How AI Monitoring is Cutting Stillbirths and Neonatal Deaths in Malawi
Overview
The Area 25 health center in Lilongwe, Malawi, is the only hospital in the country using AI-enabled fetal monitoring software.
Since implementing the AI technology, stillbirths and neonatal deaths have decreased by 82% over three years.
Key Case Study: Ellen Kaphamtengo
Ellen Kaphamtengo experienced abdominal pain in the ninth month of her first pregnancy.
At the hospital, a routine ultrasound revealed her baby was smaller than expected, indicating potential risk for asphyxia.
AI software detected the baby's heart rate dropping, leading to a decision for an emergency caesarean section.
The quick intervention resulted in the safe delivery of her son, Justice.
AI Software Implementation
The software used was donated by PeriGen in partnership with Malawi's health ministry and Texas Children's Hospital.
It provides continuous, real-time monitoring of fetal vital signs, allowing early detection of abnormalities.
The system requires less time and fewer resources compared to traditional monitoring methods, making it ideal for low-resource settings.
Benefits of AI Monitoring
Reduces need for constant, periodic checks by medical staff, which can miss critical information.
Standardizes interpretations of fetal wellbeing and intervention decisions.
Empowers more healthcare staff to monitor pregnancies without needing extensive training in traditional monitoring.
Challenges and Future Prospects
Area 25 handles about 8,000 deliveries annually with a team of 80 midwives and doctors.
Only 10% of staff are trained in traditional monitoring, whereas most can use AI tools.
There are aspirations to expand this technology across other hospitals in Malawi and throughout Africa.
Broader Implications
AI technology is transforming various fields, including maternal health.
It offers a bridge to improve care quality for underserved populations.
Support and Funding
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Conclusion
AI monitoring in Malawi is a significant advancement in reducing neonatal fatalities and has potential for broader application across Africa and beyond. The success at Area 25 highlights the critical role technology can play in improving maternal and neonatal care in resource-limited settings.