https://www.yenepoya.edu.

in
Yenepoya Nursing College
ANANDA, ASST PROFESSOR 1
Ministry of Health & Family Welfare
Government of India

Mother and Child Tracking System (MCTS)

An innovation towards strengthening of health care services
Contents
• Status of key health indicators and services
• Introduction to MCTS
• MCTS Operational Flow
• How MCTS can benefits
– Beneficiaries
– ANM / ASHA
– CMO’s / BMO’s / DIO’s
– State(s)
• Current Status
• Expectations of MoHFW
• Key Concerns for States
• Way Forward
ANANDA, ASST PROFESSOR 3
 Health Performance Indicators
Good Performing
Health Indicator India Low Performing State
State
MMR 81 390
212
(SRS: 2007-09) (Kerala) (Assam)
IMR 13 62
47
(SRS: 2010) (Kerala) (Madhya Pradesh)
TFR 1.7 3.7
2.5
(SRS: 2010) (Tamil Nadu) (Bihar)
Full Immunization 89.8 % 13.3 %
53.5 %
(DLHS-3) (Goa) (Arunachal Pradesh)
Full ANC 90.9 % 3.3 %
18.8 %
(DLHS- 3) (Goa) (Uttar Pradesh)
ANAEMIA 32.8 % 69.5 %
55.3 %
(NFHS- 3) (Kerala) (Jharkhand)

ANANDA, ASST PROFESSOR 4

Objective(s) of MCTS
To ensure that
• All pregnant women should receive their:
– Full Ante Natal Care (ANCs) services at due time
– Full Post Natal Care (PNCs) services at due time

• Encourage institutional delivery particularly of high risk mothers

• All children should receive their full immunisation at due time

This will help improve IMR, MMR, TFR and morbidity in women and children.

ANANDA, ASST PROFESSOR 5

 MCTS- A Path Breaking Initiative
• Mother & Child Tracking
System(MCTS) is a centralized web
based application for improving
delivery of health care services to
pregnant women and children up to
five years of age through name based
tracking of each beneficiary and
monitoring service delivery

• It has been declared as a Mission

Mode Project under the National e-
Governance Plan (NeGP) in July 2011

ANANDA, ASST PROFESSOR 6

ANANDA, ASST PROFESSOR 7
MCTS- Protocol
State State Programme
Mission Director State Data Officer
Officers

District District District Health CMHO /

DPM DDO
Magistrate Officer CMO

Block Medical
BMO BPM Data Entry Operator
Superintendent (CHC)

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 8

How MCTS can benefit -
Beneficiaries
Benefici
aries
Free consultation Information about
from Central desired services,
Helpdesk (Toll Government
Free No) Schemes & Benefits

Facilitate availing
Advance
the services from
information about
any Health Centre
the due services
based on need

Facilitate better Facilitate in timely

interaction with delivery of full
Health Service complement of
Provider services

ANANDA, ASST PROFESSOR 9

How MCTS can benefit – ANM /
ASHA
ANM /
ASHA
Readily Auto
available generation
Services due list of work-plan

Micro Better guidance

planning for from senior
Filed Visit supervisors

Contact
SMS based
details of the
workplan Beneficiaries

ANANDA, ASST PROFESSOR 10

How MCTS can benefit – CMO’s / BMO’s/DIOs

CMO’s /
BMO’s /
DIO’s
Actionable reports Readily available
of registration and
service updating
analytical
status reports

Facility Better planning

for Vaccination
reporting Supply &
status Management

Direct Group /Individual

communication SMS’s to health
with ANMs / ASHAs workers and
and beneficiaries beneficiaries

ANANDA, ASST PROFESSOR 11

 How MCTS can benefit – States
• At a Glance real time State progress report of the entire state

• Facilitate in identification of poor performing Districts, health facilities,

Sub- Health Centers
• Graphical Dashboard for pictorial representation of the reports

• Special reports of high risk cases

• Dedicated helpdesk for feedback and suggestion
• Focused deployment of health workers & any supplementary
immunization activity planning
• Better data analysis for preparation of District /Block health
action plans
• Improved supply chain management of vaccines and Drugs
• Effective IEC and communication with field workers and
beneficiaries

ANANDA, ASST PROFESSOR 13

 MCTS - Current Status (India)
• An Online Software for MCTS has been developed by NIC which is
available at the URL http://nrhm-mcts.nic.in/
• Total records entered in the MCT System:
• 2.80 Crore mother records already entered since inception. registered
in MCT System.
• 2.06 Crore Child records already entered since inception.
• Facilities reporting data related to Mother & Child:
Facility Pregnant Women Children
District 99.4% 99.4%
Health Blocks 95.6% 94.8%
Health Facility 85.5% 82.8%
Health Sub-facility 92.2% 87.8%
Villages 51.8% 45.1%
ANANDA, ASST PROFESSOR 14
Registration Status of Pregnant Women (%)
Year 2012-13(Pro-Rata)

80%
60%
40%
20%
0%
rh ab ia nd ds
a j d
dig
Pu
n In
g a la
I s lan
han Na ar
C ob
c
Ni
&
an
dm
An

ANANDA, ASST PROFESSOR 15

Registration Status of Children (%)
Year 2012-13(Pro-Rata)

100%
80%
60%
40%
20%
0%

ANANDA, ASST PROFESSOR 16

Service Delivered (%) – Pregnant Women
ANC Services & Deliveries Reported*

100% Goa
90% Mizoram
80% India
70% Chhattisgarh
60% Karnataka
50%
40%
30%
20%
10%
0%
ANC1 ANC2 ANC3 ANC4 Deliveries Reported

* Pregnant women with LMP in October 2011

ANANDA, ASST PROFESSOR 17
Service Delivered (%) – Pregnant Women
IFA Tablets*

80%
70%
60%
50%
40%
30%
20%
10%
0%
Rajasthan Mizoram Tripura India Jharkhand Bihar Manipur
* Pregnant women with LMP in October 2011
ANANDA, ASST PROFESSOR 18
Service Delivered - Children
OPV Services*

100%
Tamil Nadu
90% Puducherry
80% India
70% Chhattisgarh
60% Bihar

50%
40%
30%
20%
10%
0%
OPV0 OPV1 OPV2 OPV3

* Children with DoB in August 2011

ANANDA, ASST PROFESSOR 19
Service Delivered - Children
DPT Services*

100%
Tamil Nadu
90% Tripura
80% India
70% Karnataka
60% Bihar
50%
40%
30%
20%
10%
0%
DPT1 DPT2 DPT3

* Children with DoB in August 2011

ANANDA, ASST PROFESSOR 20
Service Delivered - Children
HEP Services*

100% Tamil Nadu

90% Lakshadweep
80% India
70% Arunachal Pradesh
60% Chhattisgarh
50%
40%
30%
20%
10%
0%
HEP0 HEP1 HEP2 HEP3

* Children with DoB in August 2011

ANANDA, ASST PROFESSOR 21
Service Delivered - Children
BCG & Measles Services*

100% Tamil Nadu

90% Puducherry
80% India
70% Manipur
60% Mizoram
50%
40%
30%
20%
10%
0%
BCG Measles

ANANDA, ASST PROFESSOR * Children with DoB in August 2011

22
Correctness of Data
Calls made to the Beneficiaries

100% 70%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

% of Correct calls to Calls Answered

ANANDA, ASST PROFESSOR 23

Expectations of MoHFW
 100% Registration of Pregnant
Women & Children
 100% timely Update of Services
Delivered to Pregnant Women &
Children on MCTS Portal
 Use of MCTS application by all levels
Health workers.
 Service Delivery to Pregnant Women
and Children ensured
 Work-plan generation and utilization
 Near Real time update of Data on
MCTS
 Use of MCTS data for review and
action-for follow up on various
schemes and programs related to
RCH services.
 Use of MCTS data for policy
formulation, micro planning at
different levels and redressal of
bottlenecks pertaining to various
programs.
 Advice DMHO and BMHO for
continuous monitoring, field visit and
taking of corrective action based on
MCTS information
 Improve civil registration
Expectations of MoHFW cntd…
 Ensure complete and accurate
mapping of all the health
facilities & health service
providers.
 Corrective action from the
State level, CMHO and BMO
level should be regularly
carried out based on the
analytical reports generated
from MCTS portal.
 Establish a call centre to
verify the records of the
beneficiaries and health
providers and also for
sending the information to
the beneficiaries about
their due services.
 A village wise integrated
RCH Register has been
designed by MoHFW and
shared with States/UTs.
Ensure its implementation
from 2012
Way Forward
• Use of mobile (GPRS, SMS)/tablet technology
for updating of service delivery data on real
time basis.
• Use of Interactive Voice Response System (IVRS)
to:
– Verify details of beneficiaries, ANMs, ASHAs
– Update data
– Send alerts on services due
– Send Messages

• MCTS as sole source of reporting and reviewing

MCH services
ANANDA, ASST PROFESSOR 26
• Problem Redressing System to review the redressal
of MCTS related issues.
• Trigger Mechanism for delivery of system generated
actionable mails/SMS to all the Health Administrators
and Managers on MCTS progress/feedback.
• Capacity building at various levels
• Effective integration with AADHAR- verification for
benefits

ANANDA, ASST PROFESSOR 27

• Ensure tracking of full immunisation course for all
children
• Better assessment of JSY, JSSK and other benefits
• Analytical reports for reviewing the progress of MCTS
implementation on real time / daily basis
• Facilitate in identifying of poor performing States,
Districts and Facilities

ANANDA, ASST PROFESSOR 29

Registration Status of Pregnant Women (%)
Year 2012-13(Pro-Rata)

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

BACK
ANANDA, ASST PROFESSOR 31
Registration Status of Children (%)
Year 2012-13(Pro-Rata)

120%

100%

80%

60%

40%

20%

0%
i l t r y ur ds
an du ja
b
es
h el ga ra es
h
ha na rr ep nd m nd
th a n d a v n j a d kim i ry
a e e ha sa l a i p a n
a s l N Pu r a H B e u r a i k B
uc
h
ad
w rk As ga an Isl
Ra
j
m
i P r st G lP
S Ha d h a a M r
Ta ya a ga e h a Pu ks Jh N ba
ad
h N W ac La i co
& m N
M
dr
a Hi n
&
D a a
d m
An

BACK
ANANDA, ASST PROFESSOR 32
Service Delivered (%) – Pregnant Women
ANC1 and ANC2*

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

ANC1 ANC2

ANANDA, ASST PROFESSOR* Pregnant women with LMP in October 2011

33
Service Delivered (%) – Pregnant Women
ANC3 and ANC4*

70%

60%

50%

40%

30%

20%

10%

0%

ANC3 ANC4

BACK
ANANDA, ASST PROFESSOR* Pregnant women with LMP in October 2011
34
 Deliveries Reported (%)*
100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

BACK * Pregnant women with LMP in Oct. 2011

ANANDA, ASST PROFESSOR 35
Service Delivered - Children
BCG & Measles*

100%
BCG
90%
Measles
80%

70%

60%

50%

40%

30%

20%

10%

0%

BACK * Children with DoB in August 2011

ANANDA, ASST PROFESSOR 36
MCTS- Protocol – DM/MD
 Monthly review meeting (SPeMT/ DPeMT)
State  Programme
State Implementation & review of scheme(s)
Mission Director State Data Officer
Officers
Provide guidance and support
 Ensure availability of (SPeMT) minutes on
District District Health
MCTS portal.
District CMHO / CMO DPM
Magistrate Officer

Block Medical Superintendent

BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 37

MCTS- Protocol – BPM/DHO/SPO
State Programme
State Mission Director State Data Officer
Officers

District District District Health

Officer
CMHO / CMO DPM
Magistrate

Block Medical Superintendent

BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator
 Regular review meetings
 Monitoring of Various programs
Sub Centre  ReviewANM of Implementation of MCTS scheme
regularly
 Provide necessary logistics
 Regular monitoring of Registration status /
Village ASHA
Facility Reporting and Updation of Service
delivery
ANANDA,
Assessment of Human Resource
ASST PROFESSOR 38
MCTS- Protocol - SDO/DPM
 Technical Advisor
 Assessment of MCTS requirementsState Programme
State Mission
 Co-ordination for Director
MCTS implementation State Data Officer
Officers
 Ensure data quality
 Generation & Circulation of Status
District District District Health CMHO /
reports DPM DDO
Magistrate Officer CMO

Block Medical Superintendent

BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 39

MCTS- Protocol – M/O In-charge
State State Programme
 Review ServiceMission Director
Delivery Officers
State Data Officer
 Periodic review meetings
 Supervisory field visits
 Logistics and supply
District Districtof vaccines
District Health
/ Drugs CMHO / CMO DPM
Magistrate Officer

Block Medical Superintendent

BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 40

MCTS- Protocol - DEO
State State Programme
 DataMission
entry Director Officers
State Data Officer
 Work plan generation

District District District Health

Officer
CMHO / CMO DPM
Magistrate

Block Medical Superintendent

BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 41

MCTS- Protocol - AVC
State Programme
State Mission Director State Data Officer
Officers

District
 Delivery of Vaccine
District District Health
Magistrate  Distribution
Officer
CMHO / CMO
of Workplan DPM
to ANM
 Collection of Information from ANM
and deliver to Data Entry operator
Block Medical Superintendent
BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 42

MCTS- Protocol - ANM
State Programme
State Mission Director State Data Officer
Officers

 Service Delivery
District District  Maintenance
District Health of Registers
CMHO / CMO DPM
Magistrate  Attend monthly meeting at PHC &
Officer
collect Work plan & Data updation
Block Medical Superintendent
BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 43

MCTS- Protocol - ASHA
State Programme
State Mission Director State Data Officer
Officers

 Identification of beneficiaries
District  Capture
District of information, inform ANM
Health
District CMHO / CMO DPM
Magistrate and assist during
Officer service delivery
 Escorting the patients to health facility
Block Medical Superintendent
BMO BPM (CHC)
Data Entry Operator

Primary Health Alternate Vaccine Data Entry

M/O In-charge
Centre Courier Operator

Sub Centre ANM

Village ASHA

ANANDA, ASST PROFESSOR 44