Tuesday, December 11, 2012

Maternal and Child Aid Cameroon: mHealth

By Ngala Elvis Mbiydzenyuy
Founder/CEO Maternal and Child Aid Cameroon
E-mail: elngala@yahoo.co.uk
Tel: 237 99 13 84 44


Mother and Child Aid Cameroon (MACAC) is a not-for profit organization dedicated to the protection, promotion and support of Maternal and Child health in rural communities of Cameroon through research, advocacy, outreach programs and community-driven intervention programs as part of her efforts in reducing maternal and infant mortality. Mother and Child Aid Cameroon is a group of young health and media professionals comprising medical doctors, nurses, public health consultants, allied health professionals, writers, journalists and mass communication IT specialists. 

Our mission is to coordinate efforts by organizations, agencies, institutions, and individuals towards the development of strategic plans, policies, and goals for maternal and child health and advocates that proper community health practices and attitudes are promoted in Cameroon and given priority as indispensable steps to achieving Millennium Development Goals four (4) and five (05).  This is achieved through the following activities: breaking cultural beliefs and myths and encouraging women to use reproductive health services, capacity building of traditional birth attendants in proper and aseptic delivery techniques as well as prevention of post partum hemorrhage, increase HIV/AIDS awareness and prevention of mother to child transmission of HIV through use of mobile technology,  training community health workers and lay health promoters who make a personal commitment to improving the health of babies and infants through encouragement of attitudes and practices that promote exclusive breastfeeding, behavior change communication, improve community domestic hygiene and sanitation for optimal health.
Definitions: eHealth is the use of information and communications technology (ICT) in support of health systems. mHealth is the mobile component, particularly the use of mobile phones in support of health systems.
It is worth noting that in using a cell phone to make a phone call we can also be thinking about innovations. There is no study addressing the improved health outcome of calling a midwife at the initiation of labor. Institutionalizing in a country, for example, giving pregnant women access to a cell phone, requires effort to scale up and sustain.
eHealth applications can be grouped in many different ways. Here is one grouping:
  • Patient information
  • Health provider support
  • Data collection
  • Health information systems
Added to the eHealth applications above (i.e., patient information, health provider support, data collection, health information systems, telemedicine, and mobile payments), the Intermediate result is high impact eHealth solutions.
The goal is to improve access to, and the affordability, quality and sustainability of the key health interventions needed to achieve MACAC’s core health priorities. The key health interventions are both program specific, including ANC, PMTCT, etc., in addition to health systems, such as health information.  Core health priorities include family planning/reproductive health, health systems strengthening, saving mothers, fostering an AIDS-free generation, fighting infectious diseases and ending preventable child deaths.
MACAC Guiding principles include:
1) Integration
2) Gender equity
3) Innovation to:
a) Increase the scale of evidence-based mHealth solutions and
b) Identify tests and introduce promising mHealth solutions; and
4) Partnerships to ensure scale and sustainability.

Strategy: General categories examined:
  • Expanding use of mHealth
  • Technical expertise and capacity development
  • Research and learning
  • Equipment and infrastructure
  • Tools

Frontline health workers, including community health workers, nurses and midwives, are the first and often only link to health care for hundreds of thousands of people living in the rural communities of Cameroon; they are critical in settings where overall primary health care systems are weak or inaccessible. Recruiting, retraining, retaining and supporting these workers is essential for accelerating progress towards Millennium Development Goals (MDGs) 4 and 5. Although frontline health workers are the backbone of health systems in these resource‐constrained environments, they face numerous challenges:
  • Inadequate refresher training
  • Weak performance incentives
  • Difficulty reaching remote populations
  • A lack of supportive supervision
  • Inadequate supply of health products, and
  • Insufficient real time access to patient data and reference information

By applying public health standards and practices to mHealth, we promote approaches that are appropriate, evidence-based, scalable and interoperable in resource-poor settings. Low-end mobile phones have demonstrated popularity, cultural appropriateness, scalability, commercial sustainability, and infrastructural sustainability. Mobile phones largely meet these burdens of proof for technology in resource-poor environments.

Project goals: 
The study will research whether an m-Health intervention would enable rural community health workers to improve the quality and reach of their maternal and child health care services. The goal of the study is to build a tool to rigorously test the impact of the use of mobile technology on health outcomes of rural mothers and children through a randomized evaluation.

Brief description of the project: 
The project intends to test how mobile technology could aid health workers with maternal and child health, focusing on three main areas of care:

1. Improving antenatal care and delivery services
2. Improving vaccination coverage
3. Facilitating emergency referrals

Target audience: 
The target audience is researchers, policy makers, and anyone designing mobile health interventions.

Detailed Information
Length of Project (in months): 12

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