Integrated Digital Systems for Community Processes: Modernizing Primary Healthcare in Uttar Pradesh India Health Action Trust (IHAT), India, GoUP TSU

Duration

Feb 2018-Oct 2019

Project Domain

Reproductive and Child Health (Community Process)

Geography

1000+ PMU Unites, 820 Blocks, 75 Districts

Number of Users

3000 + BCPMs / CCPMs / BAMs / MOICs /DCPMs

The National Health Mission (NHM) in Uttar Pradesh is leading a digital transformation to improve the delivery of primary healthcare in rural communities. A suite of integrated systems has been meticulously designed and deployed to streamline various aspects of the Community Processes division's work, targeting better health outcomes for all.

The Need: Challenges and Opportunities

  1. Vast Rural Population: Uttar Pradesh's vast rural areas pose logistical challenges in delivering consistent services and gathering up-to-date health information.
  2. Paper-Based Inefficiencies: Reliance on manual records is prone to errors, delays, and limited data analysis capabilities.
  3. Motivation and Accountability: Ensuring timely payment to frontline health workers and tracking their performance can be complex.
  4. Community Engagement: Reaching remote villages with comprehensive health services, such as regular outreach events and follow-up care, requires careful coordination.

The Solution: A Suite of Integrated Applications

  1. ASHA Paperless App and the HWC App: These two applications form the backbone of service delivery. The ASHA Paperless App empowers these frontline workers with digital tools for home-based care and data reporting, while the HWC App enhances facility-level record-keeping, resource management, and service tracking.
  2. BCPM Application: This app modernizes the payment process for ASHAs and ASHA Sanginis. It ensures greater accuracy, transparency, and timeliness in delivering essential incentives.
  3. VHND Application: Streamlines Village Health and Nutrition Day events. The app replaces paper-based checklists with digital forms for data entry, resulting in more efficient record-keeping and analysis.
  4. Rogi Kalyan Samiti (RKS) MIS: This system bolsters the efficiency and accountability of RKS committees at district and block-level health facilities. It facilitates meeting management, resource tracking, and insightful reporting.
11,000

Key Design Principles

  1. User-Centric: Intuitive interfaces and easy-to-follow workflows cater to varied users.
  2. Offline Functionality: Data entry is possible even in areas with limited connectivity.
  3. Data Security: Robust safeguards protect sensitive health information.
  4. Interoperability: Data flows seamlessly between apps.
  5. Feedback Loops: The systems are designed to promote two-way communication between frontline workers, program management, and policy levels.

Benefits of the Integrated Approach

  1. Improved Data Quality and Accuracy: Eliminates errors associated with manual record-keeping.
  2. Transparency and Accountability: Provides a clear audit trail for service delivery, payments, and RKS activities.
  3. Streamlined Communication and Coordination: Enhances the efficiency and responsiveness of outreach programs like VHNDs.
  4. Data-Driven Decision-Making: Dashboards and reports provide insights to inform program optimization at various levels.
  5. Empowered Frontline Workers: ASHAs, Facility staff, and RKS members are equipped with tools supporting effective action.
  6. Enhanced Patient Care: The integrated suite enables better preventive services, follow-up, and timely referral.

Community Process ICT Application

workflow

Photos from the field

Applications Developed

Mobile And Web

BCPM App

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Health and Wellness Centre App

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Village Health and Nutrition Days (VHNDs) App

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Asha Paperless App

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CP Mapping Web

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RKS App App

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