This blog entry has been re-published on our website with the express permission of SAIS Perspectives. For the original article, please click here.
Berkin Safak Sener, Rose Fishman, Angela Madero, and Galen Winey are second-year International Development students who recently traveled to Chennai, India to research health data management improvements as part of the International Development (IDEV) Practicum with Athena Infonomics, a data analytics firm based in that city.
The IDEV Practicum allows students to work directly with public, private and non-governmental organizations as a capstone to their graduate studies. The IDEV Practicum Blog is a six-part series that chronicles the travels of IDEV students who take on client projects over winter break.
Setting an alarm for 2:00 AM to electronically enter patient data is the reality for many health care workers in Tamil Nadu, India. Due to server and network connectivity issues during the day, village health workers often wake up before dawn to beat the server traffic and enter their patients’ data into the statewide health database system and pregnancy tracking system. As we sat down with one of the nurses at a primary health center, she showed us several data points she had to enter daily, weekly, and monthly for different registers. Behind us were stacks of books that held the older records. Currently, the state of Tamil Nadu is transitioning from a paper-based health data system to a paperless database system, but without full integration, nurses must enter data at several different points using a variety of tools. By fully digitizing data entry, the time a nurse spends entering data will dramatically decrease.
It has been noted that digital technology can have significant effects on health outcomes in low and middle-income countries. mHealth and eHealth have swept across the developing world with impressive success stories. India, and in particular the Southern state of Tamil Nadu, has made significant efforts the past decade to stay ahead of current trends. Tamil Nadu’s introduction of consolidated health information management systems has made crucial progress in registering, clustering, prioritizing and monitoring mothers and their newborns from the antenatal to postnatal phase. MCH indicators have improved due to increased deliveries attended by skilled health personnel and the use of obstetric care, as well as increased surveillance on high-risk mothers. Considering that eHealth systems have contributed to the improvement of MCH indicators, optimizing frontline health workers data entry and policymakers’ priorities has been a departure point for our research.
Our SAIS IDEV practicum team worked with Athena Infonomics, a data analytics firm based in Chennai, India, to asses the collection and computerization of MCH data by ground-level health workers. With support from the Poonamallee Institute of Public Health (IPH), we completed field research in and around Chennai for three weeks this past January. Throughout our fieldwork, the staff at the Poonamallee IPH enthusiastically and constructively provided logistical assistance to our team. We were continuously impressed by the state health staff’s professionalism and dedication at all levels. Our team conducted interviews, observations, and focus group discussions with health workers at several different levels within the public health system. We plan to use our findings to, in conjunction with Athena Infonomics, inform upgrades to health data systems in Tamil Nadu.
Our team is currently designing an integrated set of technical approaches to improve the quality and timeliness of data management for front-line health workers. Keeping functionality, feasibility and impact in mind, we are focusing on increasing the efficiency of MCH data collection and registration for health care workers, as well as the accuracy and availability of real-time MCH information for policymakers. As the Tamil Nadu government has already made plans to revamp the state-wide health monitoring system, our team aims to ensure this includes updates that assist village health nurses, the most junior in the healthcare system, with their work.