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MATERNAL AND CHILD TRACKING SYSTEM

Article · January 2019

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Madhuri Shelke
Tilak Maharashtra Vidyapeeth
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Dr. Mrs. Madhuri S. Shelke
Principal
Institute of Nursing Education and Research
Tilak Maharashtra Vidyapeeth, Pune

MATERNAL AND CHILD TRACKING SYSTEM

Background:
India’s Mother and Child Tracking System (MCTS) is an information system for tracking
maternal and child health beneficiaries in India’s public health system, and improving service
delivery planning and outcomes. Among the most vulnerable populations, pregnant women
and children in resource-poor settings need health systems that are capable of delivering
timely and quality care. At the forefront of service delivery in many Low and Middle Income
Countries (LMICs) are Frontline Health Workers (FHWs), who are responsible for
identifying all eligible beneficiaries within their catchment areas and ensuring that each
beneficiary receives the full schedule of services.
Introduction:
Mother and Child Tracking System (MCTS) is an initiative of Ministry of Health &
Family Welfare to leverage information technology for ensuring delivery of full
spectrum of healthcare and immunization services to pregnant women and children up
to 5 years of age. It is an innovative, web-based application, developed by NIC, to
facilitate and monitor service delivery as well as to establish a two way communication
between the service providers and beneficiaries. Generation of work plans of ANMs,
sending regular alerts to the service providers as well as beneficiaries about the
services due and a user-friendly dash board for health managers at various levels to
monitor delivery of services will go a long way in ensuring quality service delivery,
micro birth planning, ensuring universal immunization and will have positive impact
on important health indicators like Infant Mortality Rate and Maternal Mortality Ratio.
It will also help in evidence based planning and continuous assessment of service
delivery to pregnant women and children.
Keywords:
Mother, Pregnant Women, Child, Immunization, ANC, PNC, Delivery, MCTS, Health
Services
 National Conference Proceedings(NCP) 2019 41
• Mother & Child Tracking System (MCTS) is a centralized web based application for
improving delivery of health care services to pregnant women and children up to five
years of age through name based tracking of each beneficiary and monitoring service
delivery
• It has been declared as a Mission Mode Project under the National e-Governance Plan
(NeGP) in July 2011

OBJECTIVES:
Registration of Pregnant Women
When pregnant women comes to any Health Facility/Sub-Centre and get herself
registered and receive first Ante-Natal Care (ANC) Service then she is registered for
getting the full health services.
• Ante-Natal Care (ANC), Delivery & Post-Natal Care (PNC) Services
During the pregnancy period, MCTS records 4 ANC services given to pregnant women
and then captures delivery details like date of delivery, place of delivery and its
outcome and then PNC Service. Work plan for the ANM/ASHA is generated so th at no
women are left without services.
• Registration of Children for Immunization
In order to give 30 immunizations to every child, she/he is registered in MCTS
application.
• Immunization Services to Children
Immunization is given to every child as per the schedule and Work plan is generated to
be consumed by ANM/ASHA from the MCTS application so that no child is left.
• Integration with other applications like PFMS, MDR, MCTFC, Mobile
Academy, Kilkari etc.
Integrated with: - 1.PFMS to make the DBT based JSY payments to the beneficiary.
2.MCTs Facilitation Centre (MCTFC) to access the quality of service being delivered
in the field. 3. Kilkari Services, a dedicated IVRS platform to educate beneficiary
about the pregnancy & child care.
• USSD technology to update the service live on the MCTS portal.
Data is updated through USSD by the ANMs on real time basis on the MCTS portal
from the remotest part of the country.

National Conference Proceedings(NCP) 2019 42

 National Conference Proceedings(NCP) 2019 37
How MCTS can benefit – States
• At a Glance real time State progress report of the entire state
• Facilitate in identification of poor performing Districts, health facilities, Sub-
Centers
• Graphical dashboard for pictorial representation of the reports
• Special reports of high risk cases
• Dedicated helpdesk for feedback and suggestion
• Focused deployment of health workers & any supplementary immunization activity
planning
• Better data analysis for preparation of District /Block health action plans
• Improved supply chain management of vaccines and Drugs
• Effective IEC and communication with field workers and beneficiaries
MCTS - Current Status (India):
• An Online Software for MCTS has been developed which is available at the URL
http://nrhm-mcts.nic.in/
• Total records entered in the MCT System:
• 2.80 Crore mother records already entered since inception. In 2012-13 total
65.2 lakh mother has already been registered in MCT System.
• 2.06 Crore Child records already entered since inception. In 2012-13 total 42.3
lakh children have already been registered in MCT System.
• Facilities reporting data related to Mother & Child:
• Correctness of Data
• Calls made to the Beneficiaries
 100%

50%

0%

% of Correct calls to Calls Answered

National Conference Proceedings(NCP) 2019 38

Expectations of MOHFW :
➢ 100% Registration of Pregnant Women & Children
➢ 100% timely Update of Services Delivered to Pregnant Women & Children on
MCTS Portal
➢ Use of MCTS application by all levels Health workers
➢ Service Delivery to Pregnant Women and Children ensured
➢ Work-plan generation and utilization
➢ Near Real time update of Data on MCTS
➢ Use of MCTS data for review and action-for follow up on various schemes
and programs related to RCH services.
➢ Use of MCTS data for policy formulation, micro planning at different levels .
➢ Advice DMHO and BMHO for continuous monitoring, field visit and taking
of corrective action based on MCTS information
➢ Improve civil registration
• For validating the data entered in MCTS, SMS based approach has been evolved in
addition to establishing call centers at the national and State levels. Messages are sent
to both beneficiaries and service providers to verify their identity as entered in MCTS.
Registration of pregnant women Registration of children.

National Conference Proceedings(NCP) 2019 39

 • Since July 2016 to broaden the scope of MCH services the name of the system has
been changed to “Reproductive and Child health Portal.”
Live RCH Roll out Plan in Pune:
➢ Beneficiaries, Health provider etc. data shifted MCTS to RCH Portal for Pune
District including PMC & PCMC Corporation
➢ Currently Block wise training held at Pune.
➢ Block data operator with One PHC ANM called with filled information of village
profile, eligible couple, pregnant women & children information in RCH Register.
Conclusion:
Mother and Child Tracking System (MCTS) is an initiative of Ministry of Health &
Family Welfare to leverage information technology for ensuring delivery of full spectrum of
healthcare and immunization services to pregnant women and children up to 5 years of age. It
facilitates and monitors service delivery and also establishes a two way communication
between the service providers and beneficiaries.
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The profile of community health workers in rural Quechua communities in Peru. Hum
Resour Health. 2006;4:11. [PMC free article][PubMed]
National Conference Proceedings(NCP) 2019 40
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Health and Family welfare, Mumbai 2007.
➢ Govt of India. National population policy-2000. Department of Family welfare,
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Delhi.
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➢ http://nrhm-mcts.nic.in/Home.aspx

National Conference Proceedings(NCP) 2019 41

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