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Presentation
1. Guide : Prof. Sharmistha Banerjee
Mobile phone AND NFC-Based electronic tracking sytem
Design of an ICT based Healthcare Data Management Platform for ANMs
2. PROBLEM STATEMENT
How might the stakeholders in the system collect, transfer and manage data
so that the data can be effectively used for proper decision making, epidemic
prevention and research purposes
3. AIM
Design a system to improve the healthcare data collection, transfer and
storage in India
5. OBJECTIVES
RECAP
To understand the healthcare data flow system/sub-systems in rural India
To identify all direct/indirect stakeholders and their roles
To identify the needs and problems of the stakeholders
PREVIOUS SEMESTER
6. LITERATURE REVIEW
HEALTHCARE STRUCTURE OF INDIA
Understanding the structural hierarchy, working and management of the rural healthcare system
in India.
HEALTHCARE MANAGEMENT INFORMATION SYSTEM (HMIS)
Healthcare management information system (HMIS) is where information systems meet healthcare
to help optimize the acquisition, storage, retrieval and usage of information in healthcare
UNDERSTANDING SYSTEMS THROUGH REFERENCE MODELS
Reference models were made to understand dstributed economics and mapped with the
healthcare information system to get more understanding of our focused system
RECAP
7. RESEARCH & ANALYSIS
PRIMARY RESEARCH
Primary research was done in the month of October to learn more about the system
• Interviewed ANMs, ASHA and MHW
• 3 Sub-Centres of Kamrup District.
ANALYSIS
Analysis of the research were done using the following methods
• AEIOU Mapping
• Empathy Mapping
RECAP
8. FINDINGS
Accounting ANMs for people/children who leaves the village
Data monitoring system on the ANMs
Bulky Registers for data collection
Delay in receiving blood reports
Data transfer within the Sub-Centre
Format changing at different levels, thus making it prone to errors
Motivation for ANM
RECAP
10. RESEARCH
PRIMARY RESEARCH
Visited PHC in February
Discussions with lady health worker and Medical Officer
North Guwahati PHC, College Nagar, Kamrup district
Visited SC in March
Analyzed the registers, diaries etc of the ANM
Amingoan SC, Kamrup district
PHC health workers are not direct stakeholders in the current scope of project, so this research
was basically done to understand PHC’s connection with SC in the system level
PHASE - II
11. IDEA GENERATION
ADDITION OF DATA OPERATOR IN SUB CENTRE
To place a trained health worker with a smartphone in every participating clinic. The worker
would shadow the physician as he or she would diagnose an patient, and enter the diagno-
ses and other details into the smart phone.
CONCEPT - I
12. IDEA GENERATION
• While this method allowed for accurate data gathering, the solution is expensive to
scale to a large number of clinics, as human capital is one of the most expensive parts of
such an enterprise.
• An ideal improvement on this technological solution would not require an additional health
worker at each clinic.
ADDITION OF DATA OPERATOR IN SUB CENTRE
To place a trained health worker with a smartphone in every participating clinic. The worker
would shadow the physician as he or she would diagnose an patient, and enter the diagno-
ses and other details into the smart phone.
DISADVANTAGES
CONCEPT - I
13. IDEA GENERATION
ASSISTIVE KIT FOR HEALTH WORKERS
A kit for the health workers consisting of a mobile phone and instruments for non-invasive
testing. The mobile phone automaically syncs the results from the testing instrument to the
server (Data collection). Other non-extractable data will be manually filled by the health worker
on the mobile
CONCEPT - II
14. IDEA GENERATION
• Increases the workload of primary health workers, thus might increase the probability of
making mistakes
• Infrastructure issues
ASSISTIVE KIT FOR HEALTH WORKERS
DISADVANTAGES
CONCEPT - II
A kit for the health workers consisting of a mobile phone and instruments for non-invasive
testing. The mobile phone automaically syncs the results from the testing instrument to the
server (Data collection). Other non-extractable data will be manually filled by the health worker
on the mobile
15. CONSTRAINTS
LOW RESOURCED ENVIRONMENT
The primary health workers operate in low resourced environments during their field visits
BUDGET
As there are more than 1lakh Sub-Centres in India, the solution needs to be economically
viable
HUMAN RESOURCES
Lack of human resource restricts us in developing a solution with minimum human interference
CONSTRAINTS
16. IDEA GENERATION
MOBILE PHONE AND NFC-BASED ELECTRONIC TRACKING SYTEM
A fully electronic system to reduce the tracking system’s current dependence on humans
and expedite the entire process
CONCEPT III
The data in the application will be then synced to the server when the health
worker has good network connectivity.
17. IDEA GENERATION
MOBILE PHONE AND NFC-BASED ELECTRONIC TRACKING SYTEM
• Prone to loss of the NFC card by beneficiaries.
This concept focuses on environments with no internet connectivity, but the pace with
which network operators are growing and spreading, internet connectivity in villages is
not a long way run.
DISADVANTAGES
A fully electronic system to reduce the tracking system’s current dependence on humans
and expedite the entire process
CONCEPT III
18. KIRAN
AADHAAR-BASED MOBILE PHONE APPLICATION FOR ANMS
FINAL SOLUTION
KIRAN - ANDROID APP FOR ANMS
Kiran is an android application designed exclusively
keeping the ANMs in the center.
ANMs can view registers, review beneficieries, plan
VHND and check various performance indicators.
19. FINAL SOLUTION
AADHAAR-BASED MOBILE PHONE APPLICATION FOR ANMS
DISCOVER & REGISTER THROUGH AADHAAR
Any beneficiery can be efficiently search by scanning
her AADHAR card to update her health record by the
ANMs.
New registrations can be done through ADHAAR card
which reduces the manual entry fields to be filled by the
ANMs.
KIRAN
20. PRODUCT GOALS
MOTIVATING THE HEALTH WORKER THROUGH THE APP
SOCIAL SUSTAINABILITY
By showing suitable statistics and
through mild gamification in the
mobile application, we can motivate
the health workers.
21. IDEA GENERATION FINAL SOLUTION
A mobile phone application Kiran - with AADHAR based profile search - for effective and
efficient data collection by the ANMs.
KIRAN
AADHAAR-BASED MOBILE PHONE APPLICATION FOR ANMS
22. HOME SCREEN
Kiran - A mobile phone application for ANMs
Two main task of the ANMs work profile
Registers : Update/review data in the registers
New Registration : Register new Eligible Couple, Pregnant
woman or Child
The news cards displays news of good permormances on
nearby health centres. Aimed to motivate the ANMs.
Top performers
23. This section consists of all the registers that has to be mantained
by the ANMs. The registers are categorized as
The registers can be searched by manual entry or by
scanning the AADHAR card of a beneficiery
MAJOR
Registers of EC, PW
and CH.
OTHERS
CH/PW/EC death
registers,
REGISTERS
The Registers of ANM
Home / Registers
Searching the Registers
24. List of all Eligible Couples’ profile, which can be filered by “Village”
or “ASHA assigned”
Similarly, all other registers lists the profiles corresponding to it
EC REGISTER
EC Register
List of profiles Beneficiery ProfilePW Register
CH Register
REGISTERS Home / Registers/ EC Register
25. The profile of a beneficiery displays details and lists all the visits
made by ANMs during the “EC” stage. Once, pregnant, the profile
moves into the “PW-ANC” stage.
ANM updates the record on every visit.
Required data of a profile can be collected and updated on every
visit by tapping the “Add Visit” button
PROFILES
EC profile
Update health record Visit added to listAdd visit
Home / Registers
26. Required fields are filled by the ANM. The data to be collected on
this particualar visit are recorded.
Updating records
Update health record Visit added to listAdd visit
PROFILES
27. The visit is added to the visit list, where the data recorded on that
visit are stored.
New visit added
Update health record Visit added to listAdd visit
PROFILES
28. PREGNANCY TEST IS +VE
• When the woman is married
• Husband is not dead
• If recent delivery done, then
42 days after delivery
• Generally upto 2 years of age
• Or, when all immunizations are done
• Close case after immunization completes
• Woman is pregnant (Test +ve)
• Have not delivered baby
• Upto 42 days after delivery
Gets renewed as Eligible Couple
BABY DELIVERED
AFTER 42 DAYS OF PNC
KIRAN
Pregnant Women
PW
Eligible Couple
EC
Children
CH
1. PW - ANC
2. PW - PNC
REGISTER
NEW CHILD
PROFILES
32. This can happen due to • Death • Migration
Closing a case will delete the active profile and be moved to the
Death/Migration list. (’Others’ in Register section)
Case Closure
When a PW delivers a baby, the ANM updates the profile from the
ellipsis button on the Header.
The profile will move into the PW-PNC stage
Delivery
PW PROFILEPW PROFILE
33. Once saved, the profile moves into the
PW-PNC stage
Essentials details about the delivery are
collected and stored on the Delivery
register
Delivery Case Data
PW PROFILE
34. PW-PNC profile will be active for 42 days after the delivery date.
This is the period when ANMs visit the PW-PNC to s
PW - Post Natal Care (PNC)
The infant can be registered connected to the mother’s profile,
whose Child profile (CH) will be made for Immunization and its
data collection
Infant
PW PROFILE
37. When a new child is being registered, connecting the profile with
the mother help extract various profile details and birth details
about the child.
New Child (CH) registration
NEW REGISTRATION
38. Mother can be added by scanning her AADHAAR card or by man-
ually searching her name
Adding mother to profile
NEW REGISTRATION
40. A profile of a child is mantained to check immunization of that
child and visit data are collected to manage immunization, child
and logistic data.
Child (CH) profile
This section manages and records all the immunization details of the
child and reminds dues.
A child’s profile will be active till all the immunizations are done.
Then, the case is closed.
Immunization
CH PROFILE
41. All the doses for the child are listed. The Active dose, here “8
Weekly Dose” is the ongoing dose period for the child
The dates on which each vaccines were given are recorded. This
section is mainly to keep track of the child’s immunization and to
take care that he/she does not misses one.
Doses
CH PROFILE
42. All the doses for the child are listed. The Active dose, here “8
Weekly Dose” is the ongoing dose period for the child
The dates on which each vaccines were given are recorded. This
section is mainly to keep track of the child’s immunization and to
take care that he/she does not misses one.
Doses
If a vaccine of an earlier dose period is due, then both the due and
ongoing doses will be active.
CH PROFILE
43. ANM adds the date on
which a vaccine is taken
Record date
CH PROFILE
45. VHND is conducted by ANMs on every wednesday at different vil-
lages. ASHAs bring all the beneficieries due for ANM visit.
ANMs can use the Village/Date filter to get information about a
particular VHND
Village Health Nutrition Day (VHND)
A child’s profile will be active till all the immunizations are done.
Then, the case is closed.
VHND
46. All the three due list show
the profiles who are due for
an ANM visit.
Due lists
VHND
47. It provide a tabular data of
the logistic required for a
selected VHND
Logistic (required)
VHND
48. It provide a tabular data of
the logistic used on a
conducted VHND
Logistic (used)
VHND
49. ANM can register on Kiran while using for the first time by Select-
ing the state, filling ANM ID and seeting password.
All the data associated with the ANM ID will be synced with her
Kiran account
First time login on Kiran
From next time, ANMs can login with the ANM ID and password
LOGIN
50. PRODUCT GOALS
MOTIVATING THE HEALTH WORKER THROUGH THE APP
SOCIAL SUSTAINABILITY
By showing suitable statistics and
through mild gamification in the
mobile application, we can motivate
the health workers.
51. PRODUCT GOALS
INCREASING COMMUNITY ENGAGEMENT THROUGH THE SOLUTION
CULTURAL
SUSTAINABLILITY
The solution should increase interaction among
the community. Thus, encouraging them to talk
more about health issues which are considered
as taboos.
52. This reflects the data collection work profile of an ANM. ANMs col-
lect data and perform health visits of Pregnant woman, Child and
potential preganancy cases (EC).
Womb and the child
The register symbolize the data collected by ANMs, and the rising
sun symbolizes the analyzed data used at different sector for vari-
ous purposes. This reflects how the data collected by the ANMs
Register with a rising sun
LOGO
53. The rising sun coming out of the womb
The register in the womb speaks about the raw data collected
from EC, PW and CH by the ANM, and the sun rising from the
womb speaks about the analyzed data coming out of the womb,
to be used by all. This metaphorically explains that the data col-
lected from the “Womb and the child” comes out of the womb as
a “rising sun” for the consumer of the data.
LOGO
