IMMUNISATION RECORD

A revamped immunisation record.

Brief

"Record for Life"

A simplified way of recording critical information to the parents to eliminate apprehension and increasing its preservation time by personalisation.

Research

What is immunisation record?

An immunisation record is a comprehensive timeline of all vaccinations a patient has received. Good record-taking will ensure a patient can provide accurate immunization records required for certain jobs, travel, or school enrollment.

What is being recorded?

1.The details of the infant
2.The vaccine that needs to be administered to the child

3.Date of return to the hospital for the consecutive vaccines
4.Health growth chart

 

Key breakdowns of child health record life cycle

Government

1.

The national government prints child health records. the records travel to a health facility via dry-goods supply chain. the records arrive at a facility and are stored indoors on shelves.

2.

Health worker grabs a new child health record to fill in recent bCg, HBV and Polio vaccinations of a newborn, uses public health information on the record to illustrate to

the mother how to care for her baby during the first 48 hours of life, and confirms with mother the next date of vaccination.

Caregiver

1.

The caregiver takes the health record and returns home. it is kept in a cupboard
or on a shelf.

2.

A household survey is done in the community and the health record is taken out for review by a national surveyor.

3.

When the child is due for another vaccination, the mother retrieves the card and brings it to the immunisation session.

Mother

1.

The mother retrieves the record and brings it to a special immunisation session that falls outside the routine schedule. the child is vaccinated and this is noted on the record.

2.

The mother and child move to another village in a distant place. She retrieves the record and brings it with
the child to the local health facility. The health worker examines the record to learn what the child has already had and what the child needs, and administers the appropriate vaccine(s).

3.

When the child reaches five years of age, the mother disposes of the record.

Layout Analysis

Spatial Distribution

Lack of space for details of child

No room for doctor’s inputs

Information Hierarchy

Lack of information about the vaccine
Pivotal information not given the required importance

Usability

Navigation through the document is difficult due to its complexity.

 

Future of digitisation of records not considered
 

Target Audience

Insights

The highest wealth quintile of India has seen a stagnation and then drop in number in full immunisation coverage.

 

In fact, there is a worrisome stagnation in
coverage (at 70%) among households in the
highest wealth quintile.”

Who

Young parents, mostly mothers

Age

25-45 year olds

Living conditions

Urban areas Metro cities

Pain Points

Derived from the user journey with records

1.

Confusion in the distinct columns: 'date of next vaccine' and ' vaccine administrated date'

2.

If cooking oil, water, mud or anything else spills on the cardboard record, then it is no longer legible and the information on it is lost.

3.

The mother forgets to bring the card or thinks it is not important. Then the health worker must spend extra time looking for a record of the child’s previous visit to the facility.

4.

The record is not always kept in an accessible place. It is often treated as a valuable object and

is kept under lock and key. 

5.

If there is no place to record vaccines that are given during special sessions outside the vaccine schedule, children may be given the same vaccine twice, adding unnecessary costs to the health system.

6.

During the move, the health record is lost or left behind. The health worker must interview the mother to determine which doses (out of up to 32 potential doses) a child has received. If she guesses wrong, the child may not get the correct life-saving vaccine.

7.

If the vaccine is given doesn’t have a place
on the health record because it’s a new vaccine, then the health worker might cross out an existing vaccine or write the
data down in the margins,
which makes the card harder
to read and interpret.

8.

The mother believes vaccinations are finished and loses the card or disposes of it too early. It’s not available for surveys and it’s not available for giving boosters.

NEXT PROJECT

Solving the problem of retaining the records and increasing immunisation coverage among the richer households in the country.

"When our basic needs are met, we look for more meaningful and emotionally satisfying experiences.

Functional benefits are not enough to retain a customer base like that of, hence an emotional value must be added to the product."

paraphrased, A Whole New Mind, by Daniel Pink

Screenshot 2019-04-06 at 11.11.04 PM.png

Beyond functionality

1.

Increasing accessibility and interpretability of such crucial records by families who have just completed the laborious process of childbirth. To simplify the layout to ensure no confusion in understanding the time, dates, names of vaccines administered/to-be administered.

2.

To personalise the document and to educate the parents.

3.

In allowing the document to have room for additional comments and notes there can be more clarity to new doctors/healthworkers if any unorthodox route taken in the order of vaccines.

4.

To engage the parent, providing valuable health information and encouraging the parent to keep the record safe for future immunization visits.

Easy to transport and take around.

5.

6.

In allowing the document to have room for additional comments and notes there can be more clarity to new doctors/healthworkers if any unorthodox route taken in the order of vaccines.

Scope for design intervention

Design goals

Future of Digitisation of Health Records

Collaboration with the governmwe

The Niti Aayog released a consultation document on July 6 that could change the way the health data of Indians is stored and shared.

It has proposed the creation of a National Health Stack to make both personal health records and service provider records available on cloud-based services using the internet.

It has been designed along the lines of India Stack – a set of cloud-based cashless services like digital payments that use application programme interfaces or APIs to transfer information through the system.

 

 

Hence, the addition of a unique identification pin of the child - the Baal Aadhar Number could help in the proposed strategy of NITI Aayog to digitise health records using a Digital Health ID.

This record could also be made as an OMR sheet to register details electronically so as to maintain the record for life.

"...proposed the creation of a National Health Stack to make both personal health records and service provider records available on cloud-based services using the internet."

Personal/Clinical Details

Photograph of the child Details of the child (Name
DOB

Sex
Blood Group

Baal Aadhar Number

Details of the parent

Name of the clinics

Name of doctors

Vaccination details

Type of vaccines Description of the vaccination
Date of vaccine administration and doctors signature Additional Vaccinations Notes and comments

Information for parents

Vaccine names and their functions

Personalised Unit

Track my firsts - milestone recorder

Updated Structure

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