ImTeCHO(Innovative mobile phone technology for community health

operations)

A joint initiative of SEWA Rural and Department of

Heath and Family Welfare

Summary• Goal: Reduce maternal and child deaths and

malnutrition through mobile phone application for ASHA programme

• Operational since May, 2013 in Bharuch and Valsad district

• 6,500 beneficiaries through 110 delivery centres already benefitted, 20,000 m-transactions

• Improvement in coverage and quality of services • Propose implementation in Narmada district in 3

phase implementation starting from Sagbara from Oct-2014

About SEWA Rural• Mission• Principles• Activities: Hospital, Vocational training center,

Women empowerment program, Eye care, Community Health and research

• Community Health so far: PPP for PHC mgmt (1985-99), Safe motherhood and newborn survival project (2003-2011), ImTeCHO (2011- present)

• Publications

Objectives of ImTeCHO

ImTeCHO is a new mobile phone and web application for ASHAs, PHC staff and health officials for

• Reduction in maternal deaths• Reduction in newborn and child deaths • Reduction in malnutrition • Timely identification and management of sicknessamong hard to reach and tribal areas of the state.Scope: ALL community based maternal, newborn and

child health services to be provided free through ASHA and PHC staff (G2C and G2G)

Who are the beneficiaries?

• Pregnant women• Newborn babies• Children• Community level Health

workers (ASHAs, nurse, medical officer etc)

• Block, district and state level health administrators

ImTeCHO= I am supportImTeCHO

Better support, motivation, supervision to ASHAs, FHWs and PHC staff

Better performance

Increase in coverage of proven interventions

Better health MNCH outcomesRef: www.imtecho.com

Main menu and schedule for ASHA

Automatic diagnosis and treatment

Videos and mamata divas

Motivation of users

• Announcement of positive case studies

• “Congratulatory message” for completing tasks

• Linking incentives • Newsletter • Monthly performance

feedback in mobile

Supervision and support made easy and effective (Medical officer)

ImTeCHO for higher officials

Current implementation • Project started in May, 2013 in Bharuch and Valsad

district (Population: 90,000)• 110 ASHAs and PHC staff are successfully using

ImTeCHO• 6,500 pregnant women, newborn, children benefitted

so far• 20,000 m-transactions so far• Will cover Narmada district soon• Significant improvement in coverage and quality of

health services• 100% pregnant women and 95% children are enrolled

Few quotations from users and clients

• A beneficiary mother: “ Now, we receive timely services at our doorsteps”, “I came to know about so many new information due to videos in mobile which will keep me and my child healthy”

• Medical officer from a PHC: “timely information from field due to ImTeCHO now helps me to supervise my staff from my office”

• An ASHA: “My prestige have increased in my village because now I use mobile phone”

ImTeCHO is effective

N= 50/28 N= 50/28 N= 50/28 N= 95/92 N= 13/8 N= 19/10

ASHAs are using ImTeCHO regularly

Quality of HBNC visit in ImTeCHO (n=14)

Implementation plan

Proposal for Narmada district

• Joint initiative between DHS and SEWA Rural• Phase wise implementation (3 phases) starting in

October, 2014 with Sagbara• Active facilitation from SEWA Rural (training,

ongoing technology support etc)• Research in collaboration of ICMR/WHO• Except 5 PHCs, good GPRS signal in district• Expense of phase 1 and 2 will be bourn by SEWA

Rural (ICMR/WHO)

Recognition of ImTeCHO

• “One of the most comprehensive mHealth intervention”: Dr.Marc Mitchell (Harvard schoold of public health)

• Nominated for two e-governance award• Featured in m-governance booklet of GoG

Acknowledgements

• ASHAs and PHC staff of Jhagadia and Moriyana PHCs along with people of Jhagadia

• Department of Health and Family Welfare, GoG

• Argusoft India Ltd• Jamsetji Tata Trust

Please visit www.imtecho.com