This intervention integrates evidence-based approaches for maternal, newborn and child health (from conception through age two) through two components: (1) An integrated hospital-to-home healthcare model utilizing community health workers (CHWs) for monitoring and increasing use of services; maternal and neonatal health knowledge; self-efficacy; social support; and emergency planning among mothers; and (2) Continuous surveillance of all pregnancies and children via an integrated electronic health record. The project was first developed for last-mile communities that are most in need of access to services.
