Enhancing Maternal and Newborn Health Through Social Networks
Explore how leveraging social networks can improve maternal and newborn health globally. Learn about group-based care, WHO ANC guidelines, and innovative approaches like using WhatsApp for ANC support groups in Kenya.
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Presentation Transcript
Using Social Networks to Improve Maternal and Newborn Health Suha Patel, MD Jacaranda Health Brigham and Women s Hospital MPH Candidate, Harvard T. H. Chan School of Public Health
Problems Globally, women Experience high stress during pregnancy and the postpartum period Suffer poor outcomes from preventable health conditions Are not empowered to take care of their own health demand high quality care
New WHO ANC guidelines (2016) A Positivepregnancy experience Addresses: promotion of healthy behavior awareness of self-care in pregnancy and postnatal include social support during and after pregnancy
Group-based Care Improves Health Increases: Knowledge and self-care Social support satisfaction with care postpartum contraceptive use Decreases: stress preterm birth rates postpartum depression http://www.flickr.com/photos/hdptcar/252998082 5/in/photostream/
Social enterprise delivering low- cost, high quality reproductive health services in Kenya Innovation hub in maternal and newborn health service delivery Public sector collaborations SMS for automated health reminders
Jacaranda Group ANC JH Group ANC (n=12) JH overall Kenya Average ANC visits 5.5 2.5 -- conversion from ANC to delivery to Jacaranda 83% 42% -- Postpartum contraceptive use 92% (75% LARC use) 40% 24% Client feedback: Would attend group care for their next pregnancy and would recommend it to a friend All rated group ANC care as best or 5/5 Group ANC was: the best care I got Requested to know more about taking care of their infants
ANC Groups utilized WhatsApp
Client survey results 150 women presenting for ANC at Jacaranda 100% use WhatsApp 98% were interested in joining mobile support groups in pregnancy
Feasibility Study of mobile-based support groups for women presenting for ANC care at Jacaranda Health 50 <30 weeks, use WhatsApp women Group administrator is a clinical coordinator 5 groups of 10 within 2 months by EDD Followed until 10-12 weeks postpartum
Feasibility Study of mobile-based support groups for women presenting for ANC care at Jacaranda Health Postpartum survey, in-depth interviews, focus groups, plans for continuation or discontinuation of the WhatsApp group postpartum Acceptability Interest to use, actual use, positive or negative effects on organization Upon completion of the study, evaluate if Jacaranda Health leadership adopts the program as a sustainable service for clients Positive or negative effects on participants, cost analysis Demand Implementation Practicality Effects on outcomes: antenatal and postnatal attendance, facility-based delivery at Jacaranda, postnatal contraceptive uptake, facility-based newborn maternal care-seeking by 9 weeks postpartum Limited efficacy
Prototype Design Promote healthy behavior, self-care, and social support in in the reproductive years Features: Join or create a support group based on health interests. Find pregnancy groups based on EDD. Subscribe to reproductive health message streams Subscribe to receiving messages from participating health facilities Ask health specialists general questions.
Next steps Leverage lessons learned from the feasibility study Build a functional, secure platform for women and girls that promotes: 1. Healthy behavior 2. Self care 3. Social support 4. Demand for high quality health services
Thanks! Acknowledgements: Shalini Subbiah, Faith Muigai, Nick Pearson, Jacaranda Health Staff, Brigham and Women s Hospital Contact info: suha.patel@gmail.com WhatsApp: +1-919-395-8841
