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e-Uttar Pradesh 2013 - IT for Better Healthcare - Mayur Maheshwari, Special Secretary, Irrigation Department, Government of Uttar Pradesh

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e-Uttar Pradesh 2013 - IT for Better Healthcare - Mayur Maheshwari, Special Secretary, Irrigation Department, Government of Uttar Pradesh

e-Uttar Pradesh 2013 - IT for Better Healthcare - Mayur Maheshwari, Special Secretary, Irrigation Department, Government of Uttar Pradesh


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  • Describe the problem faced, who it was faced by, and why it was occurring
  • State any additional information relating to the initiative you would like to bring to the notice of the jury. Please limit such information to this slide ONLY.
  • State MEASURABLE benefits of the program to each stakeholder as applicable
  • Transcript

    • 1. RITU MAHESHWARI MAYUR MAHESHWARI SPECIAL SECRETARY LUCKNOW 1
    • 2. Problem…  IMR – 61 in UP, 47 in India, NRHM goal is 28  MMR – 359 in UP, 212 in India, Issues…  One-way supply based approach  Class/Caste/Region based inequalities NRHM goal is 100  Full Immunization – 61.0% in India ( CES-Coverage evaluation Survey NRHM)  Suboptimal use of technology  Monitoring public delivery mechanism a challenge  Institutional Deliveries – 78% in India & 58 % in U.P. (National Family Health Survey- 4, 2012) 2  Inadequate mobilisation of community and stakeholders
    • 3. Objectives of Aarogyam... Development of ICT based health care delivery system for Pregnancy Tracking and Digital Health Mapping to ensure –  100% immunization for pregnant women & children in 0-5 year age group  Bridging the gap between goals and actuals for IMR, MMR, Institutional delivery etc  Healthcare delivery as a two-way demand based interactive eco-system  Involvement of community at village level to generate awareness about health services  Information at doorsteps 3
    • 4. Issues in Immunization Coverage RI monitoring: June 2010 - May 2011 Fully Immuniz ed Partialy Immunized - "drop outs" No Immuniz ation - "left outs" 100% 5% 2% 7% 12 % 20% 80% 30% 32% 37% 60% 40% 78% 66% 6 1% 5 1% 20% 0% Bihar (n=87,474) UP (n=207,811) Jharkhand Bengal (n=11,599) West (n=1,020) *WB data for May & June, ’11 only
    • 5. Reasons for being partially immunized: June 2010 - May 2011 Operational gap Awareness gap Other reasons Infection apprehension Data not available 100% 18 % 80% 18 % 16 % 22% 16 % 16 % 16 % 22% 60% 23% 40% 20% 23% 11% 5% 8% 33% 4 1% 26% 9% 5% 37% 37% 0% Bihar UP Jharkhand WB *WB data for May & June, ’11 only
    • 6. Methodology of Aarogyam.. Comprehensive Baseline Inter-Departmental health mapping Use of ICT as a tool District Database with Central Server connected to an IVR Solution Monitoring/ Performance Appraisal IVR a 4-pronged approach 6 Continuous updation at block level & MIS
    • 7. Services offered…  Pioneer Digital Health Mapping and Pregnancy Tracking System  First Outbound IVR disseminating personalised information wrt mothers and children for BCG, DPT, measles vaccines , JSY etc.  Inbound information retrieval of health schemes  Complaint lodging and redressal  Generation of regular pendency calls to family, pradhan and ANMs for 100% vaccination  Community Broadcasting medium  Anti-epidemic alerts, TSC, Breast Feeding, Spacing Between Children  Voter-ID registration, Information for Farmers etc.  Web based monitoring portal www.aarogyam.co.in 7
    • 8. Private Sub ShockwaveFlash1_OnReadyStateC hange(ByVal newState As Long) Aarogyam2.0.swf End Sub 8
    • 9. BCGFollowing message shall be conveyed to people (0-12 month) ueLdkj] vkidk NksVk cPpk ftldh tUefrfFk 20 ebZ] 2009 gS] D;k vkius tUe ds le; vius uUgs&eqUus dks ch-lh-thdk Vhdk yxok;k tUe ds le; vius cPps dks ck, gkFk ij ch-lh-th- dk Vhdk vo'; yxok;sa ,oa lkFk esa 2 cwaWn iksfy;ks dh [kqjkd Hkh fiyk;saA ;s Vhdk cPps dks Vh-ch- ls cpkrk gSA ;fn vkius ugha yxok;k gS] rks rqjUr ,Œ,uŒ,eŒ cguth ds }kjk ut+nhd ds LokLF; dsUnz ij igqWpdj yxok;saA /;ku jgs fd ;s Vhdk idrk t:j gSA blesa ?kcjkus dh dksbZ ckr ugh gSA ;s Vhds eq¶r esa yxk;s tkrs gSaA 9 /kU;oknA
    • 10. Community 10
    • 11. Pregnancy Tracking scaled up in the entire nation as MCTS (Mother and Child Tracking System) Zero cost to user Empowerment of left-outs, illiterate, economically /socially impoverished/rural families(use of vernacular) Improved transparency, accountability of service providers Stakeholder’s participation Improvement in statistics of immunization – Baghpat 50% to 85% (Jan 2008 to Jan 2011) JP Nagar 31% to 65% (Jan 2008 to Jan 2011) 11
    • 12. 45000 40000 71% 71% 52% 55% 95% 108% Polio DPT BCG Measles TT1 Mother TT2 Mother 19914 29838 32323 33964 19914 29838 32323 33964 22637 29795 31914 34419 21838 29492 32355 33934 20314 29437 37606 39525 18374 26714 36977 38280 35000 30000 25000 t a s i n u m I f o N 20000 15000 10000 5000 0 12 Apr'07-Jan'08 Apr'08-Jan'09 Apr'09-Jan'10 Apr'10-Jan'11
    • 13. 13
    • 14. Aarogyam System 14
    • 15.  First prize UNITED NATIONS Public Service Award 2012  National E-Governance Award 2010-11- Silver Icon  UP State E-Governance Award 2011  NASSCOM Social Innovation Honors 2010  FIEO TELECOM TECHNOLOGY AWARD 2011  E-World awards 2011  Finalist – Stockholm Challenge Award 2010 15
    • 16. 16
    • 17. 17 Training session of ANM & ASHA workers 17
    • 18. 18 18
    • 19. 19

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