Ministry of Health Family Welfare Government of India

Ministry of Health & Family Welfare Government of India Mother and Child Tracking System (MCTS) An innovation towards strengthening of health care services September 2012 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Contents � Status of key health indicators and services � Introduction to MCTS � MCTS Operational Flow � How MCTS can benefits ◦ ◦ Beneficiaries ANM / ASHA CMO’s / BMO’s / DIO’s State(s) � Current Status � Expectations of Mo. HFW � Key Concerns for States � Way Forward http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Health Performance Indicators Health Indicator India MMR 212 IMR 47 TFR 2. 5 (SRS: 2007 -09) (SRS: 2010) Full Immunization 53. 5 % Full ANC 18. 8 % ANAEMIA 55. 3 % (DLHS-3) (DLHS- 3) (NFHS- 3) Good Performing State 81 (Kerala) 13 (Kerala) 1. 7 (Tamil Nadu) 89. 8 % (Goa) 90. 9 % (Goa) 32. 8 % (Kerala) Low Performing State 390 (Assam) 62 (Madhya Pradesh) 3. 7 (Bihar) 13. 3 % (Arunachal Pradesh) 3. 3 % (Uttar Pradesh) 69. 5 % (Jharkhand) http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Objective(s) of MCTS To ensure that • All pregnant women should receive their: – Full Ante Natal Care (ANCs) services at due time – Full Post Natal Care (PNCs) services at due time • Encourage institutional delivery particularly of high risk mothers • All children should receive their full immunisation at due time This will help improve IMR, MMR, TFR and morbidity in women and children. http: //nrhm-mcts. nic. in/ 4

Mother and Child Tracking System (MCTS) MCTS- A Path Breaking Initiative • Mother & Child Tracking System(MCTS) is a centralized web based application for improving delivery of health care services to pregnant women and children up to five years of age through name based tracking of each beneficiary and monitoring service delivery • It has been declared as a Mission Mode Project under the National e-Governance Plan (Ne. GP) in July 2011 http: //nrhm-mcts. nic. in/ 5

Mother and Child Tracking System (MCTS) http: //nrhm-mcts. nic. in/ 6

MCTS- Protocol State Mission Director District Magistrate Block BMO Primary Health Centre State Programme Officers District Health Officer BPM M/O In-charge CMHO / CMO Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA State Data Officer DPM DDO Data Entry Operator

Mother and Child Tracking System (MCTS) How MCTS can benefit - Beneficiaries Free consultation from Central Helpdesk (Toll Free No) Information about desired services, Government Schemes & Benefits Advance information about the due services Beneficiaries Facilitate availing the services from any Health Centre based on need Facilitate in timely delivery of full complement of services Facilitate better interaction with Health Service Provider http: //nrhm-mcts. nic. in/ 8

Mother and Child Tracking System (MCTS) How MCTS can benefit – ANM / ASHA Readily available Services due list Micro planning for Filed Visit Auto generation of workplan ANM / ASHA Better guidance from senior supervisors Contact details of the Beneficiaries SMS based workplan http: //nrhm-mcts. nic. in/ 9

How MCTS can benefit – Actionable reports of registration and service updating status Mother and Child Tracking System (MCTS) CMO’s / BMO’s/DIOs Readily available analytical reports CMO’s / BMO’s / DIO’s Facility reporting status Direct communicatio n with ANMs / ASHAs and beneficiaries Better planning for Vaccination Supply & Management Group /Individual SMS’s to health workers and beneficiaries http: //nrhm-mcts. nic. in/ 10

How MCTS can benefit – States • • • At a Glance real time State progress report of the entire state Facilitate in identification of poor performing Districts, health facilities, Sub- Health Centres Graphical Dashboard for pictorial representation of the reports Special reports of high risk cases Dedicated helpdesk for feedback and suggestion Focused deployment of health workers & any supplementary immunization activity planning Better data analysis for preparation of District /Block health action plans Improved supply chain management of vaccines and Drugs Effective IEC and communication with field workers and beneficiaries http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS - Current Status (India) � An Online Software for MCTS has been developed by NIC which is available at the URL http: //nrhm-mcts. nic. in/ � Total records entered in the MCT System: • 2. 80 Crore mother records already entered sinception. In 2012 -13 total 65. 2 lakh (49. 6 % on pro rata basis) mother has already been registered in MCT System. • 2. 06 Crore Child records already entered sinception. In 2012 -13 total 42. 3 lakh (35. 4 % on pro rata basis) children have already been registered in MCT System. �Facilities reporting data related Facility Pregnant Women District 99. 4% Health Blocks 95. 6% Health Facility 85. 5% Health Sub-facility 92. 2% Villages 51. 8% to Mother & Child: Children 99. 4% 94. 8% 82. 8% 87. 8% 45. 1% http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Registration Status of Pregnant Women (%) Year 2012 -13(Pro-Rata) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Chandigarh Punjab India Nagaland Andman & Nicobar Islands http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Registration Status of Children (%) Year 2012 -13(Pro-Rata) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Rajasthan Tripura India Arunachal Andman & Pradesh Nicobar Islands http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered (%) – Pregnant Women ANC Services & Deliveries Reported* 100% Goa 90% Mizoram 80% India 70% Chhattisgarh 60% Karnataka 50% 40% 30% 20% 10% 0% ANC 1 ANC 2 ANC 3 ANC 4 Deliveries Reported * Pregnant women with LMP in October 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered (%) – Pregnant Women IFA Tablets* ur M an ip r ha an ar kh Jh Bi d a di In a ur ip Tr or a iz M Ra ja st ha n m 80% 70% 60% 50% 40% 30% 20% 10% 0% * Pregnant women with LMP in October 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered - Children OPV Services* 100% Tamil Nadu 90% Puducherry 80% India 70% Chhattisgarh 60% Bihar 50% 40% 30% 20% 10% 0% OPV 0 OPV 1 OPV 2 OPV 3 * Children with Do. B in August 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered - Children DPT Services* 100% Tamil Nadu 90% Tripura 80% India 70% Karnataka 60% Bihar 50% 40% 30% 20% 10% 0% DPT 1 DPT 2 DPT 3 * Children with Do. B in August 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered - Children HEP Services* Tamil Nadu 100% Lakshadweep 90% 80% India 70% Arunachal Pradesh 60% Chhattisgarh 50% 40% 30% 20% 10% 0% HEP 0 HEP 1 HEP 2 HEP 3 * Children with Do. B in August 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) Service Delivered - Children BCG & Measles Services* Tamil Nadu 100% Puducherry 90% 80% India 70% Manipur 60% Mizoram 50% 40% 30% 20% 10% 0% BCG Measles * Children with Do. B in August 2011 http: //nrhm-mcts. nic. in/

ha De l P lh ra i de An sh dh ra GO Pr A Ja U m tt ade m ar sh u an akh d an Ka d sh m i W Pun r es ja tb b en Ha gal ry a Gu na ja M ra ad t O hy di a P sh ra a Jh des a M rkh h ah an Ut ara d ta sh r P tra ra Ra des ja h st ha n Ch B ha iha tti r sg ar As h sa m ac m Hi Mother and Child Tracking System (MCTS) Correctness of Data Calls made to the Beneficiaries 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 70% % of Correct calls to Calls Answered http: //nrhm-mcts. nic. in/

Expectations of Mo. HFW Ø Use of MCTS data for review and action-for follow up on various schemes and programs 100% timely Update of Services related to RCH services. Delivered to Pregnant Women & Ø Use of MCTS data for policy Children on MCTS Portal formulation, micro planning at Use of MCTS application by all different levels and redressal levels Health workers. of bottlenecks pertaining to various programs. Service Delivery to Pregnant Women and Children ensured Ø Advice DMHO and BMHO for continuous monitoring, field Work-plan generation and visit and taking of corrective utilisation action based on MCTS information Near Real time update of Data on MCTS Ø Improve civil registration Ø 100% Registration of Pregnant Women & Children Ø Ø Ø http: //nrhm-mcts. nic. in/

Expectations of Mo. HFW cntd… � � � Ensure complete and accurate mapping of all the health facilities & health service providers. Ensure records of the proceedings of the meetings of SPe. MT and DPe. MT should be put on the website. Corrective action from the State level, CMHO and BMO level should be regularly carried out based on the analytical reports generated from MCTS portal. � � Establish a call centre to verify the records of the beneficiaries and health providers and also for sending the information to the beneficiaries about their due services. A village wise integrated RCH Register has been designed by Mo. HFW and shared with States/UTs. Ensure its implementation from 2012 http: //nrhm-mcts. nic. in/

Way Forward � � Mother and Child Tracking System (MCTS) Use of mobile (GPRS, SMS)/tablet technology for updating of service delivery data on real time basis. Use of Interactive Voice Response System (IVRS) to: ◦ Verify details of beneficiaries, ANMs, ASHAs ◦ Update data ◦ Send alerts on services due ◦ Send Messages � MCTS as sole source of reporting and reviewing MCH services � Effective operationalization of MCTS protocol � � � Problem Redressing System to review the redressal of MCTS related issues. Trigger Mechanism for delivery of system generated actionable mails/SMS to all the Health Administrators and Managers on MCTS progress/feedback. Operationalization of National/ State Call Centre /helpdesk http: //nrhm-mcts. nic. in/

Way Forward contd… � Capacity � � � Mother and Child Tracking System (MCTS) building at various levels Effective integration with AADHAR- verification for benefits Integration and convergence of various IT initiatives implemented/ adopted by different department of the Ministry and States under a single window to review the performance of various programmes / schemes launched by Mo. HFW and improve data quality. MCTS is able to provide good platform and unique opportunity to enable identification of the beneficiary for all schemes of various departments across Ministries in one place and placement of this information on the web for access by the identified functionaries of concerned department. http: //nrhm-mcts. nic. in/

Thank you http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) How MCTS can benefit – Centre � � � Provide a mechanism at all levels to directly monitor the delivery of Mother and Child Health (MCH) benefits to the beneficiaries Provide a single source of information related to pregnancy and child immunization health services and possibility of health-related information on mother and childcare Facilitate closer monitoring of ANC and PNC check-ups of pregnant women and reduce avoidable complication � Ensure tracking of full immunisation course for all children � Better assessment of JSY, JSSK and other benefits � Analytical reports for reviewing the progress of MCTS implementation on real time / daily basis � Facilitate http: //nrhm-mcts. nic. in/ in identifying of poor performing States, Districts http: //nrhm-mcts. nic. in/ and Facilities

Chandigarh Punjab Tamil Nadu Puducherry Rajasthan Kerala Orissa West Bengal Goa Sikkim Madhya Pradesh Himachal Pradesh Dadra & Nagar Haveli Karnataka Lakshadweep Maharashtra Jammu & Kashmir Gujarat Chhattisgarh Tripura Bihar Haryana Andhra Pradesh Delhi Daman & Diu Meghalaya Assam Uttarakhand Jharkhand Uttar Pradesh Mizoram Manipur Arunachal Pradesh Nagaland Andman & Nicobar Islands Mother and Child Tracking System (MCTS) Registration Status of Pregnant Women (%) Year 2012 -13(Pro-Rata) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% BACK http: //nrhm-mcts. nic. in/

Rajasthan Tripura Tamil Nadu Orissa Punjab Goa Madhya Pradesh Chandigarh Dadra & Nagar Haveli Kerala West Bengal Jammu & Kashmir Gujarat Maharashtra Himachal Pradesh Chhattisgarh Sikkim Andhra Pradesh Bihar Meghalaya Haryana Daman & Diu Puducherry Delhi Lakshadweep Uttarakhand Jharkhand Karnataka Assam Uttar Pradesh Nagaland Mizoram Manipur Arunachal Pradesh Andman & Nicobar Islands Mother and Child Tracking System (MCTS) Registration Status of Children (%) Year 2012 -13(Pro-Rata) 120% 100% 80% 60% 40% 20% 0% BACK http: //nrhm-mcts. nic. in/

ANC 1 Karnataka Tamil Nadu Chhattisgarh Bihar Lakshadweep Arunachal Pradesh Uttar Pradesh West Bengal Madhya Pradesh Sikkim Manipur Andhra Pradesh Himachal Pradesh Nagaland Jharkhand Puducherry Uttarakhand Maharashtra Delhi Gujarat Punjab Haryana Jammu & Kashmir Orissa Tripura Meghalaya Andman & Nicobar Islands Mizoram Goa Dadra & Nagar Haveli Mother and Child Tracking System (MCTS) Service Delivered (%) – Pregnant Women ANC 1 and ANC 2* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% ANC 2 * Pregnant women with LMP in October 2011 http: //nrhm-mcts. nic. in/

ANC 3 BACK Bihar Uttar Pradesh Arunachal Pradesh Jharkhand Meghalaya Karnataka Uttarakhand Nagaland Manipur Madhya Pradesh Tripura West Bengal Chhattisgarh Andman & Nicobar Islands Himachal Pradesh Mizoram Lakshadweep Haryana Jammu & Kashmir Gujarat Delhi Andhra Pradesh Tamil Nadu Maharashtra Sikkim Punjab Puducherry Goa Orissa Dadra & Nagar Haveli Mother and Child Tracking System (MCTS) Service Delivered (%) – Pregnant Women ANC 3 and ANC 4* 70% 60% 50% 40% 30% 20% 10% 0% ANC 4 * Pregnant women with LMP in October 2011 http: //nrhm-mcts. nic. in/

T & am Na il N ga ad r. H u av Gu eli ja ra t Ch ha G tti oa sg ar Or h Ka is rn sa at ak a De Pu lhi Hi nj m a ac Si b h k An al ki dh Pra m ra de Pr sh M Ja a a m h de m ar sh u as & ht Ka ra sh Ha mir Pu ry du an An ch a dm er an ry T W r & ip e Ni st ur co B a ba en La r Is gal ks la ha nd dw s M ee Ut izo p ta ra ra m kh M ad Na and hy ga a lan Pr d M ade e Ar Utt gha sh un ar la ac Pr ya ha ad l P es r h Jh ade ar sh kh an d Bi h M a an r ip ur a dr Da Mother and Child Tracking System (MCTS) Deliveries Reported (%)* 100% 90% 80% Deliveries Reported 70% 60% 50% 40% 30% 20% 10% 0% BACK * Pregnant women with LMP in Oct. 2011 http: //nrhm-mcts. nic. in/

Ta m Pu il N La duc adu ks he ha rr dw y Ja m ee m p u & G U Ka oa An tta shm dh rak ir ra ha Pr nd ad An e dm Si sh k an Ha kim & Ni Ka ryan c r M oba nat a ad r ak hy Isla a a n Pr ds ad e M Pu sh ah n j W ara ab es sh t B tra en ga Ut ta Or l r P iss ra a de sh Ar un N De ac ag lh ha al i l P an r d Jh ade Ch ark sh ha ha t nd M tisg eg ar ha h Hi m ac G laya ha uj l P ara ra t de Da dr Tr sh a ip & ur Na a ga Bih r H ar a M ve an li M ipu izo r ra m Mother and Child Tracking System (MCTS) Service Delivered - Children BCG & Measles* 100% 90% BCG 80% Measles 70% 60% 50% 40% 30% 20% 10% 0% BACK * Children with Do. B in August 2011 http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol – DM/MD üMonthly review meeting (SPe. MT/ State District Block DPe. MT) State üImplementation & State review of Data Mission Director Programme Officer scheme(s) Officers üProvide guidance and support ü Ensure availability of (SPe. MT) District Health CMHO CMO portal. DPM on/MCTS Officer minutes Magistrate BMO Primary Health Centre BPM M/O In-charge Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol – BPM/DHO/SPO State Mission Director District Magistrate Block BMO Primary Health Centre Sub Centre Village State Programme Officers District Health Officer BPM CMHO / CMO Medical Superintendent (CHC) State Data Officer DPM Data Entry Operator üRegular review meetings Alternate Data Entry üMonitoring of Various Vaccine Courier programs Operator üReview of Implementation of MCTS scheme regularly ANM üProvide necessary logistics üRegular monitoring of Registration status / Facility Reporting and Updation of Service delivery. ASHA üAssessment of Human Resource M/O In-charge http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol - SDO/DPM üTechnical Advisor üAssessment of MCTS requirements State üCo-ordination MCTS Mission for Director Programme State implementation Officers üEnsure data quality üGeneration & Circulation District of Status District CMHO District Health reports Magistrate / CMO Officer Block BMO Primary Health Centre BPM M/O In-charge Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA State Data Officer DPM DDO Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol – M/O In-charge State üReview Service Delivery Mission Director Programme State üPeriodic review meetings Officers üSupervisory field visits District/ üLogistics and supply of vaccines District CMHO / CMO Health Drugs Magistrate Officer Block BMO Primary Health Centre BPM M/O In-charge Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA State Data Officer DPM Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol - DEO State Mission üData entry. Director üWorkplan generation District Block District Magistrate BMO Primary Health Centre State Programme Officers District Health Officer BPM M/O In-charge CMHO / CMO Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA State Data Officer DPM Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol - AVC State District Block Mission Director District Magistrate BMO Primary Health Centre State Programme Officers State Data Officer üDelivery of Vaccine District ü Health Distribution of Workplan to. DPM ANM CMHO / CMO Officer üCollection of Information from ANM and deliver to Data Entry operator Data Entry Medical Superintendent BPM M/O In-charge (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA Operator Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol - ANM State District Block State Programme Officers Mission Director üService Delivery District ü Maintenance of /Registers CMHO CMO DPM Health ü Attend monthly meeting at PHC Officer District Magistrate BMO Primary Health Centre State Data Officer & collect Workplan & Data updation BPM M/O In-charge Medical Superintendent (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA Data Entry Operator http: //nrhm-mcts. nic. in/

Mother and Child Tracking System (MCTS) MCTS- Protocol - ASHA State District Block Mission Director District Magistrate BMO Primary Health Centre BPM State Data üIdentification of beneficiaries. Officer State Programme Officers üCapture of information, inform District ANM and assist during service CMHO / CMO DPM Health delivery Officer üEscorting the patients to health facility Data Entry Medical Superintendent M/O In-charge (CHC) Alternate Vaccine Courier Sub Centre ANM Village ASHA Operator Data Entry Operator http: //nrhm-mcts. nic. in/

Goa Tamil Nadu Puducherry Dadra & Nagar Haveli Rajasthan Delhi Daman & Diu Gujarat Chandigarh Karnataka Madhya Pradesh Chhattisgarh Haryana Orissa Punjab Jammu & Kashmir Andhra Pradesh Maharashtra West Bengal Assam Kerala Bihar Sikkim Himachal Pradesh Uttarakhand Meghalaya Uttar Pradesh Jharkhand Mizoram Andman & Nicobar Islands Lakshadweep Manipur Arunachal Pradesh Nagaland Tripura Mother and Child Tracking System (MCTS) Data Reported (%) by Facilities Pregnant Women % of Health Blocks reporting data August 2012 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % of Health Facility reporting data % of Health Sub-Facility reporting data http: //nrhm-mcts. nic. in/

Daman & Diu Goa Tamil Nadu Dadra & Nagar Haveli Delhi Chandigarh Rajasthan Puducherry Gujarat Haryana Madhya Pradesh Punjab Karnataka Chhattisgarh Andhra Pradesh Orissa Maharashtra Jammu & Kashmir West Bengal Assam Sikkim Kerala Bihar Himachal Pradesh Uttarakhand Meghalaya Jharkhand Uttar Pradesh Mizoram Andman & Nicobar Islands Lakshadweep Manipur Arunachal Pradesh Nagaland Tripura Mother and Child Tracking System (MCTS) Data Reported (%) by Facilities Children % of Health Blocks reporting data August 2012 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % of Health Facility reporting data % of Health Sub-Facility reporting data http: //nrhm-mcts. nic. in/