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 (2011present)
• 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 sickness
among 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 support
ImTeCHO
Better support, motivation, supervision to
ASHAs, FHWs and PHC staff
Better performance
Increase in coverage of proven interventions
Better health MNCH outcomes
Ref: 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
100%
90%
ImTeCHO (%)
86%
80%
Control (%)
82%
78%
68%
Proportion
70%
62%
60%
50%
54%
43%
44%
39%
40%
24%
30%
20%
20%
13%
10%
0%
At least 3 ANC
home visit by
ASHA
Hospital delivery
rate
At least 2 home Exclusive breast
visit by ASHA
feeding
within first week
of delivery
N= 50/28
N= 50/28
N= 50/28
N= 95/92
Receive any help Receive any help
from ASHA for
from ASHA for
PNC maternal
newborn
complications
complications
N= 13/8
N= 19/10
ASHAs are using ImTeCHO regularly
ImTeCHO Login rate and Task completion rate of ASHAs (n=45)
100%
90%
80%
Percentage
70%
60%
50%
Task Completion Rate
40%
Login Rate
30%
20%
10%
0%
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Month
Feb-14
Mar-14
Apr-14
May-14
Quality of HBNC visit in ImTeCHO
(n=14)
Examined baby
Measured temperature
Measured weight
Showed video
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Implementation plan
Preparation
phase
Training
phase
Maintenanc
e phase
• Mobile connectivity
• Gather information about all users
• Purchase of mobiles etc
• Taking all stakeholders in confidence
• Training of ASHAs and PHC staff (7 days)
• Mentoring (2-3 weeks per PHC)
• Certification (1-2 weeks)
• Ongoing facilitation from SEWA Rural facilitator
• Regular use of ImTeCHO by all users
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