Rich Baby, Healthy Family - Using BeSci to encourage saving for antenatal care

Rich Baby, Healthy Family uses both a smart phone-based app and a physical device in the form of a coin to promote saving. Users will be enrolled on the Rich Baby, Healthy Family scheme when they visit a registered health facility for antenatal care or they can register through the Mobile Money platform. As users add money to their account they can watch their savings “grow” through an animation in the form of a pregnant woman’s belly. For users that do not own a smartphone, they will make a mark on their coin punch card to track their progress each time they make a deposit to their mobile money savings account. The users will also receive regular reminders to save so that they can reach their goal. Once the goal is reached, money will be transferred from their savings account to the health facility to cover the costs of receiving maternal healthcare.

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February 17, 2022

Bike Ambulances to improve Emergency Obstetric Care in Rural Areas

Maternal mortality and morbidity rates remain high in Cote d’Ivoire. It is estimated that more than six women out of a thousand are dying while delivering birth, while 0.7% of the women of childbearing age have fistula in the country (MICS, 2016). While the strengthening of the health system is taking place, women in the country, especially in the rural area, stay vulnerable to the high risk of maternal death and morbidity. From behavioral perspectives, the barriers that leads to the three delays–(1) deciding to seek care; (2) identifying and reaching a medical facility; (3) receiving adequate and appropriate treatment may include the following (Cichowitz et al., 2018): Factors related to the first delay: social norms (community prefers to deliver at home), limited transportation and health care services at night, and negative experience in hospitals in the past (lack of trust). Factors related to the second delay of reaching a medical facility: a lack of available transportation, long travel times, and perception of high medical costs (walking 36.5%, car 34.6%, bus 13.5%, and motorcycle 13.5% in case of a study in Tanzania). In this context, this rapid prototyping initiative seeks to develop a new low-cost, safe transportation for women to prevent maternal mortality and morbidity in rural areas, by tackling the barriers that often lead to delay of emergency obstetric care (EmOC). It also aims to collect and utilize the GPS data/information of the bike ambulances to enable regional hospitals and the government to make better decisions in providing care, utilize hospital ambulances efficiently, and enhance communication between the care-seeker and care-provider.
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