Thursday, March 31, 2016

Malnutrition in India and how iCHR is helping

Birth of a child is perhaps one of life’s most treasured moments for every parent. Protecting the child’s health and ensuring proper nutrition and growth are the only important goal for any parent. In July 2015, the Government of India, released malnutrition figures from the Rapid Survey on Children (RSoC) data that was collected in 2013-14. According to this report:
  • 29.4% of children (aged less than three years) fall in underweight category (low in weight for their age),
  • 15% were wasted (low weight for their height)
  • 38.7% were stunted (low in height for age)


Introduction to Malnutrition

The Dorland Medical Dictionary defines Malnutrition or Malnourishment as a condition that results from unbalanced diet causing various health problems. This unbalanced diet results from eating a diet in which nutrients are either not enough or are too much. Simply put, malnutrition can be categorized as under-nutrition (Underweight) and over-nutrition (Obesity). Malnutrition is caused by various conditions or circumstances like:
  • Poor Diet
  • Food Shortages
  • Food Prices and Irregular Food Distribution
  • Lack of Breastfeeding
  • Lack of monitoring vital parameters of child such as: age, height, weight and head circumference

Malnourishment at an early age leads to reduced physical and mental development of the child. Hence, the first two years of a child’s life are critical and is termed as “Window of Opportunity”. There are various parameters to identify malnutrition in a child, the most crucial being monitoring the vital parameters up to 12 years of age:
  • Head circumference
  • Height
  • Weight

How iCHR is helping?

iCHR is the India’s 1st Hospital linked Integrated Child Health Record – a revolutionary concept of automated vaccination record and growth monitoring, for your precious child. Our goal with iCHR is to attain the sustainable development goals and reduce the child mortality rate. It helps in keeping track of all the vital parameters up to 12 years of age responsible for monitoring the growth of a child such as:
  • Head circumference
  • Height 
  • Weight
  • BMI 
The parameters are plotted on WHO based charts, which help the child’s pediatrician to analyze any risk of malnutrition, and the statistics can also be used by ICDS for future studies. 

Case Study

Fortis Le Femme, being the major implementer of iCHR application gave insight on patients whose growth improved immensely with the utilization of the growth charts, namely:
  • Fenton Growth Chart for Preterm Babies
  • WHO Growth Chart for Term Babies
The chart below depicts the Weight versus Age vital parameters for a preterm baby on the Fenton Growth Chart which illustrates that growth of the baby at 46 weeks falls under 3 centile which is a bit on the lower side. With proper instructions and guidelines of the pediatrician, the growth of the child can be improved. 

Fenton Chart – Weight versus Age

The chart below depicts the Weight versus Age vital parameters for a term baby on the WHO Growth Chart illustrating that growth of the baby from 2 months to 15 months of age falls below 3 centile which is on the lower side. 

WHO Growth Chart – Weight versus Age

In both the above cases, with timely intervention and proper instructions of the pediatrician improved the growth of the child and helped the parents to come out of fear of retarded growth for their child.

We at iCHR are profound & proficient in providing the platform at your doorstep starting from installation, training the end users, support and maintenance of the application. We make sure that you do not fall in traps & make the best of decisions for the hospital and the patients. If this sounds interesting and you are still not on board, contact us to know more on ichr@oxyent.com or 011-40644232 for further queries and we’ll be more than happy to help! 



Tuesday, March 22, 2016

Current Vaccination Scenario in India

In India, an estimated 26 millions of children are born every year. As per WHO in 2015, 5.9 million children under age five and 696,000 neonatal deaths were recorded. Achieving full immunization against preventable childhood diseases is the right of every child, and to provide this right to every child, the Government of India launched the Universal Immunization Program (UIP) in 1985, one of the largest health programs of its kind in the world. According to a report, it is observed that though the program is being operational for over 30 years, only 65% children in the first year of their life have been able to achieve full immunization and the increase in coverage has stagnated in the past 5 years to an average of 1% every year. It has also been observed that every year in India, 5 lakh children die due to vaccine-preventable diseases. Another 89 lakh children remain at risk, because they are either unimmunized or partially immunized against vaccine-preventable diseases. (Source: Mission Indradhanush)

Various reasons have been identified on why the coverage has been slow such as:
  • Lack of awareness on the need of immunization
  • The vaccination and growth records handed over to the parents are paper based records which are not formally maintained. Parents in most of the cases either misplace these records or do not carry each time visiting the doctor for administering the vaccination to the child.
  • Often the parents miss the vaccination schedule of their child due to the busy and hectic lifestyle, because of which the child suffers.
  • Hospitals do not maintain OPD record for vaccination and hence there is no way of recovering the vaccination history.

What can be done to solve this issue?

Technology is joining hands with Healthcare rapidly, from HIS to EMRs/EHRs; the need of the hour is to now develop applications which will focus on specialized departments such as Maternity, Pediatric Department, etc. 














With this thought, would like to introduce iCHR - India’s 1st Hospital linked Integrated Child Health Record – a revolutionary concept of automated vaccination record and growth monitoring, for your precious child. Our goal with iCHR is to attain the sustainable development goals and reduce the child mortality rate. It helps in keeping track of all the vaccinations according to the schedule recommended by the IAP. The application offers the following benefits:


Benefits for Doctors
  • Cloud based patient management system.
  • Maintaining the visit history of child which saves record keeping and maintenance cost.
  • Paperless and secured vaccination record available anytime, anywhere in the world.
  • Brand documentation of vaccine.
  • Digital plotting of growth parameters on WHO and Fenton Charts.

Benefits for Parents
  • Paperless and secured Vaccination Record available anytime, anywhere on your mobile phone.
  • Interactive growth chart on parent’s mobile phone to track growth of preterm and term babies.
  • Easy to understand.
  • Each hospital visit details on tap of a button.
  • Automatic vaccination due date calculator.
  • Timely vaccination reminders and notifications for the parents.

We at iCHR are profound & proficient in providing the platform at your doorstep starting from installation, training the end users, support and maintenance of the application. We make sure that you do not fall in traps & make the best of decisions for the hospital and the parents. If this sounds interesting and you are still not on board, contact us to know more on ichr@oxyent.com or 011-40644232 for further queries and we’ll be more than happy to help.