mCare Project Results follow up 2018
Their responsibilities range from health promotion, disease prevention and collection of health-related data. Specifically, FWAs implement family planning programs at the field level, provide service at the lowest tier of the health service delivery system such as the community and satellite clinics, visit households, attend regular meetings and assist health managers at district and sub-district level in carrying out special health camps like immunization days.
Material informing the baseline is from the FWAs existing data, surveys, focus group discussion and in-depth interviews with select groups from the same sub-district; and includes FWAs and supervisors, pregnant and lactating mothers along with some relatives and policy makers. The study reveals several gaps and disparities in the register records such as ANC dates some of which are after the dates of delivery and PNC dates some of which are prior to delivery; in some cases, the ANC and PNC dates are the same. Others include duplicate household IDs, missing household IDs and incomplete data entry in the register.
Live births outside the control group
Live births from the control group
Ideally, the FWAs are expected to inform expectant mothers on their next visit date, but research shows that 86% mothers (41% benefit from the FWAs’ intervention) reported that they had not been informed about their second visit date during their first ANC visit. Comparison between dates of deliveries from the two datasets (the register data collected from the FWAs and baseline survey conducted among selected mothers) revealed only 25% (17% from intervention by the FWAs) matched. Further analyses reveal another 32% mothers (15% from the FWA intervention) reported a different date of delivery which is within two months range from the stated date of delivery in the registers.
Drawing on the baseline findings:
The mCare project aims:
- To digitize the registers per households maintained by the FWAs to ease and ensure quality of data recorded/maintained and;
- To train the FWAs to ensure proper usage and implementation of the technology deployed. The goal is to reduce or totally eliminate the poor quality of ANC and PNC given to pregnant women, lactating mothers and children which results from the low quality in register records of the FWAs. It will improve the timeliness and completeness of ANC and PNC for the mothers through early registration, tailored client reminders, workflow support and improved client communication to become a decision support tool as opposed to the traditional data collection tools.