Fondation Pierre Fabre

Motivating and monitoring the health care of mothers and infants to the last mile by tracking immunizations, pre and post natal care

Main beneficiary country:
India

About the sponsor

Khushi Baby (KB)

Khushi Baby (KB)  is a nonprofit organization on a mission to reduce infant and maternal mortality due to vaccine-preventable diseases in India and beyond. The team is comprised of individuals hailing from diverse academic backgrounds in both the USA and India, having specialized in areas from public health research, health management and computer science, to psychology and art history. Team KB hails from a wide array of institutions including Yale University, Columbia University, University of California Berkeley, Harvard Medical School and Indian Institute of Health Management Research. KB’s strong public health backbone stems from over twenty years of collective research and development experience on interdisciplinary public health issues throughout India, with projects focused on environmental health, urban and rural health, child health, and agriculture and water conservation.

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

Country of origin: United States

The organisation has:

9
Full-Time Equivalents
44
Employees
9
Volunteers
1
Service provider

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Vaccination

Stage of development:

  • Pilot project/testing/trials

Area where initiative is utilised

  • National (in one country only)

Initiative start date

  • 03/01/2014

Financing

Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • Private (private investors, crowdfunding, philanthropy, etc.)

Economic model(s)

  • Global Health Technology Non-Profit both publically and privately funded

About the initiative

Each year, 500,000 children in India, under the age of five, die from vaccine preventable diseases. Currently, mothers may lose their immunization card and many do not understand or are unaware of the importance of vaccinating their children. With the customary handwritten record system, front line health workers only combine and analyze data at the end of the month (or rely on a data entry worker to do so). As a result, steps cannot be taken to address camp cancellations, low immunization rates and insufficient supplies when needed most. No one, especially mothers and their babies, should be denied informed care based on an incomplete understanding of their key medical history. A pressing need exists to identify and reach these remaining pockets of underimmunized children. We firmly believe that process innovations that empathize with last mile communities can bring already-existing care to those who need it most. Khushi Baby is an ecosystem attempting to address the challenges of effective vaccination delivery and maternal child health at the last mile, where the patient population is mostly illiterate and below poverty line.

 Our approach substantially builds new strength in the mHealth paradigm. Our system’s unique value add to the available solutions is three-pronged: First, we decentralize the data and increase accountability by storing it in a wearable, with the mother. This way if the mother moves from village to village or if the health worker has a new tablet, by simply scanning the mother’s necklace with our app, the health record is still accessible and updatable from the point of care in the field. No connectivity or local backup is required. Second, the necklace acts as a social symbol. Traditionally the black thread used in our necklace is used to protect the newborn from “nazar” or evil eye. Our widely accepted and tested necklace has shown potential to be norm defining for timely adherence to the MCH care schedule, and particularly for child immunizations. Third, we connect back to the community via ‘dialect-specific voice calls’ in the local ASHA’s voice to improve care seeking behavior during antenatal care.

The KB system integrates mobile health, wearable Near Field Communication (NFC) technology, and cloud computing to produce a complete platform to bridge the world’s maternal and child health gap. Our system addresses barriers in: infant immunization data collection, immunization administration at point of care, district response to poor immunization outcomes & community health awareness.

The system consists of: 1) An NFC based pendant for patients that stores their health records 2) A mobile app for health workers, enabling them to read and update records with a simple tap, even without connectivity 3) A cloud-based dashboard for health administrators, allowing them to manage stock & logistics with the support of real-time, granular patient data.

Our second randomized control trial is now underway to actively deploy the system across 300+ villages. We intend for the KB system’s comprehensive approach to improve health outcomes as well as the health delivery process.

Field report of the initiative

Fields of application:

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

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Pregnant women
  • Young children (0-5 years)
  • Patient family/entourage

Initiative objectives

  • Decreased mortality
  • Reduced suffering
  • Improved treatment
  • Timely completion of Immunizations, Completion of Antenatal Care Visits

Key figures

5000 Number of beneficiaries since launch

Materials used

  • Cellular (mobile) phone
  • Smartphone
  • Tablet
  • Computer

Technologies used

  • Mobile telecommunications (without data connection)
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)
  • NFC Wearable Technology & Cloud Computing

Offline use

Yes

Open Source

No

Open Data

No

Independent evaluation

No

Partners

GAVI, the Vaccine Alliance

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

Mobisoft

Industrial: Startups, enterprises, etc.

Udaipur District Health Department

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

UNICEF Innovation

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

Partners

Collaborators

startupBrics