A digital necklace that makes medical history wearable to monitor the health care of mothers and children at the last mile.
What is it?
Khushi Baby (KB) is a mobile app for community health workers that interfaces with a digital necklace worn by patients via Near Field Communication, or NFC. The patient record data is synced to the cloud and displayed on our analytics dashboard, where insights can be acted upon by health officials. More than just another approach to digitize the record keeping process, the Khushi Baby system presents a novel community engagement platform; it is not just a necklace or a tool used to provide a health service, but also a powerful social symbol and a potential driver of behavioral change.
How is it used?
The chip is worn by patients in the form of a necklace. Currently we are focused on tracking child immunizations in the first two years after birth, so the infants wear the necklace. As we transition to storing data for maternal and child health, this pendant will be first worn by the pregnant mother and then passed on to the child to link their data.
What technologies does it incorporate?
The NFC chip in the pendant incorporates no active sensors or power supply. It simply comprises an encrypted data storage device which is read/writable. The NFC (NTAG216) chip has 888 bytes of data, enough to store the key data from the vaccination card. The health workers use a phone (with built-in NFC read/writer) to read and update information on the chip via the Khushi Baby Android app.
How does it work?
We combine wearable tech, mobile health, and cloud computing to track maternal and child health to the last mile. We empower patients with a digital, wearable, culturally symbolic copy of their health history and provide decentralized access to health workers to both read and update this data at the point of care, to assist with their decision making. This part is key to what we are doing different and underscores how we are changing the paradigm for mHealth. Health workers do not need to be connected or synced in order to interface with patients, which is the assumption for all other existing platforms. Where health workers work, connectivity cannot be assumed.
Data is later synced to a backend upon returning to the block office, where health administrators can benefit by using our dashboard to better schedule, manage resources, forecast demand, and even engage with communities using our dialect-specific voice call reminder system. Beyond simply collecting data our system is rooted in engaging the community. Our culturally symbolic necklace is five times more likely to be retained than the government paper card, more likely to be discussed in the village, and has the potential to serve as an important social signal for maternal and child health awareness in communities across borders.
Who uses it?
We are currently working in some of the most remote villages in Rajasthan and 4000+ infants annually with its vaccination outreach program. The delivery model uses decentralized health worker teams that go village to village for twenty days in a month. We are digitizing the data collection process at the point of care by equipping and empowering these health workers with our Khushi Baby app.
Why does it help?
Each year 1.5 million children die from vaccine preventable disease. Avoidable maternal mortality is also unacceptably high. By improving the process efficiency of following up with these patients and by increasing the program efficacy of eliciting good health behavior, we hope we can both expose areas in need all the way to the last child while also creating a system that can draw at risk families to the essential care they need.
How did the Incubation Program help you shape and grow your idea?
UNICEF Innovation has opened many doors. The endorsement as a winner of the Wearables Challenge alone goes a far way in demonstrating our credibility – taking our idea from something that might die as a pilot project to an organization with a mission to scale value. The Incubation program brought industry experts who provided us with frameworks to apply to our business strategy, legal structure, field testing, and application design. With Andela, we actually were paired with builders of our upcoming 2.0 system.The overall experience has been nothing short of transformative for our growth. Coming out of the incubator we won two scale-up awards and were recognized as a top social enterprise of 2016.
What is the long term vision now for Khushi Baby?
Our long term vision is to motivate and monitor the health of over 1 million mothers and their newborns in the next 5 years by making the most field-robust, secure, and culturally-tuned platform to connect mothers, community health workers, and health administrators.
Our broader mission is to take our KB necklace and unlock its full potential as a digital passport to connect underserved populations to health and social services. We are building and scaling in India, but also have an eye to make a sustainable, global impact by selling our integrated service and products to other country Ministries of Health and iNGOs.
USA & India
Ruchit Nagar, Mohammed Shahnawaz, Preethi Venkat, Tanooj Luthra, Bhupesh Nagar, Deepa Manjanatha, Farhana Jamal, Logan Stone, NIshant Jain, Pawan Singh, Sara Locke, Ujjwal Anand, Vijendra Banshiwal
Behavior Change, Data Collection/Data Insight
Health, Education, HIV/AIDS, Child Protection
These pages have been pulled directly from applications submitted to the Wearables for Good Challenge in 2015. They represent the work of the individual teams and have subsequently not been edited.