AVPN Global Conference 2023 | 20 - 22 June 2023

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Khushi Baby

Khushi Baby envisions and builds scalable digital health platforms to ensure accountability, awareness, and access for precision public health at the last mile.

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Khushi Baby

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Social causes

Beneficiaries

SDGs covered

Endorsed by

APNIC Foundation

APNIC (Asia Pacific Network Information Centre) Foundation is an open, membership-based, not-for-profit organization based in Australia.

Johnson & Johnson Foundation

The Johnson & Johnson Foundation is a registered charitable organization that reflects the commitment of the Johnson & Johnson Family of Companies to keeping people well at every age and every stage of life by blending heart, science and ingenuity to profoundly change the trajectory of health for humanity. The Foundation supports and champions the people on the front lines who are at the heart of delivering care, including nurses and community health workers. Together with our partners, we focus on building and strengthening a robust primary care health workforce – made up of capable, confident and resilient nurses and community health workers – so that they can provide quality care to the communities they serve.

Market of Implementation

India

Problem

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.

¹Baseline denominator: Eligible section of the population for the concerned intervention / total number of people in the population at risk

Solution

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.

Khushi Baby

By

Khushi Baby

Social causes

Beneficiaries

SDGs covered

Endorsed by

APNIC Foundation

Johnson & Johnson Foundation

Market of Implementation

Problem

Solution

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