Web-Based · SMS-Powered · Built for Rural Sierra Leone

TRACK EVERY MOTHER. REACH EVERY CHILD.

MCH-Track is a Maternal and Child Health Monitoring System that links a mother's antenatal record to her child's immunization and growth history in one unbroken continuum of care — and automatically sends SMS reminders so appointments are kept, not forgotten.

A case study of Njala Mokonde Community, Kori Chiefdom, Moyamba District

Why MCH-Track?

In rural facilities, care breaks down not because the service is missing, but because continuity is. A mother registers and never returns; a child gets the first dose and misses the rest — and on paper, nobody is counting.

MCH-Track replaces the fragile paper register with one connected digital record that follows each family through time, calculates every due date automatically, and prompts the mother before she can forget.

One Continuum of Care

Mother, pregnancy, delivery, child, immunization and growth are one linked record — so the whole story of a family is visible in a single place.

Automated SMS Reminders

Every appointment triggers three reminders — three days before, one day before, and on the day — with no manual action by the health worker.

Defaulter Tracing

When a mother or child still misses a visit, the system flags them so a community health worker can follow up in person, before the gap becomes dangerous.

From Paper to a Living Record

About the System

The health facility serving Njala Mokonde keeps its records on paper: a separate antenatal register, a delivery record, an immunization tally, and a child health card the mother carries home. These documents do not talk to each other, and when a card is lost or a register is damaged, the history is gone with it. MCH-Track closes that gap with a responsive web application that keeps every mother and child as one connected, searchable, auditable record.

  • Mother–Child Link

    A child's record is tied directly to the mother's, so antenatal, delivery, immunization and growth form a single continuum — never four disconnected sheets.

  • Automatic Due-Date Engine

    Expected delivery dates, next antenatal visits and every vaccine dose are calculated by the system — and each generates a scheduled appointment with reminders queued.

  • Privacy, Roles & Audit

    Role-based access controls who sees clinical data, while an audit log records every create, update, login and SMS event for accountability.

Why It Matters

The gap MCH-Track is built to close

Sierra Leone has made real progress in maternal health — but the remaining burden sits in rural communities, where records are on paper and missed appointments go unnoticed. Moyamba District, our case-study district, records some of the weakest childhood immunization coverage in its region.

Maternal deaths per 100,000 live births in Sierra Leone (2023) — among the highest in the world.

The remaining burden
%

Fall in maternal mortality since 2000 (from 1,682 down to about 354) — proof that reaching mothers works.

Real progress
%

Of maternal deaths still occur in rural areas and at home — exactly where continuity of care breaks down.

The rural gap
What the System Does

Core Modules

Everything a rural maternal and child health service needs — from first antenatal visit to a fully immunized, well-grown child.

ANC & Mother Registry

Register pregnant women, estimate the expected delivery date from the last menstrual period, classify pregnancy risk, and record every antenatal visit with its clinical measurements.

Delivery & Child Registry

Capture the delivery outcome for mother and baby, then register the child directly against the mother's record — keeping the continuum of care unbroken from birth onward.

Immunization Engine

Auto-generates the full childhood schedule — BCG, OPV, Pentavalent, PCV, Rotavirus, IPV, Measles, Yellow Fever and Vitamin A — showing what is due, given, or missed.

Growth Monitoring

Records weight, height, head and mid-upper-arm circumference, plots them against WHO reference standards, and flags moderate and severe acute malnutrition early.

SMS Reminder & Follow-up

Sends reminders three days before, one day before and on the day of each appointment through an SMS gateway — in English, Krio, Mende or Temne — plus follow-up messages to defaulters.

Dashboards & Reports

Live dashboards, defaulter lists, alerts, and reports on attendance, coverage and nutrition — disaggregated by village, chiefdom and date, and exportable to PDF and Excel.

Search by phone, village or ID High-risk & overdue alerts Audit logging In-app notifications No smartphone needed by mothers
The Continuum in Action

How MCH-Track Works

One registration sets off an automatic chain — so nobody has to remember, and nobody falls through the cracks.

1

Register

A health worker registers the mother — or the child, linked to her — capturing phone number, village and clinical details in one connected record.

2

Auto-Schedule

The system calculates the next antenatal visit and every vaccine due date, and creates the appointments — no manual date-counting.

3

Remind by SMS

Three reminders go out automatically — three days before, one day before, and on the day — in the mother's preferred language.

4

Attend or Trace

Attendance is recorded. If the visit is missed, the family is flagged as a defaulter for a community health worker to follow up in person.

Role-Based Access

Built for the Whole Care Team

MCH-Track gives each member of the facility exactly the access their work requires — and no more. Six roles map to how a real Peripheral Health Unit actually operates.

ADMIN

System Administrator

Full access. Manages user accounts, roles and system settings across the facility.

CHO

Community Health Officer

Clinical lead of the facility, with full clinical access plus reporting and oversight.

NURSE

Nurse / Midwife

Records antenatal visits, deliveries, immunizations and growth measurements.

MCHA

Maternal & Child Health Aide

Registers children and records immunization and growth at the point of care.

CLERK

Data Clerk

Handles registration and appointments only — no clinical data and no deletion rights.

CHW

Community Health Worker

Sees the defaulter list for their own village only — the field arm that closes the loop.

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