A.1 - Maternal and Newborn Health

Use Case Summary

SDG Targets

3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

3.2: By 2030, end preventable deaths of newborns and children under 5 years of age, with
all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

Actors

1. Sona: government-accredited social health activist (ASHA)

2. Sowmya: mother who has delivered her first baby

3. MCTS: Mother and Child Tracking System

Steps

1 - Linkage with community health worker

Sona meets Sowmya, who has delivered her first baby

Sona educates Sowmya about post-delivery care (eg breastfeeding, nutrition, immunization, personal hygiene), and the importance of using the support and facilities of the mother and childcare program.

Building Blocks: eLearning, Scheduling, Registration

2 - Enrolment in the MCTS system

Sona registers the child’s name, address and birth certificate, as well as Sowmya’s name, phone number and ID as the caretaker of her child

MCTS automatically validates the birth certificate and Sowmya’s ID with the government’s citizen records system

Sowmya creates an account with electronic health records (EHRs) and a barcoded unique ID card for getting further assistance

MCTS connects Sowmya’s phone number to the child’s ID and enables permissions for Sona to electronically coordinate various services for Sowmya

Building Blocks: Identity and Verification, Registration, Workflow, Shared Data Repository

3 - Arranging baby’s first visit to the paediatric clinic

Sona uses her mobile phone to book an appointment at the local paediatric clinic

Sona helps Sowmya by uploading the child’s details into the EHRs from her mobile phone

Sona downloads information about managing child growth and the importance of immunization from the MCTS system to Sowmya’s phone

Sona and Sowmya receive SMS messages on their mobile phones from MCTS reminding them of the appointment

Building Blocks: eLearning, Messaging, Scheduling, Shared Digital Registry

4 - Paediatrician visits

The paediatrician swipes the baby’s ID card to access and study the baby’s EHRs and update information, findings and prescriptions

Sona books appointments
for future immunization and follow-up visits and orders nutrition and medicine as per the paediatrician’s prescription

During the first year, the paediatrician tracks the development of the child and finds early signs of autism

Sona books an appointment for the therapy centre and downloads autism information from MCTS to Sowmya’s mobile phone

Building Blocks: eLearning, Messaging, Scheduling, Shared Data Repository, Shared Digital Registry

5 - Procuring medicine and nutrition supplies

Sowmya goes to the pharmacy and presents her MCTS card to the pharmacist

The pharmacist scans the barcode on Sowmya’s card to retrieve her MCTS record from the system and matches it with the e-prescription received.

The pharmacist fills the prescription, assesses the instructions Sowmya has already received from her physician, and reinforces the benefits of Sowmya following the instructions

Building Blocks: eMarketplace, Payment, Workflow

6 - Getting therapy

The therapist scans the child’s MCTS card to retrieve health records, referral notes and appointment details

The therapist records the findings of the interactive tests with the child and a therapy schedule. The MCTS system automatically tracks and sends alerts to Sowmya at each encounter according to the schedule

The therapist helps Sowmya download a rehab application from MCTS onto her mobile phone. The therapist also educates Sowmya on how to monitor the child and record her observations into the MCTS system from her phone

Building Blocks: AI, Data Collection, Scheduling, Workflow

7 - Recognition incentive

Sowmya and Sona are paid an incentive for participation in and compliance with the community health program

Building Blocks: Payment, Workflow

Outputs

1. Baby registration in MCTS and National Citizen Registry

2. Incentive payment receipt

Failure Points

1. MCTS is unable to validate birth certificate or Sowmya’s ID.

2. Sowmya’s or Baby’s ID are lost. Use Case ID.3 is follow to recover identity documents