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Maternal Risk Stratification & Referral Network (MRSN)

A hybrid clinical triage service where trained maternal health workers at primary health centers use a standardized paper-based risk assessment tool (developed with Nigerian obstetric experts) to classify pregnancies into low/medium/high-risk categories. High-risk cases are immediately escalated via SMS/WhatsApp to a rotating pool of contracted senior midwives and obstetricians who provide real-time phone consultation, clinical guidance, and safe referral coordination to secondary/tertiary facilities. The service includes guaranteed transport coordination and facility bed reservation for referred cases.

SERVICE

51 weeks • 70% confidence

Value Proposition

Eliminates diagnostic delays by creating an always-available expert consultation layer that costs 60-70% less than hiring full-time specialists at every PHC. Reduces maternal deaths by enabling safe triage decisions within 15 minutes rather than 4-6 hour delays waiting for transport or specialist availability. Works entirely offline for initial assessment; no internet dependency for critical decisions.

Target Audience

Primary health centers (PHCs) and community health centers in Nigeria, Ghana, and similar sub-Saharan settings; state health ministries purchasing on behalf of networks of 20-100 facilities

Key Features

  • Laminated, pictorial risk-assessment cards (no literacy requirement) aligned with WHO maternal danger signs
  • WhatsApp/SMS-based case escalation with structured templates (no app download needed)
  • On-call roster of 8-12 senior midwives/obstetricians per region, compensated per consultation
  • And more, with full implementation detail...

Tech Stack

WhatsApp Business API (for case escalation templating) Simple Excel/Google Sheets tracker for outcome data (hosted locally or synced monthly) Printing infrastructure for laminated assessment cards Mobile phone credit/airtime for on-call consultants
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Original Problem

Maternal healthcare systems in low-resource settings lack real-time diagnostic and decision-support capabilities, causing preventable maternal deaths

Healthcare providers in Nigeria and similar regions struggle to deliver timely, accurate maternal care decisions due to limited access to diagnostic tools, clinical expertise, and real-time patient monitoring systems. Current manual processes and paper-based records create dangerous delays in identifying high-risk pregnancies and complications, resulting in preventable maternal mortality. Existing healthcare infrastructure cannot scale expert-level care across dispersed primary health centers serving millions of women.

Score: 49.4% • 1 payment signal

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