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MCTS TRAINING
NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 1
NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE
MOTHER AND CHILD TRACKING SYSTEM
Training Report- (Assam)
Guwahati
12th
March 2014
MCTS TRAINING
NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 2
TABLE OF CONTENTS
S. No. Topic Page No.
1 Demographic Profile of State 3-4
2 Introduction , General Objective, specific objective 4
3 Training location , Course Contents 5
4 Data Gap Analysis for the State 5-6
5 Training Details- Participants , Trainer's profile 6
6 Training Approach And Methodology 6
7 Training Activities 7-8
8 Key learning 8-9
9 Recommendations 9
10 Annexures 10-16
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NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 3
DEMOGRAPHIC PROFILE OF STATE
Assam is a state of India in the north-eastern region. Its capital is Dispur, located within the municipal
area of Guwahati city. Assam is divided into 27 districts. Located south of the eastern Himalayas, Assam
comprises the Brahmaputra and the Barak river valleys along with the Karbi Anglong and the North
Cachar Hills. Assam is surrounded by six of the other Seven Sister States: Arunachal Pradesh,
Nagaland, Manipur, Mizoram, Tripura and Meghalaya. Geographically Assam and these states are
connected to the rest of India via a narrow strip of land in West Bengal called the Siliguri Corridor or
"Chicken's Neck".
Assam shares international borders with Bhutan and Bangladesh
Population 2011
As per the 2001 census, total population of Assam was 3, 12, 05,576 inhabitants. Males constitute 15.9
million and females, 15.2 million.
It is the second most populous state after Uttar Pradesh and third largest state by area in India.
Population Growth Rate
The State has the highest population density among NE states, of 339 persons per sq. km. As against
decadal growth rate of 21.54% at the national level, the population of the State has grown by 18.92%
over the period 1991-2001.
Literacy Rate 2011
Female literacy of the State rose to 56.03% from 43.03% in 1991. There are so many major tribes and
a number of sub-tribes inhabiting the area.
Sex Ratio
Sex Ratio in Assam is 954 i.e. for each 1000 male, which is above national average of 940 as per
census 2011.
IMR/MMR and TFR
As per the details from SRS 2013, Assam has the Birth rate- 22.5, Death rate 7.9 and the Infant
mortality rate of 55 per thousand live births. The Maternal Mortality ratio (MMR) as per the SRS,
2010-12 is 328 which is higher than National average of 178 (SRS 2010-12).
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NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 4
Other details
Assam is rich in culture, ethnic groups, languages/dialects spoken and literature. It is known for
Assam tea, large and old petroleum resources, Assam silk and for its rich biodiversity. Assam has
successfully conserved the one-horned Indian rhinoceros from near extinction.
INTRODUCTION
The Mother and Child Tracking System (MCTS), a web based portal was launched by the
Government of India in December, 2009. This architectural correction in the health and family welfare
services delivery system was meant to improve health status of women and children. It aims at
facilitating reduction in maternal, infant and child mortality. Online uploading of name based data of
pregnant women and children under MCTS Portal was basically to track pregnant women for
universalize obstetric care comprising of antenatal, delivery and postnatal care and to track children
towards achievement of full immunization goals in the country.
MCTS is expected to facilitate qualitative improvement in the delivery of services to pregnant women
and children of the country and thus facilitates an accelerated reduction in maternal, infant and child
mortality.
GENERAL OBJECTIVE:
To assess the current knowledge of district programme managers and district data officers on MCTS
formats, guidelines for recording and reporting. To strengthen the skills and build their capacity as
trainers for functionaries at district/block level and thus aims towards effective utilization and
implementation of MCTS portal.
SPECIFIC OBJECTIVES:
1. To have a situational analysis on:
a) Knowledge and skill of district programme managers on various Indicators
b) Understanding of data quality issues pertinent to the State.
2. Development of understanding on flow of information, flow of feedback and activity reports.
3. Developing skills for utilising MCTS Web Portal for MCH tracking, data verification of ANM,
ASHA and beneficiaries, migration and communicating through SMS.
4. Facilitating use of data in planning, monitoring, evaluation and decision making.
5. Building the capacities of trainers on training methodologies.
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TRAINING LOCATION
The training was organized by Regional Resource Centre -North East, GoI, Guwahati in collaboration
with National Health Mission, Assam at State Institute of Health & Family Welfare, Guwahati
COURSE CONTENTS
The content of the training is divided in two parts and covers the description, introduction and basic
concepts of MCTS, roles and responsibilities of stakeholders along with the time frame for their tasks,
guidelines for MCTS implementation, depiction on district wise trend analysis across the months for
major RCH indicators. The second part of the training includes demonstration on steps for generation
of new features like migration, verification and ticketing. The content of the course is custom-made as
per the gaps and bottlenecks observed in the State.
DATA GAP ANALYSIS FOR THE STATE
1. Registration
a) During the last quarter, low performance was noticed in the month of December and
February in both pregnant women and children registration as compared in the month of
January in almost half of the districts.
2. Service Delivery
a) Low data reporting status on services provided to the beneficiaries, 45% of the
beneficiaries are reported to be provided with 2nd
ANC, while the reporting on 3rd
ANC is
less than 29%.
b) Data of ANC4 is not captured by ANM, or is not been updated on the portal as less than
17% ANC 4 has been reported in most of the districts.
c) In the state of Assam 13% deliveries have been reported in total. Out of which 33% to 21%
deliveries were reported from five districts (Barpeta, Chirang, Dima Hasao, Jorhat,
Kokrajhar). While in other districts less than 19% deliveries have been reported.
d) Measles reported to be less than 12%
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NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 6
3. The validation process of ASHA is lagging behind as only 13% ASHAs registered with
validated phone numbers.
4. Minimal utilisation of work plan
TRAINING DETAILS
PARTICIPANTS
One day training on MCTS (Mother and Child Tracking System) for 53 participants from 27 districts
comprising of district programme managers, district data managers and additional district data
manager were the participants in the training, along with some consultants from Regional Resource
Centre and National Health Mission.
TRAINER’S PROFILE
Dr. Parul Arora, Monitoring and Evaluation Consultant from NIHFW were appointed to provide
training in the State of Assam.
TRAINING APPROACH AND METHODOLOGY
The Trainers used an interactive open and participative approach so as to elicit maximum response
from participants and promote a facilitative environment for learning.
A mix of various training methods were used which included:-
Power-point presentations
Group discussions
Demonstrations
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TRAINING ACTIVITIES
Dr. A. C. Baishya Director, RRC-NE inaugurated the trainings at the respective locations and
welcomed the consultant of NIHFW and participants. The objectives of the training were told to the
participants.
Session 1:
Key objective: Identify data gaps and their reason, demonstrate and explain new features
Session details:
A detailed presentation on MCTS was made by the trainer which included various aspects like
objectives of MCTS, utilization of the software, report and verification of beneficiaries and Health
provider details. The training also entailed a re-orientation on MCTS, the roles and responsibilities of
various stakeholders, key features, way forward and the status of the participating districts on data
quality and quantity.
1. Participants were oriented on Mother and Child Tracking Facilitation Centre (MCTFC). Its
objective of verifying records of ANM, ASHA and beneficiary was told to them. The MCTFC were
then discussed in detail to make the participants aware of its utility to States.
2. Some new features were discussed like:
a. Interactive voice response system (IVRS): It makes all the health officials and coordinators aware
on the MCTS progress status (registration, services due & services delivered)
b. Ticketing: The module in the portal, through which the States can send their grievances or issues
to National Informatics Centre. After its operationalization, there would be a facility of checking
the status of the complaint and also the category of complaint e.g. related to work plan, report,
scheduled report, SMS etc.
c. USSD (Unstructured Supplementary Service Data): It is a Global System for Mobile (GSM)
technology that is used to send text through an application program. It would be used for real time
data updation on portal.
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NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI-110067 Page 8
d. Verification, SMS and Migration module were also discussed.
Session 2:
Key objective: Demonstration on reports and schedule Report, recap of MCTS
Session details:
Difference between reports and scheduled reports was told and complete online demonstration on user
specific reports and scheduled reports were made to the participants. Certain reports which were
focussed were as follows:
Scheduled Report –
I- District wise Health provider count
L- District wise Facilities not Entering Data
M- District wise Tracking of Services
R- District wise Month wise Data entry
S- Facility wise Mother and Child count
J- District wise Daily Data Entry/Caste wise Count
Reports-
D -Health Provider Count
F- List of Sub Centre without Health Provider/ ASHA
M- Facility wise Tracking of Services
P- Facility wise Tracking of High Risk Pregnant Women
S- Facility wise Log for Work plan Generation
U- Facility wise Not Reporting with In charge Details
W -Facility wise Report on Key indicators of Beneficiary Health
The session was interactive and all the participants took active participation in the resolution and
discussion of queries aroused.
KEY LEARNING
1. Implementation of Micro plan for data uploading and updating of each facility.
2. Responsibility of carrying the register to and from Sub Centre to data entry point is also
included.
3. Focus on implementation of printed copy of work plan and cross checking of availability of
work plan at VHND site during VHND monitoring.
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4. Regular feedback given to District and Block PHCs regarding data upload and update status.
Tracking of data uploading carried out based on MCTS Micro Plan.
5. Internet connectivity at Block PHC through VSAT
6. Information of ANC Registration within 1st Trimester is used for interventions under 5X5
matrix of RMNCH+A. The information is shared with Districts/ Blocks on monthly basis and
monitored by higher officials on regular basis.
7. Information of ANC history is cross checked with Maternal Death Review reports (in case of
Maternal Death)
8. Collection of data from private and Tea Garden hospitals. They do not maintain Integrated
RCH Register.
9. ANMs don’t fill complete information in the RCH Register
RECOMMENDATIONS
1. It was suggested to all districts to improve the data entry and updation status.
2. State to make necessary corrections in the target of pregnant Women and Infant in the MCTS
Portal.
3. Generate and use the work plan for due services of pregnant women and children.
4. Use administrative and analytical reports for monitoring purpose.
5. All the districts were asked to verify and validate contact details of all the ASHAs
6. State should ensure that all the names of the ANM/ASHA are correct and not duplicated in the
portal
ANNEXURE
1. List of participants -- Annexure 1
2. Training pictures
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Annexure 1
Management Training Programme (4 days) for District Programme Management Unit, NRHM, Assam
Organized by RRC-NE, GoI, Guwahati incollaboration with National Health Mission, Assam Date: 10th – 13th March, 2014
Venue: SIHFW, Assam, Guwahati – 22
List of Participants Sl. No District Name of Participants Designation Contact Details
1 Baksa
Karuna Brahma DPM
O/o the Jt. DHS. District Centre, Mushalpur, Baksa, Assam Ph – 03624-234707(M), +91 99540-97943(M) Email - [email protected]
Utpal Roy DDM
O/o the Jt. DHS. District Centre, Mushalpur, Baksa, Assam Ph – 03624 234707(O), +91 98645-26645(M) Email - [email protected]
2 Barpeta
Ikshwaku Saikia DPM
O/o the Jt. DHS, Barpeta, Assam, Ph - 03665-235250(O), Mobile - +91 94015- 96667/ 88226-02944, Email - [email protected]
ARUP KUMAR DAS DDM -do- Mobile No - +91 98643-94013, Email - [email protected]
3 Bongaigaon
MS. SMITA ROY DPM
DPMU, NHM, O/o the Deputy Commissioner, 3rd Floor, NHM, Bongaingaon, Assam. Mobile No- +91 96780-70811 Email - [email protected]
DINANATH GOSWAMI DDM
O/o the Deputy Commissioner, 3rd Floor, NHM, Bongaingaon, Assam. Ph– 03664-231842, 228074 Mobile No - +91 98542-94731 Email - [email protected]
4 Cachar
Maruf Alom Barbhuiya DPM
O/o the District Health Society, NHM, Near Jt. DHS, Cachar Office, Jail Road, Silchar - 788003, Ph - 03842264019, Mobile - 9401163115, Email - [email protected], [email protected]
Diganta Kr. Barman DDM
O/o the Jt. DHS cum Member Secretary, DHS, NHM, Jail Road, Silchar, PH - 03842 254019, Fax - 03842 - 264523, Mobile - +91 94353-02033 Email - [email protected]
5 Chirang Mr. Sonaton Iswary DPM
O/o the Jt. DHS, Chirang, District Centre, Kajalgaon, BTC, Mobile - +91 99548-52820, Email - [email protected]
Sangeeta Singh DDM O/o the Jt. DHS, Chirang, District Centre, Kajalgaon, BTC,
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Mobile No. +91 98643-17776, +91 94352-10820, Email - [email protected]
6 Darrang
Manash Jyoti Bardaloi DPM O/o the Jt. Director of Health Services, DPMU, NHM, Darrang, Mobile - +91 98540-48922, Email - [email protected]
Sanjib Kumar Rajkhowa DDM
O/o the Jt. DHS cum Member Secretary, DPMU (NHM), Darrang, Mangaldoi, Dist- Darrang, \ PIN - 784125, Assam, Ph - 03713 - 222043, Mobile No.- +91 98540-73430, Email - [email protected]
7 Dhemaji
Hilton Saikia DPM O/o the Jt. DHS, Dhemaji, Assam Mobile No. - +91 80113-72344, Email - [email protected]
Kalyan Hazarika DDM O/o the Jt. DHS, Dist- Dehmaji, Assam Mobile No - +91 99542-22633, Email - [email protected]
8 Dhubri
Md. Khorshed Alom DPM O/o the Jt. DHS cum Member Secretary, DHS, Dhubri, Assam. Mobile No- +91 99544-11273, Email - dpm.nrhm.dhubri@gmailcom
Pabitra Kumar Debnath DDM O/o the Jt. DHS cum Member Secretary, DHS, Dhubri, Mobile - +91 94355-52819, Email [email protected]
9 Dibrugarh
Monikha Buragohain DPM
O/o the Deputy Commissioner, DPMU, NRHM, Dibrugarh, PO - CR Building, Dibrugarh, Ph - 0373 2319742, Mobile - 9957565398, Email - [email protected]
Chiranjeev Borgohain DDM
O/o the Jt. DHS, Dibrugarh, Graham Bazar, PO - Dibrugarh - 786001, Ph - 0373 - 2319742, Fax - 0373 -2323621, Mobile -9864899911, Email - [email protected]
10 Dima Hasao Monjil Sarmah DDM
O/o the Jt. DHS, Dima Hasao, PO & PS - Haflong, Dist- Dima Hasao - 788819, Telefax- 03673 236563, Mobile - 9435891627, Email- [email protected]
11 Goalpara
Sabana N. Choudhury DPM O/o the Jt. DHS, Nayapara, Goalpara : 783101, Assam, Ph - 03663246086, Mobile- 9435341961, Email - [email protected]
PRANJAL KR DEKA DDM O/o the Jt. DHS, Near Old Civil, Goalpara, Mobile No.- 9435281882, Email- [email protected]
12 Golaghat
Namrata Sarma DPM O/o the Joint Director of Health Services, Golaghat, Mobile No: 9435357518, Email - [email protected]
Rajib Saikia DDM
O/o the Joint Director of Health Services, Golaghat, Ph No - 03774-283413, Mobile No: 9435526949, Email: [email protected]
13 Hailakandi Hanif Md. Kaisar Alam DPM
O/o the Joint DHS, Hailakandi, Old Civil Hospital Campus, Hailakandi, PIN – 788151 Ph.- 03844-223151(O), +91 80110-51601 (M) E-mail: [email protected]
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Saurabh Narayan Sarma DDM -do- Ph.- 03844-223151(O), +91 98540-67857 (M) E-mail: [email protected]
14 Jorhat
Ms. Smita Saikia DPM
O/o the Joint DHS, DPMU, NRHM, Near Chowk Bazar, AT Road, Jorhat – 785001 Ph.- 0376-2304557(O), +91 94356-38981(M) +91 94017-44111 E-mail: [email protected]
Rajib Borah ADDM -do- Mobile No.- +91 94353-50063 E-mail: [email protected]
15 Kamrup (R)
Rajib Kumar Medhi DPM
O/o the Joint DHS, Kamrup (R), Amingaon, Guwahati 781031, Assam Mobile No.- +91 94351-00577, 96138-50818 E-mail: [email protected]
Nabin Sarma DDM -do- Mobile No.- +91 98640-74711 E-mail: [email protected]
16 Kamrup (M)
Mohan Hazarika DPM
DPMU, Kamrup (M), O/o the Deputy Commissioner, Panbazar, Guwahati – 1 Mobile No.- +91 98640-77551 E-mail: [email protected]
Hiru Kalita DDM -do- Mobile No.- +91 97077-16693 E-mail: [email protected]
17 Karbi Anglong
Pranjit Kumar Roy DPM
O/o the DPMU, NHM, Dipuh, Karbi Anglong, PIN – 782460, Assam Ph.- 03671-273038(O), +91 98540-24635(M) E-mail: [email protected] [email protected]
Jyotirmoy Lama DDM -do- Mobile No.- +91 98540-24063 E-mail: ddm.nrhm.Karbi Anglong
18 Karimganj
Rahul Ghose DPM
DPMU, NHM, Karimgang, O/o the Jt. DHS, Karimganj, Hospital Road, PIN – 788710 Ph - 03843-267311(O), +91 94351-29806(M) E-mail: [email protected]
Pramathesh Borkotoky DDM -do- Ph - 03843-267311(O), +91 94351-29806(M) E-mail: [email protected]
19 Kokrajhar
Uttam Kr. Brahma DPM
DPMU, NRHM, Office of the Jt. DHS, Kokrajhar, W/No- 9, Baganshali, Kokrajhar BTC, Assam Mobile No.- +91 94355-13491 E-mail: [email protected]
Kajal Nandi DDM
Bidhan Pally, W/No- 3, PO+PS+Dist- Kokrajhar (BTC), PIN – 783370, Assam Ph- 03661-276593(O), +91 94350-27066(M) E-mail: [email protected]
20 Lakhimpur Reetam Kumar Sarma DPM O/o the Jt. DHS, Lakhimpur, North Lakhimpur, Old Medical Campus, PIN – 787001, Assam Mobile No.- +91 87238-15473, 88760-30965
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E-mail: [email protected]
Manas Pratim Das DME
O/o the Jt. DHS, Lakhimpur, North Lakhimpur, Old Medical Campus, PIN – 787001, Assam Mobile No.- +91 96130-01796 E-mail: [email protected]
21 Morigaon
Dipen Kalita DPM O/o the Jt. DHS, Morigaon, Assam Ph- 03678-243059(O), +91 94350-14327(M) E-mail: [email protected]
Naba Kr. Medhi DDM -do- Ph- 03678-243059(O), +91 94351-64989(M) E-mail: [email protected]
22 Nagaon
Shekhar Jyoti Hazarika DPM
Khutikotia Kolongpar, Haibargaon, Nagaon – 782002, Assam Mobile No.-+91 94010-13135 E-mail: [email protected]
Sanjukta Borah DDM -do- Mobile No.- + 9184740-91488 E-mail: [email protected]
23 Nalbari
Minakshi Barpujari DPM
DPMU, NRHM, Nalbari, O/o the Deputy Commissioner, Nalbari, Room No.- 34, Barama Road, PO&Dist- Nalbari, Assam Ph.- 03624-224838(O), +91 94357-30601(M) E-mail: [email protected]
Rupjyoti Deka DDM
-do- TeleFax No.- 03624-224838(O) Mobile No.- +91 98641-48122 E-mail: [email protected]
24 Sivasagar
Kaushik Nath DPM
O/o the Jt. DHS (Old Civil Hospital Campus), Dolmukh Chariali, Sivasagar – 785640 Ph- 03772-220250(O), +91 87618-97193(M) E-mail: [email protected]
Bhupendra Gogoi DDM
O/o the Jt. DHS (Old Civil Hospital Campus), Dolmukh Chariali, Sivasagar – 785640 Ph- 03772-220250(O), +91 99542-53150(M) E-mail: [email protected]
25 Sonitpur
Sri Parag Jyoti Saikia DPM
O/o the Jt. DHS, Sonitpur, Opposite – Tezpur College, Tezpur, Assam – 784001 Ph- 03712-232086(O), +91 94355-63060(M) E-mail: [email protected]
Kabita Devi DDM -do- Mobile No.- +91 96136-29644 E-mail: [email protected]
26 Tinsukia
Kabindra Baishya DPM O/o the Deputy Commissioner, Tinsukia Ph.- 0374-2335194(O), +91 78963-38696(M) E-mail: [email protected]
Syed Md Samim Chistie DDM O/o the Deputy Commissioner, Tinsukia Ph.- 0374-2335194(O), +91 98541-55356(M) E-mail: [email protected]
27 Udalguri Shri Namal Sing Bargayary DPM DPMU Office, PO&PS- Udalguri, BTAD,
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PIN – 784509, Assam Mobile No.- +91 94350-84336 E-mail: [email protected]
Shri Paresh Ch. Saharia DDM DPMU, Udalguri, PO&Dist- Udalguri Ph.- 03711-225504(O), +91 94355-88870(M) E-mail: [email protected]
Participants from RRC-NE, Guwahati
1 Ms. Rita Pradhan
Coordinator –
Capacity
Building
M/No.- +91 98599-14682
E-mail: [email protected]
2 Mr. Biraj Kanti
Shome
Regional
Coordinator,
Comm.
Mobilization
M/No.- +91 94351-72953
E-mail: [email protected]
3 Ms. Sagarika Kalita Consultant,
HMIS
M/No.- +91 98641-49856
E-mail: [email protected]
4 Ms. Asha Kumari Consultant, QI &
Hosp. Admin
M/No.- +91 99577-20795
E-mail: [email protected]
5 Dr. Chinmay Shankar
Laxmeshwar
Consultant,
Public Health
M/No.- +91 88110-23008
E-mail: [email protected]
6 Mr. Thirumugam M Consultant,
Public Health
M/No.- +91 88110-25683
E-mail: [email protected]
7 Dr. Jyotiranjan Rout Consultant,
Public Health
M/ No.- +91 97070-40015
E-mail: [email protected]
8 Ms. Sanyukta
Kashyap
Programme
Associate
Mobile No.- +91 88120-17658
E-mail: [email protected]
Participants from NHM, Assam
1
. Ms. Anuja Gupta
Management
Expert
Mobile No. – 98640-45597
E-mail: [email protected]
2
. Shri Partha Jyoti Gogoi
Data Analyst,
NRHM and Asstt.
Nodal Officer for
Mobile No.- 097065-71945
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MCH Tracking E-mail: [email protected]
3
. Ms. Pragati Barman
Data Analyst,
NHM
Mobile No.- 094355-59076
E-mail: [email protected]
4
.
Mr. Kamal Krishna
Das
Data Analyst,
NHM
Mobile No.- +91 94355-43249
E-mail: [email protected]
5
. Dr. Ramkesh Prasad
Consultant –
Public Health
O/o the MD, NRHM, Assam
Mobile No.- +91 94011-60649
E-mail: [email protected]
6
. Dr. Chandana Deka
Consultant –
Public Health
O/o the MD, NRHM, Assam
Mobile No.- +91 94017-00873 (M)
E-mail: [email protected]
7
. Mr. Anirban Talukdar
Consultant,
Drugs-cum-Bio
Medical Engineer
Mobile No.- 098599-14023,
E-mail: [email protected]
8
. Mr. Sanjeev Ranjan
Programme
Executive
Mobile No.- 099577—20796,
E-mail: [email protected]
9
. Mr. Diganta Sarma
Consultant,
Com. Mob
M/No.- 098642-63643
E-mail: [email protected]
1
0
.
Mr. Dipjyoti Deka
ASHA
Programme
Manager, NHM
M/No- +91 97078-25890
E-mail: [email protected]
1
1
.
Mr. Partha Saikia
State
Community
Mobilizer
M/No- +91 78964-23283
E-mail: [email protected]
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Annexure 2
Training pictures
