Qualification Of Trainers Research Articles

Mindfulness-based interventions for people living with HIV and HIV prevention: a scoping review

Objectives The purpose of the current study is to understand the scope and nature of empirical research activities regarding the application of Mindfulness-based interventions among PLWH and/or for HIV prevention in the U.S. Methods Study methodology adhered to standardized scoping review guidelines: (1) identifying research questions; (2) identifying relevant studies; (3) study selection; (4) charting the data; and (5) collating, summarizing, and reporting the results. Results Eleven empirical studies met the inclusion criteria. Six studies applied quantitative approaches, one using qualitative, and four using mixed methods. Mindfulness-Based Stress Reduction was the main intervention approach. While trainer qualification was well attended by most studies, only four studies checked intervention fidelity. Conclusion The findings from this scoping review deepen our understanding of the potential role of MBIs in helping PLWH and promoting health behaviors relevant to HIV prevention for those who are currently not living with HIV.

Особливості психологічної підготовки спортсменів у передзмагальний період

The training process is a constantly developing system that needs constant improvement. The effectiveness of the training process depends on many factors, such as: the athlete's psychological preparation, the trainer's qualifications, the athlete's motivation, training conditions, and material and technical support. Psychological preparation of athletes for competitions is a component of general training. It is aimed at the formation and development of psychological qualities necessary for achieving high results in sports activities. Training of professional sportsmen is carried out on the basis of a system of principles: focus on achieving the maximum result; in-depth specialization and taking into account the individual characteristics of the athlete; unity of general and special training; continuity of the training process; the unity of the gradual and maximal increase of training loads; undulation of load dynamics; cyclical training process; unity of physical, technical, tactical, psychological and theoretical training; scientific and methodological support of the training process; control and correction of the training process. The components of the training process are proposed: physical training, technical training, tactical training, psychological training, theoretical training. The study of individual psychological characteristics of the training process, which allow to understand the psychological characteristics of athletes, is of great importance; make it possible to develop effective methods of psychological training of athletes; contribute to improving the performance of athletes. Failure to take into account individual psychological features during the training process of athletes can lead to a decrease in motivation, loss of self-confidence, increased anxiety, loss of concentration and reduced stress resistance. The psychological features of a football player’s/football player’s training activities include: the formation of the player’s confidence in his own abilities, which is formed under the influence of successful and unsuccessful match results, the direct actions of the player or the player in the match, perception and understanding of the situation (game pattern) during the match, logical thinking under the time of a football match, sudden decision-making on a situation that arose during the game, correct understanding of the task set before the player, and the ways and considerations of the solution, the attitude of the coach to the football player, the level of development of cognitive abilities (introspection, planning, goal setting). The psychological features of the training activity of the male and female players depends on the correctness and accuracy of the tasks during training (in the pre-competition period) and their implementation (application, skillful use/application of the coach's instructions/instructions) directly during the football match. The emotional state of a football player can be positively influenced by external factors - the advice of an experienced coach or sports psychologist. In the professional activity of a sports psychologist, there are methods of multi-stage training correction of the athlete's pre-start emotional states, methods of instructions that take into account the trends of modern sports, correction of emotional states by the method of sports coaching, etc. Peculiarities of psychological training of professional soccer players include: mental training, stress management, motivation to achieve sports results, communication interaction. Psychological preparation helps professional football players to optimize their level of preparation for competitions and achieve better results.

Evaluation of an Innovative Technology Curriculum

This research aims to devise an innovative curriculum, to determine the opinions of parents, teachers, students, and educators of the curriculum, and to present results using the CIPP approach. The study employed a qualitative research method, a program execution case study. It used maximum variation sampling, a purposeful sampling method. The study, involving eighteen participants, was conducted in a high school that runs a technology education program. Data was obtained using the semi-structured and focus group interview methods. Participant confirmation was obtained to increase reliability, which was then subjected to external audit, allowing another researcher to examine the process and results. Awareness of the “Proficiency in Technology” (PIT) curriculum and curriculum implementation emerged as the main facts. The research findings show that a lack of communication and trainer qualifications caused disruptions in the program.

Delphi study to develop maternal depression training materials for cadres

This study aimed to obtain themes and constructs to develop modules and training curricula for cadres for the detection of depression in pregnant and breastfeeding mothers in Surabaya, Indonesia. The Delphi method through three stages was applied: i) searching for academic and non-academic references; ii) compiling themes and constructs based on the findings of the first phase and distributing them to expert panel; and iii) concluding a consensus according to the guidelines. The panel approved two training objectives, five training materials, six training methods, two training time, two training duration, two training evaluation method, and six trainer qualifications. The findings can be the basis for developing modules and curricula to detect maternal depression in pregnant and breastfeeding women for cadres in Indonesia.

Preliminary point prevalence of Cognitive Behavioral Therapy for psychosis (CBTp) training in the U.S. and Canada

ABSTRACT Background Cognitive Behavioral Therapy for psychosis (CBTp) is recommended by psychosis treatment guidelines in the U.S. and Canada, however accessibilty has not been systematically established and little is known about trainer or training characteristics in these countries. This paper represents the first effort to estimate the population of CBTp practitioners, characterize trainer qualifications and training practices, and calculate a CBTp accessibility estimate. Methods We oversampled from a known cluster of the target population and supplemented with chain-referral sampling. Respondents completed an online survey pertaining to workforce training conducted since 2005. An accessibility estimate was calculated using published disease prevalence data and national workforce census data. Results Twenty-five CBTp trainers completed the questionnaire. Respondents were predominantly white female psychologists in hospital or academic settings. Their estimates of practitioners trained in the past 15 years yielded a point prevalence of 0.57% of the combined mental health workforce, corresponding to 11.5–22.8 CBTp-trained providers for every 10,000 people diagnosed with a psychotic disorder. Survey results showed several differences in training approaches, settings, and funders. Conclusion This preliminary study suggests that CBTp remains inaccessible across these two countries. Future studies should refine the sampling methods to provide a more robust prevalence estimate within each country.

Role Perception and Performance of Privately Practicing Paravets in Delivery of Animal Health Services at Farmers' Doorstep: an Exploratory Study in India.

Privately practicing paravets have been under value assessment since a long time vis-à-vis delivery of prompt and efficient animal husbandry services at farmer's doorstep. Wide variation in educational qualifications, training duration, and the shortage of veterinarians could act as impetus to test suitability of service provider to availability, accessibility, acceptability, adequacy, and affordability by farmers. The present study was conceptualized to analyze the role perception by delineating role priorities and to assess the role performance of paravets in perspective of stakeholders, namely trainers of paravet schools and paravets themselves. In the study, analytical hierarchical process (AHP) has been used to establish role priority for para-veterinary services. Two indices, namely, role performance index (RPI) and perceived effective index of measures (PEIM), were devised to assess the prospects of effective delivery of minor veterinary services. Results indicated that paravets perceived roles under productive services as first priority, followed by preventive services, curative services, while miscellaneous services as last priority (0.237), while trainers perceived preventive services as the first priority. Results of chi-square test revealed that variables such as age, experience, and educational qualification of trainers were found significant and had a positive association with the scores of evaluative role performance of minor veterinary services and perceived effectiveness of measures to improve para-veterinary services.

Evidence-based reporting, methods and content of allergy-specific digital training programs

Abstract Background The World Allergy Organization frames allergies as a “major global public health issue”, due to the consistently high prevalence of, e.g., allergic rhinitis (up to 30%). Digital training programs (DTPs) may help fostering self-management and provide allergy-specific information, given, for instance, their good accessibility. We aimed to assess an exploratory sample of allergy-specific, interactive and feedback-oriented DTPs towards the extent to which these tools meet established criteria for the reporting, methods, and content of evidence-based (digital) health information. Methods We searched for DTPs via scientific databases and online sources and developed a checklist from established scientific guidelines for digital health information. The checklist contained 44 items covering 11 domains related to content (e.g. evidence-base), structure (e.g. trainer qualification) and impact (e.g. user perspective). Results 15 DTPs covered an average of 37% of the items (score 33/88). Items relating to intervention (58%), content (49%), and data safety (60%) were frequently considered, as opposed to user safety (10%), qualification of staff (10%), effectiveness (16%), and user perspective (45%). In 13 of 15 DTPs, a minimum of 3 domains were not covered at all. Regarding evidence-based content, 46% scored on use of scientific research, 53% on regular information update, and 33% on provision of references. Conclusions Allergy-specific DTPs conform only partly to established criteria for evidence-based (digital) health information and education. The named methodological and content-wise shortcomings pose considerable obstacles for users. While there have been related, general criticisms earlier, this study provides empirical evidence via the example of allergy-specific DTPs. Key messages For DTPs to add value, service providers and health information experts need to cooperate much closer to reduce the 'reporting vs. requirements' gap. Cooperation is also needed to agree essential methodological and content-wise features of DTPs and similar services.

Characteristics of Effective Health and Safety Training Environments and Trainers in Australian Vocational Education and Training

Effective health and safety training can contribute to a reduction of workplace accidents and assist employers to meet their health and safety legal obligations as prescribed by health and safety legislation. This paper considers the competency requirements for trainers of health and safety within the Australian Vocational Education and Training (VET) context from a standards perspective. Currently, there are not specific specified requirements for these trainers, but rather generic requirements that apply to all trainers in the VET sector. An interpretive qualitative method utilizing observations based on a review of a range of sources, including published research, standards documents, general internet sources and industry publications is applied such that the health and safety training practices and environments in the VET sector are explored and described. Health and safety training, in order to be effective, warrants careful attention to the training environment, the training practices implemented and the skills and knowledge of the trainer. The role of standards for health and safety training, with ANSI/ASSE Z490.1-2016 and CAN/CSA Z1001-18b provided as examples, is considered and a these standards provide a basis for a proposed standardization for health and safety training practitioners in the Australian VET system. The findings offer inclusion of a specific training and assessment unit of competency in the TAE Training and Education Training Package to address the specific requirements for safety trainers, which then be used as a benchmark in the VET sector and by employers and industry. The paper, in conclusion, posits that inconsistent training practices and trainer qualifications could be minimized by utilizing a national, consensus-based standard on the training practices in health and safety training, which can be achieved through a competency specification.

Epidemiology of injuries among amateur athletes who attended fitness activities: the role of the qualification of the trainer.

The fitness trainer could have an important role in the prevention of injuries among fitness attendants. In several Countries, including Italy, there is not a formal regulation about the qualification of fitness trainers. The aim of our study is to estimate the incidence of injuries in a sample of amateur fitness athletes training in Apulia (southern Italy) and evaluate if being the presence of a trainer graduated in Sports and Movement Science could be a protective factor for injuries. This is a retrospective, cross-sectional study, carried out in a convenience sample of amateur athletes enrolled in 16 Apulian fitness centers. The survey was carried out by an anonymous self-administered questionnaire distributed and compiled in the gym. We enrolled 205 amateur athletes, of which 105/205 (51.2%) cared by a trainer graduated in Sports and Movement Science and 100/205 (48.8%) trained by a person with a qualification from Olympic Committee or Sport Federation. The incidence rate of injury ×1000 person-months of training is 6.1 (95%CI=4.4-8.1), 5.5 (95%CI=3.1-9.2) among athletes trained by graduated and 6.3 (95%CI=4.2-9.2) in ones trained by a person with a different qualification (IRR=1.1; 95%CI=0.6-2.3; P=0.348). Our study showed a mild lifetime prevalence of injury among subjects attending fitness activities (21%), higher among athletes trained by an instructor not graduated in Sports Science. This is a topic poorly investigated previously but very important in the future, in particular in the view of the diffusion of fitness worldwide.

How Do Publicly Available Allergy-Specific Web-Based Training Programs Conform to the Established Criteria for the Reporting, Methods, and Content of Evidence-Based (Digital) Health Information and Education: Thematic Content Evaluation.

BackgroundAllergic diseases, such as allergic asthma, rhinitis, and atopic eczema, are widespread, and they are a considerable burden on the health care system. For patients and health care professionals, Web-based training programs may be helpful to foster self-management and provide allergy-specific information, given, for instance, their good accessibility.ObjectiveThis study aimed to assess an exploratory sample of publicly available allergy-specific Web-based training programs—that is, interactive, feedback-oriented Web-based training platforms promoting health behavior change and improvement of personal skills—with regard to (1) general characteristics, aims, and target groups and (2) the extent to which these tools meet established criteria for the reporting, methods, and content of evidence-based (digital) health information and education.MethodsWeb-based training programs were identified via an initial Google search and a search of English and German language websites of medical and public health services, such as the European Centre for Allergy Research Foundation (German), Asthma UK, and Anaphylaxis Canada. We developed a checklist from (1) established guidelines for Web-based health information (eg, the Journal of the American Medical Association benchmarks, DISCERN criteria, and Health On the Net code) and (2) a database search of related studies. The checklist contained 44 items covering 11 domains in 3 areas: (1) content (completeness, transparency, and evidence), (2) structure (data safety and qualification of trainers and authors), and (3) impact (effectiveness, user perspective, and integration into health care). We rated the Web-based training programs as completely, partly, or not satisfying each checklist item and calculated overall and domain-specific scores for each Web-based training program using SPSS 23.0 (SPSS Inc).ResultsThe 15 identified Web-based training programs covered an average of 37% of the items (score 33 out of 88). A total of 7 Web-based training programs covered more than 40% (35/88; maximum: 49%; 43/88). A total of 5 covered 30% (26/88) to 40% (35/88) of all rated items and the rest covered fewer (n=3; lowest score 24%; 21/88). Items relating to intervention (58%; 10/18), content (49%; 9/18), and data safety (60%; 1/2) were more often considered, as opposed to user safety (10%; 0.4/4), qualification of staff (10%; 0.8/8), effectiveness (16%; 0.4/2), and user perspective (45%; 5/12). In addition, in 13 of 15 Web-based training programs, a minimum of 3 domains were not covered at all. Regarding evidence-based content, 46% of all Web-based training programs (7/15) scored on use of scientific research, 53% on regular information update (8/15), and 33% on provision of references (5/15). None of 15 provided details on the quality of references or the strength of evidence.ConclusionsEnglish and German language allergy-specific Web-based training programs, addressing lay audiences and health care professionals, conform only partly to established criteria for the reporting, methods, and content of evidence-based (digital) health information and education. Particularly, well-conducted studies on their effectiveness are missing.

The Influencing Factors on the Effectiveness of Foundation Training Programs: A Case Study of the Health Cadre Service in Bangladesh

The research has been conducted to understand the training effectiveness where health professional participates for training who work under the Bangladesh Government. The research used the Kirkpatrick model. The paper has collected data form, 323 participants. The research measured the training effectiveness using survey questions. The multiple regression techniques have used to conduct analysis of the collected data. The findings of the research revealed that the training effectiveness has been affected significant positively by training motivation, trainer qualification, and training design. Moreover, the training environment does not have significant role on the impacting of the training effectiveness respectively. The study has specific recommendations based on the above findings as the bench mark to improve the effectiveness training in Bangladesh and the regions.

Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation.

ObjectivesCrew resource management (CRM) training formats have become a popular method to increase patient safety by consideration of the role that human factors play in healthcare delivery. The purposes of this review were to identify what is subsumed under the label of CRM in a healthcare context and to determine how such training is delivered and evaluated.DesignSystematic review of published literature.Data sourcesPubMed, PsycINFO and ERIC were searched through 8 October 2018.Eligibility criteria for selecting studiesIndividually constructed interventions for healthcare staff that were labelled as CRM training, or described as based on CRM principles or on aviation-derived human factors training. Only studies reporting both an intervention and results were included.Data extraction and synthesisThe studies were examined and coded for relevant passages. Characteristics regarding intervention design, training conditions and evaluation methods were analysed and summarised both qualitatively and quantitatively.ResultsSixty-one interventions were included. 48% did not explain any keyword of their CRM intervention to a reproducible detail. Operating room teams and surgery, emergency medicine, intensive care unit staff and anaesthesiology came in contact most with a majority of the CRM interventions delivered in a 1-day or half-day format. Trainer qualification is reported seldomly. Evaluation methods and levels display strong variation.ConclusionsCritical topics were identified for the CRM training community and include the following: the need to agree on common terms and definitions for CRM in healthcare, standards of good practice for reporting CRM interventions and their effects, as well as the need for more research to establish non-educational criteria for success in the implementation of CRM in healthcare organisations.

Call for global standards in clinical yoga trials

Clinical yoga trials, which were conducted in medical research institutes, found to skew toward imposing positive health impacts. Several concerns related with the clinical yoga trials including the availability of exclusive ethical committee to review yoga research proposal, compensation to the poor patients, patient's actual will to participate in the study, yoga trainer qualification, insurance policy for patients if being harmed, standard yoga protocols (exercise, stretching, bending, meditation, music, timings, and duration), mode of training (self-practice by video or personal trainer), assessment of level of compliance, religious concerns, law and legislation have been neglected, not highlighted, or not well justified by most of the studies. The present article represents the grassroot level of experience of clinical yoga trials in medical research institutes and recommended that, until and unless the global standards for clinical yoga trials have not been introduced, for the safety of the patient, either yoga trials should not be allowed in medical and research institutes or all institutions should follow the standard study designs described in highly indexed standard journals.

EVALUASI PROGRAM PELATIHAN: STUDI KASUS BAGIAN MESIN LOGAM DI BLK SLEMAN TAHUN 2017

This research aims to get an overview of: metal machine training curriculum; metal machine trainee qualification; the qualifications of trainers (educator) metal machine; metal machine skills practice facilities; the process of metal machine skills training; and competences achieved by the trainee machine metal. The methods used to collect data in this study are: (1) an interview with head of BLK metal machines and instructors to get the data of the curriculum, metal machine practice worksheets, learning methods, evaluation tools; (2) the observation data to get the process of education and training; (3) documentation to get the data infrastructure workshop machinery metal. To keep the validity of qualitative data in this study, performed the triangulation techniques. Input in training consists of instructors; participants of the training; training materials; training tools in the form of the machine with his supporters, machinery and equipment, the infrastructure of the training and Training curriculum-oriented metal machine KKNI. The process of metal machine includes two training activities. Proponents of the theory of practice activities carried out in the room of the theory and practice of the activities carried out in the workshop. Evaluation of products in the study found that the competence achieved are: 50% of the participants achieved 8 competencies; 25% of the participants achieved the 7 competencies; 18.75% of participants achieving 6 competencies; and 6.25% of the participants achieved competency 5 of 8 competencies to be achieved by the participants of the training at the end of training.

DARE Train-the-Trainer Pedagogy Development Using 2-Round Delphi Methodology.

The Dispatcher-Assisted first REsponder programme aims to equip the public with skills to perform hands-only cardiopulmonary resuscitation (CPR) and to use an automated external defibrillator (AED). By familiarising them with instructions given by a medical dispatcher during an out-of-hospital cardiac arrest call, they will be prepared and empowered to react in an emergency. We aim to formalise curriculum and standardise the way information is conveyed to the participants. A panel of 20 experts were chosen. Using Delphi methodology, selected issues were classified into open-ended and close-ended questions. Consensus for an item was established at a 70% agreement rate within the panel. Questions that had 60%–69% agreement were edited and sent to the panel for another round of voting. After 2 rounds of voting, 70 consensus statements were agreed upon. These covered the following: focus of CPR; qualities and qualifications of trainers; recognition of agonal breathing; head-tilt-chin lift; landmark for chest compression; performance of CPR when injuries are present; trainers' involvement in training lay people; modesty of female patients during CPR; AED usage; content of trainer's manual; addressing of questions and answers; updates-dissemination to trainers and attendance of refresher courses. Recommendations for pedagogy for trainers of dispatcher-assisted CPR programmes were developed.

Brid Hendron: 'People talk about stress when what we need to be doing is eliminating it'.

Brid Hendron is a GDP and has a special interest in relaxing nervous, anxious and phobic patients. She holds an NLP trainer qualification and is also qualified in hypnosis. Brid provides training for healthcare professionals in advanced communication skills.

Evaluation der DEGUM-Mammasonografiekurse nach objektivierbaren Kriterien

The aim of this study was to evaluate the quality standard of the nationwide breast ultrasound training program of the German Society of Ultrasound in Medicine (DEGUM) through objective parameters. 10 quality criteria, based on the recommendations of The National Association of Statutory Health Insurance Physicians (KBV), were defined for this study. All training units of the DEGUM received a questionnaire. The questionnaires and training material were analyzed. All units met the required criteria pertaining to the trainer's qualification, duration per training course and the maximum number of participants per ultrasound machine. Only 1 course did not fulfill the required 50 % practical training time. The requirements to participate in the graduate course (200 self-made and documented cases) were not clearly conceived and a defined training log could be improved. DEGUM breast ultrasound training offers trainees a high level of education based on the requirements of the KBV. Despite the high quality of training, the content of course announcements could be improved and an official and structured educational index could be meaningful.

DEGAM criteria catalogue for training practices in primary care--a proposal for the assessment of the structural quality of training practices.

Background: Whilst the structure of primary care vocational training in Germany is being increasingly formalized there remains an abundance of disparate locally defined criteria for the training practices. Advanced medical training in the ambulatory setting has also been identified as an area of need by other specialties. Goal: In contrast to the current practice of a unregulated authorization by regional medical associations this catalogue provide transparent, clearly defined criteria for the assignment of training practice status.Methods: The first draft of the criteria catalogue integrates feedback from 30 academic general practitioners. The feasibility of the catalogue was tested by a further 30 surgeries. Analysis included an assessment of the sociodemographic characteristics of the trainers and their practices as well as satisfaction of the participants with the approved authorization period.Results: The criteria catalogue comprises 19 items within the domains of trainer qualification, practice infrastructure and patient specific factors as well as mandatory criteria. The points scored through this system confer a variable period of authorization. Of the 30 participants 17 were satisfied with the period of authorization they received, 10 were dissatisfied, and one was indifferent.Satisfaction showed no correlation with sex, experience as a trainer, or with the score achieved through the criteria catalogue. It correlated little with the length of time practicing as a doctor.Conclusion: The criteria catalogue reflects both the breadth of general practice as well as the skills of the trainers. Satisfaction of participants in the test group was good, and infers a basis for applying the catalogue through regional medical associations to assign teaching practice status. It may also be used as a blue-print for other medical specialties.

Gruppenprogramme der Gesundheitsbildung, Patienten­schulung und Psychoedukation in der medizinischen Rehabilitation 2010 - Eine Bestandsaufnahme

High quality demands are being placed on concepts of educational group programmes in medical rehabilitation as well as the related trainer qualifications. A nationwide survey of German medical rehabilitation clinics in 2005 had revealed a need for improving educational practice according to these quality criteria. An updated investigation was performed in 2010 aiming at describing group programmes used in medical rehabilitation. 1 473 inpatient and outpatient medical rehabilitation clinics were invited to participate. 908 clinics reported on their training programmes. Data from clinics caring for patients with somatic disorders could be compared to the 2005 survey. Data from clinics for both psychosomatic and substance abuse disorders was collected for the first time in 2010. Overall, psychologists and physicians were reported to be the most frequent conductors of educative programmes. In somatic clinics, psychologists, dieticians and occupational therapists or physiotherapists were the most common conductors. Two-thirds of the institutions reported no training prerequisites for staff members to perform patient education. 80% of the education programmes were categorized post hoc into 3 classes: "generic health education", "disorder-specific patient education", and "psychoeducational group programmes". Almost two-thirds of all programmes were carried out with 8-15 participants, and many used several interactive didactic methods. Programmes conducted in small groups (<8 participants) used significantly more interactive methods than those conducted in larger groups did (>15 participants). Only half of the programmes were manualized. Significantly more interactive methods were used in completely manualized programmes. Only about half of the programmes were evaluated, and only very few evaluation studies were published. The institutions wished additional support by workshops especially concerning qualification of their staff and concerning educational concepts. A need for further improvement and support exists relative to the training of educators and the development of manuals as well as evaluation and publication of the programmes.

Caring for people with dementia in general hospitals

Since 2006, the Alzheimer's Society of Lower Saxony, Germany, has been working to improve care and medical treatment for people with cognitive impairment or dementia in general hospitals. An interdisciplinary team systematically worked on the topic for several years and presented results at various symposia. In 2011, a two-stage curriculum was completed and sent in combination with additional training documents to all hospitals and nursing training colleges in Lower Saxony, Germany. The manual comprised a two-step approach with a 14-h training for hospital staff and a 160-h training for qualification of trainers and dementia appointees/chaperones. In addition, the manual included a list of 13essential points for "dealing with demented people in a general hospital," the information sheet of the German Alzheimer's Society on aspects requiring special attention when a demented person is admitted to a hospital, short descriptions of best practice models, a list of established speakers in the field, and a 30-min film. In 2012, the project won the "Preis für Engagement und Selbsthilfe" of the Hertie Foundation and the "Niedersächsischen Gesundheitspreis" awarded by the Lower Saxon Ministry for Social, Women, Family, and Health Affairs.