TELANGANA eFAMILY HEALTH RECORD Government of Telangana 1

TELANGANA e-FAMILY HEALTH RECORD Government of Telangana

1. Aarogyasri (Insurance scheme) 2. KCR KIT (Maternal benefit scheme) 3. Kanti Velugu (Eye screening programme) 4. e-Birth & Notifiable Diseases 5. PHC Out Patient Module 6. Sub-Center Module 7. Telangana e-Family Health Record HM&FW Dept, Govt of Telangana 2

1. Aarogyasri (Health Insurance Scheme) IT ARCHITECTURE: ▪ URL: www. aarogyasri. telangana. gov. in ▪ Web based end to end software, that supports implementation, monitoring and payments ▪ Primary data entry at the hospital (Govt & Pvt) ▪ 97 Government Hospitals & 234 Private hospitals are on board. ▪ The number of records: 24. 49 lakhs ▪ Web based MIS developed to monitor treatment, surgeries, transfer of funds etc ▪ Ayushman Bharat has adopted the Software for NATION WIDE implementation. HM&FW Dept, Govt of Telangana 3

2. KCR KIT – Maternal Benefit Scheme ▪ Objective: To provide safe delivery & to compensate wage loss of pregnant women. ▪ Launched on 2. 6. 2017 IT ARCHITECTURE: ▪ URL: www. kcrkit. telangana. gov. in ▪ Web based end to end – work flow based software application to support implementation & monitoring ▪ Primary data entry by ANMs at Sub-Centre & PHC level using Tabs. ▪ Number of records: 40. 61 lakhs ▪ Web based MIS developed to monitor Registration, ANC Care, High Risk cases, birth planning, delivery and immunization of new born & DBT. ▪ Daily SMS on Key Performance Indicators HM&FW Dept, Govt of Telangana 4

Coverage (02. 06. 2019 to 14. 11. 2019) Sl. Year No No. of PW Registered Number of HR Cases No. of Kits DBT ANCs done Identified Distributed (Rs Crs) 1 2017 -18 7, 97, 804 12, 51, 740 1, 89, 869 2, 02, 283 201. 36 2 2018 -19 6, 13, 292 16, 74, 375 1, 78, 416 2, 444 219. 93 4, 11, 980 11, 73, 374 1, 47, 237 1, 38, 504 199. 19 18, 23, 076 40, 99, 489 5, 15, 522 5, 83, 231 620. 49 3 2019 -20 (till Oct 2019) TOTAL HM&FW Department 5

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3. Kanti Velugu – Universal Eye Screening ▪ Objective: To provide holistic, hassle free eye screening at door steps of citizens. Launched on 15. 08. 2019 IT ARCHITECTURE: ▪ URL: www. kantivelugu. telangana. gov. in ▪ Data captured using end to end – Work flow based Android APP (offline / online modes) ▪ Tabs are used to capture data by ANMs (1650 nos) ▪ Number of records: 1. 54 Crores. ▪ It supports implementation as well as monitoring of the program ▪ Daily SMS on Key Performance Indicators HM&FW Dept, Govt of Telangana 7

Daily Output & Coverage Sl No Particulars Daily Output Total Coverage 1, 50, 000 1. 54 crores 1 No. of people screened 2 No. of reading glasses distributed 28, 000 23 lakhs 3 No. of prescription glasses 10, 000 18 lakhs 4 No. of referrals 12, 000 9 lakhs HM&FW Dept, Govt of Telangana 8

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4. e-Birth & Notifiable Diseases ▪ Objective: To capture births & notifiable diseases. ▪ Launched on 01. 2019 IT ARCHITECTURE: ▪ URL: www. ebirth. telangana. gov. in ▪ Web based software that supports follow up by the concerned field level functionaries ▪ Primary data entry at the hospital level (Govt & Pvt) ▪ 893 Government Hospitals & 2247 Private hospitals on board ▪ Number of records: 4. 24 lakhs (equals 85% of all births in the state) ▪ Web based MIS developed to monitor deliveries in govt. facilities, sex ratio, C-Section Rate, 24 notifiable diseases. HM&FW Dept, Govt of Telangana 10

5. Out Patient Module for PHCs ▪ Objective: To track ailment and treatment detail, so as to understand primary health needs of people at any given point. ▪ Launched on 1. 4. 2019 IT ARCHITECTURE: ▪ Android APP ▪ Primary data entry at PHCs / Basthi Dawakhanas by Medical Officers ▪ 798 PHCs and 115 Basthi Dawakhanas are on board. ▪ Number of records: 75 lakhs ▪ On an average 50, 000 OPD gets updated daily. HM&FW Dept, Govt of Telangana 12

6. Sub-Center Module ▪ Goal: To capture deaths and causes of death. ▪ Launched on 01. 04. 2019 IT ARCHITECTURE: ▪ URL: www. healthprofile. jhs. telangana. gov. in ▪ Android APP, using TABs by ANMs at Sub Center level ▪ 4797 Sub Centers update data once in a month ▪ Web based MIS developed HM&FW Dept, Govt of Telangana 13

7. Telangana e-Family Health Record ▪ Objectives ▪ Creating a single health record at household level. ▪ Developing evidence based understanding of health requirements. ▪ Optimize service delivery by developing linkages across initiatives and services ▪ Strategy : ▪ Leverage the existing software application data, hardware and create big picture. HM&FW Dept, Govt of Telangana 14

How it is created ? ▪ Govt had conducted “Samagra Kutumba Survey (SKS)” of all households in the state. The survey is digitized. This data is taken as the base data. ▪ Each household is has an SKS ID. ▪ Each individual has Aadhar ID. ▪ The data from 6 different software applications developed for different programs at different points of time are integrated, to form a e-family health record. HM&FW Dept, Govt of Telangana 15

Sub-Center Module e-Birth and Notifiable Diseases Kanti Velugu e-Family Health Record Aarogyasri KCT KIT PHC Out Patient Module Data from Private Hospitals

Key Strengths ▪ Integrated data from primary, secondary and tertiary level institutions ▪ Integrated data from Government as well as Private institutions ▪ MIS Report / Dashboards are created for key functionaries on real time basis so that they can use for effective management ▪ Number of Records: 3. 09 Crores ▪ Number of villages: 11, 567 ▪ Number of Government health facilities: 5690 (incl. sub-centers) ▪ Number of Private health facilities: 2247 HM&FW Dept, Govt of Telangana 17

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ANALYTICS Telangana e-Family Health Record HM&FW Dept, Govt of Telangana 20

890 969 960 959 958 955 953 950 944 938 936 936 934 930 928 927 926 925 923 917 916 909 904 899 896 895 894 892 882 990 Total Records: 4. 24 lakhs Jagtial Vikarabad Medak Jogulamba Nirmal Mancherial Sangareddy Nagarkurnool Mulugu Badradri Siddipet Nizamabad Mahabubnagar Jayashankar Rajanna Komaram Bheem Adilabad Rangareddy Telangana Medchal Narayanpet Kamareddy Hyderabad Khammam Peddapalli Mahabubabad Karimnagar Jangaon Wanaparthy India Nalgonda Suryapet Warangal Rural Warangal Urban Yadadri Sex Ratio at Birth 790

India Komaram Bheem Jogulamba Narayanpet Sangareddy Mahabubnagar Adilabad Badradri Vikarabad Mulugu Medak Nagarkurnool Wanaparthy Hyderabad Kamareddy Rangareddy Telangana Jayashankar Medchal Siddipet Jangaon Warangal Urban Khammam Mancherial Nizamabad Nalgonda Warangal Rural Yadadri Peddapalli Jagtial Suryapet Karimnagar Rajanna Mahabubabad Nirmal 17. 2 21. 4 32. 4 35. 7 40. 0 40. 7 41. 6 44. 7 45. 5 46. 9 49. 2 52. 5 52. 9 53. 5 56. 0 57. 4 59. 5 63. 6 65. 7 67. 7 70. 0 70. 2 71. 6 72. 0 72. 7 73. 2 73. 8 74. 2 75. 3 75. 9 76. 1 77. 9 79. 2 80. 7 C – Section Rate 100. 0 Total Records: 4. 24 lakhs

30. 00 18. 00 22. 71 24. 86 25. 90 26. 40 27. 44 27. 56 27. 70 28. 53 28. 57 28. 73 29. 41 29. 44 30. 46 31. 73 32. 14 32. 25 32. 26 32. 92 32. 98 33. 31 33. 46 33. 50 34. 00 34. 52 34. 67 35. 18 37. 75 38. 11 39. 83 40. 37 40. 94 47. 33 53. 28 50. 00 India Mahabubabad Nagarkurnool Jogulamba Narayanpet Suryapet Khammam Medchal Warangal Rural Kamareddy Wanaparthy Mancherial Badradri Yadadri Rangareddy Medak Mulugu Siddipet Jangaon Peddapalli Mahabubnagar Hyderabad Telangana Warangal Urban Jayashankar Sangareddy Karimnagar Vikarabad Rajanna Nizamabad Nalgonda Jagtial Komaram Bheem Adilabad Nirmal Low Birth Weight Babies (< 2. 5 Kg) 70. 00 10. 00 Total Records: 4. 24 lakhs

CAUSES OF DEATH Others 26% BP/Diabetic 1% TB 1% NATURAL_DEAT H 46% Kidney Problem 1% SUICIDE 5% ACCIDENT 4% Cancer 2% Paralysis 1% Cardiac Problem 2% DISEASE 11% Total Records: 1. 08 lakhs

Diabetes, 3% Diarrohea, 4% Hypertension, 6% ANC Checkup, 6% PHC OPD Gyneac issues, 1% Body Pain, 30% Allergy, 7% ENT, 19% Fever, 24% HM&FW Dept, Govt of Telangana 25 Total Records: 75 lakhs

Constraints: ▪ Integration of Go. I applications like NCD, NIKSHAY etc HM&FW Dept, Govt of Telangana 26

Way forward…. ▪ Integrate all existing and new health applications to e. HR through family ID / Aadhar ▪ Integrate basic diagnostic services availed by individuals to e. HR ▪ Integrate drug dispensation to patients (e-aushadi) to e. HR ▪ Integrate NCD and track management of Hypertension and Diabetes HM&FW Dept, Govt of Telangana 1

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Thank you HM&FW Dept, Govt of Telangana 29