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Common Application Software (CAS)Bihar State level orientation cum sensitization workshop on POSHAN Abhiyaan
2012-14: BIHAR INNOVATION – CONTINUUM OF CARE SERVICES (ICT-CCS)
STATE: BIHARDISTRICT: SAHARSA
Innovation Coordinates (Saharsa Districts)Blocks 4Health Subcentres 70 (35 Treatment, 35 Control)Treatment Population Coverage 3,34,470Treatment FLWs 569 (#ASHA: 240, #AWW: 272, #ANM: 45, # Lady Supervisor: 12)
Bihar pioneered large sample information communication technology based innovation in the country
45, # Lady Supervisor: 12)
Kehra, Bazaar, Sattar Kataiah, Saur Bazar, Sonbarsa
ENABLING PLANNING AND TRACKING FLW-CLIENT INTERACTIONS
Interaction between CHW and client between pregnancy and first 24 months
Data Driven Dialogs Between FLWs and SupervisorsPrompts Structured Key Messages
Automatic Scheduling of Home Visit
Mobile application developed as job aid for frontline workers -Samada AWWs & ASHAs where BAs
Remind to Collect Relevant Data
Suggest a Video to Reinforce
TO REINFORCE THE KEY MESSAGES - COUNSELLING VIDEOS Created mobile based multimedia tools to reinforce the key messages – Nokia C2-01 basic phone
4
RIGOROUS MEASUREMENT SHOWED THAT FLWS WERE REGISTERING, REACHING AND TRACKING THE PREGNANT WOMEN AND INFANTS, IMPROVED QUANTITY OF HOME VISITS AS WELL AS CRITICAL
BEHAVIORS
42 3960
2752 43
73
29
Home Visit in Final Home Visit within 24 Home Visit within 1 Family Planning Home
*****
54.731.8
76.755.363.6
41
77.759.1
Child eats solid or semi solid foodChild began eating solid food by age 6 monthChildren received DPT3Full Immunization( except Measles)
***
Bihar generated enough evidences that could be scaled across
Home Visit in Final trimester Home Visit within 24 hours of delivery Home Visit within 1 week of delivery Family Planning Home Visit
Source: CCS Endline; */**/*** Significantly different from zero at the .10/.05/.01 level, two-tailed test; Sample sizes are 1,527 to 1,553 (all women) 1,045 (children 5 months or older).
28.8
62.2 57.8 47.649.875.9 65.2
45.7
At least 3 ANC visits EIBF STSC Delayed bathing by atleast 2 days
****** *
Child eats solid or semi solid foodChild began eating solid food by age 6 monthChildren received DPT3Full Immunization( except Measles)
26.2 36.9
Use of any mordern method of contraception
***
Control meanAdjusted treatment mean
CCS EVIDENCE HAS INFORMED THE DECISION OF GOVERNMENT OF INDIA TOADAPT AND SCALE, BEGINNING WITH 100,000 AWWS – ( CCS HAS BECOME CAS)
25th May 2016
Integrated Child Development Services (ICDS) Systems Strengthening and Nutrition Improvement Program (ISSNIP)
NITI AAYOG – THREE YEAR ACTION AGENDA
ON MARCH 8TH 2018, PRIME MINISTER OF INDIA LAUNCHED POSHAN ABHIYAAN
Cabinet approved 9000 CR for POSHAN AbhiyaanCAS across Pan-Indiato reach 14 Lakh AWWs in a phased manner
WHAT IS ICDS-CASCommon Application Software (CAS) is a job aid to perform day-to-day activities effectively
ICDS – CAS COVERAGE ICDS-CAS is the largest mHealth implementation for frontline workers on the globe
ICDS – CAS IN BIHARBhagalpur, Buxar, Jehenabad, Lakhisarai, Samastipur & Sitamarhi – are the initial districts to rollout CAS
WEIGHING EFFICIENCY – SIX DISTRICTS OF BIHAR1,438,730 1,463,587 1,485,107 1,461,169 1,511,444 1,508,595 1,469,799
842,481 1,046,402
29% 33%
56%
71%
40%50%60%70%80%
800,0001,000,0001,200,0001,400,0001,600,000
229,955 354,652 366,354 426,666 502,018
16%24% 25% 29%
0%10%20%30%
0200,000400,000600,000
Jan Feb Mar Apr May Jun JulTotal Children Total Children weighed Weighing Efficiency
WAY FORWARD TO SCALE 32 DISTRICTS Promote CAS as Job-Aid Preparedness (Sector Aligning / 11 digit
codes) Planning Procure in time Procure in time Quality in training Encourage to have correct data Use data/dashboard for supportive
supervision
िबहार ने ही देश को CAS िदया है! हम यहां सफलता का दशन करना ही चािहए|THANKS