MCTS Presentation Final 11Sept2012

Report
Mother and Child Tracking System (MCTS)
An innovation towards strengthening of health care services
September 2012
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)




Status of key health indicators and services
Introduction to MCTS
MCTS Operational Flow
How MCTS can benefits
◦
◦
◦
◦




Beneficiaries
ANM / ASHA
CMO’s / BMO’s / DIO’s
State(s)
Current Status
Expectations of MoHFW
Key Concerns for States
Way Forward
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Health Indicator
MMR
(SRS: 2007-09)
IMR
(SRS: 2010)
TFR
(SRS: 2010)
Full Immunization
(DLHS-3)
Full ANC
(DLHS- 3)
ANAEMIA
(NFHS- 3)
India
212
47
2.5
53.5 %
18.8 %
55.3 %
Good Performing
State
81
(Kerala)
13
(Kerala)
1.7
(Tamil Nadu)
89.8 %
(Goa)
90.9 %
(Goa)
32.8 %
(Kerala)
Low Performing
State
390
(Assam)
62
(Madhya Pradesh)
3.7
(Bihar)
13.3 %
(Arunachal Pradesh)
3.3 %
(Uttar Pradesh)
69.5 %
(Jharkhand)
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
To ensure that
• All pregnant women should receive their:
– Full Ante Natal Care (ANCs) services at due time
– Full Post Natal Care (PNCs) services at due time
• Encourage institutional delivery particularly of high risk mothers
• All children should receive their full immunisation at due time
This will help improve IMR, MMR, TFR and morbidity in women
and children.
http://nrhm-mcts.nic.in/
4
Mother and Child Tracking System (MCTS)
• Mother
&
Child
Tracking
System(MCTS) is a centralized
web based application for
improving delivery of health
care services to pregnant
women and children up to five
years of age through name
based
tracking
of
each
beneficiary
and
monitoring
service delivery
• It has been declared as a
Mission Mode Project under the
National e-Governance Plan
(NeGP) in July 2011
http://nrhm-mcts.nic.in/
5
Mother and Child Tracking System (MCTS)
http://nrhm-mcts.nic.in/
6
MCTS- Protocol
State
Mission Director
District
District
Magistrate
Block
BMO
Primary Health
Centre
State Programme
Officers
District Health
Officer
BPM
M/O In-charge
CMHO /
CMO
Medical
Superintendent (CHC)
Alternate Vaccine
Courier
Sub Centre
ANM
Village
ASHA
State Data Officer
DPM
DDO
Data Entry Operator
Data Entry
Operator
Mother and Child Tracking System (MCTS)
Free
consultation
from Central
Helpdesk (Toll
Free No)
Information
about desired
services,
Government
Schemes &
Benefits
Advance
information
about the due
services
Beneficiaries
Facilitate
availing the
services from
any Health
Centre based on
need
Facilitate better
interaction with
Health Service
Provider
Facilitate in
timely delivery
of full
complement of
services
http://nrhm-mcts.nic.in/
8
Mother and Child Tracking System (MCTS)
Readily
available
Services
due list
Micro
planning
for Filed
Visit
Auto
generation
of workplan
ANM /
ASHA
SMS based
workplan
Better
guidance
from senior
supervisors
Contact
details of
the
Beneficiaries
http://nrhm-mcts.nic.in/
9
Mother and Child Tracking System (MCTS)
Actionable
reports of
registration
and service
updating
status
Readily
available
analytical
reports
CMO’s /
Better
planning for
Vaccination
Supply &
Management
BMO’s / DIO’s
Facility
reporting
status
Group
/Individual
SMS’s to health
workers and
Direct
communicatio beneficiaries
n with ANMs /
ASHAs and
beneficiaries
http://nrhm-mcts.nic.in/
10
How MCTS can benefit – States
•
•
•
•
•
•
•
•
•
At a Glance real time State progress report of the entire
state
Facilitate in identification of poor performing Districts,
health facilities, Sub- Health Centres
Graphical Dashboard for pictorial representation of the
reports
Special reports of high risk cases
Dedicated helpdesk for feedback and suggestion
Focused deployment of health workers & any supplementary
immunization activity planning
Better data analysis for preparation of District /Block health
action plans
Improved supply chain management of vaccines and Drugs
Effective IEC and communication with field workers and
beneficiaries
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)


An Online Software for MCTS has been developed by NIC
which is available at the URL http://nrhm-mcts.nic.in/
Total records entered in the MCT System:
• 2.80 Crore mother records already entered since inception.
In 2012-13 total 65.2 lakh (49.6 % on pro rata basis)
mother has already been registered in MCT System.
• 2.06 Crore Child records already entered since inception. In
2012-13 total 42.3 lakh (35.4 % on pro rata basis) children
have already been registered in MCT System.
 Facilities reporting data related
Facility
Pregnant Women
District
99.4%
Health Blocks
95.6%
Health Facility
85.5%
Health Sub-facility
92.2%
Villages
51.8%
to Mother & Child:
Children
99.4%
94.8%
82.8%
87.8%
45.1%
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
100%
80%
60%
40%
20%
0%
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
100%
80%
60%
40%
20%
0%
Rajasthan
Tripura
India
Arunachal Andman &
Pradesh
Nicobar
Islands
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Goa
Mizoram
India
Chhattisgarh
Karnataka
ANC1
ANC2
ANC3
ANC4
Deliveries
Reported
* Pregnant women with LMP in October 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
80%
70%
60%
50%
40%
30%
20%
10%
0%
* Pregnant women with LMP in October 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Service Delivered - Children
OPV Services*
100%
Tamil Nadu
90%
Puducherry
80%
India
70%
Chhattisgarh
60%
Bihar
50%
40%
30%
20%
10%
0%
OPV0
OPV1
OPV2
OPV3
* Children with DoB in August 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Service Delivered - Children
DPT Services*
100%
Tamil Nadu
90%
Tripura
80%
India
70%
Karnataka
60%
Bihar
50%
40%
30%
20%
10%
0%
DPT1
DPT2
DPT3
* Children with DoB in August 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Service Delivered - Children
HEP Services*
Tamil Nadu
100%
90%
Lakshadweep
80%
India
70%
Arunachal Pradesh
60%
Chhattisgarh
50%
40%
30%
20%
10%
0%
HEP0
HEP1
HEP2
HEP3
* Children with DoB in August 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Service Delivered - Children
BCG & Measles Services*
100%
Tamil Nadu
90%
Puducherry
80%
India
70%
Manipur
60%
Mizoram
50%
40%
30%
20%
10%
0%
BCG
Measles
* Children with DoB in August 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Correctness of Data
Calls made to the Beneficiaries
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
70%
% of Correct calls to Calls Answered
http://nrhm-mcts.nic.in/
Expectations of MoHFW
 100% Registration of Pregnant
Women & Children
 Use of MCTS data for review
and action-for follow up on
various schemes and programs
related to RCH services.
 100% timely Update of Services
Delivered to Pregnant Women &
 Use of MCTS data for policy
Children on MCTS Portal
formulation, micro planning at
 Use of MCTS application by all
different levels and redressal
levels Health workers.
of bottlenecks pertaining to
various programs.
 Service Delivery to Pregnant
Women and Children ensured
 Advice DMHO and BMHO for
continuous monitoring, field
 Work-plan generation and
visit and taking of corrective
utilisation
action based on MCTS
information
 Near Real time update of Data
on MCTS
 Improve civil registration
http://nrhm-mcts.nic.in/
Expectations of MoHFW cntd…



Ensure complete and accurate
mapping of all the health
facilities & health service
providers.
Ensure records of the
proceedings of the meetings of
SPeMT and DPeMT should be
put on the website.
Corrective action from the State
level, CMHO and BMO level
should be regularly carried out
based on the analytical reports
generated from MCTS portal.


Establish a call centre to verify
the records of the beneficiaries
and health providers and also for
sending the information to the
beneficiaries about their due
services.
A village wise integrated RCH
Register has been designed by
MoHFW and shared with
States/UTs. Ensure its
implementation from 2012
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)


Use of mobile (GPRS, SMS)/tablet technology for updating of
service delivery data on real time basis.
Use of Interactive Voice Response System (IVRS) to:
◦ Verify details of beneficiaries, ANMs, ASHAs
◦ Update data
◦ Send alerts on services due
◦ Send Messages

MCTS as sole source of reporting and reviewing MCH services

Effective operationalization of MCTS protocol



Problem Redressing System to review the redressal of MCTS
related issues.
Trigger Mechanism for delivery of system generated actionable
mails/SMS to all the Health Administrators and Managers on
MCTS progress/feedback.
Operationalization of National/ State Call Centre /helpdesk
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)

Capacity building at various levels

Effective integration with AADHAR- verification for benefits


Integration and convergence of various
IT initiatives
implemented/ adopted by different department of the
Ministry and States under a single window to review the
performance of various programmes / schemes launched
by MoHFW and improve data quality.
MCTS is able to provide good platform and unique
opportunity to enable identification of the beneficiary for
all schemes of various departments across Ministries in
one place and placement of this information on the web for
access by the identified functionaries of concerned
department.
http://nrhm-mcts.nic.in/
http://nrhm-mcts.nic.in/
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)



Provide a mechanism at all levels to directly monitor the
delivery of Mother and Child Health (MCH) benefits to the
beneficiaries
Provide a single source of information related to pregnancy
and child immunization health services and possibility of
health-related information on mother and childcare
Facilitate closer monitoring of ANC and PNC check-ups of
pregnant women and reduce avoidable complication

Ensure tracking of full immunisation course for all children

Better assessment of JSY, JSSK and other benefits

Analytical reports for reviewing the progress of MCTS
implementation on real time / daily basis
 Facilitate
http://nrhm-mcts.nic.in/
in identifying of poor performing States, Districts
http://nrhm-mcts.nic.in/
and Facilities
Mother and Child Tracking System (MCTS)
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
BACK
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
120%
100%
80%
60%
40%
20%
0%
BACK
http://nrhm-mcts.nic.in/
ANC1
Karnataka
Tamil Nadu
Chhattisgarh
Bihar
Lakshadweep
Arunachal Pradesh
Uttar Pradesh
West Bengal
Madhya Pradesh
Sikkim
Manipur
Andhra Pradesh
Himachal Pradesh
Nagaland
Jharkhand
Puducherry
Uttarakhand
Maharashtra
Delhi
Gujarat
Punjab
Haryana
Jammu & Kashmir
Orissa
Tripura
Meghalaya
Andman & Nicobar Islands
Mizoram
Goa
Dadra & Nagar Haveli
Mother and Child Tracking System (MCTS)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
ANC2
* Pregnant women with LMP in October 2011
http://nrhm-mcts.nic.in/
ANC3
BACK
Bihar
Uttar Pradesh
Arunachal Pradesh
Jharkhand
Meghalaya
Karnataka
Uttarakhand
Nagaland
Manipur
Madhya Pradesh
Tripura
West Bengal
Chhattisgarh
Andman & Nicobar Islands
Himachal Pradesh
Mizoram
Lakshadweep
Haryana
Jammu & Kashmir
Gujarat
Delhi
Andhra Pradesh
Tamil Nadu
Maharashtra
Sikkim
Punjab
Puducherry
Goa
Orissa
Dadra & Nagar Haveli
Mother and Child Tracking System (MCTS)
70%
60%
50%
40%
30%
20%
10%
0%
ANC4
* Pregnant women with LMP in October 2011
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
100%
90%
Deliveries Reported
80%
70%
60%
50%
40%
30%
20%
10%
0%
BACK
* Pregnant women with LMP in Oct. 2011
http://nrhm-mcts.nic.in/
BACK
90%
BCG
80%
Measles
http://nrhm-mcts.nic.in/
Mizoram
Manipur
Dadra & Nagar Haveli
Bihar
Tripura
Himachal Pradesh
Gujarat
Meghalaya
Chhattisgarh
Jharkhand
Arunachal Pradesh
Nagaland
Delhi
Uttar Pradesh
Orissa
West Bengal
Maharashtra
Punjab
Madhya Pradesh
Andman & Nicobar Islands
Karnataka
Haryana
Sikkim
Andhra Pradesh
Uttarakhand
Jammu & Kashmir
Goa
Lakshadweep
Puducherry
Tamil Nadu
Mother and Child Tracking System (MCTS)
Service Delivered - Children
BCG & Measles*
100%
70%
60%
50%
40%
30%
20%
10%
0%
* Children with DoB in August 2011
Mother and Child Tracking System (MCTS)
State
District
Block
Monthly review meeting (SPeMT/
DPeMT)
State
Implementation & State
review
of
Data
Mission Director
Programme
Officer
scheme(s)
Officers
Provide guidance and support
 Ensure availability of (SPeMT)
District
District Health
CMHO
CMO portal.DPM
on/MCTS
Officer minutes
Magistrate
BMO
Primary Health
Centre
BPM
M/O In-charge
Medical Superintendent
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
Data Entry
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
Mission Director
District
District
Magistrate
Block
BMO
Primary Health
Centre
Sub Centre
Village
State Programme
Officers
District Health
Officer
BPM
CMHO / CMO
Medical Superintendent
(CHC)
State Data
Officer
DPM
Data Entry
Operator
Regular review
meetings
Alternate
Data Entry
Monitoring
of Various
Vaccine
Courier programs
Operator
Review of Implementation of MCTS
scheme regularly
ANM
Provide
necessary logistics
Regular monitoring of Registration status
/ Facility Reporting and Updation of
Service ASHA
delivery
Assessment of Human Resource
M/O In-charge
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
Technical Advisor
Assessment of MCTS requirements
State
Co-ordination
MCTS
Mission for
Director
Programme
State
implementation
Officers
Ensure data quality
Generation
& Circulation District
of Status
District
CMHO
District
Health
reports Magistrate
/ CMO
Officer
Block
BMO
Primary Health
Centre
BPM
M/O In-charge
Medical Superintendent
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
State Data
Officer
DPM
DDO
Data Entry
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
Review Service
Delivery
Mission Director
Programme
State
Periodic review meetings
Officers
Supervisory field visits
District
Logistics and
supply of vaccines
District
District
Health
CMHO / CMO
/ Drugs
Magistrate
Officer
Block
BMO
Primary Health
Centre
BPM
M/O In-charge
Medical Superintendent
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
State Data
Officer
DPM
Data Entry
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
Mission
Data
entryDirector
Workplan generation
District
District
Magistrate
Block
BMO
Primary Health
Centre
State
Programme
Officers
District Health
Officer
BPM
M/O In-charge
CMHO / CMO
Medical Superintendent
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
State Data
Officer
DPM
Data Entry
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
Mission Director
District
District
Magistrate
Block
BMO
Primary Health
Centre
State Programme
Officers
State Data
Officer
Delivery of Vaccine
District Distribution
Health
of
Workplan toDPM
ANM
CMHO
/
CMO
Officer
Collection of Information from
ANM and deliver to Data Entry
operator
Data Entry
Medical Superintendent
BPM
M/O In-charge
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
State Programme
Officers
Mission Director
District
District
Magistrate
Block
BMO
Primary Health
Centre
BPM
State Data
Officer
Service Delivery
District
Maintenance of Registers
Health
CMHO /meeting
CMO
DPM

Attend monthly
at PHC
Officer
& collect Workplan & Data
updation
M/O In-charge
Medical Superintendent
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
Data Entry
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Mother and Child Tracking System (MCTS)
State
Mission Director
District
District
Magistrate
Block
BMO
Primary Health
Centre
BPM
State Data
Identification of beneficiariesOfficer
State Programme
Officers
Capture of information, inform
District
ANM
and assist during service
Health
CMHO / CMO
DPM
delivery
Officer
Escorting the patients to health
facility
Data Entry
Medical Superintendent
M/O In-charge
(CHC)
Alternate
Vaccine Courier
Sub Centre
ANM
Village
ASHA
Operator
Data Entry
Operator
http://nrhm-mcts.nic.in/
Goa
Tamil Nadu
Puducherry
Dadra & Nagar Haveli
Rajasthan
Delhi
Daman & Diu
Gujarat
Chandigarh
Karnataka
Madhya Pradesh
Chhattisgarh
Haryana
Orissa
Punjab
Jammu & Kashmir
Andhra Pradesh
Maharashtra
West Bengal
Assam
Kerala
Bihar
Sikkim
Himachal Pradesh
Uttarakhand
Meghalaya
Uttar Pradesh
Jharkhand
Mizoram
Andman & Nicobar Islands
Lakshadweep
Manipur
Arunachal Pradesh
Nagaland
Tripura
Mother and Child Tracking System (MCTS)
Data Reported (%) by Facilities
Pregnant Women
August 2012
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
% of Health Blocks reporting data
% of Health Facility reporting data
% of Health Sub-Facility reporting data
http://nrhm-mcts.nic.in/
Daman & Diu
Goa
Tamil Nadu
Dadra & Nagar Haveli
Delhi
Chandigarh
Rajasthan
Puducherry
Gujarat
Haryana
Madhya Pradesh
Punjab
Karnataka
Chhattisgarh
Andhra Pradesh
Orissa
Maharashtra
Jammu & Kashmir
West Bengal
Assam
Sikkim
Kerala
Bihar
Himachal Pradesh
Uttarakhand
Meghalaya
Jharkhand
Uttar Pradesh
Mizoram
Andman & Nicobar Islands
Lakshadweep
Manipur
Arunachal Pradesh
Nagaland
Tripura
Mother and Child Tracking System (MCTS)
Data Reported (%) by Facilities
Children
August 2012
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
% of Health Blocks reporting data
% of Health Facility reporting data
% of Health Sub-Facility reporting data
http://nrhm-mcts.nic.in/

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