Marc Mitchell presented a logic model that links the functions of mobile technology to improvements in client knowledge, provider competence, and health system strength, using examples of current projects to illustrate these theoretical linkages.
Garrett Mehl described some of the different aspects that make up mHealth and the taxonomy of mHealth. He suggested that mHealth is often used as a catalyst to improve interventions, and defined mHealth terms used as defined by the WHO mTERG group: mHealth strategy, mHealth technology and mHealth project.
This session asked each participant to select the health system constraints that, in their work and experience, constitutes the most challenging barriers to delivering effective maternal healthcare. Participants were asked to assign each of these constraints with a confidence level, based on whether they thought that mHealth solutions exist that should or should not be part of a comprehensive strategy for overcoming their priority constraints, or whether more evidence is needed.
Following the group presentations of the barriers, Christopher Bailey led a wrap-up of the first day's sessions, focused on unanswered questions, resolved information, and key messages.
This opening session began with a welcome address from Ana Langer and a review of the agenda, objectives, and goals of the meeting by Christopher Bailey. Kathleen Hill gave an illustrative case presentation of how eHealth interventions and integration could have helped identify a pregnant woman's experience with eclampsia, possibly averting a newborn's death. Alain Labrique gave an overview based on a pre-meeting survey of participants, asking what are the major barriers and possible interventions for Universal Access for maternal health. Barriers were grouped into three cadres: the client, the provider, and the system. Solutions were also discussed, including the challenges to overcoming those barriers. Q&A and discussion from participants followed.
15 examples of ongoing programs aiming to improve maternal health that include an mHealth component were featured in this presentation. Presenters were grouped by whether the mHealth for maternal health component of their program aimed to improve client knowledge, provider competence or health system strength.
Brooke Cutler, MAMA
Marcha Bekker, Praekelt Foundation
Koku Awoonor, MoTeCH Ghana
Kelly L’Engle, FHI 360
Neal Lesh, Dimagi Inc.
Marion McNabb, Pathfinder International
Garrett Mehl, Drishti,
Blami Dao, Jhpiego
Alain Labrique, JHU
Shrey Desai, SEWA Rural
Lucy Silas, D-Tree International
Yvonne MacPherson, BBC Media Action
Subhash Chandir, IRD
Mike Frost, JSI
16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania
This session focused on pre-eclampsia and eclampsia and the barriers surrounding this issue. Payne began the session by describing the a study using miniPIERS risk prediction model to identify women in low and middle income countries who are more likely to have high risk pregnancies. This study will be used in the future to help communities better address warning signs, as well as it will be integrated into mHealth programs. Oladapo described how OBs have viewed the new WHO recommendations on the treatment and prevention of pre-eclampsia and eclampsia. He found through targeted questionnaires that barriers were felt by the OBs in terms of the cost of intervention, the ability of patients, and resource strains on the system. He suggested by targeting the barriers, the OBs would better be able to follow and assuage their worries of the WHO recommendations. Aryal gave a presentation on the work that Nepal is doing in regards to pre-eclampsia and eclampsia in regards to prevention, detection/screening, and management. The work they have done since 2006 has shown marked improvements given their assessments in 2011. She noted that work continues in Nepal, including a calcium distribution program with Jhpiego.
Moderator: France Donnay, Bill & Melinda Gates Foundation
WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia: Perspectives of obstetricians practicing in Nigeria
Olufemi Oladapo, Maternal and Fetal Health Research Unit, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University