Community Health Integrated Platform

Problem

India’s public health system boasts the world’s largest decentralized community health workforce, under the National Health Mission. To improve on health care delivery, the MoHFW is taking an important step away from paper-based tracking methods to realizing a National Digital Health Mission. Through this effort, health delivery can be tracked in a manner more accountable, efficient, and impactful. .

The current ecosystem of digital solutions reflects the siloization of vertical health programs. Different applications and backends exist for RMNCH+A, NCDs, TB, and COVID-19 for example. Some applications have been adopted uniformly, while others have fragmented, state-specific avatars which attempt to connect to the respective central government backends through application programming interfaces.

To empower community health workers and usability of data for community-level action, a few gaps need to be adddressed: .

  • Unified interfaces for each of the key public health cadres. Currently mature applications exist within specific primary health verticals for specific health workers (e.g. ANMs conducting RMNCH+A tracking). This will need to expand to unified interfaces for each health worker (ASHA, ANM, CHO, MOIC)
  • A true baseline denominator captured through a digital health census
  • Real-time accountability mechanisms and quality driven incentives to improve data fidelity and usability
  • Longitudinal data sharing mechanisms for beneficiaries to receive informed care at any health provider, especially in offline settings
  • Automated and targeted engagement mechanisms to motivate individuals in communities to uptake primary health care services

Solution

The Community Health Integrated Platform is an effort to address the primary health gaps beyond reproductive and child health by including and integrating NCD management and infectious disease surveillance. The platform has been developed as per national guidelines (e.g. RCH Register, CBAC form, NCD Portal, Nikshay follow-up and registration, ASHA register, Delivery Register), so that each health worker in the referral loop has a single unified interface for tracking patients and reporting community health outcomes across verticals. The platform serves as a foundational part of a larger ecosystem of digital health tools for community health workers and can be extended further by integrating IOT dvices, AI algorithms, payment systems, gamification modules, continuing medical education modules, community discussion groups, telemedicine providers and more.


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