1. Ministry of Health & Family Welfare Government of India
Mother and Child Tracking System (MCTS)
An innovation towards strengthening of health care services
Welcome note <<Good evening every body >>
September 2012

2. 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
The agenda for the presentation is we’ll have a look at the health indicator (IMR / MMR etc.)
Then we’ll identify the need and objective of the MCTS
We’ll have a look at the illustrative process flow of the MCTS
Then I’ll present some of the befits of the MCTS for different stakeholders.
And subsequently we’ll see the Current Status of the services delivered to Pregnant women and Children
At the end I’ll Present our expectations and way forward

3. Health Performance Indicators
Health Indicator
India
Good Performing State
Low Performing State
MMR
(SRS: )
212 81
(Kerala)
390
(Assam)
IMR
(SRS: 2010) 47 13 62
(Madhya Pradesh)
TFR
2.5
1.7
(Tamil Nadu)
3.7
(Bihar)
Full Immunization
(DLHS-3)
53.5 %
89.8 %
(Goa)
13.3 %
(Arunachal Pradesh)
Full ANC
(DLHS- 3)
18.8 %
90.9 %
3.3 %
(Uttar Pradesh)
ANAEMIA
(NFHS- 3)
55.3 %
32.8 %
69.5 %
(Jharkhand)

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.
The key objective of the MCTS is
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

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
MCTS was started on Dec-2009 and since then has come long way.
MCTS is a centralized web based application developed in co-ordination with NIC.
MCTS application is introduced 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.
In July 2011 MCTS has been declared as the Mission Mode Project under NeGP (National e-Governance Plan)

6. ASHA - Identification of beneficiary (pregnant women and children)
ASHA - Maintain the information into a diary and inform about the same to ANM as and when she visits the village and through phone and assist the ANM in service delivery to identified beneficiary
Alternate vaccine carrier - Supply of immunization vaccines in villages, Collection of work plan from PHC/CHC/Block and distribution to ANM at the vaccination site and Collection of service delivery data from ANM and submit it for data entry at the health facility
ANM - Delivery of maternal and child health services in the village
ANM - Maintain the register of beneficiaries ( beneficiary and service delivery information), and also updates workplan
ANM - Monthly visit to PHC for review meeting by M/O in charge, for further action and guidance
Data Entry Operator – upload the data on MCTS portal, generate the work plan
Work plan received by ANM/ASHA through SMS
Sending SMS to beneficiaries about the due delivery
Review of the MCTS progress and various program related to RCH Services through reports generated at different levels (facility level, block level, district level, state level and National level)
Verification of beneficiary records through state level/national level help desk
Corrective measures taken by health managers at all levels in their respective areas

7. MCTS- Protocol State District Block Primary Health Centre Sub Centre
Mission Director
State Programme Officers
State Data Officer
State
District Magistrate
District Health Officer
CMHO / CMO
DPM
DDO
District
BPM
Block
BMO
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
Through this slide we will explain you about the hierarchy of the administrators, health policy makers, health administrators, health service providers at all the levels of the state and will also explains their roles/responsibilities/protocols for making the MCTS programme a great success, successful roll out of MCTS and effective usage of MCTS data for micro planning of health related programmes/schemes.
Our expectation from Health managers/Health Service Providers at different levels and for different process are as follows:
Data collection, Data entry and data updation in the system – there should be as minimum as possible time gap between the actual service delivery and updation of data in the MCTS. It should be less than a week.
Work Plan – work plan should be regularly generated and timely distributed to field level health service providers so that its proper utilization can be there
Maintenance of quality of data - IT managers at various level as well as health administrators should regularly review the data in MCTS and help in improving its quality
Regular review meeting – there should be regular review meeting on MCTS implementation at all levels (state level or district level or block level)
Use of MCTS data as the only source of information for review of RCH services
Senior level health managers/Administrators ( State level) should use the MCTS data to take the policy decision for the different schemes and health related programmes, identify the bottlenecks and
Middle level health managers/ Administrators should use the MCTS data for micro level planning like distribution of vaccines/drugs, logistics, Human resource etc.
Medical officers at all the levels should use the MCTS data for reviewing the progress of their catchment area
ASHA
Village

8. How MCTS can benefit - Beneficiaries
Information about desired services, Government Schemes & Benefits
Advance information about the due services
Facilitate in timely delivery of full complement of services
Facilitate better interaction with Health Service Provider
Facilitate availing the services from any Health Centre based on need
Free consultation from Central Helpdesk (Toll Free No)
MCTS can benefit Beneficiaries by providing
Information about required services,
Advance information about the due services
Different Government Schemes & Benefits
Facility to interaction with Health Service Provider
Facility in timely delivery of full complement of services
Flexibility to availing the services from any Health Centre based on need
Free consultation from Central Helpdesk (Toll Free No)

9. How MCTS can benefit – ANM / ASHA
Auto generation of work-plan
Better guidance from senior supervisors
Contact details of the Beneficiaries
SMS based workplan
Micro planning for Filed Visit
Readily available Services due list
MCTS benefits ANM/ASHA by providing
Auto generated of work-plan
Readily available Services due list
Micro planning for field Visit
Contact details of the Beneficiaries
SMS based work-plan
Better guidance from senior supervisors

10. How MCTS can benefit – CMO’s / BMO’s/DIOs
Readily available analytical reports
Better planning for Vaccination Supply & Management
Group /Individual SMS’s to health workers and beneficiaries
Direct communication with ANMs / ASHAs and beneficiaries
Facility reporting status
Actionable reports of registration and service updating status
MCTS is a very good tool for the DIO’s/ CMO’s and BMO’s and provides
Actionable reports of registration and service updating status
Readily available analytical reports
Facility reporting status
Direct communication with ANMs / ASHAs and beneficiaries
Group /Individual SMS’s to health workers and beneficiaries
Better planning for Vaccination Supply & Management

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 Centres
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
MCTS has various reports that states can utilize to review the implementation progress and take necessary corrective measures
MCTS provides
At a Glance real time State progress report of the entire state
Facilitate in identification of poor performing Districts, health facilities, Sub- Health Centres
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

12. MCTS - Current Status (India)
An Online Software for MCTS has been developed by NIC which is available at the URL
Total records entered in the MCT System:
2.80 Crore mother records already entered since inception. In total 65.2 lakh (49.6 % on pro rata basis) mother has already been registered in MCT System.
2.06 Crore Child records already entered since inception. In total 42.3 lakh (35.4 % on pro rata basis) children have already been registered in MCT System.
Facilities reporting data related to Mother & Child:
Facility
Pregnant Women
Children
District
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%
As I mentioned earlier as well MCTS application is developed by NIC, the MCTS application can be accessed through URL
Current Status:
Registration : Total records entered in the MCT System:
Total 2.80 Crore mother records have already entered since inception. In total lakh (49.6 % on pro rata basis) mother have already been registered in MCT System.
Total 2.06 Crore Child records have already entered since inception. In total lakh (35.4 % on pro rata basis) children have already been registered in MCT System.
Facilities reporting data
Data being reported from Health Facilities and Villages are not satisfactory

13. Registration Status of Pregnant Women (%) Year 2012-13(Pro-Rata)
The graph presents the overall registration status of pregnant women on pro-rata basis for the year It is clear from the graph that average registration rate of the country is less than 50%.
However some state like Chandigarh, Punjab, Tamil Nadu, Puducherry, Rajasthan etc. are high performing states and other states such as Bihar, Andaman and most of the States from North East are low performing States.

14. Registration Status of Children (%) Year 2012-13(Pro-Rata)
The graph presents the overall registration status of children on pro-rata basis for the year It is clear from the graph that average registration rate of the country is less than 36%.
However some state like Rajasthan, Tripura, Tamil Nadu, Odisha etc. are high performing states and other states such as Uttar Pradesh, Karnataka, Andaman and most of the States from North East are low performing States.

15. Service Delivered (%) – Pregnant Women ANC Services & Deliveries Reported*
The graph represents the tracking of Ante-natal services provided to the pregnant women having LMP in the month of October 2011.
Ideally all the ANC services should be delivered to these pregnant women and should have delivered baby by August 2012.
But the graph shows a sharp decline in ANC services provided to the pregnant women. Goa, Mizoram etc. are the high performing states in ANC service delivery whereas low performing states are Chhattisgarh, Karnataka etc.
* Pregnant women with LMP in October 2011

16. Service Delivered (%) – Pregnant Women IFA Tablets*
The graph represents distribution of Iron and Folic Acid (IFA) tablets to the pregnant women having LMP in the month of October 2011.
Average distribution of IFA tablet is approximately 43% for the country.
IFA distribution in states such as Rajasthan, Mizoram, Tripura etc. are the good whereas States like Jharkhand, Bihar, Manipur etc. are not satisfactory.
* Pregnant women with LMP in October 2011

17. Service Delivered - Children
OPV Services*
The graph represents the status of OPV service delivery to the children born in the month of August 2011.
The graph shows high variation in service delivery of OPV services among the States. For example Tamil Nadu, Puducherry etc. are having better OPV service performance as compared with Bihar, Chhattisgarh etc.
Ideally all the OPV services should be delivered to these children but graph shows a sharp decline in the services delivered to the children (from OPV0 to OPV3).
* Children with DoB in August 2011

18. Service Delivered - Children
DPT Services*
The graph represents the status of DPT service delivery to the children born in the month of August Ideally all the DPT services should be delivered to these children but graph shows a sharp decline in the services delivered to the children (from DPT1 to DPT3).
Further there is a high variation in delivery of DPT service among the States. For example Tamil Nadu, Tripura etc. are having better DPT service performance as compared with Bihar, Karnataka etc.
* Children with DoB in August 2011

19. Service Delivered - Children
HEP Services*
The graph represents the status of HEP service delivery to the children born in the month of August Ideally all the HEP services should be delivered to these children however graph shows a sharp decline in the services delivered to the children (from HEP0 to HEP3).
Further there is a high variation in delivery of HEP service among the States for example Tamil Nadu, Lakshadweep etc. are having better HEP service performance as compared with Chhattisgarh, Arunachal Pradesh etc.
* Children with DoB in August 2011

20. Service Delivered - Children
BCG & Measles Services*
The graph represents the status of BCG and Measles service delivery to the children born in the month of August Ideally all the BCG and Measles services should be delivered to these children however graph shows a sharp decline in the service delivery.
Further there is a high variation in delivery of BCG and Measles services among the States. For example Tamil Nadu, Puducherry etc. are having better BCG and Measles service performance as compared with Bihar, Himachal Pradesh, most of the North East States etc.
* Children with DoB in August 2011

21. Correctness of Data Calls made to the Beneficiaries 70%
Records of the beneficiaries were verified through call center. Calls were made to the beneficiary for verification.
More than 85% records of the beneficiary were found correct in Delhi, Himachal Pradesh, Goa etc. however only 5% records were found correct in Assam, Chhattisgarh, Bihar etc.

22. Expectations of MoHFW
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
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 utilisation
Near Real time update of Data on MCTS
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 of 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 reviewing and monitoring of various schemes and programmes launched by MoHFW related to RCH services.
Use of MCTS data for policy formulation, micro planning at different levels and redressal of bottlenecks pertaining to various programmes.
Advice DMHO and BMHO for continuous monitoring and field visit and taking of corrective action based on MCTS information.
Improve civil registration

23. Expectations of MoHFW cntd…
Ensure complete and accurate mapping of all the health facilities & health service providers.
Ensure records of the proceedings of the meetings of SPeMT and DPeMT should be put on the website.
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
Ensure complete and accurate Mapping of all the health facilities & health service provider.
Ensure timely and universal registration of the pregnant women and children and services delivered to the beneficiaries on MCTS Portal
Ensure records of the proceedings of the meetings of SPeMT and DPeMT should be put on the website.
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
Corrective action from the State level, CMHO and BMO level should be regularly carried out based on the analytical reports generated from MCTS portal.

24. 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
Effective operationalization of MCTS protocol
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.
Operationalization of National/ State Call Centre /helpdesk
We are continuously working to further strengthen the MCTS application by introducing new technologies and new channels for the service delivery like:
Use of mobile 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
Ticketing System to review the redressing status of MCTS related issues as well their categorisation based on priority.
Trigger Mechanism for delivery of system generated mails to all the Health Administrators and Managers on MCTS progress/feedback.
Operationalisation of National Call Centre

25. Way Forward contd… Capacity building at various levels
Effective integration with AADHAR- verification for benefits
Integration and convergence of various IT initiatives implemented/ adopted by different department of the Ministry and States under a single window to review the performance of various programmes / schemes launched by MoHFW and improve data quality.
MCTS is able to provide good platform and unique opportunity to enable identification of the beneficiary for all schemes of various departments across Ministries in one place and placement of this information on the web for access by the identified functionaries of concerned department.
We at MoHFW continuously interacting with states to access their needs and try to address them :
Capacity building at various levels
Regular Video Conferencing with States/ District Collectors
Integration and convergence of various IT initiatives implemented/ adopted by different department of the Ministry and States under a single window to review the performance of various programmes / schemes launched by MoHFW and improve data quality.
MCTS is able to provide good platform and unique opportunity to enable identification of the beneficiary for all schemes of various departments across Ministries in one place and placement of this information on the web for access by the identified functionaries of concerned department.

26. Thank you

27. How MCTS can benefit – Centre
Provide a mechanism at all levels to directly monitor the delivery of Mother and Child Health (MCH) benefits to the beneficiaries
Provide a single source of information related to pregnancy and child immunization health services and possibility of health- related information on mother and childcare
Facilitate closer monitoring of ANC and PNC check-ups of pregnant women and reduce avoidable complication
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

28. BACK

29. How MCTS can benefit – Centre
Provide a mechanism at all levels to directly monitor the delivery of Mother and Child Health (MCH) benefits to the beneficiaries
Provide a single source of information related to pregnancy and child immunization health services and possibility of health-related information on mother and childcare
Facilitate closer monitoring of ANC and PNC check-ups of pregnant women and reduce avoidable complication
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

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

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

32. Service Delivered (%) – Pregnant Women ANC1 and ANC2*
* Pregnant women with LMP in October 2011

33. Service Delivered (%) – Pregnant Women ANC3 and ANC4*
BACK
* Pregnant women with LMP in October 2011

34. Deliveries Reported (%)*
* Pregnant women with LMP in Oct. 2011
BACK

35. Service Delivered - Children
BCG & Measles*
* Children with DoB in August 2011
BACK

36. MCTS- Protocol – DM/MD Monthly review meeting (SPeMT/ DPeMT)
Implementation & review of scheme(s)
Provide guidance and support
Ensure availability of (SPeMT) minutes on MCTS portal.
Mission Director
State Programme Officers
State Data Officer
State
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
BPM
Block
BMO
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

37. MCTS- Protocol – BPM/DHO/SPO
Mission Director
State Programme Officers
State Data Officer
State
Regular review meetings
Monitoring of Various programs
Review of Implementation of MCTS scheme regularly
Provide necessary logistics
Regular monitoring of Registration status / Facility Reporting and Updation of Service delivery
Assessment of Human Resource
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

38. MCTS- Protocol - SDO/DPM
Technical Advisor
Assessment of MCTS requirements
Co-ordination for MCTS implementation
Ensure data quality
Generation & Circulation of Status reports
Mission Director
State Programme Officers
State Data Officer
State
District Magistrate
District Health Officer
CMHO / CMO
District
DPM
DDO
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

39. MCTS- Protocol – M/O In-charge
Review Service Delivery
Periodic review meetings
Supervisory field visits
Logistics and supply of vaccines / Drugs
Mission Director
State Programme Officers
State Data Officer
State
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

40. MCTS- Protocol - DEO State Data entry Workplan generation District
Mission Director
State Programme Officers
State Data Officer
State
Data entry
Workplan generation
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

41. MCTS- Protocol - AVC State Delivery of Vaccine
Mission Director
State Programme Officers
State Data Officer
State
Delivery of Vaccine
Distribution of Workplan to ANM
Collection of Information from ANM and deliver to Data Entry operator
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

42. MCTS- Protocol - ANM State Service Delivery Maintenance of Registers
Mission Director
State Programme Officers
State Data Officer
State
Service Delivery
Maintenance of Registers
Attend monthly meeting at PHC & collect Workplan & Data updation
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

43. MCTS- Protocol - ASHA State Identification of beneficiaries
Mission Director
State Programme Officers
State Data Officer
State
Identification of beneficiaries
Capture of information, inform ANM and assist during service delivery
Escorting the patients to health facility
District Magistrate
District Health Officer
CMHO / CMO
DPM
District
Block
BMO
BPM
Medical Superintendent (CHC)
Data Entry Operator
Primary Health Centre
M/O In-charge
Alternate Vaccine Courier
Data Entry Operator
ANM
Sub Centre
ASHA
Village

44. Data Reported (%) by Facilities Pregnant Women
August 2012

45. Data Reported (%) by Facilities Children
August 2012