Antenatal Intervention Demand Card (AID-Card) and a phone based surveillance system
Shortage of medical resources in rural Uganda leads to inconsistencies in provision of antenatal care (ANC) interventions. Mbarara University and Ibanda district health team propose to enhance delivery and uptake of ANC interventions by harnessing the power of cell phone technology widely available in rural Uganda. We aim to increase the demand for ANC with a pictorial Antenatal Intervention Demand Card (AID-Card) that will be linked to a cell phone data capture and surveillance system. The pictorial representations in the AID-Card will be developed in consultation with the community. The AID-Card will be a tool for Village Health Team members to refer and educate pregnant parents about ANC interventions and danger signs in pregnancy. During ANC visits healthcare workers (HCWs) will use the AID-Card to inform mothers, and record the interventions which they were and were not able to provide. HCWs will send the AID-Card information via General Packet Radio Service (GPRS) based text message system that will be piloted in 21 health centers to monitor availability and uptake of ANC interventions in Ibanda South Health sub-district serving a population of 150,000. Data will be disseminated to inform bi-monthly dialogue meetings between health managers and local leaders, thus enabling timely identification of gaps and improvement in delivery of ANC. Simultaneously, a messaging system will be created through which parents will be informed about follow-up appointments and missing interventions. The project will enhance consistency in provision of ANC services, and strengthen partnerships between recipient communities, HCWs, and local authorities.