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S. No | Term / Acronym / Abbreviation | Full form/ Definition |
1 | FLW | Frontline Health Workers; i.e. ASHA, ANM and AWW |
2 | ASHA | Accredited Social Health Activist |
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1. Introduction
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1.1 Document Purpose
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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.
1.3 Services and features under AMRIT Platform
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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 integrated with ABDM for ABHA with all three (M1, M2, M3) milestones.
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1.4 Background
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1.5 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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1.6 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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2. AMRIT Admin web portal enhancements
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2.1 Bulk User accounts Registration
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Admin Module: Bulk User Registration and Validation Notes
General Flow for Bulk User Registration:
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Purpose
This process helps admin to save time in creating multiple User accounts individually by entering details manually in the registration form.
Currently the admin portal supports creating single User account at a time
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. This new approach of bulk User accounts registration process simplifies creating multiple user accounts at a time, simply by
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entering details in
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an excel sheet and upload.
Admin Module: Bulk User accounts registration and validation notes
- Bulk User Creation Process:
Download Template: Users Admin must download a predefined Excel sheet template containing all necessary metadata fields including optional and mandatory fields marked with star (
).
- Fill Template: Users Admin should fill the excel sheet template with the required data necessary Users' details including optional and mandatory fields. Mandatory fields must be completed with valid inputdata.
- Upload Template: The completed filled excel sheet template is uploaded back into the systemimported using upload function.
- Validation: System validates should validate each record and:as follows:
- Create User accounts for valid data.
- Reject creating accounts for invalid data
- Provide a log report with reason for each record, like
- Creates users with valid data.
- Logs errors for records with invalid/missing data.
- Feedback:
- Show success message with count (e.g., "15 out of 20 users created successfully").
- Provide an error log file for failed records with reasons for failure
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S No | Name of Data Field | Field Type | Value/ Options | Validation/ Logic/ Condition |
| Download Bulk User Template | Button |
| |
| Title | Dropdown | Major, |
|
| First Name | Text | Any |
|
| Middle Name | Text | Any |
|
5. | Last Name | Text | Any |
|
6. | Gender | Dropdown | Female, |
|
7. | Contact No. | Numeric |
| |
| Designation | Dropdown |
|
|
9. | Emergency Contact No. | Numeric |
| |
10. | Date of Birth | Date | Date Format |
|
| Age | Numeric | Any |
|
| Text |
| ||
| Marital Status | Dropdown | Divorced, Married, Not Applicable, Separated, Unmarried, Widow, Widower | |
| Aadhar No. | Numeric | 12-digit number |
|
| PAN Card No. | Alphanumeric | Any valid PAN format |
|
| Qualification | Dropdown | Graduate, Post Graduate & Above, Secondary, Senior Secondary, Under Graduate | |
17. | Father's Name | Text | Any |
|
| Mother's Name | Text | Any |
|
| Community | Dropdown | General, SC, ST, BC, OBC, OC, Not given |
|
| Religion | Dropdown | Hindu, Muslim, Christian, Sikh, Buddhism, Jainism, Other, Parsi, Not Disclosed |
|
| Current Address | Text | Any |
|
| Permanent Address | Text | Any |
|
| Date of Joining | Date | DD/MM/YYYY |
|
| Upload Template | Button | Upload completed template |
|
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3. FLW App enhancements
3.1 About Sakhi App
Sakhi App is a digital job aid tool, specially designed for Accredited Social Health Activist (ASHA). ASHAs usually use multiple registers for Household enumeration, family member registration, and health data collection. This leads to challenges of manual errors, loss of data, and data accuracy. In this context, Piramal Swasthya Management and Research Institute has designed and developed a mobile application for ASHA workers to digitalize and reduce the manual work.
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All the services that are carried by ASHA in the field are available in the Sakhi Mobile App, including services for RMNCH+A (Reproductive, Maternal, Newborn, Child, and Adolescent Health), this application enhances service delivery and monitoring for Household Enumeration, Antenatal care, Postnatal care, Immunization services, as well as Non-Communicable Diseases (NCDs) screening and Tuberculosis (TB) screening.
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3.2 Sakhi App overview of Comprehensive Modules
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3.3 Process flow diagram of Sakhi App
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Purpose
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 verification through OTP sent to the beneficiary's mobile number.
This process of taking consent from Beneficiary by verifying the OTP received on the Beneficiary's mobile number is applicable in entire platform service lines where Beneficiary registration takes place.
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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.
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