Dakshata Mentor Application NHM Rajasthan Rationale The app

Dakshata Mentor Application NHM Rajasthan

Rationale The app launched on 18 th , may 2018 in the State. Goal To strengthen facility level mentoring and supervision of LR through user friendly application which allows efficient data collection and generates actionable outputs. Objectives • List out the priority areas of improvement and measures to be taken to build up the capacity of the service providers. • Ensuring a constant mentoring mechanism for provision of quality intra-natal and immediate post-partum care.

System architecture of Dakshata Mentor App Online Application State/ District/ Facility Dakshata Mentors @ Facility State District Facility Summary Reports

Data Elements used Aligned with Dakshata Package Training status of Labor Room Staff Labor Room Infrastructure Essential Resources in labor room Adherence to 19 Clinical Practices Topics Covered During Mentoring Visit

Installation Available for free download on Google Playstore

Interface Navigation Screen

Facility Mentoring : Sections Section-A: Details of Mentoring Visit Section-B: Details of Labor Room Staff Section-C: Details of Labor Room Infrastructure

Facility Mentoring : Sections Section-D: Details of essential resources in labor room Section-E: Details of Adherence to 19 Clinical Practices Section-F: Details of Topics Covered During Mentoring Visit

Facility Mentoring : Sections Section-G: Details of Data Recording, Reporting and other

Colour coded Tabs Reported all the data elements. Some of the data elements are blank. No question answered. Save data in mobile to review and edit

Features : Saving and Reviewing Records Compare Assessment data with previous assessment Assessment Form in pdf View & Edit Data Finalize Data

Features : Sync Data

Features: Finalizing Records and Download

App generated facility visit report GPS stamping in all the data collection format. Mentoring Visit Summary Report

Analytics : Reports Generated • Report 1: Detail of Labor Room Staff trained in Dakshata/Skills lab/ SBA • Report 2: Status of Unmet Criteria (Labor Room Infrastructure) • Report 3: Summary Report (Labor Room Infrastructure) • Report 4: Essential Resources Not Available/Not Functional at Labor Room in Last Visit • Report 5: Summary Report (Availability of Essential Resources) • Report 6: Status of facility wise essential resources available (Result of Latest Assessment) • Report 7: Status of Unmet Criteria (Adherence to 19 Clinical Practices) • Report 8: Summary Report (Adherence to 19 Clinical Practices) – Result of Latest Assessment • Report 9: Status of Topics Covered During Mentoring Visit (Result of Latest Assessment) • Report 10: Facility Ranking (Result of Latest Assessment)

Facility Dashboard Resource Availability Practices LR Environment

District Level Dashboard Facility Staff Nurse Uristix Efficient Organization of care ro be w Nu m nd Ha Labor room ambience . . . f. . . as. . na tio nc Fu La La l. . . or t bo rr oo . . . bo rr oo La La bo rr oo sl cu Fo bo La La . . . am. . l. . rt ab bo rr oo ab rt bo La Respectful Care . . l. . . tw an di Ra Ra di an tw . . . bo rr oo . . . Fa La cil ov Pr La isi ity on fo r bo rr oo . . f. . . la to try Gloves IV sets Partograph Disposable syringes and Cord clamps needles Towels for receiving new. Sterile scissors born Sterile perineal pads Labor Room Environment En Soap and running water Antenatal corticosteroids 100% 80% 60% 40% 20% 0% Facility Antiretroviral drugs for mother Ambu bag for babies LHV/ ANM Facilities Visited: ……………. . IV fluids BP apparatus ll ab District Visited: ……………. . Stethoscope Overall Inj. Vitamin K 1 100% 80% 60% 40% 20% 0% Thermometer Medical Officer From: Year …… Month……. . To: Year …. Month ………… Inj. Oxytocin Availability of essential resources Al Custom % Facilities Mucous extractors OBG specialist Assessment Result: Latest / Custom Overall Suction device % Trained bo rr oo District: <<All>> Trained La Available Inj. Magnesium sulfate Protocol posters displayed Antibiotics for mother Functional radiant warmer Antibiotics for baby Availability of important resources s. . . re m fa c Th e er id Pr ov ili ty co un ad se he ls ca es ns ur re ov id e Pr er id ov Pr r. . ex c. . re s su en as se er id ov Pr . . . es ss tif en Pr ov id er id pe er id ov Pr co . . . ie rm s. A rfo pe er id Pr ov During and immediately after delivery sa . . . rm ts uc nd co Pr ov id er er id ov Pr sn a e th as sis ts ep pr er id Pr ov . . . . fo. es ar es ns ur de ov i Pr er id ov Pr re m on tif en id er id Pr ov At the time of Admission re s. . . ito rs sa ie ie tif en id er id ov Pr p. . . . sc . . . tif Pr ov id er id en tif ie sa . . . Pr ov rc ov id e Pr Facility Pr Overall ov id e rc on d uc uc ts ts in a. . . % Facilities Essential Practices / Standards 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Post-partum care Page 1 of 3

District Level Dashboard Facility Staff Nurse Uristix Efficient Organization of care ro be w Nu m nd Ha Labor room ambience . . . f. . . as. . na tio nc Fu La La l. . . or t bo rr oo . . . bo rr oo La La bo rr oo sl cu Fo bo La La . . . am. . l. . rt ab bo rr oo ab rt bo La Respectful Care . . l. . . tw an di Ra Ra di an tw . . . bo rr oo . . . Fa La cil ov Pr La isi ity on fo r bo rr oo . . f. . . la to try Gloves IV sets Partograph Disposable syringes and Cord clamps needles Towels for receiving new. Sterile scissors born Sterile perineal pads Labor Room Environment En Soap and running water Antenatal corticosteroids 100% 80% 60% 40% 20% 0% Facility Antiretroviral drugs for mother Ambu bag for babies LHV/ ANM Facilities Visited: ……………. . IV fluids BP apparatus ll ab District Visited: ……………. . Stethoscope Overall Inj. Vitamin K 1 100% 80% 60% 40% 20% 0% Thermometer Medical Officer From: Year …… Month……. . To: Year …. Month ………… Inj. Oxytocin Availability of essential resources Al Custom % Facilities Mucous extractors OBG specialist Assessment Result: Latest / Custom Overall Suction device % Trained bo rr oo District: <<All>> Trained La Available Inj. Magnesium sulfate Protocol posters displayed Antibiotics for mother Functional radiant warmer Antibiotics for baby Availability of important resources s. . . re m fa c Th e er id Pr ov ili ty co un ad se he ls ca es ns ur re ov id e Pr er id ov Pr r. . ex c. . re s su en as se er id ov Pr . . . es ss tif en Pr ov id er id pe er id ov Pr co . . . ie rm s. A rfo pe er id Pr ov During and immediately after delivery sa . . . rm ts uc nd co Pr ov id er er id ov Pr sn a e th as sis ts ep pr er id Pr ov . . . . fo. es ar es ns ur de ov i Pr er id ov Pr re m on tif en id er id Pr ov At the time of Admission re s. . . ito rs sa ie ie tif en id er id ov Pr p. . . . sc . . . tif Pr ov id er id en tif ie sa . . . Pr ov rc ov id e Pr Facility Pr Overall ov id e rc on d uc uc ts ts in a. . . % Facilities Essential Practices / Standards 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Post-partum care Page 1 of 3

Outcomes • 241 visits covering 131 facilities across 25 districts • 165 Total User Created so far • The app is helping in facility performance tracking, onsite staff mentoring and also data for action üThe app is giving us facility specific data on status of trained LR staff, gaps in resources, LR environment, and LR practices üThe app also captures the area on which mentoring had been provided üIt helps the mentor to compare the status with that of previous visits üIt is helping State MH division to track the facility performance as well as movement of mentors. üIt also assists in release of incentives to in service mentors for visit.

Mentor App in Use

Mentor App in Use

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