Improving access to reproductive and child health services through mobile phone technology based information system in Tanzania: a case of Chamwino District

The 2015 deadline for achieving the Millennium Development Goals (MDGs) is fast approaching. Some mobile technology-based ICT based initiatives have been established to reducing child mortality and improving maternal health, but further innovation is required. This research was set to improve access to reproductive and child health (RCH) services through implementing a cost effective technology. It was conducted from January to December 2013 in Dodoma region, Tanzania. The study collected both primary and secondary data to inform the results. It employed group discussions and in-depth interview to key informants. A review of guidelines and medical records and reports regarding RCH services at the health facility level was also performed. A combination of prototyping and participatory design approaches was used in system design, customization and implementation. Findings from this study show that the current information system benefited those who were attending the clinic, especially mothers. However those who had influence in maternal health such as, Community Health Workers, hamlet leaders and Traditional Berth Attendants were left behind. In addressing the problem the study implemented a mobile phone based system to remind mother about her appointments, and also to educate her and the most influential people surrounding her health. At least 1000 messages were sent to beneficiaries, and about 117 recipients gave their feedback through phone calls which was used to improve the system. The study lastly recommends another study to be conducted to evaluate the impact of the implemented system in that region.