Best Projects 2018 features all the nominated entries submitted to the Youth Citizen Entrepreneurship Competition under ‘Submit your Project’ category. All the entries consist of innovative projects run by existing enterprises in the form of businesses, NGOs or informal programs. If you want to know the 10 finalists in this category click HERE
DAKSH - An Intelligent Intrapartum Monitoring Mobile Application
Explain your project in details:
During intrapartum period, world faces 1.2 million intrapartum stillbirths and 2,25,000 maternal deaths every year. India alone accounts for around 130 maternal deaths every day. More than 80% deliveries occur with the assistance of midwives in low resource healthcare settings in India. WHO Partograph is designed to monitor & make timely interventions to prevent complications during the intrapartum period. During this period, labor vitals recording and interpretations from the partograph are virtually absent. More than 90% of the midwives fill the partograph after delivery, that too for the data recording formality. Discussion with 100+ midwives and 50+ doctors in low resource healthcare settings led to a number of problems related to partograph. Complicated to use without proper training Additional record keeping with no apparent real time benefit Looking at the partograph, the midwives do not know when to take data Data entry in the partograph does not trigger a call to action in case of any anomaly The Solution: DAKSH An Intelligent Intrapartum Monitoring Mobile Application DAKSH is an intelligent labor monitoring mobile application which helps midwives during the intrapartum period in protocol adherence and early decision making. DAKSH allows the staff nurse to register and enter vital signs of a pregnant woman. It reminds the staff nurse to monitor the labor vitals, as per the standard WHO intrapartum protocol. It also generates alerts in case of complications, based on an in-built algorithm. The mobile application feature includes: Monitoring alarms for intrapartum vital parameters as per the WHO protocol (help staff nurses in protocol adherence) Complication alert using an in-built algorithm based on the vitals entered by staff nurses (help staff nurses in timely decision making) Automatic generation of simplified partograph for record keeping Instant notification to referral healthcare settings for referred patient Push notification to the doctor/gynaecologist mobile phone for any complication alert
Impact of your enterprise on sustainable development
Pilot in 5 PHCs (Primary Healthcare Center): DAKSH gives labor data monitoring alarm in every 30 minutes for fetal heart rate, 4 hours for cervical dilation, 30 minutes for uterine contraction, 30 minutes for amniotic fluid, 4 hours for mother BP, 30 minutes for mother pulse rate and 4 hours for mother temperature as per the WHO protocol after registering the patient on mobile application. The midwives monitor the respective parameters after listening the alarm and enter the value of parameter in mobile application. This process continues till the time of delivery. If midwives monitor the parameter and enter it in the mobile application within 15 minutes of the alarm rang, then we consider it as an alarm followed. DAKSH continuously analyze the labor data entered with respect to the time and gives complication related alert in case of any anomaly. If complication alert ring, then midwives takes early decision of any intervention and referral to higher health facility. To show the effectiveness of the DAKSH, we have conducted the pilot in 5 PHCs (Primary Healthcare center) on 495 patients in India. Including all 5 PHCs, the alarms were followed for 1529 times which is ~60% of the total number of alarm rang. The application gave complications related alert for 239 patients and ~43% (n=102) patients referred to higher health facility. The Karnataka government supported us under startup Karnataka program to prove the product for a block (one region of a district) which includes government maternity delivery hospitals like PHC (primary healthcare center), CHC (community healthcare center) and TH (Taluk Hospital/referral hospital). We have conducted the pilot in 1 whole block (Pavagada Block, Tumkur District, Karnataka State, India) which includes 1 TH, 2 CHCs & 4 PHCs.
Sustainability and future plans
1. Multi State Pilots: We will be getting permission from 10 state government for conducting the pilot in 1 block of each states. Implementation at 100 government hospitals (10 hospitals per state) 2. Indian government sales: Procurement of 200 devices ($150k revenue) by a state government and budgeting for 1000 devices ($750k revenue) from each of 5 state government by end of the grant. 3. Indian private hospitals sales: Sales of 200 units ($150k revenue) in 2 years 4. Regulation & Certification: ISO & CE approval.
Your profile as an entrepreneur
Arun Agarwal (28 years old) is passionate about solving grass-root problems through technology. While in college, he founded a venture that tackled social education through technology. More than 10,000 school students were benefited from his venture across India. His interest in healthcare led him into do a post gradation specialized in biomedical engineering, where he gained experience on government funded healthcare projects. He has more than two years experience as a patent analyst in the healthcare sector. He got supported as a social innovator for a specific program run by BIRAC (a Govt. of India enterprise) in maternal and child healthcare. During this program, he successfully validated the need, solution concept and developed a first prototype. He also registered his own social for-profit startup JANITRI Innovations Private Limited in India and completely dedicated to the grass root level problems related to maternal and child health.