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In India, primary care for rural areas is in focus. 60,000 mothers die annually due to preventable causes during pregnancy while 800,000 children under 5 years of age die every year from vaccine-preventable diseases. There is a growing triple burden of disease arising from NCDs, infectious diseases, and reproductive health-related diseases amongst women in India. Additionally, the COVID-19 pandemic has stretched the healthcare system further. Despite having a decentralized workforce to deliver longitudinal care, a successful continuum of care in a country as big as India requires a true baseline denominator1, workforce accountability and timely actionable data for high-risk cases.
Dependence on paper-based data collection at point of care results in late reporting of data for action. Frontline health workers spend up to 20 hours consolidating data and traveling to primary health centres for data entry submission on a monthly basis. Lack of supervision, burden from multiple health programmes, and pressure to meet health targets leads to falsification of health records and underreporting of gaps at the last mile.
1 Baseline denominator: Eligible section of the population for the concerned intervention / total number of people in the population at risk
Khushi Baby’s Community Health Integrated Platform (CHIP) is an effort to address the primary healthcare gaps in India beyond reproductive and child health by including and integrating NCD management and infectious disease surveillance. The platform has been developed as per national guidelines (e.g. RCH Register, CBAC form, NCD Portal, Nikshay follow-up and registration, ASHA (Accredited Social Health Activist) register, Delivery Register), so that each health worker in the referral loop has a single unified interface for tracking patients and reporting community health outcomes across verticals. This platform also includes a decision support tool for the new cadre of health workers - Community Health Officers (CHO) - who serve at the interface between Auxiliary Nurse Midwife (ANM) and Medical Officers.
Platform Components / Features:
• A continuum of care which connects the village household, Sub-Centre (SC) and Primary Health Centre (PHC). The platform includes a state-wide digital health census and longitudinally tracks all national primary care programmes
• A mobile application for all healthcare providers, which replaces paper-based tracking, automates timely reporting of health outcomes and resource shortages, automates direct benefit transfers, and guides clinical decision-making. The application is designed to keep health workers informed of their progress and catchment area health status, so that they can make data-driven choices and take necessary action
• A digital medical record for beneficiaries, in the form of a NFC health card (50 INR), which is tagged to the patient
• Instant, offline sharing of digital medical records, via the NFC health card / NFC sticker, at the point of care
• GPS, NFC, and biometric accountability at all points of care. This confirms that (1) health camps were held and (2) the beneficiary met the provider
• Dialect-specific automated voice calls for beneficiaries serve as health check-up reminders and health awareness messages
• AI-powered actionable analytics and dashboard for health officials for timely decision-making
• NDHM compliance / early sandbox access
To view more information about our work, please refer to these slides.