PUBLIC HEALTH DEPARTMENT ZP WARDHA

Why To reduce MMR To reduce IMR To increase institutional delivery To reduce Low Birth Rate Baby (LBW) To ensure regular check up and monitoring of the health of the mothers To get real time data for better monitoring and supervision

ANC tracking- To improve control and supervision To ensure 100 percent registration of pregnant mothers To ensure the timely medical checkup( 5 times) and provision of nutritional support To identify high risk mother and to monitor their progress To ensure institutional delivery To ensure the timely payment of JSY benefits To ensure timely and complete immunization of children between 0-6 years To target eligible couples for adopting family planning methods To reduce female secondary Feticide by ensuring monitoring of USG centers

HowBy SMS based ANC tracking Every ANM has a cell phone- formed a CUG We have a data base of all the women in rural area aged As soon as a woman gets registered the ANM sends the SMS with all the required information to our server that updates the data The automatically generated alerts keep the ANMs on their toes regarding the action to be taken on each ANC case

DATA COLLECTED THROUGH SMS Registration of New Pregnant Mother Total Issues Gender of Previous Baby High Risk Factors Date of Delivery Place of Delivery Out Come of Pregnancy Weight Of Baby Janani Suraskha Yojana Benefit Status Caste Below Poverty Line

SMS ALERTS GENERATED REGULAR ANC CHECKUP ALERTS HIGH RISK FACTOR ALERTS CONTINUOUS ALERTS FROM 10 DAYS BEFORE EDD ALERT FOR ASSURING JSY BENEFIT FOR ELIGIBLE MOTHER IMMUNIZATION ALERTS UPTO 1 YEAR

SMS TO BE SENT BY ANM AFTER POSITIVE PREGNANCY TEST SMS TO REGISTER NEW PREGNANT WOMAN Syntax: NEW,,,,,, Example: NEW ,175,55,25, ,2,1 GENDER 0-Female 1-Male

SMS SYNTAX FOR HIGH RISK FACTOR Syntax: HRF, Example: HRF ,1,3,7 Multiple Risk Factors are separated by comma

SMS SYNTAX FOR DATE OF DELIVERY Syntax: DOD,,,,,, Example: DOD , ,1,1,2200,1,1 (In the case of abortion WEIGHT,POLIO and BCG are ZERO) OUTCOME 1-MALE, 2-FEMALE, 3-STILLBIRTH, 4-MTP, 5-ABORTION PLACE ID 1-Sub center, 2-PHC, 3-RH, 4- SDH, 4-DH, 6-MC, 7-HOME, 8-PP, 9-Other POLIO-0 and BCG 0-NOT GIVEN, 1-GIVEN

SMS SYNTAX TO CONVEY JSY BENEFIT Syntax: JSY, Example: JSY ,1 0-NOT GIVEN 1-BENEFIT GIVEN

SMS SYNTAX TO REGISTER NEW PERSON Syntax: REG,, Example: REG 25,URMILA VASANT DHOTE,0 GENDER 0-FEMALE 1-MALE After Successful registration a system generated UNIQUE ID will be sent Back through SMS

SMS SYNTAX TO REGISTER ELIGIBLE COUPLE and FAMILY PLANNING STATUS COUPLE SURVEY Syntax: CPL, Example: CPL , FAMILY PLANNING Syntax: FML, Example: FML ,1 STATUS 0-NOT DONE, 1- DONE

SMS SYNTAX FOR IMMUNIZATION Syntax: IMU,,… Example: IMU ,4,7 IMMUNIZATION CODE 1-POLIO ZERO, 2-BCG, 3- POLIO FIRST, 4- POLIO SECOND, 5- POLIO THIRD, 6- TRIPPLE FIRST, 7-TRIPPLE SECOND, 8-TRIPPLE THIRD, 9- MEASLES, 10-VITAMIN - A

SMS ALERTS and RESPONSES SMS ALERT/RESPONSE EXAMPLE REGISTERED! UNQ ID: ANC CHECKUP! DUE DATE: : VILLAGE: HIGH RISK! : VILLAGE: EDD! : VILLAGE: IMMUNIZATION! DUE DATE: : VILLAGE: REGISTERED! LMP UNQ ID: ANC CHECKUP! DUE DATE : 03 JAN 10 [ : URMILA VASANT DHOTE] VILLAGE: AANJEE HIGH RISK! WEIGHT BELOW 40kg! [ : URMILA VASANT DHOTE] VILLAGE: AANJEE EDD! 27 JAN 10, Please Visit. [ : URMILA VASANT DHOTE] VILLAGE: AANJEE IMMUNIZATION! POLIO and BCG DUE DATE: 27 JAN 10 [ : URMILA VASANT DHOTE] VILLAGE: AANJEE

SMS ERROR RESPONSES SMS RESPONSE EXAMPLE DATA ERROR! UNQ ID: SYNTAX ERROR! UNQ ID: CANT REGISTER! UNQ ID: DATA ERROR! LMP UNQ ID: DATE PROVIDED IS INVALID! SYNTAX ERROR! UNQ ID: VALUES PROVIDED ARE NOT IN PROPER SYNTAX! CANT REGISTER! UNQ ID: UNIQUE ID PROVIDED DOES NOT EXIST or UNDER THE SCOPE ANOTHER ANM!

TOTAL NUMBER OF SMS PER ANC SMS FOR NEW ANC REGISTRATION : 1 PER ANC SMS FOR HIGH RISK FATORS : 5 for 5 ANC CHECKUPS SMS FOR DATE OF DELIVERY: 1 SMS PER DELIVERY / ABORTION SMS FOR JSY BENEFIT : 1 IF JSY BENEFIT GIVEN SMS FOR IMMUNIZATION : 4 SMS UPTO 1 YEAR SMS FOR GENERATING NEW UNIQUE ID [REGISTRATION OF NEW PERSON] : 1 SMS PER PERSON SMS FOR ELIGIBLE COUPLE SURVEY : 1 SMS Per COUPLE SMS FOR FAMILY PLANING SURVEY: 1 SMS Per COUPLE TOTAL SMS : MAXIMUM : 15 MNIMUM : 2 or 11 (1 for ANC,1 for DOD, 5 for Risk Factors & 4 For Immunization) NOTE : RISK FACTORS and IMMUNIZATION SMS ARE NOT REQUIRED FOR ALL TIME ( SEE THE NEXT SLIDE… )

TOTAL SMS SPLIT UP MANDATORY SMS ( MINIMUM ) : 2 or 11 [2, 5 FOR HIGH RISK & 4 FOR IMMUNIZATION] ANC REGISTRATION, DATE OF DELIVERY or ABORTION, HIGH RISK FACTORS (Only If Found During ANC Checkup ), IMMUNIZATION (If Child is Alive After Pregnancy) NOTE: 1. NO NEED TO SEND SMS FOR HIGH RISK FACTORS, IF NOT FOUND DURING ANC CHECKUP 2. NO NEED TO SEND SMS FOR IMMUNIZATION, IF ABORTED or CHILD IS NOT ALIVE AFTER PREGNANCY. ALSO ALERTS WILL NOT BE GENERATED FOR THE SAME OPTIONAL SMS ( MAXIMUM including MANDATORY SMS ) : 15 HIGH RISK FACTORS, JSY BENEFIT, IMMUNIZATION, NEW REGISTRATION, ELIGIBLE COUPLE SURVEY and FAMILY PLANNING

REPORTS GENERATED ALL REGISTERED PREGNANT WOMEN WITHIN SELECTED DATE RANGE MATERNITY CARD FOR EACH MOTHER (Includes Risk Factors) ALL PREGNANT WOMEN FALLING UNDER SELECTED RISK FACTOR ( 26 RISK FACTORS ) LIST OF ALL DELIVERIES and OUTCOME WITHIN SELECTED DATE RANGE LIST OF ALL WOMEN ELIGIBLE FOR JSY BENEFIT LIST OF ALL JSY BENEFICIARY WOMEN DURING SELECTED DATE RANGE LIST OF ALL EXPETCTED DELIVERIES WITHIN NEXT 10 DAYS LIST OF ALL ANC CHECKUP DUES WITHIN SELECTED DATE RANGE LIST OF ALL MOTHERS WHOSE ANC CHEKUP OVERDUES LIST OF ABORTIONS DURING SELECTED DATE RANGE LIST OF INFANT DEATHS DURING SELECTED DATE RANGE WOMAN MORTALITY REPORT NOTE : ALL REPORTS MENTIONED ABOVE CAN BE GENERAED FOR ENTIRE DISTRICT,TALUKA, PHC, SUBCENTER or VILLAGE

REPORTS FOR SMS RECEIVED and ALERTS GENERATED REPORT OF SMS RECEIVED WITHIN SELECTED DATE RANGE REPORT OF ANC CHECKUP ALERTS SENT DURING SELECTED DATE RANGE REPORT OF IMMUNIZATION ALERTS SENT DURING SELECTED DATE RANGE REPORT OF ALERTS SENT FOR RISK FACTORS REPORT OF SMS RECEIVED FOR NEW UNIQUE ID REGISTRATION REPORT OF GENERAL MESSAGES SENT (LIKE POLIO CAMP, HEALTH CAMP, MEETING ORGANISED, ANY INSTRUCTION SENT, etc..) NOTE : ALL REPORTS MENTIONED ABOVE CAN BE GENERAED FOR ENTIRE DISTRICT,TALUKA, PHC, SUBCENTER or VILLAGE

SAMPLE REPORTS (Maternity Card)

SAMPLE REPORTS (List Of All Pregnant Women)

SAMPLE REPORTS (High Risk Factors)

Advantages Very simple -a server, SIM Card and CUG- inconsonance with future technology when every thing will combine on cell phone Easy syntax therefore easy for ANMs to learn- no extra burden on them Register 15, 16, 17 and 18 are automatically generated Web based therefore one can see the data from any where Economical – no extra investment as most of the ANMs have mobile phones. Real time data for better monitoring Instant communication No other instrument is required like in other models where they are using simputers or touch screen based expensive mobile phones New data can be easily added