Health TeamMaternal & Newborn

HealthReview of Data Challenges and

Opportunities

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 DonorsThe United States, through USAID, is by far the

largest donor, with ~630 projects in 2010

Targeting Aid?

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

MNH Data ProblemsLimits of population-based surveys

MNH Data ProblemsLimits of health facility reporting

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

MNH Data Collection mHealth Projects

http://bit.ly/ZsRTJR

Potential for Real Time Mapping

• GPS location

• Access to/use of care vs. health outcomes

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