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ati
o
n
a
l
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urn
a
l
o
f
P
u
b
lic Hea
l
th Science (IJ
P
HS)
V
o
l.4
,
No
.4
, Dece
m
b
er
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,
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.
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urn
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r
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e
x.ph
p
/
IJPHS
Evalu
a
ti
on of M
e
dical Off
i
cers’
Certifi
c
at
e Program
me
(MOCP) Cou
r
se Compet
ency Based Learning
S
.
Sa
un
ik
1
, M.
Ph
adke
2
, R.
N
a
ir
3
, P.
Ja
k
k
a
l
4
, P.
Me
non
5
, A
.
P
a
til
6
, I
.
Kund
an
7
1
Public He
alth
D
e
partm
e
nt
,
Ma
ntra
lay
a
, Mumba
i
, India
2
Sr.
Adv.
NHM,
UNICEF,
Mumb
ai, India
3
Nutrition
Speci
alist
,
UNICEF,
Mum
b
ai, Indi
a
4
National Health
Mission, Mumbai, India
5
Department of
Genetics, Immunolog
y
,
B
i
ochemistr
y
and
Nutrition
Mah
a
rashta University
of
Health
Scien
ces, Pune
Center
, Ind
i
a
6
Additional Director of
Hea
lth Scie
nce
s
,
Sta
t
e Family
Welfar
e
Bu
reau, Pune, India
7
M.
D.
National
Health
Mission,
Mumba
i
,
India
Article Info
A
B
STRAC
T
Article histo
r
y:
Received Oct 17, 2015
Rev
i
sed
No
v
20
, 20
15
Accepted Nov 26, 2015
M
e
dica
l Officer
s
’
Certific
at
e P
r
ogram
m
e
(M
OCP
)
is
a 6 m
o
nths
training
program
m
e
in Pedia
t
rics
/M
ed
ici
n
e at M
e
dic
a
l co
lleg
e
s
wherein doctors
work
like postgradu
ate students, lear
n various
OPD,
IPD,
(Out
Patients and In
Patient Dep
a
rtm
e
nt) proc
edures,
att
a
in hands on skills, per
f
orm
day and n
i
ght
duties, attend po
stgraduate train
i
ng progr
a
mme
s
a
nd spe
c
i
al
ty
c
lini
c
s.
T
h
i
s
i
s
a course un
ique
to Mahar
a
shtra.
It ha
s been d
e
signed to ov
erco
me shortage
of Pediatr
i
ans
& Ph
y
s
ic
ians in
the st
ate. Public Health Dep
t
deputed 28
Medica
l Officer
s of Prim
ary
He
alth Cen
t
ers to v
a
rious Medica
l
Colleges
.
At
the
end of 6
months train
i
ng
cou
r
se
they
w
e
re ev
aluated dur
ing 2
012-2013.It
was done b
y
qu
estionnaire used
before
and
after training
. It was observed
that OP
D increa
s
e
d b
y
24% and
IP
D by
54%. T
h
ere was
a decr
eas
e in the
number of cases referred to
tertiar
y
centers b
y
24%, post MOCP training
.
Infant immunization in
creased
b
y
35%
after
tr
aining
. Number of childr
e
n
with severe acute malnut
ri
ti
on/
mode
ra
te
a
c
u
t
e
ma
l
nutri
tion tr
eat
e
d
increas
e
d
b
y
22%
, n
e
on
atal emerg
e
ncies, resu
scitation
,
sepsis
, jaundice p
a
tients
treated, in
creased b
y
36%
. No of
adults
with d
i
ar
rhoea
and s
n
ak
e
bite
tre
a
t
e
d
increased b
y
40
% & 63% respectiv
ely
.
No. of ECGs taken and
my
ocardial
infarctions managed also has sho
w
n ri
sing trend.
Thus, ther
e was
tremendous
benefi
t to
th
e p
a
ti
ents af
ter
MOCP
training
. S
k
ill of
doctors
was found to
have enhan
ced. It
is therefo
r
e
r
e
co
mmended that such novel tr
ain
i
ngs should
be imparted
in other
states of
India too
.
Keyword:
MO
CP
Ev
alu
a
tion
In
dia
Copyright ©
201
5 Institut
e
o
f
Ad
vanced
Engin
eer
ing and S
c
i
e
nce.
All rights re
se
rve
d
.
Co
rresp
ond
i
ng
Autho
r
:
M. Ph
adk
e
UN
ICEF,
M
u
m
b
ai, India
Email: drmapaa@
y
a
hoo
.com
1.
INTRODUCTION
Pu
bl
i
c
Heal
t
h
Dept
.
of
G
o
vt
.
o
f
M
a
haras
h
t
r
a st
art
e
d
t
w
o
u
n
i
q
ue t
eac
hi
n
g
p
r
o
g
r
am
m
e
s for
m
e
di
cal
officers
-
MOC
P
i.e. Me
dical
Officers
’
Certi
f
icate Programme and CCC
N i.e.
Certificate Cou
r
se in
Clin
ical
Nut
r
i
t
i
on. M
O
C
P
i
s
a sh
ort
t
e
rm
6
m
ont
hs
com
p
rehe
nsi
v
e t
r
ai
ni
n
g
pr
o
g
ram
m
e for M
e
di
cal
Of
fi
cers
fr
om
prim
ary Health Centers to
work in
the
Dept. of Pediatrics/Medicine of
Medical Colleges in the State of
M
a
haras
h
t
r
a.
M
e
di
cal
Of
fi
cers
are
t
a
ug
ht
l
i
k
e
resi
de
nt
s and p
o
st
g
r
a
d
u
a
t
e
st
ude
nt
s, wo
rki
n
g
i
n
O
P
D, IP
D,
atten
d
i
ng
d
a
y and
n
i
gh
t du
ties, sp
ecialty clin
ics,
n
a
ti
o
n
a
l
p
r
og
ram
m
es sp
ecially
related
to nu
tritio
n,
e
m
erg
e
n
c
y treat
m
en
ts, sk
ill b
u
ild
i
n
g
t
h
roug
h
v
a
riou
s pr
o
cedures lik
e
IV lin
es
rescuscitatio
n
,
in
tub
a
tio
n,
ECG, lum
b
er punct
u
res etc. T
h
ey are give
n interactiv
e p
o
w
er poi
nt
, Vi
de
o
C
onfe
r
en
cing lectures by eminent
sp
ecialists lik
e Pro
f
essors, Clin
ician
s
,
Pad
m
a award
ees on rele
va
nt subjects, e
t
hics & m
o
tivation.
Ex
am
in
atio
n
is tak
e
n at th
e en
d of
6
m
o
n
t
hs. Th
is co
ur
se
is expected t
o
ove
rc
om
e to som
e
extent,
va
cancy
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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S I
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:
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6
Eva
l
ua
tion
o
f
Med
ica
l
Officers'
Certifica
t
e
Prog
ramme (
M
OCP)
Co
u
r
se Comp
eten
cy
Ba
sed
.... (S
. Sa
un
ik)
32
1
and s
h
ort fall
of Pe
diatricians &
Physicians at the
Pr
im
a
r
y Health Centers fo
r th
e Pub
lic Health Dep
t
.
of
Mah
a
r
a
sh
tr
a.
Through t
h
e present pa
pe
r,
we ha
ve analyze
d
&
e
v
aluate
d
the efficacy of
MOCP c
o
urse
s im
parted
to
Med
i
cal Officers. Ev
alu
a
tio
n
h
a
s
b
e
en
do
n
e
t
o
fi
n
d
ou
t
if th
e clin
ical sk
ills o
f
t
h
e
med
i
cal o
fficers h
a
ve
im
pro
v
ed
o
r
ot
her
w
i
s
e a
n
d
i
f
t
h
ey
ha
ve
ac
hi
eved expecte
d
level of c
o
m
p
etence.
2.
MATE
RIAL
AN
D METH
ODS
M
e
di
cal
Of
fi
cers t
r
ai
ne
d i
n
20
1
2
-
2
01
3 we
re sel
ect
ed for the pre
s
ent st
udy. T
h
ey we
re trained
i
n
M
e
di
cal
C
o
l
l
e
ges a
nd
ha
d p
a
ssed t
h
e t
h
eo
ry
an
d p
r
act
i
cal
examination. They were
reposted back
t
o
the
Ori
g
in
al p
r
im
a
r
y h
ealth
cen
te
rs where they were poste
d
earlier. Data
was
collected from
Medical Office
rs pre
t
r
ai
ni
n
g
i
.
e. fr
o
m
Feb. t
o
M
a
y 20
12 a
nd p
o
st
t
r
ai
ni
ng pe
ri
o
d
fr
om
Feb t
o
M
a
y
201
3. Q
u
est
i
o
n
n
ai
re wa
s sent
t
o
5
6
M
e
di
cal
of
fi
cers
fr
om
the sec
o
n
d
bat
c
h o
f
t
r
ai
ni
n
g
,
32 M
e
di
cal
O
f
fi
cers r
e
pl
i
e
d
out
of
w
hom
28 h
a
d
co
m
p
leted
th
e
q
u
e
stio
nn
air
e
.
So
, th
ey for
m
e
d
th
e stud
y grou
p. Stru
ct
u
r
ed
q
u
e
stio
nn
air
e
i
n
clud
ed qu
esti
o
n
s
on
the num
ber of OPD & IPD
case pre and
post MOCP trai
ning, differe
n
ce in case re
ferrals, differe
n
ce in
n
e
on
atal e
m
erg
e
n
c
y m
a
n
a
g
e
men
t
, SAM (Sev
ere Acu
t
e Maln
u
t
rition
)
man
a
g
e
m
e
n
t
,
med
i
cal
e
m
erg
e
n
c
ies
bef
o
re
an
d a
f
t
e
r t
r
ai
ni
ng
.
3.
OBSER
VATI
O
NS
3.
1.
Back
ground Ch
arac
teristic
s
A sam
p
le of 28 MOCP t
r
ained Medical Officers
wa
s studied for the pre
s
ent re
port. T
h
ese Medical
Of
ficers
belo
n
g
ed t
o
di
ffe
ren
t
district
s of M
a
haras
h
t
r
a
.
T
h
ey
are Jal
n
a -
1
,
Lat
u
r
-
4,
Wa
rd
ha -
3,
Na
nd
ur
bar
-
1 , A
u
ra
n
g
aba
d
-
2 , Nasi
k -
3 , B
h
a
n
dara -
1 , Pa
rb
ha
ni
- 1 , R
a
i
g
a
d
-
1 ,
Go
n
d
i
a
- 1 ,
G
a
dchi
rol
i
-
1 ,
Nan
d
e
d
-
1,
Pu
ne
-
1
,
Nag
p
u
r
-
1
,
J
a
l
g
ao
n
-
1
,
T
h
ane
-
1
,
Sat
a
r
a
-
2,
Washi
m
-
1. M
e
di
cal
O
ffi
cers
w
e
re
p
r
ovi
de
d
t
r
ai
ni
n
g
i
n
M
e
di
ci
ne a
nd
Pa
edi
a
t
r
i
c
de
part
m
e
nt
s i
n
9 M
e
di
cal
col
l
e
ges
of M
a
har
a
sht
r
a.
Out
of t
h
e
s
e 2
8
Medical Office
rs,
14 receive
d
training in Pae
d
iatrics and
re
maini
ng
14 rec
e
ived t
r
aining i
n
Me
dicine.
PHC – Pr
i
m
ar
y Health Center
RH – Rural Hospit
al
DH – Dist
rict Hos
p
ital
TH – T
e
rtia
ry Hos
p
ital
Fig
u
r
e
1
.
Ar
ea
w
i
se
d
i
str
i
bu
tio
n of
po
stin
g of
MO
CP tr
ain
e
d
Med
i
cal O
f
f
i
cer
s
From
the
diagra
m
in Figure
1
it can be
see
n
t
h
at
ou
t
o
f
to
tal
2
8
train
e
d
Medical Officers
fro
m
th
e
sam
p
le,
m
a
jori
ty i.e. 82%
bel
o
nge
d
to PHC
follo
we
d
by 7% each from
RH a
n
d DH a
n
d
4%
from
TH.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
IJPHS Vol. 4, No. 4, D
ecem
ber 2015
:
320 – 325
32
2
Fi
gu
re
1.
N
u
m
b
er
o
f
OP
D a
n
d
IPD
pat
i
e
nt
s
pre
an
d
p
o
st
M
O
C
P
t
r
ai
ni
n
g
Fi
gu
re
2
sh
o
w
s
t
h
e
n
u
m
b
er o
f
OP
D a
n
d
I
P
D
pat
i
e
nt
s
pre
an
d
po
st
M
O
C
P
t
r
ai
ni
n
g
.
F
r
om
t
h
e
fi
g
u
re
i
t
can be see
n
that there has
be
en an
i
n
c
r
ease
i
n
t
h
e n
u
m
b
er of b
o
t
h
OP
D
and
IP
D pat
i
e
nt
s by
2
5
% a
n
d 5
4
%
respect
i
v
el
y
i
n
post
M
O
C
P
t
r
a
i
ni
ng
t
h
a
n
pre
M
O
C
P
t
r
ai
ni
n
g
.
Fi
gu
re
2.
N
u
m
b
er
o
f
cases
re
f
e
rre
d t
o
hi
ghe
r
cent
e
rs
p
r
e a
n
d
p
o
st
M
O
C
P
t
r
ai
ni
ng
Fi
gu
re
3 s
h
ow
s t
h
e
num
ber
o
f
re
fer
r
al
s
bef
o
re an
d a
f
t
e
r t
r
a
i
ni
ng
.
Fr
om
t
h
e fi
g
u
re
i
t
can
be see
n
t
h
at
there
has
bee
n
dec
r
ease i
n
the num
b
er of c
a
ses re
ferre
d
t
o
h
i
gh
er tertiary cen
ters in
post MOCP t
r
ainin
g
b
y
24%
tha
n
pre MOCP
trai
ning. It
s
h
ow
s
tha
t
after
receivi
ng M
O
CP trai
ning 24%
of ca
s
e
s ha
ve
bee
n
manage
d
by the M
O
CP t
r
aine
d Medical
Officers
whic
h
were
earlier
referred to
higher ce
nters.
Fi
gu
re
4 sh
o
w
s t
h
e
num
be
r o
f
pat
i
e
nt
s
m
a
naged i
n
p
aedi
a
t
r
i
c
age
gr
o
up
pre a
n
d
post
M
O
C
P
training. From
the figure it
can be
see
n
that there ha
s been a
rise
in
all th
e in
d
i
cato
r
s
of p
a
ed
iatric
m
a
nagem
e
nt
. Infa
nt
im
m
uni
zat
i
on has i
n
c
r
e
a
sed by
3
5
%,
num
ber o
f
SA
M
/
M
A
M
t
r
eated has i
n
c
r
eas
ed by
22
%,
new
b
or
n
resus
c
i
t
a
t
i
on
h
a
s i
n
creas
ed
by
aro
u
n
d
1
9
0
%
and
t
r
eat
m
e
nt
of
ne
onat
a
l
em
erge
nci
e
s l
i
k
e
sepsi
s
,
jaundice, etc
has increa
sed by
36% i
n
post
MOCP trai
n
i
ng
th
an
pre MOCP training.
Fi
gu
re 5 s
h
o
w
s t
h
e m
a
nag
e
m
e
nt
of n
u
m
b
er
of
pat
i
e
nt
s suf
f
eri
ng
fr
om
di
arrhe
o
a,
m
y
ocardi
al
in
farction
an
d
co
ron
a
ry artery d
i
sease, sn
akeb
ite, in
pre a
nd
po
st
M
O
C
P
t
r
ai
ni
n
g
. F
r
o
m
t
h
e fi
gure i
t
can b
e
seen that there
has bee
n
a rise in
all the three diseases m
a
nagem
e
nt.
Nu
m
b
er of di
ar
rh
eal
pat
i
e
nt
s
m
a
nag
e
d
has i
n
crea
sed
by
40%
, n
u
m
b
er of m
y
ocardi
al
i
n
farct
i
on a
nd c
o
r
ona
ry
ar
t
e
ry
di
sease
m
a
nage
d ha
s dra
s
t
i
cal
l
y
increase
d
a
n
d s
n
ake
b
ite m
a
nagem
e
nt has inc
r
eased by
63
%
in
po
st M
O
CP
train
i
ng
th
an
pre MOCP trainin
g
.
Evaluation Warning : The document was created with Spire.PDF for Python.
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S I
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:
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l
ua
tion
o
f
Med
ica
l
Officers'
Certifica
t
e
Prog
ramme (
M
OCP)
Co
u
r
se Comp
eten
cy
Ba
sed
.... (S
. Sa
un
ik)
32
3
Fi
gu
re
3.
M
a
na
gem
e
nt
of
Pae
d
i
a
t
r
i
c
pat
i
e
nt
s
p
r
e a
n
d
p
o
st
M
O
C
P
t
r
ai
ni
n
g
Fi
gu
re
4.
Di
sea
s
e m
a
nagem
e
n
t
pre
an
d
p
o
st
M
O
C
P
t
r
ai
ni
n
g
Fi
gu
re
6 sh
o
w
s t
h
e n
u
m
b
er o
f
m
e
di
cal
em
ergenci
e
s
ha
ndl
e
d
,
num
ber
of
p
r
oce
d
ures
per
f
o
rm
ed suc
h
as in
sertio
n of
v
e
in
flow, Ryle’s tu
be
i
n
se
rt
i
o
n
,
i
n
t
u
bat
i
o
n
,
et
c an
d
num
ber
of
EC
Gs
t
a
ke
n i
n
pat
i
e
nt
s
pr
e a
n
d
post
M
O
C
P
t
r
ai
ni
ng
. Fr
om
the fi
g
u
re i
t
can be see
n
t
h
at
num
ber o
f
m
e
di
cal
em
ergenci
e
s m
a
naged
an
d
num
ber
of
EC
Gs t
a
ken
has
d
r
ast
i
cal
l
y
i
n
creased i
n
post M
O
CP trai
ning t
h
an pre M
O
CP training.
Fi
gu
re
5.
Pr
oce
d
u
r
es a
n
d m
a
nagem
e
nt
of m
e
di
cal
em
ergenc
i
e
s pre
an
d
p
o
s
t
M
O
C
P
t
r
ai
ni
ng
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
IJPHS Vol. 4, No. 4, D
ecem
ber 2015
:
320 – 325
32
4
Fi
gu
re
7 sh
o
w
s
t
h
e n
u
m
b
er o
f
OP
D pat
i
e
nt
s
t
r
eat
ed i
n
18
di
st
ri
ct
s of M
a
ha
rasht
r
a. F
r
om
the fi
gu
re i
t
can
be
seen
t
h
a
t
exce
pt
f
o
r
Pa
rb
ha
ni
an
d
B
h
a
nda
ra,
i
n
al
l
t
h
e ot
her
di
st
ri
ct
s t
h
e
r
e
has
bee
n
a
ri
se
i
n
n
u
m
b
er
o
f
OP
D pat
i
e
nt
s t
r
eat
ed. M
a
xi
m
u
m
num
ber of
OP
D pat
i
e
nt
s
t
r
eat
ed was
re
po
rt
ed i
n
t
h
e
d
i
st
ri
ct
of Lat
u
r
.
Thi
s
indicates the
re
duction
of m
o
rbidity in t
hos
e
districts after recei
ving MOC
P
traini
ng.
Fi
gu
re
6.
Di
st
ri
ct
wi
se
num
ber
o
f
O
P
D
pat
i
e
n
t
s pre
an
d
p
o
st
M
O
C
P
t
r
ai
ni
n
g
Fi
gu
re
8 s
h
o
w
s t
h
e
num
ber
o
f
I
P
D
pat
i
e
nt
s
t
r
eat
ed i
n
1
8
di
st
ri
ct
s of M
a
ha
rasht
r
a. F
r
om
the fi
gu
re i
t
can
be
seen
t
h
a
t
exce
pt
f
o
r
Pa
rb
ha
ni
an
d
B
h
a
nda
ra,
i
n
al
l
t
h
e ot
her
di
st
ri
ct
s t
h
e
r
e
has
bee
n
a
ri
se
i
n
n
u
m
b
er
o
f
IPD
pat
i
e
nt
s t
r
eat
ed. M
a
xi
m
u
m
num
ber of
I
P
D p
a
t
i
e
nt
s t
r
eat
ed was r
e
p
o
rt
e
d
i
n
t
h
e
di
st
ri
ct
of Lat
u
r.
Thi
s
indicates the
re
duction
of m
o
rbidity in t
hos
e
districts after recei
ving MOC
P
traini
ng.
Fi
gu
re
7.
Di
st
ri
ct
wi
se
num
ber
o
f
I
P
D
pat
i
e
nt
s p
r
e a
n
d
p
o
st
M
O
C
P
t
r
ai
ni
n
g
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
PH
S I
S
SN
:
225
2-8
8
0
6
Eva
l
ua
tion
o
f
Med
ica
l
Officers'
Certifica
t
e
Prog
ramme (
M
OCP)
Co
u
r
se Comp
eten
cy
Ba
sed
.... (S
. Sa
un
ik)
32
5
4.
CO
NCL
USI
O
N
MOCP cou
r
se is th
u
s
a u
n
i
q
u
e
co
urse in th
e co
un
try an
d
it h
a
s h
e
l
p
ed
to
fill th
e sh
ortag
e
of
Pediatricians
and Physicians at Pr
im
ary Health Ce
nters in t
h
e St
at
e of M
a
har
a
sht
r
a.
Im
pro
v
i
n
g t
h
e
com
p
etence of
the Medical officers work
ing
in
th
e Pub
lic Health
Dep
a
rtmen
t
s all o
v
e
r is th
e n
eed
o
f
th
e h
o
u
r
1
,
2
,
3
.
Throug
h
t
h
e MOC
P
cou
r
se, do
ctors were trai
n
e
d
resu
lting
in
sk
ill en
h
a
n
c
emen
t..It also
help
ed
i
n
pat
i
e
nt
m
a
nagem
e
nt
.They
o
p
i
n
e
d
t
h
at
t
h
e
y
l
earnt
t
h
e
st
ate of a
r
t treat
ment, The
r
e was an i
n
crease
in the
n
u
m
b
e
r
o
f
ind
oor and
o
u
t
do
or
p
a
tien
t
s, in
crease i
n
num
b
e
r o
f
p
a
tien
t
s with
m
a
ln
u
t
ritio
n, sn
ak
e b
ite,
myocardial infarction,
jaundice seps
is etc.
treated a
n
d num
ber of EC
Gs
taken.T
h
eir c
o
nfide
n
ce le
ve
l was
increase
d
. Ove
r
all
doctors
a
n
d patients we
re bo
th
satisfied
after th
e train
i
n
g
.
REFERE
NC
ES
[1]
Patricia Apar
icio, et al., “Evalu
ati
on o
f
Medical Students
in th
e tr
aining
of Paediatric Lif
e
Su
pport. A Span
ish
P
e
rs
pectiv
e”
,
Journal
of Emergen
c
y Primary Health
Care
, vol/issue: 1(3). Website:
http:/
/ro.
ecu
.edu.
au/j
ephc/vo
l
1/iss
3
/12.
[2]
HN Kam
i
ru, et
a
l
.,
“
E
ffec
tiven
es
s
of a tr
ain
i
ng pr
ogram
to in
creas
e the
c
a
pa
cit
y
of
heal
th
care
prov
iders
to prov
ide
HIV/AIDS
care
and tr
eatm
e
n
t
in
S
w
aziland
”,
AID
S
Care,
vol/issue: 21(11), pp. 146
3–1470, 2009
.
[3]
Sat
y
ava
ti Dev
i
,
“
S
hort term
train
i
ng of Medi
ca
l
Officers in
Ment
al He
alth
”,
Ind
i
a
n
Journal of Psychiatry
, vol/issue:
35(2), pp
. 107-1
10, 1993
Evaluation Warning : The document was created with Spire.PDF for Python.