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Zero Mothers Die - Presentation to the Government of Ghana


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Zero Mothers Die was presented to the Government of Ghana and the UN system in Ghana on November 22, 2013. Ghana has been chosen as the first implementation country for Zero Mothers Die, a global multistakeholder partnership project focusing on improving maternal health through the systematic use of ICTs and mobile health.

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Zero Mothers Die - Presentation to the Government of Ghana

  1. 1. A commitment to saving the lives of pregnant women with ICTs and mobile health
  2. 2. PROBLEM: Unacceptably High Maternal Mortality • In 2010, 287,000 women died during and following pregnancy and childbirth. • Each day, 800 women die from preventable causes related to pregnancy or childbirth complications. • 99% of these maternal deaths occurred in developing countries, with more than half taking place in sub-Saharan Africa. • 24% of these deaths are attributable to HIV in SubSaharan Africa. • Most of these deaths could have been prevented. [source: WHO Maternal Mortality Fact Sheet]
  3. 3. SOLUTION: Zero Mothers Die A global and innovative project to save the lives of pregnant women and new mothers through the systematic use of information and communication technologies (ICTs) and mobile health.
  4. 4. ZERO MOTHERS DIE A Multistakeholder Public-Private Partnership
  5. 5. Global Plan [source: UNAIDS 2013 Progress Report on the Global Plan]
  6. 6. GHANA: First Implementation Phase Ghana, one of the UNAIDS Global Plan target countries, has been chosen in consultation with the partners as the first implementation country for Zero Mothers Die. The initial implementation phase will take place in Greater Accra.
  7. 7. Target Beneficiaries In Greater Accra Pregnant Women & New Mothers 2,700 Local Healthcare Workers 570
  8. 8. GHANA CONTEXT: [source: UNAIDS 2013 Progress Report on the Global Plan]
  9. 9. GHANA CONTEXT: Great Progress Has Been Made… [source: UNAIDS 2013 Progress Report on the Global Plan]
  10. 10. GHANA CONTEXT: But there is still more to be done… [source: UNAIDS 2013 Progress Report on the Global Plan]
  11. 11. GHANA CONTEXT: Maternal Mortality Declared National Emergency Under-five mortality rate 72 1,000 Maternal mortality rate 350 100,000 The lifetime risk of death for pregnant women is 1 in 66. [source: UNFPA 2011 report State of the World’s Midwifery]
  12. 12. WHY MOBILE HEALTH? “ Mobile phone networks cover 96% of the world's population. 77% of all mobile subscriptions are held by nearly 90% of the population in low- and middle-income countries. The impact of mobile phone technology on health, including maternal health, can be farreaching, cost-effective and replicable. ”
  13. 13. MOBILE HEALTH for MATERNAL HEALTH Mobile health initiatives cover a wide range of activities, including: • • • data collection disease surveillance health promotion • • • diagnostic support disaster response remote patient monitoring Mobile health initiatives targeting MDGs 4 and 5 are reaching over 140 million women. See:
  14. 14. Zero Mothers Die tackles the MDGs
  15. 15. PROJECT OBJECTIVES 1 Reducing maternal mortality and maternal health complications 2 Accelerating mobile phone ownership and use by pregnant 3 Education and capacity-building of local health workers using through increased access by pregnant women to appropriate healthcare information, via mobile voice and text messages in local languages and dialects. women to increase access to healthcare, empower women with information, and reduce the mobile phone gender gap. This includes facilitating connections with healthcare workers through allocations of free airtime restricted to calling assigned local healthcare facilities and workers. tablets preloaded with up-to-date and tailored training materials and content in local dialects and languages to improve maternal and child health in their communities.
  16. 16. PROJECT COMPONENTS MumHealth, a mobile messaging service delivering health information to pregnant women and new mothers in local languages and dialects. 100,000 mobile phones per year to pregnant women. 36,000,000 minutes of free airtime per year to pregnant women to enable their communication with local health workers and facilities. Capacity-building and education of local health workers using ICTs and localized content. Mobile money savings scheme to help finance and increase access to skilled care during childbirth. Solar power business generation scheme to bring financial empowerment to pregnant women and provide sustainable energy to support the charging of their mobile phones.
  17. 17. MumHealth & MumHealth is built off of the evidence-based Mobile Alliance for Maternal Action (MAMA) mobile messages library. The messages will be tailored and localized by UniversalDoctor for the Ghana context. Culturally sensitive and stage-based messages created by BabyCenter according to UNICEF and WHO guidelines, and vetted by WHO. Used by 266 organizations in 61 countries. The messages are built around key health behaviors and interventions which evidence shows can improve health outcomes. Topics: antenatal care, nutrition, vaccination, PMTCT, infant feeding, oral rehydration, use of insecticide-treated bednets, and post-partum family planning.
  18. 18. KEY RISKS: 1 Discrimination due to HIV stigmatization PROPOSED SOLUTION Zero Mothers Die will target all expectant and new mothers, instead of only HIV-positive pregnant women, by employing a comprehensive approach to improving maternal, newborn and child health, while maintaining the prevention of mother-to-child-transmission of HIV (PMTCT) and systematic use of ICTs as key elements. This strategy will also ensure women who would become HIV seropositive during pregnancy will not be lost by the project.
  19. 19. KEY RISKS: 2 Language and illiteracy barriers PROPOSED SOLUTION • The MumHealth repository of mobile messages will be developed in key languages/dialects in the area of implementation. • The messages will be tailored and localized for target beneficiaries. • Regarding illiteracy and disabilities, Interactive Voice Response (IVR) technology will be used to develop voice messages as an alternative solution by offering prerecorded audio information in different languages/dialects.
  20. 20. KEY RISKS: 3 Low mobile phone ownership levels PROPOSED SOLUTION • Local intelligence gathering suggests there is no mobile phone gender gap in Greater Accra. • • According to local partners, it is almost 100% certain that women will own at least one mobile phone. Spouses controlling the mobile phones and restricting access by the women is an unlikely risk in Greater Accra. • In any case, Zero Mothers Die endeavors to equip at-risk, low-resource pregnant women who do not own a mobile phone.
  21. 21. KEY RISKS: 4 Misuse or resale of the mobile phones PROPOSED SOLUTION • The mobile phones distributed through the project* will be uniquely designed with limited (i.e. non-smartphone) functionality to avoid this. • If this is a significant risk, the project can restrict the numbers that can be dialed through the mobile phone. *Zero Mothers Die will ensure the mobile phones acquired and distributed by the project to the pregnant women will come from responsible mobile phone manufacturers who are reliable in providing quality mobile phones.
  22. 22. GUIDING PRINCIPLES Sustainability Scalability This will be achieved through concrete actions: Engaging local Ministries, agencies and stakeholders in the project processes (design, implementation, evaluation, etc.) to promote buy-in and local ownership. Seeking alignment with the Ministry of Health’s national health priorities and plans and the National eHealth Strategy. Ensuring Zero Mothers Die is integrated with local health services and health information management systems, and thereby within local health ecosystems. Establishing an inclusive business model to ensure long-term sustainability and limit burdens on budgets.
  23. 23. For any questions or requests for more information on Please contact: Jeannine Lemaire Zero Mothers Die Project Coordinator at: