Hayat

Hayat Application Functionality

Hayat is being used by frontline health workers and allows them to log details of the services provided during the field visits, track patients and raise awareness in communities during field visits. Its supervisory application allows supervisors of community health workers and vaccinators to monitor field activities and quality of services provided and verify monthly reports. Hayat’s robust web portal enables health care supervisors and government officials to access essential information in real-time and conveniently track and monitor field activities and health workers and generate meaningful performance reports, improving transparency and accountability. Hayat aims to provide an overall improved governance structure to stakeholders.

The following modules are incorporated in Hayat:


Child Health Care Maternal Health Care
Registrations Registrations
Immunization Services ANC, PNC, Delivery Services
Child Growth & Illness Tracking Family Planning Services
Stock Management of Vaccines and Medicine Referral Tracking and Management
Referral Tracking and Management Educational, awareness-raising videos
Educational, awareness-raising videos Stock Management of Vaccines and Medicine
  Illness Tracking

Impact

During the first year, Hayat has demonstrated immense potential in achieving higher utilizations of services by the population by improving the transparency and accountability mechanisms linked with health worker performance and creating a demand for services by generating awareness and interest through the awareness sessions.

The close-to-real time monitoring through the digitised system, along with the comprehensive database, allows government stakeholders to identify gaps and challenges, enabling them to allocate resources appropriately in a timely manner. A key component of Hayat’s training sessions was the empowerment and capacity building of health workers, many of whom often lack digital literacy due to limited exposure in remote settings.

One of the main successes of Hayat were the interactive awareness sessions. Previously, a health worker would relay health education messages orally to a patient, but felt that this often lacked impact, as the participant would quickly lose interest. Under Hayat, the awareness sessions are met with great interest in the field, and other family members (such as the husband and mother-in-law, who are the primary decision makers in these settings) oftentimes participate, leading to a greater audience and impact. Awareness sessions are highly helpful in creating a change in their awareness, attitudes and ultimately, behaviors. Furthermore, with the usage of Hayat, the EPI and LHW Program health workers are now working with greater coherence. For example, a lady health worker is now informing a vaccinator about child births in their village, helping reduce the number of zero dose children and tracking defaulters.

Results - TTS2


The Way Forward

Based on positive results of the scaling-up the vaccination component of Hayat in 56 sites and the piloting of the maternal care component of Hayat at 7 sites during the TTS2 phase, Hayat has been approved for another phase (TTS3) with joint-funding from GCC and AKFC for a period of 13 months, i.e., from December 1, 2019 to December 20, 2020. In the TTS3 phase, the maternal care component is to be scaled to remaining 49 sites while vaccination is continued at the 56 sites. AKU now aims to hand this over the government to be absorbed into their national/provincial budgets in Afghanistan and Pakistan. A quantitative endline survey is planned, which will evaluate the effect Hayat has achieved in relevant MNCH indicators recorded at the beginning of the project through a baseline survey.

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