Village Health Intelligence

From village entry
to continuity of care.

A controlled field-to-dashboard system connecting geography, stakeholder networks, population and risk profiles, awareness, screening, UCID-based case tracking, referral, follow-up, barriers and programme learning. Public outputs are aggregated and de-identified; patient-level operational records remain controlled.

Operating Architecture

One geography. One reporting language.

ZoneSupervision & deployment
ClusterGrouped field area
VillageLocal intelligence unit
UCID / Activity IDTraceable action & continuity
1 · Village EntrySarpanch, ASHA/ANM, school, Anganwadi, local contacts.
2 · ProfilePopulation, vulnerable groups, access and geography.
3 · RiskTobacco, alcohol, awareness, known cases and local concerns.
4 · ActivityAwareness, household contact, screening and mobilisation.
5 · Care PathwayIdentification, UCID, referral, hospital visit, support.
6 · Learn & ReturnBarrier, next action, weekly review and next village plan.
Field Documentation

Forms become linked evidence—not isolated paperwork.

Form / registerCore fieldsWhat it producesClassification
Village Entry RecordZone, cluster, village, entry date, local contacts, engagement statusVillage activation / stakeholder readinessPublic summary
Village Profile & Risk LandscapePopulation, vulnerable groups, tobacco, alcohol, awareness, known cases, local concernsVillage risk and targeting profileAggregated public
Daily Activity LogDate, area, activity, participants, observation, action, follow-upActivity volume and setting mixAggregated public
Awareness LogTarget group, topic, session, attendance / reachAudience-specific awareness indicatorsPublic summary
Identification / UCID RegisterUCID, symptom/risk, source, action statusSuspected-case pathway and denominatorControlled internal
Referral & Follow-up TrackerReferral destination, status, contact attempts, barrier, next actionReferral conversion and continuity indicatorsControlled internal
SPARSH Home-Care RegisterUCID, condition, visit, next visit, support, escalation, outcomeRepeat-visit and continuity KPIsConfidential clinical
Weekly Village SummaryReach, suspected, referred, hospital visit, treatment start, SPARSH, key issueVillage dashboard snapshotDe-identified public
Data rule: field staff record suspicion, risk, referral and follow-up status; they do not convert a field observation into an unverified diagnosis. One person should retain one UCID across the care pathway.
Indicator Dictionary

What the system can measure.

Geographic KPIs

Active villages, village-entry completion, cluster coverage, last visit, next planned visit, village priority and unresolved work.

Engagement KPIs

Stakeholder contacts, community meetings, awareness sessions, target-group reach and community mobilisation support.

Identification KPIs

People reached, screened, suspected, UCIDs created, source of identification and risk-priority distribution.

Referral KPIs

Referred, hospital visit confirmed, referral pending, contact attempts, barrier profile and next action.

Continuity KPIs

Treatment started where documented, follow-up due/completed/overdue, active support, SPARSH repeat visits and closure status.

Data Quality KPIs

UCID completeness, mandatory-field completion, duplicate flags, missing follow-up, reconciliation status and evidence-lock status.

Referral ConversionHospital-linked ÷ referred
Follow-up CompletionCompleted follow-ups ÷ follow-ups due
Continuity IndexPatients with documented next action and completed follow-up ÷ patients requiring follow-up
Data CompletenessRequired fields completed ÷ required fields expected
Command-Centre Logic

The dashboard should answer three questions.

What is active?

Which villages, programmes and patient pathways are currently active, with current status and responsible person.

What is pending?

Referral pending, follow-up pending, unresolved barriers, missing evidence, RED/YELLOW priority cases and incomplete records.

What happens next?

Next activity, next visit, next follow-up, target date, responsible person and evidence required for closure.

Zone → Cluster → Village → Activity → People Reached → Identified / UCID → Referred → Hospital Linkage → Treatment / Support → Follow-up → Barrier → Next Action → Evidence Lock
Public vs Controlled Evidence

Transparency without exposing patients.

Public

Aggregated village metrics, programme funnels, de-identified risk patterns, activity counts, referral conversion and annual evidence status.

Partner / Governance

Approved programme reports, budgets, utilisation, implementation plans, KPI definitions, due-diligence records and evidence-lock notes.

Controlled / Confidential

Names, phone numbers, individual clinical details, patient-level UCIDs, consent, treatment records and sensitive follow-up information.