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PROMPTS in Ghana: Photos from the field

From focus groups to facility trainings - here’s what our growing team-on-the-ground in Ghana have been up to over the last six months.

Since 2022, Jacaranda has partnered with the Ghana Health Service, or GHS, to pilot PROMPTS as a cost-effective tool to support women through pregnancy and generate real-time data on their experiences of care. Over the last six months, our growing team on the ground have been busy meeting the stakeholders to make this happen – senior officials from the ministry, facility leadership, frontline nurses, and – in April this year – our first recruited cohort of 1,000 new and expecting PROMPTS mothers. Back-end, our Kenya-based tech team has been making the needed adjustments – like message translation and tweaks in our AI – to adapt the platform for the context.

Below are some recent highlights from this journey to date.

Frontline health workers and facility leadership at the Shai-Osudoku District Hospital in Dodowa are trained to use, and enroll mothers to PROMPTS. Shai-Osudoku District Hospital was chosen as the target facility for a ‘soft launch’ of the platform, which aims to engage 20 nurses to enroll 60 women onto PROMPTS to test the technical capability of the platform before a wider launch. Photo by Dodowa Health Research Center.
20 frontline workers and representatives from Jacaranda and the Dodowa Health Research Center gather in front of the Shai-Osudoku District Hospital during an immersive training day to onboard providers onto PROMPTS. Public health facilities like the Shai-Osudoku District Hospital serve as the primary distribution channel for the platform in Ghana, helping reach the majority of underserved women and babies. Photo by Dodowa Health Research Center.
A focus group discussion held with prenatal mothers at Tema General Hospital in the Greater Accra Region aimed at understanding the informational and clinical needs and knowledge gaps around pregnancy, and how PROMPTS could support. Photo by Dodowa Health Research Centre.
A nurse speaks to a room of postnatal mothers at the Tema General Hospital in the Tema Metropolis. Nurses at this facility usually give general educational talks on diet, hygiene, and newborn care to new mothers before they are seen individually at the postnatal care clinic. This information will also be included within postnatal PROMPTS messaging when launched, with these in-person clinics used as a medium to encourage mums to enroll. Photo by Dodowa Health Research Centre.
In March, Jacaranda held its second Advisory Committee Meeting at the Ghana Health Service Headquarters in Accra, bringing together high level stakeholders from the Ministry of Health and Ghana Health Service. From the beginning, the committee has helped provide strategic oversight and input on the PROMPTS pilot implementation, as a pathway for wider PROMPTS adoption and scale going forward. Photo by the Dodowa Health Research Centre.
Ghana PROMPTS program manager Cephas Avoka shares a joke with the Greater Accra Regional Public Health Nurse (left) and the Principal Investigator of the PROMPTS study (right) at a district-level stakeholder meeting at the Tema General Hospital, one of the 3 facilities involved in the PROMPTS pilot. Held in March this year, the meeting looked to sensitize health leaders in Tema and Ashaiman on the study, and incentivize ownership and buy-in for PROMPTS enrollment activities. Photo by the Dodowa Health Research Centre.
Greater Accra’s Regional Public Health Nurse calls on her colleagues to fully embrace PROMPTS as a rapid, reliable and scalable means to distribute vital information to women in their district, and for their cooperation in helping the platform become a national digital health platform for Ghanaian mothers. Photo by the Dodowa Health Research Centre.
In April, we recruited our target pilot sample of 1,000 new and expecting mothers in two districts of the Greater Accra Region. Women self-enrolled onto the PROMPTS platform in under two minutes by sending a trigger word to a shortcode (#384) under the supervision of nurses on site. Over the next six months, this sample of women will receive gestation stage-specific information, surveys to assess respectful care and clinical quality, and appointment reminders for pre and postnatal care check-ups, as well as ask questions. Photo by the Dodowa Health Research Centre.
In May, Jacaranda’s Cephas Avoka and John Hammond held an introductory meeting with the newly-appointed Director of the Family Health Division, Dr Marion Okoh-Owusu (center right) and Dr Chris Fofie, Family Head Division (right). Dr. Marion expressed an interest in being actively involved in the PROMPTS operational study as well as leading the PROMPTS Advisory Committee as its Chairperson.

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