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Presentation by
Mr. Harsh. J. Vyas (IAS)
District Development Officer
District-Sabarkantha
Gujarat
1
• 1/8 HPDs of Gujarat
• Population: 24,27,346
• Population Density/ Sq KM :
328
District Profile
2
3
Name of District Sabarkantha
Total Population 1388671
Total no of Villages 686
Total no Revenue of Villages 682
Total No. of Talukas 8
District Hospital 1
Sub District Hospitals 1
Total CHC & FRU CHC 11 & 4
Total PHC & 24x7 PHC 36 &10
Tribal PHCs 13
Non Tribal PHCs 23
District Profile
Major Stakeholders
NHL Municipal
Medical College
District
Development
Officer, Health
officials, Taluka
Health Officers,
Medical Officer,
Ayush Tabib, IEC
Officer, FHWs,
MPWs
4
5
6
Inauguration by Hon’le Chief
Minister, Gujarat
Inauguration by Hon’le Chief
Minister, Gujarat
GoalGoal
To contribute in reducing Maternal
Mortality Ratio and Infant
Mortality Rate
7
• To empower the Health Workers digitally.
• To increase skill of health workers to impart health related
information.
• To facilitate health workers & AWW to use latest technology
for health education.
• To increase knowledge in pregnant & lactating women,
adolescent, child regarding health Problems, diet, exercise.
• To monitor IEC activity at district level.
Objectives
8
• Hardware- 7 Inch android based tablet device
• 1GB RAM, 32 GB SD Card
• Software - Android based mobile application
• Contents - Ppts/Video, images, audio are loaded in
memory card of device.
• Using Mobile application contents are shown to beneficiaries
as per need. At the end of session with the use of quiz
module, post-education assessment is done.
Concept
9
• HWs has to carry IEC material in hard copy
• Incomplete information with HWs
• Lack of scientific knowledge of topic of HWs
• IEC material is not updated regularly
• Assessment of beneficiary was not done after IEC activity
• Unable to explain complete technique of health activity
(Demo of Hand Wash)
• Reporting of IEC activity was not done by HWs
Problem Statement
10
Beneficiaries
Total 642 HWs (Medical
Officer, Ayush, Female
Health Workers, Male
health workers)
Total 1388671
population (Antenatal mothers,
Postnatal mothers, Adolescents)
11
No. Contents No. of ppt/Video
1 Health & Sickness 28
2 Woman & Health 16
3 Antenatal Care 18
4 Postnatal Care 1
5 Child Care 19
6 Adolescent 6
7 Nutrition & Health 5
8 Anemia 2
9 Family Planning 8
10 STD/HIV 3
11 Other government services 1
12 UNICEF video 29
Contents used in Mobile Application
12
Technical Support by NHL Municipal
Medical college(NHLMMC)
Technical Support by NHL Municipal
Medical college(NHLMMC)
• Contents have been reviewed by NHLMMC
• Impact evaluation has been designed NHLMMC
• Training of health workers (HWs) has been designed by
NHLMMC
13
Baseline KAP Survey
• Training of 15 third party volunteers have been done on 18th -
19th , February 2015
• Baseline family health survey has been conducted by
NHLMMC with 12 third party volunteers . Total 1800
households have been surveyed.
• UNICEF has funded for study.
14
Base line by NHLMMC
VillageVillage
Kanknol
15
Capacity Building of frontline HWs
• In first phase training of 80 frontline health workers like
Medical Officer, Ayush Tabib, Female Health worker and
multipurpose health workers has been conducted.
• Thereafter all other 562 workers have been given training
• UNICEF has funded for capacity building.
Regarding
use of Tablet
device
Regarding use of
Swasthya Samvedana
Sena mobile
application
16
Capacity Building of frontline HWs
Training of
Tablet &
Application
17
Training of frontline HWs
Training of
contents
18
Screen showing Home Page
12 Categories
19
List of Topics
Topics under each
category
Quiz at the end of
each session
20
Quiz & its result screen
21
Screen showing Home Page
Call to Help
line
number
22
Screen showing Home Page
Case
reporting
23
Case reporting screen
Case reporting form
with photo
24
Screen showing Home Page
Sync Data
here
25
Screen showing Home Page
Update
contents
here
26
Web based Dashboard
27
IEC session
report
Web based Dashboard
28
User status
report
Web based Dashboard
29
User
activity
report
Web based Dashboard
30
Case
reporting
with photo
& Geo
tagging
• Audio/visual IEC is having more effect on behavior change.
• Complete and Scientific knowledge is delivered.
• Health worker does not have to remember anything and still
she is well updated with latest information.
• Updated audio/video/ppts can be uploaded instantly without
any extra cost.
• Health worker does not have to carry any extra IEC materials
in field.
• Online monitoring of all IEC material at all supervisory level
through dashboard.
Benefits
31
Story of Mr. Manavendra Singh Rathod,
village Ghorvda, Ta. Himatnagar
32
One low birth
weight (1.5 KG)
Child Saved
Using Tablet
Project Outputs
642 Health
workers
have been
digitally
empowered
33
8000+ views till
22.2.2016
Total 8 training
session have
been completed
Challenges
>90% HWs were first
time users of touch
screen device
They didn’t know
difference between
touch & press
Typing in Gujarati
Device with Vernacular
language facility
Finalization of
contents
How to take photo?
Resistance to new
work by HWs
Fear of use of tablet
Fear of physical
damage
34
Replicability
35
• Total 111 health contents & 26 UNICEF video are ready
to deliver
• It’s a android based mobile application. Currently
android is commonest operating system used in India
• The project just replaces the conventional IEC system.
So benefits to HWs have increased rate of acceptance.
• Case reporting facility will enable HWs to deliver
qualitative and prompt service.
• As tablet supports 21 Indian vernacular language,
Contents can be prepared in vernacular language and
deployment will be very easy.
Scalability
36
The data collected viz. Work status and GPS help
• The cost of each tab with software and services is fixed
for unlimited years and can be used for unlimited IEC
without any extra cost. Tab and software licenses are
permanent asset to the organization and any number of
other departments/schemes ppts can be added.
• Moreover latest technology like mobile and cloud have
been used to keep overheads and running cost low in
future. The data collected viz. Work status and GPS help
in GIS based planning and decision making which cannot
be quantified in money terms.
Best example of Inter-sectoral
coordination
Best example of Inter-sectoral
coordination
Health
Department
ICDS
Department
Backward
Region
Grant Fund
(BRGF)
37
Award
38
We have received award from honorable president of Goa
in Knowledge Exchange award function for best ICT
practice.
• Single device (Mobile Tab) will be used for many other useful
health Applications.
• Real time data entry from the field
•Real time medical case reporting
•Real time Family health Survey
•Real time Infant and Maternal death reporting
Way Forward…
39
Thank You
40

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Ss sv3 06-10-17

  • 1. Presentation by Mr. Harsh. J. Vyas (IAS) District Development Officer District-Sabarkantha Gujarat 1
  • 2. • 1/8 HPDs of Gujarat • Population: 24,27,346 • Population Density/ Sq KM : 328 District Profile 2
  • 3. 3 Name of District Sabarkantha Total Population 1388671 Total no of Villages 686 Total no Revenue of Villages 682 Total No. of Talukas 8 District Hospital 1 Sub District Hospitals 1 Total CHC & FRU CHC 11 & 4 Total PHC & 24x7 PHC 36 &10 Tribal PHCs 13 Non Tribal PHCs 23 District Profile
  • 4. Major Stakeholders NHL Municipal Medical College District Development Officer, Health officials, Taluka Health Officers, Medical Officer, Ayush Tabib, IEC Officer, FHWs, MPWs 4
  • 5. 5
  • 6. 6 Inauguration by Hon’le Chief Minister, Gujarat Inauguration by Hon’le Chief Minister, Gujarat
  • 7. GoalGoal To contribute in reducing Maternal Mortality Ratio and Infant Mortality Rate 7
  • 8. • To empower the Health Workers digitally. • To increase skill of health workers to impart health related information. • To facilitate health workers & AWW to use latest technology for health education. • To increase knowledge in pregnant & lactating women, adolescent, child regarding health Problems, diet, exercise. • To monitor IEC activity at district level. Objectives 8
  • 9. • Hardware- 7 Inch android based tablet device • 1GB RAM, 32 GB SD Card • Software - Android based mobile application • Contents - Ppts/Video, images, audio are loaded in memory card of device. • Using Mobile application contents are shown to beneficiaries as per need. At the end of session with the use of quiz module, post-education assessment is done. Concept 9
  • 10. • HWs has to carry IEC material in hard copy • Incomplete information with HWs • Lack of scientific knowledge of topic of HWs • IEC material is not updated regularly • Assessment of beneficiary was not done after IEC activity • Unable to explain complete technique of health activity (Demo of Hand Wash) • Reporting of IEC activity was not done by HWs Problem Statement 10
  • 11. Beneficiaries Total 642 HWs (Medical Officer, Ayush, Female Health Workers, Male health workers) Total 1388671 population (Antenatal mothers, Postnatal mothers, Adolescents) 11
  • 12. No. Contents No. of ppt/Video 1 Health & Sickness 28 2 Woman & Health 16 3 Antenatal Care 18 4 Postnatal Care 1 5 Child Care 19 6 Adolescent 6 7 Nutrition & Health 5 8 Anemia 2 9 Family Planning 8 10 STD/HIV 3 11 Other government services 1 12 UNICEF video 29 Contents used in Mobile Application 12
  • 13. Technical Support by NHL Municipal Medical college(NHLMMC) Technical Support by NHL Municipal Medical college(NHLMMC) • Contents have been reviewed by NHLMMC • Impact evaluation has been designed NHLMMC • Training of health workers (HWs) has been designed by NHLMMC 13
  • 14. Baseline KAP Survey • Training of 15 third party volunteers have been done on 18th - 19th , February 2015 • Baseline family health survey has been conducted by NHLMMC with 12 third party volunteers . Total 1800 households have been surveyed. • UNICEF has funded for study. 14
  • 15. Base line by NHLMMC VillageVillage Kanknol 15
  • 16. Capacity Building of frontline HWs • In first phase training of 80 frontline health workers like Medical Officer, Ayush Tabib, Female Health worker and multipurpose health workers has been conducted. • Thereafter all other 562 workers have been given training • UNICEF has funded for capacity building. Regarding use of Tablet device Regarding use of Swasthya Samvedana Sena mobile application 16
  • 17. Capacity Building of frontline HWs Training of Tablet & Application 17
  • 18. Training of frontline HWs Training of contents 18
  • 19. Screen showing Home Page 12 Categories 19
  • 20. List of Topics Topics under each category Quiz at the end of each session 20
  • 21. Quiz & its result screen 21
  • 22. Screen showing Home Page Call to Help line number 22
  • 23. Screen showing Home Page Case reporting 23
  • 24. Case reporting screen Case reporting form with photo 24
  • 25. Screen showing Home Page Sync Data here 25
  • 26. Screen showing Home Page Update contents here 26
  • 27. Web based Dashboard 27 IEC session report
  • 31. • Audio/visual IEC is having more effect on behavior change. • Complete and Scientific knowledge is delivered. • Health worker does not have to remember anything and still she is well updated with latest information. • Updated audio/video/ppts can be uploaded instantly without any extra cost. • Health worker does not have to carry any extra IEC materials in field. • Online monitoring of all IEC material at all supervisory level through dashboard. Benefits 31
  • 32. Story of Mr. Manavendra Singh Rathod, village Ghorvda, Ta. Himatnagar 32 One low birth weight (1.5 KG) Child Saved Using Tablet
  • 33. Project Outputs 642 Health workers have been digitally empowered 33 8000+ views till 22.2.2016 Total 8 training session have been completed
  • 34. Challenges >90% HWs were first time users of touch screen device They didn’t know difference between touch & press Typing in Gujarati Device with Vernacular language facility Finalization of contents How to take photo? Resistance to new work by HWs Fear of use of tablet Fear of physical damage 34
  • 35. Replicability 35 • Total 111 health contents & 26 UNICEF video are ready to deliver • It’s a android based mobile application. Currently android is commonest operating system used in India • The project just replaces the conventional IEC system. So benefits to HWs have increased rate of acceptance. • Case reporting facility will enable HWs to deliver qualitative and prompt service. • As tablet supports 21 Indian vernacular language, Contents can be prepared in vernacular language and deployment will be very easy.
  • 36. Scalability 36 The data collected viz. Work status and GPS help • The cost of each tab with software and services is fixed for unlimited years and can be used for unlimited IEC without any extra cost. Tab and software licenses are permanent asset to the organization and any number of other departments/schemes ppts can be added. • Moreover latest technology like mobile and cloud have been used to keep overheads and running cost low in future. The data collected viz. Work status and GPS help in GIS based planning and decision making which cannot be quantified in money terms.
  • 37. Best example of Inter-sectoral coordination Best example of Inter-sectoral coordination Health Department ICDS Department Backward Region Grant Fund (BRGF) 37
  • 38. Award 38 We have received award from honorable president of Goa in Knowledge Exchange award function for best ICT practice.
  • 39. • Single device (Mobile Tab) will be used for many other useful health Applications. • Real time data entry from the field •Real time medical case reporting •Real time Family health Survey •Real time Infant and Maternal death reporting Way Forward… 39