1. Blended Clinical Training (BCT) Improving Quality of HIV Diagnostics and Treatment Services July 2018 to March 2021 : Supported by Global Fund 5 March, 2019 : CCM Meeting, New Delhi

2. What is Blended Training
It is an approach to training that combines traditional place-based classroom trainings with access to online educational materials.
It also provides opportunities for continued interaction with the participants.
It also involves field visits to various facilities for onsite learnings.
Why Blended Training
Targets to train : doctors (1200 ART Mos, 1620 ARTC specialists, 1108 LAC MOs, ICTC MOs) by next year.
Traditional place-based trainings ideal but may not practical as :
♦ guidelines revised recently ♦ staff to be trained quickly ♦ extremely limited resources

3. Why Blended Training
Traditional ART MO induction training of 12 days - not done in recent past due to reasons such as
funding constraints
high turnover of MOs (more frequent trainings needed)
shrinking pool of trained resource persons (inadequate to meet the training requirements)
disruption of patient care at the ART centers for 12 days (esp. in high load ARTC, single MO ARTC).
Well balanced blended training package gives an opportunity to utilize newer modalities of the trainings without compromising expected training outcomes
On-line training platform : interactive knowledge-based sessions (MOs can learn while working at ARTC)
Class-room training : can focus on practice and attitude of trainees

4. GOAL
OBJECTIVES
Supporting NACP - building capacities and skills - ICTC, ART, Lab Services - staff
Enable accurate diagnosis, high quality care and treatment of PLHIV
Ensure quality documentation and reporting of services
Develop content - compliant with national technical and operational guidelines
Build knowledge and skills - participatory adult learning pedagogies
Institutionalise mechanisms –
Knowledge management
Learning needs assessment
Training scheduling and delivery
Tracking participant progress & refresher/mentorship needs
Build practice-related competencies - providing stigma-free and high quality HIV services
Build competencies - quality documentation and reporting - centralized information systems
Develop content that is compliant with national technical and operational guidelines, and build knowledge and skills through participatory adult learning pedagogies
Institutionalise mechanisms for knowledge management, learning needs assessment, training scheduling and delivery, and tracking participant progress and refresher/mentorship needs
Build practice-related competencies for providing stigma-free and high quality HIV services in the prevention to-care continuum
Build competencies needed for quality documentation and reporting to centralized information systems

5. Blended Clinical Training
An e-learning platform - self-paced learning (Needs assessment, Induction, refresher, regular updates)
HR information (Learning Information system –Staff of ICTC/ART/LS, trainings, trainees, learning assessment scores, staff turnover)
A repository of learning materials and guidelines
Communities of Practice (CoP)(e- forum for cross learning and bulletin board)
Offline Training (classroom based)
Online Training through the Learning Management System (LMS)
Blended Clinical Training
♦ TOTs ♦ Induction ♦ Supportive Monitoring Visit / Onsite mentoring (SMV) ♦ Refresher**
** as per requirement and budget availability

6. Mentoring : Certification : CME credits
On-site Mentoring :
Supporting Monitoring Visits (SMV)
2% of all trainees
assess post-training practices
offer support as needed
identify additional points for inclusion in future trainings
CME credits
Extension of learning to private sector HIV physicians and certification
SMT will be trained by senior experts, then SMT will travel round the country to train the other MTs
On-site Mentoring : Through Supporting Monitoring Visits (SMV), to 2% of all trainees, to assess post-training practices, offer support as needed, and identify additional points to be included into future trainings
Certification of all trainers and trainees as part of the programme/ CME credits
Extension of learning to private sector HIV physicians and certification

7. Number and Type of Trainees ~ 16034 (approx.)
Type of Facilities
SA-ICTC
LAC
ARTC
SRL
NRL
# of Facilities
5500
1108
540
117 13
Type of Trainees
Doctors
Nurse (ARTC)
Lab Services
Total
# of Trainees
8328
1200
6506
16034
DOCTORS : 8328
MO ARTC : 1200
MO LAC : 1108
MO SA-ICTC : 4400
ART Specialist : 1620
** ART Specialist include : 1 Nodal Officer, 1 Lab In-Charge, 1 Pediatrician, 1 Gynecologist / surgeon (3 to 4 staff per ARTC)
LAB SERVICES STAFF : 6506
Lab Technicians (LT) : 6116
ARTC : 540
SA-ICTC : 5500
Viral Load and EID : 76
SRL/NRL LT and TO : 260
SRL/NRL In-charge : 130 (virtual training)

8. Module Development Process
NACO to finalize training curriculum
NACO has set up TWG
TWG : 2 sub-committees
Sub-committee 1
CoE / PCoE, CST, BSD, technical experts
Finalize content for doctors and nurses
Sub-Committee 2
LS division, and technical experts
Finalize content for Lab services staff
TWG to finalize
content, content delivery methodology (online / offline) for each modules for each cadre
Making training modules LMS friendly
uploading same on LMS
Uploading all modules (offline and online) in the repository section of the LMS
Printing of the classroom modules and handouts

9. Senior Master Trainer (SMT) & Master Trainer (MT)
SMT : 2-days workshops at central location
SMT-Doctors : 30 people, March 2019
SMT-LT : 10 people, held on Feb 2019, at Nagpur
MT (4-days workshops / batch, 4 to 5 batches across India)
MT-Doctors : 100 people, April 2019
MT-LT : 100 people, March 2019
MT - PLHIV :
30 people, ToT in March / April 2019
SMT will be trained by senior experts, then SMT will travel round the country to train the other MTs
On-site Mentoring : Through Supporting Monitoring Visits (SMV), to 2% of all trainees, to assess post-training practices, offer support as needed, and identify additional points to be included into future trainings
Certification of all trainers and trainees as part of the programme/ CME credits
Extension of learning to private sector HIV physicians and certification
Certification of all trainers and trainees

10. 5 Regions : Training Locations
States/UTs
Locations *
South Region
Telangana, Andhra Pradesh, Karnataka, Kerala, Puducherry, Lakshadeep, Tamil Nadu, Andaman & Nicobar
Hyderabad, Vijayawada, Bangalore, North Karnataka, Trivandrum, Chennai, Salem 
West Region
Dadra & Nagar Haveli, Daman & Diu, Gujarat, Goa, Maharashtra, Chhattisgarh, Madhya Pradesh
Ahmedabad, Mumbai, Nagpur, Bhopal
North Region
Jammu & Kashmir, Himachal Pradesh, Chandigarh, Haryana, Punjab, Uttara khand, Uttar Pradesh, Delhi, Rajasthan
Chandigarh, Delhi, Lucknow, Benaras
East Region
Bihar, West Bengal, Odisha, Jharkhand
Kolkata, Bhubaneswar  
North-East Region
Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Assam, Tripura, Arunachal Pradesh
Imphal, Guwahati 
* As per location of the CoE, PCoE, RTC, and reference labs
Average 28 batches per region (range batches)

11. Implementation Arrangements
NACO
SACS, CoEs / PCoEs, NRL, SRL
National Team and Help Desk
Technical Partner : K-Nomics
20 Regional Units (10 in existing CoEs/PCoEs, and 10 in DAPCU / other government facilities
SAATHII REGIONAL TEAM (37)
♦ Training Manager (TM) (regional) (19 positions)
Hyderabad, Vijayawada, Bangalore, North Karnataka, Trivandrum, Chennai, Salem, Ahmedabad, Mumbai, Nagpur, Chandigarh, Delhi, Lucknow, Benaras, Bhopal, Kolkata, Bhubaneswar, Imphal, Guwahati
♦ Regional Admin & Finance Officer (RAFO) (18 positions)
SAATHII NATIONAL TEAM (11)
♦ Senior Technical Manager (STM) ♦ Senior Program Manager (SPM) ♦ Senior M&E Manager (SMM) ♦ Help Desk Coordinator (HDC) ♦ ICT Manager (ICTM) ♦ Technical Consultants ♦ Other admin, finance, M&E staff (4)

12. Expectations and Next Steps
BCT project staff : visit to CoE, PCoE, RTC : assess requirements
Support from CoE, PCoE : selecting suitable training venues
LMS friendly content
Formation of Pilot batch : UAT of LMS by pilot batch
LMS – GoLIVE – End March 2019
LS MT workshops : 4 batches across country : March-April
Doctors SMT workshop : March 2019
Doctors MT workshop : April 2019
Training to start : May 2019
NACO to send formal intimation to all SACS, CoE, PCoE, SRL, NRL, RTC,
SACS to give ARTC, SA- ICTC, LAC staff details and past training status to SAATHII
For CoE - Around 40K for assets, and 11K monthly recurring costs, for RTC - Around 40K for assets, and 7K monthly recurring costs. Recurring costs till Dec If any additional funds needed, the budget can be adjusted based on project savings.

13. Thank You

14. Additional Points

15. Training Batches and Regional Teams
States / UTs
ICTC MO
LAC MO
ART MO
ART Specialists
ART Nurses
LT*
LT (VL)
Total # TM
RAF O
Location
South Region TS 5 6 2 8 25 1
Hyderabad AP 3 4 10 26
Vijawada KA 12 21 48
Blore, Mysru KL 7
Trivandrum, Chennai, Salem PY TN 31 68 AN
West Region DN
Ahmedabad DD GJ 9 28 GA
Mmbi, Ngpr MH 16
* (SA-ICTC, NRL/SRL, ARTC)

16. Training Batches and Regional Teams
States / UTs
ICTC MO
LAC MO
ART MO
ART Specialists
ART Nurses
LT*
LT (VL)
Total # TM
RAF O
Location
North CH 1 4
Chandigarh HR 3 2 8 PB 5 13 HP JK DL 10
Delhi RJ 19
* (SA-ICTC, NRL/SRL, ARTC)
Central UK 1 2 4
Lucknow UP 12 3 15 38 BR 7 8 19 CG 11
Bhopal

17. Training Batches and Regional Teams
States / UTs
ICTC MO
LAC MO
ART MO
ART Specialists
ART Nurses LT
LT (VL)
Tota l # TM
RAF O
Location
East Region WB 9 1 2 12 27
Kolkata OD 7 8 19
Bhubane swar JH 6
North- East Region MN 3 14
Imphal ML MZ 4 NL SK
Guwahat i AS 10 TR AR
Grand Total
147 37 40 54
211
535
18 
* (SA-ICTC, NRL/SRL, ARTC)