Telangana IT Initiatives for Health

Problem Statement

There exists no system to track birth registration at the state level. Real time birth registration would facilitate us to analyse and identify aspects that need close monitoring and improvement.

Programme Description

Government of Telangana has issued orders in December 2018, making it mandatory for all hospitals, Government and private to notify births and deaths in e-birth application. All Government and Private hospitals were provided logins by District Medical and Health Officer. A total of 2918 hospitals are registered on the portal of which 2107 are private hospitals and 811 are Government hospitals.

Programme Outcomes

In Telangana, around 5.8 to 6 lakh deliveries are expected every year and real time data updation is more than 85% (5 lakh deliveries in a year) on this portal. e-birth portal gives administrators at State and District level, consolidated data that can be drilled down to the block and village level. Infact, details from this portal on c-section % across hospitals have allowed the health department to initiate “FocusPrimi” that emphasizes on normal delivery of Primi cases as a key area to reduce the prevalent high C-section rates in Telangana.

Problem Statement

The services which a citizen at various levels in hospitals are captured in different systems and the information in these systems never gets integrated at one place to give entire health condition of the individual. In order to plan and improve service delivery, understanding of what services are being availed by the citizens becomes important to create a Data Base which creates an electronic health record of an each individual.

Programme Description

The main aim of e-Health project is to have the e-Health record/data base of the citizens of the State. In Telangana in the year 2014 ‘samagrakutumba survey” (comprehensive household survey) was taken up in which each family member wise details are collected and a unique family ID was assigned. This information allowed to link individuals to family health record.

e-Family Health Record is envisaged as a platform to provide critical inputs to understand the health status of a family or a geographical unit as well. e-family record generated should have (i) data base of all citizens of the state with unique ID lined with unique family ID (ii) disease profile of individuals (iii) Health services availed under various health schemes (iv) Health services that need to be offered to the family (e.g., Vaccinations that are due / Follow up after surgery under Aarogyasri/ Monthly medication for hypertension etc.) Health related data is updated from two basic sources in this portal:

Monthly village level data updation by ANM, in the hand held tab, (that is preloaded with village level households), on details about, pregnant pregnant woman registered, regular medicine issuance for Hyper tension, diabetes etc. This set of information allows us to understand various health issues at the village level and details of causes of death helps us take up preventive and IEC activities. For example, basing on this data, death audit of TB cases and awareness and screening activities get planned.

Integration of data from other portals e.g., PHC- OPD details, KCR kit, Aarogyasri, Kanti Velugu, Basti Dawakhana – OPD etc., by linking member wise details to the family ID to collate information that would give health status of the family.

Programme Outcomes

Data is obtained from 11,797 villages and 3.07 crore population is covered through various other applications. Thus, the data from various other applications is integrated to this platform thereby creating individual and family health record.

The data is used for (i) planning remedial actions in disease hot belts like promotive and preventive activities (iii) disease outbreak monitoring (iv) monitoring the performance of field functionaries (v) assess disease burden in a small area. The above details, disease burden, is available for any particular day and also for any particular village.

Scalability

The Programme is scalable though out the country with a very user-friendly software. The Tablet PC available with ANMs and Medical officers can be used for this purpose.

Implementation Partners

M/s Tata Consultancy Services and M/s Frux IT Systems are the software development partner.

Financial Implications

The development of software costed Rs. 5.00 lakhs and maintenance is Rs. 2.00 lakhs per month. The Tablet PCs are distributed under e-hospital and RMNCH+A program.

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