The GCC project sought to establish a proof of concept to demonstrate the feasibility of the use of digital technology in preventing maternal deaths from hypertensive disorders of pregnancy through early detection, referral and intervention. An App was develop and tested. 100 pregnant women on MomConnect (an NDOH mHealth solution supporting maternal health) at Soshanguve CHC were enrolled between 20-30 weeks pregnancy.
They were trained to use a digital device to measure their blood pressure during pregnancy and use an App to send results to a digital platform. They received real-time feedback and a mentor-midwife observed the flagged BP readings on the digital platform and follow them up. The CHW's were informed of the flagged BP readings and did home visits pre-and post delivery. Ten women were identified with signs and symptoms indicative of HDP and seven were referred for care. The 3 objectives of the proof of concept were 1) 80% of pregnant women using the device (s) consistently and accurately , 2) 70% of women in study demonstrate improved knowledge levels attributable to messages provided via the digital channel and contact sessions and 3) 95% of digital messages that identify HDP risks are followed through to satisfactory conclusion.
One of the proof of concept criteria was met and Study findings for the proof of concept were 73% of pregnant women using the device consistently and accurately; 57% of women in study demonstrating improved knowledge levels attributable to messages provided via the digital channel and 100% of digital messages that identify HDP risks are followed through to a satisfactory resolution. In our view we have demonstrated the feasibility and acceptability of this intervention in a LMIC public health setting.
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