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HelpMum-Training Traditional Birth Attendants, Reducing Postpartum Hemorrhage and Providing inexpensive delivery kits in disconnected areas.

How one delivery kit,training of birth attendants on misoprostol and leveraging on mobile technology can secure safe delivery

Photo of Adereni abiodun
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What specific problem(s) are you trying to address?

Everyday, hundreds of mothers and babies die at childbirth in Africa.
 A big part of the problem is the lack of access to clean and affordable birth kits in disconnected communities where over 54 million women live and work as well as the broken healthcare chain affecting those areas.
Postpartum hemorrhage (PPH) is also a big problem ,PPH is the excessive loss of blood following childbirth .PPH is the leading cause of maternal death. The WHO estimates that 25 percent of the 400,000 maternal deaths a year are due to PPH, a risk that is 100 times larger in developing countries like Nigeria.
 We are also addressing the lack of basic health information,making women have myths rather than real information regarding health care.

What are some of your unanswered questions about the problem(s) you are working to address?

How can we get our end-users to be more health conscious and act as advocates for healthy living?

Explain Your Idea

HelpMum will provide sterilized ultra affordable delivery kits containing essential supplies required at childbirth to ensure a clean, safe and hygienic delivery.
With our inexpensive delivery kits, traditional birth attendants will use scalpel blades instead of rusty blades and glass to sever umbilical cords, a woman in labor will no longer lay on the bare floor or use a plastic bag sterilized with salt- instead, she will lay on our sterilized absorbent delivery mat and her baby received with our sterilized infant receiver.
  We would also train Traditional Birth Attendants on the use of our delivery kits and provide them with the lifesaving drug, Misoprostol, which is essential to curb postpartum hemorrhage(the world’s leading cause of maternal death). The drug costs under US $3 and can be administered by trained traditional birth attendants.
Aside from provision of delivery kits, HelpMum will bridge the information gap through our modern digital infrastructure (consisting of our USSD code service,, mobile app and podcast series) through which we would send life saving health information regarding pregnancy, labor, delivery, post natal care, family planning, etc to pregnant women and nursing mothers in their respective local dialects. Our work will ensure that every baby gets an opportunity to live.Global Health is geared towards achieving the Sustainable Development Goal 3 on Health and Well-being through innovation, making HelpMum solution supporting this goal.

Name the three most important ways that your idea will address your identified problem(s).

1.Training of traditional birth attendants to adminster misoprostol that prevents postpartum haemorrhage and also helps to tackle insufficient birth attendants in displaced areas.

2. Provision of sterilized inexpensive delivery kit to prevent acquiring infection during childbirth and lack of access to clean kit during childbirth

3. We also bridge the information gap and developed a modern digital infrastructure(USSD code, mobile app and podcast series) for distributing health services to pregnant women and nursing mothers in their own preferred language.

How is your idea unique?

Our delivery kit is different from other delivery kits because it is very comprehensive. It contains everything a mother would need for the delivery process and even a few things needed after delivery. These are the components of our delivery kit (we have our first prototype ready):
1 extra absorbent delivery mat, 2 pairs of sterile gloves, 1 pack of cotton wool, 5 pieces of gauze, 10 pieces of maternity pads, 2 pieces of scalpel blades, 1 bottle of disinfectant, 1 piece of mucus extractor, 2 pieces of cord clamps,1 bottle of olive oil, 1 bar of antiseptic soap, 1 bottle of methylated spirit and a user manual.
Apart from providing help for women in labour, our idea also provides a stream of income for the traditional birth attendants who would be in charge of retailing the kits. They would earn a dollar on every kit sold. Our delivery kits are also easily available to the expectant mothers since they would be retailed by the TBAs who are in close proximity with the mother.

What are some outstanding concerns or questions that you have regarding your idea?

1. Getting a suitable savings scheme structure for our end-users so that they can conveniently afford our kits

Who are your end users?

Our end-users are pregnant women, nursing mothers, other women and traditional birth attendants in disconnected areas,especially those residing in camps for internally displaced persons. DISPLACEMENT TRACKING MATRIX (DTM) estimates that there are almost 2,093,030 internally displaced people (IDPs) in Nigeria as at August 2016,which makes the country one of the highest in Africa
Pregnant women and nursing mothers enjoy lifesaving health information through our mobile and digital platforms. Our birth kits ensure safe delivery for pregnant women . For the TBAs and other women, we create an extra stream of revenue when they act as retailers through our delivery kits and training for the TBAs to make them more efficient and empowered

Where will your idea be implemented?

  • Nigeria

What is the primary type of emergency setting where your innovation would operate?

  • Armed conflict
  • Prolonged displacement
  • Epidemic
  • Community at risk of disaster

Tell us more about the emergency setting that you intend to implement in

Our first emergency setting will be 3 states in North eastern part of Nigeria (Borno,Adamawa and Yobe),one state in North central part of Nigeria(Plateau) and one state in North western part of Nigeria (Zamfara).The total number of internally displaced people in this zone is 1,840,006 with women constituting 54% according to DISPLACEMENT TRACKING MATRIX (DTM) Nigeria ,August 2016. The risk associated with this areas is Boko Haram attack which has drastically reduced in the last 1 year.

What is your organization's name?

HelpMum

http://www.helpmum.org

Tell us more about you.

Adereni Abiodun is the Founder/CEO of HelpMum,a young social enterpreneur that believes in finding solutions to societal issues around his community
 HelpMum is a social enterprise that uses low cost innovation like delivery kits and the power of mobile technology to tackle maternal and infant mortality in Africa. We have good experience and medical expertise to successfully carry out this project due to our good track record in tackling maternal and infant mortality.
Since launch, HelpMum has been supported and partnered with organizations like Tony Elumelu Foundation(seed funding 2017), Amref(Africa's largest health organization), Western union foundation(through chains of better),Takeda pharmaceutical and Nailab kenya

Organizational Characteristics

  • Youth-led organization
  • Displaced person / refugee-led organization
  • Locally/community-led organization

What is the current scale of your proposed innovation?

  • Community - 1+ communities within 1 country

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • Yes, for more than a year.

Organization Location

We are based in Oyo state,Nigeria and it is a registered company in Nigeria

What is your organizational status?

  • Registered for-profit company, including social enterprises.

What is the maturity of your innovation?

  • Existing Prototype or Pilot: Tested a part of my solution with users and am iterating.

Website

http://www.helpmum.org

How has your idea changed based on feedback?

Due to our passion for ending maternal and infant mortality in all communities in Nigeria, we are constantly trying to improve our products by getting feedback from our end-users on how to improve the quality of our birth kits and how to ensure its affordability. We got the following feedback to redefine our idea:
i. Introduction of a savings scheme for pregnant women to enable them purchase the kits easily-
 each month, they would pay a dollar to our HelpMum certified traditional birth attendant. Before the 9th month they would have successfully saved enough to purchase the kits.
 ii. Inclusion of mosquito nets in our birth kits so as to protect against malaria during pregnancy and after childbirth
iii. Provision of a little handbook on health tips to pregnant women who do not possess mobile phones- it will contain illustrations of some basic things that can be avoided and also emulated during pregnancy to keep them healthy and safe. It would be written in their local dialect.

Who will implement this idea?

The HelpMum Team consisting of 4 medical consultants that specialize in gynecology and obstetrics, 10 medical doctors and 1 project coordinator will implement this project. All HelpMum team members are located in Oyo state, Nigeria and they would be working on the execution of the project full-time. We are also in partnership with organizations like Amref Health Africa, Takeda Pharmaceutical company, Nailab Kenya. Our partners are there to provide us with technical assistance and advice if any issue arises during the course of the project.

Using a human-centered design approach, you may uncover insights that lead to small or foundational changes to your organization’s existing strategy or processes in order to unlock the potential of your idea. How would your organization go about making such changes?

The big decisions are made by our medical advisory board and the management team. We use empathy to put end users at the center of the problem-solving equation and also get regular feedback from them to improve our products regularly. With this focus, design becomes a tool for change for us. Our Big decisions are also influenced by the kind of feedback we get from our end-users which gives us room to constantly improve our products and services. This kind of approach enables us to be responsive and flexible with our products and services.

What challenges do your end-users face? (1) What is the biggest challenge that your end-users face on a day-to-day, individual level? (2) What is the biggest systems-level challenge that affects your end-users?

1.The biggest challenge our end users face is lack of access to clean and affordable birth kits , lack of basic health information which makes women rely on myths rather than the correct information regarding health care due to the broken chain in the healthcare system in this disconnected areas.

2.The system level challenge facing our end-users is insufficient health professionals and facilities like doctors, traditional birth attendants and Health care centres in this disconnected areas. Even the available traditional birth attendants are not trained and empowered with life saving drugs (misoprostol and delivery kits) and this leads to the use of rusty blades to sever umbilical cords infecting babies with tenants and their mouths to suck out mucus from the nostrils of babies.

Tell us about your vision for this project: (1) share one sentence about the impact you would like to see from this project in five years and (2) what is the biggest question you need to answer to get there?

IMPACT:By 2022, we aim to empower 20,000 traditional birth attendants across Africa, reaching over 1,000,000 women directly through our HelpMum Birth kit distribution and also making basic life saving health information available through the power of mobile technology to those at last mile/disconnected areas .

Question: How do we further strengthen our model so as to make us achieve our financial sustainability which makes our intended impact possible by 2022?

What is it that most attracted you to Amplify instead of a more traditional funding model?

Amplify is an open community where you get real time feedback to your idea and also build collaboration with others .
Amplify is not just a funding company, but also a platform to build network and relationships.
Just like Amplify, for HelpMum, it is not about just the funds but majorly about how our ideas can transform lives and bring development.

Do you intend to implement your Amplify idea in refugee camps / temporary settlements?

  • We aim to implement our Amplify idea in a refugee camp / temporary settlement.

How long have you and your colleagues been working on this idea together?

  • Between 6 months and 1 year

How many of your organizations’s paid, full-time staff are currently based in the location where the beneficiaries of your proposed idea live?

  • Between 5-10 paid, full-time staff

Is your organization registered in the country you intend to implement your idea in?

  • We are registered in all countries where we plan to implement.

My organization's operational budget for 2016 was:

  • Under $50,000 USD

What do you need the most support with for your innovation?

  • Business Development / Partnerships Support

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Photo of Adereni abiodun
Team

We would like to share links to some of our awards and grants

https://www.wu.com/chainofbetters/betters/helpmumto-see-a-mother-deliver-safely/

https://ahaic.org/innovate-life-hackathon-winners/

 http://tonyelumelufoundation.org/programme/meet-selected-1000-tony-elumelu-entrepreneurs-2017/
We are also the only organization in the world that has won western union chains of better twice (Feb 2017 and june 2017)
Our vision remains a world free of maternal and infant death

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