Digital Strengthening Initiatives - Overview - V 1.0

Digital Strengthening
Initiatives
Overview | Digital Strengthening Initiatives
Table of Contents
1. DIGITAL STRENGTHENING OF ACUTE ENCEPHALITIS SYNDROME (AES) PROGRAM ................ 2

2. DIGITAL STRENGTHENING OF MCD INTERVENTIONS (MALARIA, CHIKUNGUNYA AND
DENGUE) .............................................................................................................................................................................. 4
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1. Digital Strengthening of Acute Encephalitis Syndrome (AES) program
Background
The Acute Encephalitis Syndrome (AES) menace in a key State has seen an upturn in terms of reductions in
deaths, cases, and the overall CFR. This has been made possible through a series of programmatic
interventions aimed at reducing the response time for providing prompt and appropriate management of an
AES case by concerted supply and demand side activities.
Currently, there are multiple components, processes and systems (mostly manual) which are being used for
data collection including line lists, case formats, laboratory inputs, and facility assessment. These multiple
datasets are synthesized and compiled for requisite reporting and monitoring purposes in a manual manner
for the programmatic interventions and decision making.
Key Challenges
Following is a summary overview of the key challenges in the existing ecosystem:

 Real time data is not available for analysis and decision making. There is always a lag of few days to few
weeks due to delay in reporting the line list at district level, engagement of district and state level data
managers in COVID duties
 Most of the processes including the data collection and validation are manual leading to high chances of
redundancy and data errors
 The overall process is tedious, cumbersome, and error-prone
 The etiologic classification of the AES cases from the sentinel laboratories in the line lists is missed
sometimes leading to incorrect reporting
 The health facility assessment cannot be done on a real time basis
 The HR status is only available for review and necessary decisions on monthly basis instead of a more
frequent basis
 The status on the preventive measures at the village level to an AES case is not reported regularly due to
a fragmented and diverse ecosystem thereby impacting the decision-making process
 A lot of productive time is spent in collecting and reporting data through a manual mechanism which
impacts the core activities of the health staff involved
Proposed Intervention
There is a need for digital interventions in the form of a software application for end to end program
implementation and monitoring.
 There is a need for a robust, stable, and comprehensive Mobile Application as a data
collection layer to support with the following program requirements
o Daily reporting of drugs and equipment availability and HR position at all health facilities
o Entries of HGF details and CIF of the AES cases admitted at the facilities
o Sentinel laboratories to enter the etiologies of the AES cases
o Report of preventive measures in a village with AES cases
o Disability status and follow ups
o ETC Monitoring entries by field team
o Daily reporting by each health staff at the field level
o Comprehensive inter-departmental reporting at the village level as per the approved micro-plan
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 The proposed mobile application should support the following technology requirements:
o Should be developed for Android ecosystem
o Should be multi-lingual
o Should be designed in a user centric manner – user engagement during the design and
development process is extremely crucial
o Should be preferably developed on an Open Source technology platform
o Should be design and developed in a manner which is scalable across multiple regions (blocks,
districts and states)
o Should be based on Government of India recommended and industry best standards for security,
encryption, and privacy
o Should be based on interoperability and data standards such as HL7, FHIR, etc.
o Should be hosted in India
Broad timelines
The broad timeline for design, development and launch of the mobile application is 03 months.
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2. Digital Strengthening of MCD Interventions (Malaria, Chikungunya and Dengue)
Background
The Malaria, Chikungunya and Dengue (MCD) menace in the State of Uttar Pradesh has significantly affected
the economic status of people of every social background. Currently, in Malaria, Dengue and Chikungunya
there are multiple components, processes, and systems (mostly manual) which are being used for data
collection including:
 fever helpdesk
 line lists
 laboratory inputs (reports received from SSH labs)
 case formats (M1-4)
 logistics management
 data received from different level of health facilities
Key Challenges
Following is a summary overview of the key challenges in the existing ecosystem:

 Real time data is not available for analysis and decision making
 Most of the processes including the data collection and validation are manual leading to high chances of
redundancy and data errors
 The overall process is tedious, cumbersome
 There is lack of standardization of data formats
 The data form is in scattered form (lack of collation of data)
 The assessment of line list of cases cannot be done on a real time basis leading to hampering of evidence-
based decision making in terms of control of the situation/action taken
 A lot of productive time is spent in collecting and reporting data through a manual mechanism which
impacts the core activities of the health staff involved
Proposed Intervention
There is a need for digital interventions in the form of a software application for end to end program
implementation and monitoring.
 There is a need for a robust, stable, and comprehensive Mobile Application as a data
collection layer to support with the following program requirements
o To provide for a common digital data collection system at the district, block and PHC level as well
at the labs including the following data points:
 Patient level line list data collection
 Case verification information and data
 Logistics and infrastructure information at the health facilities
 Testing outcomes at the line listing level for the sentinel laboratories Dengue and
Chikungunya suspect and positive cases
 Surveillance and monitoring of preventive measures, source reduction activities and IRS
done by a health worker in community
o To help with standardizing the data points and formats
o To help with minimizing of time lag in data reporting from the ground level (PHC, block, district,
lab) to the State level
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 The proposed mobile application should support the following technology requirements:
o Should be developed for Android ecosystem and should support the offline mode
o Should be multi-lingual
o Should be designed in a user centric manner – user engagement during the design and
development process is extremely crucial
o Should be preferably developed on an Open-Source technology platform
o Should be design and developed in a manner which is scalable across multiple regions (blocks,
districts, and states)
o Should be based on Government of India recommended and industry best standards for security,
encryption, and privacy
o Should be based on interoperability and data standards such as HL7, FHIR, etc.
o Should be hosted in India
 The envisaged mobile application will be developed and launched in two phases:
o Version 1.0 which will support with collection of aggregate data points at the District and Block
(CHC) level across identified indicators
o Version 2.0 which will support for line listing level of data entry at the District, Block (CHC), PHC
and the Frontline Worker (FLW) level
Broad timelines
The broad timeline for design, development and launch of the mobile application are as follows:
 Version 1.0: March 2021
 Version 2.0: June 2021
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Digital Strengthening

1. DIGITAL STRENGTHENING OF ACUTE ENCEPHALITIS SYNDROME (AES) PROGRAM ................ 2

1. Digital Strengthening of Acute Encephalitis Syndrome (AES) program

Following is a summary overview of the key challenges in the existing ecosystem:

2. Digital Strengthening of MCD Interventions (Malaria, Chikungunya and Dengue)

Following is a summary overview of the key challenges in the existing ecosystem:

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