This document describes a mobile application called Mobility Sanjeevini that was developed to help Auxiliary Nurse Midwives (ANMs) working in rural health centers in Udupi District, India to collect health data from local communities more efficiently. The application includes modules for immunization records, antenatal care visits, and delivery information. It allows ANMs to enter data directly into their mobile devices during community visits and then sync the data to a central database via USB. This eliminates manual paperwork and data entry, allowing ANMs to see more families. The project has potential for expansion to other districts.

1. Shilpa.K.S
MSc[IS]
111008007
Project Guide:
Mr.Sudhakara Upadya.P
Assistant Professor
MCIS
Manipal University, Manipal

2. Contents:
Introduction
Previous Scenario
Present Scenario
Applications Developed
Project Flow
Individual Contribution
Immunization Module
Antenatal Module
Delivery Information Module
Results
Conclusion
Scope for future work
References

3. Introduction:
KMC’s Community Medicine Department providing health
care service around Udupi District. KMC operates 6
health care centers called RMCWH, spread across 14
villages. Each centre is staffed with 2 ANM. The RMCWH
is primarily responsible for providing healthcare and
medical facilities to expecting mothers and children below
five year of age.

4. Previous Scenario:
Field ANM
visits the
Community
Interacts with
Community
People and
Collects Health
Data
ANM returns to
Centre and
Updates the
Collected details
Manually
Database
Data Collected
is written on to
Family Folder

5. Present Scenario:
Field ANM
visits the
Community
Interacts with
Community
People and
Collects Health
Data
ANM returns to
Centre and
Updates data
into Database
Via USB Sync
Database
Mobile device
which contains
several
Applications

6. Applications Developed:

7. Sanjeevini IT Framework:

8. Data Sync:
Database
Sanjeevini Data Sync Application
Immunization Delivery
Information
Antenatal
File
Message decoder
USB Sync
Method
Database
Manager

9. SQLite
Sanjeevini Data Exporter Application
Database Export’s
Apps
Data Exporter:

10. Individual Contribution:

11. Immunization:
Immunization, is the process by which an
individual's immune system becomes fortified against an agent.
Immunization is done through various techniques, most
commonly vaccinations. Vaccines against microorganisms that
cause diseases can prepare the body's immune system, thus
helping to fight or prevent an infection, there are 22 vaccines
with different due dates that are listed below,

12. Vaccine Name Due Date
Gap in days from
DOB
Group 1
BCG To be given within 1
year from DOB
0
0OPV To be given at birth or
within 1 year from DOB
0
Hepatitis 0 To be given at birth or
within 1 year from DOB
0
Group 2
OPV1 To be given at 6 weeks
from DOB
45
DPT1 To be given at 6 weeks
from DOB
45

13. Hepatitis1 To be given at 6 weeks
from DOB
45
LPV1 To be given at 6 weeks
from DOB
45
Group 3
OPV2 To be given after 30 days
after Group 1
75
DPT2 To be given after 30 days
after Group 1
75
Hepatitis2 To be given after 30 days
after Group 1
75
LPV2 To be given after 30 days
after Group 1
75
Group 4
OPV3 To be given after 30 days
after Group 2
105
DPT3 To be given after 30 days
after Group 2
105
Hepatitis3 To be given after 30 days
after Group 2
105

14. LPV3 To be given after 30 days
after Group 2
105
Group 5
Measles + Vitamin To be given after 9 months
to 12 months
270
Group 6
Measles + Dpt
Booster
To be given at the age of 2 728
Group 7
Measles To be given at the age of 5 5 YEARS

15.  Objectives:
To collect the
immunization details of the
child under 5 years.
 Description:
When a valid member is
selected the pending vaccines
should be displayed in the
vaccine name, according to the
selection of the vaccine due
date will be displayed

16. Vaccination due calculations
If vaccine has been given according to the due date then
simply display the next due date.
If vaccine not given then due date calculation as follows
X  DOB;
YDOBgap from vaccine master + x;
If child come for first vaccination then,
Due date is Y;

17. Other wise
ZMax (Given Date) from Immunization follow-up table +
value of MinimumGapBetweenVaccine (28 days)
Then max(Y,Z) is Z1.
And also consider the previous group vaccine due date
+28 days is Z2.
Max (z1, z2) is next vaccine due date for all current group
except the vaccine already given.

18. Joda-Time:
Joda-Time provides a quality replacement for the
Java date and time classes.
The 'default' calendar is the ISO8601 standard which is
used by XML.
Joda-Time has been created to radically change date and
time handling in Java.

19. Antenatal:
Antenatal care generally consists of:
monthly visits to the doctors during the first two
trimesters (from week 1–28)
fortnightly visits to doctor from 28th week to 36th week of
pregnancy
weekly visits to doctor after 36th week till
delivery(delivery at week 38–40)
Assessment of parental needs and family dynamic

20. Antenatal Activity:
 Objective:
At the first time the
member should register
and next visit information
will be collected
 Description:
Register the
pregnancy details for a
valid member. And ANM
can record the visit
information for n number of
times until the pregnancy is
active.

21. Register Pregnancy:
 Objective:
To register the valid
member in the register
pregnancy.
 Description:
• Here ANM will register the
Pregnant women detail for the
first time of that pregnancy.
• The registration date should
be greater the LMP date

22. Antenatal Visit Information:
 Objectives:
To record the
pregnancy detail for
trimester or for every visit
 Description:
For every visit of
the member , ANM will
enter their details like
weight, blood pressure,
Edema etc.

23. Delivery Information:
 Objectives:
To record the delivery
details of the registered
pregnant women according to
the type of the child birth
 Description:
ANM will record the
relevant details according to
the child birth type. Here
delivery date or abortion date
always should be greater than
or equal to last visit date.

24. Apache log4net:
log4net is a tool to help the programmer output log
statements to a variety of output targets.
In case of problems with an application, it is helpful to
enable logging so that the problem can be located.
With log4net it is possible to enable logging at runtime
without modifying the application

25. Results:

27. Merits:
Minimize manual data entry.
Data collection and data entry happens on field.
Duplication of data entry is avoided.
Excessive paper work at field level is avoided
ANM’s can visit more families in a community.
Data entry errors are minimized.

28. Demerits:
Mobility Sanjeevini application take care of mobile
power/battery issues. If the mobile power/battery is less
than the minimal required by the application to
successfully run, the software not get launched.

29. Conclusion:
Mobility Sanjeevini project is set of applications in mobile
built on Android platform. This project is developed to
benefit the rural health care .The end users of this project
is ANM’s working for RMCWH. This project helps ANM’s
to enter the information of family members in community
into the mobile and entered data is updated into the
database through USB synchronization.

30. Scope for future work:
Some of the factors that can be exploited in the
developed software system for future improvement and
modifications are as enlisted below:
Currently Mobility Sanjeevini is running in the centers in
Udupi district, further we can expand it to Other Districts
and State level.
And Entered data can be updated into database through
Internet and SMS method.

31. References:
• Hello, Android, E. Burnette, The Pragmatic Programmers
(2009).
• Professional Android 2 Application Development, R.
Meier, Wiley (2010).
• Beginning Android 2, M. Murphy, Apress (2010).
• Android Wireless Application Development, S. Conder
and L. Darcey, Addison-Wesley (2010).
• Android Application Development in 24 Hours, L. Darcey
and S. Conder, Sams (2010).
• The Android Developer's Cookbook, J. Steele, N. To,
Addison-Wesley (2011).

32. • J. Burns. Developing secure mobile applications for
android - an introduction to making secure android
applications. https://www.isecpartners. com/files/iSEC-Securing-
Android-Apps.pdf, 2008. [Online; accessed 01-
March-2010].
• Chu, E. (2008, August 28). Android Market: a user-driven
content distribution system. Retrieved August 30, 2008,
from Android Developer's Blog:
http://androiddevelopers.blogspot.com/2008/08/android-market-
user-driven-content.html