1. MICRO HEALTH FRANCHISE SYSTEM Micro Health Franchise System provides high quality care to mother and child of reproductive age. www.umeedsey.org

2. Introduction  FINCON Services Inc.  Management Consulting Firm  Worked Internationally with ADB  Poverty Eradication Initiative  CSR: Raise resources worth $70 million  Project: UmeedSey  Grand Challenge: Saving Lives at Birth A sustainable, cost effective micro health franchise system. Targeted and Cost Effective Primary Healthcare System www.umeedsey.org

3. What are we Trying to Achieve with UmeedSey Project  Quality MNCH Services in remotest part of the country in a financially sustainably and commercially viable model.  Reform of Public health system and availability of real time accurate data for policy formulation.  BIO Surveillance System at policy/ decision level.  Reduced financial burden on the Public ex-checker  Micro Health Insurance

4. Publication: Integration Service of delivery Technology (m-health) Demand creation Clinical Decision Support System for Mother and Child Health The purpose of the CDSS is to improve diagnosis process and to provide assistance to healthcare professionals via investigation or examination of patient’s data. In this paper we are going to present a Clinical Decision Support System (CDSS) that eliminate delays faced by community midwives/ lady health visitors in providing standardized/ cost effective healthcare services to mother and child in remote areas of the country.

5. Challenges:  While designing complete m-health software for midwifes; we had a number of challenges ahead of us. 1. How to ensure early diagnosis? (Decrease Cost per pregnancy) 2. Triage a normal delivery case than a complicated and emergency case? 3. Monitor CMWs/LHVs activity? (Quality of Service) 4. Share patient profile with expert doctor via Electronic Medical Record; that provides detail and concise summary of a pregnancy case? (Referral Doctor) 5. Link Supply Chain Processes with CMWs/ LHVs activities. (Internal Audit)

6. How does CDSS Keeps the track of Patient Status? We have defined rules for each and every bit of Patient Data –  Step 1: Defining the Complete Antenatal Care States 40 STATES

7. How does CDSS Keeps the track of Patient Status?  Step 2: Defining the Sequence of States (ACTIONS)

8. How does CDSS Keeps the track of Patient Status?  Step 3: Define Data and Its Relationship to State

9. How does CDSS Keeps the track of Patient Status?  Step 4: Creating a Complete Patient Profile

10. How does CDSS Keeps the track of Patient Status?  Step 5: Matching Profile against defined patterns.

11. CDSS – Early Diagnosis (Saving Lives)  While all of this is happening in the background; a CMW will see three simple set of instructions.  If the screen is green, the midwife can proceed normally.  Conversely, a red screen will alert the midwife to an emergency situation – transport the patient immediately to EmOC facility.  Finally, a Orange screen – get expert advice from referral doctor.

12. Electronic Medical Record

14. Monitoring and Evaluation

15. Supply Chain Management System Once Program Officer and Operational Manager approves this CMW request. Store Keeper dispatches the consignment to franchisee. CMW Request tool kit through her mobile app Program Officer Receives this request and wait for Operational Manager approval

16. Innovation in Mother and Child Health Care System Mobile App CDSS EMR M&E Supply Chain Billing & Insurance

17. Mobile Application Add New Patients Patient Details Past Obstetric History Genetic/ Family History Surgical Medical History Calculates EDDRemembers Patients Gestational WeekShow Patient List with Real Time Status AlertsReminds CMW on pending InformationAntenatal Visit Record9 Lab Tests

18. MNCH Triage (UmeedSey)

19. CMW Trainings (KhanPur)

20. CMW Trainings (Chakwal)

21. Website http://umeedsey.org/

22. QUESTIONS? THE END