Problem statement:

HWC Application is used in the Facilities, but there is no provision to create or define a Facility.

  1. Lack of Facility Definition
    currently lacks the capability to create or define a Facility, leading to inconsistencies in facility identification, mapping and management.
  2. Unclear Facility type and naming
    There is no identity to define the facility type and name of a Facility, and where facility located, making it difficult to identity and categorize healthcare centers.
  3. Lack of Health Worker-Facility Mapping
    Health workers are not systematically mapped to their respective Facilities, there is no mechanism to register or list all health workers associated with a Facility, leading to allocation and management.
  4. No Structured Mapping of CHOs, ANMs, and ASHAs to Facilities
    There is no structured process to associate CHOs, ANMs, ASHAs and ASHA Supervisors with specific Facilities.
  5. Challenges in Hierarchical Mapping of ASHAs
    ASHAs are not properly mapped under CHOs, ANMs, AWWs, and ASHA Supervisors, leading to difficulties in supervision, KPI tracking, and Incentives management.

Use cases where we are facing the problems

  1. Define a facility: To create a Health facility and map to facility type
  2. Facility hierarchy: To build a facility hierarchy mapping
  3. Health worker facility allocation: User Facility mapping , i.e. mapping CHOs, ANMs, AWWs, and ASHAs under a health Subcenter
  4. Role based User access requires Health facility mapping
  5. KPI – Dashboard, Analytical reports: based on the User role and facility mapping, varies
  6. ABDM: Linking HFR ID for Facility and HPR for health worker
  7. Referral: to define referral facilities

AS-IS state

ASHA is the lowest Health worker mapped to lowest Health facility known as health Subcenter

Health Subcenter is associated with ASHAs, ANMs, CHO, and MPWs

ASHA Supervisor is associated with multiple subcenters and all ASHAs under these subcenters

Facility – hierarchy:

Medical Colleges >> District Hospitals >> CHCs >> PHC >> SC (FLWs)

facility hierarchy is different in Rural and Urban locations

The healthcare system in India

Primary level: Sub Centres (SC) and Primary Health Centres (PHCs)

Secondary level: Community Health Centres (CHCs) and Sub-District hospitals

Tertiary level: Medical Colleges and District/General/ Civil Hospitals


How to do to solve this problem (suggested solution)

  1. Facility – hierarchy:

Medical Colleges >> District Hospitals >> CHCs >> PHC >> SC (FLWs)

(ex: (50) SC >> (7-8) PHC – HWC >> Block PHC & CHC >> DH)

1.1 Create Facility/Mapping:

Select: State, District, Block, Facility Type, Facility Name, and add/ map Villages under facility and map facilities under it and Facility Main Village

1.2 Employee Work Location Mapping:

Select: User, Role, State, District, Block, Facility Type, Facility (select Work Location - multiselect) and Village (multiselect).

Based on the Role selected Facility selection is dependent

Ex:

  1. If Role “ASHA” is selected need to select Facility (Sub-center) and Villages
  2. If Role “ASHA-Supervisor” is selected need to select Facilities (multiple Sub-center)
  3. If Role “CHO” is selected need to select Facility (Sub-center)

1.3 Job Location-Serviceline Mapping Master (Work Location-Serviceline Master)

Service line >> State >> District:

Map all Facilities under District in “Employee Work Location Mapping” section

Success criteria and the end outcomes to be achieved:

  • Facility type wise facility is identified
  • Mapping of HFR ID to Facility and HFR for Users
  • Allocation of facility for Health works and Health professionals 
  • Facility wise Analytics and reports



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