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Design and implementation of a smart card based healthcare information system to improve maternal reproductive health i

Design and implementation of a smart card based healthcare information system to improve maternal reproductive health in Kenya . Carol Odula Cohort II- Unitid. Statement of the problem.

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Design and implementation of a smart card based healthcare information system to improve maternal reproductive health i

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  1. Design and implementation of a smart card based healthcare information system to improve maternal reproductive health in Kenya Carol Odula Cohort II-Unitid

  2. Statement of the problem High maternal mortality- 7,000 women in Kenya die annually from pregnancy-related complications due to inability to access medical care. High infant mortality-52 out of 1,000 children die at birth. Maternal mortality remains a big public health problem. Kenyasmaternal mortality rate-488 deaths per 100,000 live births. Challenges-supportive legal environment, access to services and general rights awareness among women still hinder realization of improved health for Kenyan women.

  3. Literature review Skilled attendance at childbirth, the 2008-9 KDHS showed • Mothers with no education at all (19%) • Women who had completed primary education (49%) • Women with secondary education and above (73%) • Poverty -a major contributor to the wide disparities in maternal health outcomes in Kenya Men and women need education on the fact that skilled attendance at birth is one of the ways to improve these statistics. Policy makers need to improve infrastructure –to improve access these facilities otherwise.

  4. ChangamkaSmart Card-ChangamkaMicroHealthLtd • Convergence of the 3Ms (Mobile), — M-technology, M-money and M-health, expectant mothers can now top up prepaid cards with small amounts of money using M-Pesa technology a product of one of the leading mobile phone operators Safaricom. • The system, also known as m-health, allows users to transfer money via M-Pesa to a prepaid smart card. The prepaid electronic smart card, known as Changamka (Swahili for "Get a life" or "Cheer Up"), enables the bearer to save and receive outpatient primary health care treatment at a pre-contracted price.

  5. What is a smart card?? • The official definition of smart card is "an integrated circuit card with memory capable of making decisions.“ • Plastic card about the size of a credit card, with an embedded microchip that can be loaded with data, used for telephone calling, electronic cash payments, and other applications, and then periodically refreshed for additional use.

  6. The smart card Technology program Goal of Program • To improve the overall maternal and infant morbidity and mortality rates in Kenya.

  7. Specific Objectives • Increase access to reproductive health services especially skilled attendance at birth for women in Kenya. • Reduce maternal mortality in vulnerable groups in the two counties-Siaya and Kwale as the initial pilot centres. • Develop and test the effectiveness and acceptability of new smart card for followup of antenatal mothers upto their delivery at the health facilities.

  8. Outcome of the intervention • More mothers lives will be saved. • Healthier infants and more children living beyond their 5th birthday as compared to orphaned children. • The family is the basic unit of the society and the mother is crucial to achieve this.

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