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AMN on line (ANMOL) in health facility

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it is ANMOL (ANM on line) new and easy for anm and as well as all for us to take care proper level of data of per ANM.

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AMN on line (ANMOL) in health facility

  1. 1. ``````````````````````````````````````````````````` ``````````````````````````````````````````````````` ``````````````````````````````````````GUIDED BY : Dr. V.K. Arora Sir Dr. Sangeeta Ma’am PRESENTED BY: Dr.Ayushi Vaishy Dr. Namita Kumari
  2. 2. INDEX oIntroduction oBackground oRole of ANM oGeographical representation of registered ANMs oTraining of ANMs oGeographical representation of ANMs training centre oANMs role with ASHA ANMOL  Introduction Key features Journey to ANMOL Key modules Brief description of the modules Open house discussion
  3. 3. Making ANM Online • Taking into account the issues faced by ANM and to improve the overall standards of the child and maternal health services provision in India and related data collection, The ministry of health and family welfare , government of India, with support from UNICEF was introduced an android based tablet based application ANMOL.
  4. 4. INTRODUCTION • DEFINITION : Auxiliary nurse midwife (ANM) is a village –level female health worker in India who is known as the first contact person between the community and the health services. ANMs are regarded as the grass-root workers in the health organization pyramid. Their services are considered important to provide safe and effective care to village communities. The role may help communities achieve the targets of national heath programmes.
  5. 5. • CHANGES OF THE NURSING AND MIDWIFERY IN INDIA OVER THE YEARS
  6. 6. BACKGROUND Years 1966 1973 1975 2005 8 april 2016 Initiated by Mukherjee committee Kartar singh committee Shrivastava committee National rural health mission Ministry of health and family welfare Training of ANMs mainly focused on midwifery and mother and child health •Combined the functions of health services & changed the role of ANMs. •There should be 1 ANM available per 10,000-12,000 people Expanded the role of ANM as multipurpose health worker along with maternity care including child heath care (immunization) and primary curative care of villagers Focused on improvising primary health care in village and further increased the importance of the ANM as a link between health services and community ANM-ONLine has been started by giving android tabs for betterment of quality,effectiveness and timeliness of the delivery of quality services especially to rural population, to ensure better healthcare for women and children.
  7. 7. ROLES OF ANM  Education about prevailing health problems and method of preventing and controlling  Promotion of food supply and proper nutrition  An adequate supply of safe water and basic sanitation  Maternal and child health care ,including family planning  Immunization against infectious diseases  Prevention and control of endemic diseases  Appropriate treatment of common diseases and injuries  Provision of essential drugs
  8. 8. The use of auxiliary nurse midwives is recommended for: Performance of neonatal resuscitation Administration of intravenous fluid as part of treatment for postpartum hemorrhage (PPH) Internal bimanual uterine compression for PPH Suturing of minor perineal /genital lacerations Initiation and maintenance of injectable contraceptives using a standard syringe Insertion and removal of intrauterine device (IUDs)
  9. 9. The use of auxiliary nurse midwives should be considered for the following interventions, but with targeted monitoring and evaluation: • Initiation and maintenance of kangaroo mother care for low birth weight infants • Administration of anti-hypertensives for severe high blood pressure in pregnancy • Insertion and removal of contraceptive implants
  10. 10. HEALTH INFRASTRUCTURE IN TYPICAL DISTRICT LEVEL Level of health care institute Population norm Human resource available District hospital 2-3 million Obstetrician, anesthetist, pathologist, pediatrician, general doctors, nurses Community health centre (CHC) 80,000-1,20,000 Any specialist , general doctors , nurses PHC 30,000 General doctor, nurse, LHV , ANM Sub-centre 5000 ANM Village level functionaries 1000 ASHA
  11. 11. • Geographicalrepresentation of registeredANMs , nurses andLHVs in INDIA
  12. 12. Changes in training and placement of ANMs  Earlier there was full course of three years in nursing and a minimum of 6 months of midwifery  Now it has changed to two years duration (one and half years in some institutes ) which included 9 months of midwifery and 3 months of community experience.
  13. 13. POLICY LEVEL STRENGTHENIN G NURSING AND MIDWIFERY SERVICE DELIVERY HUMAN RESOURCES MANAGEME NT SYSTEM EDUCATION COUNCILS AND ASSOCIATION S FOCUS OF THE STUDY
  14. 14. TRAINING Each ANM trainee was to conduct 30 Antenatal examinations, 20 deliveries including home deliveries and babies as part of the practical training as per the requirements of the new syllabus.
  15. 15. Contd….. Consequently many ANMs (FHWs) had inadequate practice of midwifery skills during training. Another opportunity to learn midwifery skills was the field placement to PHCs.
  16. 16. Geographical Distribution of Auxiliary Nurse Midwife Training Centre (ANMTC): Current Scenario
  17. 17. ANM’s Role with ASHA  ANMs will act as resource persons for the training of ASHA. She will utilize ASHA in motivating the pregnant women for coming to sub-centers for initial check-ups. ANM will guide ASHA in motivating pregnant women for taking full course of iron and folic acid tablets and tetanus toxoid injections etc.
  18. 18. Contd…. ANM will educate ASHA on danger signs of pregnancy and labor so that she can timely identify and help beneficiary in getting further treatment. She will take help of ASHA in updating eligible couple register of the village concern and bringing married couple to the sub- centers for adopting family planning.
  19. 19. ANMOL - Auxiliary Nurse Midwife (ANM) Online ANMOL acts as a job aid to the ANMs by providing them with readily available information such as due list, dashboard and guidance based on data entered etc. Videos / audios on subjects like high risk pregnancy, immunization, family planning etc are also available in the application for use by ANMs. • Real time data entry/update by the ANM • Improved quality of the data • Readily available training contents • Internet connectivity is not constraint
  20. 20. KEY FEATURES  Integrated with Reproductive child health (RCH) portal for seamless data flow.  Ticketing system for ANMs to rise any issues with screenshot.  online notifications for ANM.  Frequently asked questions.  Provision to provide service to beneficiaries out of catchment area.  Auto-synchronization.  Delete unsynchronized /rejected records upcoming videos chat modules.  Monitor ANMs performance through web interface.  Restore and backup local data (admin privileges).
  21. 21. • On world health day 2016, the Minister for health and family welfare in India , Mr Jagat Pratap Nadda launched the ANMOL application in front of a huge audience. • “ANMOL will be revolutionary application that will give a significant boost to improve health services in INDIA” “The ANMOL application will help implement health programmes successfully at the grassroots levels” said J.P Nadda • The government of India plans to roll out ANMOL to 293,000 ANMs in a phased manner.
  22. 22. Journey to ANMOL •Data entry was done by BEOs •Data was captured by ANMs in different registers for different programs •Workplan provided by BEOs MCTS Application •Data entry was done by BEOs •Data was now being captured in a single integrated RCH Register •Workplan provided by BEOs RCH Application •Data entry done by ANMs, thereby giving them ownership of data •Acts as a job aid •Workplan is just a single click away ANMOL Application
  23. 23. Key Modules in ANMOL • Eligible Couple – Registration – Tracking of Family Planning Services • Pregnant Women – Registration – ANC Services – Delivery details – PNC Services • Child – Registration – Tracking of Immunization Services – Child Medical • Dashboard – Registration – Family Planning – ANC Services – Delivery Outcome – PNC Care – Immunization – Critical Indicator – KPI Factsheet • Counseling – Video – Audio – eBooks – eTutorials – User Manual • Workplan – Sub Centre wise – Village wise – Service wise – ANM wise – ASHA wise – Beneficiary wise – High Risk Pregnant Women – Low Birth Weight Children • VHND – Due List – Logistic Planning – Logistic Used
  24. 24. ANMOL – Splash Screen • Select language – Choose between Hindi/English • ANM Login – For ANMs • Admin Login – For Medical Officers Incharge
  25. 25. How to Login?? • Select State and enter ANM Id • All records associated with the ANM ID will be downloaded. • Set your Password, default password is ANMs phone number registered on MCTS/RCH Application. • Login into the Application.
  26. 26. Home Page ANM Details Hierarchy details of the ANM Syncs data on the server
  27. 27. Menu List
  28. 28. Pregnant Women Module • PW Registration – To register an unregistered PW • ANC Details – To enter the ANC details of PW • Delivery Outcome – To enter the delivery details of PW • PNC Details – To enter the PNC details of both mother and infant • Infant Details – To enter the infant details after delivery • Maternal Death, Abortion list Infant Death – Displays a list of all such cases
  29. 29. How to Register a PW? • Some fields which were entered in EC section will be auto populated. • The remaining details needs to be filled. • Click on “Save” and PW will move into ANC Section.
  30. 30. How to update the ANC Services of PW? Once Saved, the details appear in the form of a table When delivery is mentioned as “Yes” The PW moves into the “Delivery Outcomes” List
  31. 31. Alert Messages – During ANC
  32. 32. How to update the PNC Services of Mother? Once the PNC Details are saved, the visits appear at the bottom in the form of a table
  33. 33. How to update the Infant details? Once the Delivery Outcomes details are entered, the Infant is visible in the “Infant Details” List. • Once the Infant details are saved, it is only when the data is first synced online with the RCH Server, RCH Child ID is generated. • Then the Child is visible in “Infant PNC” section and “Child Registration” Section.
  34. 34. Child Module • Direct Birth Registration – To register a new Child • Child Registration – To register a child whose infant details are entered in the PW section • Child Tracking – To enter the Immunization services details of child • Child Death, Case Closure – Displays list of such cases who are either reported as dead or case is closed due to migration or any other reason.
  35. 35. How to register a Child? The Child whose infant details were entered and was synced on the RCH Portal, is now visible in the Child Registration Section, Once the Child is registered and Saved, it appears in the “Child Tracking List”
  36. 36. How to update the Immunization services of a Child?
  37. 37. Growth Monitoring Chart
  38. 38. Dashboard • Dashboard acts like a Report card for the ANM. It gives a clear picture of all the beneficiaries that are registered by the ANM, the services that have been provided to them along with those which are due for certain services. • It highlights important indicators under eight main sections. • It helps her to quickly evaluate the scenario in her catchment area and identify critical areas where focus is needed.
  39. 39. Dashboard Screen To easily switch between different types of sections It clearly mentions the estimates along with the actual achievements Query builder to generate the dashboard for a particular facility/ASHA.
  40. 40. How to view dashboard indicators?
  41. 41. RCH Register • It is simply soft copy of the Integrated RCH Register. • It has been categorized further into 7 types for easy identification of beneficiaries.
  42. 42. Counseling • ANMOL acts as job aid for the ANMs. • This section provides the ANM with certain audio visual content along with relevant reading material. • ANMs can use this to counsel the beneficiaries, to generate awareness among them to adopt healthy practices. • They can also use this to enhance their skills and knowledge so as to deliver quality services to the community.
  43. 43. Video Counseling
  44. 44. Audio Counseling
  45. 45. eBooks • Readily available reading material for the ANMs. • They can use this as a refresher training material.
  46. 46. eTutorials • This is mainly provided for the ANMs so that they can enhance their skills in order to provide quality of care to the community.
  47. 47. Workplan
  48. 48. Sync Status • The data can be synced on the RCH Portal by two methods:-  Automatically – As and when the tablet comes in the range of internet connectivity. The Application will sync the data onto the Portal.  Manual – Click on the Sync All button and all the records will be synced onto the portal and the status will be displayed.
  49. 49. Feedback from Happy ANMs “ The ANMOL tablet is like my akka (elder sister in Telegu), a constant guiding support that helps me overcome my day-to-day issues. It saves me lot of time. My job has become very easy since I started using it. Now I can solve all my problems myself. I use ANMOL to make better connections with the people in the village and understand their problems better by talking to them” SUJATHA (ANM , Andhara Pradesh )
  50. 50. REFRENCES • "Tnai Journal". Tnaionline.org. 2007-04-20. Archived from the original on 2016-03- 04. Retrieved 2016-01-07. • "WHO | Achieving Millennium Development Goal 5: is India serious?". Who.int. 2008-02-12. doi:10.1016/S0140-6736. Retrieved 2016-01-07. • "An Auxiliary Nurse-Midwife in India Sets an Example for Family Planning". Jhpiego. Archived from the original on 2016-02-15. Retrieved 2016-01-07. S.L. Goel (1 January 2008). • Rural Health Education. Deep & Deep Publications. pp. 9–. • ISBN 978-81-8450-115-5. "Indian Nursing Council, Official indian nursing council website, Government India, Establish Uniforms Standards, Training Nurses, Midwives, Health Visitors". Indiannursingcouncil.org. Retrieved 2016-01-07. • "RURAL HEALTH CARE SYSTEM IN INDIA" (PDF). • National Rural Health Mission. Retrieved 7 January 2016.[permanent dead link] "Indian Public Health Standards (IPHS) Guidelines for Sub-Centres" (PDF). • Government of India. Retrieved 7 January 2016. "HEALTH INFRASTRUCTURE IN RURAL INDIA" (PDF). IIT, Kanpur. Archived from the original (PDF) on 4 March 2016. Retrieved 7 January 2016.

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