Village Health Nurses (VHNs) and Urban Health Nurses (UHNs) play a crucial role in the PICME 2.0 system by registering pregnant women directly in the system after confirming the pregnancy and providing the RCH ID. They also contact mothers pre-registered via online, e-seva centres, call centres, or government hospitals to complete the registration process .

The integration of PICME 2.0 with the State Birth and Death Registration software allows for seamless data sharing between systems, facilitating timely issuance of birth certificates upon availability of RCH IDs. This integration also ensures comprehensive and up-to-date healthcare records are maintained, improving service delivery and maternal and child health monitoring .

Technology in PICME 2.0 facilitates real-time management of healthcare services by capturing detailed records of pregnant women through a web portal, using unique RCH IDs, and ensuring seamless integration with the Birth and Death registration software. Pre-registration can be done via online platforms, e-seva centres, or by calling a dedicated toll-free number, with automated SMS notifications for service reminders and status updates .

PICME 2.0 ensures continuity of care by tracking pregnant women from registration as an eligible couple through the first 16 years of the child's life, providing unique RCH IDs, and mandatory registration for the issuance of birth certificates. The system also interacts with Emergency Management and Research Institutes to provide pick-up services for delivery, and automatic SMS reminders are sent to mothers regarding required services .

In the PICME 2.0 system, each mother is given a unique RCH ID, which is mandatory for birth registration. The birth certificate is issued only if the RCH ID is available with the mother. The details entered in the system are linked with the State's Birth and Death Registration software, facilitating the issuance of birth certificates .

PICME 2.0 incorporates measures such as tracking high-risk mothers to provide timely interventions, compulsory registration to ensure continuous delivery care services, and integration with the Birth and Death registration software to maintain a comprehensive healthcare record, all aimed at reducing maternal and infant mortality rates .

The main objectives of the PICME 2.0 system in Tamil Nadu are to provide continuous delivery care services to pregnant and lactating mothers and children, reduce Maternal Mortality Rate and Infant Mortality Rate, and track high-risk mothers to provide timely intervention .

The RCH ID in the PICME 2.0 system is crucial as it serves as a unique identifier for tracking maternal and child health services. It is mandatory for birth registration and crucial for accessing benefits under schemes like the Dr. Muthulakshmi Reddy Maternity Benefit Scheme. The RCH ID ensures that comprehensive healthcare documentation is maintained, facilitating timely and continuous care and services .

The linkage of PICME 2.0 with emergency services like the EMRI and 108 Ambulance service enhances maternal healthcare outcomes by allowing these services access to a real-time list of expected delivery dates (EDD mothers). This connectivity ensures timely transportation of mothers for deliveries, reducing delays and potentially adverse outcomes, thereby contributing to lower maternal and infant mortality rates .

A pregnant mother in Tamil Nadu can pre-register her pregnancy using the PICME 2.0 system through several options: she can register online by visiting https://picme.tn.gov.in, approach an e-seva centre for free services, call the toll-free number 102, or visit a government hospital. Following pre-registration, her details are sent to the relevant Village or Urban Health Nurse to complete the registration and issue an RCH ID .