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Mitanin is the mobile application used by Chhattisgarh's community health workers, called Mitanins, to record health care activities and generate monthly incentive claims. This document defines the requirements for the Incentive Verification module of the Mitanin application, covering two roles: the Mitanin Trainer (MT), who reviews a defined set of activities, and the ANM, who provides final approval or rejection of each Mitanin's monthly claim.

Target Users

Mitanin Trainer, ANM

Primary Audience

Product managers, engineering and backend teams, UI/UX designers, program stakeholders

Phase

Phase 1

Platform

Android mobile application

Approval Level

Mitanin Trainer reviews four defined incentive activities. ANM reviews the complete monthly claim and gives the final approval or rejection.

Future Scope

Web portal access, and any expansion of the Mitanin Trainer's reviewed activity list as decided by the program team

Please refer to the Mitanin-Trainer-ANM-Prototype.html for the clickable prototype. 

2. Background and Context

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Give the Mitanin Trainer and the ANM a simple mobile interface to review and approve Mitanin incentive claims every month, with clear accountability for each decision.

Goals

Category

Goal

Description

Process Digitisation

Digitise incentive verification

Replace the manual, paper based verification process with a fully digital workflow for the Mitanin Trainer and the ANM.

Operational Efficiency

Reduce verification turnaround

Minimise the time between a Mitanin's submission and the ANM's final decision.

Accuracy and Compliance

Improve verification accuracy

Reduce manual errors through structured review by both the Mitanin Trainer and the ANM.

Transparency and Audit

Enable audit ready verification

Every decision by the Mitanin Trainer and the ANM is traceable, with identity, timestamp, and reasons where applicable.

Adoption

Track usage of the module

Percentage of monthly claims verified digitally, and average turnaround time at each stage.

5. User Personas

5.1 Mitanin Trainer (MT)

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This module uses two roles instead of one, and they do not have the same authority.

Role

What they review

What they can decide

When it applies

Mitanin Trainer

The four named activities listed in Section 8, when claimed by the Mitanin that month

Approve or reject each of those four activities. Cannot act on any other activity, and cannot approve or reject the whole month's claim

Only when a Mitanin's monthly claim includes one or more of the four activities

ANM

Every activity the Mitanin has claimed for the month

Approve or reject the whole month's claim in one decision

Every month, for every submitted claim. This is the only route to final approval

The ANM's decision on a claim becomes available only once the Mitanin Trainer has approved the four activities, if the Mitanin claimed any of them that month. This is not a limit on the ANM's authority. It simply means the ANM reviews a claim once the specific activities the Trainer can personally vouch for have already been checked. If a Mitanin's claim does not include any of the four Trainer activities, the ANM can review and decide on it without waiting on the Mitanin Trainer at all.

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The following four incentive activities fall within the Mitanin Trainer's review. All four are meeting attendance or self reporting activities rather than clinical or beneficiary linked ones, which fits the Trainer's role: she can personally confirm attendance at these meetings and the completeness of the register during her own fieldwork with the Mitanin, unlike clinical activities such as antenatal visits or immunisation records.

S.No

Activity

Rate

Category

23

Attending monthly cluster meetings of Mitanins

Rs. 150 per case

Village Health Meetings

24

Organising and attending monthly meetings of the Village Health, Sanitation and Nutrition Committee (VHSNC)

Rs. 150 per meeting

Village Health Meetings

25

Filling prescribed information in the Mitanin register

Rs. 500 per month

Mitanin Register and Reporting

40

Filling 5 prescribed types of information in the Mitanin register

Rs. 1,000 per month

Mitanin Register and Reporting

9. Timelines and Cut off Dates

Stage

Timeline

Mitanin submission window

1st to 3rd of every month

Mitanin Trainer review window

24 hours from the moment a Mitanin submits, or resubmits, a claim that includes one or more of the four Trainer activities

ANM review and approval

By the 5th of every month, regardless of when the Mitanin Trainer's review is completed within that window

Because the Mitanin Trainer's 24 hour window sits inside the ANM's overall cut off, a Mitanin who submits close to the 3rd leaves less time for the ANM to act. This document does not change the submission window or the ANM's due date; both roles are expected to act well within their own windows so the ANM still has enough time to review.

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13. Status Lifecycle and Workflow

13.1 Statuses

Status

Meaning

Mitanin Unclaimed

The Mitanin has not submitted a valid claim for the month by the ANM due date (the 5th). This also applies when a claim was sent back for correction and the Mitanin never resubmitted it in time.

Pending

The claim has been submitted and is awaiting a decision, either from the Mitanin Trainer on her four activities, or from the ANM on the whole month, whichever stage the claim is currently at.

Overdue

The claim is still Pending after the ANM due date (the 5th) has passed.

Rejected

The ANM has rejected the whole month's claim and sent it back to the Mitanin for correction.

Verified

The ANM has approved the whole month's claim. The claim is final and moves forward for processing.

13.2 Standard Flow

Mitanin submits before the 3rd

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13.3 If the Mitanin Trainer Rejects One of Her Four Activities

Step

What happens

1

Mitanin submits her claim.

2

Mitanin Trainer rejects one of the four activities within her 24 hour window.

3

Mitanin has 24 hours to correct and resubmit that activity.

4

Mitanin Trainer reviews the correction and approves it.

5

Claim proceeds to the ANM as in the standard flow.

13.4 If the ANM Rejects the Whole Month's Claim

Step

What happens

1

ANM rejects the claim. It is sent back to the Mitanin along with the reasons.

2

Mitanin must resubmit the whole claim before the ANM's due date, the 5th, for it to be considered again.

3

If resubmitted in time, the Mitanin Trainer reviews and approves the four activities again on the new submission.

4

Once approved, the claim becomes available to the ANM again, who gives the final decision.

5

If the Mitanin does not resubmit before the due date, the claim for that month becomes Mitanin Unclaimed.

14. Business and System Logic

Area

Rule

Mitanin Trainer decision finality

Approving or rejecting one of the four activities is final once submitted. It can only be reopened if the Mitanin corrects and resubmits after a rejection, or if the ANM later rejects the whole month's claim.

ANM decision mode

One decision covers every activity claimed that month. There is no per activity approve or reject for the ANM.

Resubmission after a Mitanin Trainer rejection

The Mitanin must correct and resubmit within 24 hours for the Mitanin Trainer to approve it.

Resubmission after an ANM rejection

The Mitanin must resubmit the whole claim before the ANM's due date. If resubmitted in time, the Mitanin Trainer reviews the four activities again before the ANM gives her final decision.

Cut off and Overdue

The ANM's due date, the 5th of the month, does not change based on how long the Mitanin Trainer's review takes. A claim becomes Overdue once the 5th passes while still Pending, regardless of which stage caused the delay.

Escalation

Escalation relies mainly on the notifications defined in Sections 10.6 and 11.8, timed to give both roles enough warning. Escalation to the Medical Officer by SMS or WhatsApp remains available as a fallback, but is expected to be rarely needed if these notifications are followed.

Incentive freeze

Once the ANM approves a month's claim, all figures for that Mitanin's month become final and cannot be changed.

Concurrency

If the underlying claim changes while a screen is open, the user is asked to refresh before taking any action.

Image Added

15. Data and Audit Requirements

Attribute

Description

Mitanin Trainer ID

Identifier of the Mitanin Trainer performing the action

ANM ID

Identifier of the ANM performing the action

Mitanin ID

Identifier of the Mitanin whose claim is being reviewed

Activity ID

Identifier of the specific activity, recorded for Mitanin Trainer actions since these are activity level decisions. Not required for the ANM's whole month actions

Action Type

Trainer Approve Activity, Trainer Reject Activity, ANM Approve Month, or ANM Reject Month

Timestamp

Date and time the action was performed

Remarks

Reason given, where applicable

16. Security and Access Control

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