(How Nigeria can improve Maternal Mortality)
Through screening, identification and tracking of high-risk pregnancy, Maatritva aims to prevent complications in the health status of pregnant women.
The first pilot of Maatritva, designed in regional language with an option to be used without the internet, was launched on the August 5, 2016, in Primary Health Centre (PHC) of Amboli of rural Maharashtra with eight sub centres under it. The midwives used the platform to record the medical information of the pregnant women in the antenatal clinics conducted by them. “Since the platform records the antenatal data of the women, it automatically identifies the women who are ‘at-risk’ and ‘high-risk’. The platform assists them with decision making and highlights to them the cause of the risk so that the women can be counselled accordingly.
On April 2017, based on the result and outcome of the pilot in the Amboli PHC, Maatritva was scaled across five talukas of Nashik district along with the district health office. 175 users including the Auxiliary Nurse Midwife (ANM), Multipurpose Worker (MPW), Supervisors and Medical Officer (MO) were trained to use the platform by Maatritva, in March 2017. “A live demo and hands-on sessions are organised by us where the midwives were informed about the purpose of the Maatritva platform, and were trained on every feature and functionality of the platform. A manual booklet was given with details of the process to refer at any point in time,
The pilot is monitored for issues, with one dedicated person supporting the midwives in using the application. Maatritva also involves other health workers such as the Asha workers, who visit the houses of pregnant women once a reminder is sent to them through the application. When the lady is identified as ‘high risk’ by the midwife, she is referred to a medical officer at a higher level of facility who then examines and confirms the risk status of the women. Along with this, the administration is equipped with a dashboard to monitor the near real-time data indicating the functioning of the health facilities.
After the users were completely trained, by August 2017, Maatritva was scaled to the district level with all 15 blocks of the Nashik district now using the application.
Maatritva presently has over 1,000 active users, over 500 midwife users, and has screened more than 13,000 pregnant women. In addition to the existing platform, in the future, the trio intends to build various other features in the platform – a referral module, information escalation module, and birth preparedness module.
“The primary channel is to pilot and approach various stakeholders by means of reference or recommendation by the current customers. Apart from this, we are also exploring opportunities where various organisations can be consulted for their CSR projects and for help in streamlining and implementing Maatritva,
From high-risk pregnancy identification to mapping referrals to concerned facilities, Maatritva has opened ways for birth preparedness by getting the efforts of all players involved in delivering the maternal health services in sync. Besides, the application has not only emphasised on the need to identify high-risk pregnancies but has also given significance to identifying and monitoring the ‘at risk’ pregnant women. Thus, saving time and averting possible complications.
This sponsored post is brought to you by