Study on Technical, Behavioral and Organizational Factors Affecting the Performance of Mother and Child Tracking System in Rural Area of Varanasi District, Uttar Pradesh: A Qualitative Study
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https://doi.org/10.47203/IJCH.2020.v32i02.021Keywords:
MCTS, Health care providers, Training, Performance, QualitativeDimensions Badge
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Background: The Mother and Child Tracking System (MCTS) portal captures and tracks all pregnant women right from conception up to 42 days after delivery and all children below five years. Objectives: This study was conducted to find out the technical, behavioral and organizational factors that affect the process and performance of MCTS. Material and Methods: This was an exploratory qualitative study conducted in Varanasi district by using multistage random sampling method. Data were collected by in-depth interviews of 48 health care providers. Results: Majority of the ANMs and ASHAs were not aware of the meaning of “Tracking System” and the use of MCTS ID. Inappropriate training of ASHAs, absence of supervision and monitoring by ANMs, overburdened DEOs and ANMs, poor internet connection, slow server speed, software problem and frequent power failures were identified as major factors for poor performance of MCTS. Conclusion: The most effective measure to improve the performance of MCTS would be to properly train grass root level workers so that more efficient data can be fed into MCTS.Abstract
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Ministry of Health and Family Welfare, Government of India. Maternal and Child Tracking System Operational Manual.Available from: https://www.nrhmmis.nic.in/Home%20MCH%20. Ministry of Electronics and Information Technology, Government of India. Mission Mode Projects. Available from: http://deity.gov.in/content/mission-mode-projects. Department of Health and Family Welfare, Government of India. Maternal Health Program, Chapter-4, Annual Report 2013-14:51-58. Nayak M.S.D.P, Veni A.K, Madhavi S., Naidu S.A. A Study on Implementation of Mother and Child Tracking System in Chilakaluripeta Cluster of Guntur District, Andhra Pradesh. Indian Journal of Maternal and Child health 2013; 15(4):1-5. Nagarajan P, Tripathy JP, Goel S. Is mother and child tracking system (MCTS) on the right track? An experience from a northern state of India. Indian J Public Health. 2016 Jan-Mar;60(1):34-9. doi: 10.4103/0019-557X.177298. PubMed PMID: 26911215.[PubMed]. Gera R, Muthusamy N, Bahulekar A, Sharma A, Singh P, Sekhar A, Singh V. An in-depth assessment of India's Mother and Child Tracking System (MCTS) in Rajasthan and Uttar Pradesh. BMC Health Serv Res. 2015 Aug 11;15:315. doi: 10.1186/s12913-015-0920-2. PubMed PMID: 26259836; PubMed Central PMCID: PMC4530478.[PubMed]. Dehury RK, Chatterjee SC. Assessment of health management information system for monitoring of maternal health in Jaleswar Block of Balasore District, Odisha, India. Indian J Public Health. 2018 Oct-Dec;62(4):259-264. doi: 10.4103/ijph.IJPH_203_17. PubMed PMID: 30539886.[PubMed]. Sharma A., Shinde A., Kar A. Prevalence in the utilization of text message services under the mother and child tracking system of India: a cross sectional study from Pune district, Maharashtra. India. International Journal of Community Medicine and Public Health 2016; 3(8): 2319-2324.
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