The George Institute For Global Health
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National workshop on high-risk pregnancies and NCDs

Date/time: 
29/03/2019 - 09:00 to 01/04/2019 - 17:15
Event location: 

India International Centre Annexe, New Delhi, on 29th March 2019
D V Manor Hotel, Vijayawada, on 1st April 2019

Non-communicable diseases (NCDs) are the leading causes of death in women in India, with the prevalence of cardiometabolic disorders, such as ischaemic heart disease, stroke and type 2 diabetes increasing.

Women in rural India are particularly vulnerable due to limited knowledge and healthcare access. High-risk conditions detected during pregnancy, such as hypertensive disorders and gestational diabetes mellitus (GDM) increase the risk of cardiometabolic disease in the years following birth. Innovative solutions are required to improve the detection and management of high-risk conditions during pregnancy and introduce strategies for effective prevention after birth.

The George Institute have developed the SMART Health Program to improve screening and management of NCDs in non-pregnant adults. SMART Health is a digital clinical decision support system supporting task-sharing and communication between community health workers and primary care doctors. This program has been implemented at scale in India and internationally, targeting cardiovascular risk factors, diabetes, tuberculosis, HIV and mental health.

We have adapted this approach to address gaps in pregnancy care experienced by pregnant women in rural Indian communities. The proposed intervention will: (i) support ASHA workers and ANMs to identify high-risk women; (ii) generate a risk category for all pregnant women, with automatic electronic primary care referral for high-risk women; and (iii) target structured, postnatal maternal health assessments and health promotion to high-risk women following birth.

The primary aims of SMART Health Pregnancy are to:

  1. Reduce maternal and perinatal mortality; and
  2. Promote lifelong health and wellbeing in high-risk women. 

Before further development it is essential to understand where this intervention may fit within the context of other innovations in this sector, current priorities in high-risk pregnancy care and NCD prevention, and establish a network of key stakeholders to move the concept forward.

Objectives for the workshops:

  • Introduce the SMART Health programme of work and SMART Health Pregnancy concept
  • Identify current challenges and priorities in high-risk pregnancy and NCDs management in India and strategies for program integration
  • Discuss health system challenges and develop a roadmap of the steps needed for future implementation

Agenda: New Delhi, 29th March 2019

09:00-09:15

Welcome and opening remarks

09:15-09:35

Introduction to the SMART Health Program

09:35-09:55

Key achievements and challenges in maternal health in India

09:55-10:25

Introduction to SMART Health Pregnancy and results of formative work

10:25-10:45

Tea break

10:45-11:50

Panel discussion 1: High-risk pregnancy and NCDs in Indian women: what is the evidence for effective interventions?

11:50-13:00

Panel discussion 2: Challenges and priorities in mHealth in maternal health and NCDs in India

13:00-13:45

Lunch

13:45-15:00

Panel discussion 3: The role of community health workers: balancing multiple expectations , training needs and ongoing support

15:00-15:20

Afternoon tea break

15:30-16:00

Roadmap moving forwards: collaborations and funding opportunities

16:00-16:15

Closing remarks

Agenda: Vijayawada, 1st April 2019

09:00-09:15

Welcome and opening remarks

09:15-09:35

Introduction to the SMART Health Program

09:35-09:55

Key achievements and challenges in maternal health in India

09:55-10:25

Introduction to SMART Health Pregnancy and results of formative work

10:25-10:45

Tea break

10:45-11:50

Panel discussion 1: High-risk pregnancy and NCDs in Indian women: what is the evidence for effective interventions?

11:50-13:00

Panel discussion 2: Challenges and priorities in mHealth in maternal health and NCDs in India

13:00-13:45

Lunch

13:45-15:00

Panel discussion 3: The role of community health workers: balancing multiple expectations , training needs and ongoing support

15:00-15:20

Afternoon tea break

15:30-16:00

Roadmap moving forwards: collaborations and funding opportunities

16:00-16:15

Closing remarks

Follow #WomenAndNCDs and @georgeinstIN on twitter for the discussion.