Ambulances, Project Kiramama – June 2014 Gitega Hospital– October 2013 Ambulances, Project Kiramama – June 2014 Project Kiramama Mala KUMAR | 27 October 2014

Context Considerable Challenges Solution? Innovations Burundi ranked near bottom of Human Development Index One of the poorest nations in the world Maternal Mortality rate – 740 deaths per 100,000 live births (5th highest in the world) Knowledge of when to go to health centers, access to health centers, available quality care low Solution? Innovations Very important in this context Work with all levels of community health workers - Burundi is one of the youngest, poorest nations in the world. 51% of its population is under 18 and it is consistently ranked at the bottom of the Human Development Index. - In this context of extreme poverty and resource scarcity, challenges faced by children are sizeable and call for innovative solutions. - In 2012 UNICEF Burundi established an Innovations lab to find new solutions that can achieve wide-ranging impact for children and women.

What is Project Kiramama? SMS technology and cloud-based software to connect different parts of the public health system. Gitega Hospital – October 2013 Kanyanza Maternite – October 2013 Kiramama Ambulances, June 2014

Why this Approach? With UNICEF and MoH resources, data can be stored securely and in such a way that any authorized user can access information from around the world. With the help of partners such as GAVI, we can include all community health workers as participants to achieve scale (national coverage).

How does it work? Data aggregation Study, planning conducted Emergency response Emergency equipment sent SMS Campaign** Flow* Community Health Worker Central Server Data is managed and analyzed by the Ministry of Health with the goal of bettering rates infant and maternal mortality. *A flow is a series of SMS’s to derive an input for an indicator. **A campaign is a series of events

Sample Data Aggregation Gitega Maternal Mortality Cases, Week 5, Year 2015 Site Maternal Deaths Percent of Total Change from Previous 32 12 1% 0% 15 3% -2% 34 8 2% 0% 35 21 2% +1% 15 2% +2% National Maternal Mortality Cases, Week 5, 2015 0% 1% Note this map is an example and is not intended to reflect actual indicators 2%

Previous Success In Rwanda, there was a noticeable change in facility deliveries after implementation.

Kanyanza Maternite – October 2013 Project Kiramama Bujumbura – October 2014 Kanyanza Maternite – October 2013 Complement existing infrastructure to protect mothers and children when they need it most.