TOR 2
2015-16
Hepatitis Induction Program (HIP), which includes contact programs at ILBS, was drafted and got approval from our academic and governing council bodies.
• Training manuals, modules and SOPS for clinical diagnosis and management of viral hepatitis, cirrhosis and HCC are developed by WHO CC members and internally evaluated by an internal committee of experts. Health Associate course module has been edited and finalized with the help of our nursing faculty.
• Under Hepatitis Update Program (HUP), an e-learning program was initiated this year through ILBS–ECHO Project for physicians at Medical Colleges, which do not have a gastroenterology department, to train them on viral hepatitis and liver diseases. A curriculum spread over 37 teaching sessions was developed and 12 faculties at ILBS were involved to deliver lectures and for live case presentation.
• 37 medical colleges from all over India entered into a MOU with ILBS to accept this initiative. 360 physicians were enrolled in last 9 months into this program.
• About 25 primary care physicians from private and public sectors are also enrolled through e-learning program
• HIP: Activity under Hepatitis Induction Program
• A one day contact program was organized on 4th Dec 2016 for a batch of about 100 physicians from different medical colleges
2016-17
A project was sanctioned and initiated with Cipla Foundation Trust to train 1000 physicians and 1000 nurses in the country.
HIP induction program was initiated for the nurses in Delhi state, 2 activities were undertaken and 111 nurses were trained.
• Under Hepatitis Update Program (HUP), the ILBS-ECHO project extended to build up a Tele Academy at the institute for training of health care professionals from different Medical Colleges.
• As a part of ILBS –ECHO program last year, we enrolled 480 registered participants that are primary care physicians from various private and public sectors across the country.
• Total Number of Medical Colleges enrolled in this activity last year were : 57
• Total Number of sessions conducted last year were : 94
2017-18
Undertaken Activities by Three Levels:
• Medical Colleges across India
• Primary care physicians
• Health care workers (Nurses and paramedics)
Project Prakash (PRogrammed Approach to Knowledge and Sensitization on Hepatitis):
• Initiated to train 1000 physicians and 1000 nurses in the country.
• Received support from Delhi Government Directorate of Health Services for nominations.
• Training included HIP (Hepatitis Induction Programme) & HUP (Hepatitis Update Programme).
• Trained more than 800 nurses from 63 healthcare facilities in 5 Indian states.
• Over 200 physicians attended the program from 30 facilities in 3 Indian states.
• Plan to accelerate training in the upcoming year.
Training Modules and Support:
• All training modules for HIP and HUP activities available with WHO CC.
• Modules will be used for capacity building in other Indian states and the region.
• WHO CC ILBS aided in developing operational guidelines for Viral hepatitis management in India.
• Assisted in formulation of Guidelines for management of hepatitis C in India.
• Provided technical support for reviewing Nepal’s National Viral Hepatitis guidelines.
Progress Report and Data Collation:
• WHOCC at ILBS supported WHO SEARO in compiling progress in hepatitis action plans in 2018.
• Created a model data extraction proforma for SEARO member states.
• Gathered information on viral hepatitis prevalence, National Action Plans, and elimination strategies.
• Obtained data on birth dose Hep B vaccine, safe injection practices, safe blood use, and testing/treatment.
• Finalized report under review and publication by SEARO.
2019-20
Project ECHO Training:
• Successfully conducted over the past 4 years in medical and nursing colleges across 21 states.
• Trained 5,086 healthcare workers (HCWs) in the last year.
• Trained 3486 nurses on Viral Hepatitis & complications, 500 doctors on Viral Hepatitis & liver diseases, and 1100 nurses on COVID-19 & its Management*.
• Initiated a COVID-19 training due to the pandemic’s sudden outbreak.
Project PRAKASH Training:
• Trained 2,342 HCWs under Project PRAKASH in the last year.
• 1572 nurses trained on Approach to Viral Hepatitis & its Management.
• 51 doctors trained on Viral Hepatitis Testing.
• 599 dentists trained on Viral Hepatitis in Dentistry.
• 120 nurses trained on Viral Hepatitis & Its Complications.
Training Modules and Council Accreditations:
• WHO CC provides training modules for HIP and HUP activities for physicians, nurses, and laboratory personnel.
• Registered training sessions in professional councils.
• Accredited CNE credit hours for nurses, CDE points for dentists, CME points for Viral Hepatitis in Pregnancy.
• Distributed scientific modules developed as per WHO guidelines for reference in patient management.
Viral Hepatitis Diagnostic Laboratory Support Program:
• Initiated a one-day Laboratory Technician Training Program in 2016.
• Obtained extramural support from Govt of India under the Department of Health Research Initiative.
• Delayed a 5-day hands-on course due to COVID-19.
• Conducted routine sessions under PRAKASH and ECHO programs on Viral Hepatitis Laboratory diagnosis.
• Trained 150 participants in four sessions.
• Conducted 3 total sessions in the last year, training 63 Laboratory technicians and 51 Microbiology Doctors.
Project Empathy:
• Organized “Empathy Conclave 2020” in association with AAI at The Parliament of India on July 28, 2020.
• Conclave theme: “Keep your Liver Safe in COVID Times.”
• Conducted as an e-Conclave with participants joining through video conferencing from across the country.
2020-21
Training under Project ECHO:
• Due to the ongoing COVID-19 pandemic, online teaching activities were conducted.
• In the past year, 335 physicians were trained.
• More than 140 institutions were engaged, and over 35 online sessions were conducted across 20 states.
• Covered states: Andhra Pradesh, Assam, Bihar, Chandigarh, Chhattisgarh, Delhi, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Odisha, Punjab, Rajasthan, Telangana, Uttar Pradesh, Uttarakhand.
Training under Project PRAKASH:
• Activities were conducted across 3 levels: Medical Colleges, Primary Care Physicians, Health Care Workers.
• In the last year, 1189 nurses were trained in the program “Viral Hepatitis & Covid-19 For Nurses”.
• More than 200 institutions were approached, and over 40 online sessions took place, each lasting 2 days.
• Covered states: Andhra Pradesh, Assam, Bihar, Chandigarh, Delhi, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Odisha, Puducherry, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh, Uttarakhand, West Bengal.
• For lab technicians, 33 were trained in the program “Viral Hepatitis & Covid-19 For Laboratory Professionals”.
• 22 institutions were involved, with more than 10 online sessions held, each lasting 2 days.
• Covered states: Andhra Pradesh, Assam, Bihar, Chandigarh, Delhi, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Karnataka, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh, Uttarakhand, West Bengal.
2021-22
Training under Project PRAKASH:
• In the current year, 4956 participants were trained.
• Most participants were in-practice nurses (4366), followed by nursing faculties (167), doctors (209), and lab technicians (214).
• Pre- and post-training analyses were conducted to evaluate training quality and knowledge impact.
• HIP training resulted in an improvement from a pre-test score of 43% to a post-training score of 73% for nurses.
• For doctors, the pre-test score was 57%, which increased to 67% post-training.
• HUP training led to significant improvements in nurses’ performance, with only one participant remaining below average afterward.
Viral Hepatitis Diagnostic Laboratory Support Program:
• The Department of Virology conducted four training programs:
• Online training on Viral Hepatitis and COVID-19 on 07.10.2021 – 08.10.2021
• Online training on Viral Hepatitis and COVID-19 on 11.02.2022 – 12.02.2022
• Physical training on Laboratory Diagnosis of Viral Hepatitis on 30.06.2022
• Physical training on Laboratory Diagnostic of Viral Hepatitis on 20.08.2022
• A total of 135 participants were trained from 16 states & UTs.
• 74 institutes enrolled in these sessions.
• Prior to training, only 17 participants demonstrated excellent performance in clinical confidence and knowledge in managing laboratory diagnosis of viral hepatitis.
• After the training, no participants fell into the below-average category, and many showed improvements, with average, good, and excellent categories contributing significantly.
HEPiSCHOOLs Initiative:
• Began in October 2019.
• 540 teachers from senior secondary schools in Govt. of NCT of Delhi participated in training.
• 300 schools conducted awareness activities such as health talks, posters, skits, quizzes.
• Reached approximately 1,40,000 students and 10,000 teachers.
HEPiSCHOOLs 2.0:
• Conceptualized to intensify school engagement on liver health.
• Expanded to focus on prevention and control of liver diseases including Viral Hepatitis and Fatty Liver.
• Press and news media coverage.
• Health Minister announced various actions to tackle hepatitis burden, including mandatory screening and treatment for Hepatitis positive pregnant women, free hepatitis drugs, training of Mohalla clinic personnel, and more.
• Proposed legislation against discrimination of Hepatitis B and C in Delhi.
• Intention to integrate hepatitis screening into Delhi’s population health card.
National Webinars on Hepatitis Prevention & Control:
• Fourteen national webinars held between January and March 2022.
• Aimed at raising awareness among students, faculty, and staff in academic institutions.
• Participants attended individually or as groups from their institutions.
• Question-and-answer sessions held at the end of each webinar.
• Pledge oath administered.
• Background material and scientific documents shared with participants.