In maternal health care, there are three known delays that contribute to poor maternal health outcomes. These delays include; (i) delay to make decision to seek care, (ii) delay to reach health care and (iii) delay to access health services at the health facility.  


 The proposed solution will address delay number one. The first delay occurs within the household/family level and refers to the limited ability of the woman and or her family members to make a decision to seek skilled health care. This is closely linked to the inability to appreciate danger signs of pregnancy, delivery and postpartum due to inadequate knowledge. In addition, some cultural practices restrict women from seeking health care, while poverty at the household level also limits decision making to seek health care.

Identification and Registration

Our solution aims at strengthening the community follow up system with a particular focus on the most-at- risk pregnant girls who are less likely to seek health care if no deliberate follow up system is in place. Our solution  works in such a way that pregnant girls will be identified through a pregnancy mapping tool at village level which will be used by the community health worker who conducts the pregnancy mapping by visiting individual households.

A Health Worker maps a pregnant girl into the GetIN system at a Health Facility after the Launch of the App in Kanungu District. Photo credit Mina Nozawa

Health Worker Training and SMS 

Health workers are trained on adolescent friendly service provision to ensure that during the visits they appeal to the pregnant girls. The SMS on health related topics shared with the girls is translated in the local language using adolescent/youth oriented terminologies. SMS messages will also be shared with the power holders for the pregnant girls as a way of increasing their knowledge on health related issues and ultimately offer more support to the girls to be able to access health care during and after pregnancy.

Donald Waruhanga of GetIN App displaying one of the phones distributed to VHTs and Midwives at the innovation Cafe at UNFPA.

Alerts to Strengthen Followup

Once data is captured, it will be stored in a database in the cloud. When the pregnant girl visits the facility, the health worker will enter their information using the mobile app which information will be sent to the database for storage. When a young girl is expected to return for a service and she does not return- which will be confirmed by the health worker not entering any data on that girl, then the app will generate an SMS which will be sent to the telephone number of the community health worker member, the health facility health workers and to the telephone number for the girls which will have been captured during the mapping. The community health worker member will use the notification alerts and follow up on the young pregnant girls by visiting the girl’s home. Identification component of the mobile app is very critical for reaching out to very vulnerable girls since they are less likely to self-identify by way of visiting health facility.

In contribution to the #ICPD25 objectives and goals, GetIN Mobile App has helped teenage mothers in rural areas access family planning services and information with the help of VHTs and midwives.

#ICPD25YouthUg @UNFPAUganda

The @SRHRAllianceUg today is patterning with The ICPD to teach and enlighten the Youths about there different roles today while living together. This is to help them learn and adopt their rights.


Happening Now: Group discussions at the #ICPD25 Youth Satellite Event in Uganda. Close to 200 young people in one space discussing #SRHR


As young refugees, we are denied access to youth friendly services by public health facilities~ @InterAidUganda Panelist at #ICPD25YouthUg happening now. #ICPD25 @UNFPAUganda @NPCSecUG

@UNFPAs vision is to create a world where every young person can make their own choices and enjoy their rights. Every young person must be able to realise all the rights and choices they want and deserve. Learn more: https://t.co/OZqxUcHNyZ. #IYD2019 #ICPD25 #LiveYourDreamUG

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Girls mapped in Kanungu and Bundibugyo

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Training VHTs

VHTs demonstrate how to use the GetIN App after a training before the launch of the system in Kanungu District.