e-Integrated Management of Neonatal and Childhood Illnesses Mobile Application
Under National Health Mission, Government of India implemented IMNCI strategy in the year 2003 for integrated and standard management of major illnesses of childhood like Pneumonia, Diarrhoea, Malnutrition, Measles, and Malaria in outreach settings. This initiative by GOI is commendable but its implementation in our country is facing several challenges. The strategy seems to be limited by the expenses of training, insufficient supervision, the time taken to follow the IMCI chart booklet and decreased adherence to protocols.
In this context, a mobile application based on IMNCI guidelines has been designed by School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh-India for effective management of children under 5 years of age by the healthcare workers (HW) posted in the villages of country. This mobile application will improve adherence and efficiency of HW to IMNCI guidelines by facilitating in clinical examination through relevant gifs, videos and separate library version. In addition, it will automatically classify the patient into colour coding based on their clinical status and assist in treatment and referral. The additional features like auto-generation of monthly reports which can be shared online with the supervisors, daily planner of HW activities, messaging and calling patients through application, counselling of mothers regarding child health care will also provide boost towards health seeking of children in vulnerable settings. It will also strengthen follow-up via online referral system and supervision of HW through QR code assisted attendance system and GPS supported tracking. Other than this, mother of under 5 age children can register their child through this app and can seek emergency care immediately from the HW in their village. They can correspondingly submit their feedback regarding the overall services provided by HW. Thus, this holistic package of technology and digitization in health care will assist in confronting the challenges faced by health workers and outreach population in providing healthcare services.