Common Application Software (CAS)Bihar State level orientation cum sensitization workshop on POSHAN Abhiyaan

2012-14: BIHAR INNOVATION – CONTINUUM OF CARE SERVICES (ICT-CCS)

STATE: BIHARDISTRICT: SAHARSA

Innovation Coordinates (Saharsa Districts)Blocks 4Health Subcentres 70 (35 Treatment, 35 Control)Treatment Population Coverage 3,34,470Treatment FLWs 569 (#ASHA: 240, #AWW: 272, #ANM: 45, # Lady Supervisor: 12)

Bihar pioneered large sample information communication technology based innovation in the country

45, # Lady Supervisor: 12)

Kehra, Bazaar, Sattar Kataiah, Saur Bazar, Sonbarsa

ENABLING PLANNING AND TRACKING FLW-CLIENT INTERACTIONS

Interaction between CHW and client between pregnancy and first 24 months

Data Driven Dialogs Between FLWs and SupervisorsPrompts Structured Key Messages

Automatic Scheduling of Home Visit

Mobile application developed as job aid for frontline workers -Samada AWWs & ASHAs where BAs

Remind to Collect Relevant Data

Suggest a Video to Reinforce

TO REINFORCE THE KEY MESSAGES - COUNSELLING VIDEOS Created mobile based multimedia tools to reinforce the key messages – Nokia C2-01 basic phone

4

RIGOROUS MEASUREMENT SHOWED THAT FLWS WERE REGISTERING, REACHING AND TRACKING THE PREGNANT WOMEN AND INFANTS, IMPROVED QUANTITY OF HOME VISITS AS WELL AS CRITICAL

BEHAVIORS

42 3960

2752 43

73

29

Home Visit in Final Home Visit within 24 Home Visit within 1 Family Planning Home

*****

54.731.8

76.755.363.6

41

77.759.1

Child eats solid or semi solid foodChild began eating solid food by age 6 monthChildren received DPT3Full Immunization( except Measles)

***

Bihar generated enough evidences that could be scaled across

Home Visit in Final trimester Home Visit within 24 hours of delivery Home Visit within 1 week of delivery Family Planning Home Visit

Source: CCS Endline; */**/*** Significantly different from zero at the .10/.05/.01 level, two-tailed test; Sample sizes are 1,527 to 1,553 (all women) 1,045 (children 5 months or older).

28.8

62.2 57.8 47.649.875.9 65.2

45.7

At least 3 ANC visits EIBF STSC Delayed bathing by atleast 2 days

****** *

Child eats solid or semi solid foodChild began eating solid food by age 6 monthChildren received DPT3Full Immunization( except Measles)

26.2 36.9

Use of any mordern method of contraception

***

Control meanAdjusted treatment mean

CCS EVIDENCE HAS INFORMED THE DECISION OF GOVERNMENT OF INDIA TOADAPT AND SCALE, BEGINNING WITH 100,000 AWWS – ( CCS HAS BECOME CAS)

25th May 2016

Integrated Child Development Services (ICDS) Systems Strengthening and Nutrition Improvement Program (ISSNIP)

NITI AAYOG – THREE YEAR ACTION AGENDA

ON MARCH 8TH 2018, PRIME MINISTER OF INDIA LAUNCHED POSHAN ABHIYAAN

Cabinet approved 9000 CR for POSHAN AbhiyaanCAS across Pan-Indiato reach 14 Lakh AWWs in a phased manner

WHAT IS ICDS-CASCommon Application Software (CAS) is a job aid to perform day-to-day activities effectively

ICDS – CAS COVERAGE ICDS-CAS is the largest mHealth implementation for frontline workers on the globe

ICDS – CAS IN BIHARBhagalpur, Buxar, Jehenabad, Lakhisarai, Samastipur & Sitamarhi – are the initial districts to rollout CAS

WEIGHING EFFICIENCY – SIX DISTRICTS OF BIHAR1,438,730 1,463,587 1,485,107 1,461,169 1,511,444 1,508,595 1,469,799

842,481 1,046,402

29% 33%

56%

71%

40%50%60%70%80%

800,0001,000,0001,200,0001,400,0001,600,000

229,955 354,652 366,354 426,666 502,018

16%24% 25% 29%

0%10%20%30%

0200,000400,000600,000

Jan Feb Mar Apr May Jun JulTotal Children Total Children weighed Weighing Efficiency

WAY FORWARD TO SCALE 32 DISTRICTS Promote CAS as Job-Aid Preparedness (Sector Aligning / 11 digit

codes) Planning Procure in time Procure in time Quality in training Encourage to have correct data Use data/dashboard for supportive

supervision

िबहार ने ही देश को CAS िदया है! हम यहां सफलता का दशन करना ही चािहए|THANKS