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E-MAMTA USER MANUAL
Disclaimer:
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E-MAMTA USER MANUAL
Access to accurate and reliable information on the health of mother and child is
essential in order to provide appropriate services. The collection of this information is
important not only at the health facility level, but also at the community level, given
that many illnesses never reach the health facility and go unreported.
Gujarat is the first State to put in place a system whereby the HMIS reports will
be generated through aggregation of services and name based tracking of mother and
child health services. This is also the only application of its kind which would track the
migratory population, thereby allowing us to effectively cover the drop-outs. Team
Gujarat looks forward to its replication by the fellow States.
The district, region and State teams have been trained to collect relevant
information within their villages and enter this information at the Primary
Health Centre/sub-center level. This information is used by the district health
authorities to direct their resources and services to where they are most needed.
Simultaneously, Female Health Workers are able to generate their work plans and work
in a more focused manner.
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E-MAMTA USER MANUAL
Gujarat
An effective health management information system (HMIS) is an
important instrument to plan and monitor health interventions and
facilitate overall surveillance of the health condition of a population.
E- Mamta is a step towards realizing the vision of Swarnim Gujarat and the
Millennium development goals of reducing IMR & MMR in the State. I
congratulate the State Rural Health Mission of Gujarat and NIC for
developing this customized application to track the services provided to
every Mother and Child and thereby improve the health service delivery.
Now, health indicators for each and every village can be obtained through
aggregation of data and information can be generated at the district, block, and village
level. This makes the generation and maintenance of reports easy at the field level and
eliminates data duplication caused by multiple data reporting. The deliverance of
various Reproductive and Child Health services like ANC, delivery, PNC,
Immunization, family Planning and Adolescent Friendly Health Services will definitely
improve through this program.
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E-MAMTA USER MANUAL
ABBREVIATIONS
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E-MAMTA USER MANUAL
FOREWORD
E-Mamta is a management tool to reduce IMR/MMR/ TFR and track the health
service delivery at the individual level. Here, we also look at the integration of various
health information systems, decentralization of information, flexibility and cost
effectiveness and compilation of health data through aggregation of services to the
individual beneficiaries.
The monitoring reports of the State level would also be generated using this
framework that would help improve the quality and utilization of information
generated in the health system. We have built in value add citizen service features like
Individual Immunization Record, Child Growth Chart, Weight/Hb Chart for the
Pregnancy etc.
To facilitate the replication of the E-Mamta in other States we have prepared this
user manual to get oriented with different functionalities and modules included in the
software. This manual is easy to use and includes illustrated description of various
functionalities and modules included in the software. Our Help desk and other
Resource persons will always be available to provide further guidance.
Like all other software’s, E-Mamta is under a process of constant evolution and
new modules and functionalities are being added on. New versions of the manual will
thus be made available to the users at periodic interval.
ACKNOWLEDGMENTS
The smooth roll out of the application was possible due to the consistent endeavor of
our State Health team including all the Additional Directors - Health, Medical Education,
Educ
Medical Services, Family Welfare, Joint Director MCH, Deputy Director Rural Health. We are
especially thankful to Dr. B.K. Patel Additional Director, Family Welfare and Dr. N. Dholakia,
Deputy Director MCH for their constant support in developing the modules and training at the
grass root level and thus making the application a success. The enthusiastic participation of all
Program officers, RDDs, CDHO, CDMO, RCHO, ADHO, Urban Health Officer, DPMU, Project
officers, SPMU, DPC, CPC, PHN, District M& M&E,E, BHO, MOs, Block M&E, Block HV, ANM,
ASHAs has led to the successful implementation of the E E-Mamta
Mamta program in a very short
period, in the State.
The development and operationalization of the application has been made possible with
the technical support by the National Informatics Centre, Gujarat, under Shri Rajneesh Mahajan,
State Informatics Officer. I would also be failing in my duties if I do not mention the
contribution of Shri Anand Shah, Principle Systems Analyst and his team of Programmers as
welll all the data entry operators in various health facilities of the State. I am also thankful to my
staff of Vital Statistics and demographic & Evaluation branch for their timely support and
action taken during the training of E E-mamta.
Shri K. K Panchal
Additional Director(VS) &
Nodal Officer (e-mamta)
(e
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Table of Contents
ABOUT E- MAMTA………………………………………………….…..…..11
FEATURES OF E-MAMTA…………………………………………….54
PLANS AHEAD……………………………………………………...….56
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ABOUT E-MAMTA
Tracking of Pregnant mothers and children has been recognized as a priority area for
providing effective Healthcare services to this group. As a major initiative in this
regard, the Health and Family Welfare Department, Government of Gujarat, has
introduced a Mother & child name based tracking Information management system “E-
Mamta” in collaboration with NIC, Gujarat.
The development of the E-Mamta has been ongoing since January 2010.
A. Situation analysis
This has included the study of primary registers and ANC/Immunization cards to
understand what are the “essential data set” which must be included in each of the
forms.
B. System objectives
2. To aggregate the individual patient based data and import it into the facility based
HMIS so as to avoid double registering of data and thus improve the quality of data.
C. System logic
The system will allow registering: Person Object, Person Attribute Object, Person Attribute
Value Object, and Person Identifier Object (This object stores all the unique health
identifier of individual. A person can have single or multiple identifiers such as
passport number, PAN number, Driving license, UID, etc.), Identifier Type Object,
Program Object (this object contain information about various health program), Program
Stage Object, Program Instance Object(This object stores the relationship between person
object and program object.), Program Stage Instance Object(This object stores various
program stages, its due date and its execution date for particular person object.), Person
data value Object, Organization Unit Object(Organization units are organized in a
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hierarchy with a parent and a set of children. Each organization unit is identified by a
name and possibly an organization unit code.), Data element Object (Data element refers
to that which one can register data for).
iv. Assisting the program managers in planning the programs and policy formation
through better monitoring and evaluation.
1. Family Health Survey: The mammoth first step in this regard, being Family
Health Survey in rural & urban areas (slum and slum like) has been successfully
accomplished by the health workers. Individual records of around 75.5 lakh
families comprising 38.3 million beneficiaries, covering almost 75% of population
of Gujarat have already been entered in the Information system ‘E-Mamta’ till
date. The benefits of the unique family healthcare ID provided is to capture the
migration details and prevent loss of cases due to migration. The family survey
data is being validated through physical verification by ASHA/FHW/ MOs and
other senior officials in order to ensure accuracy and reliability of the data.
2. Registration of pregnant mothers and children: All mothers who are pregnant
and children of age up to 6 years are being registered and provided a unique
mother/child health ID.
3. Tracking of healthcare services through monthly work plans: The services provided to
the pregnant mothers including ANC, delivery, PNC and immunization are captured in
this program.
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The details of services provided to the mothers and children for ANC,
immunization, PNC, nutrition are recorded in E-Mamta at the
PHC/village level which facilitates to identify the gaps in the continuum
of care
SMS alerts will be sent to the beneficiaries/health workers for the services
that fall due.
The HMIS report like form no. 6,7,8,9 and register no. 2,3,4 and 5 would be
generated through E – Mamta by aggregation of various services.
Monitoring and Evaluation is possible through the software in least time by generating
the following reports:
1. Child Immunization Record, Child Growth Chart (male), Child Growth Chart
(female) is made available for every child and can be obtained through E-Sewa
Kendra.
2. Monthly reporting format (Form no. 6,7,8,&9) will be prepared by aggregation of
services given to the individual beneficiary to trace the services back to the
beneficiaries.
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E-MAMTA USER MANUAL
Tracking of Pregnant mothers and children has been recognized as a priority area for
providing effective healthcare services to this group. As a major initiative in this regard,
the Mother and Child Tracking system (MCH) is name based pregnant mother and
child tracking system. It is a management tool to reduce MMR/IMR/TFR and track the
health service delivery at the individual level.
MCH is a generic system which aims to provide information of different health services
received at the individual level, by monitoring all the encounters that an individual
undergoes in his/her health program. This system aims to help the service provider
(health worker or Doctor) by categorizing various health services the individual person
has to get (with due date) and missed services. It also provides for effective monitoring
of different health services drilling down to the individual patient information. The
application is designed and developed by NIC, Gujarat.
http://e-mamta.guj.nic.in
The Main screen of application is as follows….
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Enter your
user id and
password.
Note : The user ID and password will be provided to each state respectively.
MAIN MENU
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The data entry module includes the data entry of family health survey, mother registration,
child registration, adolescent friendly services registration, HIV/AIDS service registration etc.
The family health survey data entry module includes location details, identification details,
health provider details, ANC details, pregnancy outcome details, PNC details for pregnant
mother, child, adolescent, family planning etc.
SELECT
District,Te
hsil,PHC,S
UB SC,
Village as
per the
MASTERS
you have
entered
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Data Entry
Menus
System Generated
Unique Family ID
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Currently, Work plans for New Registration, ANC, Delivery, PNC Mother, Neo natal,
Child service, Child immunization, Family planning can be generated through the work
plan module available in E-Mamta. Work plans can be generated by the MO PHC on
weekly or Monthly as per the requirement of the PHC.
All the services due in the workplan must be provided to ensure complete coverage.
The following are the screen shots and brief details of the work plans which can be
generated after entering the required information
After verifying
data Click here
for verification
The family health survey of the village is to be conducted and the data entry of all the
families surveyed must be entered. The new registration plan includes the Health ID,
name of the pregnant woman, caste, age, BPL status, eligibility for JSY and
CY,provision of home delivery kit, number of living children, adoption of FP methods
earlier,date of ANC Registration, date of LMP, number of pregnancies and Contact
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E-MAMTA USER MANUAL
The work plan for ANC includes Family number and Health ID, name of the pregnant
women, date of LMP, measurement of weight, HB and BP, details about consumption
of IFA tabs and Iodized salt, administration of TT 1, 2 and booster, status of RTI/STI,
benefits of JSY, danger signs, referral, abortion and maternal death with status of verbal
autopsy. ANC workplans cover all the services required for standard protocol. The
Health visitor and MO PHC can monitor the services due to ANC mother.
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Planning of delivery is again a very vital component for averting the unwanted
maternal deaths. The work plan for delivery covers all the crucial elements required for
the safe delivery. The workplan incorporates the family number and health ID, name of
the lady, Compensation for managing vehicle, use of 108 services, place of delivery,
person who conducted the delivery, type of delivery, referral, date of discharge,
provision of mamta kit and information about maternal death.
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The work plan for neonates (PNC Child) covers all the crucial information of postnatal
period i.e. Family number, Health ID number of the neonate, Name and sex, date of
birth with status of CRS registration, breast feeding within 1 hour of birth, weight, live
birth or still birth status, PNC visits 3rd,7th and 14th,danger signs, referral and its place.
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The above information related with the neonate in the PNC period will ensure
completeness of services in the post natal period for newborn.
The workplan for child services entails the Family number, Health ID number of
neonate, name of the child,age,weight, blood group,administration of small IFA, details
of childhood disease, details and status of death audit (in case of death).
The incomplete coverage of immunization services had been a huge problem since long
due to the absence of an efficient tracking system. The work plan for immunization
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services will provide due date of all the vaccines to be given to the child and status of its
administration on a particular date. The work plan will immensely help in tracking the
left out and drop outs for immunization services. This work plan will be generated
according to the given date of birth of the infant.
The family planning workplan will be generated for all eligible(15-49years) married
couples using no permanent method of sterilisation. It provides the information on
complete range of family planning methods adopted by the benefeciary which includes
Sterlization,IUDs,condoms,oral pills and ECP. It also provides details of any
complication, referral and death due to family planning services. Workplan will act as a
guide for the health worker to assess family planning need and is expected to boost the
couple protection rate among the eligible couples. It will also help in counseling at the
time of ANC.
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The work plan for adolescents will provide information of Hb testing, weight
measurement, RTI/STI and administration of IFA tablets. The above work plan will
help in providing a complete range of services required for adolescents. Workplans for
other health services like anemia, malnutrition, growth monitoring, HIV/AIDS etc are
under the process of development and will be available in new releases.
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System will
generate a
unique number
for tracking
pregnancy of
that mother
during her life
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ANC
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ANC
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Incentive detail
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Delivery/MTP Reg.
Delivery/MTP Reg.
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Delivery
Delivery
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PNC Visit
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Delivery
PNCHistory
Visit(Child)
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Vaccination Detail
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Vaccination Detail
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The report module generates report for various type of data entered in the software.
The major reports which can be generated from this module are as under:
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The above report provides the status of data entry of Family Health Survey done. This
report provides a brief summary of FHS data which include total number of families,
total number of family members, live members, number of males and females, women
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in the reproductive age group (15-49) and children (0-5 yrs.). These are very basic
information of each family of the state based on which various health services for
different beneficiaries can be planned and tracked later on. FHS status can be tracked
up to the village level.
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Mother Services
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This component of the software has various features like dash board indicators, notice board
search options, family search etc. It also generates child immunization card, growth chart male,
growth chart female, pregnant women Hb/weight chart. A record of children registered and
those fully immunized can also be obtained. The most striking feature of this module is that the
number of Maternal and Infant deaths occurred in the State can also be speckled on the screen.
The chart for weight and haemoglobin status of the mother can be obtained by entering
the mother register number in Mother Hb/Weight module. The haemoglobin chart
provides the level of haemoglobin in “mg” in comparison to the period of pregnancy.
The comparative view of the month of pregnancy, Hb. level, weight and IFA given can
also be seen in tabular form.
The Growth chart of all the children (0-5years) whose details are entered in the software
can be generated through the growth chart option available in report module. The chart
can be generated both for male and female child. Based on the data entry, the chart will
immediately show whether the child is normal, moderately malnourished or severely
malnourished.
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Page 2 of Child
Immunization report
shows complete
immunization detail
of that particular
child.
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Selection of Beneficiaries
Facility to send SMS in
regional language
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NOTICE BOARD
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FEATURES OF E-MAMTA
DASHBOARD
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National Rural Health Mission, Review and Thematic Workshop, Bhopal, 2-4 July
2010.
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PLANS AHEAD
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