ARMMAN Newsletter December 2017 


ARMMAN Organized A Conference on : 

Technology for Maternal and Child Health of the Underprivileged Groups

#ARMMAN #mHealth #MCH #conference

In the last decade, a lot of successful IT-enabled programs have been piloted and implemented across the country in a successful multi-sectorial approach to address maternal and child health. The partnership between Corporates and NGOs has led to sharing technical and subject expertise and other resources which results in faster scaling up and greater impact of the committed initiatives. Also Government support fosters these partnerships, by providing an enabling environment in the public sector.

ARMMAN’s programs have now touched 6,50,000 women’s lives! That means our impact extends to over 1.2 million lives (mothers and their children). We celebrated this remarkable milestone by organizing a conference on ‘Technology for Maternal and Child health of the Underprivileged groups’.

The conference aimed to provide space for a diverse range of stakeholders (Government, NGOs and Corporate) to voice their expert opinions, analysis, proposals and aspirations in implementing technology-based programs in the MCH sector. The conference included key-note speaker sessions, interactive panel discussions and question & answer sessions.


Delivering the inaugural address at the conference Dr. Aparna Hegde spoke about how technology can help programs scale up in a cost effective manner. While technological solutions are important, it is partnerships that ARMMAN has forged with others that has helped us reach this far. She acknowledged with gratitude the important role played by ARMMAN'S partners in this achievement - Inscripts, Johnson and Johnson, BabyCenter, IMImoblie, our NGO partners and government hospitals.

Ms. Colleen Hancock, COO, BabyCenter and Chief Guest at the conference spoke of BabyCenter's belief that every mother should have access to critical health information to make the best decision for herself and her baby. Where you live should not impact if you live. Baby Center has reached out to 14 million women in underprivileged settings. She reiterated what Dr. Aparna Hegde said that partnerships are the key to success.

Ms. Daphne Metland, Editorial Director, Baby Center, spoke of how for any technological solution to be successful it has to be placed in the cultural context and has to ring a bell and find an emotional connect with it beneficiaries. Mr. Jayant Banthia, IAS, Ex-Chief Secretary, Government of Maharashtra while delivering the lead address said that the beneficiary should be at the heart of technology. Dr. Nirmala Murthy, Founder, FRHS spoke on 'Development and impact assessment of mHealth package for rural India and presented some interesting findings on their DRISHTI program.

PANEL DISCUSSION 1: Leveraging CSR to implement techno-based solutions for Maternal & Child Health.

Our panelists included Ms. Daphne Metland, Editorial Director, Babycentre; Mr. Romain Rutten, Head of Disease Management, Jansen Global Public Health; Ms. Shama Karkal, Director, SWASTI; Mr. Sanjeev Kumar, Senior Manager – Business Development, IMImobile; and Mr. John-Paul Hamilton, Associate Director, Funding, Dasra.

The discussion was moderated by Dr. Aakash Ganju, Co- Founder and CEO, Mirai Health and iterated the importance of evidence based strategies. According to the panelists, ICT is an enabler; not a substitute. Technology cannot work in isolation; it evolves over time and depends on cultural, social, and regional context. There should be a balance between technology and content. The panelists concluded that partnerships in the MCH space are a key to success in the field.

Ms. Ritu Parchure, Senior Research Associate, Prayas talked about mHealth for MCH from the research perspective. Experiences from the field and review of research show that mHealth interventions are effective in ante-natal care.

#ARMMAN #mHealth #MCH #conference
#ARMMAN #mHealth #MCH #conference

PANEL DISCUSSION 2: Potential of ICT in the public health system.

Panelists included Dr. Yogeshwar S. Nandanwar, HOD, OBG, LTMGH, Sion Hospital; Dr. Sundeep Kapila, Founder, SWASTH Foundation; Dr. Sai Subasree Raghavan, Founder, SAATHI.


The discussion was moderated by Dr. Ulhas Vasave, CEO, JV Gokal Charity Trust, and stressed that ICT should be flexible, interactive and reach a large population to create impact.


Key takeaways from the conference:

-           mHealth programs are creating impact at scale;

-           Technology is evolving to optimize the opportunity; and,

-           Partnerships and government engagement are critical to improving maternal health.



First Integrated Mother and Child High Risk Factor Tracking with Front Line Workers

launched for field testing in Rajasthan

In July, we launched the mKhushali app, an intuitive digital job aid, for the Auxillary Nurse and Midwives as a part of the Mother and Child high risk factor Tracking with SMS alert System’  program in Nandurbar, Maharashtra supported by Tata Trusts. In the month of November the team conducted refresher trainings for the ANMs on the MCTS system and the App.

Data collection activities were also initiated for the research. The goal of the study is to collect baseline data on several aspects of women’s knowledge and behaviour related to their reproductive health and care of their infants. The study is based in Taloda Block covering 4PHCs and Dhadgaon Block covering 2 PHCs, encompassing a total of 151 villages.

The program aims to track every mother and child with a high risk factor so that they are picked up in time and referred to a higher health care centre before it is too late and ensures closure in the loop of care. The mKhushali app takes the ANMs through the signs and symptoms to be noted and diagnostics to be done and gives alerts on the high risk factors present in the pregnant woman and referral required.

The data is transmitted through the back end to the doctors in the primary health centre and higher facilities generating alerts. SMS alerts are sent to the family and the village health workers, whenever a woman or child is referred or when there’s a delay in accessing care despite referral so that they don’t fall through the gaps in the health care system and there is a closure in the loop of care.

#mMitra #pregnant #women #mothers #ANC #maternal #health

One of the ANMs, Jermi Sanjay Valvi, who is also a lactating mother, attended the training with her mother-in-law and a 4-month-old baby. She is also enrolled in our mMitra program. What a better way to get the government health workers support a program than enrolling them in it themselves!
 



mMitra Program Updates


#training #application #ANMs #nandurbar

mMitra is a free mobile voice call service that provides culturally appropriate comprehensive information on preventive care and simple interventions to reduce maternal and infant mortality and morbidity in urban and rural India. The voice calls are in the local dialect, speciļ¬c to the woman's gestational age or the age of the infant and are sent weekly / twice a week directly to pregnant women and mothers with infants in their chosen language and timeslot.

mMitra leverages unique opportunity of using mobile technology to reach out to pregnant women and mothers of infants with relevant information. The vision of the program is that no mother, neonate, infant or child in India dies for want of care and every pregnant woman and new mother can avail of this service for a safe delivery & a healthy child.


In September when we had sent you our Newsletter we had reached out to 410,000 women, we are happy to report that now we serving 6,50,000 women through our mMitra calls. That means now our impact extends to over 1.2 million lives (mothers and their children).




mMitra Partners' Meetings


The mMitra team regularly hosts a full-day workshop for its NGO partners in various states. These workshops are a combination of capacity building exercises and strategic planning to enroll more and more pregnant women and women with infants on to the mMitra call services. 

#ARMMAN #mHealth #MCH #partners

MUMBAI: 23 participants from 12 partner organizations in the Mumbai Metropolitan Region (MMR) attended the workshop held at Vakola Welfare League, Santacruz.

Two of our partners, Social Action for Health, Education and Legal issues (SAHELI) & Jankalyan Bahuuddeshiya Shikshan Prasarak Mandal (JBSPM) shared the strategies that they use to reach out to new communities, connect with pregnant women and follow up with the already registered women, with the other participants.

Some of the field supervisors shared that a few men from the community have requested that such a program should be initiated for them as well, so that they can be supportive of their wives during pregnancy.

DELHI: The workshop for our partners from Delhi & NCR was conducted at Indian Social Institute, Lodhi Road.

Three organizations Child Survival India, Sukarya and Nai Pahal shared their implementation models in the meeting. The meeting provided a platform to share experiences of implementing mMitra, the strategies used by the partner organization to enroll pregnant women and women with infants and to measure the impact of mMitra.


This meeting also helped build an understanding of each other’s strengths, implementation strategies, challenges faced and attempts to foster collaboration among the partners to promote best practices in the program.

#location #mMitra #women #maternal #health

Madhya Pradesh: mMitra MP team organized a full day workshop with our NGO partners from Indore, Ujjain, Dewas and Bhopal at Hotel South Avenue, Indore. mMitra has made considerable progress in a very short period in the four districts of Madhya Pradesh; Indore, Ujjain, Dewas and Bhopal funded by Aditya Birla Financial Services (ABFS).

Key highlights of this meeting were - understanding our strength areas, analyzing implementation strategies, evaluating challenges faced. Based on which the team sought to foster collaboration among the partner organizations to promote best practices while they enroll women onto the program. Pahal, Concept Society, Dronacharya Shikshan Samiti, ISRD are a few of the partners, who presented their program implementation models during the meeting.

mMitra was launched in this region in May 2016 with one hospital and nine partner organizations across the four districts. We have already enrolled more than 73,000 women till date who are benefitting from the mMitra voice call services. 




mMitra Voice Calls Service Rolls out in Haryana

#training #application #ANMs #nandurbar

We are happy to be of service to women in Karnal District, Haryana, through our mMitra voice call service. We hope to reach out to 25,000 pregnant women and women with infants in the district.

We recently conducted training workshops and around 500 ASHA workers were trained from 15 Primary Health Centres (PHCs). The mMitra service was launched in Karnal, Haryana with support from our local partner Karnal Vikas Nidhi.

The launch took place in the presence of the dignitaries like the Mayor, Ms. Renubala; Hon. Secretary, Haryana State Council for Child Welfare, Ms. Santosh Atreja; Mr. Amit Verma, Johnson and Johnson; Ms. Prameela Kumar, ED ARMMAM and Swami Sampoornanand.


Sources in the Karnal Health Department said during the last year 27,515 infants were born. Of them, 1,541 infants died — 909 died after birth and 632 were stillborn. (Source: www.tribuneindia.com)

A lack of awareness about pregnancy, nutritional deficiency, lower haemoglobin, and a lack of seriousness in taking healthy diet among expectant mothers are major reasons behind this. Newborn care has a significant potential for improving the survival of new-borns and is a preventive solution.

The need of the hour is also to optimize the available resources. Our partner organization will continue to train more AASHA workers from other PHCs in Karnal.

 #mMitra #pregnant #women #mothers #mHealth #MCH



mMitra Add-on : Customized Malnutrition Program


#ARMMAN #mHealth #MCH #maternal #health #malnutrition

ARMMAN's Customized Malnutrition Program as an add-on to mMitra is beginning soon!

Mitra is a free mobile voice call service that provides weekly / twice a week culturally appropriate comprehensive #information on preventive care and simple interventions directly to the phones of the enrolled women through pregnancy and infancy to minimize maternal and child mortality and morbidity in India.


On 16th August, various experts had gathered for a brainstorming session regarding the program at Lokmanya Tilak Municipal General (LTMG / Sion) Hospital, Mumbai. ARMMAN and Baby Center will be collaborating to develop the content of the call, with technical inputs from the Department of Pediatric, LTMGH Hospital.

Ms. Daphne Metland, BabyCenter's Editor-in-Chief; Mr. Rajsekhar Dabburi, CEO and Mr. Shyamsundar Mochemadkar, Project Officer, ARMMAN; Ms. Debasmita Pani, Ms. Smriti Sharma from Tata Trusts; Dr Mamta Mangalani, Head of Paediatrics; Dr. Alka Jadhav, Professor and In-charge, NRRC; Dr. Prachi Karnekar; Dr. Lavina Fernandes; Dr. Pratichi Kadam and Dr. Vivek Randive from Department of Pediatrics, LTMGH (Sion) Hospital were part of the meeting.

120 additional voice calls will be sent from 4th month of infancy until the child is 5 years of age on nutrition & malnutrition. (An additional call a week until, once a week in the second year and then once a month till age 5)

When a child is diagnosed to be severely malnourished, the Anganwadi worker or partner NGO staff or the woman herself can give a missed call to our call centre, and trained call centre personnel will handhold the mother via weekly calls through the malnutrition treatment process (8 weeks) and monthly calls for eight months subsequently through the rehabilitation process. The FAQs and the information to be provided will be created by an experts' team drawn from NNF and IAP.


‘The Customized Malnutrition Program’ is a joint venture between Tata Trusts, Johnson & Johnson (J&J) and ARMMAN.

#ARMMAN #mHealth #MCH #maternal #health #malnutrition








World Breastfeeding Week : Breastfeeding Awareness Campaign


#mMitra #pregnant #women #mothers #maternal #health

World Breastfeeding Week takes place from August 1st to 7th every year. In honour of the World Breastfeeding Week 2016, our mMitra team did a great job of spreading awareness on the importance of breastfeeding through events and meetings at the OPD clinics and PNC wards of government hospitals.

A week prior to the campaign, mMitra Hospital Supervisors were thoroughly trained about the importance of and techniques of breastfeeding. During the week, they interacted with new mothers, spoke about breastfeeding, cleared doubts and questions and demonstrated / explained simple yet important things like how to hold the baby, how to sit, how to make the baby latch on to the breast etc.

They also sensitized the govt. hospital staff about 'how to guide a young mother for her baby's first feeding session' through a presentation; displayed posters; helped young moms understand the importance of a balanced meal in the production of breastmilk. These activities were conducted across Mumbai in LTMG, Sion Hospital; Chhota Sion Hospital, Dharavi; Rajawadi Hospital, Ghatkopar; Ruxmani Hospital, Grant Road, Bhabha Hospital, Bandra.

We are overwhelmed with the kind of response we received for our awareness sessions on breastfeeding in the Government Hospitals! We feel so proud of our team of hospital supervisors who have taken the opportunity provided by the World Breastfeeding Week and reached out to so many women with empathy, care and dedication.

Here’s a small Animation Film by ARMMAN talking about how breastmilk is a baby's 'first immunization'. Do share this film to ensure every mother is aware and understands that breastfeeding is a natural and nutritious practice. 

#mMitra #pregnant #women #mothers #maternal #health


AASHA workers on board in Ratnagiri, Thane, Raigad Districts


#mMitra #pregnant #women #mothers #ANC #maternal #health

The mMitra program was launched in Ratnagiri District, in January 2016. Till date 240 women from Vatad & 269 women from Malgund have benefited from the mMitra services.

ARMMAN’s mMitra team conducted a training workshop in Ratnagiri district. Around 30 ASHA Workers and their Block facilitators from Vatad and Malgund Primary Health Centres were given an orientation about the program. The mMitra program was launched in Ratnagiri District, in January 2016. Till date 240 women from Vatad & 269 women from Malgund have benefited from the mMitra services.


Earlier ANMs used to enroll pregnant women and lactating mothers on to the program; henceforth women from 11 sub-centers and 2 PHCs will be enrolled through ASHA Workers. Bringing the ASHA workers on board to enroll women onto the mMitra program would benefit the ANC and PNC cases they deal with regularly. Every ASHA worker will regularly follow up with the woman right from her enrollment until her child becomes 5 years old, ensuring both mother & child receive necessary care & attention.

During the training, they were taken through the content of the voice calls. mMitra voice calls can improve interaction between women and the healthcare system and increase demand for skilled birth assistance and other skilled obstetric and neonatal interventions known to reduce maternal and child mortality.

Seeing the good response in Ratnagiri location, we have brought the AASHA workers on board in Vasind, Thane District as well as in Raigad District. In Dolvi, Raigad District, the enrollments will take place through the two PHCs Gadab and Poyanad. mMitra services in Ratnagiri, Thane and Raigad Districts are supported by JSW Foundation.



Pfizer Global Health Team's Pro-bono Consulting


#ARMMAN #mHealth #MCH #maternal #health

ARMMAN was a part of the Pfizer Global Health Team's pro-bono consulting initiative. The team comprising of senior talented Pfizer staff from across the globe spent three weeks with NGOs and helped them strategize and plan for a mutually agreed upon area of work. Along with ARMMAN the other two NGOs selected for this were Doctors for You and V-Care.

ARMMAN had identified three strategic areas to focus on in order to see the highest impact in its targeted groups which included Branding Strategy; Expansion Plan;  To develop a Growth Strategy for its nascent MCTS program that would help build its capacity for expansion into regions with high IMR/MMR.


Ilya Belenkiy (USA), Alyson Spending (USA) and Jin Guo (China) had volunteered to work with ARMMAN. It was a pleasure to work with such a dedicated, talented and intelligent team. The humility with which they approached the assignment, despite so much experience is very inspiring. Thank you Pfizer for making this happen. Thanks to Pyxera Global for facilitating this.


#ARMMAN #mHealth #MCH #maternal #health

“Pfizer India Doing Good Charity Cricket Match”

 

“Doing Good”, is Pfizer’s employee volunteering platform under which, employees enlist as volunteers to make a difference. As a part of this endeavor, Pfizer India hosted a charity cricket match.


The match was played between Pfizer colleagues on behalf of ARMMAN. The event raised INR 2,51,000 fund to support ARMMAN. ARMMAN team members had gathered to cheer the Pfizer India team.


The ARMMAN team won the match against the Doctors for You team. 
 



ARMMAN Hosted 15 International Women Journalists’ Study Tour


#ARMMAN #mHealth #MCH #maternal #health

We were happy to host 15 journalists from India, Nepal and Bangladesh for a study tour that took them to Dharavi and the Sion hospital to see how ARMMAN's mMitra project is successfully addressing a vital need for preventive health education amongst pregnant women and mothers with infants in urban slums. The journalists were in Mumbai to attend the week long Women's Edition by PRB.

Population Reference Bureau's (PRB) media project called Women's Edition introduces senior level women journalist to reproductive health and family planning issues. It discusses ways of covering the topic so that it can draw the policymakers’ attention. The week long seminar and study tour gives journalist an opportunity to learn about ways in which communities and organizations are addressing reproductive health and family planning issues successfully.


mMitra services in the ‘Lokmanya Tilak Municipal General Hospital’ also knows as ‘Sion Hospital’ are funded by Glenmark foundation since 2013. As of December 2016, we have reached out to 18015 pregnant women and lactating mothers, through the Ante Natal Checkup (ANC) Out Patient Department (OPD) of the hospital. 



A poster presented at the AMIA (American Medical Informatics Association) Annual Meeting in Chicago

#ARMMAN #mHealth #MCH #maternal #health

We were happy to host 15 journalists from India, Nepal and Bangladesh for a study tour that took them to Dharavi and the Sion hospital to see how ARMMAN's mMitra project is successfully addressing a vital need for preventive health education amongst pregnant women and mothers with infants in urban slums. The journalists were in Mumbai to attend the week long Women's Edition by PRB.

Population Reference Bureau's (PRB) media project called Women's Edition introduces senior level women journalist to reproductive health and family planning issues. It discusses ways of covering the topic so that it can draw the policymakers’ attention. The week long seminar and study tour gives journalist an opportunity to learn about ways in which communities and organizations are addressing reproductive health and family planning issues successfully.


mMitra services in the ‘Lokmanya Tilak Municipal General Hospital’ also knows as ‘Sion Hospital’ are funded by Glenmark foundation since 2013. As of December 2016, we have reached out to 18015 pregnant women and lactating mothers, through the Ante Natal Checkup (ANC) Out Patient Department (OPD) of the hospital.



Findings of the research study on ARMMAN’s mHealth initiatives published
in Indian Journal of Maternal and Child Health

Importance of taking IFA tablets for 100 days 



95.2% women in the intervention group knew the importance of taking IFA tablets of 100 days during pregnancy compared with only 59.2% in the control group

The paper titled ‘Impact of mHealth Initiatives on Utilization of Ante Natal Care Services in Rural Maharashtra, India’ by [1] S.Joshi, A. Hegde, N. Patil was published in Indian Journal of Maternal and Child health, Volume 17(2), 2015 www.ijmch.org

The research focussed on the question “Can and how far mobile phone technology based preventive information service on maternal health knowledge, behaviour change be effective? Are the service users satisfied?”
 

The study was conducted with 1750 women from 250 villages spread across in Wasim, Osmanabad and Solapur in Maharashtra. The health interventions studied was mobile phone messaging and animation film service to improve maternal and child information access for rural pregnant women.

A Randomized Cluster Trial (RCT) Study (supported by Dfid) conducted to test and document the effectiveness of ARMMAN’s mHealth interventions provided to target women (and compared with a control group that did not receive the mHealth intervention), found that out of seven impact indicators, achievement in five indicators in the intervention group exceeded target.


A snapshot of the findings is presented here:

Consumption of IFA Tablets for 100 days 



52.10% of women in the intervention group took IFA tablets for 100 days as compared with 30.44 % in the control group 

Aware about atleast 3 FP Methods other than permanent sterilization


65.53% women in the intervention group knew at least 3 methods of family planning other than permanent sterilization compare with 18.58% in the control group



ARMMAN Newsletter September 2016 Edition : Click Here