Telemedicon12 f

Plenary Address at the
International Telemedicine Conference 2012:
Telemedicon‟12
Hotel Le Meridien, Coimbatore, India
November 30th, 2012

Rajendra Pratap Gupta
Member,
Board of Directors
The Care Continuum Alliance, Washington DC, USA
President & Member of the Board
Disease Management Association of India (DMAI)

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© Rajendra Pratap Gupta . Email: office@rajendragupta.in

„Innovation at Grassroots‟

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At least 2/3rd of the World‟s population learns
through oral means

A great portion of the world‟s population is
illiterate. Even many of those who are
literate, learn faster through listening and /
or viewing

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„We use mobiles for healthcare without calling
it mHealth‟

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Jeevandainee Project – Wardha District , Maharashtra

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Sample Report - High Risk Patients

Jeevandainee Project – Wardha District , Maharashtra 6


Sample report – List of all pregnant women

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Sample report – High risk patients

Jeevandainee Project – Wardha District , Maharashtra 8



• Cost of intervention per village is less than US$ 100

• In a year and half of being in operation ;

• Maternal mortality dropped from 91 /100,000 to 51 / 100,000

• A drop of 43.95 % in MMR

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Village Bodhali, District Gadhchiroli, Maharashtra
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Village Bodhali, District Gadhchiroli, Maharashtra

• A 7th class failed lady ( Health Worker, Mrs. Anjana Uikey ) has been
addressing the issue of IM /MM

• Nearest district hospital is 9 KMs away

• During the past five years , the village has been „child death free‟ for four
years

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BBC Foundation

• 360 degree approach to
communication

• Launched 4 months ago

• Covers 29 million
population / 8 districts

• Trained 40,000 workers

• 1 million minutes of talk time
used by Health workers

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Mid wives in Pemalang and West Lombok ( Indonesia), using mobile
phones for disseminating information on mother and child health

http://www.unicef.org/indonesia/reallives_19056.html
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UNICEF + Nokia Life’s- ‘Midwives Pilot’ in Indonesia
Fulfilling information gaps for Indonesian midwives
“I write down Info Bidan messages because I want
to share with my friend who haven‟t subscribed to
the service”

Ibu Aliyatus Sya'ni
Pemalang – Central Java

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© Rajendra Pratap Gupta . Email: office@rajendragupta.in Info Bidan Messages

Mercy Corp in Indonesia
Fulfilling information gaps for Indonesian Mothers using mHealth

A Health worker at a Posyandu (health center)
discussing tips received over Nokia Life with a
group of mothers.

Nokia Life 15


Mother & Child Dyad care system for
Maharashtra- Janani

A System for Strengthening of existing MCTS

Modules of “Janani”

• Real Time Data (location, voice, picture etc.) Capturing

• Sending file to web server

• Data Transcription

• System for data analysis and feedback

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Real Time Data (location, voice, picture etc.) capturing at Katol
Taluka and sending to the web server
• Providing GPS enabled Android mobile phones to all sub
centres along with 4 GB SD card

• Providing “Janani” application to above mobile phones

• Providing Health Phone videos

• Providing training to ANMs

• Providing refresher training to ANMs

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To begin the application, tap on the “Janani” icon
Application “Janani” icon

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The following screen appears for 2 seconds
screen

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Subsequently, the following screen appears
screen

Tap on “MCTS” icon for real
time data transmission

real time data transmission
“MCTS” icon .
Tap on “Health Videos” icon for
viewing videos on best
practices.

videos
Locational “Health Videos” icon
Information
.

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On tapping the “MCTS” icon, the following screen appears
“MCTS” icon . screen

Tap on “Record Voice” icon for
recording data through your
voice.
Uncheck the box if you do not
Data recording
want to capture picture of
“Record Voice” icon
mother/child in this process.
.

box Uncheck .

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On tapping the “Record Voice” icon, the voice recorder starts as follows
record “Record Voice” icon

On completion of the recording, tap on “Done” button

recording “Done” .

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The following screen appears
screen

Else, you may discard the
recorded voice and can record
Tap on “Yes” button, if you your voice again by tapping
want to continue with the “No, Record again” button.
current recorded voice.
recorded
record discard “No, Record
Save “Yes” again”
Tap . record .

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Capturing Picture

After capturing the Picture, the
system will show you a preview
of the picture.

system
preview .

Else, you may discard the
Tap on “Save” button, if you captured picture and can take a
want to continue with the new one by tapping “Discard”
current captured picture. button”.
Save Discard

discard
Save
Save Tap “Discard” Tap .

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Uploading Data

On tapping the “Save” button as shown in the previous
slide, the data (voice and picture) will be transferred to
web server (if the internet connection is available):

slide Save Tap
data ( ) web server transferred
( internet connection ).

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Data successfully Uploaded

Tap on “OK” button, to
complete the process and
capture a new data.
File Successfully Uploaded
process complete OK
“OK” Tap
Data Capture .

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Data Storage in SD card (in case of internet connection issue)

If internet connection is not available at that time, then the data
(voice and picture) will be stored in the SD card.

internet connection data( )
Mobile Save .

The stored data will be automatically transferred to the web server
as and when the internet connection is available while running the
application next time:

Phone internet connect
Phone data web server transferred
application .
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Training of ANMs

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Health Videos

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Health Videos

Tap on “Health Videos” icon for
viewing videos on best
practices

videos
“Health Videos” icon
.

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The following screen appears for 2 seconds:
screen .

32


Subsequently, the following screen appears:
screen

Tap on the listed videos to play
videos listed
videos Tap .

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Hand wash, Immunization etc.

Hand wash Immunization

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Initial Screen

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Mothers Registration page

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Mothers ANC Page

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Child Immunization page

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System for data analysis and feedback.
The system developed to do the following:

• Dash-board (facility wise): All facilities of Taluka showing service
delivered and due in numbers

• Dash-board (mother wise): To view services delivered o
time, due, delayed along with High risk status

• “To-Do” list: Next 7 days work-plan (task for ANMs and PHCs)

Glimpses of the system….39

Dash-board (Facility wise)

ANC 1 ANC 2 ANC 3 ANC 4

25 10 22 9 30 5 15 7

2 4 0 2 1 3 2 1

11 10 12

Legend:
Number of mothers provided Number of mothers provided
service in time service after due date

Number of High Risk mothers

Number of mothers whose services are
due but not crossed the time frame
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Dash-board (Mother wise)

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“To-Do” list: Next 7 days work-plan (task for ANMs and PHCs)

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Way Ahead

• The system is ready to scale up for all talukas of Nagpur distric
(with geo-referenced map, habitations and health facilities already
available)

• Similar system is being prepared to implement in all talukas of 15
districts (including Nagpur).

• Field GPS survey has been completed for all talukas of 10 district
(Gondia, Bhandara, Chandrapur, Wardha, Nagpur, Nanded
Amravati, Yavatmal, Akola and Washim).

• Survey is under progress in Gadchiroli and Buldana

• Survey to be done in Nashik, Ahmednagar and Thane 43


GPS survey status (as on 11th Oct, 2012)

Survey Completed

Survey in progress

Survey to be done

15 Focus districts

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A political rally ?

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Not a political
rally but a
health camp

Over 71,000
checked in 16
hours

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Telemedicine
did wonders at
this Health
Camp

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Consultations
in progress

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Consultations
in progress

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Consultations
in progress

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Dr. Meenu
Singh - from
PGI
, Chandigarh

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Diagnosis &
Prescription

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Diagnosis &
Prescription

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Consultations
in progress

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Consultations with
specialists from Delhi,
Hyderabad, Chennai
& Ahmedabad in this
mobile van

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Emergency
Care

108 In A.P. receives over 58000 calls a day. 4800+
are emergencies and has saved 20165+ lives
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“Use of mHealth has solved the
issue of affordability,
accessibility and acceptability
in remote & rural healthcare ”
Rajendra P. Gupta
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“mHealth was earlier looked upon as
a weird idea and dismissed as a
gimmick. Now the Governments
across the World are resting their
hope on leveraging this technology.
2013-14 will see large scale mHealth
deployments ”

Rajendra P. Gupta
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“ Use of Information Technology in healthcare
cannot be counted as innovation anymore , it is
more of a basic requirement now”
Rajendra P. Gupta

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Disclosures & Acknowledgements
 Views presented are personal
 Presenter is associated with OTC, Retail & healthcare organizations across USA,
Europe , U.K. Middle-East & India .
 The figures and studies are indicative & for representational purpose only
 Utmost care has been taken to quote the data. Any inadvertent error is
regretted .
 Quotes used in the presentation are coined specially for this presentation & are
copyrighted by the author & presenter. Do not use any quote without the
written consent of the author
 The presentation has used many resources and acknowledges the contributors
with appreciation and thanks . Some of the trade names / marks (if used ) may
belong to third parties , and have been quoted just for the sake of information to
the audience
 Please do not copy or reproduce in whole or part thereof, the contents of this
presentation without the written permission from the presenter .
 Website for downloading www.rajendra.groupsite.com
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Thanks
Rajendra Pratap Gupta
Email: office@rajendragupta.org
office@rajendragupta.in
Cell:
(India) + 91- 922 33 44 303 / 922 33 44 542
(USA) + 515 450 8036 / 515 9 666 55 7
(UAE ) + 971 55 3 12 18 29
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