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Swasthya Slate(Health Tablet)

Dr. Kanav KaholKanav.Kahol@phfi.org9650922228

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Contents

• Introduction to Swasthya Slate

• End to end automation use cases

• Proposed Work• Experimental Framework• Timeline• Conclusions

Deaths from preeclampsia due to lack of timely detection

Lack of timely detection 10% of all

pregnant women (2,700,000)

14% of all

maternal deaths (16,380)

Pree-clampsia

Have been provided excellent training

Need to integrate all the health Communication Material

54% of time on administrative work

Limited buy in due to lack of diagnostics

Need integration!

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Swasthya Slate• An integrative device with data analytics

and reporting for monitoring and planning.• Takes off-the-shelf validated and approved

products, links them to a tablet and allows ASHAs/ANMs to conduct these tests with ease.

• System provides end to end integration from diagnosis, referrals, followups to reporting, health communication and healthy behaviour promotion

• Our main contribution is to allow a one-stop-shop for all functions of healthworkers and allowing them to accomplish all tasks with ease.

• Diagnostics allow a health profile of all patients and allows proactive monitoring.

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Diagnostic Tests

We support multiple vendors for each test.

All vendors being used in government hospitals

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Available

May, may not be available

Diagnostic testAvailability in a sub centre

Availability in a PHC1

Time taken at the PHC or sub centre

Availability on Swasthya slate3

Time taken on Swasthya slate4

Blood hemoglobin2 Instant 1-3 days

Instant Blood pressure3 Instant

ECG5 Instant –

Water quality6 Instant –

Rural independent clinics charge ~`50-100 per test

Not available

Blood sugar1 Instant 1-3 days2

Urine protein4 Instant 1-3 days2

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Functionality

Reporting Diagnostics

ReferralsOn-spot recommendations

Health Worker

Education

Health Worker Certification

Patient EducationFeedback

Planning Resource Allocation

• Registration• Swasthya Slate App• Ante natal care App• Cardio Vascular Screening App• Preeclampsia App• Decision Support App• Breakfast Planner Game App• Nutrition Records App• Dai Maa App• Patient History• Direct access to 108 services for

emergency and training material for service.

• Telemedicine App• Health Communication App

Urine Protein

Cloud Based EMR

• Our diagnostics feed data directly into EMR.

• Geotagging for patient verification• Patient confidentiality is given

special attention. Never share the data without consent

• Ability for different views and privileges.

• Aggregation services and visualization services started

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Swathya slate enables real time demographic epidemiology research (1/2)

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Swathya slate enables real time demographic epidemiology research (2/2)

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Pilots

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MCH Study

• In Punjab, where we have screened 1000 mothers, we found 120 mothers with preeclampsia. (before slate 10 detected 8 deaths with slate 0 deaths)

• Our antenatal care visits went from an average of 0.8 per mother to 4.1 per mother in Mukhtsar district.

• We also were able to provide mothers with timely information on breast feeding and nutrition using our apps.

ANC Visits Before Intervention ANC Visits After Intervention0

0.5

1

1.5

2

2.5

3

3.5

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4.5

ANC Visits per Mother with Swasthya Slate

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Screening

Division of Affordable Health Technologies, PHFI 15

Mother & Child Care – Diagnosis, referral & follow ups

Aari Khera village in Moradabad district

observes its Village Health & Nutrition Day (VHND).

ASHA Shanti visits for regular check ups

A pregnant lady with some

complications visits her

The ASHA registers her in the Swasthya Slatesystem and performs

diagnostictests. Uses telemedicine

app toconsult doctor and

contactsemergency service

The Swasthya Slate System is equipped with apps like

Preeclampsia, ANC to cater to pregnancy related issues.

The Apps allows the ASHA to automatically schedule follow-

ups for doctor/ANC visits, vaccine schedule in her tabletSwasthya Slate system sends out the data in

real time.The lady is registered under JSY scheme by

the DEOPHC doctors can make further follow-ups

using thepatient data received on the MCTS

Emergency ServicesDEO DoctorANM

Division of Affordable Health Technologies, PHFI 16

Mother & Child Care – Diagnosis, referral & follow ups

The ASHA returns to the lady on the scheduled days for

follow-ups

Helps in arranging

mobilisation for the expecting

mother Helps in post natal exercise teaching (Health

Communication), infant nutrition etc. Can schedule

vaccination plan for the infant

The lady gets OK with the timely

check up

Gets automatic schedule for later visits (follow-up)

through task Scheduler App

Division of Affordable Health Technologies, PHFI 17

Health Communication – Reaching the masses

Dharupur village in Sultanpur Dist. (UP) observes its Village

Health & Nutrition Day (VHND)

Shanti, an ASHA visits the village. She’s been

assigned a task to educate the villagers

about health & hygiene

The uploaded materials get downloaded on to the ASHA’s Swasthya

Slate. She uses Health Communication app on her Swasthya slate to show the videos, books, audios

to the villagers.She can rate the videos and give

feedbacks

A health supervisor uses an online portal to upload

the education material remotely

Officials can overlook the on-going process of the education exercise

from remote location using the online portal. The portal gives information about the videos,

books that have been viewed with the date, time & location of viewing

Map showing placesWhere the video hasBeen viewed

Division of Affordable Health Technologies, PHFI 18

Reporting – Swasthya Slate Data Bank

Ministry Official

Has to prepare weekly, monthly reports on health related issues or

needs data for any other purpose

Swasthya Slate system provides multiple options for information gathering & data acquisition, the access to which is restricted to authorised users only

Real Time

Dashboards

Patient

Demographics

Disease Heat Maps Geo

location

Database

Temperature Logge

r Portal

Swasthya

SlatePatient Informa

tion System

Visualizations

Swasthya Slate Database

Real Time RecordsUploaded from Swasthya Slate

ExampleUsing the Heat Map

Above Normal BP of populationrepresented as red. Optimal for maximumImpact of intervention

The heatmap looks at patients from a region and averages their BP to produce a colour representing the seriousness of BP issue in that region. This visualization helps you plot where to focus the intervention and reap the best benefit from public health schemes.

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Swasthya Card

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Vaccination

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ASHA’s Field Visits

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Conclusions• Swasthya Slate represents an

opportunity to integrate technology use across the spectrum of functions of the public health system.

• This pilot will allow for refining the implementation modalities and ensuring maximum benefits for population and fulfilling the objectives of RMNCH+A and NIPI.

• PHFI will oversee the pilot and develop the training, maintenance and implementation material which will support frontline health workers and doctors.

• The model will be tested for sustainability across multiple dimensions and evaluated for access and effectiveness in the evaluation study.

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Thanks

• www.swasthyaslate.org• Kanav.Kahol@phfi.org• 9650922228• 01143421913