Malezi-Bora is a mobile application, availed in local languages, with audio content regarding maternal and newborn health. It works on ultra-low-cost handsets and leverages village social networks. It utilizes a pay-it-forward business model, designed to incentivize mothers to virally share its content, and mapping technology to identify mothers in distress. The application focuses on addressing the inability of current health information-sharing systems gaining critical-mass usage and the inability of community health workers to reach every mother. It creates scenarios that ensure that mothers in dispersed villages have access to life-saving information regarding maternal and newborn health. The application leverages village social networks, and provides clear incentives to mothers-to-be, to not only use the content, but also re-distribute it continuously to other mothers-to-be. Its location-mapping technology enables nurses to quickly reach mothers in distress.

Micro Health Franchise System empowers community midwife worker in providing high quality and cost-effective healthcare services to mother and child in poor communities; at their door steps. Micro Health Franchise system also provides entrepreneurial support to the community midwife workers that lead to the standardization of services, access to financial services and having support by an efficient referral network that can respond to emergencies in a proactive manner. At the core of this solution lies the Telehealth module. It is designed keeping in view the advantages of service oriented architecture and provides the Web (Electronic Medical Record), SMS (Short Text Messaging System) and data services (MMS, GPRS) to share and communicate through HL7 standards between community midwife workers and medical specialists at referral center.

We propose to further empower Islamic scholars to enlighten health providers at service delivery points in 5 resistant communities with low uptake on the correct Islamic precepts on MNCH. This project will contribute to improved health seeking behaviors of men and women of reproductive age; increased uptake of services in primary health facilities; improved capacity of health providers to counter negative perceptions of modern MNCH services; improved immunization coverage; improved uptake of modern family planning methods of the 5 communities. The standard practice amongst development partners in Nigeria is that Islamic Opinion Leaders are engaged in MNCH projects in demand creation role narrowly restricted to changing the opinion, behavior and practices of community members in the Ummah.

We propose developing a mobile phone based Cardiotocography (CTG) (m-CTG) with inbuilt algorithm and alerts that can be used to identify the at-risk fetuses and monitor high-risk pregnant women for early referral and appropriate action. The proposed cheaper m-CTG device (cost ~$100-120) shall have the functions of standard CTG devices including FHR, fetal movements and uterine contraction. The in-built algorithm shall allow categorization to identify the abnormal ones. This device shall be mobile/ portable and easy to handle. Real-time data transmission by the mobile device shall allow referral and action for high risk cases. Other m-Health applications can be easily integrated for comprehensive and single window continuum service delivery. This shall enforce standardize case management and protocol adherence.