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Although earlier the idea was to do scanning to ensure that the patient record is available at the sub-centre and hospital both, and to do this we started with one disease at a time. But scanning is happening randomly now, without a plan and repeated persuasion to follow the original plan has not worked in VP.
We are concerned about potential loss of data as the patients travel between Ganiyari and subcenter since now we keep the documents at the subcenter. This process is not foolproof and need significant supervision. There is no quality check in place to see if the process is working or not.
One option is to stop the current process and restart it when we have an offline solution for the sub centre. This should be available in 4-6 months time frame. Shortcut for patient paper records. Printout of scanned records.
Vaibhav has started to look after the scanning at VP and the target is to complete it by March End. After that the plan is start entering data through templates at Ganiyari, first for TB and Hypertension on a pilot basis.
Diabetes
Template: Some doctors do not want to use the template even though repeatedly the items in the checklist are not actually followed when doing it on paper. We had discussed in December whether we can ask the counsellors to fill a larger part of the template. At that time Yogesh wasn’t comfortable with the idea and wanted the doctors to do it.
Option1: Counselors fill larger part of the template
One problem with this approach is that currently the doctors don’t capture this information even on paper. How will the counselors or transcribers get this information?
Option2: Reduce the number of fields in the template
Also we should perhaps call template, checklist instead.
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