Health Training Certificate Course Program for Lay Community Leaders at CIHSR | Morung Express


Rokotsino Meyase
CLHTC Trainer, CIHSR Dimapur, Nagaland

Introduction: India is a country of great diversity. Only 32% of our inhabitants live in cities where health facilities are available and accessible while 68% of our inhabitants live in rural areas which must depend on healers, traditional methods, pujaris, charlatans, etc. We have lost mothers because of 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 don’t need a doctor to treat them, but the prevention and treatment of most common ailments in rural settings can be done by any non-medical person and well formed.

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

Thus was born the Community Lay-Leaders Health Training Certificate Course (CLHTC) in 2011 as a one-year distance learning course designed and managed by the distance learning department of Christian Medical College, Vellore, to ensure the transmission of quality medical information. in a cost effective manner, to a large number of motivated people. The motto of the program is “BE AN AGENT OF CHANGE”. They have 24 regional education centers across India and the Christian Institute for Health Sciences and Research Center (CIHSR) is a regional education center in North East India.

Overall objective: The overall objective of the course is to train NGOs / FBO / social workers, school teachers, etc. serving in remote areas, in primary health care, with an emphasis on empowering the community to take responsibility for their own health, through education and health care delivery supported health thus transforming the health scenario of our nation.

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

Study programme :
• Six easy-to-read, problem-based, well-illustrated Self-Study Module (SLM) booklets
• Candidates are required to complete an assignment for each booklet.
• Along with related topics, a number of clinical skills such as checking blood pressure, temperature, assessing dehydration, preparing for ORS, etc. are taught.
• Each intern carries out a health-related project during the year.
• Video clips and animations are used to facilitate learning.
• Health promotion activities such as health education with audiovisual aids, health songs, sketches, role plays, etc. are taught.
• Course structure
• The duration of the course is 1 year
• Three contact programs of 20 days each with a minimum gap of 3 months between the contact program
• Course offered in Hindi, English and Tamil in different centers, at CIHSR, we conduct it in English.

Course fees:
• The course fee is Rs.8000 / – for the entire course including food and accommodation, study material etc. which is funded by the distance learning department of CMC Vellore. Fees can be paid in 2 equal installments.
Delivery of certificates:
• Applicants must meet the following criteria:
• 100% attendance at contact courses is compulsory.
• Obtain a passing grade in the internal and final exams conducted 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 Center, Dimapur, Nagaland. So far we have had the opportunity to train 75 interns and most of them work in remote areas where there are no medical facilities available. The interns came 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, local pastors, custodians, the Assam Baptist convention, youth on 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 conduct a health education program in their own community.

Trainees provide health education to community members with everything they have learned from the training program. They provide health education based on the needs of their community, such as personal hygiene, healthy lifestyle, etc. They use puppets and available vegetables and fruits to educate members of their community. We have seen and experienced that they transform the community on their own level, helping them to develop their own toilets with locally available materials at no cost where there were no toilets before, especially on the Burmese border of Nagaland. . They also helped to get 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, bleeds, etc. They are able to assess the level of dehydration in those with loose stools and prepare ORS for them. Most of the time they see patients with skin problems and they come to us if they are not able to diagnose it themselves by sending a photo of the skin problem (s) and we always get help from our dermatologist at CIHSR to treat these patients.

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

The trainees checked for blood pressure, blood sugar, dental problems in children, etc. in their community. By doing this type of screening, they are able to identify problems early and provide health education in a very simple way, identify the seriousness 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 just the absence of disease or infirmity. “

To be healthy, a person needs to 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 a trained primary health care provider, they are able to provide holistic care to the community wherever they are located. As an agent of change ”they are able to help many people in the community in any 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 northeast region of our great country.

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

“Little is much when placed in the hands of God”


Milton S. Rodgers