AAA Platform

Three government female health-workers are responsible to deliver health and nutrition services in India’s villages. Each village has an Auxiliary Nurse Midwife (ANM), the ASHA (Accredited Social Health Activist) and Anganwadi Worker (AWW). Each has distinct, but related roles, and they work in the same villages. However, they have different reporting structures and protocols, and all too often, they do not collaborate enough.

The solution brings the three village frontline health workers (FLWs) together on a common data-sharing and problem-solving platform. This enables them to better identify and prioritize high-risk beneficiaries, followed by proper management and treatment.

Problem

  • Frontline workers do not have a shared understanding of the geography and location of households. There are few opportunities to share information and learn from each other

  • They have different methods to identify and track beneficiaries. AWWs organize people by families, ASHAs use households and ANMs work on a record of eligible couples (married couples in the age group 15-49). This results in service or program gaps.

  • Beneficiaries are not prioritized in terms of case urgency or risk. They are approached in a prescribed linear sequence 

  • Workers are not equipped to handle community resistance. They have few tools and little training.

Solution: The AAA Way

Village mapping
1. A common database

AAA work together to create a village map, synchronising household and family coverage. On these maps, they number houses and affix coloured bindis to denote various categories of beneficiaries and dynamically track them, prioritising those at highest risk.

Now, village health and nutrition information is available at a glance. AAA also involve the community in validating the maps. This raises community's interest in village health issues and the AAA's standing in society.

2. Micro-planning

​ASHA workers visit ten houses every day. Previously, they did it in a linear manner (house one to ten on day one, eleven to twenty on day two and so on). The AAA platform helps  them plan visits based on beneficiary needs using a simple algorithm. They can now  deliver care when and where it is most required.

3. Meetings

​One specific day every month (varies state-wise), a Village Health and Nutrition Day (VHND) is organised in every village. Through the AAA platform, the three workers have a formal meeting. Here, they review each other's work and data, plan for the next month and close with a peer learning session where they educate each other on technical and administrative matters.

Impact

140,000

frontline workers trained to use data and identify risk

55,000

health workers use our household visit calendar tool

46,000

villages mapped to accurately identify key beneficiaries

1.5X

 more high-risk pregnant women/malnourished children identified

Figures are based on estimates using publicly available sources, and from Antara Foundation’s monitoring system in Rajasthan

Stories from the field

Watch the AAA Platform's impact along its theory of change: Enhance enumeration, enable prioritization, improve knowledge and ensure joint-work

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Integrated AAA App

A mobile app that digitally links the three frontline workers with a common beneficiary database, data-sharing and improved data quality and services

25%

increased service incentives earned

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Rationalized Registers

Improve record-keeping registers to eliminate redundancy, add user-friendly design elements, ensure data quality and comprehensiveness of services

92,000

FLWs use our simplified records

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Nurse Mentoring

Improve knowledge and skills of delivery nurses and quality of labor rooms to ensure availability of essential drugs, equipment and proper protocols

120,000

deliveries made safer 

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