January 2019: One day tool finalization work shop was held at UNFPA New Delhi. Following is the final list of tools.
Tool 1 & 2 : Intern Interview Schedule
Tool 3 : Service provider Interview
Tool 4 : Observation of family planning counselling
Tool 5: PNC Exit Interviews
Tool 6: Observation of labour room and deliveries
Tool 7: Faculty Interviews
December 2018: Ethical approval from PGIMER was obtained during the reporting period to conduct this study in the Government Medical College and Hospital, at sector 32 Chandigarh.Two consultative half day meetings were held in end 2018 to develop tools for the study. A total of 10 tools have been prepared that include:
1.Interview Schedule for Interns
2.Objective Structured Questionnaire for Interns
3.Checklist for Observation and Record review of Family Planning Clinic
4.Interview schedule of service provider related to practice of FP and RH services
5.Checklist for observation of delivery and labour room
6.Exit interview of Women in post-natal ward
7.Interview Schedule for Faculty
8.In-depth interview Guide for Administrator
9.Interview Schedule for Post Abortion Women coming out from post abortion clinic
10.Interview schedule for post family planning counselling women/ couple in health facility
Observations:
- 154 deliveries (15 in each medical college) will be observed
- Labour room assessment in 11 Medical Colleges
- Facility based assessment regarding family planning services of Departments Obstetrics and Gynaecology and Community Medicine using a structured observation checklist in 11 MC
A total of 22 workshops will be conducted across the states, which include 3 day Capacity Building Workshop, 2 workshops in each Medical College.
Continuous Medical Education (CME): 3 State level CMEs
Monitoring Visits: A total of 55 monitoring visits in three states.
23rd October 2018 : A meeting was held with Director Principal of Government Medical College Chandigarh where the need of evidence based medical education to strengthen the present medical education for family planning services was discussed.
2nd November 2018 : Meeting with Additional Director Medical Education, Gujarat was conducted. Additional Director has permitted to conduct study in the State of Gujarat, with an assurance of full support
9th November 2018 : Study proposal for Institutes Ethics Committee (IEC) of GMCH-32 Chandigarh for the project approval was submitted, as discussed in the meeting held on 23rd October with the Director of GMCH-32
A 2 days Expert Group Meeting on strengthening evidence-based sexual and reproductive health in pre-service medical Education in India has been proposed. Experts from Ministry of Health and Family Welfare of India, Senior level personnel
Traditionally, most efforts to strengthen the health care practices in the public health system in India have focused on in-service training. However, medical colleges are role models for large numbers of medical and nursing students, their practices determine the actual practices in primary care system. At the same time, the practices at medical colleges are not always evidence based and are often outdated. Med Ed aims to improve the quality of teaching provided to medical students so that it builds greater skills for family planning and respectful maternity care and sensitivity towards reproductive rights in Maharashtra and Rajasthan.