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The annual ICT4D Conferences have proven to be an invaluable opportunity for NGOs, private sector organizations, universities, governmental agencies and foundations to share their experience in using ICT to increase the impact of development programs and to learn from each other.  In 2016, 750 individuals from 76 countries and 320 private sector and public sector and civil society explored the ways to harness the full power of digital solutions to achieve the United Nations’ Sustainable Development Goals.  Our thanks to Accenture, Catholic Relief Services, Esri, Hewlett Packard Enterprise, iMerit Technology Services, Inmarsat, IS Solutions, Making All Voices Count, Mercy Corps, Microsoft, NetHope, Oxfam, Pandexio, Qualcom Wireless Reach, RTI International, SimbaNet and World Vision for making that possible.

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Monday, May 16 • 16:00 - 16:45
Harnessing Digital Networks to Reach Newborns and Strengthen Postnatal Care FILLING

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Neonatal mortality contributes to over 55% of under 5 child deaths in Bangladesh. In rural northwest Bangladesh, 85% of births
occur at home and only 27% receive any postnatal care (PNC) by a trained provider within 2 days of childbirth, a practice considered
essential to the health of mother and the vulnerable neonate. More than 20% infants are born preterm, and nearly half are low birth weight - unprepared to encounter the many challenges home-based
deliveries present. Essential newborn care can maximize chances of survival and identify critical danger signs in these vulnerable infants.
Methods: A comprehensive system called mCARE allowed community health workers (CHWs) to conduct digital pregnancy surveillance of 11,836 women, enroll pregnant women (n=800) and report birth outcomes digitally (including miscarriage, live births and stillbirths). Families in the intervention group (n=400) received two SMS reminders to access postnatal (PNC) and essential newborn care (ENC), their CHW was reminded to promote PNC near the time it was due. The comparison group received no targeted reminders by CHW or mobile message. Data collectors conducted verification visits to assess PNC and ENC utilization in both groups.
Results: 70% of women in the mobile group received PNC, compared to 40% in the control group. Women who did not receive PNC, (42%) in
control group and (4%) in mobile group, reported lack of time and distance as barriers, apparently removed by the mobile reminder, since services were not more distant compared to those in the intervention group. Danger signs were higher among women in control group (71.9%) than mHealth group (32.5%). 99.2% of newborns in mHealth group vs. 89.8% in control
group were immediately breastfed.
Conclusion: Women and newborns in the mHealth group were 2+ times more likely to receive PNC and reported having significantly fewer danger signs and improved outcomes.The integrated mCARE system improved timeliness, coverage and utilization of PNC and ENC in the mCARE
group, opening up the potential for delivery of essential neonatal intervention and averting preventable newborn deaths through immediate care and referral.

avatar for Dr. Alain Labrique

Dr. Alain Labrique

PhD, MHS, MS, Director, Johns Hopkins University Global Health Initiative & Associate Professor Department of International Health /Epidemiology at Johns Hopkins Bloomberg School of Public Health, Department of Community-Public Health at Johns Hopkins School of Nursing, and Division of Health Sciences Informatics at Johns Hopkins School of Medicine, John Hopkins University
Dr. Alain Labrique is the founding director of the Johns Hopkins University Global mHealth Initiative, a multi-disciplinary Center of Excellence of over 140 projects engaged in mHealth innovation and research across the Johns Hopkins system. | | An infectious disease epidemiologist with training in molecular biology and over a decade of field experience running large population-based research studies in low and middle-income countries, he... Read More →

Monday May 16, 2016 16:00 - 16:45
Giraffe 208

Attendees (22)