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Advances in technology has changed human life like never before. Revolution in communication and management of information has brought in a paradigm shift in every walk of life. KHPT believes in opportunistically utilising the technological advancements to improve program design and delivery. Since inception KHPT has attempted many innovations and interventions in different thematic areas and programs such as HIV, Maternal and Child Health and Tuberculosis, etc.
We designed and implemented online drug management information system that connected close to 200 program run STI (sexually transmitted infections) clinics across 18 districts of Karnataka and 3 districts of Maharashtra; the system reduced the delays in drug indenting and ensured uninterrupted availability of drugs and supplies at the clinics.
Biometric enabled patient identification and tracking system was established in about ten project STI clinics in Bangalore city to serve high risk population groups approaching clinical care services. Through this system, the need for clients to carry identification documents and past treatment records were done away with. In addition, the clients were free to access care from any of the ten linked clinics. Health care providers in all these clinics could identify the clients, access past treatment history, drug allergies and other vital information critical for quality health care delivery.
Mobile phones were explored to track and ensure adherence for anti-retro viral treatment among people living with HIV. SMS technology was used to refer the needy community members, link them to care, track completion of referrals and promote treatment adherence. The initiative provided crucial insights about gaps in referral system and service delivery.
DOTS Mitra – careline, telephone based TB patient treatment support initiative with primary focus to cater to privately treated TB patients was implemented under urban TB program. The initiative was very popular among both private providers as well as their patients. More than five hundred private providers started to link their patients to the careline. Since inception, more than eight thousand TB patients have registered with careline and about six thousand successfully completed their treatment. Currently about two thousand patients are under care.
Satellite based trainings have helped in reaching out to a large number of frontline workers, panchayat members across the state in various projects implemented by KHPT. More recently, within the context of MNCH projects, tablets were explored to empower ASHAs (ASHA-Tab) in enhancing their abilities in outreach, communication and facilitating referrals of complicated cases to higher facilities.
We also supported GoK in improving the implementation and quality of MCTS (Mother Child Tracking System) that involved mobile based enumeration and tracking of pregnant women, mothers and children up to 18 months of age. This technology is an initiative of GoI to help the frontline workers track service delivery across MNCH continuum of care. While this is a great program, it had implementation challenges on the ground and KHPT supported GoK both at state and district levels to improve the quality of MCTS.
An online capacity building portal was developed to support health care workers of all type under HIV care and support programs. A large section of health workers were trained and further linked to this portal for continuous learning and improving knowledge as well as skills. The e-learning program’s self-learning modules were linked with certification as well.
Telephonic mentoring was an integral part of Karnataka’s nurse mentoring model under MNCH project, that was found to be valuable by the staff nurses in discussing real life cases and in their management.
A mobile based quiz application was developed to promote self-learning among the private health care practitioners in tuberculosis management. The app found traction even among medical students and faculty members of several medical colleges.
Research, monitoring and evaluation:
As a part of concurrent monitoring (Community Behaviour Tracking Survey), mobile phones were used by the field investigators to collect and upload data into a server that greatly enhanced collection and use of quality data resulting in use of data for real time planning across the eight project districts. This includes multiple rounds of data collection covering tens of thousands of recently delivered women.
We have also developed the individualized ICTCs software on request from NACO (National Aids Control Program), which is now part of the NACO SIMS.
A software was developed and training given to the government and project data managers that helped in downloading huge data sets (of HMIS – Health Management Information System) in short time, analyse critical MNCH coverage indicators and use them at monthly government meetings.
Robust monitoring and evaluation system is a must to implement evidence based scientific programs. For large scale HIV prevention and care programs implemented by KHPT, a computerized management information system (CMIS) was developed to monitor the programs at both individual and regional level, evaluate the progress and obtain key insights from the data. Consumption of data for this purpose was systematised at every level – right from the field workers to state level managers.
ASHA Diary: Improving efficiency in service delivery of MNCH services by community health workers
KHPT experience in utilising technology to improve programs
Onsite Nurse Mentoring: Enhancing the quality of maternal and newborn care at facility level
Sensitising the judiciary on issues faced by women in sex work
Mitra: Improving treatment adherence among TB patients
Colour Coded Drug Packs: Simplifying STI treatment among female sex workers
Community-to-Community Learning: Using technology for knowledge exchange
D- TEAMS: Strengthening pre-service medical education
Link Workers: Community resource persons in HIV prevention