How smartphones are reducing infant and maternal mortality rates in rural Pakistan


To mark the recent International Day of the Midwife we share a story of how one grant holder’s use of smartphone technology is reducing infant and maternal mortality rates in rural Pakistan.

Keeping a woman and her baby safe in pregnancy and childbirth continues to be a challenge for many developing countries, especially among rural communities.

In the Badin district of Pakistan’s Sindh province most of the villages are in remote areas, with little or no real infrastructure connecting them to towns where health centres are located:

  • it can take 3 hours to reach the nearest health clinic, and as a result women do not attend pre-natal clinics for check-ups
  • some women are not allowed to travel outside of their villages alone and husbands are often unwilling to escort their wives, as this could result in them losing a day’s pay
  • babies are normally born at home with the assistance of an elder woman from the village without any formal training

100 villages are now benefiting from a UK Aid Direct funded programme, focused on improving maternal health and infant survival rates.
Since the implementation of the 2.5-year health education project, communities have seen:

  • infant mortality rates down from 106/1,000 per live birth to 40/1,000 per live birth (according to the Sindh Multi Indicator Cluster Survey (MICS) 2014)
  • maternal mortality rates down from 314/100,000 to 100/100,000 per live birth (according to the Maternal Mortality Ratio in Sindh)

So, how has this been achieved and how significant a role has technology played in this?

UK-based international development organisation Feed the Minds, partnered with Pakistan-based NRDP (National Rural Development Program) to establish 100 women’s health committees with 700 members in the area.
Over 100 local women are now trained to become safe, community birth attendants, enabling them to help their immediate families, as well as pass their knowledge on to others.

The community birth attendants are paired up with doctors from health centres. Using smartphones, the doctors provide practical and emotional support for both the attendant and mothers-to-be – working as a cost-effective method for the organisation to achieve widespread local healthcare.

“Using SMS messaging, trained doctors are able to relay messages and instructions to community birth attendants in rural locations, providing them with vital information, whilst supporting mothers during childbirth,” advised Albha Bowe, Programme Director from Feed the Minds.

“Aside from communication via text, the phones are also used to store and access important records about the mother’s health.  If a situation or symptoms are presented that are outside of the training of the community birth attendant, they can seek medical advice from the doctor, using the mobile phone service. The doctor then provides feedback on whether they feel the condition can be resolved at home or the individual should be referred to the local hospital.”

Khalida Bibi, a Community Birth Attendant said:
“I have performed 82 deliveries and referred 23 complicated cases to health facilities – saving 7 lives through this smartphone referral mechanism. I have also provided counselling to 371 pregnant women on nutrition, care, family planning, vaccination and hygiene issues.”

To find out more about the work of Feed the Minds, visit their website here

Woman smiling

Guidance for applicants invited to full application stage

Downloadable resources now available to support successful applicants with preparing for the next stage

All applicants should have now been informed of the outcome of their concept note submissions.
For successful applicants invited to the next stage of the application you will have until 18 April to prepare and submit your full applications.
To support you with these we have compiled some guidance documents. These include financial guidelines as well as technical support.
We have also included copies of the presentations given at a webinar held on Thursday 16 March, 2017 for successful applicants.
There will be a further webinar on Thursday 23 March from 10am -12 noon (UK time) to respond to queries relating to full applications. Please click here to register for the webinar 
Unfortunately, due to the high volume of applications received we will not be able to provide individual feedback on concept notes, nor discuss the outcome of specific applications, to those applicants who were not successful this time. We will be providing feedback however, on common issues and themes relating to the projects in due course.

On International Women’s Day, we celebrate improvements in SRHR for women in rural Nepal

UK Aid Direct grant holder, PHASE Worldwide is currently working to improve the lives and sexual and reproductive health and rights of women in rural Nepal.

Few organisations work in such remote places as PHASE Worldwide. It takes 2-3 weeks to arrive by donkey here.
Few organisations work in such remote places as PHASE Worldwide.

The Karnali region, which takes 2-3 weeks of travel on a donkey to access, is one of the poorest and most remote areas in Nepal.


The region has the highest proportion of women (35%) in Nepal who report receiving no antenatal care.

Contraceptive prevalence is lower than the national average and only 45% of women aged between 15 and 49 have reported receiving antenatal care (at least once) from a skilled individual, with just 29% of deliveries attended by a qualified health worker.


PHASE Worldwide is making great strides to change these statistics.

The organisation employs qualified health workers who live in the community and work closely with government staff in health services.

Based in the government health centre 4 days a week, and conducting outreach activities 2 days a week, PHASE staff build strong relationships with local women’s groups and provide workshops and community meetings to offer a platform for discussions and working together.


Health workers offer guidance on issues such as hygiene and the dangers from certain cultural practices such as Chhaupadi, when mothers are excluded from the family home during (and after) childbirth, and during menstruation.

Maila health post Humla: a PHASE Auxilary Nurse Midwife listens to baby's heartbeat

Maila health post Humla: a PHASE Auxilary Nurse Midwife listens to baby’s heartbeat

The major change that has happened as a result of this project is that many of the women in the region are attending the birthing centre to have their babies. Since PHASE started work in 2008 no women have died in childbirth in the village and very few babies have died, both common events before the project started.

The major change which has happened as part of this project is that many of the women in the region are attending the birthing centre to have their babies.

Thank you to PHASE Worldwide for sharing their stories and photographs with us.