Information Technology Reference
In-Depth Information
Rural and Urban Data
with an English translation available for
the team) every month when visiting e.g.
a PHC.
Data of the Palanpur block was provided to the
solution team by the Health Block Officer upon
the direction of the Health Commissioner. The
team met with the latter to seek advice on process.
The Palanpur Block Data indicate the following:
The data in the form is consequently up-
dated into the e-Mamta online database.
Access is restricted to authorized staff
only, but an output of the summary elec-
tronic records for Palanpur was obtained
for the Health Block Officer.
There is a total of one Government
Hospital, one CHC, seven PHCs, and 49
sub-centers. The block has a total of 126
villages, and each PHC is assigned be-
tween 7 and 9 villages.
Palanpur has around 2.8 million popula-
tion, and the above tables indicate that
around 2.6 millions are already registered
(exceeding 48k families). Verification of
data is still in process.
Village population ranges between 130
and 6,552, with total villages population of
49,249.
Children above 5 years old are considered
adults, and women between 15 and 49 are
identified for welfare purposes.
Family size is 4-5 members in urban areas
and 5-6 members in rural areas.
The records provide statistics including
tests carried out before and after birth, but
without medical record details.
Literacy rate is higher in urban areas.
Detailed village location maps are provid-
ed in Gujarati language.
An Electronic Health Record (EHR) is a
longitudinal electronic record of patient health
information generated by one or more encoun-
ters in any care delivery setting. Included in this
information are patient demographics, progress
notes, problems, medications, vital signs, past
medical history, immunizations, laboratory data
and radiology reports. The EHR automates and
streamlines the clinician's workflow. The EHR
has the ability to generate a complete record of a
clinical patient encounter - as well as supporting
other care-related activities directly or indirectly
via interface - including evidence-based deci-
sion support, quality management, and outcomes
reporting.
In the above context, the e-Mamta system
is indeed wanting with the inclusion of medical
records. However, the availability of this system
will be helpful in setting up the planned tracking
and medical records system.
Other Gujarat data was obtained via docu-
ments, including 2008-9 Gujarat Health Statis-
tics, 2008-2009 Gujarat Annual Administrative
Report, and 2007-8 Gujarat State Report. The
accreditation of certain public hospitals was done
according to a Service Agreement between the
Gujarat government and the Quality Council of
India. The India Vision 2020 document includes
a section on healthcare.
6.3. Stakeholders Agreement
The team decided to seek stakeholders from the
private health sector, due to the complexity of
the public health sector and its many associated
difficulties. Three hospitals were approached, two
trust hospital and one commercial hospital. There
are many NGOs in India, and one was approached
due to its reputation and connections with other
local NGOs.
Benefits to stakeholders were defined as fol-
lows:
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