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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish

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Can community health workers screen under 5 yr children with computer program

M K Chandrasekhara¹, B Shanthi, H N Mahabala

¹Department of Pediatrics, St. John's Medical College, Bangalore.

Indian Journal of Pediatrics

|September 1, 1994

Summary

The EKALAVYA program effectively guides Community Health Workers (CHWs) in high-risk pediatric screening. This computer-assisted tool showed high concordance with expert evaluation, improving child healthcare delivery.

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Area of Science:

Pediatric Health
Health Informatics
Public Health

Background:

Primary Health Centers (PHCs) face challenges in high-risk screening for children under 5.
Existing programs like CSSM and ICDS require integration of diverse health aspects.
Community Health Workers (CHWs) are crucial for delivering primary healthcare services.

Purpose of the Study:

To evaluate the EKALAVYA computer program for high-risk screening of children under 5 by CHWs.
To assess the concordance between CHW-guided screening and expert clinical evaluation.
To identify areas for improvement in training and program implementation.

Main Methods:

The EKALAVYA program integrates common pediatric symptoms and health promotion aspects for CHW use.
CHWs received 2-3 weeks of user-friendly training on the EKALAVYA program.
A comparative study assessed 96 pediatric outpatient cases, comparing CHW computer-guided evaluation with a research team's clinical evaluation.

Main Results:

The EKALAVYA program demonstrated high user-friendliness for CHWs.
Overall concordance between CHW computer guidance and expert clinical evaluation was 91.66%.
Symptom-specific and severity-specific analyses also showed good concordance, with minor correctable errors identified.

Conclusions:

The EKALAVYA program is a viable tool for empowering CHWs in pediatric high-risk screening at PHCs.
The program shows significant potential for improving decision-making and healthcare delivery in primary care settings.
Further field trials in PHCs are recommended to validate its effectiveness in real-world settings.