MAARPU -’the change’ – Department of Health Family Welfare

  • Project Category
    : Healthcare
    Sub Category: 
    mHealth Project of the Year
    Reference No: 

    Details of Programme /Project/Initiative:

    Brief Description:
    Maarpu, a health initiative, was taken up as a pilot project in Karimnagar District in July 2011 and after successful implementation scaled up for implementation in state of AP in Sept. 2012. The Programme focuses on the reduction of Maternal&Infant Mortality, in rural India. It concentrates on regular pre-natal monitoring of health&nutrition status of pregnant women, safe institutional deliverie

    1. Increase in institutional deliveries in Govt. Sector.
    2.To bring down the cost of basic health care .
    3.To reduce IMR & MMR over a period.

    Target Group: Expectant mother & infants, especially in rural areas.

    Geographical Reach within India: State of Andhra Pradesh

    Geographical Reach outside India: Nil.

    Date From which the Project became Operational: 1-7-2011

    Is the Project still operational?:yes

    Five points that make the Product/Programme/Project/Initiative innovative:

    1. Use of technology to make institutional changes to improve health parameters especially IMR, MMR .
    2. Improvement in service delivery by community participation through SHG & mid course rectification .
    3. Use of SKYPE to keep a real time watch on functioning of this programme .
    4. Use of Mother&Child tracking system&sending regular SMS alerts to the pregnant women .
    5. Convergence & a united approach towards health management involving various line & field departments.

    Five key achievements of the Product/Programme/Project/Initiative:

    1. Improvement in delivery of health services both in qualitative & quantitative terms.
    2. Improvement in health parameters-Increased institutional deliveries&reduced IMR&MMR.
    3. Community participation in health initiatives launched by the administration .
    4. Increase in the public’s faith on Government institutions leading to high access by rural public .
    5. Economic benefit to the poor accessing Government health machinery resulting in savings of public mo.

    Five key challenges faced while implementing the Product/Programme/Project/Initiative and how they were overcome:

    1. Health care to people residing in far-flung,inaccessible Vill. in naxals affected area by using Tech .
    2. To collect&analyze large amount of data,using of ‘Maarpu Monitoring Dash Boards’ .
    3. Poor infrastructure in Govt. sectors was overcome by funds from the state as special allocations.
    4. Resistance by Insts. was overcome by the increase in respect& adulation they received.
    5. Lacunae in experience & training was overcome by holding various Hands on training sessions in THCC.

    Five points that make the Product/Programme/Project/Initiative replicable:

    1. The programme does not require separate funding or staffing and uses existing resources (HDS) .
    2. Use of technology which is user friendly, in-expensive & available in rural areas (MCTS in PHCs) .
    3. Community participation & course correction on this feedback makes the programme a sustainable one.
    4. Use of (SKYPE) for monitoring daily functioning on real time.
    5. The ‘Maarpu’ software is hosted on a secure server and does not require other kiosk/ Connectivity.

    Five points to elaborate on the scalability of the Product/Programme/Project/Initiative:

    1. This initiative was successfully implemented in Karimnagar and used as a model in AP,MP&Chhattisgarh.
    2. Other ‘Service–delivery’ Depts. like ‘Social-Welfare’, ‘Education’, can use this model shown in KMNR .
    3. Many states the model of‘SHG’is strong&can ensure people participation for long-term sustainability.
    4. This initiatives scalability&strength is connection to motive staff to deliver goods to grassroot.
    5. Today all Depts. have internet for use of ICT in speedy service delivery,making scalability possible.

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