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

2. 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.

3. 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

4. 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).

5. 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

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

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

8. 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.