Maternal, Newborn, and Adolescent Health

In Pakistan, 46% of pregnancies are unintended, the extremely low prevalence of modern contraceptive methods, which is only 26%. That contributes to population growth and endangering women's health. Access to modern contraceptives is very limited in poor areas. It is very difficult for male and female to buy contraceptives as considered as a social taboo and religiously unethical. Out of 9m of the potential users, 6m live in rural areas where there is a dire need of access to contraceptives.

Niger has the highest rate of adolescent childbearing in the world, leading to greatly elevated risks for mother and child. Postpartum family planning (PPFP) could avert 30% of maternal deaths and 10% of child deaths. However, FP counseling is often omitted in antenatal care (ANC) and attendance in postnatal care (PNC) is uneven, both missed opportunities to promote PPFP. Group ANC and PNC, aligned with postpartum and well baby visits could make PPFP convenient and appealing to younger women.

Most young people in Tajikistan have limited contraceptive options, and data shows that 23% of married 20–24-year-old women have an unmet need. This contributes to unintended pregnancies and STIs. Sexuality education is also very limited. To expand contraceptive choice and improve SRH outcomes, youth need information/education, improved health-seeking behaviours and access to care. 21 youth-friendly service centres and 89 SRH facilities already exist–utilization, however, is still a challenge.

Bangladesh has one of the highest rates of female child marriages in the world, with 2 in 3 girls marrying before 18. It occurs mostly frequently in poor rural households where girls are often undernourished. This physical condition, coupled with early childbirth, creates the risk of premature birth and neonatal (or infant) death. Early childbearing in poor households is also associated with infant malnourishment and higher total fertility, which can create long-term poverty traps.

This innovation will eliminate unintended pregnancies and surgical+unsafe abortions in India. This will save lives, reduce unnecessary health expenditure & unwanted births. This will be achieved by addressing two root causes of unintended pregnancies. The first is lack of information about contraceptive choices among men and women, especially young adults from disadvantaged backgrounds. Second is lack of timely and affordable supply of contraceptives in disadvantaged areas.

The electronic Maternal, Newborn and Child Health Care android mobile application and web portal (eMNCH Care) will improve equity in MNCH service delivery by enhancing accountability and transparency in service provision and ensuring every mother and child receives an adequate level of care. Through strengthened governance and comprehensive data utilization, eMNCH Care aims to improve health outcomes of women and children in remote districts of Afghanistan and Pakistan.

There is a high risk of illness and death from pregnancy-related complications, HIV, or other STIs in girls in Kenya. Pregnancy is the main cause of girls leaving school, which impacts negatively their lives, and the country's economy. The causes for adolescent pregnancy include parent-child communication, gender inequity, a lack of services and sexuality education. With the majority of Kenya's population being youth and two out of five people under 15, there is an urgent need for change.

Mozambique experiences high rates of early child marriages. According to the 2011 Demographic and Health survey (IDS), 14% of women between the ages of 20 and 24 married before the age of 15 years and 48% before the age of 18 years. Indeed, Mozambique is tenth country with highest prevalence of early child marriages in the world, seventh in Africa and second in Southern Africa. Reported cases of Domestic Violence increased from 23,000 in 2014 to 25,000 in 2016 (National Institute of Statistics).

Every day 830 women die from preventable causes of pregnancy. In 2016, WHO emphasized on “positive pregnancy experience" with 8 prenatal contacts. CareNX is achieving this it with at doorstep mobile prenatal care platform. It enables community health-workers to perform tests , early identify high risk pregnancy, connect them with specialist and increases confidence in mothers for seeking care at right time. CareMother consists of CareMother Kit point of care testing devices connected with CareMother mobile application.

Our intervention integrates evidence-based approaches for maternal, newborn, and child health, focused on the “golden 1000 days" from conception through age two through two key components: 1) an integrated hospital-to-home healthcare model utilizing Community Health Workers and 2) Continuous surveillance of all pregnancies and children via an integrated electronic health record.