peter lubambi: reducing maternal mortality with mhealth, mobilemonday dar es salaam, april 2nd 2012
DESCRIPTION
Peter Lubambi from D-Tree International presented their initial finding and experiences on a mobile app designed to reduce maternal mortality. Presentation available in YouTube: http://www.youtube.com/watch?v=MWbEZ_HtlrATRANSCRIPT
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Reducing Maternal Mortality: mHealth for Safer Deliveries in
Zanzibar
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Problem
• Low rates of in- facility deliveries and access to post-partum care
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• More than 1,000 women die every day in the developing world as a result of complications in childbirth.
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• While women are encouraged to deliver in a health facility, in Zanzibar half of all births still take place at home, far from skilled care.. Source: Tanzania demographic health survey 2010
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Main obstacles to in-facility deliveries are
• An insufficient understanding of the benefits of delivering in the facility
• Delays in decision-making to get there in time; and
• Lack of available finances for transport.
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• Further, only one-third of Zanzibari mothers and newborns receive post-natal check-ups within 42 days after birth,
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• locking them out of opportunities to access post-partum care, family planning, infant vaccinations and other services that will ensure their healthy future
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• Through a generous grant from the Bill and Melinda Gates Foundation, D-tree International is addressing this problem in Zanzibar together with Etisalat, JHPIEGO and the Ministry of Health and Social Welfare.
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Solution
• mHealth tool for community-based birth attendants (TBA)
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• D-tree has developed an mhealth tool for traditional birth attendants (TBAs), who are well-respected in their communities and have considerable influence and access over the mothers that are most likely to give birth at home.
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• Using an open source, java-enabled application, the protocol follows the Zanzibar Ministry of Health guidelines and allows TBAs
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TO
• Screen pregnant mothers to: identify risks or danger signs, discuss birth plans, secure permissions, and promote the community-based referral system
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TO
• Establish community-based referral systems to transport laboring mothers to health facilities in time by calling reliable drivers and alerting on-call facility staff
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• Using mobile banking, coordinate mother’s transport to health facilities and hospitals
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• Within 2-3 days after delivery, follow-up with the family to ensure a continuum of care, including post-partum and post-natal care
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• Focused on prevention and integrated with the health system, the tool harnesses community actors to help mothers with high-risk health conditions access the right care at the right time.
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In summary• D-tree’s mHealth application for safer deliveries aims to:
Ø Improve identification of `pregnant mothers’ risksØ Improve decision-making for critical referrals during laborØ Improve coordination of community and health facility
actorsØ Increase percentage of high-risk deliveries to be
assisted by skilled caregivers in facilities Ø Increase percentage of mothers and newborns attending
postpartum care within the first 7 days after delivery
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RESULTS
• High demand for integrated mHealth tool
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• Traditional birth attendants, community health workers, and primary health care staff are using D-tree’s mHealth application for safer deliveries in the North A District of Unguja, Zanzibar.
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• Based on high community demand for use of D-tree’s mHealth application, strong partner commitment, and promising initial results, the project has potential to extend across Zanzibar.
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JOIN US
• h1p://www.globalgiving.org/projects/safedelivery/
• Watch video at h1p://www.youtube.com/v/DZl7z_oItro
• Website www.d-‐tree.org