2012 Innovators

Round 2 Finalists

A pool of over 500 applicants has been winnowed down to 65 finalists. We received applications from non-profit organizations, universities and university affiliates, and for-profit organizations submitting innovative solutions that cut across technology, service delivery, and demand.  From July 12-14, the finalists will compete in the last stage of review at the Development XChange in Seattle, WA. 

Vote now for your favorite innovations! Between now and July 11th 5:00 EST, review the 65 finalists’ innovations from Round 2 and vote for the most pioneering ones.  The winner of the People’s Choice Award will be announced on July 14th.  

Organization Organization Location Project
Adventist Development and Relief Agency (ADRA), International Silver Spring, MD USA

In Rwanda, lack of access to health care, especially for rural communities, is reflected in high maternal mortality rates; 540 out of every 100,000 live births lead to a mother's death. The infant mortality rate is even higher - for every 1,000 births, 27 do not survive. Almost 37% of mothers deliver at home and only 35% of mothers attend appropriate antenatal care visits at clinics. To address this, ADRA will implement the GUHUZA project, to "connect" mothers to health care.

GUHUZA -Connecting mothers to health care through group SMS and ambulance services
Boston University, BUMC Boston, MA USA

Rationale: An estimated 50% of maternal syphilis infections result in stillbirth or congenital infection. Affordable rapid testing and effective treatment exist; the challenge lies in boosting screening and ensuring treatment for hard-to-reach mothers. Measuring the success of service delivery models is challenging; a low-cost test is needed to accurately measure the rate of newborn transmission in addition to the current method of counting stillbirths, a poor surrogate of congenital syphilis (CS) infection.

Old disease, new technology: Winning the syphilis battle with mHealth and community based agents
Cambodia Health Education Media Service (CHEMS) Phnom Penh, Cambodia

Rationale: Cambodia's maternal and neonatal mortality rates remain unacceptably high. Only 54% of mothers deliver in a facility, and increasing utilization of health centers is central to the government's strategy.

The Baby Game: Using gamification to increase utilization of health centers by pregnant women.
Cambodian HIV/AIDS Education and Care (CHEC) Phnom Penh, Cambodia

Rationale: A lack of staff and equipment, travel, and traditional practices cause 46% of Cambodian women to deliver at home. Addressing these issues will take many decades, so in the meantime a new approach is needed that can be implemented with existing resources.

Testing the Positive Deviance Approach for Maternal and Neonatal Health
Catholic Relief Services, USCCB Baltimore, MD USA

Catholic Relief Services, in collaboration with local implementation partners the Nicaragua Ministry of Health (MoH) and Caritas Matagalpa, and supported by researchers at John Hopkins Bloomberg School of Public Health and the Sustainable Sciences Institute, proposes to scale up a proven integrated solution that optimizes birth outcomes in the poorest and most remote communities of Matagalpa, Nicaragua where high maternal and neonatal mortality continues to be a critical problem.

SWIFTCare - Supporting Women, Infants and Families in Timely Care Seeking for Maternal and Neonatal Health
Children's Hospital Boston Boston, MA USA

Severe bilirubin encephalopathy from inadequately treated jaundice is a global health threat to newborns. Developing areas in Africa, the Middle East, and Southern Asia that have a high prevalence of the heritable hemolytic condition, G6PD deficiency, are particularly vulnerable, and numerous countries in those regions report jaundice as the second or third leading cause of neonatal death.

Development of a Freestanding, Portable, Solar-Powered, LED-based Phototherapy Device
Communication for Development Foundation Uganda (CDFU) Kampala, Uganda

Most rural health facilities in Uganda and many parts of Africa have no electricity, lighting or phones to communicate with clients or doctors, which contributes to low uptake of antenatal and maternity services and unsafe care for pregnant women who deliver there. Power for Life (PFH) will conduct a case-control study in 12 rural health centers in 2 districts of Uganda to test the idea that: a) supplying solar power and lighting, and b) providing data and voice technology will improve health seeking behavior, quality of care during childbirth, and birth outcomes.

Power for Health (PFH)
D-tree International, Inc Weston, MA USA

We provide a mobile phone based algorithm to assist midwives to quickly and accurately identify obstetric emergencies and arrange transportation for the pregnant woman to a health facility where she can receive appropriate care.

mHealth for Safer Deliveries
Deakin University Geelong, Australia

Lao PDR is well short of the 2015 targets for MDGs 4 and 5. It has one of the highest Maternal and Infant Mortality ratios in the Western Pacific Region. Furthermore the levels of maternal and infant morbidity, especially from pneumonia and other respiratory infections, are very high. A key likely contributor to post-parity maternal and infant deaths and morbidity is exposure, for both mothers and infants, to extreme heat and smoke pollution during the yu fai process (mother roasting) which is practiced by over 90% of Lao families for up to 45 days after birth.

Measuring, then mitigating, the health effects of the common practice of yu fai (mother roasting) for recent parity women and their babies in Lao PDR.
Dimagi, Inc. Cambridge, MA USA

In order to help save newborn lives across the globe, we propose three major objectives: (1) Integration of past and future innovations through development of a CommCare "App Store", (2) Scaling CommCare through building of mHealth capacity in 75 new partners over 3 years; (3) Evaluation of CommCare's impact on saving newborn lives in two large-scale controlled studies.

Scaling CommCare Innovations for Better Community Health to Millions
Embrace San Francisco, CA USA

Low birth weight (LBW) infants are at higher risk of hypothermia due to their increased surface-to-mass ratios; studies indicate that the prevention and management of hypothermia through thermoregulation can reduce neonatal mortalities by up to 42%. Roughly 500 district hospitals in Vietnam lack neonatal intensive care units, forcing them to transfer infants with pathologies to provincial hospitals. Transport is unsophisticated and lacks standardization; ambulances, when available, are not equipped to provide thermoregulation. Transport is the weak link in the warm chain.

Embrace: Integrating Thermal Support Devices Into Vietnam's Infant Transport System To Improve Health Outcomes Among Low Birth Weight Neonates
Global Blood Fund Oklahoma City, OK USA

Haemorrhage accounts for up to a third of maternal deaths; safe blood is too often unavailable. As the letter of support from the CEO of one partner, the National Blood Service of Zimbabwe (NBSZ), notes: "As 40% of all blood supplies are given to mothers, shortage of blood seriously contributes to maternal mortality."

DOMANO (Donor Management Online)
Harvard School of Public Health Boston, MA USA

Nearly half of all infant deaths occur in the first 28 days after birth, with prematurity and low birth weight as leading causes. We propose to assess the feasibility of development and distribution of an indigenous energy protein supplement to at-risk pregnant women attending health centers in rural Gujarat to reduce infant intrauterine growth retardation and monitor key biological parameters of their at-risk infants through a low cost mobile device.

Reduction of infant intrauterine growth retardation (IUGR) through Direct Observation Dietary Supplementation (DODS) of malnourished pregnant women with early identification of at-risk newborns through mobile technologies in rural Gujarat
Health Child Kampala, Uganda

It is very well possible to reduce maternal and neonatal death by ICT, mobile phones, performance based financing and task shifting. Although there is progress in these areas in Uganda, there are still factors contributing to the death of pregnant or birth-giving women and newborn children like hemorrhage, sepsis/infection, hypertension, preterm birth and tetanus. Interventions to avoid or prevent problems such as lack of correct information, a skilled attendant and access to quality health care still show gaps.

Fast tracking progress to reduce Maternal and Child Mortality: Removing Barriers to Seeking, Reaching and Giving Care
Health Partners International Ltd. Lewes, East Sussex UK

This proposal outlines a model for demonstrating whether a Conditional Cash Transfer Scheme (CCTS), integrated into a larger program effort, can increase demand for and utilization of maternal and neonatal health (MNH) services in rural Zambia, where health indicators remain stubbornly dire. The model is based on evidence suggesting that current demand-side interventions, including increasing knowledge of danger signs and raising awareness of available services will not be sufficient to overcome the barriers necessary to bring utilization in line with clinical need.

Conditional Cash Transfer Scheme (CCTS) Zambia
Helen Keller International, The Philippines Manilla, Philippines

Maternal and neonatal death rates are high in the Western Visayas region of the Philippines, where access to skilled birth attendants is relatively high but compliance with appropriate antenatal care (ANC) and postnatal care (PNC) practices is poor. World Health Organization (WHO) essential protocols for reducing maternal and infant mortality are not extended into the communities or into the homes, where many women give birth. Government services are are delivered through separate, vertical, poorly-coordinated programs. 

Taking First Embrace to Scale
Hindustan Latex Family Planing Promotion Trust Noida, India

The world is facing a shortage of 4.3 million health workers, with every region except Europe showing a shortfall. Rapid urbanization in developing countries is exacerbating shortage of health workers in rural areas, as trained professionals seek work in more affluent urban conurbations.

Strenthening maternal health care delivery through e-learning
Imaging the World (ITW) Bellevue, WA USA

Over half of childbirth deaths in developing nations are attributed to treatable conditions such as hemorrhage from an abnormal placental location, fetal malpresentation, or obstructed labor. If identified in advance, such conditions can be prevented through life-saving treatment. In sub-Saharan Africa, a woman has 1 in 30 lifetime chance of dying from complications of childbirth. While ultrasound is effective in diagnosing many of these problems, traditionally it requires expensive equipment; high electrical power; and on-site, highly trained operators.

Scale-Up of Sustainable Ultrasound Delivery for Saving Lives at Birth
Innovations for Poverty Action (IPA) New Haven, CT USA

Maternal and child health in poor countries suffers from failures in supply and demand. Health workers face weak incentives to provide quality services, while patients under-utilize what health services do exist, due to cost, lack of information, and perceived low quality of services. We propose to conduct an investigation of two innovative, social accountability interventions that aim to address these shortcomings by incentivizing health workers and stimulating demand for health services.

Improving Health Service Delivery Through Community Monitoring and Non-Financial Awards
Innovations for Poverty Action (IPA) New Haven, CT USA

The project aims to address the consequences of male fertility preferences when men are uninformed about of the health risks associated with pregnancy and childbirth, namely low uptake of available family planning and low understanding of the benefits of birth spacing. In order to inform men of these risks, an innovative curriculum has been designed over one year of piloting that introduces family planning as a way to mitigate potential maternal and child mortality.

Male Fertility Preferences and Maternal Mortality
International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) Dhaka, Bangladesh

In Bangladesh, 77% of births occur outside a facility and 72% without a skilled attendant. When maternal or neonatal complications occur, <40% of women seek care, mainly due to misunderstanding of complication severity and/or necessity for referral; relatives or neighbours are the primary referral sources. Antenatal care coverage and logistical preparation for childbirth emergencies are also poor. An intervention to empower mothers and layperson referral gatekeepers to overcome these logistical, knowledge, communication gaps is urgently needed.

Mobile Community Childbirth Checklist (mCommCC) for mothers and layperson referral gatekeepers: danger sign recognition, emergency preparedness, and linkages to skilled care
International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) Dhaka, Bangladesh

Rationale: More than one-quarter of neonatal deaths are due to neonatal sepsis (NS). NS is usually treated with parenteral and oral antibiotics but case fatality rates are high. It was shown that Zinc ions are crucial for multiple aspects of the immune system, including the normal development, differentiation, and function of cells belonging to both innate and acquired immunity. Modulation of immune response by oral Zinc supplementation is considered as a single approach for multiple diseases.

Effect of Zinc as an Adjuvant Therapy for the Treatment of Neonatal Sepsis (NS) in Bangladesh
International Synergy Group, LLC, in partnership with Medweb Niceville, FL USA

Ten years after the ouster of the Taliban, Afghanistan's maternal mortality rates are still among the world's highest, accounting for over five percent of all annual maternal deaths across the globe. Neonatal mortality is equally abysmal, and fragile gains in the sector remain hindered by severe coverage and access gaps arising from structural capacity constraints and a dearth of skilled midwives providing basic health education to expectant mothers in isolated rural areas. Gender repression and cultural perceptions pose additional challenges.

IVR4BABY - Afghanistan
International Synergy Group, LLC, in partnership with Medweb Niceville, FL USA

Despite foundational gains over the past decade, Afghanistan's maternal mortality rate remains among the world's highest, accounting for over five percent of all annual maternal deaths across the globe. Neonatal mortality remains equally abysmal.

Midwives Connect - Afghanistan
Jacaranda Health Nairobi, Kenya

Jacaranda Health has a dual mission of providing affordable, high quality maternity services to low-income women whilst being a laboratory for integrating innovations for maternal health. We are a chain of maternity clinics in Kenya that provide deliveries, antenatal and postnatal care, and family planning.

Innovating with ultrasound to improve demand for skilled maternity care in Kenya
JSI Research and Training Institute, Inc. Arlington, VA USA

Under-nutrition is the underlying cause of 3.5 million preventable maternal and child deaths each year. JSI is developing innovative technology to support the delivery of nutrition actions at critical times in the life-cycle of women, infants and young children, especially during the 1,000 days between a woman's pregnancy and her child's second birthday.

Improving birth outcomes through enhanced targeting of nutrition interventions to mothers and children during the 1000 days from pregnancy to age two through use of biometric technology
Kybele, Inc. Winston-Salem, NC USA

This project expands a 5 year Kybele-Ghana Health Service partnership analyzing systems and patient care processes at Ridge Hospital, a large obstetric referral center in Accra. The partnership addressed leadership, motivation, knowledge deficits, equipment shortage, patient flow and communication problems yielding a 34% decrease in maternal mortality and a 36% decrease in stillbirth, despite a 36% increase in patient admission with higher disease acuity.

Reducing Maternal and Perinatal Mortality in Ghana by Improving Service Delivery Capacity: Introducing Systematic Quality Improvement Methodologies into the Greater Accra Health Region.
Liverpool School of Tropical Medicine Liverpool, UK

Timely access to safe blood transfusion is an essential component of antepartum, postpartum, and post-abortion care to prevent deaths from haemorrhage and severe anaemia. Peri-partum haemorrhage alone accounts for 34% of obstetric deaths in Africa and is an important cause of stillbirths and neonatal deaths. Access to safe blood for transfusion is an integral component of comprehensive emergency obstetric care. A major roadblock to the provision of blood transfusions in low/middle-income countries is not enough safe blood in the right place at the right time.

The 3R Blood Donor Project: recognition, recall and repeat donation to transform access to safe blood transfusion
Nexleaf Analytics Los Angeles, CA USA

Rationale: Severe neonatal jaundice (hyperbilirubinemia) can be treated by exposing an affected newborn to intense blue light. However, babies diagnosed with jaundice are often placed under phototherapy lights that are ineffective, old or poorly maintained. Inexpensive solutions for predictive maintenance of such technologies are needed to assess the quality of treatment and provide data for long-term equipment management.

Bullseye: Smartphone-Based Maintenance of Phototherapy Equipment for Neonatal Jaundice
Pakistan National Forum on Women's Health Karachi, Pakistan

A long-entrenched problem in Pakistan is that the poorest women are unable to access functioning health-centres owing to difficulties in physical access, cost constraints, lack of staff and socio-cultural barriers to travelling. In rural areas 75% births take place at home in unhygienic conditions under the supervision of traditional birth attendants. Therefore, neonatal infections are contracted during and immediately after delivery.Clean birth kits (CBKs) are scientifically proven to enable safer home births by preventing life threatening neonatal infections.

Clean Births Are Safe Births: Social Marketing of Clean Birth Kits
Population Council New York, NY USA

In this decade, maternal and reproductive health voucher programs have contributed to reduced maternal and infant mortality and morbidity. The Uganda program is considered a key success. The administrative cost of supporting these safe births is approximately 32% of total program costs. 

Mobile Lotteries for Safe Births: Accelerating Scale up of the Demand Driven Safe Motherhood Voucher Program in Uganda
Population Services International Washington, DC USA

Burma is one of the poorest countries in Asia, and its per capita public investment in healthcare is amongst the lowest in the world. Burma's 55 million people rely heavily on unregulated private sector health services. Lack of access and prohibitive service costs preclude poor women and their children from accessing basic health services. Burma urgently needs cost-effective, scalable solutions to provide the continuum of care needed to reduce maternal and neonatal mortality.

An Innovative Service Delivery Solution for Maternal and Neonatal Health in Burma
Population Services International Washington, DC USA

Neonatal infections are estimated to account for over one million newborn deaths annually, almost half of which happen in Africa. Community-based trials in Asia applying a 4% chlorhexidine (4% CHX) to the umbilical cord showed reduction in newborn death by 23% and a three-quarters reduction in serious umbilical infections. Effectiveness trials to generate evidence in Africa are underway in Tanzania and Zambia and are expected to be completed in 2014.

Exploring the Demand and Supply Dynamics of 4% Chlorhexidine in Madagascar
Program for Appropriate Technology in Health (PATH) Seattle, WA USA

Anemia is one of the most serious global health problems, and it particularly affects pregnant women in developing countries. Anemia often goes undetected and untreated, placing women and their newborns at risk for poor pregnancy outcomes. Nowhere is this truer than in Africa where an estimated 200,000 women die from birth complications every year.

Planning for scale-up of a noninvasive anemia screening and monitoring technology in low-resource settings
Program for Appropriate Technology in Health (PATH) Seattle, WA USA

Globally, newborn sepsis is the cause of over 500,000 of the 3.1 million newborn deaths each year. Applying a 4% chlorhexidine product (7.1% chlorhexidine digluconate) to the umbilical cord saves newborn lives and is a cost-effective intervention. Data from Bangladesh, Nepal, and Pakistan demonstrated an aggregate 23% reduction in neonatal mortality (not including deaths in the first few hours of life) and a 68% reduction in severe infections for the chlorhexidine intervention groups.

Rolling out chlorhexidine for umbilical cord care in Bangladesh and beyond
Program for Appropriate Technology in Health (PATH) Seattle, WA USA

Obstetric hemorrhage is estimated to cause 25% of maternal deaths and is the leading direct cause of maternal mortality worldwide. Postpartum hemorrhage (PPH), characterized as severe bleeding in excess of 500 ml after the birth of a baby, accounts for the majority of hemorrhage cases and occurs in over 10% of births, with a 1% case-fatality rate. Maternal anemia, which affects up to half of all women globally, has long been purported as an underlying risk factor for PPH, and this assertion has been recently supported by evidence in Africa.

Development of a Simple Decision-Making Tool to Accurately Assess Excessive Blood Loss and Postpartum Hemorrhage at Childbirth
Projecto Saude Bandim Bissau, Guinea-Bissau

Rationale: Newborns are vulnerable and have high mortality in low income countries. BCG vaccine is known to stimulate the immune system and its early administration can modulate how the child copes with other infections. In randomised trials of BCG-at-birth to low-birth-weight (LBW) children, we have shown that BCG is associated with 40-50% lower neonatal mortality, the effect being due to less neonatal sepsis and respiratory infections. The beneficial effect has been observed already within the first three days.

Reducing neonatal mortality through administration of BCG soon after birth - a cluster randomised trial of improved service delivery
Public Health Foundation of India (PHFI) New Delhi, India

The 1000 Days Initiative is a transformational approach to producing healthy mothers and live, thriving babies amongst economically vulnerable populations.  It replaces the compartmentalized efforts of the past with an integrated approach of wellness and health services over the course of a woman's pregnancy and the first two years of life.  It combines best practices for maternal and newborn care with the provision of nutrition, immunizations, and clean water in a single package.

Transforming Maternal and Child Health and Wellness: The 1000 Days Initiative
Queen Elizabeth II Health Sciences Centre, Capital Health District Authority Halifax, Nova Scotia Canada

Rationale: Decrease maternal and newborn morbidity and mortality at childbirth in poor hard-to-reach populations.

Portable Remote Presence for Point-of-Care Prenatal Assessment
Seattle Children's Hospital Seattle, WA USA

Rationale: Improve perinatal outcomes by fully utilizing existing resources and raising quality of services by implementing standardized perinatal care to prevent and manage complications of labor and delivery (stillbirth, prematurity, obstructed labor).

Approach: Introduction of concise evidence-based care algorithms to improve service delivery that are rapidly adapted to local conditions to directly address entrenched challenges in the adequacy and timeliness of care for immediate threats to mothers and newborns.

Clinical Care Algorithms of Proven Interventions to Achieve a High Standard of Perinatal Care
South Sudan District of the United Methodist Church Yei, Central Equatoria, Sudan

This project will address the problem of high maternal and neonatal deaths in rural South Sudan as a result of multiple barriers left after years of civil war: traditional birth attendants (TBAs) and staff of rural government health clinics have inadequate training and resources to assess and manage pregnant women appropriately; there is lack of trust in and familiarity with these persons by pregnant women; and most homes are at remote distances from health clinics over undeveloped roads.

Reducing Maternal and Neonatal Mortality in South Sudan through Community-Based Health Training of Church "Safe Birth Committees" Combined with Building the Capacity of Traditional Birth Attendants and of Existing Health Facilities
Tula Foundation Heriot Bay, BC Canada

The project will be addressing the scaling up an mHealth program to reduce maternal and neonatal mortality in rural hard to reach indigenous communities of northern Guatemala. The Tula Foundation has been working with the Ministry of Health & Public Assistance since 2004 to train culturally appropriate community auxiliary nurses and other health professionals.

Scaling up mHealth in the Guatemalan Highlands to reduce maternal and new-born mortality
University College London London, UK

In poor communities, Participatory Women's Groups (PWGs) that focus on maternal and newborn health can dramatically reduce newborn deaths and catalyze improvements in the demand, delivery and quality of maternity services. Trials in Nepal, India, Malawi and Bangladesh showed that engaging PWGs in participatory learning and action reduced newborn deaths by up to one third. Coverage is important. In Bangladesh, with one group per 1500 population, newborn mortality fell by 7%; when scaled to 1 group in 300, mortality fell by 34%.

Community-led evidence-based action for newborns (CLEAN) at scale through participatory women's groups (PWGs), health workers and clean delivery kits (CDKs): saving lives at birth in rural Bangladesh.
University of Bergen, Norway Bergen, Norway

Rationale: Facility-based births must be superior to home deliveries for both the mother and the infant. This is not always the case in remote poorly equipped first level maternities in SubSaharan Africa with poorly trained staff. 

mBirthCare - Integrating basic primary birth care and mHealth records in Sub-Saharan Africa
University of California, San Francisco San Francisco, CA USA

Cephalopelvic disproportion (CPD) is the primary mechanism of obstructed labor, one of the five major causes of maternal mortality globally. A term literally translating to the mismatch between the fetal skull and woman's pelvis, this condition is most felt by women who, because of poor nutrition, young age of motherhood, and/or bone-affecting disease, have an improperly developed pelvis that is unsuitable for childbirth.

A novel clinical tool to predict cephalopelvic disproportion (CPD), the leading mechanism of obstructed labor
University Teaching Hospital Lusaka, Zambia

Hypothermia is a serious risk for increased morbidity and mortality in newborn infants, especially low birth weight and preterm. In developed countries, expensive incubators and radiant warmers have effectively reduced hypothermia in newborns. However, in developing countries, inexpensive alternative approaches of skin-to-skin care is under-utilized. An innovative, low-cost solution to increase skin-to-skin care and prevent hypothermia is necessary for low- and middle-income countries.

Plastic bags to increase skin-to-skin care and thermoregulation in low birth weight and preterm infants
Widows and Orphans Empowerment Organization (WEWE) Abuja, Nigeria

The problem is lack of skilled/equipped Traditional Birth Attendants(TBAs) with financial resources to provide quality care during birth in hard-to-reach communities in Imo State Nigeria. TBAs are unskilled and their maternity homes lack electricity, clean water and proper equipment to conduct evidence based practices. TBAs are usually unbanked, financially excluded which limits their access to credit.

Establishment of a novel Community Birth Attendants (CBA) Academy embedded with mobilemoney solutions for safer deliveries in Imo State, Nigeria
World Health Organization Geneva, Switzerland

Elimination of mother-to-child transmission of syphilis and HIV directly contributes towards attaining Millennium Development Goals 4 (neonatal health), 5 (maternal health), and 6 (HIV prevention). However, in 2010, only 68% of pregnant women in low-and middle-income countries were tested for syphilis, and only 35% were tested for HIV. As a result, syphilis contributed to 440,000 stillbirths and neonatal deaths in 2008, and 390,000 children were newly infected with HIV in 2010.

Accelerating introduction of dual syphilis/HIV rapid diagnostic tests
World Health Organization Geneva, Switzerland

Rationale: Maternal and newborn mortality and morbidity are high in Afghanistan. Rates of antenatal care, skilled attendant at birth and postpartum care are low. The Afghan Mortality Survey 2010 found that the reasons for not using health services often related of not understanding the need for care. Therefore the links between communities and health providers and facilities need to be strengthened.

"Omeed-e-kodak" Hope of the babies: An innovative approach empowering women to knit baby sweaters and hats and use mobile phones to increase the numbers of antenatal care visits, births by skilled attendants, postpartum visits and birth registration
World Vision, Inc. Federal Way, WA USA

While there is global agreement that investing in health systems is critical to reducing maternal and newborn mortality, complimentary community-based approaches have been given less attention. Recently it has been acknowledged that a mobilized community which acts to support families, communities and mothers knowledge around pregnancy and birth will contribute significantly to a reduction in maternal and newborn mortality.

Village Birthing Teams: Impact of combined, evidence-based interventions to prevent maternal and newborn complications and timely access to emergency care.