Journal of Health & Medical Informatics

Dinesh Songara

Publications

• Research Article
  From Guidelines to Practice: Assessing the Implementation Fidelity of Partograph Use for Monitoring Labour in Primary Healthcare Settings in India Using a Tablet-Based Mobile Application
  Author(s): Arvind Vashishta Rinkoo, Anand Kumar Panjiyar, Dinesh Songara, Arnika Sharma, Priyanka Singh, Meenakshi Pareek, Satyaban Sahu, Rajesh Ranjan Singh and Rakesh Kumar SrivastavaArvind Vashishta Rinkoo, Anand Kumar Panjiyar, Dinesh Songara, Arnika Sharma, Priyanka Singh, Meenakshi Pareek, Satyaban Sahu, Rajesh Ranjan Singh and Rakesh Kumar Srivastava
  
  This prospective study uses a tablet-based mobile application (digital partograph named DAKSH) to assess the implementation fidelity of partograph use for monitoring labour in primary healthcare settings in Rajasthan, India. As DAKSH does not allow filling of data retrospectively, only real-time information can be used for generating the partograph using this application. Two algorithms were developed to feed each of the data points for seven fetal and maternal parameters into the research instrument. In this study, percentage of data points captured in real-time for fetal heart rate, status of membranes and colour of amniotic fluid, uterine contractions (frequency and duration), maternal pulse, cervical dilatation, maternal blood pressure, and maternal temperature were 29.63%, 35.32%, 29.36%, 29.45%, 55.06%, 42.51%, and 42.71%, respectively. Notably, implementation fidelity was lowes.. Read More»
  

  Abstract PDF