1. Health Team Maternal & Newborn Health Review of Data Challenges and Opportunities

2. Background Millennium Development Goal (MDG) 5— reduce maternal mortality by 75% Lagging progress attracted attention and donors o multilateral and bilateral partnership campaigns o Top donors: USAID, World Bank, UNICEF, UNFPA, DFID, CIDA Lacking data, especially at subnational level

4. Major Donors The United States, through USAID, is by far the largest donor, with ~630 projects in 2010

7. Targeting Aid?

8. Existing Data Sources 1.Demographic Health Surveys Measure DHS, USAID 1.Multiple Indicator Cluster Survey (MICS) Unicef 1.Census data nationally managed 1.Maternal Mortality Surveillance Systems growing efforts, national and donor partners Typical Relevant Indicators Maternal mortality rates (national) Child mortality rates (admin 2) Reproductive health (admin 2) Contributing factors (admin 2) - Indicators 2. Maternal mortality Surveillance Systems - Millenium Development Goal 5 - Monitoring systems: a. Maternal Mortality Estimates b. Campaign on Accelerated Reduction of Maternal, Newborn and Child Mortality in Africa (CARMMA) c. Latin American Center for Women and Reproductive Perinatal Health (CLAP)—Pan American Health Organization (PAHO) d. Countdown to 2015: Maternal, Newborn, and Child Survival e. Center for Disease Control and Prevention (CDC) —Division of Reproductive Health (DRH) - Data sources: WHO, UNICEF, WB, UNFPA, DHS, - Partner Organisations: WHO, UNICEF, WB, UNFPA, Planned Parenthood Federation, Partners in Poulation Development Africa

9. MNH Data Problems Limits of population-based surveys

10. MNH Data Problems Limits of health facility reporting

11. Potential for Mapping Mapping health facilities, health facility levels, and access to care Mapping maternal/newborn mortality Identifying gaps in care that will allow us to better focus aid projects Informing local policy makers o allows better integration of health ministries and community work Allows for the potential of mapping other health topics

12. Mobile Health (mHealth)...Significant potential for improving data collection & surveillance, including for maternal and newborn health

13. MNH mHealth Data Collection ____________Data Collectors_____________ TBAsMidwivesCHWs Health facility workers _______________Devices________________ Basic mobile phonesJava enabled phones Smart phonesPDAs ________________Data__________________ Vital informationBirths Death

14. Specific Benefits of Mobile Data Collection for MNH - More consistent data - Fill some data gaps - Support targeted interventions - Facilitate surveillance of high risk cases - Birth registry - Improve CHW communication & info - Integrate Traditional health workers

15. MNH Data Collection mHealth Projects http://bit.ly/ZsRTJR

16. Potential for Real Time Mapping GPS location Access to/use of care vs. health outcomes

17. Mobile Data Collection Process Using mobile phones, PDAs, smart phones, etc. Mobile device to central database, where compiled and analyzed in real time or adult

18. Challenges of MNH mHealth Data gaps and accuracy Incentives to report Technological problems Cost and sustainability