System design for health information management in rural India

Abstract

The problem of child mortality in India is one of the biggest that today's developing nation is dealing with. A complex matrix of different societal and behavioral forces is present at the root of this problem. Not only are absolute numbers of child deaths high in India, but the Child Mortality Rate (CMR) is also substantially higher among developing nations. Different sources of information at national as well as at state levels give feedback to the Indian Government on this nationwide issue. Looking closely at the west coast of India, the State of Maharashtra is having systematic problems in recording each child death. The way of operation of information sources and their accountability raises some serious issues about their efficiency, and the state governments are completely reliant on these sources to make decisions that save a child's life.

This thesis study works in the domain of the health management information system in the context of the rural region of the State of Maharashtra, India. This study documents practical experience gained in relation with user centered product design while working with Auxiliary Nurse Midwife (ANM) workers. Research was carried out to see different problems that health workers face during field work and their ways of operations to collect data on child and maternal health. Existing infrastructure for communication in the rural region of Maharashtra and the efficiency of health workers to adapt a new system are primary concerns about design decisions made in response to this issue. The intention behind this study is to create a strong network of health information and communication transfer among sufferers and helpers. A sound information system can create a foundation for correct decision making and formulation of public policies to save one complete life not lived.