ICTPH Pre – Clinic Launch Enrolment Process: Deploying a Mobile
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1. 4 Data quality Data quality was maintained by the continuous matching of a sample of the enrolment data with the audit data The results of the data audit were very reassuring Conclusion In this paper we have set out the entire end to end pre clinic launch enrolment process whereby the demographic details and the GPS coordinates of all the households in the catchment area are collected using Android mobile phones The entire enrolment exercise was completed in less than 15 days with fairly good quality capturing information on about 3000 households consisting of nearly 13000 individuals This experience proved to be repeatable when we replicated this activity at another pilot Alakudi in less than 10 days for nearly half the cost Rs 10 per household enrolled in Alakudi as opposed to Rs 20 at Andipatti The data collected from the exercise was fed into the HMIS before the RMHC operations began and the usage of ID cards immediately proved an improvement over the earlier method of identification based on name search The systematic enrolment process also served as a good marketing exercise since it reached every household in the catchment Das amp Rajanna July 2011 Page 15 of 16 at KP 7 CENTRE FOR TECHNOLOGIE IN PUBLIC HEALTI ICTPH Mobile Enrolment Exercise Bibliography Government of India Census Census Terms http censusindia gov in Data Products Library Indian perceptive link Census Terms link cens u2. Das amp Rajanna July 2011 Page 3 of 5 ANNEXURE 3 HMIS Dashboards for Monitoring Figure 4 4 On previous page Tracking the progress of enrolment agents on the map gives feedback on the adherence to plan This figure tracks the progress of one of the surveyors over three days This information is useful in optimizing the area allocation and to determine direction of surveys Burn down chart Chelampatti Poindarkottai Veeradivadi Karkadipatti Mudallipatti Uppundarpatti Andipatti Ayyampatti Kottaitheru Keela Street Pachiyur Thoppuviduthi 5 x D c g l lt Pilavadi Street Sepperithoppu Ammayampatti Kurunthan Street Kuruman Street Silampan Palangondar Theru Figure 3 5 It was important for the dashboard to indicate the progress for each of the villages in the catchment to determine optimal allocation of resources over geographies The blue lines in this chart indicate the approximate number of households as estimated by the state census 2001 and the green indicates the actual number of households enrolled Progress against plan 2011 03 25 4 2011 03 264 C 2011 03 27 4 o 8 a Pel Es 8 5 5 S Es 2011 03 28 2011 02 29 2011 02 30 2011 02 31 2011 04 01 2011 04 02 2011 04 03 2011 04 04 2011 04 05 2011 04 06 2011 04 07 2011 04 08 2011 04 09 2011 04 10 2011 04 11 2011 04 12 2011 04 13 2011 04 14 Das 8 Rajanna July 2011 Page 4 of 5 VAN AL ANNEXUR
3. TECHNOLOGIE IN PUBLIC HEALTH AWG No CENTRE FOR ICTPH Pre Clinic Launch Enrolment Process Deploying a Mobile Phone based Data Collection Tool in Rural Tamil Nadu Sabyasachi Das Deepak Rajanna A R Selva Swetha IKP Centre for Technologies in Public Health ICTPH Tamil Nadu India www ictph org in 7 CENTRE FOR TECHNOLOGIES IN PUBLIC HEALTH ICTPH Mobile Enrolment Exercise Introduction IKP Centre for Technologies in Public Health ICTPH 2011 is a not for profit research organisation with its mission to design inclusive health systems for remote rural populations ensuring accessibility and affordability With its on ground partner SughaVazhvu SughaVazhvu 2011 ICTPH is piloting a technology enabled comprehensive primary healthcare delivery model in rural Thanjavur in Tamil Nadu Each of our pilots referred to as a Rural Micro Health Centre RMHC caters to a catchment population of about 10 000 people in a radius of 3 4 km There is the need for an enrolment process preceding the launch of an RMHC for the identification and tracking of the population served This paper details the pre launch enrolment exercise where local staff recruited temporarily distributed a unique household ID card to every household in the identified catchment and collected demographic information such as the name age and gender of each family member and the lat long co ordinates of the household using a smart
4. Household ID 5 a2 2 3 t gt Picture 5 5 Soft ga i OA EB 2983 Ess js Ss Vly a Zee EEFE e5 2 GE ei E DO a 82 yes rt 3 So 25 deed Pedo 335 o RS 58 3335 883 lis pp SL 88 AAi seg G2 3 5d 3 DES ni 2 Figure 1 Household ID Card Format The ID card consists of three parts 1 Household ID Is a running 4 digit number randomly allocated to households at the time of the enrolment process Since an RMHC caters to a population of about 3000 households a 4 digit number suffices 2 Barcode The household number is also encoded as a barcode on the ID card The symbology used was code 128 A because it was found to be optimal for use with a low resolution camera that comes installed in mobile devices 3 Picture All the textual information contained in the ID card was saved as a picture in order to preserve formatting during the printing process The ID card contains the address of the RMHC and also mentions the services offered there 5 Audit Design Daily audits would be made to ensure quality of data collected by the enrolment officers A printed sheet would be given to the field supervisors every day which consisted of audit parameters of data collected the previous day These households for audit were picked either Das amp Rajanna July 2011 Page 5 of 16 ICTPH Mobile Enrolment Exercise randomly with a back end platform or using the GPS maps in case of any discrepancy in the map Enroiments for 08
5. A Attend all the training organized by SughaVazhvu B Enroll all households in his her village as specified by SughaVazhvu as his her area of field operations C Attend weekly update review meetings at the RMHC Andipatti to be conducted by the SughaVazhvu D Shall use the mobile phone strictly for Official purposes and NOT for personal use E Shall carefully handle the recording tools while enrolling households in his her village Theft or damage of which shall be borne by the SughaVazhvu Enrolment Officer by paying a fine of Rs 2000 F Return the Samsung Galaxy Pop S 5570 and instruction manual provided by SughaVazhu within two days on the completion of the project G Provide community individual feedback consolidating field visit experience H Abide strictly by the code of conduct of SughaVazhvu as communicated through policy circulars from time to time I Abide by the uniform code of SughaVazhvu while performing SughaVazhvu related obligations duties Article 6 The Enrollment Officers will be paid according to the following two wage brackets 1 2 Rs 15 per enrollment for 10 15 enrollments per calendar day Rs 20 per enrollment for over 16 enrollments per calendar day Conditions 1 Enrollment officers are eligible for payment only upon completion of 10 enrollments per day 2 Payment is also subjective to minimum quality requirements which is at the discretion of the Field Supervisors Das amp Ra
6. ANNEXURE 5 Enrolment Kit Enrollment Kit Mobile Checklist This check should be done before handing over the phones to EOs Following items are the part of this check list Correct ODK form is downloaded on Samsung phones 2 Each phone should have a Form specific to an EO though all forms are replication of each other except the form name 3 Barcode scanner software is downloaded in all phones from the Android Market 4 Make sure that all phones has gone through at least 2 entries without any problem 5 Make sure all the phones carries a GPRS activated Airtel SIM card 6 Field Supervisors name is stored and all the other names are deleted 7 Make sure GPS works 8 Delete all other apps if it is not required like GPS tracker etc 9 Change the Setting to a Battery Saving mode 10 Make sure WiFi is on when they come to the RMHC for manual data fetching 11 WiFi should be switched off in the field as it exhausts battery 12 GPRS setting should have been configured 13 Gmail account for WiFi Enrolment Kit This is a set of products that an Eenrolment Officer should carry while going to the HH for Enrolment Items should fit into a bag specially designed for Enrolment The Enrolment Kit will also includes a specially designed Jacket for all Enrolment officers and a Cap with SughaVazhvu logo The following things will be part of the Enrolment Kit 1 Enrolment Bag 2 30ID cards while starting the day will be provided by the
7. Press this button to record location ofthe HH Ca 1450 Wait till the phone scans for the location This might take as long as 5 minutes DO NOT SKIP THIS STEP eu Sd 1452 ODK Collect gt AndipattiEnroliment DS CI 1452 Capture the GPS location Wait till the phone automatically captures i Loading Location the location Please step outside the house before doing this The Accuracy should show lt 20 0m If NOT NOTE Press Record x Accuracy is 12 0 meters u Location only ifthe Accuracy is lt 20 meters after waiting for 5 Record Do Not Record i 8 a l N Se minutes Replace Location then press the Replace Location and follow Latitude N 10 46 4 esamesich as 2a Longitude E 79 8 4 26 27 Altitude 5 7 Accuracy 4 0m all A RTC 1453 ODK Collect gt AndipattiEnroliment You have reached the end of AndipattiEnrollment 1 press Mark Data as Finished 2nd press Save Data And Exit Az gt ICT 1454 ODK Collect gt Main Menu ODK Collect v1 1 5 Magnifying human resources with technology Start New Form 1 Continue Saved Form 2 Press Send Finish Data to access the record of the last HH entered by you Az SR uC 1454 ODK Collect gt Send Finished Data AndipattiEnrollment Data Finished on Fri Mar 18 2011 at 12 53 AndipattjEnrollment Data J Finished on Mar 18 2011 a
8. 04 2011 by agent 10 Door number Street Vilage Auda Status r t 34 North Street Pachiyur 5 Mark for aut North Street Pachiyur Mark for auat Nonn Street Pachiyur Mark for audit North Street Pachiyus 6 Mark for audit 1 North Steet Pachiyur Mark for audit North Street Pachiyur Mark for auat North Street Pachiyur Mark for auat J f North Street Pachiyur Mark for auat North Street Pachiyur Mark for suat North Street Pachiyur Mark for suat 1 North Street Pachiyur Mark for suat 131A of North Street Pachiyur Mark for suat North Street Pachiyur Mark for aut Respondent S23 ae SS SS EE 2 FER el PER a North Steet Pachiyur I Mark for audit North Street Pachiyur Mark for aut Figure 2 Daily Enrolments by Agent with a provision to mark for Audit The Audit Questionnaire is contained in Annexure 2 6 Monitoring and Evaluation Design Monitoring and evaluation are integral to ensuring the accuracy and reliability of the data and were done in the following ways GPS maps Daily check on the GPS map allows monitoring of the entries real time Each enrolment officer would be marked separately on the map to monitor any overlaps in allocated area overcrowding of GPS tags from one location or a household etc Audit results The audit results would allow us to give constructive feedback to the enrolment officers both on the quality of the data and other subject
9. Field Supervisors in the morning 9 30 am and the unused cards will be taken back in the evening 5 30 pm 3 Samsung Galaxy Pop phone with correct setting and ODK apps This will be provided by the Field Supervisor every morning after completely recharging them at the RMHC the previous night The phones will be returned to the Field Supervisors in the evening and the field supervisors will make sure that the phones are in good condition 4 Age to Date of Birth chart laminated which will be used in case the HH Respondent does not know HH member s exact DOB but knows his her age Given below 5 Samsung ODK User Manual will be provided which will be used as a reference document by the EO Given below 6 Visit Protocol chart will also be a part of the Enrolment Kit which the EOs should be well versed with Given below 7 SughaVazhvu pamphlet will be given to the HH Respondent The User Manual and the Enrollment Protocol chart will be given to them 3 days in advance so that they can memorize the steps before starting The Field Supervisors will do an overall check every day to make sure the EOs carries a complete Enrollment Kit before starting their day Das amp Rajanna July 2011 Page 1 of 4 ANNEXURE 5 Enrolment Kit Ci 4 a le Es fe fe 5 6 m IN PUBLIC HEALT Age and Date of birth chart Das amp Rajanna July 2011 Page 2 of 4 ANNEXURE 5 Enrolment Kit Birth Year 100 1011 192 10
10. We had no satellite map of Andipatti available to us and this threw the challenge of identifying the villages and population patches in the catchment area from limited resources Block Development Offices BDOs and Taluka Office have basic block level maps of village Panchayats in the block This is a good starting point to broadly decide on the villages that fall under the catchment area The next step was to create a detailed catchment area map by physically identifying all population patches within a 4 km radius area of the RMHC A tracking software http mytracks appspot com on an Android phone was used to draw route trails and locate points in all the population patches Small isolated patches of as small as 20 households size were also GPS mapped and named in this exercise Street Mapping Once a detailed population patch map was ready the next step was to identify all the streets in the various villages Identification of streets is a very important step in order to pre populate the list of street names in the ODK form and assign each to the respective village This eliminates the possibility of spelling errors and also reduces time spent in entering the address See http www indiadevelopmentblog com 2008 04 one small step closer to englightenment html for details of the system of local self government in India and its administrative boundaries Retrieved July 2011 Das amp Rajanna July 2011 Page 7 of 16 CENTR
11. of own server 2 Ease and elegance of form building X forms logic building grouping etc 3 No cap on the number of form submissions 4 Allows to capture a range of features like barcode GPS coordinates 5 Standardisation with Android touch screen phones 6 OpenSource The mobile phone selected for this exercise was the Samsung Galaxy Pop running Android v2 1 OS each costing about Rs 8500 A GPRS connection costing Rs 99 per month was enabled on each of the phones At the backend we used ODK s in built integration with Google Fusion Tables to aggregate all the information This was then linked to the database of ICTPH s home grown Health Management Information System HMIS Rajanna 2010 The specifics of ODK and the integration with the HMIS are detailed in a Technical Note presented in Annexure 1 Das amp Rajanna July 2011 Page 3 of 16 CENTRE FOR TECHNOLOGIES IN PUBLIC HEALTH ICTPH Mobile Enrolment Exercise 2 Defining Enrolment Parameters Through the Enrolment exercise 10 Enrolment Officers audited daily by 2 Field Supervisors covered over 3000 households in the catchment area It was essential to define the enrolment parameters prior to the Enrolment Household The unit of enrolment was the household Every household would receive a unique bar coded ID card For the purpose of enrolment we defined a household as distinct from a family We used the Government of India Census 1971 definition of
12. 13 97 10a 96 15 95 1916 sa 1017 93 1918 s2 1010 s1 1920 90 1924 8 1922 88 1923 87 1924 86 ss 84 83 82 81 BEN 7 EH 7 76 1935 75 1086 1925 1926 1927 1928 1929 1930 1931 1932 1933 N N E Birth Year 7a 1937 z 1938 72 1939 z 1940 7 1941 69 1942 68 1943 67 1944 66 1945 65 1946 6a 1947 63 1948 62 1000 61 1950 6o 1952 s9 1952 se 1053 57 1954 s6 1055 551 1956 sa 10577 53 108 52 1959 Bi 1960 so 1061 1961 1962 N N IN IN IN In In Jw w w Jo lw lw lw lw a p gt gt amp A In Io IS Jo Io JO N JW IP In Ion IN N w in N o ja m e m wlio V lo o zu UE OBS N Ww IN te leg 8 Wf 16 15 14 13 12 m IE isikie N N Je o o oO o m o r N IN JN N IN N IN s 5 8 5 es N Ww Das amp Rajanna July 2011 Page 3 of 4 ANNEXURE 5 Enrolment Kit SughaVazhvu pamphlet distributed at the end of each Household Enrolment SughaVazhvu Healthcare is a primary healthcare provider with a mission to provide affordable and accessible healthcare Located in Thanjavur district SughaVazhvu provides services of consultation drugs and diagnostics through its Rural Micro Health Centres RMHCs and a network of Doctors and Nurses CONSULTATION DIAGNOSTICS MEDICINES Protocolised care based on international guidel
13. 173 Ra a L Add the Door no or house no It can be both text and numbers ez CE RE 1437 ODK Collect gt AndipattiEnrollment Household Addres l II ESE Village Select the right village the HH located from J Andipatti K the list Athanangkot Ayyampatti J Chelampatti Cholapuram Kerkadipatti A x ZT 1438 ODK Collect gt AndipattiEnrollment Household Gm um Street J North Street South Street Keela Straet Mela Str Ayyampa Avikon Patti Select the right street name from the list ez gt CI 1438 ODK Collect gt AndipattiEnroliment CJ North Street South Street J Keela Street J Mela Street J Ayyampatti Avikon Patti Q Ot If the street name is not available in the list ONIY then press Other This vvill allovv you to enter a new street name Entire the spelling correctly Az F Bia 1438 nn Household A Street if och Enter the street name correctly ONLY if the street is not mentioned Bi LL in the street list A x MCh 1448 ODK Collect gt AndipattiEnroliment 7 Cd 1448 Individuals in the family 1 Name Muthu This is the 1 question m ofthe member group alw elr ely u iole al s a fis h ik az x c v b nimi 2123 T IE A After number of member you will be Add New Group asked to add member Add a new Individuals in the questions Press Add f Group to enter o
14. E 3 HMIS Dashboards for Monitoring SAM N H Figure 3 6 On previous page The initial estimate of this enrolment project is indicated by the grey line an estimated 2000 households were planned to be covered over a span of 22 days The red line indicates the actual enrolment numbers 3033 households were targeted over roughly 18 days including a pilot phase of 4 days in which only three in house enrolment agents covered nearly 200 households as indicated by the initial low gradient of the red line Das amp Rajanna July 2011 Page 5 0f5 r N N I a 2 B K 3 NX CENTRE FOR TECHNOLOGIES IN PUBLIC HEALTI VL a ANNEXURE 4 Recruitment and Training ZZ Interview and EO candidate screening Date 22 March 2011 Time 10 00 am to 6 00 pm Venue SughaVazhvu RMHC Andipatti Intervievver Sabyasachi Rathinam Alexander Expected no of Applicants 30 40 candidates Selection Phases Responsibility Duration Time Preliminary Interview Group A Group B 1 hour 10 00 Rathinam Alexander 11 00 Rathinam 1100 Induction 1 hour 12 00 Lunch Break Lunch will be provided to all candidates Training Group A Group B 14 00 Rathinam Alexander 2 hours 16 00 16 00 Exam and Final Selection Sabyasachi Rathinam Alexander 2 hours 18 00 The objective of the interview is to identify appropriate candidates for Andipatti Enrolment project A total of 13 candidates will be selected from a large pool of applicant for spot regi
15. E FORT TECHNOLOGIE IN PUBLIC HEALTH ICTPH Mobile Enrolment Exercise The street information was collected from different resources like village Panchayat offices village post offices and local resource persons These street names were verified by physically visiting the places A printed sheet was given to the field coordinators to capture basic village information Population size and area allocation Knowing the population of each village or population patch is important to allocate human resources to carry out the enrolment The size of the population was collected from Census 2001 register provided by the village offices of the Panchayat This information was used to identify unique clusters of households that would determine the number of enrolment officers Logical boundaries were drawn so that enrolment officers do not have overlaps in their allocated areas A geographical boundary in this context is defined any uninhabited patch like river road field etc which demarcates one allocated group of population with another In the case of Andipatti the villages where classified as either 1 EO per village usually 200 household size or 2 EOs per village usually 400 household size In case of 2 EOs per village size the village is demarcated by a geographical boundary as given below K x JETT DAs Pg 7 E a PE Es A cE 4 a ew a Es eT CE imagery 02011 DigitalGlobe GevEye Terms of Use Figure 4 The above gi
16. TE 1434 ODK Collect gt AndipattiEnrollment Scan the bar code on the card Ensure that the introduction is made to the household member Scan the bar code on the card Ensure that the introduction is made to the household member Touch the button Get Barcode Scan the Barcode on the Enrollment ID card Get Barcode Replace Barcode Capture the entire image of the Barcode through your mobile Keep trying before you see a green line followed the given screen ez SCI 1435 ODK Collect gt AndipattiEnrollment Verify card number Entire your ID manual from the ID card before handing over the ID card to the HH respondent Write the name of ONLY hH Respondent Refer to the definition of HH Au 2 i Ck 1436 Respondent in the Visit ODK Collect gt AndipattiEnroliment Protocol Swipe ONLY on the blannk space as shown by the arrow alwielaltlylulilo ri als eh ilk uz x Db nim a ce PZ ZEIT 1436 ODK Collect gt AndipattiEnrollment Press or for increasing or decreasing numbers in the calendar awe l Keep pressing the case of entering year for adults n A m Zul 1436 ODK Collect gt AndipattiEnroliment Gender of respondent O Mal Fem Other m A m T i C 1437 ODK Collect gt AndipattiEnroliment Household Address Door number alwlelr tylu io als alr gfelifel t zixl 4 2
17. a household as a group of persons who commonly live together and would take their meals from a common kitchen unless the exigencies of work prevented any of them from doing so There could be 2 or more socially connected groups cooking from different hearths but staying in the same house or boundaries in which case they are considered as 2 different households This approach allows the households to use the Household Enrolment ID card more effectively Household respondent In order that the data collected be accurate it is important to define clear criteria for a respondent A household respondent is defined as someone from the household who can represent all the household members To give it a more objective definition the following criteria were followed He she should be above the age of 18 e He she should be integral part of the household e He she should not be a guest Catchment area In order to lay out the scope of the Enrolment the catchment area was defined as population patches within a 4 km radius of the RMHC This area would normally be expected to have 10000 15000 individuals 3 Human Resource Design The surveyors were to be locally hired Enrolment Officers EOs from the catchment area They were commissioned for the duration of the enrolment project They were typically youth with a minimum of Higher Secondary Plus Two Level Education The EOs would report to Field Supervisors who were responsible for all tec
18. ce of multiple individuals by the same name in same hamlet Local names could be spelt in a variety of ways which often resulted in incomplete and incorrect search results The introduction of a phonetic search function though mitigated this problem to a certain extent was not completely error free and was still considerably time consuming Tracking a patient s episodes through time is essential to our model and these difficulties pressed the need for a system of unique identification of individuals 3 Community outreach activities Enabling our community outreach activities with accurate location information of our target populations Geo tagged information will also facilitate distance optimisation in the allocation of households to the Health Extension Worker maximising productivity Das amp Rajanna July 2011 Page 2 of 16 I AL P NOT ICTPH Mobile Enrolment Exercise EA CENTRE FOR TECHNOLOGIES IN PUBLIC HEALTH 4 Landscape epidemiology Building a strong landscape epidemiological database by accurately correlating geographies with disease determinants and studying care seeking behaviour and disease occurrence patterns in their geographical context At a population level this data provides valuable insights into the epidemiological statistics of the population being served which is crucial for a preventive promotive approach to healthcare The geo tagged information would enable the mapping of disease incidence in
19. ction solution e ODK Build provides a wizard for defining a form for including basic data validation and branching logic e ODK Collect is an application that runs on the mobile phone rendering the form and uploading data back to the server e ODK Aggregate is the server component that stores the form responses submitted through the mobile phones e ODK Validate is an offline tool that allows a user to validate manually generated Xforms X opk AGGREGATE Form Delete For Form Form Manager Name identifier Mn pettambnentzdt brid andtpatrinrellmentunde 130141742 screener ODK Build Form Template Form Data Xform Manually P ret den iaio ani Form Template Edited i ri TREE Xform Forms i Ds ODR Validate ODR Collect Figure 1 1 ODR consists of components for building forms Build rendering them on mobile phones Collect and storing the responses Aggregate Das 8 Rajanna July 2011 Page 1 of 2 ANNEXURE 1 Technical Note HMIS Integration Survey responses from multiple mobile phones are collated in the server component ODK Aggregate Aggregate is based on the Google AppEngine framework which includes a basic hosting service for free Aggregate comes with scripts as well as documentation that make it effortless to deploy Once deployed Aggregate allows for external data access through various modes such as integration with Google Fusion Tables Rhiza Insights and Goog
20. dating a larger community The goal was to successfully complete the entry of at least 120 HHs in 3 days time Kullar street HH 80 Kumbakoran Kollai HH 40 Figure 5 The diagram shows the Satellite map merged with GPS coordinates of different isolated population patches considered during the internal pilot The yellow circle indicates an area of radius 0 5 km 4 Roll Out We adopted a two phased approach to the Enrolment process in order to organically induct Field Supervisors on project management and technical trouble shooting In Phase 1 only a radius of 1 5 km from the RMHC was covered whereas in Phase 2 the remaining radius of 1 5 3km was covered Das amp Rajanna July 2011 Page 9 of 16 ICTPH Mobile Enrolment Exercise Veeradiwadi a pi 3 HH 2 Ayyampatti 4 HH 200 Adagnakottai Upindarpatti HH 200 Karkaripatti HH 400 Mudalipatti HH 200 Ys t Kumbakoran Kollai HH 40 i HM Vetrikadu HH 1000 Andipatti HH 200 P Ayanarpuram Vetrikadu HH Figure 6 The diagram shows the Satellite map merged with GPS coordinates of different population patches covered in the Phase 1 and 2 The yellow region indicates an area of radius 1 5 km covered in Phase 1 and the red region indicates the area covered during the Phase 2 Technical support and field supervision The field supervisors were responsible for providing technical support to the enrolment officers The EOs reported to th
21. ed to be given to the Parties hereunder shall be in writing and sent or transmitted by i registered or certified mail ii hand delivery Article 11 Dispute Resolution This MOU shall be subject and accordance with the laws of India The Parties to this MOU will attempt in good faith to negotiate a settlement to any claim or dispute between them arising out of or in connection with this contract In the event that such disputes claims suits and actions are not resolved to the mutual satisfaction of the Parties then the same will be finally decided in accordance with the Arbitration and Conciliation Act 1996 The venue for arbitration proceedings shall be Thanjavur All proceedings shall be conducted in Tamil Subject to the foregoing the Parties shall submit to the exclusive jurisdiction of the courts of Tamilnadu India in respect of any disputes or differences or claims arising between the parties Das amp Rajanna July 2011 Page 5 of 6 IU AL P NEE IN ANNEXURE 4 Recruitment and Training TAN This Memorandum of Understanding shall come into effect as of IN WITNESS WHEREOF both FIRST AND SECOND parties have caused this Memorandum of Understanding to be signed in their respective names as ofthe day and year mentioned above Signature of the Enrolment Officer Signature of Employer Name of Enrolment Officer Name ofthe Employer Das amp Rajanna July 2011 Page 6 of 6 ZT A N TECHNOLOGIES za IN PUBLIC HEALT 2 N i
22. em twice a day The first reporting would be at 9 30 am where the EOs would collect the charged mobile phones and ID cards and communication materials for the day The second reporting would be at 5 30 pm when the enrolment officers would hand over the phone to the field supervisors for manual Wi Fi fetching In case the data is not sent via GPRS As per our experience 20 of the total data required manual syncing data fetching and have them charged and ready for the next day Targets and compensation There is no existing benchmark as such for the compensation for this kind of role and varies highly depending on the geographies We looked at the NREGA National Rural Employment Guarantee Act rates of Rs 150 per day as a comparable standard and assumed a minimum of 10 household enrolments a day at the rate of Rs 15 per enrolment We incentivised the enrolment officers using 2 pay buckets 1 10 15 households would fetch Rs 15 per household enrolment 2 16 and more households would fetch Rs 20 per household enrolment 2 IR http nrega nic in netnrega home aspx Das amp Rajanna July 2011 Page 10 of 16 CENTRE FORT TECHNOLOGIES IN PUBLIC HEALTH ICTPH Mobile Enrolment Exercise The difference between the two buckets was incentive enough to motivate the enrolment officers to strive to be part of the second bucket Within a quick span of time the enrolment officers started completing an average of around 30 household enrolm
23. ents per day which earned them around Rs 450 per day on average Annexure 4 contains the MoU signed with the EOs containing terms and conditions related to minimum targets compensation hardware ownership reporting and training structure in order to bring transparency into the process Monitoring and evaluation GPS based feedback At the backend ODK was integrated with Google Fusion Tables so that all the data collected was monitored real time The dashboard captured the relative performance of each of the officers and also helped review the quality of the captured data Mapping the GPS coordinates collected by enrolment was a good way visually monitoring the enrolment process on a daily basis Mapping the enrolment information on to a real time map also ensured that no officers strayed outside their own allocated boundaries J Q Map Satellite Hybrid Terrain 9 igitaiGiobe GeoEye Terms of Use Figure 7 The green and blue markers represent two different enrolment officers who were allocated two sides of the same village Karrukkadipatti where the geographical separator is the main street GPS monitoring enabled identifying and rectifying the overlap immediately Risk Audit A small portion of the previous day s enrolments about 5 were selected for a daily audit that was performed by the field supervisors The audit questionnaire was designed to catch any falsification of data and also to ensure that the officers we
24. hnical support and field based troubleshooting The field supervisors were permanent staff of SughaVazhvu and also each played the role of an Enrolment Officer during the pilot enrolment conducted in the isolated villages A Normaliser would play the vital role of covering any remaining isolated population patches where EO allocation would not add any value because of the distance i e a normaliser would work in a hamlet of typically 10 150 households whereas an EO would cover an area of 150 250 households Unlike an EO who would serially enrol households throughout the day a normaliser would be expected to travel different geographies to cover all small patches Das amp Rajanna July 2011 Page 4 of 16 CENTRE FORT TECHNOLOGIE IN PUBLIC HEALT ICTPH Mobile Enrolment Exercise The Field Supervisors would also play the role of auditors for quality control It was their responsibility to administer an audit questionnaire to a sample population which would be compared with the data collected by the Enrolment Officers to audit the quality of the Enrolment exercise 4 Enrolment kit A kit was prepared to be sent with each enrolment officer This Enrolment Kit consisted of 1 Laminated printout of the Enrolment Protocol 2 Laminated printout of age and date of birth chart 3 Training manual 4 Specially designed jacket and bag 5 Samsung Galaxy pop mobile phone 6 Bar coded ID cards UN LL ALL ULL LLULL MaGue 9 9 9 0
25. ines Respiratory Infections Diabetes ats Stomach Infections Skin Ailments Many more Diagnostics Complete Blood Count CBC FE Blood Glucose Fe Urea amp Uric Acid Creatinine Lipid Profile Liver Function Test i Malaria Test i gt Pregnancy Test FEvrine Test i Vision Testing Cataract Management FE Basic Oral Hygiene Annual Family Health Checkup establishing age specific health needs by screening for health conditions such as hypertension diabetes obesity presence of acute and chronic conditions nicotine dependence hazardous drinking and visual acuity 10 to 18 years 2 to 10 years SughaVazhvu is creating a comprehensive data set for all members residing in the villages in and around Andipatti Through this we aim to continuously track the wellness of all members helping us deliver quality healthcare Please bring the SughaVazhvu ID Card on your visit to the RMHC SughaVazhvu Healthcare 493 1 Main Road Andipatti Karkattipatti Post Thanjavur 614902 Telephone 04372 244373 Das amp Rajanna July 2011 Page 4 of 4 Locate HH ina series 5 8 minutes VisitHH and Identify the HH Respondent Explain about SughaVazhvu and enrollment process 3 5 minutes Respond to their doubts and have HH s verbal consent in the enrollment Hand over the HH ID card to the HH Respondentafter Barcode is scanned Start asking question and enter it on your Samsung phones as instructed in the U
26. ive parameters Real time fetching Real time fetching of data to our server allows monitoring performance of the EOs against their individual targets As part of the data collection exercise we realised the need for tracking the progress real time and for monitoring the quality of data being sent up to the servers A dedicated dashboard was built in the HMIS to track the data collection Das amp Rajanna July 2011 Page 6 of 16 CENTRE FORT TECHNOLOGIE IN PUBLIC HEALT ICTPH Mobile Enrolment Exercise aA i Z z Mobile Data Collection Dashboard Message Agent wise collection statistics Collection Statistics Village wise completion statistics Agent enrolment count table Aggregated date wise collection statistics Agent code dul v Bateuwise statsfonagent Date and Time Analysis Time of day completion statistics Agent code jal v Uimeice stats foragent Progress against plan Agentcode 2 _ v Synchronize data for agent Administration Agent codel dj 7 Select data for audit Card number Edit Enrolment Pending audits Household data file Browse Synchronization Individual data file Browse Figure 3 A dedicated dashboard was built into the HMIS to enable the project manager to detect any process flaws and correct them quickly Annexure 3 shows the various modes of feedback that the dashboard was designed to provide PROCESS FLOW 1 Catchment mapping
27. janna July 2011 Page 4 of 6 IKP TECHNOLOGIES IN PUBLIC HEALTI N hig N ZN ZN ANNEXURE 4 Recruitment and Training Article 7 The data collected via Samsung Galaxy Pop S 5570 would explicitly belong only to Sughavazhu Health Care Article 8 Modification and Termination A This MoU may be modified or terminated at any time Either party may terminate this MoU with two days prior notice in writing to the other party provided that the party s duty to fulfill its obligations incurred prior to termination shall survive termination of this MoU B The MoU may be terminated by either party in the event the performance of the obligations under this MOU Article 9 Effect of Termination A Neither Party will represent the other Party in any of its dealings and neither Party shall intentionally or otherwise commit any act s as would lead a third party to believe that the other Party still has a permanent relationship with the former Party B Each Party shall stop using the other Party s name trade mark etc in any audio or visual form Neither Party will be eligible to claim any amount of loss or compensation for the termination of this MOU provided that such termination is effected in accordance with the provisions of these presents C Upon termination the SughaVazhvu Enrolment Officer shall return all recording tools as provided to her as per Article 4 Article 10 Notice Any notice required or permitt
28. know Yes No Don t Check if the EO was friendly Drop down know Das amp Rajanna July 2011 Page 10f 1 ANNEXURE 3 HMIS Dashboards for Monitoring Mobile Data Collection Dashboard Figures 3 1 to 3 6 show the various modes of feedback that the dashboard was designed to provide SS SSS SSS a Date wise Counts for agent 4 60 55 50 45 40 35 30 25 20 15 10 5 0 2011 03 24 2011 03 28 2011 03 29 2011 03 30 2011 03 31 2011 04 01 2011 04 02 2011 04 05 2011 04 07 2011 04 08 2011 04 09 2011 04 11 2011 04 12 Figure 3 1 A day wise breakup of enrolments count allows the project manager to track daily output Time of day Counts for agent 6 alla EA FR NOTMOONMDOD Or Te Tete See ee Py ee NO XL Figure 3 2 A report of enrolments done during various times of the day indicate if there vvere any stoppages or reduced throughputs at any particular time Das 8 Rajanna July 2011 Page 1of5 ANNEXURE 3 HMIS Dashboards for Monitoring Agent wise Counts Figure 3 3 Agent wise counts of enrolments were important to deliver targeted feedback to the surveyors to ensure that expected targets were continuously achieved gj c GeoEye Terms of Use Figure 3 4 Mapping enrolments over a map also indicated whether agents were crossing allocated boundaries and also to ensure comprehensive coverage in the catchment areas Das amp Rajanna July 2011 Page 2 of 5
29. le SpreadSheets We chose Google Fusion Tables for the backend integration because of its support for graphical visualization and well documented programming APIs Once the enrollment agents start filling the surveys and sending them to ODK Aggregate the responses are also automatically pushed into Fusion Tables in a tabular form that allows for instant visualization filtering and basic error checking Using the programming interface the ICTPH Health Management Information System HMIS access this data using the programmer interface and populates its own databases Auto sync Manually initiated pull ODK Collect running On Android Phones Figure 1 2 Google Fusion Tables was used as an intermediary between ODK Aggregate and HMIS because of its well documented programming interface Das amp Rajanna July 2011 Page 2 of 2 C IKP ANNEXURE 2 Audit Questionnaire SN ote Final Risk Audit on ODK Screen display Type Options Auditor no Drop down 1 2 Yes No Don t Check if anyone visited HH from Sughavazhvu Drop down know Check if HH recieved a ID card if yes could look Yes No Don t at it Drop down know Bar code Scan the bar code scan Yes No Don t Check if respondent matches the criteria Drop down know Yes No Don t Check if the address is correct Drop down know Capture no of family members Numeric Yes No Don t Check if the EO explained about SughaVazhvu Drop down
30. phone running Android OS and a data collection tool called ODK Collect The Context To understand the context of the enrolment process it is important to understand the ICTPH Health Systems Model Johar 2010 where the RMHCs anchor multiple functions focussed on the wellness of the community Crucial to this approach comprising preventive screening curative and community and clinic based intervention components is the knowledge of the communities it works in Provisioning customised services to the rural population encompasses multiple complexities and essential for the work at hand is a clear demographic understanding of the target geography The problems the mobile enrolment exercise tries to solve are 1 Mapping of population served Accurately mapping the households in the catchment and understanding their geographical distribution in relation to the RMHC 2 Accurate identification and trackability Identifying the patient and her household when she visits the RMHC seeking care so that electronic health records are mapped to the right individual Previously creation of the household database was based on some data on the catchment area captured manually as a one time exercise This served as the seed data from which our database would organically grow However we encountered difficulty not the least in searching for and correctly identifying the individual on the database given the lack of standardisation of addresses and the existen
31. ps understand the effect of distance on patient traffic Figure 9 The map on the top shows all the households mapped in the Andipatti enrolment exercise and the one below shows all of those households that have made at least one visit to the RMHC 51 of the 102 households we mapped in Andipatti village which is 50 had sought our services in the first month of the clinic s operations As we go further out Mudalipatti and Athanangkottai are at 30 and 20 respectively On the other end of the spectrum are Chellampatti and Pachiyur both of which are far out on the north west corner of the visible map no one from the 250 odd households we registered had come to our RMHC Das amp Rajanna July 2011 Page 13 of 16 CENTRE FORT TECHNOLOGIE IN PUBLIC HEALT ICTPH Mobile Enrolment Exercise Progress mapping Progress aga nst plan 3 200 9 9 P 3 000 2 900 Du 3 700 2 600 8 days 2 500 lt gt No of households y 8 3 5 i 2 Q 200 E OAA N 9 EEIELTLTETETSLILIIITILTTET 8 ENE 2 amp o amp SH amp 3 RQ dd lG QS EU QP SS SIS QS 9 e e e e e e e e e e e e e E er rer E A E o d Er FS TS FE FE SF SF SF TS SFE SFE SF Or SF TS TS SFE Tr Tl SG gt oo o oo oo o 2 88 2 8 O O 2 2 8 2 232 8 8 o Do o G ENNEN ON ON NN ON ON EN ON ON ON N ON N N N EN ENG Timeline Figure 10 The graph of the actual progress of the Enrolment Project against the expected progress The Enrolment e
32. re courteous Das amp Rajanna July 2011 Page 11 of 16 ICTPH Mobile Enrolment Exercise Weekly feedback and Payouts The enrolment officers were given weekly feedback sharing the result of the enrolment done during the week Sharing of GPS maps of the household enrolled targets and enrolment progress weekly consolidation of the audit results etc would be a part of the feedback session A graphical representation of the comparison between different enrolment officers in the payout sheet built a culture of healthy competition both in terms of quantity and quality of the data collection Annexure 6 OUTCOMES AND PROJECT EVALUATION Andipatti Summary w 4000 3500 3000 2500 2000 un 1500 Population 1000 _ 500 i E _ lt 2 2 10 10 19 19 30 30 50 50 70 70 90 gt 90 Age Range Population Figure 8 An Age breakdown of the enrolled Andipatti population Total number of individuals in the catchment area 12 435 Males 6196 Females 6218 Such demographic information would enable us in targeting our specific interventions at the relevant sub population Cardio Vascular Disease Intervention age range 35 64 4 206 Sprinkles Infant Nutritional Supplementation infants 0 24 months 403 Cervical Cancer Females in the age range 30 50 yrs 1 833 Das amp Rajanna July 2011 Page 12 of 16 TECHNOLOGIES IN PUBLIC HEALTH ICTPH Mobile Enrolment Exercise The GPS data collected during enrolment also hel
33. round A Whereas SughaVazhvu is in the field of managing a network of Rural Micro Health Centers RMHCs in remote rural villages facilitating primary healthcare to rural populations along with referral services with the mission of improving the health and wellbeing of the populations that it seeks to serve B Whereas SughaVazhvu Enrolment Officer has expressed his her interest and keenness to provide temporary services to enroll households and create a data set of all members residing in his her village Article 2 Objective The objective of this MOU is to provide an opportunity to every suitable individual with temporary employment to enroll households in his her village in close collaboration with SughaVazhvu Article 3 Terms of MoU A The MoU expires after the date of effect as stated in the first paragraph of the MOU Article 4 Terms agreed by SughaVazhvu Das amp Rajanna July 2011 Page 3 of 6 ANNEXURE 4 Recruitment and Training ar SIN ane A me Provide initial to the SughaVazhvu Enrolment Officer for enrolling household in his her village Provide Samsung Galaxy Pop S5570 as a data recording tool Provide Instruction manual to assist in enrolling households Provide supervision while enrolling households Provide SughaVazhvu Enrolment Officer Uniform required to be used by the SughaVazhvu Enrolment Officer while performing his her obligations Article 5 Terms agreed by SughaVazhvu Enrolment Officer
34. rovision CONOaARWh a Training and Mock Practice Training will be provided on the following subjects Visit Enrolment Protocol Communication to the Household about SughaVazhvu Mobile usage technical support Mobile usage Practical Reporting protocol to Fields Supervisors OUS OO Exam and Final Selection 3 successful entries of HH dummy using ODK Samsung apps are required The candidates will be divided into 2 groups One will play a role of an EO and another group as HH Respondent The entire process and candidates conduct will be observed by the interviewer during this mock practice and scored accordingly Das amp Rajanna July 2011 Page 2 of 6 aI KP e zZ N a N i ANNEXURE 4 Recruitment and Training Agreement between SughaVazhvu Healthcare and Enrollment Officer This MOU is entered into on 23th March 2011 BETWEEN SughaVazhvu Healthcare Private Limited a company incorporated under the Companies Act 1956 and having its registered office at A2 L P Amsavalli Illam 7th Cross Street Arula Nanda Nagar Thanjavur Tamil Nadu 613007 hereinafter referred to as SughaVazhvu which expression shall whenever the context so admits includes its authorized assigns and successors in title of the FIRST PART AND Hereinafter referred to as SughaVazhvu Enrolment Officer which expression shall whenever the context so admits include its authorized assigns and successors in title of the SECOND PART Article 1 Backg
35. ser Manual 8 12 minutes 4 Once the question is complete Except the GPS data say Thanks and leave the house Capture the GPS co ordinates max 3 meter away I from the HH door vvith atleast 20 m accuracy 1 5 minutes Submit the form to the server as per the ODK Samsung User Manual 1 minutes ODK SAMSUNG ANDROID V2 2 USER MANUAL ANDIPATTI ENROLLMENT PROJECT MARCH APRIL 2011 This User Manual should be carried along everyday during the Enrollment Process E ul 1341 gt 2 Maps Samsung Task Calculator Apps manage EE sd Voice EpiSurveyc ODK Gps le recorde Press the IKON called ODX Collect 1 By CA 13 43 ODK Collect gt Main Menu ODK Collect v1 1 5 Magnifying human resources with technology Press this button to get access to the Enrollment form Start New prm 1 Send Finished Data 1 Manage Forms And Data ZEN 1432 ODK Collect gt Start New Form AndipattiEnrg ment Form Added on Fri Mar 011 at 12 02 Press the form name to open the form A x GET ul 1432 ODK Collect gt AndipattiEnroliment AndipattiEnrollment has been selected To navigate swipe your finger horizontally on the screen as if turning pages in a book Press the Menu button for more choices ca Swipe your fingers as marked by the arrow to go to the next question 6 i Cd 1433 ODK Collect gt AndipattiEnrollment e x F EN
36. sterms html Retrieved July 2011 Google AppEngine http code google com appengine Retrieved July 2011 Google Fusion Tables http www google com fusiontables public tour index html Retrieved July 2011 ICTPH http www ictph org in Retrieved July 2011 Johar Z 2010 ICTPH Health System Approach Retrieved July 2011 from ICTPH www ictph org in downloads ICTPH Health Systems Note Johar 26 10 10 pdf Johar Z 2011 ICTPH Population based Individual Screening Protocol Retrieved March 15 2011 from http www ictph org in downloads ICTPH 20Population 20based 20Individual 20Screening 20Protocol pdf Open Data Kit http opendatakit org Retrieved July 2011 Rajanna D 2011 Health Management Information Systems A Technical Note Retrieved July 2011 from ICTPH www ictph org in downloads HMIS TechnicalNote pdf Rhiza Labs http rhiza com Retrieved July 2011 SughaVazhvu Healthcare http www sughavazhvu co in Retrieved July 2011 XForms http www w3 org TR xforms11 Retrieved July 2011 Das amp Rajanna July 2011 Page 16 of 16 N CENTRE FORT TECHNOLOGIE IN PUBLIC HEALT ANNEXURE 1 Technical Note Data Collection Technical Note Open Data Kit Open Data Kit ODK is an open source platform for mobile data collection that provides a standard way of defining and rendering forms using the XForms specification Four separate components from the ODK suite come together to form a data colle
37. stration candidates application form will be complete The screening process is divided into 4 phase as following Preliminary Interview This is a short face to face interview with the candidate where scoring will be given as follows Marks on Checks Question 10 Weightage Scores Confidence level of the Do you think you can learn to use our candidate mobile application within a day 10 5 50 Communication skills of the candidates What kind of work you like to do 10 8 80 Proficiency in reading Ask the candidate to write his and his and father s name What is the meaning of brother in writing English law daughter in law etc 10 8 80 His HH location and distance Ask him where he stays and match it of our catchment village with our Map 10 6 60 His interest level to do this Enrollment What do you know about SughaVazhvu so far 10 8 80 lt 10th 4 10th 5 10 2 6 Diploma 7 graduation 8 Education level masters 9 10 5 50 100 The above table is only a sample scoring sheet Das amp Rajanna July 2011 Page 1 of 6 lt NZ wv tua ener ANNEXURE 4 Recruitment and Training SM KAIKE 5 Induction The induction will involve Introduction to SughaVazhvu Objective of the Enrollment What are the expectation from an Enrollment Officer EO Duration and minimum daily targets Compensation for correct and complete entry Certification Reporting structure in brief Important dates Selection parameters MoU and waiting list p
38. t 14 53 1 click all the completed records in the list 21d press Send Selected gt Sending Data Sending 1 of 1 item s Once the record is successfully sent then start the same process from Step 1 to 32 for the next HH Do NOT press Cancel ANNEXURE 6 Weekly Payouts Weekly Payout Sheet for compensating Enrolment Officers ang 4 de SughaVazhvu Health Care Private Limited Cr dal za ol sl ss _ ob ol sab 3160 of _0 3600 Td PT ol al of 20 al axl asl ars soo sol aso 20 3500 Households 300 261 250 08 200 180 US 150 R 1 100 6 66 if so a Mouwenokt A El Em p N gt 5 gt m EHEN FE TF ff 9 F s a RS RN Regd Off A2 LP Amsavalli illam 7 Cross Street Arulananda Nagar Thanjavur 613 007 Das amp Rajanna July 2011 Page 1of1
39. the catchment area identification key drivers and trends the local aetiology of vector borne infections and targeting community based interventions based on this For example high incidence of diarrhoea in a certain geography might call for the implementation of a water quality intervention The Enrolment Process Launching a new RMHC at Andipatti village Thanjavur district the solution consisted of recruiting temporary local staff to perform an enrolment exercise that included distributing a household ID card to over 3000 households in the identified catchment and collecting information such as name age and gender of each of the family members and the GPS co ordinates of the household using a smart phone The complete Enrolment process is laid out in this paper beginning with the preparation tool selection mapping of the catchment area recruitment and training of personnel roll out execution monitoring auditing and the evaluation of the project PREPARATION 1 Technology Platform In designing the enrolment project it was important to have in mind the alignment of the other processes The enrolment data was to act as the seed data for other processes such the Population based Individual Screening Protocol Johar 2011 clinic visits follow up visits etc A range of technology platforms were evaluated before deciding upon Open Data Kit ODR ODK presented us with the following advantages 1 Allows the setting up
40. ther member s details ps gt Ce 1449 ez E Am TE 14 49 ODK Collect gt AndipattiEnrollment ODK Collect gt AndipattiEnroliment Individuals in the family 1 Date ofbirth This is the 2 4 question a of the member group Enter date as instructed in step no 9 ilii Individuals in the family 1 Gender This is the 3rd question Female of the member group Male Other all A ms nld ODK Collect gt AndipattiEnroliment Relation to respondent Brother 14 49 Brother in law This is the last question of the member group uC 14 49 i And One More Group Add another Individuals in the family group NOTE if all the family members has been entered then press Do Not Add NOTE By mistake if you have pressed Add Group then type D Next Next Next and then press Do Not Add P D gt Eu ODK Collect gt AndipattiEnrollment Phone or Mobile number Enter the mobile or land line number A s IT 1450 ODK Collect gt AndipattiEnroliment Phone or Mobile number 9940081391 alll Dognnan oa i El In case the household does not have a phone then ask for any other contact person s phone number and enter it This portion is done soon after you finish the interaction with HH respondent Say Thanks and come out ofthe house into a open space not more than 3 meters away from the HH door
41. ven Google map shows a sample village Pachiyur from the Andipatti Enrolment project where geographically demarcated areas are marked in different coloured dots The green dots represent GPS coordinates of households captured by one particular EO whereas blue dots represent another EO In this case the road dividing the village into two halves acts as an ideal geographical boundary 2 Recruitment and training Using ads in local newspapers and announcements in the village we recruited 10 enrolment officers Since many of the enrolment officers were not used to smart phones we trained them on using the new devices by performing supervised mock enrolments with each other The training Das amp Rajanna July 2011 Page 8 of 16 ICTPH Mobile Enrolment Exercise also included soft skills orientation in order to ensure uniformity in the messaging when the officer communicates with the catchment population The Recruitment and Training is given in detail in Annexure 4 3 Testing The entire enrolment comprised of 3 phases Pilot Phases amp Il The first was an internal pilot where future Field Supervisors played the role of Enrolment Officers where they got to know the entire process to enable them to supervise the Enrolment Officers better This pilot covered only small isolated population patches each of population of about 44 households were covered Isolated population patches were chosen to get operational insights without intimi
42. xercise was completed about half the expected time Project Evaluation Parameters While designing the project the evaluation parameters were defined in order to track progress and evaluate the project in its dynamic states Some of the important evaluation parameters are discussed below 1 Timely completion Since enrolment precedes the clinic launch and thereafter the other health interventions completing it within a rigid timeframe is important A progress plan chart was prepared against which we could track the timelines 2 Human resource utilisation Working in rural India human resource is a challenge This project tried to leverage local resource that also brings with it understanding and familiarity of the geography and also helps cultivate trust amongst the local community Local personnel were selected as Field Supervisors from within the organization that went through a one day project management and training session Das amp Rajanna July 2011 Page 14 of 16 y CENTRE FORI 7 TECHNOLOGIES IN PUBLIC HEALTI ICTPH Mobile Enrolment Exercise STAA 3 Project cost Unit Total CAPEX cost No cost Mobile phones 8500 11 93500 Bags 120 11 1320 Jackets 450 8 3600 Prints 350 11 3850 102270 Unit Total OPEX Cost No Cost Salary for EO 20 3000 60000 Salary of Field Supervisors 3667 3 11000 Bike rent 2000 1 2000 Travel cost and food 1000 3 3000 76000
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