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The Auxiliary Nurses and Midwives (ANM) Training Program was initiated in 2010 by Johnson & Johnson in partnership with the Indian Red Cross Society to address the shortage of nurses in rural areas and help underprivileged girls pursue higher education and gain employment. The free, two year ANM program is advertised in regional newspapers across Maharashtra inviting applications from young women from underprivileged backgrounds. The selected candidates are provided with ANM Training in line with a syllabus fixed by the Indian Nursing Council and the Maharashtra Nursing Council which includes classroom sessions, clinical postings and time in the villages where they conduct health education on sanitation, personal hygiene and treatment and care of communicable and non-communicable diseases. Johnson & Johnson covers the costs including the course fee, room and board, study materials, uniform and stationery. Snehal Sanja Jadhav (in white) is a student in the Johnson & Johnson ANM program. Here she is putting her in-class lessons and training to work by doing home visits from a rural health centre. Patient name; Shakuentala Sankpal.
Paul Bettings/Paul Bettings/Johnson & Johnson

In India, access to healthcare is greatly hampered by the lack of skilled healthcare workers. There are only 2.1 nurses and midwives per 1,000 people, and as many as 73 districts across the country’s 593 districts have no nurses with medical qualifications. Additionally, there are striking urban-rural disparities in access to healthcare. Only 40.8% of healthcare workers are serving in rural areas where 72.2% of India’s population of 1.3 billion lives. The lack of nurses and midwives has contributed to India’s relatively high neonatal and infant mortality rates, which are almost twice as high in rural areas compared to urban areas. While the maternal mortality ratio has been decreasing steadily over the years, thousands of women still die from pregnancy-related causes, indicating that more must be done to protect mothers.

Recognizing the urgent need to enhance access to basic quality health services in India, CHWI aims to:

  • Reduce the health worker coverage gap by increasing the number of Auxiliary Nurse Midwives for community-based primary care through high quality training programs
  • Enhance the quality of care by leveraging technology to support delivery of health services such as essential maternal and newborn care
  • Strengthen primary and community-based health

Partners in India include: