Presentation on theme: "Swasthya Slate (Health Tablet) Dr. Kanav Kahol"— Presentation transcript:
1Swasthya Slate (Health Tablet) Dr. Kanav Kahol Kanav.Kahol@phfi.org
2Contents Introduction to Swasthya Slate End to end automation use casesProposed WorkExperimental FrameworkTimelineConclusions
3Have been provided excellent training Need to integrate all the health Communication Material54% of time on administrative workLimited buy in due to lack of diagnosticsNeed integration!Pree-clampsiaDeaths from preeclampsia due to lack of timely detection14% of all maternal deaths (16,380)10% of all pregnant women (2,700,000)Lack of timely detection
4Swasthya SlateAn integrative device with data analytics and reporting for monitoring and planning.Takes off-the-shelf validated and approved products, links them to a tablet and allows ASHAs/ANMs to conduct these tests with ease.System provides end to end integration from diagnosis, referrals, followups to reporting, health communication and healthy behaviour promotionOur main contribution is to allow a one-stop-shop for all functions of healthworkers and allowing them to accomplish all tasks with ease.Diagnostics allow a health profile of all patients and allows proactive monitoring.
5Diagnostic Tests We support multiple vendors for each test. All vendors being used in government hospitals
6Rural independent clinics charge ~`50-100 per test AvailableMay, may not be availableDiagnostic testAvailability in a sub centreAvailability in a PHC1Time taken at the PHC or sub centreAvailability on Swasthya slate3Time taken on Swasthya slate4Blood hemoglobin2Instant1-3 daysBlood pressure3ECG5–Water quality6Rural independent clinics charge ~` per testNot availableBlood sugar1Urine protein4
8Cardio Vascular Screening App Preeclampsia App Decision Support App UrineProteinRegistrationSwasthya Slate AppAnte natal care AppCardio Vascular Screening AppPreeclampsia AppDecision Support AppBreakfast Planner Game AppNutrition Records AppDai Maa AppPatient HistoryDirect access to 108 services for emergency and training material for service.Telemedicine AppHealth Communication App
9Cloud Based EMR Our diagnostics feed data directly into EMR. Geotagging for patient verificationPatient confidentiality is given special attention. Never share the data without consentAbility for different views and privileges.Aggregation services and visualization services started
10Swathya slate enables real time demographic epidemiology research (1/2)
11Swathya slate enables real time demographic epidemiology research (2/2)
13MCH StudyIn Punjab, where we have screened 1000 mothers, we found 120 mothers with preeclampsia. (before slate 10 detected 8 deaths with slate 0 deaths)Our antenatal care visits went from an average of 0.8 per mother to 4.1 per mother in Mukhtsar district.We also were able to provide mothers with timely information on breast feeding and nutrition using our apps.
15Mother & Child Care – Diagnosis, referral & follow ups Aari Khera village in Moradabad district observes its Village Health & Nutrition Day (VHND). ASHA Shanti visits for regular check upsThe ASHA registers herin the Swasthya Slatesystem and performs diagnostictests. Uses telemedicine app toconsult doctor and contactsemergency serviceA pregnant lady with some complications visits herThe Swasthya Slate System is equipped with apps like Preeclampsia, ANC to cater to pregnancy related issues.The Apps allows the ASHA to automatically schedule follow-ups for doctor/ANC visits, vaccine schedule in her tabletEmergency ServicesDEOANMDoctorSwasthya Slate system sends out the data in real time.The lady is registered under JSY scheme by the DEOPHC doctors can make further follow-ups using thepatient data received on the MCTSDivision of Affordable Health Technologies, PHFI
16Mother & Child Care – Diagnosis, referral & follow ups The lady gets OK with the timely check upThe ASHA returns to the lady on the scheduled days for follow-upsGets automatic schedule for later visits (follow-up) through task Scheduler AppHelps in arranging mobilisation for the expecting motherHelps in post natal exercise teaching (Health Communication), infant nutrition etc. Can schedule vaccination plan for the infantDivision of Affordable Health Technologies, PHFI
17Health Communication – Reaching the masses A health supervisor uses an online portal to upload the education material remotelyDharupur village in Sultanpur Dist. (UP) observes its Village Health & Nutrition Day (VHND)Shanti, an ASHA visits the village. She’s been assigned a task to educate the villagers about health & hygieneThe uploaded materials get downloaded on to the ASHA’s Swasthya Slate. She uses Health Communication app on her Swasthya slate to show the videos, books, audios to the villagers.She can rate the videos and give feedbacksOfficials can overlook the on-going process of the education exercise from remote location using the online portal. The portal gives information about the videos, books that have been viewed with the date, time & location of viewingMap showing placesWhere the video hasBeen viewedDivision of Affordable Health Technologies, PHFI
18Reporting – Swasthya Slate Data Bank ExampleUsing the Heat MapHas to prepare weekly, monthly reports on health related issues or needs data for any other purposeMinistry OfficialThe heatmap looks at patients from a region and averages their BP to produce a colour representing the seriousness of BP issue in that region. This visualization helps you plot where to focus the intervention and reap the best benefit from public health schemes.Swasthya Slate system provides multiple options for information gathering & data acquisition, the access to which is restricted to authorised users onlyAbove Normal BP of populationrepresented as red. Optimal for maximumImpact of interventionReal Time DashboardsPatientDemographicsDisease Heat MapsGeo location DatabaseTemperature Logger PortalSwasthyaSlatePatient Information SystemVisualizationsSwasthya Slate DatabaseReal Time RecordsUploaded from Swasthya SlateDivision of Affordable Health Technologies, PHFI
22ConclusionsSwasthya Slate represents an opportunity to integrate technology use across the spectrum of functions of the public health system.This pilot will allow for refining the implementation modalities and ensuring maximum benefits for population and fulfilling the objectives of RMNCH+A and NIPI.PHFI will oversee the pilot and develop the training, maintenance and implementation material which will support frontline health workers and doctors.The model will be tested for sustainability across multiple dimensions and evaluated for access and effectiveness in the evaluation study.