ANC and PNC TRACKING PUBLIC HEALTH DEPARTMENT ZP

ANC and PNC TRACKING PUBLIC HEALTH DEPARTMENT ZP WARDHA

Why To reduce MMR To reduce IMR To increase institutional delivery To reduce Low Birth Rate Baby (LBW) To ensure regular check up and monitoring of the health of the mothers To get real time data for better monitoring and supervision

ANC tracking- To improve control and supervision To ensure 100 percent registration of pregnant mothers To ensure the timely medical checkup( 5 times) and provision of nutritional support To identify high risk mother and to monitor their progress To ensure institutional delivery To ensure the timely payment of JSY benefits To ensure timely and complete immunization of children between 0 -6 years To target eligible couples for adopting family planning methods To reduce female secondary Feticide by ensuring monitoring of USG centers

How—By SMS based ANC tracking Every ANM has a cell phone- formed a CUG We have a data base of all the women in rural area aged 15 -60 As soon as a woman gets registered the ANM sends the SMS with all the required information to our server that updates the data The automatically generated alerts keep the ANMs on their toes regarding the action to be taken on each ANC case

DATA COLLECTED THROUGH SMS ØRegistration of New Pregnant Mother ØTotal Issues ØGender of Previous Baby ØHigh Risk Factors ØDate of Delivery ØPlace of Delivery ØOut Come of Pregnancy ØWeight Of Baby ØJanani Suraskha Yojana Benefit Status ØCaste ØBelow Poverty Line

SMS ALERTS GENERATED ØREGULAR ANC CHECKUP ALERTS ØHIGH RISK FACTOR ALERTS ØCONTINUOUS ALERTS FROM 10 DAYS BEFORE EDD ØALERT FOR ASSURING JSY BENEFIT FOR ELIGIBLE MOTHER ØIMMUNIZATION ALERTS UPTO 1 YEAR

SMS TO REGISTER NEW PREGNANT WOMAN SMS TO BE SENT BY ANM AFTER POSITIVE PREGNANCY TEST Syntax: NEW<space><Unique ID>, <Height [in Cm]>, <Weight [in Kg]>, <Age >, <DAY-Month-Year >, <Total issues >, <Gender of Previous Baby> Example: NEW 10001101, 175, 55, 28 -12 -2009, 2, 1 GENDER 0 -Female 1 -Male

SMS SYNTAX FOR HIGH RISK FACTOR Syntax: HRF<space><Unique ID>, <1, 2, 3, …………… 26> Example: HRF 10010001, 1, 3, 7 Multiple Risk Factors are separated by comma

SMS SYNTAX FOR DATE OF DELIVERY Syntax: DOD<space><Unique ID>, <Delivery Date>, <Place ID>, <OUTCOME>, <WEIGHT [gms]>, <POLIO-0>, <BCG> Example: DOD 1001, 28 -12 -2009, 1, 1, 2200, 1, 1 (In the case of abortion WEIGHT, POLIO and BCG are ZERO) OUTCOME 1 -MALE , 2 -FEMALE , 3 -STILLBIRTH, 4 -MTP, 5 -ABORTION PLACE ID 1 -Sub center, 2 -PHC, 3 -RH, 4 - SDH, 4 -DH, 6 -MC, 7 -HOME, 8 -PP, 9 Other POLIO-0 and BCG 0 -NOT GIVEN, 1 -GIVEN

SMS SYNTAX TO CONVEY JSY BENEFIT Syntax: Example: JSY<space><Unique ID>, <JSY BENEFIT> JSY 0000001, 1 0 -NOT GIVEN 1 -BENEFIT GIVEN

SMS SYNTAX TO REGISTER NEW PERSON Syntax: Example: REG<space><VILLAGE CODE>, <NAME>, <GENDER> REG 25, URMILA VASANT DHOTE, 0 GENDER 0 -FEMALE 1 -MALE After Successful registration a system generated UNIQUE ID will be sent Back through SMS

SMS SYNTAX TO REGISTER ELIGIBLE COUPLE and FAMILY PLANNING STATUS COUPLE SURVEY Syntax: CPL<space><FEMALE UNIQUE ID>, <MALE UNIQUE ID> Example: CPL 10010022, 10010021 FAMILY PLANNING Syntax: FML<space><FEMALE Example: FML 10010022, 1 STATUS 0 -NOT DONE, 1 - DONE or MALE UNIQUE ID>, <STATUS>

SMS SYNTAX FOR IMMUNIZATION Syntax: IMU<space><UNQID>, <IMMUNIZATION CODES>, … Example: IMU 10010022, 4, 7 IMMUNIZATION CODE 1 -POLIO ZERO, 2 -BCG, 3 - POLIO FIRST, 4 - POLIO SECOND, 5 - POLIO THIRD, 6 - TRIPPLE FIRST, 7 -TRIPPLE SECOND, 8 -TRIPPLE THIRD, 9 - MEASLES, 10 -VITAMIN - A

SMS ALERTS and RESPONSES SMS ALERT/RESPONSE EXAMPLE REGISTERED! <TYPE OF DATA> UNQ ID: <UNQ ID> REGISTERED! LMP UNQ ID: 10010022 ANC CHECKUP! DUE DATE: <DUE DATE> <UNQ ID>: <NAME> VILLAGE: <VILLAGE NAME> HIGH RISK! <RISK CODE> <UNQ ID>: <NAME> VILLAGE: <VILLAGE NAME> EDD! <DATE> <UNQ ID>: <NAME> VILLAGE: <VILLAGE NAME> IMMUNIZATION! <TYPE> DUE DATE: <DUE DATE> <UNQ ID>: <MOTHERSs NAME> VILLAGE: <VILLAGE NAME> ANC CHECKUP! DUE DATE : 03 JAN 10 [10010022: URMILA VASANT DHOTE] VILLAGE: AANJEE HIGH RISK! WEIGHT BELOW 40 kg! [10010022: URMILA VASANT DHOTE] VILLAGE: AANJEE EDD! 27 JAN 10, Please Visit. [10010022: URMILA VASANT DHOTE] VILLAGE: AANJEE IMMUNIZATION! POLIO and BCG DUE DATE: 27 JAN 10 [10010022: URMILA VASANT DHOTE] VILLAGE: AANJEE

SMS ERROR RESPONSES SMS RESPONSE EXAMPLE DATA ERROR! <TYPE OF DATA> UNQ ID: <UNQ ID> <ERROR MESSAGE> DATA ERROR! LMP UNQ ID: 10010022 DATE PROVIDED IS INVALID! SYNTAX ERROR! UNQ ID: <UNQ ID> <ERROR MESSAGE> CAN’T REGISTER! UNQ ID: <UNQ ID> <MESSAGE> SYNTAX ERROR! UNQ ID: 10010022 VALUES PROVIDED ARE NOT IN PROPER SYNTAX! CAN’T REGISTER! UNQ ID: 10010024 UNIQUE ID PROVIDED DOES NOT EXIST or UNDER THE SCOPE ANOTHER ANM!

TOTAL NUMBER OF SMS PER ANC SMS FOR NEW ANC REGISTRATION : 1 PER ANC SMS FOR HIGH RISK FATORS : 5 for 5 ANC CHECKUPS SMS FOR DATE OF DELIVERY: 1 SMS PER DELIVERY / ABORTION SMS FOR JSY BENEFIT : 1 IF JSY BENEFIT GIVEN SMS FOR IMMUNIZATION : 4 SMS UPTO 1 YEAR SMS FOR GENERATING NEW UNIQUE ID[REGISTRATION OF NEW PERSON] : 1 SMS PERSON SMS FOR ELIGIBLE COUPLE SURVEY : 1 SMS Per COUPLE SMS FOR FAMILY PLANING SURVEY: 1 SMS Per COUPLE TOTAL SMS : MAXIMUM : 15 MNIMUM : 2 or 11 (1 for ANC, 1 for DOD, 5 for Risk Factors & 4 For Immunization) NOTE : RISK FACTORS and IMMUNIZATION SMS ARE NOT REQUIRED FOR ALL TIME (SEE THE NEXT SLIDE… )

TOTAL SMS SPLIT UP MANDATORY SMS (MINIMUM) : 2 or 11 [2, 5 FOR HIGH RISK & 4 FOR IMMUNIZATION] ANC REGISTRATION, DATE OF DELIVERY or ABORTION, HIGH RISK FACTORS (Only If Found During ANC Checkup ), IMMUNIZATION (If Child is Alive After Pregnancy) NOTE: 1. NO NEED TO SEND SMS FOR HIGH RISK FACTORS, IF NOT FOUND DURING ANC CHECKUP 2. NO NEED TO SEND SMS FOR IMMUNIZATION, IF ABORTED or CHILD IS NOT ALIVE AFTER PREGNANCY. ALSO ALERTS WILL NOT BE GENERATED FOR THE SAME OPTIONAL SMS (MAXIMUM including MANDATORY SMS) : 15 HIGH RISK FACTORS, JSY BENEFIT, IMMUNIZATION, NEW REGISTRATION, ELIGIBLE COUPLE SURVEY and FAMILY PLANNING

REPORTS GENERATED ØALL REGISTERED PREGNANT WOMEN WITHIN SELECTED DATE RANGE ØMATERNITY CARD FOR EACH MOTHER (Includes Risk Factors) ØALL PREGNANT WOMEN FALLING UNDER SELECTED RISK FACTOR (26 RISK FACTORS) ØLIST OF ALL DELIVERIES and OUTCOME WITHIN SELECTED DATE RANGE ØLIST OF ALL WOMEN ELIGIBLE FOR JSY BENEFIT ØLIST OF ALL JSY BENEFICIARY WOMEN DURING SELECTED DATE RANGE ØLIST OF ALL EXPETCTED DELIVERIES WITHIN NEXT 10 DAYS ØLIST OF ALL ANC CHECKUP DUES WITHIN SELECTED DATE RANGE ØLIST OF ALL MOTHERS WHOSE ANC CHEKUP OVERDUES ØLIST OF ABORTIONS DURING SELECTED DATE RANGE ØLIST OF INFANT DEATHS DURING SELECTED DATE RANGE ØWOMAN MORTALITY REPORT NOTE : ALL REPORTS MENTIONED ABOVE CAN BE GENERAED FOR ENTIRE DISTRICT , TALUKA, PHC, SUBCENTER or VILLAGE

REPORTS FOR SMS RECEIVED and ALERTS GENERATED ØREPORT OF SMS RECEIVED WITHIN SELECTED DATE RANGE ØREPORT OF ANC CHECKUP ALERTS SENT DURING SELECTED DATE RANGE ØREPORT OF IMMUNIZATION ALERTS SENT DURING SELECTED DATE RANGE ØREPORT OF ALERTS SENT FOR RISK FACTORS ØREPORT OF SMS RECEIVED FOR NEW UNIQUE ID REGISTRATION ØREPORT OF GENERAL MESSAGES SENT (LIKE POLIO CAMP, HEALTH CAMP, MEETING ORGANISED, ANY INSTRUCTION SENT, etc. . ) NOTE : ALL REPORTS MENTIONED ABOVE CAN BE GENERAED FOR ENTIRE DISTRICT , TALUKA, PHC, SUBCENTER or VILLAGE

SAMPLE REPORTS (Maternity Card)

SAMPLE REPORTS (List Of All Pregnant Women)

SAMPLE REPORTS (High Risk Factors)

Advantages Very simple -a server, SIM Card and CUG- inconsonance with future technology when every thing will combine on cell phone Easy syntax therefore easy for ANMs to learn- no extra burden on them Register 15, 16, 17 and 18 are automatically generated Web based therefore one can see the data from any where Economical – no extra investment as most of the ANMs have mobile phones. Real time data for better monitoring Instant communication No other instrument is required like in other models where they are using simputers or touch screen based expensive mobile phones New data can be easily added

THANK YOU !