Mr. Haridas Sharma
Phone :- 01- 4269735
For more details, please visit: nhtc.gov.np
The National Health Policy, 1991 defined the health care delivery system. The policy laid emphasis on development and management of health manpower. Based on the Health Policy, a National Health Manpower Master Plan was developed. Subsequently, the National Training Strategy for Primary Health Care was developed in 1997. The focus of the strategy was to develop carders of Health care providers at district level and below for delivering PHC services. The strategy provided policy directives for planning and managing training programs for DoHS.
Since the development of the strategy in 1997, the Ministry of Health (MOH)/Department of Health Services (DoHS) has developed several policies/guidelines that have a different bearing on training. These include the following: National Health Policy, Second Long Term Health Plan, Local Self Governance Act, National Strategy Human Resource Development Plan for Health, Nepal health Sector Strategy and Nepal Health Sector Program â€“ Implementation Plan 2004 (NHSS/NHSP-IP), Millennium Development Goal, National RH Strategy, National Adolescent Sexual and Reproductive Health (ASRH) Strategy.
Training is one of the priority areas for the MOH. The tenth plan, 2002-2007 envisaged NHTC as the apex body under the MoH for overseeing all health related training not only for the Department of Health Services but also the Department of Drug Administration and Department of Ayurveda. The tenth plan also delegated the responsibility of conducting Educational research to NHTC.
The National Training Strategy 1997, in spite of having all the need based elements built-in into it. The 1997 strategy has been carefully reviewed for the purpose of assessing the status of its implementation. This has served as the basis in developing the National Health Training Strategy.
Existing Training System
The National Health Policy 1991, article has mentioned about the development and management of health manpower. It specifically highlights in the area a) required manpower production b) intersectional cooperation among various stakeholders c) institutional development and capacity building of the training institution.
The tenth plan has identified National Health Training Center to develop as an apex body in other to cater the need of the health manpower training for the personnel under Ministry of Health.
A comprehensive and consistent health training strategy to guide/facilitate MoH in materializing the training policy and incorporating emerging needs and new program dimension was felt.
NHTC has been given responsibility of providing in-service training to health workers and the initial training of Village training to health workers and the initial training of Village Health Workers (VHWâ€™s ), Maternal and Child Health Workers (MCHWâ€™s), Female Community Health Volunteers (FCHVâ€™s), Traditional Birth Attendants (TBAâ€™s). NHTC is also providing training on Safe Motherhood, Family Planning skills upgrading training through its RHTCs and clinical training sides to Medical doctors, nurses, non-government, NGO, INGOâ€™s employee.
However, Safe Motherhood, Family Planning, Communicable diseases management and in specialized fields for the training of health workers NHTC has been given responsibility of providing in-service training to health workers at district level and below and also the initial training of Female Community Health Volunteers (FCHVs), TraditionalÂ Birth Attendants (TBAs), Village Health Workers (VHWs), Maternal and Child Health Workers (MCHWs).
Training of medical professionals and paraprofessionals comes under the domain of the Ministry of Education (MoE). There are eight Medical Schools in the country that train medical and para-medical health workers every year. The Center for Technical Education and Vocational Training (CTEVT) provides training to nurses/assistant nurses and other paramedics. In addition, many private nursing schools are registered with CTEVT for training AHW, ANMs staff nurse and bachelor of nursing.
The training of program specific categories of workers such as Family Planning Assistants, Malaria Inspectors, and Cold Chain Assistant etc are conducted by respective program division. Training programs conducted under DoHS by NHTC or by program divisions are guided by National Health Policy 1991, long term health plan and other policy documents.
Therefore, it is envisaged that the NHTC as the apex body will oversee, coordinate all training of the MoH, In addition, the NHTC would be responsible for providing all in-service training for MoH. Other trainings of health workers will be conducted by other stakeholder and NHTC will coordinate such trainings. This would also apply in the case of training being provided to personnel of the DDA and department of Ayurveda.
An estimated 30,206 health service providers including admin+/non specific (10,562) employed by the MoH require training following assessment of their competency to perform new or additional responsibilities on an ongoing basis. With the proposed â€˜new roleâ€™ of NHTC, the future training needs of the two other departments (DDA and Ayurveda) will be(needs to) be addressed as well. In addition, the roles of health workers at all levels have changed with new program inputs for which they require additional training. These changes would further strain the capacity, capability and resources of the NHTC.
The demand for both number and type of training comes from Program Divisions/Centers of MoH and is dependent upon the resource available. The NHTC develops its implementation plan following the demand program divisions. Most of the training is planned and implementation guidelines are prepared at the centre provided to regions and districts.
The National Health Training Network includes a National Health Training Center, five regional training centers and one sub regional training center. For supporting the field phase of the training conducted by the RHTCs/District, 14 health posts have been developed as field training sites (Training Health Post). In addition training facilities have also been constructed in 30 districts for hosting district level training. Besides, there are training centers for specific programs such as National Tuberculosis Training Center at Thimi, Regional TB Training Center in Pokhara and Vector Borne Diseases Training Center in Hetauda.
Several NGO/INGOs facilities are also used to support NHTC in organizing specialized training. Clinical training sites for Family Planning and safe motherhood training have been developed in 23 places in central/regional/zonal/district hospitals including Chetrapati FP clinic, ADRA/Nepal in Banepa, FPAN pulchowk and SPN Satdobato/Lalitpur. Anandaban Leprosy Training Center, Patan Hospital, Maternity Hospital, Bir Hospital and Kanti Children Hospital, Mental Hospital also supports NHTC in organizing specialized training programs.
National Health Training Strategy 2008
This new National Health Training Strategy 2004 responds to the current national plans and strategies to provide, promote and expand safe and effective high quality health services as well as to the training requirements of the Department of Drug Administration and Department of Ayurveda. It also addresses the requirements of regional and district health teams to fulfill their functions.
This strategy also analyzed and addressed the potential opportunities, challenges and limitation in relation to training in the health sector. On the basis of this strategy a 5-year joint implementation plan will be developed with the participation of all stakeholders.
The goal of the National Health Training Strategy 2004 is toÂ expand accelerate and improve the quality of the national training programs in order to increase the covers and quality and broaden the scope of services provided at various levels of heath care delivery system.
The purpose of this document is to serve as a resource to guide planners, program managers, trainers and support partners preparing and implementing national health training plans which eventually will lead to improve performance of heath workers thereby contributing to achieving national health goals.
- The National Health Training Strategy (NHTS) is in line with the National health Policy, Second Long Term Human Resource Plan, Nepal Health Sector Strategy, Nepal Health Sector Program, Implementation Plan and National Health Training Policy (NHTP) directives and guidelines and will in turn guide in the preparation of training plans at national level and below.
The Strategy is guided by the following principles.
- Decentralization of planning for training:
- Acceleration of training by identifying additional training sites and trainers
- Expansion of the scope of services by upgrading the skills of selected categories of health workers.
- Strengthening linkages, collaboration and integration
- Training program management and implementation
- Responsiveness, flexibility and building on the existing human resource base
For more details, Please visit: nhtc.gov.np
Gagan Kumar Thapa
Honorable State Minister
Tara Man Gurung
Dr. Senendra Raj Upreti
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