Center for Health Market Innovations (CHMI)

Programs

Overview

Implementation Partner(s): 
Safaricom, World Vision, mHealth Alliance, CARE International and NetHope
Legal Status: 
Year Launched: 
2011
Stage: 
Existing/expansion stage
Income Level of Target Population: 
20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor

Technology

Technology Used: 
Phones › Apps/Software, Phones › SMS/MMS (Text Message), Phones › Voice
Technology Purpose: 
Facilitating Patient Communications › Encouraging Patient Compliance, Improving Data Management › Data Organization/Analysis, Facilitating Patient Communications › General Health Education, Streamlining Financial Transactions
Technology Partner(s): 
The Partnership Initiative, Dimagi and MoTech,Geomed, e-merge consulting
Summary: 

KimMNCHip is a national-scale mHealth initiative to offer pregnant women in Kenya more choice, control and care during their pregnancy, and improved medical care for them and their babies during and after delivery.

Program goals/rationale: 

According to the World Bank, Kenya is among the highest 15% of countries for maternal mortality, and the highest 20% for infant mortality. As part of its commitment to the UN Global Strategy for Women’s and Children’s Health, Kenya will recruit and deploy an additional 20,000 primary care health workers; establish and operationalize 210 primary health facility centres of excellence to provide maternal and child health services to an additional 1.5 million women and 1.5 million children; and will expand community health care, and decentralize resources. KimMNCHip aims to support this commitment through one integrated system, providing women with mHealth support along the continuum of care from pre-pregnancy to post-natal stages.

Key program components: 

The project will initially offer three complementary services:

  1. Public information via an Maternal, Newborn, and Child (MNC) mHealth advisory service for pregnant women who register and provide their due date. They will receive a mix of “push” SMS and voice messages, and access to call-in advisory hotlines and information data bases for MNCH issues. These will provide the women with timely health information scheduled in accordance with the national MNCH plan. SMS/voice charges to be covered by private partners (funded via txt/voice message advertising – following advertising code).

  2. mFinancial services for health that provide pregnant women with electronic vouchers to redeem in a collaborating clinic of their choice. The vouchers act as an incentive for clinics to enhance the quality of their services and attract more pregnant women, through a results-based payment system. The voucher also includes a social protection cash transfer to support the women with the costs of delivery. Other uses of mPayments to support maternal and newborn care will be explored. Funding of the vouchers will be sourced from social protection funds and contributions from donors and the private sector.

  3. Primary care via mSupport services along the continuum of care, for mothers and for primary health care workers (PCHWs). These will be based on access to electronic medical records, appointments, reminders, and checklists to deliver better community health services, and monitor and respond to MNCH indicators. The initial partners of this national scale initiative are Safaricom, World Vision, the mHealth Alliance, CARE International and NetHope. They are developing, in collaboration with other strategic mobile health partners, the preliminary enterprise and technical architectures necessary to support the continuum of care. This initiative will represent a model implementation of the Maternal mHealth Initiative’s Global Framework.

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Stefan%20Germann%20-%20Safaricom.pdf410.57 KB
Safaricom_JudyNjogu_Afrihealth2011.pdf1.45 MB
innovation_report_lowres_20110830.pdf1.61 MB

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