State of the Evidence for Using Mobile Phone Technology for Improving EMTCT Results William C. Philbrick Photo courtesy of Kiwanja

RMNCH Continuum of Care with PPTCT (EMTCT) Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Chart Source: UNICEF

RMNCH Continuum of Care with PPTCT (EMTCT) Antenatal Services Intrapartum Services (Labor and Delivery) Postpartum/ Postnatal Services Increase in Antenatal Care (ANC) Attendance Provider-Initiated Testing and Counseling (PITC) for HIV HAART Eligibility Assessment by CD4 or Clinical Staging Provision of Antenatal ARV Prophylaxis or HAART as Eligible Infant Feeding Counseling and Support Subsequent Retesting for Those Who Initially Test Negative Family Planning and Reproductive Health Services Encouragement of Facility- Based Delivery and of Delivery with a Skilled Attendant Safe Delivery Techniques Provider-Initiated Testing and Counseling (PITC) for HIV Intrapartum ARV Prophylaxia or Continuation of HAART as Eligible Infant Feeding Counseling and Support Family Planning and Reproductive Health Services Postpartum ARV Prophylyaxis or Continuation of HAART as Eligible Provider-Initiated Testing and Counseling (PITC) for HIV Infant Cotrimoxasole Prophylaxis Early Infant Diagnosis (EID) and Follow-Up Testing to Determine Final HIV Status of Infant Infant Feeding Support and Adherence Links to Care, Treatment, and Support Family Planning and Reproductive Health Services Source: AIDSTAR

Sources of Evidence Gaps and Needs Analysis on MNCH & mHealth Published peer-reviewed literature Systematic and Literature Reviews “Grey” Literature Current Project Descriptions Interviews with Stakeholders

Antenatal and Other Appointment Reminders Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Antenatal and Other Appointment Reminders Chart Source: UNICEF

Delivery in Presence of Skilled Birth Attendant Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Delivery in Presence of Skilled Birth Attendant Chart Source: UNICEF

Treatment Adherence Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Treatment Adherence Chart Source: UNICEF

Promote Exclusive Breastfeeding, Immunizations, and Family Planning Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Chart Source: UNICEF

Protocols for Diagnosis: Obstetric Emergencies, Malnutrition, IMCI Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Chart Source: UNICEF

Data Collection, Training, and Improving Efficiencies Facility Community Focused antenatal care Emergency Obstetric Care Postpartum/post natal care for Mother and Baby, and IMNCI Skilled attendance at birth Family planning Health education during pregnancy birth planning Skilled attendance at birth Pre- pregnancy PregnancyDeliveryPostpartum, post natal Postpartum/Post natal care for mother and baby, Identifying/referring newborn illness Family planning PMTCT Data Collection, Training, and Improving Efficiencies Chart Source: UNICEF

Integration and Systems Strengthening Supply Chain Management Water, Sanitation and Hygiene (WASH) Micro-finance Maternal depression and psycho-social well-being of CHWs Economic livelihoods Stigma and discrimination

THANK YOU! Contact: William C. Philbrick, Consultant, mHealth Alliance Learn more at Join the mHealth conversation at The mHealth Alliance is hosted by the United Nations Foundation