Day 2 panel 4 m health strategy to reduce pre eclampsia tz 108022

1. in Tanzania
Dr Godfrey Mbaruku (PI) – IHI
Prof Karen Yeates (Co-PI) – Queens University
Dr Anna Nswilla (Co-PI) - MOHCDGEC
Professor Lynne Lohfeld (Investigator) -
Dr Zacharia Mtema (Technology Coordinator) – IHI
Jessica Liauw (Co- Investigator)
Jessica Sleeth (Project Manager, and M&E Coordinator – Queens
University/Pamoja)
Selemani Mbuyita (Implementation Coordinator) - Pamoja
Iddajovana Kinyonge (Field Coordinator) - IHI
Ritha Godfrey (Administrator – IHI)

2. mHealth Project Overview
Background
o 2010 DHS report, maternal mortality ratio = 454 per 100,000,
o 2016 DHS report , maternal mortality ration = 556 per 100,000
o Post partum hemorrhage (PPH) and pre-eclampsia-eclampsia (PE) together make up the
cause of 50% of maternal deaths in childbirth in Tanzania.
o Many of these complications arise in women who never access the formal health care
system or are moribund when they do seek care.
Research questions/objectives
1. Can the utilization of an mHealth strategy for PE among patients and Reproductive and
Child Health workers (RCH) improve recognition and appropriate management including
timely transfer to higher level health care facilities?
2. Can the use of an mHealth strategy of patient education and patient-based distribution
of misoprostol lead to a reduction of PPH risk among pregnant women who deliver
within or outside a health facility and will it increase likelihood of facility delivery?
3. Can the use of an mHealth strategy improve maternal-child health (MCH) system
data capture and real time capture of MCH health outcomes in Tanzania?

3. mHealth Project Overview
Methods
• Mixed methods
• Randomized Control Trial employing before and after design

4. mHealth Project Implementation
Results to Date/Key Lessons Learned
• Funder – HPRO – IRT design has a promise for quality research
• Canada – Africa based project management has both advantages and challenges
• Policy maker as part of the IRT provides opportunity for quick wins
• Use of existing infrastructure/guidelines increases chances for uptake and possibly
scalability
Challenges in Implementation and Mitigation Strategies
• Ethical clearance
• Close follow up and pressuring
• Engaging decision/policy makers
• Having at least one policy maker in the project team
• Expectations of District/Council Health Teams
• Make them collaborators front-line implementers from onset

5. mHealth Project Implementation
Implementation Research Team – Focus on Capacity Strengthening
• MBA in Information Technology - IHI
• MSc – Queens University
• Capacity building of Zonal Resource Training Centres (of MOHCDGEC) – which
are machinery for scaling up new innovations
• Empowerment of district health systems
odistrict health managers and
o health providers

6. mHealth Project Implementation
Next Steps (Plan for 2017)
Areas for Collaboration
• Continuous professional development through e-learning and digital resources.
• E-ILS/HMIS
• Community Health Workers program - operationalization