State of the Evidence for Using Mobile Phone Technology for Improving EMTCT Results

1. State of the Evidence for Using Mobile Phone Technology for Improving EMTCT Results Photo courtesy of Kiwanja William C. Philbrickwphilbrick@mHealthAlliance.org

2. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth RMNCH Continuum of Care with PPTCT (EMTCT) Chart Source: UNICEF

3. RMNCH Continuum of Care with PPTCT (EMTCT) • Increase in Antenatal Care (ANC) Attendance • Provider-Initiated Testing and Counseling (PITC) for HIV • HAART Eligibility Assessment by CD4 or Clinical Staging • Provision of Antenatal ARV Prophylaxis or HAART as Eligible • Infant Feeding Counseling and Support • Subsequent Retesting for Those Who Initially Test Negative • Family Planning and Reproductive Health Services • Encouragement of Facility-Based Delivery and of Delivery with a Skilled Attendant • Safe Delivery Techniques • Provider-Initiated Testing and Counseling (PITC) for HIV • Intrapartum ARV Prophylaxia or Continuation of HAART as Eligible • Infant Feeding Counseling and Support • Family Planning and Reproductive Health Services • Postpartum ARV Prophylyaxis or Continuation of HAART as Eligible • Provider-Initiated Testing and Counseling (PITC) for HIV • Infant Cotrimoxasole Prophylaxis • Early Infant Diagnosis (EID) and Follow-Up Testing to Determine Final HIV Status of Infant • Infant Feeding Support and Adherence • Links to Care, Treatment, and Support • Family Planning and Reproductive Health Services Source: AIDSTAR

4. Sources of Evidence • Gaps and Needs Analysis on MNCH & mHealth • Published peer-reviewed literature • Systematic and Literature Reviews • “Grey” Literature • Current Project Descriptions • Interviews with Stakeholders

5. Antenatal and Other Appointment Reminders • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Antenatal and Other Appointment Reminders Chart Source: UNICEF

6. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Delivery in Presence of Skilled Birth Attendant Delivery in Presence of Skilled Birth Attendant Chart Source: UNICEF

7. Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Treatment Adherence Treatment Adherence Chart Source: UNICEF

8. Promote Exclusive Breastfeeding, Immunizations, and Family Planning • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Promote Exclusive Breastfeeding, Immunizations, and Family Planning Chart Source: UNICEF

9. Protocols for Diagnosis: Obstetric Emergencies, Malnutrition, IMCI • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Protocols for Diagnosis: Obstetric Emergencies, Malnutrition, IMCI Chart Source: UNICEF

10. Data Collection, Training, and Improving Efficiencies • Facility • Community Pre- pregnancy Pregnancy Delivery Postpartum, post natal Postpartum/post natal care for Mother and Baby, and IMNCI Emergency Obstetric Care Family planning Focused antenatal care Skilled attendanceat birth PMTCT Family planning Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Health educationduring pregnancy birth planning Skilled attendance at birth Data Collection, Training, and Improving Efficiencies Chart Source: UNICEF

11. Integration and Systems Strengthening • Supply Chain Management • Water, Sanitation and Hygiene (WASH) • Micro-finance • Maternal depression and psycho-social well-being of CHWs • Economic livelihoods • Stigma and discrimination

12. THANK YOU! Contact: William C. Philbrick, Consultant, mHealthAlliance wphilbrick@mHealthAlliance.org Learn more at www.mHealthAlliance.org Join the mHealth conversation at www.HealthUnbound.org The mHealth Alliance is hosted by the United Nations Foundation www.unfoundation.org