Routine Immunization and Pentavalent Vaccine Preparedness Assessment (RIPAS)

RIPAS Implementation over three phases across India

Why e-RIPAS? Paper based data entry will lead to a huge pile of hand- filled and scanned sheets. Digitising and analysing the paper forms will be time taking, complicated, and error prone. Paper based data entry will lead to a huge pile of hand- filled and scanned sheets. Digitising and analysing the paper forms will be time taking, complicated, and error prone.

e-RIPAS System: Sailient Features Based on open source technology endorsed by UN-GOI (DevInfo Platform) Can be quickly scaled horizontally (cover more geographic areas) and vertically (incorporate additional forms) Seamless integration of data entry and data visualisation Data entry form available both online and offline Continuous Incremental Development approach BOT – Build, Operate, Transfer policy for system development

Parametere-RIPASPaper Based Forms Reusbaility Low TCOI (Total Cost Of Implementation) Capture numeric, text data Capture audio, visual data Capture Geo Cordinates Pre validated fields, enforce skip Patterns Easy storage and portability Multiple back-ups for disaster recovery Built-in constraints for completeness of survey Legibility of data entry Spatial Analysis Transfer data to multiple formats

Paper Based RIPASe-RIPAS Cost Low initial cost but high per unit cost and total cost High initial cost but low per unit cost as system replicable Reusability No reusability as form can be filled only once Reusable and scalable across geographies and time period Comparative Advantage of e-RIPAS

Paper Based RIPASe-RIPAS Data Entry and Editing Only numerical and text data can be captured Text, numerical data, GPS, pdf, audio and video data can be captured Form once filled cannot be edited Scope for multiple form edits and adding new questions Prefilling not possible Option to prefill from standard sources (Census etc.) Skip pattern and validation handled manually Automated data validation and skipping for error free entry Comparative Advantage of e-RIPAS

Paper Based RIPASe-RIPAS Portability & Retrieval Forms are bulky, damage prone, risk prone and low chances of recovery Perpetual digital storage, multiple back- ups for disaster recovery Retrieval is sequential and time consuming Hassle free and instant retrieval of raw data Comparative Advantage of e-RIPAS

Paper Based RIPASe-RIPAS Data Entry Significant time effort for filling form Less time effort as entries by key stroke, touch or swipe Completeness questionable as investigator may fill selectively or miss some sections Constraints can be built in to ensure completeness of data for each section Comparative Advantage of e-RIPAS

Paper Based RIPASe-RIPAS Data Processing Additional effort required for digitization of forms No digitization efforts as data goes straight from input stage to analysis stage Challenges in processing due to legibility issues of hand written data Digital entry ensures standard data entry Comparative Advantage of e-RIPAS

Paper Based RIPASe-RIPAS Data Analysis and Visualization Digital raw data needs to be analysed using third party software (MS Excel, SPSS, etc.) Option to analyse data “on the fly” or export to standard formats for subsequent analysis Spatial Analysis not possible Option to visualise data on GIS platform Visualisation to be taken up as separate project Option to visualise data as a dashboard reducing the need for additional system Comparative Advantage of e-RIPAS

Multiple Options to enter data via laptops or android devices Native android application enables offline data entry and storage Input data via internet browser, data saved offline and pushed to server when internet available

Transmit data to central repository for anytime, anywhere retrieval

Query indicators and create table, graph, and map presentation Present data on key indicators as a scorecard DEVINFO DASHBOARD

Useful information for users

Click to input data

Click to view dashboard

Secure data transfer Authorization based data entry

Offline data entry mode enabled Select option from drop-down Print filled-up form

Built-in widgets for easy data entry

Pre-fill data from standard sources

Built-in loops for data entry (input data for each block)

Provide images for user assistance

Option to input signature

Store filled up forms on local system and input data in phases. Option to export data or auto upload data to server.

Hand filled format not very legible. Limited option for adding text.

Easy option to select multiple issues, select block supervised, and also mention issue resolution

Learning from Training Event DIOs appreciated the utility of the technology It will reduce their work load and effort as the online form can also be printed and stored for reference. Need for an online e-learning module for the DIOs and state stakeholders to undertake continuous learning

Future Road Map Develop e-learning based learning system to enable users to have self paced learning Complete coverage of all 12 States Training inputs will yield future returns when the system is used for assessing preparedness of other vaccines (for e.g, rotavirus)

E-RIPAS: An idea whose time has come