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Swasthya Slate (Health Tablet) 1 Dr. Kanav Kahol 9650922228.

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Presentation on theme: "Swasthya Slate (Health Tablet) 1 Dr. Kanav Kahol 9650922228."— Presentation transcript:

1 Swasthya Slate (Health Tablet) 1 Dr. Kanav Kahol

2 Contents Introduction to Swasthya Slate End to end automation use cases Proposed Work Experimental Framework Timeline Conclusions 2

3 Deaths from preeclampsia due to lack of timely detection Lack of timely detection 10% of all pregnant women (2,700,000) 14% of all maternal deaths (16,380) Pree- clampsia Have been provided excellent training Need to integrate all the health Communication Material 54% of time on administrative work Limited buy in due to lack of diagnostics Need integration!

4 Swasthya Slate An integrative device with data analytics and reporting for monitoring and planning. An 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 promotion Our 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. 4

5 Diagnostic Tests 5 We support multiple vendors for each test. All vendors being used in government hospitals

6 6 Available May, may not be available Diagnostic test Availability in a sub centre Availability in a PHC 1 Time taken at the PHC or sub centre Availability on Swasthya slate 3 Time taken on Swasthya slate 4 Blood hemoglobin 2 Instant1-3 days Instant Blood pressure 3 Instant ECG 5 Instant– Water quality 6 Instant– Rural independent clinics charge ~ ` per test Not available Blood sugar 1 Instant1-3 days 2 Urine protein 4 Instant1-3 days 2

7 Functionality Reporting Diagnostics Referrals On-spot recommendations Health Worker Education Health Worker Certification Patient Education Feedback Planning Resource Allocation 7

8 Registration Swasthya Slate App Ante natal care App Cardio Vascular Screening App Preeclampsia App Decision Support App Breakfast Planner Game App Nutrition Records App Dai Maa App Patient History Direct access to 108 services for emergency and training material for service. Telemedicine App Health Communication App Urine Protein

9 Cloud Based EMR Our diagnostics feed data directly into EMR. Geotagging for patient verification Patient confidentiality is given special attention. Never share the data without consent Ability for different views and privileges. Aggregation services and visualization services started

10 10 Swathya slate enables real time demographic epidemiology research (1/2)

11 11 Swathya slate enables real time demographic epidemiology research (2/2)

12 Pilots 12

13 MCH Study In 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. 13

14 Screening 14

15 Division of Affordable Health Technologies, PHFI 15 Mother & 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 ups A pregnant lady with some complications visits her The ASHA registers her in the Swasthya Slate system and performs diagnostic tests. Uses telemedicine app to consult doctor and contacts emergency service The ASHA registers her in the Swasthya Slate system and performs diagnostic tests. Uses telemedicine app to consult doctor and contacts emergency service The 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 tablet The 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 tablet Swasthya Slate system sends out the data in real time. The lady is registered under JSY scheme by the DEO PHC doctors can make further follow-ups using the patient data received on the MCTS Swasthya Slate system sends out the data in real time. The lady is registered under JSY scheme by the DEO PHC doctors can make further follow-ups using the patient data received on the MCTS Emergency Services DEO Doctor ANM

16 Division of Affordable Health Technologies, PHFI 16 Mother & Child Care – Diagnosis, referral & follow ups The ASHA returns to the lady on the scheduled days for follow-ups Helps in arranging mobilisation for the expecting mother Helps in post natal exercise teaching (Health Communication), infant nutrition etc. Can schedule vaccination plan for the infant The lady gets OK with the timely check up Gets automatic schedule for later visits (follow-up) through task Scheduler App

17 Division of Affordable Health Technologies, PHFI 17 Health Communication – Reaching the masses Dharupur 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 & hygiene The 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 feedbacks The 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 feedbacks A health supervisor uses an online portal to upload the education material remotely Officials 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 viewing Map showing places Where the video has Been viewed

18 Division of Affordable Health Technologies, PHFI 18 Reporting – Swasthya Slate Data Bank Ministry Official Has to prepare weekly, monthly reports on health related issues or needs data for any other purpose Swasthya Slate system provides multiple options for information gathering & data acquisition, the access to which is restricted to authorised users only Real Time Dashb oards Patie nt Demo graphi cs Patie nt Demo graphi cs Disea se Heat Maps Geo locati on Datab ase Tempe rature Logger Portal Swasthy a Slate Patient Informati on System Swasthy a Slate Patient Informati on System Visu aliza tions Swasthya Slate Database Real Time Records Uploaded from Swasthya Slate Example Using the Heat Map Above Normal BP of population represented as red. Optimal for maximum Impact of intervention The 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.

19 Swasthya Card 19

20 Vaccination 20

21 ASHA’s Field Visits 21

22 Conclusions Swasthya 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. 22

23 Thanks


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