AAROGYAMDoctor In Pocket

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Introducing
AAROGYAM-Doctor In Pocket
By

Ritu Maheshwari IAS DM,
J.P.Nagar
Mayur Maheshwari IAS DM,
Baghpat
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Why Aarogyam??
Poor Health Indicators

• Gaps in Healthcare Delivery
• Existence of caste/religion/gender based
  inequalities
• Lack of Feedback/response mechanism
• Adhoc/reactive response approach

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• Aarogyam
• The way forward

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Concept

• Individual health mapping
• Health as a two-way demand based ecosystem
• Theme centred around Knowldege as Power
• Focused on Preventive rather than Curative
  medicine

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Objectives

• Establishment of technology based delivery system
  to track every beneficiary
• To generate awareness in community on health
  services and influence their health behavior
• To improve community-service provider linkages
• Provision of a unique family ID

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Methodology

• Conduct of a comprehensive health survey with the
  following baseline-
• Village wise/gender/religion/caste/class survey
  to analyze following health indicators
• ANC, Immunization, PNC, Delivery status, Sex
  Ratio, Nutrition status
• Compilation of entire data in a central district
  database

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Strategy/Technology Involved

• Establishment of central sever and client
  computers at CMO Office as the master repository
  of District database
• Linkage of IVRS through multiple phone lines with
  the central server
• Establishment of computers at PHC/CHC level for
  continuous updating of records

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Digital Model
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Aarogyam at work
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Proactive Model

• Based on out-dial option
• Generation of family specific calls and sms
  alerts with respect to immunisation details
  (mother and child)
• Institutional delivery and JSY beneficiaries

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Out-Dial option
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SMS
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Interactive Model

• Based on in-dial option to interact on a helpline
  number
• Gathering of specific health information wrt
  child immunsation, insitutional delivery, JSY,
  ANC/PNC care details
• Lodging of health related complaints and
  assignment of complaint number

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In-Dial option
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Reactive Model

• Pendency alert to family, ANM, pradhan through
  both calls and sms
• Complaint forwarding to ANM, Medical Officer
  In-charge

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Educative Model

• Provides educative support to various health
  campaigns like DOTS, Pulse Polio campaigns,
  Gender-equality, Anti-Epidemic campaign, PNDT
  tests, JSY, etc.
• Can also be integrated with campaigns for other
  departmental activities as in Education, ICDS,
  Total Sanitation, etc.

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BCG (0-12 month)

• Following message shall be conveyed to people
• ueLdkj
• vkidk NksVk cPpk ftldh tUefrfFk 20 ebZ 2009
  gS Dk vkius tUe ds le vius uUgseqUus dks
  ch-lh-th- dk Vhdk yxokk\ tUe ds le vius cPps
  dks ck, gkFk ij ch-lh-th- dk Vhdk vo' yxoksa
  ,oa lkFk esa 2 cwaWn iksfyks dh kqjkd Hkh
  fiyksaA s Vhdk cPps dks Vh-ch- ls cpkrk gSA fn
  vkius yxokk gS rks rqjUr ,,u,e cguth ds kjk
  utnhd ds LokLF dsUnz ij igqWpdj yxoksaA /ku
  jgs fd s Vhdk idrk tj gSA blesa ?kcjkus dh
  dksbZ ckr ugh gSA s Vhds eqr esa yxks tkrs
  gSaA
• /kUoknA

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Measles Vitamin A (9-10 months)

• Following message shall be conveyed to people
• ueLdkj
• vkidk cPpk ftldh tUefrfFk 20 ebZ 2009 gS 9
  efgus dk gksus okyk gS vkSj vkius vHkh rd kljs
  dk Vhdk ugh yxokk rqjUr tkb, viuh ,,u,e
  cguth vFkok utnhd ds LokLF dsUnz ij vkSj yxok
  nhft, s VhdkA blds lkFk foVkfeu, dh kqjkd Hkh
  fiyokuk uk Hkwys le ls g Vhdk yxokus ls vkidk
  cPpk jgsxk â"Viq"V vkSj vki Hkh jgsaxs larq"V
  vkSj kq'kA s lHkh Vhds eqQr esa yxks tkrs
  gSaA bl Vhds ds ckn 5 lky rd izRsd 6 efgus ij
  foVkfeu, dh kqjkd vo' fiyksaA bl Vhds dks
  yxokus dh fu/kkZfjr frfFk 20 ebZ 2009 gSA
• /kUoknA

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Pregnant Ladies (Tetanus, 0-1, 1-2, 4-5 month)

• Following message shall be conveyed to people
• ueLdkj
• vkids ?kj esa xHkZorh ekrk gSa bUgsa VSVul dk
  Vhdk rks yxok nhft,A vius uotkr f'k'kq dks ekWa
  dk nw/k vo' fiyksaA
• /kUoknA

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Polio Booth (reminder for every Polio camp
3 days before)

• Following message shall be conveyed to people
• ueLdkj
• 7 flrEcj 2009 dks vkids 'kgj esa iksfyks fnol
  eukk tk jgk gSA dik vius utnhdh iksfyksa cwFk
  ij tkdj vius 5 lky rd ds cPps dks iksfyks dh 2
  cwWan vo' fiyk, rks fQj Hkwfysxk ugha nks cwWn
  ftanxh dhA
• /kUoknA

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Stakeholders participation
citizen
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Highlights/Advantages

• Ease of access
• Wide range of people covered
• Applicable to illiterate people
• Zero cost to people
• Fast
• Reliable Service
• Less human Endeavour
• Protection from natural calamity
• Promotion of equality in health care delivery

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Sustainability and Replicability
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Technological sustainability

• IVRS based
• Simple
• Easy to use
• Ease of access
• Use of hindi characters for wider acceptability

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Systemic Sustainability

• Based on trained cadre of officers, workers and
  data operators through continuous capacity
  building
• DHS based monthly review system
• Updation inbuilt in the system

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Behavioral sustainability

• Generation of mass awareness
• IEC activities through media, wall writings
• Demand driven involvement of Panchayati Raj
  Institutions and local populace

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Impact Assessment

• Complete immunisation /ANC/PNC coverage in
  district
• More accountability of health service providers
• More informed community for health services
• Improvement in health indicators

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ANC COVERAGE TREND- BAGHPAT
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CHILD IMMUNIZATION-TREND- BAGHPAT
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ANC COVERAGE-TREND-JP NAGAR
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IMMUNIZATION COVERAGE-TREND-J.P. NAGAR
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• Web site-linkage
• www.bagpat.nic.in
• www.jpnagar.nic.in

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Thank You