Health Training Certificate Course Program for Community Leaders at CIHSR | MorungExpress

Rokotsino Meyase
Trainer CLHTC, CIHSR Dimapur, Nagaland

Introduction: India is a country of great diversity. Only 32% of our people live in cities where health facilities are available and accessible, while 68% of our people live in rural areas that have to depend on religious healers, traditional methods, pujaris, quack, etc. . We have lost mothers to pregnancy-related issues. and millions of deaths are due to preventable causes such as diarrhea, pneumonia, neonatal sepsis, nutritional deficiencies and perinatal causes. But the good news is that 80% of them do not need a doctor to treat them, but the prevention and treatment of most common ailments in the rural context can be done by any non-medical person well. formed.

NGO/FBO workers who live among the local poor and are committed to their well-being, if properly trained, could prove to be an agent of change, promoting good health and preventing disease creating a health awareness program wherever they are.

Thus the Community Leaders Health Training Certificate Course (CLHTC) was born in 2011 as a one-year distance learning course designed and run by the Distance Education Department of Christian Medical College, Vellore, to ensure the transmission of quality medical information. in a profitable way, to a large number of motivated people. The currency of the program is “BE A CHANGE AGENT”. They have 24 regional teaching centers all over India and the Christian Institute of Health Sciences and Research Center (CIHSR) is a regional teaching center in North East India.

Overall objective: The overall objective of the course is to train NGOs/CBOs/social workers, teachers, etc. serving in remote areas, in primary health care, emphasizing the ability of the community to take responsibility for its own health, through education and health care delivery supported thus transforming the healthcare scenario of our nation.

Eligibility:
• Minimum 12th standard or equivalent
• Commitment to serve people in remote areas of our country
• Must be based in remote areas of the country where medical facilities are poor.

Curriculum:
• Six easy-to-read problem-based and well-illustrated Self-Learning Module (SLM) booklets
• Candidates are required to do homework for each booklet.
• Along with related subjects, a number of clinical skills such as checking blood pressure, temperature, assessing dehydration, preparing ORS, etc. are taught.
• Each intern completes a health-related project during the year.
• Video clips and animations are used to facilitate learning.
• Health promotion activities such as health education with audio-visual aids, health songs, skits, role plays, etc.; are taught.
• Course structure
• Course duration is 1 year
• Three contact programs of 20 days each with a minimum interval of 3 months between contact program
• Course offered in Hindi, English and Tamil in different centers, at CIHSR we give it in English.

Course fees:
• The course fee is Rs.8000/- for the whole course including food and accommodation, study materials etc. which is funded by the distance education department of CMC Vellore. Fees can be paid in 2 equal installments.
Awarding of certificates:
• Applicants must meet the following criteria:
• 100% attendance in contact classes is mandatory.
• Obtain the pass mark in the internal and final examinations carried out at the Regional Center during the contact programs.
• Satisfactory completion of assignments and project work.



CLHTC experiments at CIHSR Nagaland:
It is with pleasure that I share the experiences of the CLHTC program in Nagaland. The CLHTC program was launched in September 2012 at the Christian Institute of Health Sciences and Research Centre, Dimapur, Nagaland. The trainees were drawn from various organizations in North East India such as NGOs, Indian Evangelical Mission (IEM), Indian Evangelical Team (IET), ECS Tuensang, School Teachers, School Teachers Sunday school, local pastors, caretakers, Assam Baptist Convention, Youth With A Mission (YWAM), Nagaland Christian Revival Council, Angami Baptist Church Council, etc. There is joy in training people in this program because even with the little we bring with the big picture in mind, the end result is satisfying as it multiplies – we can make a big difference with the little we do.

The impact in the community after the training:
1. Trainees are able to lead a health education program in their own community.

The trainees provide health education to community members with everything they have learned from the training program. They give health education based on the needs of their community like personal hygiene, healthy lifestyle, etc. They use puppets and available vegetables and fruits to educate members of their community. We have seen and experienced them transforming the community at their own level, helping them to develop their own toilets with locally available resource materials at no cost where there were no toilets before, specially on the Burmese border from Nagaland. They have also helped to obtain quality drinking water in their villages with the support of supporters of the company.

2. They are able to manage simple illnesses and provide first aid.

As people get sick in their community, they are able to provide first aid for minor cuts, bleeding, etc. They are able to assess the level of dehydration of those with loose stools and prepare ORS for them. Most of the time they see patients with skin problems and they consult us if they are not able to diagnose it themselves by sending a picture of the skin problem(s) and we always get help from our dermatologist at the CIHSR to treat these patients.

3. They are able to conduct a medical screening program, identify the problem(s) and refer to the hospital before it is too late.

The interns checked the children’s blood pressure, blood sugar, dental problems, etc. in their community. As they perform this type of screening, they are able to identify problems early and provide health education in a very simple way, identify the severity of the problem(s) and refer them in time.

4. They are able to provide holistic care to the community.

According to the WHO, “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.

To be healthy, a person must live in harmony with 4 areas
1. God (spiritual well-being)
2. Self (emotional and intellectual or mental well-being)
3. Others (social welfare)
4. Nature (physical well-being)

As trained primary health care providers, they are able to provide holistic care to the community wherever they are. As an agent of change, they are able to help many people in the community in every way.

We thank God for giving us this opportunity to train people in the basic primary health care program which has helped many people in the remote areas of Nagaland and also in the north eastern region of our great country.

Matthew 24:35,36- For I was hungry and you gave me food, I was thirsty and you gave me drink, I was a stranger and you called me in, I needed clothes and you dressed me, I was sick and you took care of me, I was in prison and you came to visit me.

“A little is a lot when placed in the hands of God”

Milton S. Rodgers