Designing an M&E System For Maternal Health in         Jasola                     GRC/JMC/NC/DU       Summer 2012, Jasola,...
DESIGNING TARGETED            HEALTH     INTERVENTIONS                     Global                     Health              ...
UNDERSTANDING THE     •Who?PIECES OF THE HEALTH   •What?                       •When?              PUZZLE   •Where?       ...
Who:             GRC       JMC         NC
ANTENATAL CLINICS AT THE GRCFrom July 2011 to April 2012, 60 women have visited the  GRC for the ANC clinics              ...
KNOWN HEALTH ISSUES Pregnancy and delivery:    Multiparity    Lack of spacing between births    Anemia    Urinary inf...
ENGAGING THE COMMUNITY   Focus groups With Mothers on Maternal and Child Health (MCH) Knowledge of health  issues Percep...
MOTHERS KNOW BEST               FOCUS GROUP RESULTS1. Knowledge of health issues  • Symptoms: mild vs. severe conditions  ...
- Dizziness                                          Symptoms - Weakness                        Baby cries         Mild - ...
CONVERSATIONS WITH GRC STAFFKey Topics Challenges to current work Lessons learned from MCH Focus Groups Ideal Scenarios...
PILOT TESTINGTECHNOLOGY   SOLUTIONS
CURRENT DATA MANAGEMENT         SYSTEMSLargely Paper-based  Integrated with excel spreadsheets,          but often saved o...
DATA MANAGEMENT PROBLEMS                     KEY THEMESGRC Location issues: finding and following up with Mothers  and Ch...
CONSIDERING TECHNOLOGY SOLUTIONS  My wish             Reality
Ideal ScenarioJMC, GRC, and NC will be able to track all pregnant and young mothers in Jasola by location and overtime, an...
A world of technology          ?
PROS AND CONS OF MOBILE PHONESPros: Relatively cheap to use Many people have them SMS can be integrated into database s...
ANOTHER LOOK AT DATA MANAGEMENT           PROBLEMSGRC Location issues: finding and following up with Mothers  and Childre...
ANOTHER LOOK AT DATA MANAGEMENT           PROBLEMSGRC Location issues: finding and following up with Mothers  and Childre...
Lets talk about maps….Again…..
USING MAPS TO:Resolve location issues by   Geographically tracking   mothers      Analyzing their health      problems ove...
SAMPLE MATERNAL HEALTH      INDICATORS                      Minimum                       3 ANC   Initiation        of    ...
MAPPING: FIRST STEPSMultiple mapping platforms examinedRegion was mapped, and combined with trainings for GRC and NC staff
THE ADVANTAGE OF COMMUNITY       BASED MAPPING  Our Map        Googlemaps
Lets talk about layers
WHAT ARE LAYERS?
WHAT ARE LAYERS?
OUR LAYERS Level 1 - Base Layers    Roads    Water    Schools    Temples & Mosques Level 2 - Interactive Layers   C...
BASE LAYERS
INTERACTIVE LAYERS
Platform uses entirely free and open source                   systems                             1. Data shared and      ...
FLOW CHART OF INFORMATION  ANC Clinic       Indicators on                                   Indicators on   at GRC        ...
Questions and General Discussion
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GHA Delhi Team End of Summer Presentation

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GHA Delhi Team End of Summer Presentation

  1. 1. Designing an M&E System For Maternal Health in Jasola GRC/JMC/NC/DU Summer 2012, Jasola, Delhi, I ndia
  2. 2. DESIGNING TARGETED HEALTH INTERVENTIONS Global Health Affairs Program, University of Denver
  3. 3. UNDERSTANDING THE •Who?PIECES OF THE HEALTH •What? •When? PUZZLE •Where? •Why? •How?
  4. 4. Who: GRC JMC NC
  5. 5. ANTENATAL CLINICS AT THE GRCFrom July 2011 to April 2012, 60 women have visited the GRC for the ANC clinics Basic Demographics Age: 17 - 40 years (average 26) Weight: 28 – 70 Kg (48 Kg) Age at marriage: 16 – 26 (18) Age when had 1st child: 16 – 24 (19) Number of births: 0 – 8 (3) Where and How
  6. 6. KNOWN HEALTH ISSUES Pregnancy and delivery:  Multiparity  Lack of spacing between births  Anemia  Urinary infections Other Issues:  Nutritious food during pregnancy and after childbirth  Appropiate rest after childbirth  Almost all of them complain about back and body painWhat and Why?
  7. 7. ENGAGING THE COMMUNITY Focus groups With Mothers on Maternal and Child Health (MCH) Knowledge of health issues Perception of available health services Ideal scenarios for improved health:  Services  Education  Technology
  8. 8. MOTHERS KNOW BEST FOCUS GROUP RESULTS1. Knowledge of health issues • Symptoms: mild vs. severe conditions • Ailments and treatment • Seeking health attention 2. Perception of available health services  Public vs. Private  GRC and AWWs3. Ideal scenarios for improved health • Affordability • Proximity • Improved attention
  9. 9. - Dizziness Symptoms - Weakness Baby cries Mild - Very sleepy Severe a lot Dry lips and throat, doesn’t drink milk, Lack of dehydration, more - Tough for appetite vomiting, silent child to survive Stomach Thin - Weakness swells, - Doesn’t stomach play ache anymore - Pale and yellowish More frequent skin defecation, +10 times a day Black and green poop that scatters to legs, 2-4 times a dayPerceived Health Issues
  10. 10. CONVERSATIONS WITH GRC STAFFKey Topics Challenges to current work Lessons learned from MCH Focus Groups Ideal Scenarios for improved institutional capacityFollow-up Steps Taken Trainings on leading Focus Groups and facilitated dialogue Next Steps for improved institutional capacity  Foster relationships with AWWs  Increased and improved health analysis  Subsequent advocacy on a variety of health issues  Designed and tested pilot technology solutions
  11. 11. PILOT TESTINGTECHNOLOGY SOLUTIONS
  12. 12. CURRENT DATA MANAGEMENT SYSTEMSLargely Paper-based Integrated with excel spreadsheets, but often saved on different computers.
  13. 13. DATA MANAGEMENT PROBLEMS KEY THEMESGRC Location issues: finding and following up with Mothers and Children Difficulties in tracking mothers over time Greater demand for services than GRC can supplyJMC/NC Desire for long-term analysis of key health issues Difficulty in sharing information between organizations (JMC, GRC, NC, DU).
  14. 14. CONSIDERING TECHNOLOGY SOLUTIONS My wish Reality
  15. 15. Ideal ScenarioJMC, GRC, and NC will be able to track all pregnant and young mothers in Jasola by location and overtime, and be able to share all information with each other with ease.
  16. 16. A world of technology ?
  17. 17. PROS AND CONS OF MOBILE PHONESPros: Relatively cheap to use Many people have them SMS can be integrated into database systems Creates a two way communication flowCons: Fewer women use them than men in Jasola Often only one per family Low literacy rates make it difficult to use SMS, as opposed to a voice-based system
  18. 18. ANOTHER LOOK AT DATA MANAGEMENT PROBLEMSGRC Location issues: finding and following up with Mothers and Children Difficulties in tracking mothers over timeJMC/NC Desire for long-term analysis of key health issues Difficulty in sharing information between organizations (JMC, GRC, NC, DU).
  19. 19. ANOTHER LOOK AT DATA MANAGEMENT PROBLEMSGRC Location issues: finding and following up with Mothers and Children Difficulties in tracking mothers over timeJMC/NC Desire for long-term analysis of key health issues Difficulty in sharing information between organizations (JMC, GRC, NC, DU).
  20. 20. Lets talk about maps….Again…..
  21. 21. USING MAPS TO:Resolve location issues by Geographically tracking mothers Analyzing their health problems over time In a way that can be shared between all groups
  22. 22. SAMPLE MATERNAL HEALTH INDICATORS Minimum 3 ANC Initiation of Safe breast- Pregnancy delivery feeding and 28 days post delivery Post Immuni- natal zation checkups
  23. 23. MAPPING: FIRST STEPSMultiple mapping platforms examinedRegion was mapped, and combined with trainings for GRC and NC staff
  24. 24. THE ADVANTAGE OF COMMUNITY BASED MAPPING Our Map Googlemaps
  25. 25. Lets talk about layers
  26. 26. WHAT ARE LAYERS?
  27. 27. WHAT ARE LAYERS?
  28. 28. OUR LAYERS Level 1 - Base Layers  Roads  Water  Schools  Temples & Mosques Level 2 - Interactive Layers  Clinics  Anganwadi Workers  Pharmacies  Mothers
  29. 29. BASE LAYERS
  30. 30. INTERACTIVE LAYERS
  31. 31. Platform uses entirely free and open source systems 1. Data shared and stored on googledocsand googledrive2. Base layer edited on Open StreetMap 3. Interactive layers edited and accessed on Geocommons
  32. 32. FLOW CHART OF INFORMATION ANC Clinic Indicators on Indicators on at GRC printed Googledocs forms Indicators on mapAdvocacy Referral Analysis
  33. 33. Questions and General Discussion

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