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ICT FOR RURAL DEVELOPMENT

Today, India is vibrant with innovative ideas in the field of usage of Information Technology and is keen to see that the fruits of this new technology brings happiness into their life.

Current Projects

Previously Done Projects

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CHMIS

 

The project conceptualized by four partners, aimed at empowering the health workers in the field, while improving their effectiveness in the field in screening and surveillance of their beneficiaries, thereby delivering improved care. The current scope involves 94 villages (300,000 beneficiaries) within the Pune district managed by 54 Auxiliary Nurse Midwives (ANM), contractual as well as permanent. To focus on the Millennium Development Goal related indicators initially, we decided to focus on Ante Natal Care and Immunization tracking while not losing focus on what a health worker at a sub-center does while going out in the field.

 

Vidya Pratisthan Institute of Information Technology (VIIT) working along with public health domain consultants from Indian Institute of Public Health – Hyderabad (IIPH-Hyderabad) and local inputs from the State Health System Resource Center (SHSRC) of National Rural Health Mission (NRHM), ANM’s, District Health Officer (DHO) built the open source based solution with relevant algorithms. VIIT along with the Zilla Parishad (the district council of elected representative) distributed Intel Atom based netbooks, used interns pursuing Masters of Social Work MSW’s to train and support the ANM’s on basic ICT and application training.

 

Over the past 9 months, the ANM’s have entered historical data while also gathering data from the field in their day to day visits. Involving the SHSRC has enabled the building of report formats that match the state Information System requirements. Over time, the ANM’s of this taluk (sub-district division) will not need to carry any register / diary in the field saving them more than 50% of their time otherwise spent on administrative activities.

 

The ANM’s will be able be spend saved time to follow up mothers and children to insure complete ante natal visits of pregnant mothers, post natal visits and new born care and immunization of children. The system also provides more time for capacity building of ANM’s through e-learning participatory and action-oriented approaches, combining generic problem-solving and strategy-based training which will help therm in developing local solutions. ANM’s will be able to analyze data gathered from field and to engage more with the community to strengthen village health planning, making it more community centric and need based.

 

ANM’s have indicated several other benefits that they have already started observing while using the system.

• Retrieve information of the beneficiary (huge saving instead of going through various registers / field diary to retrieve information which is hand written)

• Ability to monitor ANC visits of beneficiaries and see their risk profiles (Hb, Weight, BP) trends in earlier visits thereby giving them the information required to take remedial action

• Determine the link between pregnancy and child birth to track institutional delivery

• Track the immunization of each child and see reports of either missed immunizations for a village or by a particular vaccine (if camps are conducted for specific immunization)

• Create a work list for the next day that ensures that they don’t miss any beneficiary and include those beneficiaries who have missed earlier schedules

To increase Commutization (involving community into being responsible for its own health) the project is looking to:

• Use the community radio to interview the ANM’s, share their responsibilities and match that with the expectation of the community in order to bridge the gap and build trust

• Awareness workshops with Sarpanch (elected representative) of the villages, supervisors of the ANM’s, Medical officers of the Primary Health Centers (PHC’s) they report to so that they understand how this transformation could be internalized

• Use the NRHM content in local language and use local community leaders to create 2 minute videos on key messages around mother child care, nutrition, hygiene etc

• Reuse the excellent content already developed by NRHM / SHSRC for the same

 

Some of the key next steps that we are taking up for this project include:

• Getting all the registers captured electronically at the sub-center level so that there is Zero manual entry.

• Build an effective clinical decision support system that would empower stakeholders across the continuum of care by incorporating various relevant technology solutions.

• Develop an effective self paced e-learning solution and an assessment dashboard for ANM’s around MNCH that will promote competency based training. This platform could also be used as part of the IEC program for the beneficiary.

• Monitoring impact of the program to observe quantifiable benefits as well as qualitative benefits to both the health system and the population covered.

 

As an intermediate step, VIIT is scaling the project to cover 3 Taluks with a total of 151 ANM’s and 286 villages with 1.15 million beneficiaries covered within the scope. Acceptance of this proposal would scale this to the complete district comprising 14 Taluks, 539 ANM’s, 1401 Villages and 2.9 million beneficiaries.