The document describes a web-based system called the Pregnancy, Child Tracking & Health Services Management System used in Rajasthan, India to track pregnancies and children's health. It allows health officials to monitor services across 13,000 locations down to the village level. Key features include assigning unique IDs to pregnant women and children, linking family records, and automating reporting and analysis to improve services and reduce delays.

1. Pregnancy, Child Tracking &
Health Services Management System
For
Medical, Health and Family Welfare Department
Government of Rajasthan

2. Pregnancy, Child Tracking &
Health Services Management System
It is an online web based system used as an effective planning &
management tool by Medical, Health & Family Welfare
department, Government of Rajasthan for improving its services
right up to the health subcenter level (lowest health unit at
village level). The system is operational for all government health
institutions across the state (more than 13,000 locations).

3. Pregnancy, Child Tracking &
Health Services Management System

4. Pregnancy, Child Tracking &
Health Services Management System
Accolades
• eINDIA 2010 Award - Best Project under eHealth Category
• Data Quest Magazine - May 2010 (Spotlight)
• Manthan South Asia 2009 Award
Certificate of Appreciation

5. Pregnancy, Child Tracking &
Health Services Management System
Scope : All Govt.Health Institutions in Rajasthan
11000 +
1500 +
360 +
200 +
34
30
Health subcentres
Primary Health Centres
Community Health centres
City Dispensaries
District Hospitals
Hospitals attached to Medical Colleges

6. Pregnancy, Child Tracking &
Health Services Management System
Main Features
•
PCTS - Id for every child and pregnant woman
•
Record of every child is linked to his/her mother and siblings
•
Drill down from state consolidate to health subcentre and then to
individual case
•
Generates Record Transportation Sheets for ANC, Delivery, PNC and
Immunisation. This helps in data capturing at field level institutions.
•
Role based user authentication secures the system
•
Automatic compilation for all administrative levels viz., PHC, Block,
District, Division & State
•
Ready availability of historical data
•
Online help for all users
•
Monitoring Desk with graphical analysis for all levels
•
Bilingual software (Unicode compliant) with provision for data entry in
Hindi and English

7. Pregnancy, Child Tracking &
Health Services Management System
Challenges
•
The manual system only had numbers being reported. Therefore visualising a
system where such details of individual case can regularly flow right from the
lowest level was itself a challenge.
•
Making the users accept the system since it was a quantum jump from a
completely manual system to a completely online system.
•
Making the system operational from large number of remote locations
numbering more than 500.
• Reengineering the processes and implementing them across the state.
•
Creating new data capturing formats and making more than 13000 health
workers change over to these formats in the field for data reporting.
•
Availability of Internet connectivity
reporting.
at all remote locations to ensure 100 %

8. Pregnancy, Child Tracking &
Health Services Management System
Challenges
• Hardware & Software solution had to be such that it could handle the load
of about 300 concurrent users
• Network bandwidth was always an issue. Therefore creating an application
which consumes minimum bandwidth was a primary requirement.
• Workshops and Trainings for Medical & Health department officials from state
to block level

9. Pregnancy, Child Tracking &
Health Services Management System
Training Strategy
• Constituted a core group consisting of officials from NIC & Medical department
at state level for imparting trainings.
• Trainings were organised at various levels.
•
Orientation
of
state
level
&
district
level
officials
for
effective
monitoring.
•
Training of trainers from districts for imparting training at district &
below district level.
•
Training to block level & below block level officials to operationalise the
system from block level.
• Training of ANMs for data reporting.

10. Pregnancy, Child Tracking &
Health Services Management System
Scalability
The system can be scaled down to village level and can also be
scaled up for implementation at other states.

11. Pregnancy, Child Tracking &
Health Services Management System
Before the System
(21-25 Days)
IMPACT
After the System
(3-5 Days)
State Centre
Secretariat
3-5 days
District CMHO
Directorate
Division
Jt. Directorate
District CMHO
No Delay
5-7 days
Block CMO
Block CMO
CHC
5-7 days
PHC
CHC
3-5 days
5-7 days
Subcenter
Subcenter
PHC

12. Pregnancy, Child Tracking &
Health Services Management System
IMPACT
Before the System
After the System
•
Total time for information
communication 21-25 days
•
Total time for information
communication 3-5 days
•
Redundant compilation at all levels
•
No manual compilation at any level
•
Time for trends and analysis 2-3
months after complete reporting
•
Instant trends analysis
•
Monitoring for individual health
institution was not possible. It was
•
Facilitates monitoring of individual
health institution from state,
district
& block.
•
Individual pregnant woman and child
can be tracked.
•
After the system immunisation
coverage has increased to 71%.
very difficult
performing
units.
•
to
locate
non
Tracking of individual case was very
difficult.
•
The
28%.
immunisation
coverage
was

13. Major Benefits
Pregnancy, Child Tracking &
Health Services Management System
• Facilitates Online tracking of pregnant women & children for health care
• Reduction in maternal mortality as a result of case specific tracking
•
Improved child health because of better monitoring of vaccination
programme
• Reduction in infant mortality
• Helps in improving institutional delivery
•
Identification of cases for sterilisation makes it an affective tool for
population control
• Better management of every health institution in the state
• Monitoring of area / district wise sex ratio at birth
• Alerts for dropouts and left outs from immunisation
• Online directory of health institutions
• Eliminates need for redundant system of reporting such as RIMS etc.
• Eliminates compilation efforts at PHC, Block PHC, District & State level
• Automatic data consolidation
• Online Trend Analysis

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

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Health Services Management System

40. Pregnancy, Child Tracking &
Health Services Management System
The Road Ahead
• Integration of various citizen centric services is proposed.
• SMS / automated pre recorded voice call to inform about the vaccination
due a day before the scheduled date.
• IVRS to help the citizen to enquire about the vaccination schedule of their
children.

41. Thank You

42. Pregnancy, Child Tracking &
Health Services Management System
Computer Infrastructure
The computer infrastructure required to use the PCTS system was
initially available at block level. So it was decided to use system
from block level.
Initially the data of all health institutions in a block is entered from
the block CMHO office using broadband / leased line Internet
connectivity.
Now the system is used by all CHCs (Community Health Institutes) and
about 100 PHCs (Primary Health Centre) where the infrastructure
is created.

43. Questions
• What are the post implementation challenges
(refer internet sources, secondary data)
• Prepare a report on Post Audit.