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REMIND PROJECTUSING TECHNOLOGY FOR MOTHER & CHILD
SURVIVAL
International Reporting Project Presentation
19 February 2013 – Mumbai, India
Why Mother & Child Survival?
1 out of every 5 children less than 5-years old on the planet lives in India. (20% of the world’s children)
1 of every 4 children who dies, dies in India. (25% of all child deaths worldwide)
More than 1 out of every 5 women who die during pregnancy, delivery or soon after, dies in India (19% of all maternal deaths worldwide)
Why Uttar Pradesh?
•India’s most populous state • 200,000,000 people• Almost equal to population of
Brazil
• 1 out of every 35 people on the planet lives in Uttar Pradesh
• UP has some of India’s worst statistics in terms of mother and child survival
• Mother and child deaths in UP threaten both national and global achievement of MDGs 4 (reduce child mortality) and 5 (improve maternal health)
Make a difference in UP, and you make a difference in the world!
Causes of Maternal Deaths in India
Hemorrhage (38%) Infection (11%) Most mother’s
deaths are preventable through safe delivery and adequate maternal care before and after birth
Newborn causes (33%) Prematurity and low
birth weight, birth asphyxia, infection
Respiratory Infection (22%)
Diarrhea (14%) Malnutrition contributes
to one-third of child deaths
Causes of Child Deaths in India
“By taking women into account, child survival can be influenced where it begins — in the years,
months, and days before a child is born and in the critical hours, days, and months after birth”(Symposium
report –Save The Children)
Project Overview
Reducing Maternal and Newborn Deaths (ReMiND) Project
Partners: Vatsalya, Dimagi Inc. Area of Intervention:
2 blocks of Kaushambi District, Uttar Pradesh
Beneficiaries: 45,762
Project Duration: 3 Years (Oct 2011 – Sept 2014)
Donors: CRS, USAID DIV 2.0
Imagine that you are an Accredited Social Health Activist…
Female community health worker covering a rural population of about 1,000
Estimated 32 pregnant women & 98 children under-5
Mostly Low literate and some are functionally illiterate
Communities’ first point of contact with the health system
Volunteer with financial incentives
Have about 28 days of training and limited supervision
Mobile Application
Customized app using CommCare software: Useful details about
clients retained on phone for easier case management
Culturally-appropriate images for counseling and to aid low-literate users
Locally-recorded audio messages for clients as well as ASHAs
All text and interface in Hindi
How ReMiND pregnancy application works?
Why Use Technology?
ASHA case management app:
Helps in comprehensive counseling with standardized messages
Supports timely and appropriate counseling
Supports identification and referral of women & newborns with danger signs
Tracks each woman’s knowledge, practices and services received
Tracks frequency and coverage of the clients by ASHA
Why use technology?
Cloud Infrastructure
Real-time monitoring as data is uploaded from the field
Custom exports for data analysis and reporting
Challenges
Appropriate time and staffing must be available in the start-up phase to ensure quality content and initial roll-out of CommCare to ASHAs.
Initial learning curve of ASHAs who have little or no previous experience using mobile phones
Working with ASHAs who have no functional literacy
Engaging middle level supervisors of ASHAs to support them
Frequent change in the leadership in government at district level
Pleasant Surprises
ASHAs report multi-media app helps give them more credibility with clients—validates key health messages
Coverage of mobile network agencies is available even in very remote areas.
Despite electricity supply issues, ASHAs have found back-up mechanisms to keep their phones charged.
Support is being provided by the family members of ASHAs who are functional illiterate.
District project team is able to resolve almost all the technology issues that have emerged so far.
Questions