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Congraluations to our 20 finalists and welcome to the Refine phase!

In this phase, we will provide more detailed feedback to the concepts and ask the authors and community to work together and refine the concepts with more details. We might ask how your idea will be staffed, or what specific features the software might have. It's all about giving time to shape the ideas into something more substantial.

Not sure how the Refine Phase works? Check out our blog entry which gives you the lowdown.

Contribution list

To date, neonatal mHealth SMS programs have taken two forms: reminders sent to expectant mothers, and reporting done by certified health workers. mBaby asks the question - what if we combined the two, making the reminders actionable? Real-time reminders and concrete calls-to-action will help health workers get a clearer picture of their patients' well-being and habits. In addition, these actionable reminders will ensure mothers get quality information and concrete steps to keep themselves - and their babies - healthy.

SUBTITLE: Call Mother Mati for A Trusted Voice. Follow her picture book for a healthy Mother and Baby. SUMMARY: Linking picture flipbook, an automated phone messaging service and an automated SMS service to assist mothers and midwives to take simple steps to prevent major causes of maternal mortality.

The idea is to send medical teams from a base hospital to remote areas where moms-to-be will be examined by doctors. The concept of the maternity camps is inspired by Aravind's free eye camps in India.

Mothers-to-be can keep an SMS journal of their pregnancy. Each day they send how they're feeling & health details to the service and this is kept as a record. The service can alert mums or healthcare workers of any anomalies

When questions occur pregnant women or caring moms just need to send an sms to the other women and local healthcare workers. Whoever knows the answer replies to it thus helping the woman and everyone else who might have the same problem later.

The concept tries to address the stock-out problem mentioned by Ian Sullivan as a comment to Sarah’s decentralized mobile health care system proposal. In the core of the concept is placing an order for drugs and medical supplies via sms. The sms creates an order, which is sent to an order management and product traceability system in the health centers. So, we have 1) small pharmacies in the rural areas, 2) Hub of connected health centers and 3) drug/medical supplies vendors. One health center serves many small rural pharmacies. The health centers share a database. One health center can serve many rural pharmacies. One health center could receive drugs and medical supplies from different supplier. One rural pharmacy can supply around i.e. 5 villages.

Let's create a specifically maternal health and targetted collaboration project. Let's work with a handful of communities and bring them on board the collaboration process. Let's create products that the community want.

This concept focuses on making nutritional intake convenient, attractive, and culturally-relevant to improve maternal and infant mortality and morbidity (direct improvements on anemia, neural development, infection, low birth weight, premature delivery, hemorrhage, heart failure, etc.). It was inspired by posts by Alessandro, Suzanne, Avi, Meena, Jennica, Chris, and others on this topic, as well as this New York Times Op-Ed: . The example below focuses on the big 2 pregnancy nutrients (iron & folate/folic acid/vitamin B9), but depending on the common nutritional deficiencies in a region, this package could be adapted to account for other important nutrients as iodine, zinc, and vitamin A. This would also have broader effect on the long term health of the community. And adherence may be higher vs. traditional supplements that people often forget about or are afraid to take (fear of birth control side effects, etc)

Imagine if a mom to be could simply call or text to choose from a list of qualified, experienced moms in her community for a meet up in a public place (like a market). The mom mentor would share her own personal story & advise on how to have a healthy pregnancy & birth. Future communication can be arranged. And the mom to be, after her own childbirth, could pay it forward by volunteering to be a mom mentor herself. Experienced moms can apply to be mom mentors, and then activated by pre-approved local partners (like medical providers, Oxfam?). Mentors would be trained on important practices (proper nutrition, sterile umbilical cord cutting, etc.), given referral contacts for health providers (midwives, local hospital, etc.), & perhaps even provided with basic handout kits (birthing/emergency, supplements). This would increase access by virally spreading vital maternal health info, tools, & emotional support through trusted community members, independent of ability to pay or proximity to traditional hospitals.

The solution could help midwives/HCW monitor expecting mothers, identify risk pregnancies and involve a doctor when required. I suggest a hybrid between Nokia Data Gathering tool or similar, like MoTeCH, and Medica Application from Nokia. Nokia Data Gathering tool allows creating of questionnaires and sending them to the midwives/HCW. Midwives gather data from the expecting moms they visit. Medica Application provides reminders, alerts, plays recorded messages, etc on the mobile phones of the midwives.

Maternity education and knowledge about health services would drastically improve maternal health across both high and low income countries. Mothers and support figures go to meetings where interested experienced mothers and healthcare professionals educate first time mothers on progress and possible complications of maternity. This is complimented with a nationwide SMS and radio awareness program to help those that cannot make the meetings.

Design a game where community members gain points for actions that help bring healthy babies into the world (with healthy moms). Winners can be designated as community heros and offered mobile phones, minutes or other sponsor-driven incentives.

IDEO Palo Alto led a brainstorm in our office today to think through how to involve Dads in the maternal health process/experience. Here, two IDEOers explain the idea of how to use texting to create a sense of family.

Smartmoms is a smartphone centric program designed to bring pregnant mothers together in support groups where they learn about pregnancy, neo-natal care, health and other pregnancy related topics. The program has multiple societal benefits, including training a wide population base in pregnancy-care and general health. The companion smartphone will have a special app loaded with mini apps including videos, guides, emergency contact, clinic locations, and diagnostic recording. The app will include a gaming component as a fun way to engage the women and provide incentives for the completion of the Smartmoms program. View a live demo app here:

Considering that Labour vulnerability (whereas victims are Burkina Faso Mothers) influences directly on the physical and emotional health and the fact that agricultural sector (where most of them work) has a Dry and Wet season, as well as non-productive seasons; we have decided to focus our concept taking in advantage this last season which has been named as “Non Vulnerable Season”, to develop activities with mothers and expectant ones. These activities will bring benefits to their health and also generate a better stability in the constant income, using the available resources in the zone and lowering the index of dismisses due to the pregnancy state of one women.