Projects

Maternal Child Health

CHALLENGE

More than 7 million children around the world die from preventable or treatable diseases. Currently, the under-five mortality rate in low-income countries is 7.6% - about 11 times the average rate in high-income countries.

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CHALLENGE

More than 7 million children around the world die from preventable or treatable diseases. Currently, the under-five mortality rate in low-income countries is 7.6% – about 11 times the average rate in high-income countries.

Developed in 1992 by World Health Organization, Integrated Management of Childhood Illness (IMCI) protocols are comprehensive guidelines to reduce the under-five mortality. While proven effective in reducing under 5 morbidity and mortality, several implementation challenges (including reliance on extensive training protocols, constant supervision and reluctance to generate referrals) prevent IMCI to be effectively scaled up on country-wide level.

INNOVATION

IHS has joined hands with the Interactive Research and Development (IRD) to design and develop an electronic form of IMCI (eIMCI). eIMCI provides a simple yet sophisticated solution for Community Health Workers (CHWs)

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INNOVATION

IHS has joined hands with the Interactive Research and Development (IRD) to design and develop an electronic form of IMCI (eIMCI). eIMCI provides a simple yet sophisticated solution for Community Health Workers (CHWs) to provide accurate assessment, diagnosis, treatment and referrals within an outreach setting for children up to 14 years.

eIMCI is a combination of a Clinical Decision Support System (CDSS) tool on Android devices, backed by the flagship open-source Patient Information system, OpenMRS (case-based centralized database). This combination enables us to not just facilitate CHWs with DSS but also track each child throughout the duration of the project.

The Android application uses contextual validation and technologies like QR codes to ensure veracity, as well as support for offline operation for remote areas.

CDSS is operated on smartphones at the point of care and applies latest 2014 WHO IMCI-based screening algorithms to facilitate CHWs in gathering patient data and screening for potential life threatening diseases,  subsequently offering diagnosis and providing pre-referral treatment. eIMCI decreases the need of lengthy and costly training, supervision, chance of human errors, patient waiting and screening time, and increases the chance of referrals to the healthcare facility and subsequent compliance..

Impact

eIMCI is being currently implemented in Muzaffargarh District, Punjab, Pakistan. We aim to enroll 1800 children over a period of 2 months to screen them for Malnourishment, Under/un-immunization, Malaria, Pneumonia, Diarrhea, Dengue and other childhood co-morbidities.  eIMCI is scheduled to scale up in 2016.

Since the start of the Program in November 2013, over 12,500 children have been screened.

CHALLENGE

Frontline health workers (FHWs) are usually the first and only point of contact for primary healthcare to millions of under-served individuals in developing countries. Therefore FHWs play a critical role in providing localized accessibility for health interventions.

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Frontline health workers (FHWs) are usually the first and only point of contact for primary healthcare to millions of under-served individuals in developing countries. Therefore FHWs play a critical role in providing localized accessibility for health interventions. However, these workers are largely dependent upon on fragmented, paper-based health registers which present strategic challenges for tabulation, monitoring performance, accessing real-time data for decision-making and providing accountability for patients’ records.

Often, these teams of FHWs work in silos across health cadres in large catchment areas and lack coordination between each other, causing miscommunication, duplications and overlaps in data.

INNOVATION

IHS is the technology leading lead for the Pakistan arm of the Technologies for Health Registers, Information, and Vital Events (THRIVE) consortium. THRIVE is a multi-country initiative aimed at strengthening frontline health workers’ ability to deliver effective

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IHS is the technology leading lead for the Pakistan arm of the Technologies for Health Registers, Information, and Vital Events (THRIVE) consortium. THRIVE is a multi-country initiative aimed at strengthening frontline health workers’ ability to deliver effective and timely RMNCH healthcare  through the implementation of Open Smart Register Platform (OpenSRP).  The 5 year project will work to adapt, deploy, test and evaluate the impact of OpenSRP systems in Pakistan, Bangladesh and Indonesia.

By leveraging existing technologies, OpenSRP aims to deliver an interoperable technology which will allow FHWs to electronically register and track the health of their entire target population in real-time, via a mobile application. The android-based system­ is designed to generate reliable, high quality data by digitizing health records, streamlining data collection and reporting processes. OpenSRP has offline functionality and data is routinely backed up to the server, making it suited for most remote settings.

OpenSRP also serves as a mobile client for OpenMRS, which is used to store and manage the data collected in a standardized way, generate reports, and bridge to other systems.

The use of a unified registry approach eliminates the need of switching between multiple applications, and enables a smooth flow of communication between community members, health workers and health facilities. This consistency and ubiquity facilitates ease of use, uniformity and common approaches to training.

OpenSRP covers the entire Reproductive, Maternal, Newborn, and Child Health (RMNCH) continuum of care and can be easily adapted to various health settings.

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