Project Lead(s): Ronald Lett
Like many low- and middle-income countries, Nigeria faces high maternal and neonatal mortality rates, owing largely to the fact that 50% of mothers give birth at home, are attended to by midwives with limited training, and little information is available about pregnancy risks and delivery options. META is developing a point-of-care diagnostic, training and outreach app that uses patient data and obstetrical danger signs to produce risk-based management plans for midwives and enables midwives and extension workers to promote care by sending texts to pregnant women. Goals include a 25% increase in use of antihypertensives, antibiotics, and intravenous fluids (including blood products) in the intervention group vs. a control group and a 25% increase in skilled birth attendance and operative intervention in intervention group.