remind pilot project - strengthening asha performance through improved supervision

SUPPORTIVE SUPERVISION & MONITORING

USING DATA TO IMPROVE ASHA PERFORMANCE & MONITOR HEALTH OUTCOMES

UP-NRHM SITE VISIT TO REMIND

JULY 2013 – KAUSHAMBI DISTRICT

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Analysis & use of

ASHAs’ real-time

data

Outcome:Maternal, newborn & child health outcomes

CommCare HQ

Supportive Supervision Application

Quality:IPC & counseling

skills, Mobile skills

Analysis & use of real-

time supervision

data

Active Data Management

Reports

Output: Frequency & timeliness of ASHA home visits

SMS reminders & missed visit alerts

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SAMPLE ADM REPORT

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SAMPLE ADM REPORT

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*DeRenzi et al. (2012a) Improving Community Health Worker Performance Through Automated SMS.

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SUPPORTIVE SUPERVISION APP

ASHA Registration

Form

ASHA Follow-up Form

Home Visit Observation

Form

Mobile Experience

Survey

Technology Issue Form

Tech Issue Follow-up

Form

Meeting Form

CommCare HQ – Cloud-based server

All dat

a up

loade

d &

acce

ssibl

e in

real-

time

ASHA encouraged woman to use next health service

ASHA waited for client to respond before moving on

ASHA expanded on ICT audio message

Client asked any questions

ASHA encouraged client to speak or ask questions

ASHA greeted woman

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

76%

78%

91%

61%

79%

98%

50%

59%

59%

24%

58%

85%

Trends in quality of ASHA home visitsSep-12 Mar-13

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HEALTH OUTPUTS & OUTCOMESIndicator (Data) Jan – March

2013

Number of new pregnancy cases registered in CommCare in quarter

1,084

Total number pregnant women tracked with CommCare in quarter

2,286

Total number pregnancy cases closed during the quarter 918

% CommCare clients who were registered with ANM before the fourth month of their pregnancy

79.8%

% CommCare clients giving birth at a health facility 74.4%

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PERFORMANCE FEEDBACK RESEARCH

Conducting study with Harvard Business School and University of Washington on the effect of personalized feedback graphs provided to the ASHAs on their Performance

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SUMMARY OF BENEFITSImproved Accountability:- Real time monitoring of daily activity of each ASHA

- Active Data Management gives key information to Supervisors to improve workforce performance

- Notifications to Supervisors of missed visits

Improved Access to Information:- More timely data

Improved Experience- Improved credibility of ASHA

- Multimedia to improve usability for all workers

Scalability:- Supervision applications are transferrable to ASHA Facilitator cadre- The ReMiND intervention is scalable, given the ASHA

Facilitator/Supervisors are in place, motivated, and effective.

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THANKS

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