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Hi, my name is Shoval Dekel. I'm the project engineer here at Jhpiego working on
the ePartogram project.
Three years ago I travelled to Nepal with a group of students as part of my master's
program to observe pain points co-birth attendants might have during labor and
delivery in developing countries.
One of the pain points we've identified was the use of the WHO paper partograph as a
decision support tool during labor and delivery.
To address these pain points, we developed the ePartogram
which automates the plotting,
provides alarms for skilled birth attendants to notify when the birth is not progressing
normally, and allows for communication with a remote user for advice. The skilled birth attendant's first
interaction with the ePartogram is the home screen which
lists all the patients in the facility where the patient that requires the most
attention is always at the top.
Let's look at the first patient.
Here we see the patient's clinical data plotted in the same way as the paper
partogram with the edition that the ePartogram provides color coded alarms.
A yellow would indicate a low level alarm,
and a red would indicate a high level alarm. The skilled birth attendant has the option
to consult with an expert.
By using the ePartogram, she can call either her supervisor or physician at a local
facility.
Thank you for watching
The ePartogram is a great tool that helps in the communication between remote
facilities and their referral centers, improves the compliance of skilled birth
attendants in the use of the partogram,
and assists in the time management of skilled birth attendants so that she
can provide more attention to the mothers in labor.