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  1. Training in actual intervention at field level -with the families. Care should be taken to follow the steps listed out in Chapter VI of this manual.

The trainee can start the intervention by herself/himself once she/he feels confident of handling it. The trainer should give sufficient chance for discussion regarding various doubts that may arise in the mind of the trainee. It would be useful to compile a few case vignettes (at least 10) from the actual families seen by the trainee. These may be checked for the correctness of decisions taken by the trainee, appropriateness of the interventions and the steps followed. The flaws may be discussed and if any vignette is unsatisfactory, fresh ones may be compiled. These methods enable even an inexperienced person to learn better and faster.

Evaluation of Training

The training can be evaluated at periodic intervals (usually 3-6 months). Evaluation of training is made by assessing the number of risk families identified by the trainee, the risk factors detected, assessment of the family problem and the nature of intervention planned. These would be the process indicators. Outcome indicators which will evaluate effectiveness of the training would be the improvement in family functioning measured by decrease in the number of risk factors, satisfaction of the families in which intervention is made, improvement in well being of the family members, cognitive/behavioural functioning of children and an improvement in nutritional status.


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