Rationalization of Registers
Frontline workers (FLWs) maintain numerous, voluminous registers. For instance, the anganwadi worker alone has 11 registers. Several of them contain repetitive fields. Naturally, frontline workers see registers as a burden. We see them as job-aids.
Auxiliary Nurse Midwives (ANMs) have to undertake tedious documentation, a task unto itself that takes focus away from registers as tool for service delivery
Registers are burdensome, and the formatting is not intuitive, resulting in haphazard data recording which reduces their usefulness for service delivery
The work of the ANM becomes more about paperwork and less about delivering effective healthcare.
The Antara Foundation (TAF) works with government functionaries to simplify record-keeping and make service delivery registers and records easy to use. TAF redesigns registers to eliminate repetitive columns, introduce a logical sequence and make them visually appealing. This helps save time, improve data quality and morale of health workers.
The design innovations include a user-friendly format that enables easy data entry, the institutionalization of the AAA philosophy and the provision of role specific information, and ensures the inclusion of critical information required for health service reporting.
midwives use simplified records across Rajasthan
redundant fields removed in midwives' service delivery books
workers use redesigned diaries across Madhya Pradesh
Figures are based on estimates using publicly available sources, and from Antara Foundation’s monitoring system in Rajasthan