Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality

Training of Medical officers in Primary
Health Centers of Tamilnadu to reduce
perinatal mortality
Innovative use of
Technology in Healthcare
@Transforming Healthcare with Technology Summit Project Presentation ScanSHS

 Directors :
Dr S Suresh / Dr Indrani Suresh
 Started in 1982, 31 years of highly
specialized foetal care
 Accredited by Fetal Medicine
Foundation, UK
 Tertiary referral centre for Ultrasound
and Fetal Medicine in south asia
 Passionate Teachers, 26 years of
training, Over 5000 students
 Caters to all strata of Society

Scan-SHS Project
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
The aim of ScanSHS project is to improve
the skill levels of medical officers in primary
health centers of Tamilnadu in the usage of
ultrasound for antenatal screening for early
detection of fetal abnormalities through
innovative and effective use of technology

Goals of Scan-SHS Project
•Offer a viable healthcare training program for healthcare practitioners
in rural Tamilnadu, to improve skills in fetal imaging
for early detection of fetal abnormalities like NTDs, Abdominal wall defects,
IUGR etc.
Offer a blended training mechanism that would allow the medical officers at
the primary health center to interact with experts and gain skills over a period of
time.
System of Audit for continuous evaluation of skill levels. Specialists remotely
assess the performance of the medical officer and provide feedback.
Sms Alerts when anomalies are detected for specialist intervention and
management
Demonstrate and validate the skills acquired. Sophisticated software analysing
performance and suggesting areas of improvement.
•
The project shall result in reduction of perinatal mortality

Challenges
Ultrasound availability in all PHC’s / Government Hospitals
Lack of training – under utilization
No accreditation for those performing ultrasound hence lack of confidence
in reporting
Doctors working at primary level to be trained in a specialty in a short time
Imparting theoretical skills and training in a standardized fashion
Geographically dispersed locations
Periodic audit and a verifiable training program
Low Skill Levels, Geographically spread, Standardisation

ScanSHS Project
Approach

The Scan-SHS Approach
The project shall result in reduction in perinatal mortality
Step 1
Identification of the PHC’s, List of doctors and Pre-test
Step 2
Orientation session for all doctors/trainers for 2 days
Step 3
Doctors take online theoretical course (http://www.sonoedu.com)
Step 4
“Hands on training” by accredited trainers in each district
Installation of specialized software for ultrasound reporting and
training on use of software
Step 5
Online audit of Images and reports by specialists
Periodic Evaluation and Feedback

Scan-SHS Approach
The project shall result in reduction in perinatal mortality
Sensitization program
PRE-TEST
ONLINE THEORY
COURSE
www.sonoedu.com
PRACTICAL
TRAINING AT
DISTRICTS
Patient examination
Standardized image
documentation / reporting

ScanSHS –
A Technical Overview

ScanSHS Workflow

Foetal Management Software and Reporting
Specialised Software for
management of fetus
- Demographics
- Pregnancy Dating
- Plotting Fetal Growth
- Past pregnancy history
- Risk for anomalies
- Standardized Image set
- Upload for audit
- Expert Alerts
- Statistics, audits,
management reports
Sonocare was successfully integrated into Primary Health Center workflow
with support for expert opinion

Sonocare – ICT in fetal medicine practice
Comprehensive fetal medicine solution devised with the clinician in mind
Helps the medical practitioner to focus on the patient, not the process
Diagnostic +Reporting + Research + Tracking +Auditing tool, all put
together
Sonocare in diagnosis
Are the dates right?
Is the baby small?
Is it growth restricted?

Primary Health Center Workflow
Anomaly
Status
Study Uploading
Medical officers in primary health centers upload images and reports to
centralized server. Report suspected anomalies for further management.

Expert Feedback
Specialist audits the performance of the medical officers on
certain standardised parameters, and provides feedback

Anomaly Workflow and Management
SMS Alarm sent to the specialists when anomalies are reported
for immediate intervention and management

Performance Report

ScanSHS
Statistics and
Concluding Remarks

15 Districts
252 Doctors
64000 Cases
126PHCs
620 Anomalies
ScanSHS – Work in Progress

SL.No District
Anomalies
Detected
1 Coimbatore 9
2 Cuddalore 47
3 Erode 81
4 Krishnagiri 12
5 Madurai 40
6 Nilgiris 70
7 Ramanathapuram 3
8 Salem 91
9 Sivaganga 0
10 Theni 43
11 Thiruvallur 17
12 Thiruvarur 1
13 Tiruppur 89
14 Vellore 75
15 Villupuram 42
ScanSHS – Work in Progress

Scan SHS : Audit Enabled Education
•First of its kind education program for healthcare practitioners to improve their
skills in fetal imaging and early detection of fetal anomalies
Continuous assessment, periodic feedback and mentoring by experts has
helped develop a talent pool in the primary health centers, which in turn can be
leveraged for further capacity building
Capacity building and skill development through appropriate use of
technology can significantly improve the quality of healthcare delivery especially
in rural India where there is a huge scarcity of specialised practitioners
•
Effective use of Technology for capacity building in Rural India

Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality

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Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality