BackgroundEffective and real-time data analytics plays an essential role in understanding gaps and improving the quality and coverage of complex public health interventions. Studies of public health information systems identify problems with data quality, such as incomplete records and untimely reporting. Effective data collection and real-time analysis systems for rapid-cycle learning are necessary to monitor public health programs and take timely evidence-based decisions. Early childhood development (ECD) programs are very diverse. Rapid-cycle evaluation and learning (REAL) guides the implementation process of such complex interventions in real time. Stepping stones was one such early childhood development program implemented in Central India.ObjectiveThe objective was to improve the delivery of complex, integrated public health interventions for early childhood development in remote areas of rural India.MethodologyThe program was developed according to the principles of inclusion and community-centeredness, which can be tested quickly and iteratively. To enhance the decision-making process and improve delivery and coverage, the core team implemented an information system for rapid-cycle learning. We developed performance indicators and a performance measurement matrix after defining the specific needs. Following that, we trained staff to collect complete data using electronic data collection tools and transfer it the same day to the server for quality review and further analysis. A variety of data/information was triangulated to address the gaps in intervention delivery, and those decisions were subsequently implemented.ResultsWe observed that the quality of data collection improved, and errors were reduced by 50% in the third quarter. The quality of the narrative was also enhanced; it became more elaborate and reflective. Sharing their field output in meetings and improving the quality of the narrative enhanced the self-reflection skills of field staff and consequently improved the quality of the intervention delivery. Refresher training and mentoring by supervisors helped to improve the data quality over time.ConclusionRapid-cycle evaluation and learning (REAL) can be implemented in resource-limited settings to improve the quality and coverage of integrated intervention in early childhood. It nurtures a reinforcing ecosystem that integrates providers, community, and family perspectives and guides interactions among stakeholders by integrating data from all available sources.

Background: Increase in Non-communicable diseases in spite of many steps taken for prevention and control is challenge for all over world, these epidemiological transition leas to need of health care services at community level with quality health care services. Under Ayushman Bharat Programme transformation of existing health facilities in Health and Wellness center to deliver universal and free comprehensive primary health care. Delivering Non communicable disease health services is one of major component of HWCs. Objectives:.Study was conducted to conduct analysis of Publication on Non communicable disease and Ayushman Bharat Health and Wellness Center. Methodology: Retrospective observational study was conducted On 30.01.2021, the Pubmed was accessed to collect publication on Non communicable disease and Ayushman Bharat, Health and Wellness Centre. Bibliometric analysis was conducted with quantity indicators for measuring productivity and quality indicators for measurement of output. Structural indicator for measured inter linkage between authors, publication Information on PubMed was used for analysis with the help of R Studio. Results: The PubMed search filtered for annual scientific production including journal ,book , document etc from 1978 to 2021 are found total publication are 2377.Out of Total publication after analysing most relevant sources include PLOS One was found most relevant source around 91.In Correspondence Authors from various countries India is on 3rd number which is around 114 authors. Conclusion: There are many publications on this key words and most publication are published in recent 10 years. Indian contribution in this area in on 3rd no in all over world.

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