The George Institute For Global Health
United Kingdom

IMPACT Diabetes project kicks-off in Guntur, Andhra Pradesh

Innovative M-health led Participatory Approach to Comprehensive screening and Treatment of Diabetes (IMPACT Diabetes) program launched in Guntur district of Andhra Pradesh.  

Prof. Robyn Norton, Principal Director, The George Institute for Global Health, initiated the IMPACT Diabetes program by presenting SMARThealth kit to ASHA workers and ANMs at the project locations. The kit has a provision of smartphones, BP monitors and other diagnostic tools (eg. glucometers), and access to a clinical decision support system via the Sanamobile platform for all ASHAs and PHC doctors in the intervention period.

The IMPACT Diabetes project will be working towards developing an innovate health care delivery approach which involves the non-physician healthcare workforce and training them to effectively identify people with diabetes, refer them appropriately for medical care and then provide a continuum of care in the community. The ASHAs and ANMs will use the kit as a platform for home based screening and they will be assisted by a mobile health enabled clinical decision support tool and the integrated delivery of diabetes management.

During her visit, Prof Norton also visited the Primary Health Centers (PHC) and Community Health Centers (CHC) in Guntur in Andhra Pradesh, where she reviewed the existing SMARThealth programs and interacted with local project in-charges, various district level health officials, health workers including ASHAs and ANMs and PHC doctors.

Talking about the use of technology for providing comprehensive health care, Prof. Norton, said:

“There is an urgent need to develop effective strategies for delivering low-cost, evidence based treatments for management of various disease burdens. SMART Health has the potential to revolutionise the delivery of essential healthcare to those who previously had little or no access. With u the e of innovative smartphone technology, we aim to deliver state-of-the-art personalised healthcare in the most cost-effective manner to the people.”

Technology-enabled screening and assessment of disease burden by village level health workers coupled with a referral and treatment system involving doctors in primary health centres has considerable scope of ensuring that people stay healthy for a longer time. SMART Health, a study by The George Institute for Global  Health in  the Bhimavaram district of Andhra Pradesh, is a primary healthcare “ecosystem” for resource-poor settings that is designed to enable the Systematic Medical Appraisal, Referral and Treatment (SMART) of patients at high-risk of premature death or disability. 

The system was initially developed for the management of common cardiovascular diseases in rural and remote Australia, and has recently been extended to rural India with support from the Global Alliance for Chronic Disease.  However, SMART Health offers much broader potential to transform primary healthcare for a range of those conditions most likely to kill or maim people living in resource-poor settings.

SMART Health provides the primary care workforce with a suite of smartphone-based applications that include a simple electronic health record, wireless point-of-care diagnostics and series of evidence-based algorithms for the management of patients with, or at high-risk of, premature death or disability. Continuous central monitoring of user satisfaction, clinical performance and disease outcomes provides the data necessary to ensure quality, safety and self-improvement.  Other applications also provide support for operational management and capacity building