One big barrier to accessing care during pregnancy and childbirth is cost. Most Kenyans pay out of pocket for their health care because they have no insurance. A new system seeks to address this issue while also ensuring that the care women receive is high quality. Called MomCare, it is a digital platform where costs can be covered in full or in part by a third party payer, including universal healthcare coverage schemes. Payments are linked to service delivery; interactions are transparent and predictable. And the system holds providers accountable by rewarding those who deliver quality services, whether at a public or private facility. With MomCare, payments for maternity care services (ANC visits, labor, delivery and postpartum care) happen automatically triggered when appointments are confirmed and services rendered and also tracked by the system. Patients can initiate contact with providers and receive alerts using their mobile phones. Communication is by simple text message, no smartphone required.
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