Introduction

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Objectives

The broad Objectives of the programme are to:

• To improve the knowledge and skills in maternal and child health (MCH) for medical officers with special emphasis; and
• To upgrade clinical competence of medical personnel for providing quality MCH Care.

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Admission Fee

Rs. 14,000/- .

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Duration

One year (Maximum registration period is three years).

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Eligibility

MBBS. A student should have completed compulsory internship before January 1 st of the respective academic session.

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Number of Seats

30 per Programme Study Centre.

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Implementation

Audio-Video

7 Videos and 1 audio are available with EMPC. However, it is aimed at providing about 20 video and 5 audio by the end of 2003. It is also planned to develop multimedia package on the practical components of the programme.

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Evaluation

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Readmission

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List of PSC

Dr. T.K. Jena 
Programme Co ordinator

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Maidan Garhi, New Delhi-110068

Bio-data Format for Counsellors of PGDMCH Programme

Regional Centre : ____________________________________________

Programme Study Centre : ____________________________________________

A) General Information

•  Name (in Block Letters) : ____________________________________________

•  Date of Birth : ____________________________________________

•  Present Designation : ____________________________________________

•  Official Address : ____________________________________________

_________________________________________

_____________________________ Pin No. _______

B) Details for Correspondence

Contact Address : ____________________________________________

_________________________________________

______________________________ Pin No. ______

Phone No.(R) ______________________ (Off.) ____________________________

Fax No.: _______________________ E-mail: __________________________

C) Academic Qualification

D) Professional Experience

•  Total Number of years of teaching Experience after MD/MS: _________________ Years

•  Details of working Experience after MS/MD Degree :

I hereby declare that the information given above is correct. I accept to undertake the tasks of academic counselling and evaluation of assignment scripts.

Place : Signature of Counsellor

Date :

Recommended for Appointment as a part time Academic Counsellor.

Signature with Stamp

Place : ( Programme In-Charge of PSC )

Date :

For use at the Regional Centre

Recommended for appointment as a part time Academic Counsellor for the Course :

…………………………………………………………………………………………………..

Signature with Stamp

Place : ( Regional Director )

Date :

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Maidan Garhi, New Delhi-110068

Bio-data Format for SDC Counsellors

Name of the Programme : ____________________________________________

Name of the Institution : ____________________________________________

A) General Information

•  Name and Contact Details of the Head of the Institution :

Name : __________________________________________________

Address (Office) : __________________________________________________

_____________________________ Pin No. _______

Fax : __________ Phone: ___________ Email: __________

•  Name and Contact Details of Counsellor :

Name (Block Letters) : __________________________________________________

Date of Birth : __________________________________________________

Department : __________________________________________________

Present Designation : __________________________________________________

Contact Address : __________________________________________________

_________________________________________

______________________________ Pin No. ______

Phone No.(R) ______________________ (Off.) ____________________________

Mobile No. _______________________ E-mail: __________________________

C) Academic Qualification

D) Professional Experience

•  Total Number of years of teaching Experience after MD/MS: _________________ Years

•  Details of working Experience after MS/MD Degree :

I hereby declare that the information given above is correct. I accept to undertake the tasks of academic counselling and evaluation of assignment scripts.

Place : Signature of Counsellor

Date :

Recommended for Appointment as a part time Academic Counsellor.

Signature with Stamp

Place : ( P. I. C. /Regional Consultant )

Date :

Recommended for appointment as a part time Academic Counsellor for the Course :

…………………………………………………………………………………………………..

Signature with Stamp

Place : ( Regional Director )

Date :

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Course-wise List of Blocks

Course MME-101: Preventive MCH

Block-1 : Basics of Prevention

Block-2 : Maternal and Child Health Services

Block-3 : Epidemiology in Maternal and Child Health

Block-4 : Communication for Behavioral Change

Block-5 : Policies and Issues in Maternal and Child Health

Block-6 : Basics of Planning and Management

Course MMEL-101: Preventive MCH Practical

Block-1 : Practical Manual

Block-2 : Project Guide

Block-3 : Log-book

Course MME-102: Reproductive Health

Block-1 : Care During Pregnancy

Block-2 : Abnormal Pregnancy

Block-3 : Normal Labour and Peurperium

Block-4 : Abnormal Labour and Peurperium

Block-5 : Gynaecological Disorders

Block-6 : Family Planning

Course MME-102: Reproductive Health Practical

Block-1 : Practical Manual

Block-2 : Check List Manual

Block-3 : Log-book

Course 103: Child Health

Block-1: Primary Paediatric Care

Block-2: Care of Newborn and Young Infant

Block-3: Hospital Management of a Sick Child

Block-4: Nutrition

Block-5: Immunization, Growth and Development

Block-6: Childhood Morbidity

Course MMEL-103: Child Health Practical

Block-1 : Practical Manual

Block-2 : IMCI Chart Book

Block-3 : Log-book

•  Block-wise Details of Each Course

MME-101: Preventive MCH

Block-1: Basics of Prevention

Unit 1 : Rationale and Goals of MCH Care

Unit 2 : Levels of Prevention in MCH Care

Unit 3 : Environmental Determinants in MCH Care

Unit 4 : Health Needs of Mother and Child

Unit 5 : Adolescent Health

Block-2: Maternal and Child Health Services

Unit 6 : Status of Maternal and Child Health Services in India

Unit 7 : Organisational Set Up for MCH Care

Unit 8 : MCH Related Schemes and Programmes

Unit 9 : Reproductive and Child Health Programme

Block-3: Epidemiology in Maternal and Child Health

Unit 10 : Basics of Epidemiology

Unit 11 : Applied Statistics in MCH

Unit 12 : Indicators of RCH

Unit 13 : Vaccine Preventable Diseases

Unit 14 : Investigation of an Outbreak

Block-4: Communication for Behavioural Change

Unit 15 : Communication Process

Unit 16 : Counselling in RCH Programme

Unit 17 : Community Participation

Block-5: Policies and Issues in Maternal and Child Health

Unit 18 : National Policies Related to Health

Unit 19 : Women Empowerment and Rights of Child

Unit 20 : Legislations Relevant to MCH and Social Security

Block-6: Basics of Planning and Management

Unit 21 : Concepts and Principles of Management

Unit 22 : Human Resource Management

Unit 23 : Materials Management

Unit 24 : Finance and Time Management

Unit 25 : Evaluation in MCH and Family Welfare

Unit 26 : Management Information System

Course MMEL-101: Preventive MCH Practical

Block 1: Practical Manual

Unit 1 : Immunization

Unit 2 : Health Education

Unit 3 : Epidemiological and Statistical Exercises

Unit 4 : Clinical Case Study in Preventive MCH

Unit 5 : Field Visits

Block 2: Project Guide

Block 3: Log-book

Course MME-102: Reproductive Health

Block-1 Care During Pregnancy

Unit 1 : Diagnosis of Pregnancy and Antenatal Care

Unit 2 : Maternal Nutrition in Pregnancy and Lactation

Unit 3 : Aneamia in Pregnancy

Unit 4 : Medical Disorders Complicating Pregnancy

Unit 5 : Medical Termination of Pregnancy

Block-2: Abnormal Pregnancy

Unit 6 : Complications in Early Pregnancy

Unit 7 : Complications in Late Pregnancy-I: Pregnancy Induced Hypertension and Antepartum Haemorrhage

Unit 8 : Complications in Late Pregnancy-II: PROM, Preterm Labour, Postmaturity, IUGR and Hydramnious

Unit 9 : Complications in Late Pregnancy-III: Rh Incompatibility, Intra Uterine Infection and Pain during Pregnancy

Block-3: Normal Labour and Peurperium

Unit 10 : Normal Labour-I : Anatomy and Physiology

Unit 11 : Normal Labour-II : Management

Unit 12 : Normal Puerperium and Postnatal Care

Block-4: Abnormal Labour and Peurperium

Unit 13 : Occipito-posterior Position: Brow, Face and Cord Presentations

Unit 14 : Breech Presentation, Transverse Lie and Twins

Unit 15 : Prolonged Labour, Obstructed Labour and Rupture Uterus

Unit 16 : Third Stage Complications

Unit 17 : Abnormal Puerperium

Unit 18 : Emergency and Referral

Block-5: Gynaecological Disorders

Unit 19 : Common Gynaecological Problems

Unit 20 : Adolescent Gynaecological Problems

Unit 21 : Infertility

Unit 22 : Reproductive Tract Infections/Sexually Transmitted Infections including HIV/AIDS

Unit 23 : Menopause

Block-6: Family Planning

Unit 24 : Counselling

Unit 25 : Conventional Contraceptive Methods

Unit 26 : Hormonal Contraception

Unit 27 : Intra Uterine Contraceptive Devices

Unit 28 : Surgical Methods

Course MMEL-102: Reproductive Health Practical

Block 1: Practical Manual

Unit 1 : Communication with the Patient and History Taking

Unit 2 : Examination of the Woman

Unit 3 : Normal Labour

Unit 4 : Abnormal Delivery

Unit 5 : Method Specific Counselling for Contraception

Unit 6 : Contraceptive Procedures: IUCD, Vasectomy and Tubectomy

Unit 7 : Evacuation of Uterus During Early Pregnancy

Unit 8 : Laboratory Procedures

Unit 9 : Commonly Used Instruments

Block 2: Check List Manual

Block 3: Log-book

Course MME-103: Child Health

Block-1 Primary Paediatric Care

Unit 1 : Introduction to IMCI

Unit 2 : Assess and Classify Illness-I

Unit 3 : Assess and Classify Illness-II

Unit 4 : Identify Treatment Plan

Unit 5 : Treat the Child

Unit 6 : Follow Up Care

Block-2: Care of Newborn and Young Infant

Unit 7 : Essential Newborn Care

Unit 8 : Management of Low Birth Weight Babies

Unit 9 : Assess and Classify Illness

Unit 10 : Treat and Counsel

Block-3: Hospital Management of a Sick Child

Unit 11 : Triage and Emergency Treatment

Unit 12 : Child with General Danger Signs

Unit 13 : Child with Cough/Difficult Breathing

Unit 14 : Child with Diarrhoea

Unit 15 : Child Referred with Febrile Illness

Unit 16 : Monitoring and Supportive Care

Block-4: Nutrition

Unit 17 : Breastfeeding

Unit 18 : Feeding and Caring for Children

Unit 19 : Management of Child with Severe Malnutrition

Unit 20 : Common Deficiency Disorders

Block-5: Immunization, Growth and Development

Unit 21 : Immunization and AFP Surveillance

Unit 22 : Growth and its Disorders

Unit 23 : Development and its Disorders

Unit 24 : Home Environment and the Child

Unit 25 : Adolescence and School Health

Block-6: Childhood Morbidity

Unit 26 : Common Paediatric Problems

Unit 27 : Cardiovascular, Haematological and Renal Disorders

Unit 28 : Gastrointestinal, Parasitic and Neurological Disorders

Unit 29 : Tuberculosis, HIV/AIDS and Infection Control

Unit 30 : Common Paediatric Emergencies

Course MMEL-103: Child Health Practical

Block-1: Practical Manual

Unit 1 : Management of Sick Child

Unit 2 : Care at Birth and Resuscitation

Unit 3 : Management of Newborn and Young Infant

Unit 4 : Feeding Techniques

Unit 5 : Nutrition Management and Counselling

Unit 6 : Childhood Morbidities

Unit 7 : Laboratory Procedures

Unit 8 : Growth and Development

Block 2: IMCI Chart Book

Block 3: Log-book

The programme design mentions about 18 credit hours i.e. a total of 540 hours of practical activities. These would be completed at three different types of set up, namely, Programme Study Centre (PSC), Skill Development Centre (SDC) and Work Place (WP). Approximately equal time will be devoted at PSC, SDC and the work place.

Time Distribution of Practical Component in Hours as Per Place of Activity

Time Distribution of Each Spell

Each spell will be of seven days duration. Out of the seven days:

•  Six days practical activity having rotational posting of two days in each of the three departments.

•  One day for theory counselling. Please note that the first day of the first spell will be year marked for theory counselling in paediatrics department where IMCI briefing will be done.

Wherever the teleconference is integrated with the spell, the duration of spell would be eight days.

Spell-wise Time Distribution of Practical Activity at Programme Study Centre

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I. Schedule for Theory Counselling

All the 30 students will have theory counselling in a group. For each session of two and half hours in each group of courses one/two counsellors will participate depending upon the arrangement made by the respective PSC. A sample schedule for theory counselling is mentioned below. Please note that the theory counselling time in the first spell will be used for introductory session on IMCI by the paediatric department. These sessions will be taken on the first day of the first spell.

Planning of Theory sessions  

Students could clear their subject specific doubts with both the PSC and SDC counsellors during their respective posting for practical training. Feedback on assignments can also be discussed in these sessions.

II. Posting Schedule for MMEL-101

* Though in each spell, only five students will be attached with one counsellor, all the 10 students posted to the departments (unde r b oth the counsellors) will be clubbed together for the purpose of field visits.

There should be minimum two slots for family presentation so that every student gets adequate time for family presentation. Similarly, there should be 2-3 slots for project report presentation in the last spell so that every student gets adequate time for it. Signature of the logbooks should be done after respective activity in the same spell.

III. Posting Schedule for MMEL-102

A ma ximum of 5 students are allowed to be in a group attached to one counsellor. So, the 10 students posted to O&G department will be divided into two sub-groups (Sub-group A and Sub-group B) of 5 each. The posting sch e dule of 5 students is mentioned below. On the first day of 1st Spell, Sub-group A will be posted for Day-1 activity and Sub-group B will be posted for Day-2 activities. On the second day of 1st Spell, the posting will be rotated i.e. Sub-group B will be posted for Day-1 activity and Sub-group A will be posted for Day-2 activities. Similar rotation will be followed in all the spells.

Though five students are grouped together in the sample posting shown above, PSCs could further divide the group of 5 students and make appropriate posting schedule (OPD/Post Partum Centre/Labour Room/Ward/OT) so that each student actually gets a scope to handle patients independently. The counsellors also could take the students in their ward round if it is feasible for them. Interested students could request the counsellors to put them in emergency/Labour room duties even after 1700 hours.

Case discussion should include the following cases:

•  Case of PIH (Eclampsia)

•  Case of Unsafe Abortion

•  Case of APH

•  Case of PPH

•  Case of Severe Anaemia

•  Case of Acute Abdomen

•  Case of Prolonged/Obstructed Labour

•  Case of Normal Puerperium

•  Case of Puerperial Sepsis

•  Case of Adolescent Pregnancy

IV. Posting Schedule for MMEL-103  

A ma ximum of 5 students are allowed to be in a group attached to one counsellor. So, the 10 students posted to Paediatric department will be divided into two sub-groups (Sub-group A1 and Sub-group A2) of 5 each. The posting sch e dule of 5 students is mentioned below. The principle is to keep the first 3 spells independent of each other (i.e one spell each is devoted to IMCI-older Child (2 months-5 years), IMCI-Young Infant and the non-IMCI component) and the last spell to be for rest of non-IMCI component and internal assessment. Unlike non-IMCI component, both the subgroups (A1 and A2) will undergo similar posting during the spells covering IMCI training. But ensure that only 5 students are attached to one counsellor so that IMCI method of teaching i.e. case demonstration followed by case work up and bedside discussion is possible for all the syndromic groups.

# 1 case to be demonstrated and 1 case to be worked up by students for each syndrome.

*Practice on white note sheets on the basis of the cases seen on previous day.

$ See one case from each of the 4 category for older Child (Respiratory Problem/Diarrhoea/Fever/Malnutrition) and 3 category for young Infant (Possible Illness/Darrhoea/Feeding Problem and Malnutrition)

Though five students are grouped together in the sample posting shown above, PSCs could further divide the group of 5 students and make appropriate posting schedule (OPD/Ward/Neonatology/Labour Room) so that each student actually gets a scope to handle patients independently. The counsellors also could take the students in their ward round if it is feasible for them. Interested students could request the counsellors to put them in emergency/labour room duties even after 17:00 hours.

Case discussion should include the following cases:

•  Acute Flaccid Paralysis (AFP)

•  Tubercular Meningitis

•  Congenital Heart Disease

•  Rheumatic Heart Disease

•  Hepatospleenomegaly

•  Lymphadenopathy

•  Protein Energy Malnutrition (PEM)

•  Chronic Respiratory Diseases

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Monitoring Proforma for PSC Counsellors (MMEL - 101)

Name of PSC :_______________________________________________________

Name of Student: ________________________________________

Enrollment No: _________________________________________

* Put a tick mark in respective column for the skills completed in respective spells.

Monitoring Proforma for PSC Counsellors (MMEL - 102)

Name of PSC :_______________________________________________________

Name of Student: ________________________________________

Enrollment No: _________________________________________

* Put a tick mark in respective column for the skills completed in respective spells.

Monitoring Proforma for PSC Counsellors (MMEL - 103)

Name of PSC :_______________________________________________________

Name of Student: ________________________________________

Enrollment No: _________________________________________

* Put a tick mark in respective column for the skills completed in respective spells.

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Monitoring Proforma for SDC Counsellors (MMEL - 102)

Name of PSC :_______________________________________________________

Name of Student: ________________________________________

Enrollment No: _________________________________________

* All the three skills to be performed in each patient

# Put a tick mark in respective column for each time a skill is performed at SDC.