Enhancing RMNCH Continuum with Mobile Phone Technology

1. State of the Evidence for Using Mobile Phone Technology for Improving EMTCT Results Photo courtesy of Kiwanja William C. Philbrickwphilbrick@mHealthAlliance.org

2. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth RMNCH Continuum of Care with PPTCT (EMTCT) Chart Source: UNICEF

3. RMNCH Continuum of Care with PPTCT (EMTCT) • Increase in Antenatal Care (ANC) Attendance • Provider-Initiated Testing and Counseling (PITC) for HIV • HAART Eligibility Assessment by CD4 or Clinical Staging • Provision of Antenatal ARV Prophylaxis or HAART as Eligible • Infant Feeding Counseling and Support • Subsequent Retesting for Those Who Initially Test Negative • Family Planning and Reproductive Health Services • Encouragement of Facility-Based Delivery and of Delivery with a Skilled Attendant • Safe Delivery Techniques • Provider-Initiated Testing and Counseling (PITC) for HIV • Intrapartum ARV Prophylaxia or Continuation of HAART as Eligible • Infant Feeding Counseling and Support • Family Planning and Reproductive Health Services • Postpartum ARV Prophylyaxis or Continuation of HAART as Eligible • Provider-Initiated Testing and Counseling (PITC) for HIV • Infant Cotrimoxasole Prophylaxis • Early Infant Diagnosis (EID) and Follow-Up Testing to Determine Final HIV Status of Infant • Infant Feeding Support and Adherence • Links to Care, Treatment, and Support • Family Planning and Reproductive Health Services Source: AIDSTAR

4. Sources of Evidence • Gaps and Needs Analysis on MNCH & mHealth • Published peer-reviewed literature • Systematic and Literature Reviews • “Grey” Literature • Current Project Descriptions • Interviews with Stakeholders

5. Antenatal and Other Appointment Reminders • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Antenatal and Other Appointment Reminders Chart Source: UNICEF

6. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Delivery in Presence of Skilled Birth Attendant Delivery in Presence of Skilled Birth Attendant Chart Source: UNICEF

7. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Treatment Adherence Treatment Adherence Chart Source: UNICEF

8. Promote Exclusive Breastfeeding, Immunizations, and Family Planning • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Promote Exclusive Breastfeeding, Immunizations, and Family Planning Chart Source: UNICEF

9. Protocols for Diagnosis: Obstetric Emergencies, Malnutrition, IMCI • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Protocols for Diagnosis: Obstetric Emergencies, Malnutrition, IMCI Chart Source: UNICEF

10. Data Collection, Training, and Improving Efficiencies • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Data Collection, Training, and Improving Efficiencies Chart Source: UNICEF

11. Integration and Systems Strengthening • Supply Chain Management • Water, Sanitation and Hygiene (WASH) • Micro-finance • Maternal depression and psycho-social well-being of CHWs • Economic livelihoods • Stigma and discrimination

12. THANK YOU! Contact: William C. Philbrick, Consultant, mHealthAlliance wphilbrick@mHealthAlliance.org Learn more at www.mHealthAlliance.org Join the mHealth conversation at www.HealthUnbound.org The mHealth Alliance is hosted by the United Nations Foundation www.unfoundation.org