Pregnancy, child tracking & health services management system
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Pregnancy, Child Tracking & Pregnancy, Child Tracking & Health Services Management Health Services Management System System For edical, Health and Family Welfare Department Government of Rajasthan
Pregnancy, child tracking & health services management system
1. Pregnancy, Child Tracking & Health Services Management
System For Medical, Health and Family Welfare Department Government
of Rajasthan
2. Pregnancy, Child Tracking & Health Services Management
System It is an online web based system used as an effective
planning & management tool by Medical, Health & Family
Welfare department, Government of Rajasthan for improving its
services right up to the health subcenter level (lowest health unit
at village level). The system is operational for all government
health institutions across the state (more than 13,000
locations).
3. Pregnancy, Child Tracking & Health Services Management
System
4. Pregnancy, Child Tracking & Health Services Management
System Accolades eINDIA 2010 Award - Best Project under eHealth
Category Data Quest Magazine - May 2010 (Spotlight) Manthan South
Asia 2009 Award Certificate of Appreciation
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System Scope : All Govt.Health Institutions in Rajasthan 11000 +
1500 + 360 + 200 + 34 30 Health subcentres Primary Health Centres
Community Health centres City Dispensaries District Hospitals
Hospitals attached to Medical Colleges
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System Main Features PCTS - Id for every child and pregnant woman
Record of every child is linked to his/her mother and siblings
Drill down from state consolidate to health subcentre and then to
individual case Generates Record Transportation Sheets for ANC,
Delivery, PNC and Immunisation. This helps in data capturing at
field level institutions. Role based user authentication secures
the system Automatic compilation for all administrative levels
viz., PHC, Block, District, Division & State Ready availability
of historical data Online help for all users Monitoring Desk with
graphical analysis for all levels Bilingual software (Unicode
compliant) with provision for data entry in Hindi and English
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System Challenges The manual system only had numbers being
reported. Therefore visualising a system where such details of
individual case can regularly flow right from the lowest level was
itself a challenge. Making the users accept the system since it was
a quantum jump from a completely manual system to a completely
online system. Making the system operational from large number of
remote locations numbering more than 500. Reengineering the
processes and implementing them across the state. Creating new data
capturing formats and making more than 13000 health workers change
over to these formats in the field for data reporting. Availability
of Internet connectivity reporting. at all remote locations to
ensure 100 %
8. Pregnancy, Child Tracking & Health Services Management
System Challenges Hardware & Software solution had to be such
that it could handle the load of about 300 concurrent users Network
bandwidth was always an issue. Therefore creating an application
which consumes minimum bandwidth was a primary requirement.
Workshops and Trainings for Medical & Health department
officials from state to block level
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System Training Strategy Constituted a core group consisting of
officials from NIC & Medical department at state level for
imparting trainings. Trainings were organised at various levels.
Orientation of state level & district level officials for
effective monitoring. Training of trainers from districts for
imparting training at district & below district level. Training
to block level & below block level officials to operationalise
the system from block level. Training of ANMs for data
reporting.
10. Pregnancy, Child Tracking & Health Services Management
System Scalability The system can be scaled down to village level
and can also be scaled up for implementation at other states.
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System Before the System (21-25 Days) IMPACT After the System (3-5
Days) State Centre Secretariat 3-5 days District CMHO Directorate
Division Jt. Directorate District CMHO No Delay 5-7 days Block CMO
Block CMO CHC 5-7 days PHC CHC 3-5 days 5-7 days Subcenter
Subcenter PHC
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System IMPACT Before the System After the System Total time for
information communication 21-25 days Total time for information
communication 3-5 days Redundant compilation at all levels No
manual compilation at any level Time for trends and analysis 2-3
months after complete reporting Instant trends analysis Monitoring
for individual health institution was not possible. It was
Facilitates monitoring of individual health institution from state,
district & block. Individual pregnant woman and child can be
tracked. After the system immunisation coverage has increased to
71%. very difficult performing units. to locate non Tracking of
individual case was very difficult. The 28%. immunisation coverage
was
13. Major Benefits Pregnancy, Child Tracking & Health
Services Management System Facilitates Online tracking of pregnant
women & children for health care Reduction in maternal
mortality as a result of case specific tracking Improved child
health because of better monitoring of vaccination programme
Reduction in infant mortality Helps in improving institutional
delivery Identification of cases for sterilisation makes it an
affective tool for population control Better management of every
health institution in the state Monitoring of area / district wise
sex ratio at birth Alerts for dropouts and left outs from
immunisation Online directory of health institutions Eliminates
need for redundant system of reporting such as RIMS etc. Eliminates
compilation efforts at PHC, Block PHC, District & State level
Automatic data consolidation Online Trend Analysis
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System
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40. Pregnancy, Child Tracking & Health Services Management
System The Road Ahead Integration of various citizen centric
services is proposed. SMS / automated pre recorded voice call to
inform about the vaccination due a day before the scheduled date.
IVRS to help the citizen to enquire about the vaccination schedule
of their children.
41. Thank You
42. Pregnancy, Child Tracking & Health Services Management
System Computer Infrastructure The computer infrastructure required
to use the PCTS system was initially available at block level. So
it was decided to use system from block level. Initially the data
of all health institutions in a block is entered from the block
CMHO office using broadband / leased line Internet connectivity.
Now the system is used by all CHCs (Community Health Institutes)
and about 100 PHCs (Primary Health Centre) where the infrastructure
is created.
43. Questions What are the post implementation challenges
(refer internet sources, secondary data) Prepare a report on Post
Audit.
