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dc.contributor.authorNgabo, Fidele
dc.contributor.authorNguimfack, Judith
dc.contributor.authorNwaigwe, Friday
dc.contributor.authorMugeni, Catherine
dc.contributor.authorMuhoza, Denis
dc.contributor.authorWilson, David R
dc.contributor.authorKalach, John
dc.contributor.authorGakuba, Richard
dc.contributor.authorKarema, Corrine
dc.contributor.authorBinagwaho, Agnes
dc.date.accessioned2013-07-03T19:05:45Z
dc.date.issued2012
dc.identifier.citationNgabo, Fidele, Judith Nguimfack, Friday Nwaigwe, Catherine Mugeni, Denis Muhoza, David R. Wilson, John Kalach, Richard Gakuba, Corrine Karema, and Agnes Binagwaho. 2012. Designing and implementing an innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda. The Pan African Medical Journal 13:31.en_US
dc.identifier.issn1937-8688en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10859969
dc.description.abstractIntroduction: With the continuous growth of mobile network coverage and unprecedented penetration of mobile devices in the developing world, several mHealth initiatives are being implemented in developing countries. This paper aims to describe requirements for designing and implementing a mobile phone-based communication system aiming at monitoring pregnancy and reducing bottlenecks in communication associated with maternal and newborn deaths; and document challenges and lessons learned. Methods: An SMS-based system was developed to improve maternal and child health (MCH) using RapidSMS\(^®\), a free and open-sourced software development framework. To achieve the expected results, the RapidSMS-MCH system was customized to allow interactive communication between a community health worker (CHW)following mother-infant pairs in their community, a national centralized database, the health facility and in case of an emergency alert, the ambulance driver. The RapidSMS-MCH system was piloted in Musanze district, Nothern province of Rwanda over a 12-month period. Results: A total of 432 CHW were trained and equipped with mobile phones. A total of 35,734 SMS were sent by 432 CHW from May 2010 to April 2011. A total of 11,502 pregnancies were monitored. A total of 362 SMS alerts for urgent and life threatening events were registered. We registered a 27% increase in facility based delivery from 72% twelve months before to 92% at the end of the twelve months pilot phase. Major challenges were telephone maintenance and replacement. Disctrict heath team capacity to manage and supervise the system was strengthened by the end of pilot phase. Highly committed CHWs and effective coordination by the District health team were critical enablers. Conclusion: We successully designed and implemented a mobile phone SMS-based system to track pregnancy and maternal and child outcomes in limited resources setting. Implementation of mobile-phone systems at community level could contribute to improving emergency obstetric and neonatal care, yet it requires a well-organized community health structure in limited resource settings.en_US
dc.language.isoen_USen_US
dc.publisherThe African Field Epidemiology Networken_US
dc.relation.isversionofhttp://www.panafrican-med-journal.com/content/article/13/37/fullen_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542808/pdf/en_US
dash.licenseLAA
dc.subjectmHealthen_US
dc.subjecteHealthen_US
dc.subjectSMSen_US
dc.subjectRapidSMSen_US
dc.subjectMaternal and Child Healthen_US
dc.titleDesigning and Implementing an Innovative SMS-Based Alert System (RapidSMS-MCH) to Monitor Pregnancy and Reduce Maternal and Child Deaths in Rwandaen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalThe Pan African Medical Journalen_US
dash.depositing.authorBinagwaho, Agnes
dc.date.available2013-07-03T19:05:45Z
dash.contributor.affiliatedBinagwaho, Agnes


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