Innovative Utilization of Technology for Antara (Rajasthan)

Problem statement

Antara programme was rolled out in July 2017 in Rajasthan. A large number of Drop outs were observed due to nonremembrance of next due dose by the clients, anxiety related to side effects, and lack of follow-up mechanism by service providers.

Programme Description

To address these issues, an online application was developed in July 2018 with the following features:

• In less than a minute a DEO can enter a client’s case and subsequent dose can be updated in less than 15 seconds.
• In built system for pre-recorded phone calls and sending reminder next dose SMSs in Hindi to clients at fixed interval: 1st: registration, 2nd: 83rd, 3rd 90th Day, 4th 97th day, 5th 111th day, 6th 118 day:
• Utilization of line-listing data for data triangulation and analysis. Antara Raj is the only portal which provides age and parity wise distribution of clients along with longitudinal follow-up trend of individual client.
• Utilization of clients’ data for counselling.
• Generation of structured Due List for followup & counselling.
• Covers all facilities upto PHC level (SC module in selected facilities).
• Facility to search, track, and add subsequent dose of any registered client across all facilities of Rajasthan.

Programme Outcomes

From July 2018 to Sept 2019 total 2,27,697 doses were reported. Out which of which 78% doses line-listing is updated into the portal. 86% of users data (1,07,850/1,24,439) have already been updated. Continuation rates of 2nd dose increased from 49% (Aug-18) to 61 %(Sept-19) and similarly continuation rate of 3rd dose increased from 56% (Aug-18) to 68% (Sept-19).

Financial Implication

Initial Development cost was born by IPE Global. After one state level training, other district level trainings were clubbed with ongoing IT/FPLMIS trainings with no additional budget.

Scalability

Initially it was designed only for MPV districts of Rajasthan, but within 3 months it was scaled up throughout the Rajasthan and can be scaled up rest of the country.

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019