MMH

Mobilizing Maternal Health

410 maternal deaths per 100,000 live births

Sengerema

SDDH

Sengerema District Hospital

c. 9,000 deliveries per year

25 / day

Maternity waiting hostel

under utilised

Location of call center

Decision to seek care

Transport to care

Receipt of good care

MMH

CHWs

Call Center

SDDH Support

DTREE

CHW

Dispatcher

CHALLENGE

CHW

  • Registers pregnancies, births, deaths
  • Danger signs screening
  • Counselling
  • Birth planning

+ Advises on Waiting Hostel

Villages

Dispatcher

Dispatcher

at SDDH

Emergency!

LLF

  • Triages
  • Arranges transport
  • Calls LLF to check capability
  • Confirms journey
  • [ Driver paid via Mpesa ]

Arranging Transport

Up to five drivers listed for each route

Driver gets SMS confirmation of request

If none available, ad hoc arrangment can be made at same price

Transport Data

Two ambulances

Private cars, covering various villages

Boats

Calling numbers, Mpesa numbers

LLF names and numbers

Route costs

Boats

When emergency is dealt with, client moves to Follow-up list

Dispatcher later calls facility -

Follow-Up

LLF

Dispatcher

at SDDH

Dispatcher

at SDDH

High Risk Registration

LLF

LLF

LLF

LLF

  • Calls LLFs each week
  • Registers high risk cases

 

  • Linkage: CHW app shows high risk cases in her village

Dispatcher

at SDDH

Waiting Hostel Check-in

SDDH Maternity

Waiting Hostel

  • Woman arrives. 
  • Dispatcher gives SIM card
  • Enters number in system
  • [ Incentive paid via Mpesa to SIM card ]

 

  • Linkage: CHW app shows woman checked in

 

Dispatcher

at SDDH

  • confirms journies
  • confirms hostel check-ins

Drivers receive payments

MPESA API

Women's SIM cards receive incentives

  • Syncs to Mangologic
  • Dashboard polls 
  • If payment-> calls paysystem
  • Paysystem calls API
  • API calls M-pesa

Fin