IJCM_216A: Task force study for evaluation of community level acceptability, scalability and linkage within health system of ICMR pre-validated Labike/ Technologies for screening & diagnosis in rural & urban population–An implementation research

Abstract

Background: The concept of ABDM- Ayushman Bharat Digital Health Mission and Ayushman Bharat- Pradhan Mantri Jan Arogya Yojna are in root for overall aims of the research and importance of this research proposal. There is a need to study the acceptability & scalability of ICMR pre-validated technologies -Mobile Lab technology & digital technologies, skilled manpower needed for health data updating from individuals given individual health ids. Objectives: To do situational analysis of availability of medical diagnostic, testing facilities in under privileged/ remote areas. Methodology: Study Design – Implementation research, Sample - 1000 households (5000 population) have been equally enrolled from rural and urban areas which are further equally divided into two groups of control and intervention. Base Line Data has been collected on following information- socio-demographic characteristics, blood pressure measurement, health needs, health seeking behavior of community, availability and utilization of existing health care facilities and blood investigations. Study tools: Questionnaire for baseline survey – After informed consent, interview of the family head was done using set of quantitative and open-end qualitative questionnaires. Results: 77.9% and 69.3% belong to Upper Lower class in urban and rural areas. 21% and 15.6 % blood pressure measurements were deranged in urban and rural areas, 11.8 % and 10% population in urban and rural areas showed their willingness for lab investigations at door step through LABIKE. Blood glucose measurements of 5.4 % and 10.6% population in urban and rural areas were deranged. Haemoglobin values of 11.8 % and 17% population in urban and rural areas were low than 10 g/dl. 7 % and 12.7 % population in urban and rural areas utilized existing health care facilities. Conclusion: There is need to generate robust grass root level network by integrating community and health service providers.