1. Introduction of maymay app
Dr Aung Aye Khine
Senior Communications Officer, mHealth
Population Services International/Myanmar
Jun 20, 2016

2. “maymay” Myanmar’s First Maternal Health App

3. Myanmar Maternal Mortality Rate
Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. 
No. of deaths per 100,000 live births (2015)
2011
2012
2013
2015
Myanmar
201
195
189
178
Maternal death causes include hemorrhage, hypertension and infection.
Sources: data.worldbank.org/indicator

4. Child Mortality Rate Under-five mortality rate is the probability per 1,000 that a newborn baby will die before reaching age five, if subject to age-specific mortality rates of the specified year.
Sources: data.worldbank.org/indicator

5. Child Mortality Rate
Under age 5 mortality rate per 1000 live births (2013)
Maternal mortality rate and child mortality rate are some of the highest in the region.
The majority of births take place outside of a professional medical facility.
Limited access to health services and information persists.
Malnutrition contributes to 60% of child deaths.
Child death causes include respiratory infections and diarrhea, both of which are made worse by malnutrition.
Breastfeeding, pneumonia and diarrhea treatment, ANC visits, and facility delivery are listed as missed opportunities for the delivery of child lifesaving interventions.

6. Many of these deaths could be prevented with knowledge and access to proper health information.
Maternal mortality below the standards set by the United Nations.
Maternal mortality rate and child mortality rate are some of the highest in the region.
The majority of births take place outside of a professional medical facility.
Limited access to health services and information persists.
Malnutrition contributes to 60% of child deaths.

7. Use mobile to deliver maternal and child health information.
Mobile Alliance for Maternal Action (MAMA) developed mobile maternal and child health messages.
Content is based on WHO and UNICEF guidelines, and informed by a team of health experts.
Messages are provided to partners free of charge and adapted for the local context.
Bangladesh’s Aponjon program has over million subscribers.
MAMA Bangladesh Case Study: 75% of women and gatekeeper respondents reported that they now have the ability to take action to improve the health of the mother or baby as a result of the MAMA messages.
MAMA was founded by USAID, Johnson & Johnson, United Nations Foundation, mHealth Alliance and BabyCenter
India, Bangladesh, South Africa, Colombia some of the countries that have adapted the messages.
Sources:

8. Reducing maternal and neonatal mortality in Myanmar with maymay
Mention EG $90k and USAID DIV $150k
Koe Koe Tech
Jun 20, 2016

9. WHO Health System Performance (191 countries)
Woof.

10. Most Myanmar people are using Android smartphones, even rural people
Everybody’s using smartphones in Myanmar!
Maybe present theory of change here

11. What’s the solution? Our app, maymay
A mobile and web platform where pregnant women and their partners and parents of children can:
LEARN INFORMATION
Before when during making important health decisions
FIND QUALITY DOCTORS
They can call and live chat with
ORDER PRODUCTS
Medicine, maternal and baby products to their door

12. Features of maymay Application
Lesson
Hospitals
Baby Products
Weekly Message
Nutrition
Mom Fashion
Symptoms
Viber, Messenger
Doctor Locator
Emergency
Health Articles

13. Social Impact RCT running at Central Women Hospital (CWH)
Intermediate Outcomes (WHO) – compared against baseline (in parenthesis)
% of people who did 4 ANC visits (73%, DHS, MICS)
% Facility-based births (33%, UNICEF)
% babies exclusively breastfed for 1 year (24%, DHS, MICS)
Ultimate Outcomes
Reduce maternal mortality (200 deaths per 100,000 live births, MMIEG 2014)
Reduce under-5 mortality (52 deaths per 1,000 live births, IGME 2013)
Reductions of # of neonatal deaths (within first 28 days), # of all under-5 deaths, and % of under-5 deaths are neonatal (51%, MICS)
Similar IVR initiatives have resulted in 20-30% improvements from baseline for 4+ antenatal clinic visits, facility-based births, exclusive breastfeeding.

14. Currently 30,000 monthly active users and adding new users per day (every year 765,000 new pregnant women)
Facebook has just launched maymay app on Free Basics this June to 20 million Myanmar people (zero-rated data use) – 1,000 daily active users after a week
Note on how all of this results in massive data collection
Patient side care
Doctor side care
Midwives, nurses
Integration with DHIS2
Results in a completely connected data network

15. Distribution through PSI Sun clinic doctors and Save the Children midwives
Distribution through MOH rural health centers and hospitals
Telemedicine integration with mobile money and Facebook Messenger bot (boosts doctors incomes and saves patients money!)
Purchases of high-quality, low-cost health products in the maymay app delivered by PSI & Living Goods rural sales agents to customers’ doors
Looking to the future
Patients:
30,000 monthly active users
Currently adding 1,000 new users per day
Free Basics: 20 million people will be added
Connecting Patients to Doctors and Midwives
Maymay telemedicine will allow appointments setups with clinic and hospital doctors, nurses, and rural midwives
Transportation to health facilities
Ratings of doctors, midwives, nurses (upward quality pressures)
Doctor-to-doctor telemedicine and referrals
Desk references for doctors, decision support
More Content
Save the Children on exclusive breastfeeding

16. Thank You 