To accelerate provider claim payments for Universal Health Coverage based on incentivization by real time verification of service completeness and quality by OpenSRP within 6 years in 12 selected districts

Adaptive Networks for Care at Scale/ANCS

SID commits to overcome bottlenecks for maternal and neonatal care and nutrition utilizing 5 core components that include: (1) coordinated data-driven maternal and newborn care and nutrition by FHW teams through active use of routine client data on the Open Smart Register Platform (OpenSRP) mobile information system to ensure complete coverage and continuity of care. OpenSRP is currently deployed with the aim to enhance maternal care including COVID-19 screening, vaccination, and multiple micronutrient supplementation during pregnancy, blood pressure and diabetes monitoring and management, and for maternal, newborn and infant tracking for COVID-19 according to government schedules, and promotion of breastfeeding; (2) enhanced Frontline Health Workers (FHWs) knowledge/skills and accountability through the proctored Knowledge Ggateway (KG), online proctored assessment platform for targeted training i.e interprofessional collaboration, for workers to attain professional society certification and public sector human resource performance requirements, and provide coaching for the continuous improvement; (3) Universal Health Coverage provider incentivization by real- time verification of service completeness and quality by OpenSRP, and linked with accelerated provider claim payments; (4) client demand-side incentives that promote improved quality of care as clients’ feedback on care completeness and quality; (5) completion of app migration to the Fast Healthcare Interoperability Resources (FHIR) standard for a ‘One Data’ system according to the Presidential Regulation No. 39 Year 2019.

Components #1 to #4 are together to be achieved through deployment of OpenSRP, Knowledge Gateway, and coaching activities. Meanwhile, and component #5 is an effort to create a highly interoperable system for a unified data system across FHWs. Therefore, all components are integrated, to improve the quality to improve the quality of human resources in health and improve quality of maternal and child health and nutrition by improving the quality of human resources and the use of digital tools for health.