GIS-based Health Monitoring System

ABOUT THE PROJECT

Founded in 1979, the Tata Steel Rural Development Society (TSRDS) is aimed to engage in social development programs for various rural communities living around the operational units of Tata Steel. One of the major Corporate Social Responsibility (CSR) initiatives for TSRDS Jamshedpur is Maternal and Newborn Survival Initiative (MANSI) project touching the lives of several villagers. A multi-collaborative association between the Jharkhand Government, Tata Steel, funding agency America India Foundation (AIF) and Gadchiroli based NGO SEARCH, forms the community MANSI which specifically aims to reduce infant and maternal mortality rates. As a part of the Company's operational area to match the Indian benchmark by 2016-17 through Home Based Newborn Care (HBNC), MANSI was launched in Seraikela block of Jharkhand. MANSI drastically reduced the Neonatal Mortality Rate (NMR) by 61.2% and Infant Mortality Rate (IMR) by 63.1%, in the block, over a period of five years. As a result, it was scaled up to 1,686 villages covering a massive 2.2 lakh households in 12 blocks across Jharkhand and Odisha.

Objectives of the Project

`Operation Sunshine’ is MANSI’s application software designed to run on web, mobile phones and tablets. The software application empowers staff of MANSI Project to detect and follow up high-risk newborn babies and pregnant mothers, ease training of women health volunteers and thus helping in mapping of high-priority areas deserving special focus on battling infant mortality and maternal morbidity.
The CSR application is aimed to reinvent the traditional manual information capturing with an on-field data capturing provision and a central repository of data, thus providing real-time monitoring.

Geo-tag application logic page

Real Time Overview

The dashboard displays a visualization of the identified areas with the number of high risk mothers & neonates in each block. The dashboard helps by analyzing where the number of high risk mothers are more and needs immediate attention. It also acts as a decision support system for the management who can view the details of the missed visits by which health worker along with their contact number. This feature helps the management to call the corresponding worker directly, understand the reason behind the missed visit and assign another worker for the same. This ensures that all mothers and children are attended regularly and proper measures are taken for their cure on-time.

Android app

Case Management

Profile pages of each mother and her child is made in the central repository which consists of their personal, health and visit details. Sahiyas collect the details of case and visit of the mother and her child using the mobile app. A historical case study maintained within the system,makes it easy for the Sahiyas to track the progress of each case with subsequent visits. This functionality is helpful as during the next visit the Sahiya can view the health records and previous visit details from the case study of the mother/ child for reference. The management can track the health of each mother and child to analyze whether they are cured or not.

Spatial Data Analysis

On-field Mother-Child Data Collection via Mobile App

For uploading case and visit details from the field, the android application plays an important role. The mobile app makes it convenient to upload case details of the mother and child. Considering that the users of this application visit remote locations, it is not possible that they are always connected to internet facilities. Working in both online and offline mode, data input in remote and areas without internet is automatically saved in the local storage of the mobile phones and subsequently synced with the main system once internet connectivity is restored. The app automatically syncs the data to the server when Sahiyas reach locations with internet connectivity. This facilitates in seamless collection of important input of mothers and neonates in remote to very remote locations. The user can also add entries of monthly meetings and activity details through the mobile app.

Dashboard

Attendance and Leave Management

The coordinator and Sahiyas can give their attendance through the Mobile App by Checking-In and Checking-Out. It is incorporated on a calendar where the user can view the check in and check out time of the coordinators. The daily attendance of all the coordinators are tracked by color coding - green as present and red as absent. Incorporation of a leave module enables the health workers to apply for leaves on-the-move, which the management can then view and either approve or reject. A corresponding notification is sent to the mobile app, so that the users are informed of their leave application status.

Report Generation

Impact Assessment through Activity Plan & Target

A comparative study between the target work and the activities conducted is derived from this module. It displays the number of visits, meetings and case studies targeted and achieved thus helping in providing the overview of envisioned v/s achieved impacts.

Dashboard

Easy Monitoring through Reports

Several types of reports can be generated which helps by acting as a central repository and decision support system:

  • Monthly Progress Report: Each Sahiya submits a monthly progress report with some pre-defined indicators for monthly assessment which assists in progress monitoring
  • Monthly Narrative Report: The block coordinator’s Monthly Narrative Report submitted during monthly meetings keeping a track of qualitative analysis and complaints etc.
  • Outcome Indicator: Reports of outcomes under each block coordinator is generated for a comparative study helping in impact assessment

Report Generation

Central Storage of all Documents and Data

This application provides a central repository of all the documents related to training, visits and success stories for easy access and viewing. Maintaining all documents centrally also allows the ease of access thus enabling this repository to act as a guide by listing all the symptoms their corresponding illness category and corrective measures to act as a guide and ease the visits of the coordinators.

Overall Benefit

Implementation of Operation Sunshine has resulted in identification of more cases of high-risk mother-child and taking proper steps in time to prevent deaths. Since it makes data collection, storage and viewing easier, the health of mothers and neonates can be monitored regularly reducing their mortality rate. The efforts made by TATA Steel in Jharkhand and Odisha has resulted in substantial reduction of neonatal death and the team aims to carry out their good work in the upcoming years.