health team maternal & newborn health review of data challenges and opportunities
TRANSCRIPT
Background
• Millennium Development Goal (MDG) 5—
reduce maternal mortality by 75%• Lagging progress attracted attention and
donorso multilateral and bilateral partnership campaignso Top donors: USAID, World Bank, UNICEF, UNFPA,
DFID, CIDA
• Lacking data, especially at subnational level
Major Donors
The United States, through USAID, is by far the largest donor, with ~630 projects in 2010
Existing DataSources1. Demographic Health Surveys
Measure DHS, USAID2. Multiple Indicator Cluster Survey (MICS)
Unicef3. Census data
nationally managed4. Maternal Mortality Surveillance Systems
growing efforts, national and donor partners
Typical Relevant Indicators• Maternal mortality rates (national)
• Child mortality rates (admin 2)
• Reproductive health (admin 2)
• Contributing factors (admin 2)
- Indicators
2. Maternal mortality Surveillance Systems- Millenium Development Goal 5
- Monitoring systems:
a. Maternal Mortality Estimatesb. Campaign on Accelerated Reduction of Maternal, Newborn and Child Mortality in Africa (CARMMA)c. Latin American Center for Women and Reproductive Perinatal Health (CLAP)—Pan American Health
Organization (PAHO)d. Countdown to 2015: Maternal, Newborn, and Child Survivale. Center for Disease Control and Prevention (CDC) —Division of Reproductive Health (DRH)- Data sources: WHO, UNICEF, WB, UNFPA, DHS, - Partner Organisations: WHO, UNICEF, WB, UNFPA, Planned Parenthood Federation, Partners in Poulation
Development Africa
Potential for Mapping
• Mapping health facilities, health facility levels, and access to care
• Mapping maternal/newborn mortality
• Identifying gaps in care that will allow us to better focus aid projects
• Informing local policy makers o allows better integration of health ministries and
community work
• Allows for the potential of mapping other health topics
Mobile Health (mHealth)
...Significant potential for improving data collection & surveillance, including for maternal and newborn health
MNH mHealth Data Collection
____________Data Collectors_____________ TBAs Midwives CHWs Health facility workers
_______________Devices________________Basic mobile phones Java enabled phones
Smart phones PDAs
________________Data__________________Vital information Births Death
Specific Benefits of Mobile Data Collection for MNH
- More consistent data
- Fill some data gaps
- Support targeted interventions
- Facilitate surveillance of high risk cases
- Birth registry
- Improve CHW communication & info
- Integrate Traditional health workers
Mobile Data Collection Process
• Using mobile phones, PDAs, smart phones, etc.
• Mobile device to central database, where compiled and analyzed in real time
or adult
Challenges of MNH mHealth
• Data gaps and accuracy
• Incentives to report
• Technological problems
• Cost and sustainability