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MEDIA LAB ASIA
ca:shCommunity-based, accessible &
sustainable health
Digital Nations Brunch
Nov. 28, 2001
Vishwanath Anantraman
Nathan Eagle
Vikram Sheel Kumar
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ca:sh – mission statement
To build a health geographical information
system that provides medical decision
support and logistic support for maternal
and child health in rural India.
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Public health system in rural India
PHC
ANM ANM ANM ANM ANMANM
VILLAGES
PHC: Primary Health CenterANM: Auxiliary Nurse & Midwife
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The Auxiliary Nurse and Midwife
The lowest node in rural health, she travels from house to house and visits the PHC once/2 weeks.
She is educated and familiar with English.
Generally 5000 patients come under her care
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A handheld-based health platform to augment the ANM’s services
Logistic Support To address resource allocation problems
Medical Decision Support To bring greater expertise to the village-level
Behavior Modification As preventative medicine is the most cost-effective type
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Logistic Support
Immunization scheduling 98 % of all vaccines for the Expanded Program on
Immunization are funded by the government. Only 55% of 1 year old children are immunized to
measles.
An immunization schedule held by an ANM in Andhra Pradesh
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Medical decision support
Pregnancy risk scoring Growth charting
XML-based applications running on a linux handheld
To add value to the rich data being collected
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Behavior modification
Increase drug compliance 87 % of all pregnant women in rural India are
anemic, most of which is preventable with Fe or B12 + Folic Acid
Increase accountability of health workers
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Scalability
How can we turn this project into a local business?
Additional non-medical applications? Dristi (gov't complaints – egovernance),
Tarahaat (ecommerce) Existing Infrastructure
PHO – rural ‘phone shops’ in 60% of villages Bicycle Bandwidth?
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What we are doing
Create a platform that can be dual-use:voice messagingphoto sendingGIS surveysphoto printing
Discover what works
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Team
Vishwanath Anantraman
Nathan Eagle
Reshma Khilnani
Vikram Kumar
Tarjei Mikkelsen
Advisor: Sandy Pentland