Pakistan has the third highest burden of maternal, foetal and child mortality in the world. Gaps in both health service delivery and policy levels have led to deteriorating Maternal, Newborn and Child Health (MNCH) outcomes, especially in remote and rural areas.
In 2018, AKDN dHRC in collaboration with the Aga Khan Health Service, Pakistan (AKHS, P) developed and launched an mHealth app, Nighedaasht, in remote, rural areas of Gilgit-Baltistan and Chitral, Pakistan in efforts to improve MNCH outcomes. The app is used by community midwives (CMWs) during community visits and physicians in health facilities. It aims to improve the quality, coverage and access to MNCH services by digitising antenatal care, the delivery process and postnatal care; strengthening the referral system between community midwives (CMWs) and gynaecologists; and building capacity of CMWs through educational videos.
From January to August 2018, Nighedaasht has helped serve 203 mothers; supported community midwives with 87 deliveries and tracked 16 referrals. Currently, the app is being used by 31 midwives and 8 physicians.
Nighedaasht ensures pregnant women and new mothers are able to receive the care they need during pregnancy, delivery and after birth, aiming to curb maternal and neonatal mortality and morbidity rates. The app was developed for the AQCESS Project, funded by the Aga Khan Foundation Canada and Global Affairs Canada. Plans are to expand functionality of the app to include family planning and tracking of child growth, illnesses, treatment and immunisations.