T4G Day 1_Mobile Phones - Information Delivery Through Mobiles for Child & Maternal Health Care by Rajiv Tikoo
Information Delivery through Mobiles forChild and Maternal Health CareRajiv TikooDirector, OneWorld South Asia
Information Delivery through Mobiles for Child and Maternal Health Care OneWorld South Asia
OneWorld NetworkGlobal Civil Society network working to leverage the democraticpotential of Information & Communication Technologies and the Internetfor: Empowering discourses on development and human rights Global attainment of human rights as in the Universal Declaration of Human Rights The South Asia Regional Centre translates this vision into actionable initiatives for sustainable development and the realisation of the Millennium Development Goals The OneWorld network anchored at 12 centres in the region through serves as knowledge enabler to audiences worldwide across development issues through its Knowledge-led empowerment, international web portals, regional editions inclusion for rights entitlements and thematic channels in 9 different Governance delivery at grassroots languages
OneWorld’s Focus Areas Knowledge, Research Knowledge Services & and Emerging Media Innovations @ •OneWorld South Asia Grassroots and other group of •LifeLines India portals •MGNREGS Info kiosks •Community Radio •Mobile based apps for •Governance Knowledge monitoring social sector Centre programmes •Digital Opportunity •Mobile based Health Channel Advisory Systems • Web services for CBOs
Mobile-based monitoring of SanitationBehaviour GPS WEB GPRSTo strengthen monitoring of the TotalSanitation CampaignMobile based application, integratingGPS, text and images in regionallanguageCollection and transmission of datadirectly from the householdsTechnology: GPS, Mobile and WebPilot in Rajgir, Bihar and Solan in HP
Biometric-based ICT innovation in MGNREGA Enhance transparency and accountability on ground by providing information access E-enable all MGNREGA processes, minimize intermediation Information access by neoliterates Touch Screen, Biometric Authentication GPS-based attendanceBiometric Touch Screen GPS HandHeld Web GPRS
LifeLines India Advisory system to provide timely information to Farmers (LifeLines Agriculture)and Teachers (LifeLines Education) User calls – the query is recorded on IVRS The call is responded back in 24 hours by voice mode LifeLines Agriculture for farmers LifeLines Education for Teachers Telephony IVRS WEB
EkDuniya Web Services Enable the grassroots organisations to have their web presence - Web sites in English and local language: Hindi, Tamil, Telugu, Bangla, Marathi, and now Sinhala 100+ sites/organisations Update on own Web
Maternal and Child Health India, one of the six countries accounting for 50% of maternal deaths worldwide, has reduced the Maternal Mortality Ratio (MMR)* MMR of India is 2301 MDG 5 Most of the maternal deaths can be prevented. Most of them are due to lack of appropriate care during pregnancy and childbirth Lack of appropriate and timely information / advice is one of the key reasons – especially in rural scenario •Source: Lancet; •1 – WHO 230
Child and Maternal Health Care System Mobile as the information delivery channel Provide critical maternal care advisory for pregnant women Local language Contextualised and user friendly messages SMS Cost-effective
Implementation overview Pilot started in May 2010 Covers Kanpur Dehat district of Uttar Pradesh, India OneWorld, Microsoft and Datamation Foundation Awardee: Vodafone Mobile for Good 2011
Working of Maternal Care Advisory Volunteers visit the pregnant women in the villages and enroll the pregnant women in the advisory system through their mobile Mobile number and Expected Date of Delivery is recorded Registered user received a welcome message – confirming the registration Based on the EDD, periodic maternal care and advisory information are sent as SMS to the registered mobile – week and day based. Frequency – 2 SMS/ week
Working of Child Care Advisory Similar to maternal health care system Date of Birth, Mode of Birth, Weight, Disease are recorded while registering Registered user received a welcome message – confirming the registration Based on the DoB, mode of birth and other parameters, health advisory, govt. schemes, vaccination advice – child developent are sent as SMS to the registered mobile Frequency – 2 SMS/ week
Typical advisory Specific RCH tests that need to be carried out by the pregnant and lactating women. Advice on breast-feeding, nutrition requirements, alerts on immunization schedules
Impact on: Pregnant women, and new mothers Community health workers Families of targeted women Health officials as part of National Rural Health Mission
Pregnant women, and new mothers Access to RCH customized messages tailormade as per their needs, apart from getting delivered at a time they need the information.
Community health workers Community Health workers affiliated with the National Rural Health Mission of the Government of India were able to provide relevant and timely health information to the targeted beneficiaries. In addition, they would be able to monitor the women far more effectively due to customized SMS messaging.
Families of targeted women The families of the targeted women have benefited due to improved and consistent health information made available to them in a customized form, which enabled them to take care of the targeted beneficiary in a better manner.
Health officials as part of NationalRural Health Mission Health officials who are primarily responsible for the health services delivery gain supplementary access to health messages as a result of this project.
Challenges Knowing the exact date of delivery Identifying pregnant women at their earlier stage Mobile phone is mostly with their husbands (advantage and disadvantage) Mobile numbers registered under “Do Not Disturb” Needs to be institutionalised, combined with other government schemes
Adaptation of the system Providing timely, contextualised and custom information through mobile Local language – SMS based The system can be replicated for other similar services for other issues
Next Step To create a customized generic solution based on the learning from the pilot experience that can be rolled out in all South Asian countries and even Africa