Prenatal Apps

In Indonesia, approximately more than 278 million people are living which simultaneously places Indonesia with various health challenges including pregnancy complications. The maternal and neonatal mortality rates have increased exponentially. Maternal mortality amplified by 300 cases from 2019 to approximately 4.400 deaths while neonatal mortality in 2019 around 26.000 cases elevated to almost 40% to 44.000 cases in 2020.

Specifically, there are more than 303,000 women die from pregnancy complications every year. This equates to about 830 women dying each day. The major causes of death are preventable conditions, IF the women received proper medical care prior the conception throughout pregnancy, during labour and after delivery. But most importantly during antenatal care, especially for cases such as pre-eclampsia, preterm birth, macrosomia, fetal growth restriction, stillbirth, and congenital anomalies.

As one of the largest populations in a developing country, pregnant women in Indonesia are 36 times more likely to suffer pregnancy-related complications than women from a developed country. Expectant mothers have been facing obstacles and burdens to access health facilities which got more dreadful in during the pandemic. Shortage of health workers, patients lack the confidence to visit health care facilities due to rapid transmission of Covid. It leads to a lack of data accuracy for health workers to do the following research program. To achieve accurate epidemiological data about pregnancy complications, we require a strong in-country data collection system, which is often unavailable in Indonesia because of traditional pregnancy data records. The data obtained in each primary health facility is still traditional and not well integrated with the research program. This condition becomes a barrier to our intention to improve the prediction of prevention care of pregnancy complications in Indonesia.

Indonesia needs a healthy and strong next generation to achieve sustainable development goals. Unfortunately, millions of babies and mothers have died everywhere due to detectable and preventable pregnancy complications. Prenatal Apps is an innovation to help and make it easier for health practitioners to serve all mothers in Indonesia.

Prenatal Apps bridge the gap in the traditional health system and the accurately advanced data recording. We build a comprehensive and integrated electronic health record that is accessible for both expectant mothers and health workers which eventually provides the data collection. The platform provides features for patients to be fully aware of and understand their pregnancy condition. Which includes a nutrition checklist, estimated delivery date/gestational age calculator, fetal kick count, contraction monitoring, blood pressure monitoring, and blood glucose monitoring. For health workers, this app provides pre-eclampsia early prediction calculator, aneuploidy prediction calculator, fetal weight calculator, due date calculator, and preterm birth prediction, calculator. All of the formulas applied in our apps are developed based on our own research property which data hygiene is guaranteed. High-risk indications will alarm the patients about their pregnancy complications. These data will be beneficial for the health workers to further research pregnancy complications and escalate the quality of pregnancy care in Indonesia.

The core value of prenatal apps is to diminish the obstacles in predicting early pregnancy complications by simplifying the accessibility for mothers and health workers with cost-free application and assuring the hygiene of data collection as one big piece of data for the impactful upcoming research program.

Prenatal Apps focus on predicting and preventing pregnancy complications through integrated electronic health record technology. Our targets are mothers who lived in underserved urban areas and health workers in order to decrease maternal and neonatal mortality rates for a better generation by early prediction and applying early prevention action. For mothers, There would be a monitoring and warning system with features of nutrition checklist, blood pressure, blood glucose, fetal movement, aspirin dairy, and fetal growth chart. For health workers or researchers, Prenatal Apps will provide electronic health records, data queries for research and a prediction calculator for pre-eclampsia, aneuploidy, FGR, macrosomia, stillbirth, and preterm birth prediction. Through this app, mothers and health workers will be able to get accessible health services and transparent data about pregnancy complications. This will arise the awareness between mothers and health workers to predict pregnancy complications and prevent them earlier with accurate data. Additionally, we hope prenatal apps will improve primary health care performance and minimize the pregnancy complications rate in Indonesia.

Indonesian Prenatal Institute has the dedication to preventing pregnancy adverse outcomes through managing clinical research, providing a collaborative training platform, and building the digitalisation of pregnancy care. We are the only non-governmental organization that focuses on pregnancy complications in Indonesia. We are currently involved in the largest screening and multi-centre prevention study of preeclampsia in Asia and have been recognized as the winner of the Universal Health Coverage Category at the WHO Health Film Festival.

We believe that good data may contribute a significant impact to reducing pregnancy complications rate. Technology is the only way to produce the best qualified and efficient data.

As a developing country, Indonesia's health system record of pregnancy was collected manually and hasn’t been upgraded since 2015. This method is so traditional and time-consuming for both mothers and health workers to gain accurate data about pregnancy complications prediction. The prenatal apps offer an innovative and accessible platform to prevent pregnancy adverse outcomes through managing the clinical research, providing a collaborative training platform and building the digitalisation of pregnancy care. This innovation will bring a fresh and new integrated health record system nationally. This app will connect mothers and health workers through advanced technology to monitor their pregnancy conditions.

Next year we expect to launch and implement our prenatal apps as an integrated electronic health pregnancy record. In the next five years, we expect to publish more than 30 international publications that are extracted and processed based on our data property. As the result, the incidence of pregnancy complications such as pre-eclampsia, stillbirth, and macrosomia will decrease by implementing the innovation in the prediction and prevention approach.

We expect to add more prediction calculators in the Prenatal Apps. We will start introducing the trial version of the Prenatal Apps for mothers and health workers as a user experience. A deepening understanding of the users will develop and increase the quality of the Apps in the future. To accelerate our growth plan, we need affiliation and continuous learning by going to this mentorship and support from MIT to improve the quality of our research and pregnancy care monitoring. This will help us to achieve better quality in early prediction and prevention of pregnancy complications strategies in Indonesia.

High-quality data will produce high-quality research. Research is a fundamental factor of successful innovation in early prediction and prevention programs of pregnancy complications.

The core technology behind prenatal apps is an original formula derived from our research data to produce the prediction calculator. Multi-modal parameters including maternal history and characteristics, physical examination, ultrasound assessment and blood test results will be inputted into the calculator at the first-trimester visit to get the probability of having certain pregnancy complications afterwards. The prevention approach to prevent these complications will be informed to both health workers and patients via this application. The prevention program such as aspirin diary, blood pressure monitoring, fetal kick count monitoring, and blood glucose monitoring will also be recorded and give the alert information to the patient and health worker.  In the end, the delivery and neonatal outcome will be recorded actively to ensure the completeness of the pregnancy data.

Medical doctors (OBGYNs) and health workers

Prenatal Institute is formed by people from different races and backgrounds with one noble goal; helping to predict and prevent early pregnancy complications for all mothers in Indonesia. We embrace diversity by having the staff and collaborators with no discrimination in gender, religion and race. We include all the individuals and give them equity through work and contribution to give the same impact in the workplace together. We value every member and let them opine on their way to achieving our main mission.

We raise funds from donors, merchandise, crowdfunding, grants and awards. Our strategy to achieve financially sustainable is from our innovative app as a platform for health workers and mothers specifically focusing on pregnancy complications. We hope to have continued funding to support our apps to be accessible for health workers and mothers in Indonesia. We plan to achieve more publications, research-based funding, and new grants to aim our target of raising $400.000 by the end of 2030.Prenatal Institute focuses on pregnancy complications through research, an e-learning platform, and digitalisation with innovation and technology. As a non-profit organization, we raise funds to support our internal operating costs from donations, grants, awards, and crowdfunding to increase the quality of digital health record service in Indonesia.

We raise funds from donors, merchandise, crowdfunding, grants and awards. Our strategy to achieve financially sustainable is from our innovative app as a platform for health workers and mothers specifically focusing on pregnancy complications. We hope to have continued funding to support our apps to be accessible for health workers and mothers in Indonesia. We plan to achieve more publications, research-based funding, and new grants to aim our target of raising $400.000 by the end of 2030.

We successfully won the award from the WHO health film festival and achieved 10000 USD. Currently, we have raised the funds of $13.000 and managed $180.000 grants.