Poster ReMiND Jan 28 HI-RES
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1) The ReMiND project in Uttar Pradesh works to improve maternal and child health outcomes by training functionally illiterate community health workers known as ASHAs to use mobile phone applications to counsel pregnant women. 2) To help low-literate ASHAs learn the skills needed to use the mobile applications, the project provided tailored training and support from sector facilitators. 3) Analysis of a mobile experience survey found that between 2013 and 2014, ASHAs demonstrated greater proficiency in essential skills for using the applications, such as entering dates and navigating between screens, helping them to better manage their work and improve counseling quality.
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M health_Farhad
M health_FarhadFarhad Ali
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The document summarizes a project in India that used mobile health technology to support community health workers (ASHAs) in reducing maternal and newborn deaths. The project utilized a mobile app called CommCare that ASHAs could use to track pregnant women and newborns, provide counseling on health topics, identify danger signs, and ensure follow-up. The app included modules to guide the ASHA workflow for tasks like registration, management of pregnant and postpartum mothers, and young children. The project resulted in improved quality of ASHA counseling, increased home visit coverage, and targeted health behaviors like antenatal care utilization. Challenges included technology issues and high government leadership turnover. Lessons learned included the need for supportive supervisionPoster ReMiND 2 Jan 29 HI RES
Poster ReMiND 2 Jan 29 HI RESFarhad Ali
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The document describes a study that assessed the impact of supportive supervision by sector facilitators (SFs) on improving engagement between Accredited Social Health Activists (ASHAs) and pregnant women in Kaushambi District, Uttar Pradesh, India. The study analyzed data from ASHA home visit observations in September 2012, 2013, and 2014 and found improvements across 16 quality parameters, including a 17.6% increase in ASHAs greeting pregnant women and a 65.5% rise in ASHAs encouraging women to ask questions. The use of mobile phones and real-time data collection and monitoring has focused the supportive supervision of ASHAs and led to enhanced performance.Poster ReMiND 2 Jan 29 HI RES
Poster ReMiND 2 Jan 29 HI RESFarhad Ali
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The document describes a study that assessed the impact of supportive supervision by sector facilitators (SFs) on improving engagement between Accredited Social Health Activists (ASHAs) and pregnant women in Kaushambi District, Uttar Pradesh, India. The study analyzed data from ASHA home visit observations in September 2012, 2013, and 2014 and found improvements across 16 quality parameters, including a 17.6% increase in ASHAs greeting pregnant women and a 65.5% rise in ASHAs encouraging women to ask questions. The use of mobile phones and real-time data collection and monitoring has focused the supportive supervision of ASHAs and led to enhanced performance.ICT4D 2012 Conference - ReMiND Me Again
ICT4D 2012 Conference - ReMiND Me Againmhensley_CRS
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The document outlines a presentation on deploying CommCare, a mobile health platform, to reduce maternal and newborn deaths in the Kaushambi district of India. It discusses challenges faced by community health workers (ASHA), how CommCare aids in tracking and supporting pregnancies, and the positive impact it has had on both ASHAs and pregnant women. Future plans include scaling up the use of CommCare, engaging health authorities, and addressing sustainability and support challenges.Mapping mhealth success
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The ReMiND project in Uttar Pradesh, India developed a mobile application to support Accredited Social Health Activists (ASHAs) and their supervisors in improving maternal and child health. The app helps ASHAs counsel clients and access health services, while the supervisor app aids in monitoring the ASHAs' work. By strengthening supervision and interpersonal communication skills, the project has helped boost ASHA performance and coverage of key health practices in rural communities.ReMiND Pilot Project - overview of mobile application and content for ASHAs
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The REMIND pilot project in Kaushambi district aims to reduce maternal and newborn deaths by improving the work of ASHAs through the use of CommCare technology, which provides job aids, reminders, and decision support. The project includes tracking and supporting pregnant women and newborns, ensuring timely home visits, and utilizing SMS for reminders and alerts. Key benefits include enhanced counseling, improved visit timeliness, data collection for health services utilization, and an overall increase in the quality of maternal and child health care.Ad
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This document compares data on childhood diarrhea collected by community health volunteers to data self-reported by mothers in India. Community health volunteers collected diarrhea data on 634 children over 4 weeks, finding 95 cases and 271 diarrhea days. Mothers self-reported on 295 children, finding 51 cases and 109 diarrhea days. Statistical analysis found no significant difference between the incidence or length of episodes reported by volunteers and mothers. Therefore, the study concludes that mothers' self-reporting can be as accurate as data collected by community health volunteers for measuring childhood diarrhea.Poster Sri Lanka (002)
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This document compares data on childhood diarrhea collected by community health volunteers to data self-reported by mothers in India. Community health volunteers collected diarrhea data for 634 children over 4 weeks, finding 95 cases and 271 diarrhea days. Mothers self-reported for 295 children, finding 51 cases and 109 diarrhea days. Statistical analysis found no significant difference between the incidence and length of episodes reported by volunteers and mothers. The conclusion is that mothers' self-reporting can be considered a reliable way to measure diarrhea in programmatic settings.kitchen garden manual
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This document provides instructions for starting a kitchen garden. It discusses selecting a garden site and preparing the land. Important factors to consider when choosing a site include sunlight, water access, slope, and soil quality. Site preparation involves clearing debris, testing the soil, and installing infrastructure like raised beds and paths. The document also covers deciding which crops to grow based on nutritional value, climate suitability, and pest resistance. Establishing guidelines is recommended to outline volunteer responsibilities and safety procedures. The document then explains seed types, germination testing, and different sowing methods like direct sowing in the soil or transplanting seedlings.Training Module_Final_June_14_5Pm
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Diarrheal diseases are a major public health problem, especially among children in India. Every year, an estimated 300,000 Indian children under five die from diarrhea. Diarrhea is mainly transmitted through contaminated water and food, and lack of proper sanitation exacerbates transmission. Improving access to safe water, sanitation, and hygiene is critical to reducing diarrhea, but is not sufficient on its own. The Stop Diarrhea Initiative aims to reduce diarrhea prevalence, incidence, mortality, and morbidity among children under five in several Indian states using the WHO-UNICEF 7-point plan for comprehensive diarrhea control.Cover 4 approval OP2 (1) (1)
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This document provides a training module on diarrhea control with a four point plan from Save the Children - Stop Diarrhea Initiative. It acknowledges contributions from several individuals in developing the module, including Farhad Ali, Dr Tanu Anand, Neeti Sharma, Arindam Ghatak and Trupti Ashtankar. The module aims to educate on controlling diarrhea through a four point plan and was created by Save the Children for their initiative to stop diarrhea.Poster_fa
Poster_faFarhad Ali
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This document discusses the challenges of using mobile health (mHealth) technology for infectious disease surveillance in lower and middle income countries. An analysis of 11 research papers on this topic found challenges in the areas of technology, financial issues, politics, and socio-ethical and cultural factors. Technological challenges included interface issues and application errors. Financial challenges involved the costs of equipment, maintenance, and software development. Ensuring participation of political stakeholders from the start helped address political challenges. Socio-cultural challenges related to data security, community acceptance of the new technology, and resistance to change. Training, local technology solutions, open source software, and community involvement were identified as factors that could help address these challenges and enable wider adoption of mPoster ReMiND Jan 28 HI-RES
Poster ReMiND Jan 28 HI-RESFarhad Ali
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1) The ReMiND project in Uttar Pradesh works to improve maternal and child health outcomes by training functionally illiterate community health workers known as ASHAs to use mobile phone applications to counsel pregnant women.
2) To help low-literate ASHAs learn the skills needed to use the mobile applications, the project provided tailored training and support from facilitators using monthly skills assessments.
3) Between 2013 and 2014, the percentage of ASHAs able to demonstrate essential skills like entering dates and navigating between screens on the mobile applications increased significantly, indicating that the additional support helped empower illiterate ASHAs to better use the technology.Poster ReMiND Jan 28 HI-RES
- 1. Empowering Functionally Illiterate Community Health Workers to Use Mobile Phone Applications to Counsel Pregnant Women elin.murless@crs.org?/?farhad.ali@crs.org Uttar Pradesh Uttar Pradesh (in red) showing Kaushambi district (in black). ? One in every 35 people in the world lives in Uttar Pradesh ? Uttar Pradesh has some of India¡¯s worst statistics for mother and child survival ? The ReMiND program is in Kaushambi district which is one of 25 high-focus districts for health in Uttar Pradesh. The district has neonatal, maternal and child mortality rates far greater than national averages (respectively, 84%, 92 % and 103 % higher) Source:WikimediaCommonsUser:Haros 257 Elin Murless | Program Quality, Health | elin.murless@crs.org Farhad Ali | Technical Expert, Health | farhad.ali@crs.org Methods Poorly performing ASHAs received tailored handholding by sector facilitators (SFs) and training designed for low literacy users. SFs use a mobile-phone-based monthly Mobile Experience Survey (MES) to assess ASHAs¡¯ mobile technology skills. The MES covers ¡®essential¡¯, ¡®important¡¯ and ¡®nice to know¡¯ skills to successfully use the application. An analysis comparing July?September 2013 with July?September 2014 essential skills MES data was done. Introduction The Reducing Maternal and Newborn Deaths (ReMiND) mhealth project works with 257 accredited social health activists (ASHAs) in the under?served Kaushambi district of Uttar Pradesh. Using basic mobile phones, ASHAs are equipped with job aids to counsel, offer appropriate care and timely referral to pregnant women. Roughly one-third of the ASHAs are functionally illiterate or low literate and find it difficult to write in Hindi, input numbers on mobile phones, and navigate between questions on the job aid applications. To overcome this challenge and improve ASHAs¡¯ performance, ReMiND refined the applications with audio, color and image content. Working closely with the state government of Uttar Pradesh, Catholic Relief Services partnered with global innovator Dimagi and local implementing partner Vatsalya to improve the quality of maternal and infant care given by ASHAs. Results By September 2014, more ASHAs demonstrated essential skills for using mobile phones. The ability to enter a date (an essential skill) has increased from 49% to 69% for all ASHAs, and 81% of ASHAs can move back to the case list from the case detail screen, compared to 55% in 2013. With regular screening of their mobile?phone skills and the handholding provided by the project, about half of illiterate ASHAs have learned to fluently type in Hindi on their mobile. Most of these cannot write words on paper. Qualitative information shared by ASHAs indicates the mobile?phone?based tool helps them better manage their workloads, improving the quality of their counseling. Conclusion Regular and need-based support to low literate ASHAs has improved the essential skills necessary for handling a mobile phone and navigating the counseling applications. Technology and real?time MES data has focused the supportive supervision that SFs give, and empowered the functionally illiterate ASHA with additional support to improve performance. ASHAs¡¯ mobile literacy has improved Summary of ASHAs¡¯ mobile experience skills (FY13) Indicator ReMiND project total Jul-Sept ¡¯13 n = 25 Jul-Sept ¡¯14 n=257 Median number of ¡®essential¡¯ skills successfully demonstrated (maximum score = 18) 16 17 Median number of ¡®important¡¯ skills successfully demonstrated (maximum score = 7) 6 7 Median number of ¡®nice to know¡¯ skills successfully demonstrated (maximum score = 8) 4 6 Median total MES score for all skills (maximum score = 76) 64 72 ASHAs¡¯ essential skills ? Assess network ? Assess battery ? Increase volume ? Understand difference between login and demo mode ? Log in with password ? Type in Hindi ? Enter numeric values and date ? Select an option from a list ? Select the correct case from a list ? Move back to the case list from the case detail screen ? Move from case list to forms menu ? Open the Pregnancy Checklist form ? Play audio messages for questions in a form ? Move to the next question in a form ? Move back to a previous question in a form PhotobySatishSrivastavaforCRS Poster ReMiND.indd 1 1/28/15 4:31:29 PM