NIC Rajasthan has developed and implemented the Pregnancy, Child Tracking & Health Services Management System (PCTS) for Medical, Health & Family Welfare Department, Govt. of Rajasthan, for improving its services right up to the grass root level (Health Subcentre). It is online software used as Planning & Management tool for improving health care services within Rajasthan. The Pregnancy, Child Tracking & Health Services Management System is extremely useful in ensuring better health for women, minimizing maternal mortality, neo natal mortality and in tracing areas with decreasing sex ratio at birth. It is also useful in monitoring functioning of all health institutions across the state numbering more than 13, 000. The system was formally launched by Hon'ble Union Health Minister Sh. Ghulam Nabi Azad on 15th Sept. 2009. minimized to a large extent. W HEN launched, it was a unique e-Gover nance project ever implemented in health sector. Monitoring of individual pregnant woman for health care as well as every child was not possible earlier. The Pregnancy, Child Tracking & Health Services Management System however made it possible that every single pregnant woman can be tracked for imparting health services till the delivery and subsequently every child. The project is not merely based on numerical figures, instead detailed data is captured for every beneficiary, who gets services from the Health department. Thus prob- lem of digital and content gap is The Pregnancy, Child Tracking & Health Services Management System is targeted towards improving health services right upto the lowest level health institution in the state viz; Health Subcentre at village level. Presently, Medical Health & Family Welfare Department operates in Rajasthan with 34 district hospitals, 32 hospitals attached to medical col- leges, about 200 city dispensaries, more than 360 Community Health Centres, about 1650 Primary Health Centres and more than 11300 Health Sub centres. All these institutions are responsible to provide health care services to the common citizen across the state. The Pregnancy, Child Tracking & Health Services Management System makes it possi- ble to monitor each of these institu- tions with online details of individual beneficiaries getting services from them. Monitoring of individual case through the Pregnancy, Child Tracking & Health Services Management System, ensures that health services are provided to every woman who has registered for Ante Natal Check-up at any of the Sub centre , Primary Health Centre , Community Health Centre, or other government insti- tution across the state. Such a system would result in reduction of maternal mortality. Since every individual pregnant woman can be tracked through this sys- tem, it is also useful in ensuring that more and more women take to Institutional Delivery, which again will be helpful in minimizing maternal mortality rate. Benefits from the system As with ANC check up, the system also tracks every single new born baby and pre- pares an ANC schedule, Delivery schedule and immunization schedule for each health unit. This helps in planning activi- ties at every health institution. Institution- wise monthly requirement of vaccine dosages is automatically prepared by the system. This helps the ANM at sub centre to adequately plan for Vaccine stocks and immunization sessions. The ANM can also use the information to follow-up the cases. In this turn ensures better immunization coverage resulting in reduction of child mortality and improved child health. Checking the population growth is an extremely important task. MIS for sub centre Management serves as a good tool in providing information of all such cou- ples which can be potential cases for ster- ilization. The system provides informa- tion about all the pregnant women who already have one or more children and are registered for ANC check-up. Counseling sessions can be taken up with all such women/ couples. A useful feature of the system is that it also filters all such cases which have regis- tered for pregnancy but have not reported delivery even after the expected date of delivery has passed. This information can be used in tracing abortions/ foeticides. The system is also used by all health institutions to report their performance periodically. Thus it is also an effective tool for monitoring service delivery by every health institution. In addition, Hospital Activity Indicators provide information about IPD, OPD, investiga- tions, etc. which are useful in assessing service delivery . Major Benefits Facilitates Online tracking of preg- nant women & children for health care Reduction in maternal mortality as a result of case specific tracking Improved child health because of better monitoring of vaccination programme Reduction in infant mortality Helps in improving institutional delivery Identification of cases for sterilisa- tion makes it an affective tool for population control Better management of every health institution in the state Excerpt of the letter from Mission Director, Dr. Pritam B. Yashvant, NHRM Rajasthan PCTS IS A GIGANTIC step for improving health care in Rajasthan. It helps us move from numbers to individuals. With the help of PCTS we have been able to reduce infant and maternal mortality and are better placed in terms of institutional delivery The project team includes: Smt. Indu Gupta - SIO Rajasthan, Sh. Tarun Toshniwal - STD, Smt. Anju Mittal - SSA For further information Tarun Toshniwal Senior Technical Director NIC Rajasthan State Unit 318 NW Block Secretariat ,Jaipur Ph.: 0141-2227992 tarun.toshniwal@nic.in Before the System After the System Total time for information communication 21-25 days Total time for information communication 3-5 days Redundant compilation at all levels No manual compilation at any level Time for trends and analysis 2-3 months after complete reporting Instant trends analysis Monitoring for individual health institution was not possible. It was very difficult to locate non performing units. Facilitates monitoring of individual health institution from state, district & block. Tracking of individual case was very difficult. Individual pregnant woman and child can be tracked