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About M-Health

The National Health Mission was launched by the Hon. Prime Minister Dr. Manmohan Singh on the 12th of April 2005 and aimed at providing accessible, affordable and accountable quality health services to the poorest households in the remote parts of the country.

 

Expected outcomes from the program include reducing the Infant Mortality Rate to below 30/1000 live births and Maternal Mortality Rate to below 100/100000 live birth. The mission aims at increasing the outreach of the health system from the sub-center level to village level by providing a trained and Accredited Social Health Activist (ASHA) per 1000 population. The ASHA worker shall be a female ever married volunteer from the community selected by and accountable to the GRAM SABHA. The ASHA is trained by the Government and will receive only performance based incentive (no honorarium) for promoting community health services such as universal immunization, referral and escort services for reproductive and child health and other healthcare programmes.

 

The Sample Registration System of India which releases a bulletin capturing the Estimated Birth Rate, Death Rate, Natural Growth Rate and Infant mortality rate. In their September 2014 release report the State of M.P scored highest INFANT MORTALITY RATE. The Infant Mortality Rate in the State of MP was 57, i.e behind every 100 births 57 infants could not survive over 2 years.

 

The Mission Director, National Health Mission, Government of Madhya Pradesh guessed the need to arrest this problem immediately and is now geared up to initiate the implementation of an IT and mobile based solution that captures the family planning, immunization, maternal and child health service delivery and drug dispensing details from the field by 10,000 ANMs across 51,000 villages of the state of Madhya Pradesh. The key objective of the initiative is to digitalize the data of services provided by ANM to beneficiaries.

 

ANM (Auxillary Nurse Midwifery) or ASHA WORKERS :

This is a trained voluntary workforce and have a significant role to play in reaching the target population for improved maternal and child health outcomes. The ASHA worker would be trained to utilize a drug kit and would be the first port of call for any health related demands of the deprived sections of the population, especially women and children, who find it difficult to access health services. The ASHA workers under the guidance of the ANM and the Village Health and Sanitation Committee of the Gram Sabha will mobilise and educate the community on preventive and primitive healthcare and increased convergence on determinants of health such as nutrition, basic sanitation and hygienic practices. The ASHA also helps the Gram Sabha in preparing Village Health Plan

Motive :

  • Provide access to equitable, affordable and quality healthcare
  • Reduction of indicators like Infant Mortality Rate and Maternal Mortality Rate

 

While ANMs have demonstrated the potential to substantially improve overall public health in areas of extreme poverty, they face several challenges on day-to-day basis. With a role in multiple national programs and activities, routine record-keeping and reporting expected of ANMs is also increasing. She has been provided with multiple formats and job aids to use during the course of her work. They lack access to healthcare repository, standardized tools for beneficiary counseling and other job aids to facilitate their work. These challenges limit the effectiveness of frontline workers and negatively impact program outcomes.

 

It has been observed that the data entry and reporting is manually done by the ANMs and the data is not updated on real time basis which results in delayed reporting of the services provided to the beneficiaries and duplication of records at various levels. An efficient and robust data entry system is required to overcome the challenges faced by the ANMs and front line health workers. The system should be accountable for the reporting and monitoring of the health care provided to the Mother and Child and key indicators like Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR) and Total Fertility Rate (TFR) etc.

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