MCTS TRAINING NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE MOTHER AND CHILD TRACKING SYSTEM. Islands)

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1 NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE MOTHER AND CHILD TRACKING SYSTEM Training Report- (Andaman & Nicobar Islands) 23 rd to 24 th December 2013 NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 1

2 CONTENTS 1. EXECUTIVE SUMMARY 2. INTRODUCTION 3. OBJECTIVES 4. TRAINING GOALS 5. COURSE CONTENTS 6. DATA GAP ANALYSIS FOR THE STATE 7. TRAINING LOCATION AND PARTICIPANTS 8. PARTICIPANTS PROFILE 9. TRAINER S PROFILE 10. TRAINING APPROACH AND METHODOLOGY 11. PRE/POST FINDINGS 12. ANALYSIS OF PRE/POST FINDINGS 13. FEEDBACK FROM PARTICIPANTS 14. KEY LEARNINGS 15. RECOMMENDATIONS 16. ANNEXURE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 2

3 MCTS Training Report Name of State/UT- Andaman & Nicobar Islands Conducted by NIHFW Date- From 23 rd to 24 th December 2013 NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 3

4 DEMOGRAPHIC PROFILE OF STATE(IN SHORT) The Andaman and Nicobar Islands are a group of islands at the juncture of the Bay of Bengal and Andaman Sea, and are a Union Territory of India. As of 2011 Census of India, the population of the Union Territory of Andaman and Nicobar Islands was 379,944, of which 202,330 (53.25%) were male and 177,614 (46.75) were female. The Birth rate- 15.0, Death rate 4.6 and the Infant mortality rate is 24 according to SRS 2012 INTRODUCTION The Mother and Child Tracking System (MCTS) web based portal was launched by the Government of India in December This architectural correction in the health and family Welfare services delivery system was meant to improve health status of women and children facilitating reduction in maternal, infant and child mortality. Online uploading of name based data of mothers and children under MCTS Portal was basically to track pregnant women to universalize obstetric care comprising of Antenatal, Delivery and Postnatal care and tracking Children toward achievement of full immunization goals in the country. The focus in MCTS is on the beneficiary based monitoring of the delivery of services to ensure that all pregnant women and all new born receive full maternal and child health services. MCTS is expected to facilitate qualitative improvement in the delivery of services to pregnant women and children of the country and thus facilitates an accelerated reduction in maternal, infant and child mortality. NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 4

5 GENERAL OBJECTIVE: 1. Knowledge of MCTS formats & datasets, data definitions, and guidelines for recording and reporting. 2. Knowledge of indicators and skill for data analysis. 3. Understanding of data quality issues. 4. Understanding Pregnant women and child immunization tracking formats, definitions, data elements, data collection guidelines. 5. Understanding flow of information, flow of feedback and activity reports (for MCH Tracking where application is in place) 6. Developing skills for uploading and utilising National MCTS Web Portal and MCH tracking (where applicable) 7. Understanding the process of data verification and confirmation. 8. Facilitate use of data in planning, monitoring, evaluation and decision making. 9. Build capacities of trainers on training methodologies. SPECIFIC OBJECTIVES: a) To enhance awareness among the SC/ PHC/ CHC or any other staff on maternal and child health tracking system. b) To increase staffs' knowledge and build their capacity to effectively utilise MCTS portal. TRAINING LOCATION Conference Hall, AYUSH Hospital, Port Blair, Andaman & Nicobar Islands NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 5

6 COURSE CONTENTS 1. Introduction 2. Basic concepts of MCTS 3. Presentation by the trainers a. Roles and responsibilities of stake holders b. Time frame for each task c. Analysis of specific indicators d. Workplan generation 4. SMS feature 5. New features a. Migration b. Verification c. Ticketing 6. Dashboard 7. Report 8. Schedule report 9. Hands on session for MCTS NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 6

7 DATA GAP ANALYSIS FOR THE STATE 1. Poor registration for pregnant women and children 2. Very low data reporting for services provided. 3. Minimal utilisation of work plan. TRAINING LOCATION AND PARTICIPANTS The two days training on MCTS (Mother and Child Tracking System) for 31 participants comprising of SPMU, DPMU staffs & PHN s of all institutions of the Andaman & Nicobar Island. TRAINER S PROFILE The Trainers/Facilitators were from NIHFW: The following table gives brief information on all the trainers: S.NO. NAME DESIGNATION ORGANISATION 1 Prof. J. K Das Director, 2 Dr. Pushpanjali Swain Nodal Officer, MCTS 3 Mohd. Kamil M & E Consultant NIHFW 4 Lovely Chowdhury IT Consultant NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 7

8 Concluding workshop TRAINING APPROACH AND METHODOLOGY The Trainers used an interactive open and participative approach so as to elicit maximum response from participants and promote a facilitative environment for learning. A mix of various training methods were used which included:- Power-point presentations Group discussions Demonstration Case studies Hand on training Problem puzzles Quiz NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 8

9 TRAINING CONTENT AND ACTIVITIES Day 1: Key objective: Identify gaps and reason behind, new features Session details: The State Program Manager, Mohd. Ismail welcomed the team of NIHFW and the training was inaugurated and chaired by the Director, NIHFW. Pre training assessment form were filled by participants before training to know their understanding regarding MCTS. Then a brief presentation on MCTS was made by the Nodal officer and consultants of NIHFW entailed a re-orientation on MCTS, the roles and responsibilities of various stakeholders, key features, way forward and the status of the participating districts on data quality and quantity. Some new features like IVRS facility for all the health officials and coordinators to know the MCTS progress status (registration, services due & services delivered) and Dedicated Call Centre at national level for awareness on various government health initiatives and schemes were also told. Some of the new features in MCTS were demonstrated viz., Verification, SMS, Workplan and Migration module. The session was interactive and all the participants took active participation in the resolution and discussion of queries aroused. Day 2: Key objective: Demonstration on reports and schedule Report, recap of MCTS Session details: Difference between reports and scheduled reports was told. And complete online demonstration on user specific reports and scheduled reports were made to the participants. Certain reports which were focussed were as follows: Scheduled Report I- District wise Health provider count L- District wise Facilities not Entering Data M- District wise Tracking of Services R- District wise Month wise Data entry S- Facility wise Mother and Child count J- District wise Daily Data Entry/Caste wise Count NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 9

10 Reports- D -Health Provider Count F- List of Sub Centre Without Health Provider/ ASHA M- Facility wise Tracking of Services P- Facility wise Tracking of High Risk Pregnant Women S- Facility wise Log for Work plan Generation U- Facility wise Not Reporting with Incharge Details W -Facility wise Report on Key indicators of Beneficiary Health Quiz being conducted as a recap of the two days training program. Post evaluation form were filled by the participants. PRE/ POST FINDINGS All the participants actively interacted and were satisfied with the clarification of their doubts and issues. Out of the 31 participants, in pre training assessment 61% questions were answered correctly. Whereas in post training assessment 84% questions were answered correctly. Participants Pre-test Post Test Difference 31 61% 84% 23% Key learning s 1. Internet connectivity is a major challenge over entire region. 2. UT has started with an innovation named as TOMOL which is a SMS based software which works on mobile technology to update the service delivery. 3. Due to lack of internet connectivity, generation of work plan is minimal. NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 10

11 Recommendations 1. Use offline format for new registration of pregnant women. 2. It was suggested to install V-SAT in all districts to improve the data entry and updation status of the State. Annexure 1. Agenda/ Programme schedule 2. Presentations 3. List of participants 4. Pre/post questionnaire 5. Quiz NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE, NEW DELHI Page 11