m-Health Solution To Support ASHA Facilitators For Maternal Health & Child Survival

1. m-Health Solution To Support ASHA Facilitators For Maternal Health & Child Survival Low Cost – High Returns Fourth National Summit on Good, Replicable Practices and Innovations in Public Health Care System in India, 06 – 08 July, 2017, Indore

2. Scope of Project History/Key Milestones 2014 – NHM creates ASHA Facilitator Cadre 2014 – ASHA Sangini Application on Supportive Supervision launched as pilot under Project ReMiND 2016 – 3 new Forms launched: ASHA Drug Kit Tracking; Maternal Death Reporting; Infant Death Reporting NHSRC led Multi state workshop conducted 2017 – Scale up to 5 High Priority Districts included in PIP Project Snapshot ASHA Sangini covered in Pilot (Kaushambi + Bakshi Ka Talab, Lucknow) : 79 ASHA Workers covered : 257 Partners : NHM, DOHFW, NHSRC, CRS, DIMAGI Scale up HPDs: Barielly; Faizabad; Kannauj; Mirzapur;Sitapur Estimated Population : ~ 1.77 Cr ASHA Sangini : 523 ASHA Worker : 11,840 Uttar Pradesh Asha Sangini : 6815 Asha Worker : 160175 Scale Up Current Pilot

3. ASHA Sangini Supportive Supervision Program • Drive coverage and quality of service delivery • Use of Mobile phone ICT to improve effectiveness and efficiency of Supervision • Would cost less than similar intervention with ASHA Workers at scale • Comprehensive approach involving strengthening supervision platforms by use of ICT data • Developed with joint consultation of NHM & NHSRC • Based on guidelines outlined by the NHSRC in the ASHA Facilitator Handbook – 10 Functionality Indicators; Formats 1,2,3,4 &5 • ASHA Sangini equipped with Android phones and recharged with a data pack • Data hosted on Dimagi’sCommCare open source platform • ICT • ASHA Registration • Expected ASHA beneficiaries • ASHA Functionality • Grievance Redressal • Maternal Death Report • Infant Death Reporting • ASHA Drug Kit Tracking

4. A Quick View of the Application

5. ASHA SANGINI VISIT FORM (FORMAT 1)

6. ASHA SANGINI WISE COMPILED REPORT OF ALL ASHA SUPERVISED (FORMAT 2)

7. CONSOLIDATED ASHA FUNCTIONALITY QUARTERLY REPORT (FORMAT 4)

8. BLOCK-WISE ASHA PERFOMANCE REPORT ON FUNCTIONALITY INDICATORS (FORMAT 5)

9. Outcomes - Kaushambi October ’14 – June ‘’17 • 39% increase in proportion of ASHA Sanginis who guide ASHAs in tasks they could not complete the previous month • 52% increase in proportion of ASHA Sanginis who discuss with ASHAs their coverage of marginalized community members • 41% increasein ASHA Sanginis who provide feedback to ASHAson the areas of improvement that she observes during her visit Source: ReMiND Application

10. Benefits of the Application • Improved Supervisory approach • Improved focus on reaching marginalized communities • Timely reporting of maternal and child deaths • Facilitated timely payments and drug kit replenishment • Identification of poor performing ASHAs – who need additional support and repeated visits • Transparency of data across at all levels of reporting

11. Way Forward Dashboard • Scale up to 5 HPDs • Transfer of dashboard to the government for adaptive programming • Integrate ASHA Sangini Application with BCPM ICT platform being developed • Exposure visits and engagement with other states interested in rolling out ASHA Sangini app on supportive supervision

12. Scalability • Cost effective tool • Makes it feasible to reach out to all ASHAs through ASHA Facilitators (20 ASHAs per AF) • Designed in compliance with Community Process guidelines • Simplicity of application – ASHA Facilitators find it easy to use / works on offline mode • Application can be adapted and used by states • Comprehensive ICT and Non-ICT (systems strengthening) interventions can drive improved Health Outcomes

13. Estimated cost to government of scaling (per 100 ASHA Sanginis) ASHA coverage : approx. 2,000 Population Covered: approx. 20,00,000 – 30,00,000

14. Thank You