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Business Requirements Document (BRD)

Contents

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Introduction

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Document Purpose

The purpose of this document is to outline additional draft enhancements. These enhancements aim to improve user experience and ensure data accuracy.

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About Piramal Swasthya

Piramal Swasthya Management and Research Institute (PSMRI), an initiative under the aegis of Piramal Foundation. Is one of the largest not-for-profit organizations in India. Piramal Swasthya is contributing with its experience and expertise of building innovative solutions that impact at scale.
Piramal Swasthya is focused on bridging the public healthcare gaps by supplementing and complementing the Government of India's vision to meet Universal Health Coverage. In the primary public healthcare space with a focus on Maternal, Child and Adolescent Health and Non-communicable Diseases. Piramal Swasthya has more than a decade-long experience in operating several healthcare innovations at scale, which are addressing the primary healthcare needs of the most underserved and marginalized populations across India. Piramal Swasthya is operational in 21 States in India through 35 innovative public healthcare delivery programs and has served more than 112 million beneficiaries so far.
One such innovation is AMRIT (Accessible Medical Records via Integrated Technologies) which is a digital health platform developed by Piramal Swasthya that stores electronic health records of beneficiaries for the use of public primary healthcare service delivery and decision-making. The platform enables the connection between beneficiaries, health facilities, and frontline workers in an integrated ecosystem through technology.
Services and features under AMRIT Platform:
HWC Application: A comprehensive application with 12 Service packages.
MMU Application: Offline and Online Application to support operations in outreach programs.
HIHL Application: Helpline CRM to support services like 104, 1097, MCTS and ECD with inbound and outbound facility.
Telemedicine Solution: Video consulting facility.
Smart Phone Applications: SAKHI/ Utprerona Android Mobile App ASHAs.
Point of Care Device: AMRIT is integrated with PoCT devices like Fetosense and Healthcube etc.
ABDM compliant: and AMRIT is

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Background

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Background of ASHA Concept

The Government of India launched National Rural Health Mission (NRHM) in 2005 to address the health needs of rural population, especially the vulnerable sections of society. The Sub Centre (SC) is the most peripheral level of contact with the community under the public health infrastructure. This caters to a population norm of 5000, but is effectively serving much larger population at the SC level.
Thus, provision for new band of community based functionaries, named as Accredited Social Health Activist (ASHA) was made to fill this void. ASHA is the first port of call for any health related demands of the rural population, especially women and children, who find it difficult to access health services.
ASHA is volunteer health activists in the communities, who is creating awareness on health and its social determinants and mobilize the community towards local health planning and increased utilization and accountability of the existing public health services. She is a promoter of good health practices.
ASHA will be entitled for Performance Based Incentives fixed by the NRHM State HQ for prefixed activities only. The performance based incentives required to be given on monthly basis to ASHA.
The role, responsibilities, profile and compensation package for ASHA is given below.

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Scope of Work

In FLW Android Mobile App, design and development of new features and enhancements specified in this Business requirements document.
Including FLW App dependent backend tasks (related to new APIs, business logic, database).
Tasks related to AMRIT Admin web portal related enhancements specified in this Business requirements document.

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AMRIT Admin web portal enhancements

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Bulk User Registration

Admin Module: Bulk User Registration and Validation Notes
General Flow for Bulk User Registration:

1. New User Creation:
   • Currently the system supports creating single User at a time,
   • Bulk user creation simplifies registration for 100+ users by allowing Excel-based upload.
2. Bulk User Creation Process:
   • Download Template: Users must download a predefined Excel template containing all necessary fields with mandatory fields marked .
   • Fill Template: Users fill the template with the required data. Mandatory fields must be completed with valid input.
   • Upload Template: The completed template is uploaded back into the system.
   • Validation: System validates each record and:
     • Creates users with valid data.
     • Logs errors for records with invalid/missing data.
   • Feedback:
     • Show success count (e.g., "15 out of 20 users created successfully").
     • Provide an error log file for failed records with reasons for failure

Mockup:
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FLW App enhancements

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Implement Beneficiary Consent process

Taking consent from beneficiary is very important to save their demographic details, clinical and health records in EHR.
Beneficiary consent is a process by which we take proper consent from beneficiary digitally, like
OTP-Based Consent: Real-time authentication through OTP sent to the beneficiary's registered mobile number.

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Beneficiary Consent using OTP approach

Now consent via OTP should be mandated for Head of the Family and Family Members registration. Once Household registration is completed, proceed with Head of the Family and Family Members registration with taking proper consent by verifying OTP sent on beneficiary's Mobile number via SMS.
Use cases:
Successfully OTP verified records, should sync to server and indicate with green colour symbol on beneficiary card as "consent is taken"
Beneficiary records that are not verified with OTP, should not sync to server, should save as draft and indicate with orange colour symbol on beneficiary card to notify "consent is due"
Existing Beneficiary records that are already synced to server, but OTP consent is not verified earlier, should indicate with yellow colour symbol on beneficiary card to notify "record is synced but consent is due"
Beneficiary records should be flag based on the status of consent
In Beneficiary line listing, should have a filter to sort the records based on the status of consent

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Feature: File Upload

This feature allows users to upload files in two key scenarios—MCP Card uploads during ANC visits and Birth Certificate uploads during child registration.

1. MCP Card Uploads (ANC Module):
   • Allows ASHA workers to upload the Mother and Child Protection (MCP) Card during any ANC visit.
   • The system ensures that only the latest uploaded version is retained, replacing older versions.
   • Users are provided with an upload button, and an indicator icon or text confirms successful uploads.
   • Uploaded MCP cards can be viewed via a dedicated view button, and acceptable file types include JPG, PNG, and PDF.
   • Positioning: The "Upload MCP Card" button must be positioned below the ANC Period field (refer to mockup for better understanding.)
2. Birth Certificate Uploads (Child Registration Module):
   • Enables uploading of the child's birth certificate during registration or in later edits.
   • Both front and back sides of the certificate can be uploaded, and only the latest version is retained.
   • The system includes an upload button and a view button for accessing the most recent certificate.
   • Accepted file formats are JPG, PNG, and PDF, with a file size limit of 5 MB.
   • Positioning: The "Upload Birth Certificate" button must be positioned below the Date of Birth field (refer to mockup for better understanding.)
3. File Overwrite Logic:
   • Both MCP Card and Birth Certificate uploads follow a single-file overwrite policy, ensuring only the most recent upload is displayed.
   • This prevents clutter and avoids managing multiple files for the same document.

MOCKUP for MCP CARD UPLOAD
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MCP Card Related Fields (Under ANC Module)

MOCKUP for Birth Certificate UPLOAD (Under Child Registration Module)
Upload Birth Certificate Image Added

Birth Certificate Related Fields (Under Child Registration Module)

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Feature: Help Module

The Help Module assists ASHA workers by providing comprehensive guidance on application functionalities through a user-friendly interface.

1. Help Module Access:
   • The Help Module must be accessible via the hamburger icon in the main menu.

a) Video Tutorial Icon:

• • An icon for accessing video tutorials will be available in the Help Module.
  • Videos must play offline to ensure accessibility without internet connectivity.

b) User Manual (PDF):

• • An icon for accessing the PDF-based user manual must be provided in the Help Module.
  • The PDF manual will be pre-uploaded and include detailed guidance on system usage.

    Name of Data Field	Field Type	Field Type	Validation/ Logic/ Condition
    User Guide	Button		Displays a comprehensive user guide covering all key features and functionalities.
    Video Tutorial Icon	Button		Videos must play offline, ensuring accessibility without internet connectivity.

    
    

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    ASHA Incentives

    1.Incentives for ASHAs: Quarterly Visits under HBYC in Aspirational Districts
• This initiative is part of the Health and Wellness initiative under the Home-Based Young Childcare (HBYC) program.

ASHA will get an incentive of ₹250 per child if the following conditions are met (see BRD section 3.5.11- Font in Orange)

• The district selected must be an aspirational district.
• The ASHA worker must have submitted the HBYC forms for the 3, 6, 9, 12, and 15-month milestones.

2.Incentive to ASHA for follow up of SNCU discharge babies and for follow up of LBW babies