Echezona Ezeanolue

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Point-of-Delivery Prenatal Test Results through mHealth to Improve Birth Outcome

Integrated approaches to seek, test, treat and care for pregnant women to prevent perinatal transmission of diseases and identify infected/affected infants to allow for early intervention to reduce transmission, morbidity and death are urgently needed in resource-limited settings. We propose to develop and test the feasibility, acceptability and usability of a web-based data platform and a medical decision model that is integrated with a community-based screening program for HIV, HBV and sickle cell genotype that will store data in a secure web-based database; capture data in a chip imbedded 'smart card', and use a cell phone application to read the card to make data available at the point-of-delivery. Evidence shows that when clinician have maternal records at the point of delivery, they are more likely to initiate antiretroviral prophylaxis for the HIV-exposed infant, give the first dose of hepatitis B vaccine to an infant born to a mother who is positive for hepatitis B surface antigen within 24 hours of birth and screen infants born to mothers with sickle cell trait to identify sickle cell disease and implement intervention such as penicillin prophylaxis.