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mSehat, Uttar Pradesh
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Subject Area="Management structures and systems." Objective="Integrated planning and management."
Details for Reform Option "mSehat, Uttar Pradesh"
Summary

Background : The mSehat scheme has been developed to empower the FLWs (ASHAs and ANMs) by providing smart-phones/tablets with customized apps that will capture the complete Reproductive, Maternal, New borne, Child Health plus Adolescent (RMNCH+A) continuum of care services. The software will auto-generate the work-plans and will give alerts to the service provider as well as the registered beneficiary. The FLWs will be provided on-demand training and regular skill updates. There is a provision of mobile phone based multimedia job-aid for beneficiary counseling, registration, tracking, reporting, screening and referral. In due course of time, mSehat aspires to interact with the MCTS and RCH e-governance schemes of GoI which will help in real-time data update. The mSehat app mainly covers Family Registration, Beneficiary Registration, VHIR, VHND, ASHA Incentives alert, Training and Counseling, ASHA kit, Work plan, Grievance redressal, Referral, Stock Management for VHND, ASHA Sangini Module, Dashboards for ANM, MOIC and State, Reminders and alerts to the beneficiary. mSehat intends to achieve 100% coverage for timely and appropriate care for pregnant and lactating mothers, immunization of pregnant women and infants, nutrition for children below 6 years and adolescent girls and streamlining the process of data collection. The scheme covers a total population of 15.5 million in 5 High priority districts viz. Sitapur, Bareilly, Mirzapur, Kannauj and Faizabad of Uttar Pradesh. Goal: The goal of mSehat is to accelerate the reduction of maternal, neonatal, and child mortality and total fertility rate in UP by empowering frontline health workers (ASHA and ANMs) with an integrated mSehat service delivery platform leading to improved performance through effective planning, management and execution of their day-to-day work. The key goals of mSehat are to: (i) Provide on-demand training and information to FLWs using multimedia enabled content through the mSehat application for continuous capacity building. (ii) Provide mobile phone based multimedia job-aid to FLWs for beneficiary registration, tracking, counseling, reporting, screening and referral; (iii) Strengthen Mother and Child Tracking System (MCTS) through mobile phone based work plans, and real time updation of beneficiary-wise service delivery information. (iv) Facilitate VHND wise monitoring of stock demand, supply and consumption through mobile phone based application. (v) Create a mobile phone based incentive monitoring system for ASHAs for greater transparency and accountability in timely ASHA incentive calculation and payments. Action: The Agreement with the SI for mSehat scheme was signed on 1st July 2015 and the project was formally launched on 13th October 2015.Under the scheme approximately 10,000 ASHA workers, 1700 ANMs and 300 MO/MOIC, SIFPSA/NHM field staff and Head Quarter staff will be provided Smart-phones and Tablets. Result: The scheme has yet not completed one year of operation. As per the timeline mSehat application will be fully functional by end of June 2016. Till date the following have been the achievement in the 5 Districts: • All the ASHAs identified by the CMOs i.e. 10016 have been given Smart-phones, loaded with OS, SIM, mSehat apps and have been given 5 days hands-on training (1 day orientation and 4 days Phase I training. • All the Sub-centre ANMs i.e. 1552 have been given Tablets, loaded with OS, SIM and mSehat apps and have been given 5 days hands-on training (1 day orientation and 4 days Phase-I training.

Cost The SI is responsible for the Operations & Maintenance of complete system at a total cost of Rs. 27,55,00,000/- (inclusive of all taxes except service tax) for three years.
Place The scheme is being rolled-out in all the blocks of Bareilly, Kannauj, Mirzapur, Sitapur and Faizabad Districts of Uttar Pradesh.
Time Frame As per the roll-out plan the initial time to set up including developing the software applications conducting capacity building training of FLWs etc is 12 months. The activities and timelines are mentioned below: 1. Go-live Phase (to be completed within 4 months of Agreement signing): Go-live is defined as the achievement of all of the following conditions by the System Integrator (SI) for at least 75 Percentage of the ASHAs and at least 75 Percentage of the ANMs in each district: •Provisioning of mobile device with OS and SIM installed with KYC process successfully completed and 2G data plan enabled •One day training of the ASHA/ANM in usage of the device and beneficiary registration process •Activation of the device from the ASHA/ANM location such that it is registered in the SI mobile device management system and •Successful registration of at least 5 (five) beneficiary by each ASHA/ANM to whom the device has been given using the mobile device to her and successful receipt of her data to the backend mSehat system. 2. Phase-I (within 6 months of Agreement signing): Includes 4 days training to both ASHAs and ANMs on the modules consisting of registration incentive alerts due and missed service alerts health messages check-list on HBNC and audio-visual job aids, my profile, HR database management and VHND. Plus registration, device management, technical support and issue management by SI. 3. Phase-II (within 9 months of Agreement signing): Includes 2 days training to both ASHAs and ANMs on the modules consisting of work plan, technical support, ASHA management, Dashboard, reminder and alerts, training and modules for MOIC on Dashboard, technical support. Plus training, data push/application integration by SI. 4. Phase-III (within 12 months of Agreement signing): Includes 2 days training to both ASHAs and ANMs on the modules consisting of ASHA kits, referral, ASHA dashboard, Counseling and modules for MOIC on Dashboard, technical support and Data Management by SI. 5. Ongoing operation, maintenance and support: (from 13 to 36 months of Agreement signing): The System Integrator (SI) is responsible for Operations and Maintenance of the system, Integration of mSehat system with Government of India and GoUP Systems, manage the data generated. 6. Handover (at least 3 months before the end date of contract period): Identify and create a detailed checklist of exit needs across hardware, software, people, process, documentation, training and other support functions and take a sign-off from the authority.
Advantages

•The scheme can be rolled-out across districts. •Empowers the FLWs by providing smart-phones with customized apps that capture the complete RMNCH+A continuum of care services. •The software auto-generates the work-plans and will give alerts to the service provider as well as the registered beneficiary. •The FLWs can be provided on-demand training and regular skill updates. •Mobile phone based multimedia job-aid for beneficiary counseling, registration, tracking, reporting, screening and referral. •Create a mobile phone based incentive monitoring system for ASHAs for greater transparency and accountability in timely ASHA incentive calculation and payments. •Real time updation of beneficiary-wise service delivery information/data.

Challanges

•Significant emphasis to be given on training, behavioral change and handholding of FLWs. •2G/3G Internet connectivity in remote villages.

Prerequisites

•Involvement of health officials •Sound understanding of the State Government and GoI functioning •Monitoring and supportive supervision mechanism

Who needs to be consulted

Ms. Shaheen Khan, DGM (Projects/Business Development), SIFPSA, Om Kailash Tower, 19-A, V S Marg, Lucknow Mobile: 9415403629 email id: shaheen19jan@gmail.com Mr. B K Jain, GM (REMI/ Business Development), SIFPSA, Om Kailash Tower, 19-A, V S Marg, Lucknow Mobile: 9415763843 email id: bkjain@sifpsa.org

Risks

Sustainability

Mainstreaming through Government funding.

Chances of Replication

mSehat is a scalable and replicable model as the software is developed on open source technologies i.e. Android. The mSehat application is developed inline with the NHM, GOI guidelines and have been finalized based on the inputs given by the officials of SMPU,NHM-UP, Directorate, field staff and also from representatives of NIC and Department of Information & Technology, GoUP. Apart from this mSehat is a platform which has the flexibility to interact with the MCTS/ RCH systems of Government of India and/or GoUP Systems.

Comments

Contact

Submitted By

State Innovations in Family Planning Services Agency (SIFPSA) Om kailash Tower, 19-A, V S Marg Lucknow- 226 001 Contact: 0522 2237497, 2237498 Fax: 0522 2237574

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