Professional Documents
Culture Documents
(Code: ABO30110403)
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Background
In India Maternal mortality& Infant mortality rates are very high when compared to developed countries. Understanding the role of computers in public health, Indian government started an e-governance tool, Mother& child tracking system (MCTS) in 2010.
Background
Success of any e-governance tool implementation depends on four pillars.
Aim& Objectives
Aim: To formulate suggestions for better implementation of MCTS. Objectives: 1. To Study the status of availability of infrastructure and skilled personnel related to MCTS. 2. To identify technical errors if any in the design of MCTS website. 3. To study knowledge and practices of ANMs regarding MCTS. 4. To study the e-governance characteristics in MCTS.
Methodology
Study design: It is an observational cross-sectional study conducted at Chilakaluripeta Cluster, Guntur District which has 1CHNC office, 4PHCs& 34sub-centers . Study period: October to November 2012. Study tools: Computer, Internet connection, Mobile phone, CHNC records. Study Procedure: We had taken prior permission from DM&HO Guntur, obtained username, password& got access of MCTS website. We reviewed tracking procedure, MCTS website& collected information through phone calls to ANMs.
Methodology
Inclusion Criteria: All the ANMs working in Chilakaluripeta Cluster were included in the study. Exclusion Criteria: ANMs who were not responded are excluded from study.
Chilakaluripeta Cluster 4 PHCs 34 Sub Centres Health providers
64 ANMs
156 ASHAs
64 ANMs Contacted
51 ANMs Responded
Availability of Working Computers and internet connections were 100% in Chilakaluripeta Cluster
Chilakaluripeta CHNC Nadendla PHC Ganapavaram PHC Edlapdu PHC Kavuru (NRT) PHC
Data-entry operators were seen in 40% of institutions, alternative arrangements were made in another 40% institutions
No CAPTCHA was seen, login was not blocked even after 5 failed attempts
CAPTCHA: Completely Automated Public Turing test to tell Computers and Humans Apart
64
156
220
ANMs
ASHAs
Total
Total : 51
Receiving SMS
Majority of ANMs entering data monthly and all are receiving SMS regularly
51
10
10
All the ANMs felt that MCTS is helpful& one fifth of them stated that MCTS is an extra burden to them.
Greetings from NRHM !! ANM: Amalleswari (28-39340) District: Guntur District Healthblock: Chilakaluripeta PHC: Nadendla Subcentre: Satuluru-1 Services due during NOV-2012 Names of pregnant women due for service: IFA: TT Booster: Delivery: PNC:
Greetings from NRHM !! ANM: Amalleswari (28-39340) District: Guntur District Healthblock: Chilakaluripeta PHC: Nadendla Subcentre: Satuluru-1 Services due during NOV-2012 Names of Children due for vaccination: BCG: DPT, OPV, HepB 1st dose: DPT, OPV, HepB 2nd dose: DPT, OPV, HepB 3rd dose: Measles:
Note: MCTS project (e-mamta) in Gujarat state had regional language support.
Conclusions
Objective 1: Availability of infrastructure -100% . Skilled persons availability - 40%. Objective 2: Login page of MCTS website had some technical errors. Scope for duplicate registrations . No separation of Temporary residents and Usual residents in the reports. SMS, Content& IVR modules are not working.
Conclusions
Objective 3: 47% ANMs knew about the procedure of MCTS. Majority of ANMs entering data monthly & receiving SMS.
Objective 4: MCTS had Unique working style character. Target group of MCTS is very large. Had Mission Critical application character. But Regional language support was not observed in MCTS.
References
1) 2) 3) 4) 5) 6) 7) 8) http://pib.nic.in/newsite/PrintRelease.aspx?relid=90343 http://www.who.int/mediacentre/factsheets/fs348/en/index.html http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate http://pib.nic.in/newsite/PrintRelease.aspx?relid=85669 https://goaonline.gov.in/portalweb/login/E-governance.jsp http://www.csi-sigegov.org/egovernance_pdf/5_33-41.pdf http://e-mamta.gujarat.gov.in/ http://nrhm-mcts.nic.in
Special thanks to
To Dr. M. Gopi Naik, District Medical & Health Officer, Guntur and to Dr. Sivakumar, Senior Public Health Officer, Chilakaluripeta Cluster for giving permission to conduct research and for giving suggestions. To all the ANMs who were participated in the study for giving information.
Thank you