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ImTeCHO (Innovative mobile phone technology for community health operations)

ImTeCHO (Innovative mobile phone technology for community health operations). A joint initiative of SEWA Rural and Department of Heath and Family Welfare. Summary. Goal: Reduce maternal and child deaths and malnutrition through mobile phone application for ASHA programme

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ImTeCHO (Innovative mobile phone technology for community health operations)

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  1. ImTeCHO(Innovative mobile phone technology for community health operations) A joint initiative of SEWA Rural and Department of Heath and Family Welfare

  2. Summary • Goal: Reduce maternal and child deaths and malnutritionthrough mobile phone application for ASHA programme • Operational since May, 2013 in Bharuch and Valsad district • 6,500 beneficiaries through 110 delivery centres already benefitted, 20,000 m-transactions • Improvement in coverage and quality of services • Propose implementation in Narmada district in 3 phase implementation starting from Sagbara from Oct-2014

  3. About SEWA Rural • Mission • Principles • Activities: Hospital, Vocational training center, Women empowerment program, Eye care, Community Health and research • Community Health so far: PPP for PHC mgmt (1985-99), Safe motherhood and newborn survival project (2003-2011), ImTeCHO (2011- present) • Publications

  4. Objectives of ImTeCHO ImTeCHO is a new mobile phone and web application for ASHAs, PHC staff and health officials for • Reduction in maternal deaths • Reduction in newborn and child deaths • Reduction in malnutrition • Timely identification and management of sickness among hard to reach and tribal areas of the state. Scope: ALL community based maternal, newborn and child health services to be provided free through ASHA and PHC staff (G2C and G2G)

  5. Who are the beneficiaries? • Pregnant women • Newborn babies • Children • Community level Health workers (ASHAs, nurse, medical officer etc) • Block, district and state level health administrators

  6. ImTeCHO= I am support ImTeCHO Better support, motivation, supervision to ASHAs, FHWs and PHC staff Better performance Increase in coverage of proven interventions Better health MNCH outcomes Ref: www.imtecho.com

  7. Main menu and schedule for ASHA

  8. Automatic diagnosis and treatment

  9. Videos and mamata divas

  10. Motivation of users • Announcement of positive case studies • “Congratulatory message” for completing tasks • Linking incentives • Newsletter • Monthly performance feedback in mobile

  11. Supervision and support made easy and effective (Medical officer)

  12. ImTeCHO for higher officials

  13. Current implementation • Project started in May, 2013 in Bharuch and Valsad district (Population: 90,000) • 110 ASHAs and PHC staff are successfully using ImTeCHO • 6,500 pregnant women, newborn, children benefitted so far • 20,000 m-transactions so far • Will cover Narmada district soon • Significant improvement in coverage and quality of health services • 100% pregnant women and 95% children are enrolled

  14. Few quotations from users and clients • A beneficiary mother: “ Now, we receive timely services at our doorsteps”, “I came to know about so many new information due to videos in mobile which will keep me and my child healthy” • Medical officer from a PHC: “timely information from field due to ImTeCHO now helps me to supervise my staff from my office” • An ASHA: “My prestige have increased in my village because now I use mobile phone”

  15. ImTeCHO is effective N= 50/28 N= 50/28 N= 50/28 N= 95/92 N= 13/8 N= 19/10

  16. ASHAs are using ImTeCHO regularly

  17. Quality of HBNC visit in ImTeCHO (n=14)

  18. Implementation plan

  19. Proposal for Narmada district • Joint initiative between DHS and SEWA Rural • Phase wise implementation (3 phases) starting in October, 2014 with Sagbara • Active facilitation from SEWA Rural (training, ongoing technology support etc) • Research in collaboration of ICMR/WHO • Except 5 PHCs, good GPRS signal in district • Expense of phase 1 and 2 will be bourn by SEWA Rural (ICMR/WHO)

  20. Recognition of ImTeCHO • “One of the most comprehensive mHealth intervention”: Dr.Marc Mitchell (Harvard schoold of public health) • Nominated for two e-governance award • Featured in m-governance booklet of GoG

  21. Acknowledgements • ASHAs and PHC staff of Jhagadia and Moriyana PHCs along with people of Jhagadia • Department of Health and Family Welfare, GoG • Argusoft India Ltd • Jamsetji Tata Trust Please visit www.imtecho.com

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