Fondation Pierre Fabre

Improving access to quality reproductive health care for women in Yangon region and Kayin State

Main beneficiary country:
Myanmar (Burma)

About the sponsor

Première Urgence Internationale

Première Urgence Internationale is a secular, non-partisan, international not-for-profit NGO. Première Urgence Internationale provides aid for civilian victims that have been marginalised or excluded by the effects of natural disasters, wars, and economic collapse. Our purpose: to stand up for fundamental human rights, as defined in the 1948 Universal Declaration of Human Rights. Our aim is to help populations that have fallen victim to humanitarian crises regain their dignity and independence, by delivering a comprehensive response to all of their fundamental needs.

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

Country of origin: France

Contact the sponsor

The organisation has:

Full-Time Equivalent
Service provider

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Sexual and reproductive health

Stage of development:

  • Pilot project/testing/trials

Area where initiative is utilised

  • Provincial/regional (in one region of a single country)

Initiative start date

  • 09/01/2013

Initiative end date

  • 10/31/2016


Financing method

  • Private (private investors, crowdfunding, philanthropy, etc.)

Economic model(s)

  • Subsidies

About the initiative

Myanmar has some of the worst health indicators in South-East Asia. In Kayin State, the Maternal Mortality Ratio is 727 per 100 000, the Under Five Mortality is 138 per 1 000 and the Infant Mortality is 73 per 1 000 in Eastern Burma. There is an insufficient access to Reproductive Health services in addition to inadequate reproductive health awareness of the population. The number of skilled Reproductive health workers including Midwives is very low. The deliveries are rarely attended by MW. There is an urgent need to develop the skills of Reproductive health professionnals.

In order to compensate for the lack of midwives and to replace Traditional Birth Attendants (TBAs) whose practices were often dangerous for women, the government implemented the AMWs. The current approach enables the strenghtening of the quality of services to women and the recognition and inclusion of community health workers within the Myanmar system. Since the beginning of the project the level of knowledge and prepardness of AMWs at a community level has improved drastically, as they are benefiting from practical training sessions and supportive supervision in addition to the continuous technical support through the use of the mHealth application. The use of the application facilitates the communication between midwives and AMWs and contribute to build a strong bridge between the community and the health facilities. The use of electronic medical records allows midwives to have a better follow up of women in their catchment areas and to increase the quality of care.

The project focuses on strenghtening the skills of midwives through continuous medical education, and creating a network with the auxilary midwives (AMW), based in the communities. The intervention aims to improve the quality of services reinforcing the competencies and capacities of midwives. It also stenghtens the AMW's networks, through mentoring by competent midwives. The project is based on an innovative combination of two approaches. On one hand, standard Reproductive Health activities and trainings and on the other hand, a pilot m-health approach which enables to reinforce competencies all along the project. The standard approach which include internationally recognized and essential Reproductive Health services, will be leveraged by the introduction of mobile technologies to provide distance support to AMWs with a focus from the antenatal to the neonatal periods. The mobile phone based intervention will (i) reinforce routine patients management through the possibility for AMWs to access remote consultation, diagnosis and treatment support tools, and to consult with qualified and specialized midwices, (ii) support the provision of continuous training to AMWs through technology enabled multimedia content and (iii) enable timely dissemination of health information to the closest health centre and health authorities. The mobile application is composed of an algorithm based clinical decision support tool and an electronic patient registration form.

Fields of application:

Health professional training - Patient monitoring and medical data

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Improved treatment

Key figures

90 Number of beneficiaries since launch

90 Number of users per Year

Materials used

  • Smartphone

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use


Open Source


Open Data


Independent evaluation

evaluated independently


Télécom Sans Frontières

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