Integrated AAA App
A mobile application that digitally links the three frontline workers through a common database of beneficiaries
The Integrated AAA App is a unique solution which digitally links the three government frontline health workers in each village. These are the ANM (a nurse-midwife), the ASHA (community mobiliser) and the anganwadi worker (overseer of nutrition in pregnant and lactating women, and pre-school children) - they are together referred as the AAA.
These three women are responsible for providing health and nutrition services to the last-mile community across villages in India. Though they serve the same population, they don’t team up naturally because of different supervisory systems, databases and work cultures. Further, they are expected to maintain numerous voluminous registers. They can improve effectiveness and efficiency by sharing data and the app enables this in a seamless manner.
The app enables the AAA to utilise a common database, carry out their routine tasks with ease and maintain integrity of data. It also generates essential government reports, provides an online supervision dashboard and enables referrals. While some technology solutions for frontline workers exist, none bring them together.
Through all this, the workers can focus on their primary responsibility of delivering care, aided by data.
Job aid features and unique design elements
Pre-population of data: Improving efficiency of frontline workers while maintaining a single source of data based on AAA’s roles and responsibilities.
Reduced data redundancy: Following a roles and responsibilities based grid while designing workflows for the three frontline workers and allowing auto flow of common data.
Summary statistics: Depicting summary data to supplement line-list data to support data-based decision making by frontline workers.
Real-time case specific counselling: Enabling frontline workers to readily access a repository for counselling and awareness material when they are providing and recording services.
Knowledge building during reporting of services: Providing health workers with critical information regarding different services while registering a beneficiary.
Auto-identification of critical beneficiaries: Identifying critical beneficiaries directly using service delivery data to improve identification and under-reporting of critical beneficiaries.
Improved service delivery and reporting of critical health and nutrition indicators
Data for over 1,600 pregnant women for ANC check-ups, over 1,500 deliveries, and more than 11,500 children till the age of six was recording using the Integrated AAA App during the pilot in Rajasthan
The common database ensured that beneficiaries registered for nutrition services at the Anganwadi center increased by 40% after using the application
The app captured twice the data points per pregnant woman during the ante-natal checkup data, as compared to data captured manually
There was an eight-fold increase in the identification of high-risk pregnancies (HRP) after using the app; the HRPs were categorized at a granular level, covering more than 30 reasons for classification as high-risk
Identification of severely underweight and underweight children increased by over 100% (from 3% to 8% and from 15% to 34% respectively)