Fondation Pierre Fabre

Reducing Maternal Mortality Rates and Infant Mortality Ratios

Main beneficiary countries:
India - Uganda - Afghanistan

About the sponsor


ZMQ is a “Technology for Development” social enterprise, which create practical technology linked tools & solutions to empower communities by providing timely information and connecting them with life-saving services, thus achieving sustainable development. There is a huge gap in provisioning information and services to rural, under-privileged and isolated communities. And this has been for hundreds of years. With the advent of technology, especially, it is seen that these technologies can bring in transformative changes by substantially improving accessibility, affordability and effectiveness of social programs, thus enabling human development. ZMQ’s theory of change is to provide “information & services” to isolated, marginalized and rural communities in a timely and accessible way, which often makes difference between life and death.

Sector: Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Country of origin: India

The organisation has:

Full-Time Equivalents
Service providers

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Primary healthcare
  • Sexual and reproductive health
  • Vaccination

Stage of development:

  • Routine project/operational

Area where initiative is utilised

  • International (in several countries)

Initiative start date

  • 10/01/2013

Initiative end date

  • 07/03/2019


Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • NGO
  • Government agency (i.e AFD, USAID, etc.)
  • Intergovernmental or international agency

Economic model(s)

  • Subsidies
  • Advertising
  • Donations

About the initiative

MIRA tackles one of the most critical development issues of maternal and child health. It provides communication tools, health management tools and connects women with public health service system. The lack of reproductive rights of women, maternal and child health communication tools, and disconnect with public health services in remote areas in India, is the key to poor health indicators. Due to this, like any under-developed and developing country, India also has a very high maternal mortality rate of 212/100,000 live births, Infant mortality rate of 52/1,000 live births in India. Also, majority of the women opt for traditional method of home-based delivery (51.1% of deliveries in India), putting both mother and child health in high risk.

MIRA channel helps rural women to self-manage their health, get them connected to the public health centers for services and create a holistic eco-system to track each and every woman during pregnancies and children for immunization. The short term goal is to increase ANC visits, institutional deliveries and immunization rates. The long term goal of the project is to reduce Maternal Mortality and Infant Mortality rates. One of the latest studies done based on the ‘Gateway Behavior Theory’, pregnant women who have been visited at least 21 times during the total period of her pregnancy (in MIRA program, one visit per week is mandatory and a MIRA is expected to be follow it), the women will 100% deliver at the hospital and neither the mother nor the will die at the time of the birth.

MIRA Channel is a n integrated mobile phone channel to provide health communication & information tools, health services connect to rural women through mobile phones in low-resource settings in India. It provides critical health information to rural women on issues related Ante-natal Care, Child immunization & Newborn care. It is an Iconic Interactive ‘Talking Toolkit’ for easy understanding of semi-literate women. MIRA connects women with Public Health system for service delivery. It identifies High Risk Pregnancies (HRPs) early and connects women with public health centers to take timely action. The platform generates Live-Data for the state to take decisions. MIIRA has numerous value-added services (VAS) like decision-making stories and social mobile games for raising awareness and motivating audiences to adopt new behaviors. It has now been adopted and scaled in the two more developing countries – Uganda and Afghanistan.

Field report of the initiative

Fields of application:

Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data

Target audience

  • Pregnant women
  • Young children (0-5 years)

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Increasing ANC checkups, Immunization rates and Institutional Deliveries thus reducing Maternal Mortality Rates and Infant Mortality Ratios

Key figures

800000 Number of beneficiaries since launch

150000 Number of users per Year

Materials used

  • Smartphone

Technologies used

  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use


Open Source


Open Data


Independent evaluation

auto-evaluated or evaluated by a related organization


ZMQ Technologies

Industrial: Startups, enterprises, etc.

Mewat SHGs

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Health Child

Health: Healthcare professionals and structures

Afghan Institute of Learning

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.