will keep rising.
v
>
6. Disabilities due to negligence and accidents - inadequate
p'^tfcat.al care, preventable blindness, injuries will increase.
Disabilities: 1.8% or 12 million as per NSSO 1981
Survey which included 3 types of
disability - Visual, Locomotor and
Communication.
However 1986-89 National Survey of Ministry of
Health and Family Welfare and WHO showed 12 million
blind as against 3.5 million of NSSO.
7. Iatrogenic
diseases - arising from irrational practices will
be high.
xxii
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8. Health problems of the aged an aging population which is
inadequately cared for will increase.
By 2000 A.D. 7.6%population will be above
60 years i8 76 million.
9. Population issues - female foeticides, female infanticide,
abortions and their effects, large scale experimentation of
harmful contraceptives without adequate safeguards will
increase.
10. Women's health problems - will continue to be neglected.
Higher female mortality in the age specific
mortality of 0-4 years (early childhood) and
upto 35 years (child bearing years)-prevalence
of anaemia at 88% unchanged in 3 decades.
Suggesting neglect of feiraie from
birth,
onwards.
-Sth 5 year plan document.
Whafr chai Tnetnberg ^3,
•
CHAi's evaluation process .stretching^ over 15
months, eliciting the views^over 2000 members
health care institutions and others contacted
with CHAI to identify key issues for the future,
have also produced similar ideaSand view! This
is particularly so regarding health problems and
issues that need to be addressed, and type of
strategies required.
These are brought out in
the discussion document 'Seeking the Signs of the
Times' particularly in Part B of the document.
Selected relevant portions were read out earlier
in the morning.
NEED
OF
THS HOUR
In this context there is an urgent need for the marginalized
vioceless people to^gt organized and claim their legitimate
r
rights to factors that control health such as just wages,
availability of water, hygienic and safe environment both
around home and work situation, access to food items for
I
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xxiii
balanced diet, proper
housing and harmonious social and political
climate. They have a right to claim a orimary health care
structure with adequate referal network to feet health care needs
and needs
for Inforwatlon and skills to maintain their own health.
Ih the context of these goals and aspirations of people,
health trainers in the voluntary sector is
the role of
As health trainers, we have to provide the
quite clear,
necessary information to raise the health awareness of the
people, to teach the skills to improve their health
condition and to provide the suoports so that they can
organise and gain control over the factors affecting health.
In the light of the existing situation of disinterested
leadership in education in health this becomes an urgent
task •
policy and
The existing situation of health manpower
There is a skeued
implementation har much to be desired,
health manpower development whei\e the
policy regarding
professional groups at the apex of the pyramid gets
the intermidiary groups or village
greater emphasis than
whose contributions are more crucial,
based health workers,
for ensuring quality in training
The institutions set up
from premier institution AIWS and the numerous
starting
nursing colleges to the primary health centres
medical and
their training to the needs of the people,
do not orient
academic sector has been besotted with thinking and
The
planning that are aimed at the concerns of the elite,
concepts and experiences. Though
and modelled on western
enlightened recommendations for correcting this situation
has been made even before independence, in the reports of
Sokhey Committee, Shore Committee
and other committees
this has not resulted in the desired changes.
yoluntAv^
Sector dvainers.
The voluntary sector of trainers and health programmes
whether
has responded to these challenges in various ways,
promot ing
it be innovative training for village people,
on low cost
reliance on local herbs and home remedies,
of water, to
techniques of sanitation and protection
facilitating
innovation in a gricultural practices, or health centre
peoples organisation to make the primary
researches in the
function responsibly. or carrying out
xxiv
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areas of inherited knowledge of people* Over the decades
the voluntary trainers and programmes have recognized
that their work has remained isolated and localized in
nature. They have felt the need to come together. In the
80's several efforts on coming together and networking of
health training institutions took place.
In October 88,
the first dialogue of community health trainers in the
voluntary sector was organized by VHAI in Bangalore.
The two day meeting led to the identification of the
following objectives and mechanisms of networking among
the trainers to be facilitated by VHAI.
i)
To collect information on various types of
_1__3 i..
in health
in the country,
training programmes
--both government and non-governmental;
To store the information and disseminate it
to other network members;
*
iii)
To conduct seminars and workshops relevant to
the needs of trainars;
iv)
To help identify strengths and weaknesses of
existing training programmes of the members
for the purpose of self appraisal;
v)
To develop a long-term strategy for networking;
vi)
To influence the government on policies of
trainign in health field*
The meeting identified some follow-up tasks to promote
the networking idea, which included:
'i)
The preparation of a directory of training
programmes;
ii)
The exploration of the possibility of regional
meetings and resource centres; and
iii)
the introduction of a regular column on training
in the health for the Millions, magazine of VHAI*
The Directory was prepared and circulated in
1989
XXV
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In 199I October, Community Health Trainers dialogue was
held at Bangalore facilitated by CHC when participants
from the following areas met and discussed:
i)
ii)
iv)
v)
Community Health trainers,
Medical College innovators,
Social Development trainers,
Health Co-ordinating agencies,
Other resource persons.
They discussed:
1)
2)
3)
changes needed in education in health;
key issues in policy formulation for education
in health; and
mechanisms for implementation of these ideas.
They also shared experiences and discussed
networking aspects.
A statement of ’Shared concern and evolving collectivity'
was produced which was to he promoted through six
identified constituencies with influence.
The need for continuing such dialogue and pooling of
resources of health training groups was felt for furthering
this process of collectivity. It was also expressed that
greater learnings from the rifih experience of training
groups could be culled out for mutual benefit and trainees
could play a big role in this process.
BACKGROUND OF THIS WORKSHOP:
When CHAI thought of this meeting in order to gear
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ourselves the’-.tasks envisaged for the coming-decade, vre
wanted to bring trainers and trainees together to explore
and share. The trainers are from national level health
training institutions or are trainers in their individual
capacity. The trainees who have undergone training with
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xxvi
them, are trainers themselves especially in their grass
root work situation. The\’ would therefore be able to
highlight the genuine nedds of middle level trainers from
real experience and be able to point out the strengths
and weaknesses of existing programmes. A peer evaluation
done in an understanding atmosphere can bring out rich
insight which can be very beneficial.
The main emphasis of the last dialogue was on aspects of
policy formulation, objectives of training and the need
for change. The content, methodologies and processes of
training did not get much time for discussion. Several
groups expressed the need to gain from the rich experiences
of different groups. We in CHAI have been feeling this
same need for sometime and hence decided to make this
aspect the main focus of the workshop. We did not receive
any differing suggestions in reply to our invitation,
to the participants of this workshop. As we cannot
dialogue without some commonality of understanding is
necessitates that we have joint reflection on our objectives
of training, as well as make efforts to understand
what each group is doing.
Situation of_^£5yh_training_in_the__voluntary_sector:
Our education system, like our health system has bypassed
the common roan and does not relate to their needs and
realities, their culture or their communication and
learning methodologies. It is said that the classroom
based system of education we inherited was meant to
produce clerks to run the colonial administration. We
trainers have been products of this system and are faced
with the challenge of unlearning our ideas, methods and
attitudes. Since ours is still a new frontier without
much guidelines available, we are also faced with the task
of creating and discovering new ways and means. We need to
learn ways and means for effective communication with people
for understanding their situation, for directing their
energies to change their situation.
xxvii
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The health training in voluntary sector to a large measure is
focussed on relevant issues, utilizes creative measures and
of people and helps to bring
elicits active participations
about strengthening of people, This is a commendable
contributions and need to be recognised, However it has its
share of problems and limitations, It is worthwhile looking at
these with the goal of looking for answers.
L1MITTATIONS
Some oi the rroblems we notice from our perspective are that:
there is a multiplicity of ideologies and styles influencing
and trainees.
a trend of some centres churning out programmes
some training centres seem to focus on temporary
neglecting the entirety of purpose of traintevxcj.
remedies
In training methodologies a wide range of options are exercu.se^
by different croups.
Some of the 2 imitations of formal training
culture seems to be retained such as th&it:
class room approach witn its power relationship between the
teacher and the taught.
naive belief that newer training technologies and audio-visual
supports can . generate participation.
- Health education not able to shed the cloak of indoctrination.
trainees team working styles being contrary to the values system
being propagated.
the curriculum does not cover the relevant areas of skill and
knowledge.
another area of concern is that inrovative end creative efforts
are continuing as isolated 'islands, not enriching and spreading
widely. On the other side, there is a self satisfaction witn
ones own efforts, and lack of commitment to accountability about
the results of one's efforts.
xxviii
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In the field situation, the emphasis by and large seem to be
on providing services to the people. The capacity building of
people whether it be the village leaders or village level
workers is yet to become the major thrust of voluntary agencies.
To keep the learning process dynamic, it needs to be & updated
by authentic knowledge.
Efforts to gather, knowledge and skills
from the evolving process in the community is minimal. What
'field research is done is mostly conventional variety, which
keepfe the people researched into as passive partners.
The trainers sometimes do not take efforts to keep upto date
with knowledge and skills, perhaps from lack of opportunities,
and perhaps from lack of motivation,’ Another area of concern
for us relates to recognition of voluntary sector trainees.
It is our belief that adequate means of recognition of the
trainers are lacking in the voluntary sector in the areas such
as financiel,^career advancement opportunities ano security,
leadino to frustration, and discouraging trainers from opting
into this field.
in rhe same manner, the training programmes
or the trainees who have undergone such trainings are not
adequately recognized.
5
HSnce, it is necessary for us to face honestly these issues
emerging in health training and ask ourselves these questions.
xxix
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1.
Uhat should be the philosophy and objective of health
training that lead to empouerment, uhether it be at
the middle level or grass root level training?
2.
What should be the curricula™ and methodologies of
training?
3.
What should be the strategies for maintaining quality
in training?
4.
Hou can the large number of trainers uorking throughout
the country, but in isolation join hands to meet the
needs in training and follou up?
5.
Hou can training skills for capacity building be
fostered in middle level training?
6.
Hou can participatory research skills in the health
field be spread?
7.
Hou can the trainers get continuously enriched by the
experiences and learnings that are taking place in the
health and developmental field?
Uhat could be mechanism for providing adequate
recognition to trainersj
pry
These are some of the questions that we need to ask ourselves,
and reflect collectively.
We need to continue this collaboration
and efforts at collectivity, so that our effectiveness in
capacity building or empouerment of the people uill gather
momentum. Hence these tuo days are part of an ongoing dialogue.
te, Mani Kalliath
CHAI
XXX
PROFI^_OF^TRAINING_PROGRAMME -OT
ST. ^HOWS^MEDI CAL^COLLEGE^ BANGALORE
Ran^e of training:
From orientation courses to N.J). & Ph.D.
Types of training:
1. Medical students - under graduate and
post-graduate.
2. Nursing students - Public Health Training.
3. Community Health Workers.
4. Health & First Aid for Deaeons/Novices .
5. Health Administrators training.
6. Health Aninators training.
7. Traditional Birth Attendant Training.
8. Plantation Medical Officers training.
9. Plantation Managers training in health.
10. Training of Government Officers in health.
11. Anganwadi training.
12. Rural school teachers training programme.
13. Occupational Health Training for
Industrial Workers.
14. Mother’s Motivation training programme.
15. Rural high/middle school health training
programme.
16. Hotel worker’s Food Hygiene course.
17. Public Health Training for Lab. Technicians.
: 2 :
Main__charecteristics_of__thaining__2rogrammes :
1 .
Age - no barrier.
2.
Language - English/Kannada/Tamil/Telugu.
3.
Problem oriented & solution oriented teaching.
4.
Self evaluation at end of training programme.
Mixture of religous/lay trainees.
6.
100% rural based training at Mugalur Village Rural Health
Training Centre.
7.
Team of Trainers - doctors/nurses/medico social scientists/
Public health Lab. technicians/statistician/village leaders*
8.
Course duration flexible based on specific need of trainees..
9.
Site of training at field/rural centre/project office/
cottage/hospital.
10.
Field visits to other health and development projects.,
11 .
Trainers invited from G-overnment/NG-0
12.
Emphasis on training of trainers.
13.
Integrate principles of other systems of medicine such as
herbal/Herbomineral/Accupressure/Homeopathy, in the form
of orientation course integrated in other training program” “
14. Health & Development training integrated.
15. Periodical colloquium & Refresher’s for old trainees.
Dr. Dara Amar
COMMUNITY HEALTH PROMOTION TRAINING PROGRAMMES
1. TRAINING OF TRAINERS
Long Term Goa1
The long term goal of this programme is to strengthen the
efforts of village level health workers through training of
their trainers at state level.
* To enhance training potentials of trainers at state V
who are engaged in imparting health worker training.
el
*
To strengthen training of health workers at grass root
level through these trainers.
* To develop relevant educational material in the form of
manuals, audio visual aids, case studies and so on.
* To form a network of these trainers in health.
Target Group
Trainer’s of voluntary agencies
Contents
*
Training need identification
* Planning a treining programme
* Suitable methods for training including communication
* Conduction of
training programme
* Evaluation
. .2
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2. DIPLOMA IN COMMUNITY HEALTH MANAGEMENT(DCHM)
Goal
The overall goal of this course is to make available people
who have the knowledge and skills to be effective at the
management and supervisory level of Community Health and
Development programmes and project.
Objectives
* To determine the effect of socio-political and economic
systems at the macro and micro level on people’s health
* To create a desire to work collectively for a just and
equitable society.
* To plan, organise, implement and evaluate Community Healt h
and Development programmes
* To accept role of change agent/facilitator in order to make
health a means and measure of development
* To understand the team concept and show the ability to take
leadership role in the team.
* To promote and facilitate training, research and consultancy
programmes.
Course Contents
* Study of Society
* Health and Development
* Techniques
studying Community Health
* Management and Administrative principles
* Effective Agent
* Elective, Practicum
Target Group
* People working in the voluntary sector who are directors,
area managers and middle level workers of community health
projects, i.e. all those who are in the supervisory cadre
with decision making powers.
* Persons engaged in development activities wanting to start
a community health programme in their organisation or
institutions.
. .3
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3.
TRADITIONAL SYSTEMS OF MEDICINE
Goal
Promotion of local health traditions
Promotion of herbal gardens
Objectives
*
To train health personnel in identifying various local
health traditions leading to utilisation of local resources.
* To train health personnel
in identification of various herbs to
create self reliance in common ailments.
* To
train health personnel in preparation of simple recipies
with the help of herbs and kitchen condiments to minimise
their spending on unnecessary drugs.
*
To train health personnel in propagation of medicinal plants;
to meet the demand.
*
To train health personnel in growing herbs in a garden and
its maintenance.
* To
train health personnel in identification of common ailments
and treat them with herbs to create self reliance in health
care.
Methodology
* Discussion
* Charts Display
* Audiovisuals aids(slides, video films)
* Field visits for identification of plants
* Practical demonstrations.
Target group
Project Managers
Health Co-ordinators
Supervisors
Vaidyas, Hakims, Dais.
. .4
3
Contents
*
Role of traditional medicine in PHC
* Introduction to various traditional systems of medicine
and brief general concept of health
* Pteventive and Promotive aspects in indigenous systems of
health care(charts)
* Role of healers in PHC problems
* Relationship between traditional medicine and forests with
* Identification and growing of common herbs in home garden
and schools and community
* Identify common ailments (limit to 10) and their treatment
with herbs and kitchen condiments.
*
Field visit for identification of common herbs and their
usage.
* Commercialisation of Verbal medicine
Options:
a. Planting techniques * of medicinal plants
b. Export of medicinal plants.
**
rp/2161993
Training module -CMAT
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PRIORITY NEEDS IN HEALTH TRAINING
The needs can be classified under five headings.
a. PEOPLE:
1. Grass root level workers
i.e. Community Heilth Volunteers , Health workers & others
- Organised groups in the community like youth groups,
Mahila mandals etc.
2.
Locally practising Health workers
3.
Supervisors of Grass root level workers
i.e. Field Supervisors
I
b. METHODOLOGY:
1. Audio visual aids
2. Role plays
3. Problem ofiented participatory training programmes
4. Demonstration of Health Hygiene, Nutrition etc.
5. Case studies
c. Topics:
1
Should be todays emerging health issues.
Some of the issues are given below.
1. Womens’ Health - status of women and girl child etc.
2. AIDS
3. Substance and alcohol^ abuse
4. Mental Health
5. Socio Economic issues in the society
d. FACILITY: Decentralysing the facilities in training.
•
1 .Recogenise potentieibal*trainers in each region
2. Develop the trainers for training
3. Provide simple aids for trainers in the training i. e.
audio, video cassettes, books etc.
4. Organise small training groups from the local Churches,
congregations, hospitals and health centres. These people
can train small group around their places.
e. NET WORKING: Preparing
f
a directory of Organisations like
CMAI, CHAI #nUHAl and other voluntary agencies involvedI in
training.
This directory will provide information about the training
programmes conducted by each agency. This will help the trainers
very much and also avoid duplication.
II.
BRIEF PROFILE OF OUR (CMAI) HEALTH TRAINING
CMAI conducts different types of programmes for different
people. They are as follows
1. Workshop for key people in the Churches on Emerging Health
issues like:-
.4;
//
2
H
health
b< AIDS
c. Substance and alcohol abuse
d. Mental Health
e. Socio economic issues in the society.
1 . a. Womens*
2.
Seminars conducted in partnership with the National Council
of Churches inIndia on Womens Health and development issues.
3.
Workshops end seminars for people from Church related agencies
like YMCA, YWCA etc.
Training programmes for project holders, project managers.
Field supervisors, community health volunteers.
4.
JQP. '
5
5.
Project proposal and development workshop for Church leaders
and Organisations.
6.
Distributing certain manuals like Fiona plmsnual on Child
Survival and development , Family planning manual etc.
7.
Conducting conventions and melas for community health
volunteers.
3•
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TRAINING MODULE
CHAI/CHD
• - - - - - — - --
1 Contents
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SECUNDERABAD
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* Duratiori
Methodology
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i Expected Resultsi
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Critical under-i
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Indian society.|
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Stimulation games, i
case studies,
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audio visual aids, jJ
group discussion-.
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Group media,
group discussion,
visual aids.
Wholistic
dimention of
health
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1 Indian Health
iScenario-Factors
(affecting health
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’Community health
land its components
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land group media
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Understanding
on community
health
Le cture,
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Audio visual aids, (
group work,
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Case studies,
group discussion,
lecture
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Develop
spirituality
in health ooxx
and
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development.
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Organisation,
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slides
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discussion,
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involve in
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Le cture,
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International Nursing Services Association
INSA / INDIA RURAL HEALTH & DEVELOPMENT
TRAINERS’ (RHDT) PROGRAMME
TEN-WEEK RESIDENTAL REIDT PROGRAMME
INSA/India conducts two residential, ten week RHDTProgrammes every' year. One begins in January
and the other in June/July.
The Course Schedule includes (theoretical and practical) learning experiences in Village Health-Worker
Training and subjects such as Indigenous Medicines, Co-operatives, Community Organisation,
Educational Methods and Media, Accounts, Banks ' Role in development projects, an introduction to Law/
Legal Aid, Management Principles, Socio-economic Programmes, Nutrition, Women and Child Care,
Tuberculosis, Leprosy, Mental Health, A.I.D.S., Programme Planning and Evaluation, Collaboration with
Government and utilisation of government aided programmes.
A part of this course requires the participants to formulate a one year Project Plan for implementation
on returning to their organisation/institution, which wiU be assessedfor awarding the certificate a year
later. Hence, participants are expected to bring relevant statistics and other information.
FOLLOW-UP SERVICES:
«)
FACUL/n VISITS:
The faculty of INSA/India pays at least one follow-up visit to each participant to evaluate the
implementation of the Project planned and to provide any additional inputs that may be required
b)
CONSUL TA TION ON REPORTS:
During the first year after the RHDT Training, each participant is expected to send in a written
report once in 3 months, on the work completed Thefaculty study these reports and offer guidance.
O
FOLLOW-UP WORKSHOP:
At the end of one year, all participants of each group meet for a 7 day Workshop to share and
learnfrom each other. The Workshop is hosted by one of their groupmates who is cetdraUy located
and has established a good programme. Certificates are awarded at this Workshop.
d)
CORE-CROUP WORKSHOP:
Those INSA/India graduates who have established creditable rural health and / or development
programmes are invited to join the INSA/India Core-Croup and attend Workshops once in 18
months at any place in India where there is an interesting Project or Programme for advanced
learning.
Ei 1GIBI11TY:
’. i'ii ipants stiould
<
■»
>.
6.
Be Doctors, \ arses, paramc dicals, social u orkers. teachers or any other persons a orking in health
and or development projects or programmes.
Be sponsored by his/her organisation (which is registered).
Continue to work at his her organisation for at least a year after the completion of the C Purse.
Be assigned to work in the field following th" RHDT Programme and willing to implement his her
planned one year project.
Be able to communicate in English.
Be prepared to dress in civil clothes through the Course period and at subsequent Workshops
(applicable to those coming from religious institutions /organisations).
COSTS:
Registration fee of Rs. ESM - and cost of travel to and from Bangalore for the 10-week RHD1
Programme.
Rs. 1.000 - refundable or. utter ding the Follow-up Workshop
INSA India bears all the costs Jor the 10 week Training Programme and Field experience. Faculty
visit. Consultation. Follow-up Workshop and Core-Group Workshop. Bearing in mind the costs for
the Training, we request sponsor organisations to select a suitable"person.
CONCLLSIOS:
•* . ........................ persons.
Established in March J982, INSA ittdia has trained a total number of
n?ev have come from
J?.
............. different states in India and neighbouring countries like
Bangla Desh. Sri Lanka and Nepal, y
<74 7
Since their RHDT training, participants have established programmes in the areas of Maternal and Child
Care, Sanitation, Leprosy Control, Tuberculosis control Supplementary' Nutrition, Village Health Worker
programmes, A.l.D.S. prevention programmes. Non formal Education, Mahila Mandals, Baluadis. Youth
and Farmers' clubs, Saving programmes. Credit unions and Income generating projects. We recommend
this Programme especially for these in the supervisory' cadre.
Xpplii ation forms are available f ^r Rs.
y
each, payable by Money Order/Postal Order to:
l0f
IhESA^I
/
INSA/IND1A
87, 1ST FLOOR, 3RD CROSS,
NANDI DERG ROAD EXTN., BANGALORE 560 046
Post Box No .4634
For further details please contact the address given above.
(fur next tiro Courses begin from (1) L—
to
*.
J
1.14 st date for receiving completed application forms is
and (2j
to
u
PROFILE OF TRAINING PROGRAMME OF
AYUSHYA (CENTRE FOR HEALING_AND I^^EGRATION^OF^THEJJEDICAL
MISSION SISTERS)
Ayushya means l±fe promoting or fullness of life.
Stated since 1985.
Objectives of ^aining_grogramme:
Integrated approach to health ie. seeing the person in his
totality in harmony within onself, society, nature and
ultimately with god.
Promoting a new health culture.
Providing low cost health care utilizing the natural
resources/non-drug therapies.
Justice in health leading to transformation of society.
Promoting self-responsibility/self reliance.
Details of programme:
Type
Semin^r/workshops/orientation and awareness
building programme.
Duration : :
Week end/one day.
One week
One month.
Broad
content
Identifying needs of the group and prioritizingo
Health issues and needs.
Analysis of health situation.
Women’s issues.
Ecology/environment
Nut rit i on, Hy giene
Alternate methods in health care
U'
: 2 :
Non-drug therapies :
Accupressure, Reflexology, Touch for health,
Therapeutic massage, Herbal medicine, Home
remedies, Pranic healing, Yoga, Stress Management,
meditation, etc.
Medium of
instruction:)
Target group:
English/Malayalam.
Community Health Personnel mainly selected nationally from community health
organisations,
Particular local community health groups.
At random selected.
Methodology:
Talks, audio-visuals, experience sharing,
practical learning sessions with class
participation and evaluation, networking
with various groups/organisations.
Evaluation
Questionnaire, field visits (need to improve this)
letters, follow-up programme.
Strength and weaknesses:
Strengths:.
Awareness in health consciousness;
Utilizing local resources;
Empowering women to certain extend.
Collaboration of youth groups and women groups in
extending awareness programme.
Incorporation of positive values in life and attitude.
Networking on issues/needs and collaboration.
Non-drug therapies promoted.
: 3 :
Part of wider networking of medical mission sisters
moving from professional curative care in hospitals
to community based hospitals to community health and
transformation of society through justice in health.
Weaknesses:
Lack of support and team spirit when trainees return
to their groups unless the whole group attends training.
Follow-up not satisfactory.
Consumerism in JOT.
Lack of control in practicing NDT.
Sr. Eliza
Egncrience sharinr
PRESENTATION OF PAPER
An Innovative experiments in training
(Abstract)
St. John’s Medical College
Sharing of some field experiences in Health education:
Following areas were discussed.
1 .
Child to child programme conducted in village schools
during lunch hour break, using actual materials instead
of charts etc-.
2.
Child to Mother & Child to Community: Innovative
extensions of the child to child concept were discussed.
3.
Mother’s motivation programme: A unique opportunity
provided to village mothers for clarifying their doubts
in relation to gynaecological problems, by making
available a lady doctor exclusively at their home for
a period of half a day only to discuss and clarify.
4.
Health through Music:
Use of dubbing techniques to
dub a health message on commercial film song cassettes
and then playing the cassette during village public
functions, marriages, festivals. There is constant
reinforcement of health message, each time villager hears
original film song anywhere, through a process of association.
5.
Social mapping: Using hand drawn village maps with
rangoli powder, by village women. This is followed by
marking antenatal cases, diarrhoea eases, immunisation,
alcoholics etc. on map with various grains. This: spot
mapping is followed by discussion by mothers as to the
reasons for the patterns of distribution of marked grains.
: 2 :
6.
Body Mapping : Using chalk and rangoli to draw oh
the floor, the various perspective views of the various
human anatonical and physiological systems and how they
work. This is used as a basic for participatory discussion
on various processes such as child birth etc. Village
mothers are the participants.
7.
Focussed interviews for eliciting participatory reactions
and discussions in maternal and child health.
8.
Story telling, incomplete stories, anologics, simulations
were also described. Problems and peculiar perspectives
of the people, regarding use of audio visuals such as
films, charts, magnipication, cross section etc. were
described.
Dr. Dara S. Amar
Experjonce shrring
MANAGEMENT INFORMATION SYSTEM IN HEALTH
Data Generation for
A.
1 .
Epidemiological forecasting - Control of Epidemics.
2.
Developing monitoring tools - Coverage of services
and quality.
3.
Planning interventions/programmes.
Good MIS-H
a.
b.
c.
d.
a.
will
Identify only minimal essential indicators.
Collect data timely and consolidate quickly.
Provide useful output tables.
Analyse data critically.
Derive sensible conclusions.
MIS
i
A.
H
INPUT DATA
Manpower No. (Unit wise)
Category
Pre placement skill
Ongoing training
Infrastructure
- building
facilities.
Inventory
Ptirniture,
Equipment
Vehicle
B.
PROCESS DATA
- Number of planning exercises
- Assessment of situation
Estimation of eligibles
Coverage evaluation of services.
Utilisation of services.
- Service delivery <Jata (Performance data)
: 2 :
C. OUTPUT DATA
Target achievement
Sterilization
Immunization coverage.
Reduction of Vacc: Prev: Diseases.
Reduction of communicable diseases.
Reduction of maternal deathso
Reduction of infant mortality.
Increase in life span.
Dr. K.R. Antony
!
!
•
1
Experience Sharing
SOME ESSENTIAL ASPECTS IN TRAINING
Quality of the training is essential.
I share with you my conviction with which training programmes
were planned.
1.
People with vision, clarity of ideas, thrust be -available
to people at the grass root leve. So .we did a lot ef
spade work. People come to a level that they started
thinking of themselves,’ analysed their problems.
2O
People choose their representatives to be trained,
was accountable to people.
3.
Health cannot be treated in isolation^
So .at the very beginning, along with health topics, socio
economic, political analysis, legal knowledge, why and how
of organising people etc.
She
People liked the programme because they felt we have
understood their problemo So how health workers, women
association have become social activists, bringing about
a change in the society.
4.
People must demand health services from government.
Women’s association insist that Govt, multipurpose
health workers come to the village, carry out all the health
programme.
Now can we create this avzareness in cur training?
With
increased cost of health care, today from privitisation
it is our duty to counteract and organise people to demand
health care service from Government and fight medical
corruption.
—m
: 2 :
in
If you must train MLW, the quality is important.
The quality ipili depend on your
1.
Creed and belief.
Do you believe in people?
Do you believe that they want to change, can change?
Yes, they can, they want.
2.
Conviction:
Are we convinced that we can achieve what we
believe in theory? That theory can be translated
to practice.
3.
Credibility:
Are our words and action consistent? Do we say
something and act entirely in a different way?
I
u
CONSULTATION ON
COMMUNITY HEALTH TRAINERS & TRAINEES
HELD AT VIDHYA BHAVAN, BANGALORE
4-5 JUNE 199g
Name & Add.ress_of the participants:
1. Sr. Agnesita
Santa Maria Health Centre
Palliagaram
Chengalput Dt
Tamil Nadu - 605 107
2, Mr S Jacob Bernard
C M A I
HVS Court, III Floor
21, Cunningham Road
Bangalore - 560 052
5. Fr T A Mathias, sj
XLRI Jamshedpur
Post Box 222
Jamshedpur - 851 001
4. Dr. P.C. Bhatnagar
V H A I
Tong Swasthya Bhavan
40 Institutional Area
Near <^utab Hotel
New Delhi 110 016
5. Dr. Bhoomikumar
7-8, P.L. Block
MMC Hostel
Madras - 5
Sr. Eliza
Ayushya
Medical Mission Sisters
Veroor PO
Changanache rry
Kerala - 686 104
9. Ms. Jyothi
THREAD
P.B.No. 9
Jatni
Dist Puri
Orissa 752 050
10* Mr.
Somsekhar
THREAD
Siddarth Village
P B No. 9
Jatni - 752 050
Dist Puri
Orissa
11. Dr. V. Benjamin
C/o Community Health Cell
No. 567 ’Srinivasa Nilaya’
Jakkasandra, I Main
I Block, Koramangala
Bangalore - 560 054
12. Dr. Arvind Kasthuri
2992, HAL, 2nd Stage
Bangalore - 560 008
15. Dr. Shirdi Prasad
Community Health Cell
No. 567 ’Srinivasa Nilaya’
Jakkasandra, I Main
I Block, Koramangala
Bangalore - 560 054
7 • Dr. Uma
51/2, (New 15/2) Lavelle road
Bangalore 560 001
14. Sr. Mariamma Antony
Shanti Rani Bhavan
Gopalpur-on-Sea
Ganjam Dist
Orissa - 761 002
8. Dr. K.R. Antony
UNICEF
255, Forest Park
Bhubeneswar - 751 009
15. Dr. Hari John
5-6, 52nd Cross
Basantnagar
Madras - 90
O’
16. Ms. Tara John & rjr. Arun Prasad
Deenabandu Training Centre
R.K. Pet - 651 505
Tamil Nadu
27. Dr. Rayanna
52, Samchapuri
New Bowenpalli
Secunderabad - 11
17. Mrs. J. Jaganatham
Deenabandu Training Centre
R.K. Pet - 651 505
Tamil Nadu
28. Dr. C.M. Francis
Advisor
CHAI, PB No. 2126
Gunrock Enclave
Secunderabad - 500 005
18. Mr. M. Santhosh
Deenabandu Training Centre
R.K.Pet - 651 505
Tamil Nadu
19. Mrs. Sujatha de Magry
INSA-India
87, 1st Floor, 5rd Cross
Nandidurg Extn.
Bangalore - 560 046
20. Dr. Sukant Singh
C M A I
5rd Floor, HVS Court
21, Cunningham Road
Bangalore - 560 052
21. Dr. Reynold Washington
Community Health Department
St. John’s Medical College
Bangalore - 54
22. Sr. Fatima
Presentation Sister
Chinna Vilai
Manavalakurichi PO
K.K. Dt. 629 252
25. Dr. Dara S. Amar
Dept, of Community Health
St. John’s Medical College
Bangalore - 54
25. Ms. Josephine
R.S.D. Society
95, 15/5, 15/4
9th Cross
1st Main Road
Chamrajpet
Bangalore - 18
26. Dp. Madhav Rao
Community Health Cell
No. 567 ’Srinivasa Nilaya’
Jakkasandra, I Main
I Block, Koramangala
Bangalore - 560 054
29. Dr. Mani Kalliath
Co-ordinator, CHD
CHAI, P.B. No. 2126
Gunrock Enclave
Secunderabad - 500 005
50. Fr. Joy
Member, CHD
CHAI, P B No. 2126
Gunrock Enclave
Secunderabad - 500 005
51• Fr. Sevanand Meloo
Member, CHD
CHAI, PB No. 2126
Gunrock Enclave
Secunderabad - 500 005
52. Dr. Christopher
Medical Officer, CHD
CHAI, PB No. 2126
Gunrock Enclave
Secunderabad - 500 005
55. Mr. Aloysius James
Training Officer, CHD
CHAI, PB No. 2126
Gunrock Enclave
Secunderabad - 500 005
54. Sr. Deepthi
Member, CHD
CHAI, PB No. 2126
Gunrock Enclave
Secunderabad - 500 005
55. Fr. Vimal
Member CHD
CHAI, PB No., 2126
Gunrock Enclave
Secunderabad - 500 005
56. Mr. Magimai Pragasam
Head, Department of
Media & Communication
CHAI, Secunderabad
57. Mr. Sreenivas Rao
Member, CHD
CHAI, Secunderabad
u“
COURSE METHOD
FACULTY
Problem solving and result oriented approach basetfon participatory
methodology and tailored to individual participant’s needs. This will
be based on a strong foundation of .societal analysis with special
reference to the causes of poverty and the correlation between poverty
and ill health.. This will include some theory, field visits and much
training under actual field conditions based on the action reflection
action process. Three distinct models will be studied in detail.
The core faculty consists of Dr. Han John of ANITRA Trust, Madras
and Mrs.J. Jeganathan, Mr. Arun Prasad and Mrs. Tara Arun Prasad
who are the resident faculty in Deenabandu. They will be assisted by
an eminent group of visiting faculty - activitists and academics alike,
from all over India. Training Task Group (South) from Bangalore will
be specially involved.
PEOPLE S HEALTH
IN
people s hands
DURATION
Eight weeks, from 15th August to 9 October 1993.
TRAINING CENTER
Deenabandu is situated 120 kms. west of Madras in Tamilnadu, in a
. rural atmosphere. It is reached by buses 97A and 97D from Broadway
Bus-stand in Madras. The nearest Railway Stations are: from the
Wcst-Arkonam, from the North and East-Madras, Bus stop-R.K. Pet
Simple accommodation including bed linen is provided. Vegetarian
and non-vegetarian South Indian food is available. Please bring a
torch and one bedsheet for project visits.
COURSE FEE
Rs. 2000/- will cover tuition, food, accommodation, establishment
charges, hand-outs, internal travel and other incidentals. This must be
paid either earlier by a draft or definitely on arrival.
Applications in the prescribedform to be sent to:
Mrs. J. Jeganathan
Course Co-ordinator, DTC
Post Bag 1404
Madras-600 105, INDIA.
Our Madras Contact:
ANITRA TRUST
702 B. Shivalaya
16, Commander-in-Chief Road,
Madras - 600 015.
Tel 044-825 2702
Cable:HEALTHNET, Madras - 105.
Fax:91-44-827 0424
SCHOLARSHIPS
In deserving cases some partial scholarships are offered by Asian
Health Institute and other partner agencies such as Asian Community
Health Action Network. No applicant should hesitate to apply
because he/she cannot pay the course fee.
Course On
Human Potential Development,
Community Based Actions for Health
and Social Change
Sponsored By
Asian Health Institute
Aichi, JAPAN
470-01
And
Anitra Trust
Ann 1Q5
Last date for receiving applications:
15 July 1993
15 August - 9 October 1993
SELECTION
25 Places are available on a “first-come-first served”, basis with
various considerations in mind. 8 places are reserved for Sri Lanka,
Bangaladesh, Nepal, Pakistan, Bhutan and S.E. Asia.
FOLLOW-UP
Organised By
Participants will be individually followed up by faculty visits, regular
correspondence and a Re-union Seminar one year hence. Outstanding
participants are offered further training, sometimes ig Japan. Those
participants who wish to develop independent programs can have a
continuing relationship with Deenabandu including project develop
ment, identification of funding sources and monitoring.
Dee*abaxuu Tbaialm; Crateh
R.K.Pet - 631 303, INDIR
DHEENA.PM4
11
DEENABANDU
J .
...
.
,
Potentiating Community Action - An Alternative pproac
RACKCROUND
orientation based on the values and vision ofan alternative society and
their implications for action. In India, as in most Asian countries, the
dominant development ideology is one of modernisation based on
economic growth, industrialisation and profit maximisation. This has
brought about severe environmental and economic problems whose
adverse effects are most often seen on the poor in general (and
ultimately on their health), and among them specially on the weakest
- women, tribals and outcastes. To limit ourselves to teaching about
‘health’, under the circumstances, will be futile.
Community Health, as a discipline, evolved in the early seventies in
responsetotheneedsoftheruralpoorwhichwentlargelyunrecognised
and unmet by existing health care delivery systems. Health statistics,
supplied by the authorities themselves, clearly established that the
health status of the poor was barely better than what it was fifty years
back, while that of the rich was equal to that of Americans. Also The training program, with its emphasis still on joint actions for
.
J:
:x:__ particularly
health,
therefore,
recognised were rural-urban
disparities,
access
to even has been squarely placed in the wholistic societal
the most basic health care, but the overwhelming majority of facilities context ofAsia in general and India in particular, with the central focus
and professionals continue to be situated in urban centers even now. being on women. Also taking into account the present context of the
globalisation ofthe economy, increasing environmental degreadation
The response ofNGOs in health care at that time was to take ‘modem and the consequent disastrous effects on the weakest, it will focus on
medicine’ to the doorsteps of the community. Village level health the Environment, the rural poor and the increasing disparities between
workers were trained, first as adjuncts to professionals, later, unfor the haves and the have nots. Alternatives in development as well
tunately much later, as trainers and facilitators. Community Health alternatives in health action rooted in the value premise of a just,
was thus reflecting the processes that were taking place in develop participatory, pluralistic and sustainable society in which a wholistic
ment thinking, from a‘service delivery’approach to an‘enabling’ role sustenance can be secured for all people will be explored in depth.
in which the community, poor and oppressed as it is, began to play an
increasingly significant role. By mid-eighties it was realised that
programs that did not involve the people, did not succeed. It was also
realised that sectoral action could make only marginal changes, THE OBJECTIVES
development action having gone through the mono-sectoral-multi- The pedagogical (value based) objective is to motivate, orient and
sectoral- integrated development cycle to wholistic development.
direct middle level workers in a structured educational process to
Involvement ofthe community came to be in vogue but it is only lately become aware of the values, norms and perspectives of a just,
*
that many NGOs have come to realise that they had often held on to participatory and sustainable society.
the mere shell of the idea while losing sight of the spirit, the ethos and
action based objectives shall be to train middle level workers
the philosophy behind true participation, where the community plans,’ who will:
initiates, manages and ‘owns’ their own transformatory processes.
Facilitating these |processes became the
' crux of« the
. problem.
..
Out of
1. have the Capability :
this realisation evolved CBAH - community based actions for health,
in which ’health’ is defined at its most wholistic and broadest sense, a) to analyse Indian society - also from a historical perspective at the
a state which all actions at the community level will result in, being macro and micro levels, with particular reference to the situation ofthe
the ultimate goal of human life.
marginalised groups such as Tribals, Dalits and Women.
Practitioners have since realised the crucial role that mid-level
workers who are community trainers have to play in order to make true
alternatives a reality, be it merely in ’health or in total ‘development• ’.
They have also devised training programs for them. On the basis of
that, training has been going on but the sheer variety ofapproaches and
philosophies has prevented any real consolidation of benefits. It is
only lately that concerted efforts are being made to streamline and
implement training based on actual field experiences of the past
decades with a solid and appropriate theoretical base. Deenabandu is
one such initiative.
_______________________
r
b) to
understand the role and implications
of development ideologjeSj concepts and pattemson the situation ofthe poor and marginalised,
particularly on their health situation.
c) to identify and analyse some of the most critical issues confront
ing the contemporary development scene in India.
d) to actualise the gender issue, both within the Voluntary
Organisations as well as in their actual program activities.
e) to work towards an alternative perspective of development in
India with particular reference to an alternative system of health care
modelled on the Community Based Actions for Health approach.
THE PROGRAM
This is the twelfth leadership development course since 1981 that
Deenabandu is conducting in cooperation with Asian Health Institute
of Aichi, Japan. This started as a mere knowledge and skills enhance
ment course in ‘health’ but over the last four years, has attained a new
2. have the knowledge:
a) to identify the needs of the communities of the Poor and
Marginalised with focus on Tribals and Dalits and among them
particularly Women.
DHEENA.PM4
b) to plan, implement, monitor and evaluate programs to meet those
needs within the framework of a just, participatory and sustainable
development process.
c) of methods of participatory planning, training and evaluation.
3. have the skills to:
a) study, get involved, organise, motivate and train the communities
to take a critical look at themselves.
b) train, enable and support the Community in alternative informa
tion gathering, collating and prioritising.
c) enable the community in setting objectives for themselves which
are achievable within their own resources.
d) enable the community to identify other available resources to
implement the best alternative that they have identified.
4. have the ability to motivate and accompany community base <
programs that are directed towards a just, participatory and sustain
able development process by
a) organising communities of the poor and marginalised, particu
larly women.
b) facilitating a comprehensive process of education leading to
generation, elaboration and continuous consolidation of knowledge
among the poor and marginalised.
c) involving already identified or newly emerging leadership par
ticularly Women.
5. have the aptitude to manage the program by
a) developing mechanisms of community involvement at all stages
of the process.
b) using appropriate and people centered management skills.
c) being able to monitor and evaluate the programs by developing
and using simple and appropriate participatory tools.
d) initiating appropriate people’s action.
e) ensuring a continuous process of action-reflection-action to en
hance the process of social change in favour of the poor and
marginalised.
PARTICIPANTS
The course is meant primarily for non-doctors from NGO programs
who are highly motivated and with a definite commitment of goinf
back to the community. They should have demonstrated leadersh*’
ability, have worked in a community-based program for atleast two
years and be able to read and write English.
U'
3. MANK MEALINtj BASK COURSE
Date
— September 25, 26
(Refer Course No II for details)
VI. Weekend Programme on Zen Way of Learning
(FOR COLLEGE STUDENTS ONLY)
— October 1—4
Date
- 30
Seats
Food and
Accomodation — Rs- 90/—
Course Fee
— Rs- 60/—
Language
— English
Resource person — Mf- Nel SOD DiflS
This is intended for the College students
who are looking for developing their skill of
learning fast and sharpening their power of
concentration. The participants will be trained
in some of the Zen techniques and meditations
to bring about the hidden powers of the mind,
thereby, actualizing the remarkable power of
learning, and increasing memory-
VII. Pranic Mealing - Basic Course
Date
Language
— October 23, 24
— Malayalam
(Refer Course No. II for details)
VIII. Enneogram W^shtp
— November 15 — 21
Date
— Open to all
Participants
— 40
Seats
Food and
Accomodation — Rs- 180/—
Course Fee
— Rs- 75/Language
— English
Resource person — Sr. Emily Koltflram
The enneogram is an instrument, rooted in
Sufism, which describes nine basic personality
types- These types have envolved from com
pulsions developed in early childhood- A study
of the enneogram enables one to discover one’s
type and to search for ways of personal healingA new understanding of self takes place and
this leads to greater inner freedom and Whole
ness-
IX. Pranic Mealing - Advanced Course
— December 11, 12
-9 a m- — 6-00 p- m— Open to all
— 50
— Rs. 250/(including Lunch & Tea)
— English
Language
Resource Person — Sr. Eliza Kuppozhdckel & Team
Date
Time
Participants
Seats
Fees
This course is only for those who have
attended the Basic Course and have fulfilled
the criteria for attending the Advanced Course.
X. Pranic Psychotherapy
— Decembr 13
— 8 30 a- m- — 6.00 p. m.
— 40
Rs. 150/(including Lunch & Tea)
Language
— English
Resource persons — $f. Eliza Kuppozhsckel & Team
Date
Time
Seats
Fcos
The course is only for those who have
attended the Basic Course in Pranic Healing
and have fulfilled the criteria for attending
the advanced course.
NOTE on Pranic Healing Courses: The Pranic
Healing courses are conducted in collaboration
with the World Pranic Healing Foundation IncIndia •
AYUSHYA HEALTH CLINIC
Daily : 9.00 a m — 12.00 p- mSunday — Holiday
Treatment for acute and chronic illness,
therapies for enhancing physical and mental
well being, concentration, memory power and
reducing pain, using Drugless Therapies, Stress
management, Counselling, Yoga, Herbal medi
cine and Nutrition education-
HOW TO REACH AYUSHYA
AT 1THITHANAM
From Changanacherry private stand take
Changanacherry-Kottayam private bus passing
via Railway Station and St- Thomas Hospital,
Chethipuzha etc- Get down at ‘Enachira Kurisu’
[Re- 1/- point)- From there walk ahead a few
yards and you will find the Ayushya sign
board directing to the centre-
Auto Rickshaws from the town costs about
Rs 18/For all information and Registration
Please write to:
Programme Co-ordinator
AYUSHYA
Veroor P- O-,
ITHITHANAM
Changanacherry-686 104
Kerala, S- India
Telephone: (04824) 20544
Printed at The Sandesanilayam Press. Changanacherry
0^
^8
™
AYUSHYA
CENTRE FOR HEALING AND INTEGRATION
AYUSHYA aims at wholeness and integration
within persons, community and society through
its various programmes
Integrated health
programme focusses on health as the right and
responsibility of each person with the vision of
promoting a new health culture- Emphasis is
also on providing low cost health care utilizing
the natural resources and promoting healthy
life styles. Yoga, meditation, retreats, stress
management, counselling, psychotherapy, inte
gration programmes, non-drug therapies, herbal
medicine and nutrition are included as part of
an integrated approach to promote health and
wholeness in persons-
INPOPMATION ABOUT PPO^PAMMC BOOKING
In order to reserve a seat for any of the pro
gramme send the registration fee of Rs- 50/by M- O- to:
The Programme Co-ordinator,
AYUSHYA,
Veroor P- O-,
Changanacherry-686 104,
Kerala
When you send M- O- for registration, please
specify the number and date of the programme
to which you aie applyingOnce your M. O- is accepted you can presume
admission to the courseThe Registration fee is non-refundable and
will be adjusted against the course feeAll the courses, unless otherwise specified, will
begin on the evening of the first day and will
end on the morning of the last dayPlease bring your toilet articles, bed sheets
and pillow casesProgramme is open to all irrespective of caste,
creed and sexA warm welcome to AYUSHYA,
JULIA VALIAVEETIL M.M.S.
Programme Co-ordinator
I. 5th National Training Programme in Intergrated
Approach to Health
Date
— July 1—31
Participants — Health Co-ordinators,
Health and development
activistsSeats
— 30
— Rs. 1500/—
Fees
(Subsidized by CHAI)
Language
— English
Resource Persons
- CHAI & AYUSnyA Personnel
Course Director
— Sr- Eliza Kuppozhackel
►“<***. -
The term ‘Pranic Healing’ originates from
the Sanskrit word ‘Prana’ which refers to the
vital energy or life force which keeps the body
alive and healthy. Pranic Healing is the pro
cess of transferring the vital energy or life
force from the healer to the patient- It requires
no physical contact since the healer works on
the bioplasmic body rather than on the physi
cal body.
Pranic Healing can bring down abnormally
high temperature due to fever in just a few
hours, in most cases- It relieves headaches,
gas pain, tooth aches, mild asthma, migraine,
ulcer, wounds, muscle and back pain almost
immediately-
The course will deal with the approaches
to Community Health, Dimensions of Integrated
Approach to Health, Analysis of the Health
situation of India, Ecology, Nutrition, Herbal
medicine and Home remedies. Low cost com
munication media in health education; Theory
and practice of Non-Drug Therapies viz., Acu
pressure, Reflexology, Pranic Healing, Naturo
pathy, Therapeutic Massage, Stress manage
ment, Yoga and Meditation.
N. B. This course is non-residential, however,
accommodation is available for those who
require it.
Selection and admission to this course will
be done through CHAI- For further informa
tion and admission kindly write to:-
This programme includes Touch for Health,
Tools of the Trade, Basic one Brain and Advanced
one Brain. This programme is open to all- How
ever all those interested in Non-Drug Therapies
will benefit more as they will gain an additional
tool in their healing mission- Kindly write for
further details and application form.
Executive Director,
Catholic Hospital Association of India,
P. B- No. 2126. Gunrock Enclave,
Secundrabad - 500 003
II. Pranic Healing — Basic Course
Date
Time
Participants
Seats
Fees
— July 23, 24
— 9.00 a. m. — 6.30 p. m.
— Open to all
- 50
— Rs- 150/(including Lunch & Tea)
— English
Language
Resourse Persons - Sr. Eliza
Kuppozhackdl & Tedm
III. Three in one Concepts
Date
— August 7 — 17
Language
— English
Resource person — Sonjd Kreyenbroek CAmsterdam)
IV. Neo-zen Meditation Camp
Date
— September 2—6
— Open to all
Participants
Seats
— 30
Food and
Accomodation — Re- 120/Course Fee
— Rs. 75/—
Language
— English
Resource Person
— Mr. Nelson Dias
■w. * « .
......................
Meditation is the greatest adventure the
human mind can undertake- The ancient mys
tics have shown in various methods of medita
tion to move into our own original blissful
state- The essential core, the spirit of medi
tation is to learn how to witness our nature
and be conscious of our day to day activities
During the three days of camp the participants
will have the opportunity to learn the techni
ques of higher concentration, increase memory
power which ultimately leads them to medita
tion-
V. Training in Non -drug Therapies
I. KEELEXOLOCjy
Date
— September 19 — 22
Participants
— Open to all
Seats
Food and
Accomodation
— 30
— Rs. 90/-
Course Fee
— Rs. 60/-
Language
— English
Resource Person — Sf. EliZd KuppOzhdCkel
Participants will be instructed in practical
knowledge of Hand and Foot reflexology and
Zone Therapy-
2- BASKS IN AGMSSUBE
Date
— September 21 — 24
Participants
— Open to all
Seats
— 30
Food and
Accomodation - Rs. 90/ —
Course Fee
— Rs- 60/—
Course Material — Rs- 25/—
Language
— English
Resource person — Di. Sf. Elizabeth VdddkektHd
This is a basic course in Acupressure / Acu
puncture theory and practice-
EOB WEALING SERVICES PLEASE VISIT
THE FOLLOWING PBANIC WEALING CENTRES
1.
2.
3.
4.
5.
6.
7.
World Pranic Healing Foundation, Inc. - India.
Central Office
Chungam. Kottayam-686 001
Tuesdays between 3 p. m. — 6 p. m.
Phone : 0481 — 3332
Ayushya,
Centre for Healing and Integration,
Medical Mission Sisters,
Veroor P.O., Changanacherry-686 104
Monday to Saturday 9 a. m. — 12 noon
Phone : 04824 — 20544
TRADA,
Aymanam P. O., Kottayam-686 015
Phone : 0481 — 3198
Wellness Clinic,
Kerala Voluntary Health Services (KVHS)
Muliamkuzhy, Kottayam
On Thursdays 9 a. m. — 5 p. m.
Kurji Holy Family Hospital,
P. 0. Sadaquat Ashram,
Patna-800 010, Bihar
Phone : 26c540 / 262516
Arpana,
Medical Mission Sisters,
Arpookara East P. 0., Via Gandhi Nagar
Kottayam-686 008
Phone : 0401 — 7984
Holistic Health Clinic
C/o. St. Michael's Church, Edamattam
8.
Pooppally Hospital
Chengannur - 689 121
9.
St. George Dispensary
Vakathanam
11
12.
13.
14.
Meditation On Two Hearts is a tech
nique which aims to achieve expansion of
consciousness or illumination-
This can, in the long run, increase
intelligence and comprehension skills — a
distinct advantage for students, executives,
businessmen and others.
Meditation On Two Hearts is a form
of “Planetary healing”, Because this technique is founded on the principle that
the earth is blessed with loving kindness.
WORLD
PRANIC HEALING
FOUNDATION, INC
INDIA
FOUNDED BY
MASTER CHOA KOK SU1
Its potency increases when done in a
group.
The two hearts refer to energy centers —
one on the heart area for the emotional
heart center, the other one on the crown
of the head which is the seat for the divine
heart center.
*
*
■■
*
•»x
^-4
rot DETAILS
ii
EXECUTIVE DIRECTORS
Phone : 265
10.
MEDITATION ON TWO HEARTS
Catholic Mission,
Barpetta Road, Assam- 781 345
Phone : 03666 — 2124
New Hope Institute of Health,
Kalpana P. 0., Mangalore-575 002
Phone : 0824 — 23497
C/o. Dr. A Saradamba
6.3—596/47 A, Venkata Ramana Colony
Hyderabad- 500 004, Andhra Pradesh
Phone : 0842 — 228261
FATRI,
Phone : 4413
Veloor, Trichur
C/o. Mr. A K. Ramachandran
11, 2nd Main, Sultan Palya
Bangalore-560 032
Phone : 0812— 33096
1
1. Fr. GEORGE KOLATH
(Administration)
2. Sr. ELIZA KUPPOZHACKEL
(Training)
World Pranic Healing
Foundation, Inc. — India
Central Office
Chungam
Kottayam — 686 001
Kerala
Phone : 0481 — 3332
1
CENTRAL OFFICE
CHUNGAM, KOTTAYAM - 686 001
KERALA. INDIA
MANK MEALING
Pranic healing is a no-touch scientific
form of healing which uses vital energy
(PRANA) to heal one's self and other
people. This method of healing was prevalent
in ancient India and China. It is now being
revitalized through research.
Pranic Healing can heal or alleviate
simple ailments, chronic illnesses and psy
chological and psychiatric problems. It is a
powerful non-drug therapy which can be
used by itself or in combination with other
healing methods. Healing is accomplished
by removing diseased energy from the pati
ent’s energy body and by transferring energy
to the affected areas.
PRANA
Prana is a Sanskrit word which means
vital energy which keeps the body alive
and healthy. It is called in Japanese as
“ki” in Chinese as “chi”, in Greek as
“pneuma”, in Polynesian as “mana”, and
in Hebrew as “ruah” or “the breath of
life”By undergoing a systematized training
one can easily transfer solar, air, ground,
tree and Divine energies and heal many
kinds of ailments-
THE ENEMY BODY
The energy body is an energy field
which surrounds and interpenetrates the
visible physical body.
It has the same
shape as that of the physical body and
extends beyond the surface of the skin by
4 to 5 inches in most people- Scientists
call this the BIO-PLASMIC BODY from
the words bio, which means life, and plasma,
which is the fourth state ?f m**^*’- Clair
voyants (people who can see subtle en
ergies) call this the human aura.
Science, with the
use of KIRLIAN
PHOTOGRAPHY,
has shown that
diseases manifest
first in the energy
body before they
appear in the phy
sical body,
and
that thoughts and
emotions
affect
the energy body
which in turn affe
/
cts the physical
body- By balanc-ing
the energy
level in the energy
body one can heal,
alleviate or pre
vent the appear
ance of physical
and psychological
The outer and inner aura
ailments-
I
i.
3-
SERVICES AVAILABLE
i-
23-
4-
i-
34-
World Pranic Healing Foundation was
founded in the Philippines by Master Choa
Kok Sui, to help alleviate the sufferings
of millions of sick people throughout the
world He has done extensive research in
Pran;c Healing and has published several
books. 'The ancient science and art of
pranic healing’ which is the basic book
of pranic healing has an Indian edition
which is available for Rs. 80/—
5-
6-
7World Pranic Healing Foundation was
initiated in India in December ’91 by Mas
ter Choa Kok Sui The foundation, which
aims to propagate wholistic healing has
the following aims:
Seminar and Workshop on Basic
Pranic HealingSeminar and Workshop on Advaneed Pranic HealingTraining of Pranic Healing Trai
nors
Establishment of Pranic Healing
centres-
TOPICS INCLUDE
2-
THE WOULD PPANiC
HEALING FOUNDATION, INC - INDIA
To train one pranic healer per 1CO=
persons in every communityEstablish pranic healing centre
and healing groups through c
India
Spread 'the Meditation on Twr
Hearts and the great invocation
to help usher in the era of glob'
peace and goodwill
Self-healing, healing others an<
distant healing techniques
Preventive health care and impro
ving defense mechanism
Diagnosing ailments by scannin
the energy bodyNature, locations, and physical and
psychological functions of the en
ergy centers of one’s bodyValue formation, character build
ing, and the Law of Cause and
Effect and their applications tc
improve one’s well beingPranic breathing
and
creative
visualization for stress managemer'
goal setting and increasing pre ductivity levelMeditation on Twin Hearts and
the use of The Great Invocation
for World Service, attainment of
inner peace, higher intelligence
illumination, and expansion o
consciousness-
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