Integrated Totoride and Totohealth

Organization Location: 
Nairobi, Kenya
Project Location: 

Reduction of maternal and newborn mortality remains a major public health concern in low- and middle-income countries including Kenya. The goal of this project is to test an integrated approach to reducing the staggering high maternal and newborn mortality and morbidity in Turkana County, Kenya.

The approach includes the following: (1) utilize vital text and voice based vernacular maternal and child health (MNCH) messages to enable parents to receive targeted and personalized messages, (2) design a mobile-based savings scheme that utilizes existing mobile money service (MPESA) to allow parents to save for transportation, and (3) design a Boda Boda ambulance that will utilize the existing wide coverage of the Boda Boda network to transport mothers to health facilities during labor.

With over 77% mobile phone and 65% mobile money penetration in Turkana county, the project will layer on existing devices that are in the hands of the users. By utilizing Short Message Service (SMS) and voice messages (IVR) in vernacular languages, the project will increase demand and utilization of quality MNCH services. With distances ranging from 10-50km to a health facility, 56% of mothers in Turkana opt to deliver at home under traditional birth attendance. The project’s goal is to design a Boda Boda ambulance that will be attached to a Boda Boda to carry the mothers to the health facilities. To improve access to finance needed for the transportation, Totohealth aims to enable parents to save money using mobile money.