1. Qualcomm, Vecna Cares, InStrat, Etisalat, Nigeria’s National Primary Health Care
Development Agency and Evidence for Action Collaborate to Improve Maternal and Child
Health
Today at Mobile World Congress, Qualcomm Incorporated, through its Wireless Reach™
initiative; Vecna Cares Charitable Trust, the nonprofit arm of Vecna Technologies; InStrat Global
Health Solutions, a turnkey health care solutions provider; Etisalat, a Nigerian
telecommunications operator; Nigeria’s National Primary Health Care Development Agency
(NPHCDA), a part of the Federal Ministry of Health; and Evidence for Action, a campaign to
ensure Africa’s mothers and babies survive pregnancy and childbirth, announced that they have
teamed up to develop and deploy a wireless, electronic medical record (EMR) system to clinics
throughout three states within the NPHCDA, bringing a paperless, mobile patient registry to
midwives throughout rural Nigeria. The CliniPAK360 project aims to reduce the country’s high
maternal and infant mortality rates.
Nigeria is Africa’s most populous country. It also has maternal and infant mortality rates that
are among the world’s highest. The US Central Intelligence Agency estimates in The World
Factbook that Nigeria experienced approximately 630 maternal deaths per 100,000 live births
in 2010 and approximately 73 infant deaths per 1,000 live births in 2013. In comparison, the
maternal death rate in developed countries is approximately nine per 100,000.
Currently, NPHCDA midwives record patient data in paper notebooks and Regional Health
Officers travel to the clinics to review the reports for accuracy. To lighten this burden and
increase accuracies and efficiencies, this Wireless Reach-funded project features a cloud-based
electronic medical record system based on Vecna Cares’ CliniPAK software and 3G-enabled
tablets powered by Qualcomm® Snapdragon™ processors to streamline and automate the in-
field data capture and reporting process and help improve health outcomes. Qualcomm
Snapdragon is a product of Qualcomm Technologies, Inc., a wholly-owned subsidiary of
Qualcomm Incorporated.
As part of the project, each midwife uses a tablet to record patient data at the point of care.
The data is transmitted wirelessly via Etisalat’s 3G mobile network to the CliniPAK central
server, which aggregates and synchronizes the data with clinic-based CliniPAK units. The system
supports midwives as they interact with patients by alerting them to risk factors and red flags
based on information assembled at the point of care. The system also allows clinicians and
midwives to more closely track at-risk patients and make timely, more informed, decisions
about patient care. In addition, policy leaders at NPHCDA will also have access to the data and
use the pilot project to establish the foundation for their entire medical record system.

2. The project’s pilot phase is currently underway in seven NPHCDA clinics in the Federal Capital
Territory (FCT). InStrat Global Health Solutions serves as the local program manager with
responsibility for technology implementation, training and support, and has closely monitored
the evolution of the project while also preparing to implement the project in two additional
states in February.
The goal of this program is to improve health outcomes, reduce maternal and infant mortality
rates, enable faster response to public health threats and facilitate better coordination of
health resources. All project collaborators hope the project will grow and replicate to locations
throughout Nigeria upon completion of the pilot.
The CliniPAK360 Mobile Health Application project leverages the accelerated adoption rate of
mobile technologies in Nigeria and aligns with NPHCDA’s strategy of integrating mobile
technology into its field-based health management network.
Qualcomm understands that many advances in mobile technology have already changed access
to health care and aims to enable even greater transformation in mobile health. By working
with organizations like Etisalat, Evidence for Action, InStrat, the NPHCDA and Vecna Cares,
Qualcomm strives to bring its capabilities to projects that demonstrate and expand the impact
of mobile technology.
To find out more about the work Qualcomm and its project collaborators are doing, please visit
www.qualcomm.com/wirelessreach.
Vecna Cares Charitable Trust is committed to transitioning Vecna Technologies’ commercial
health care information technology products to simplified platforms for improving health care
delivery systems in developing regions and rural environments.
InStrat Global Health Solutions leverages appropriate mobile technologies to enable improved
health care delivery to underserved populations.
Etisalat Nigeria has a growing subscriber base of over 16 million in a highly competitive market,
in five years of operations. Its portfolio of voice and data-centric products include: easy starter,
easycliq, easybusiness, easyblaze and easyflex – all tailor-made to meet the needs of its
customers.
National Primary Health Care Development Agency develops Nigeria’s national primary health
care policy and assists states and local governments in the implementation of these policies.
Evidence for Action (E4A) aims to improve maternal and newborn survival through a combined
focus on evidence, advocacy and accountability, through a public engagement campaign called
MamaYe! E4A is a key stakeholder supporting the rollout of maternal death reviews in Nigeria

3. and the use of mobile technology to improve maternal death reporting and response
mechanisms.