Prenatal Apps

• Pregnancy complications. In Indonesia, there are around 120 babies, and 12 pregnant mothers die every day. Mothers here are 36x more likely to suffer pregnancy complications compared to them in developed countries. Based on our data, there are 6 out of 100 pregnancies facing pre-eclampsia and 10 out of 100 pregnancies facing preterm birth. These pregnancy complications can be life-threatening if left untreated. However, the problem is that not all mothers have equal access to healthcare facilities due to the high cost of healthcare. Early prediction with early prevention is the only way to minimize this condition.
• Non-tech-based method. Pregnancy data recording using paper manually is still done massively in Indonesia. It has a high risk of inaccuracy. Lack of accurate data leads to difficulties for health workers to provide continuous prevention care to save both lives.

Prenatal Apps is a pregnancy information system, a one-stop solution to reducing the rate of pregnancy complications. It provides easy healthcare access with innovative digital data integration in Indonesia. It enables health workers to get pregnancy complications data through an accurate prediction calculator, and it also helps mothers gain a better understanding of their pregnancy conditions.

We aim to accelerate the mission with 4 strong features;

·       Electronic Health Record: Well-integrated data recording included patient identity, pre-pregnancy screening 11-13 weeks, fetal anomaly screening, fetal growth & well-being, outcome of

pregnancy & childbirth, and registration.

·       Pregnancy complications predictor: The prediction calculator

focuses on pre-eclampsia, preterm birth, stillbirth, diabetes mellitus gestational, congenital abnormalities, and fetal growth. The formula of this feature is developed by our own data

·       Teleconsulting (Monitoring and Warning system): Provide a platform to connect mothers and an OB/GYN to share and discuss pregnancy conditions with recommended treatment based on medical data stored in our electronic health record. Mothers will be monitored for their blood pressure, aspirin consumption, uterine contractions, number of fetal movements, blood sugar curves, diabetes medication, USG timeline, estimated fetal weight curve, and check-up schedule.

·       Research data: We will use collected data from mothers to be our data hygiene for our research in reducing pregnancy complications rate in Indonesia

Our target population is mothers in Indonesia. Prenatal Apps work by combining Electronic Health Records, Prediction Calculators, and Teleconsulting. Health workers will input pregnancy data and then calculate it by our apps. Mothers with high risk will get monitoring through teleconsulting and a warning system on their phones to remind them of pregnancy check-ups followed by self-prevention care treatment based on the doctor’s advice. Ultimately, this system will prevent adverse pregnancy complications so mothers can have healthy pregnancies, safe deliveries, and birth to healthy babies without complications.

We are from the Indonesian Prenatal Institute, the only non-profit organization that focuses on early prediction and prevention of pregnancy complications in Indonesia. Our organization is founded by health workers with the mission to become a pioneer in tech-based of health services and research to serve mothers in Indonesia. We have connected and collaborated with experts and youth who have the same dream to help a better generation through better pregnancy.

What we have done

• We have been predicting pregnancy complications with our own developed prediction calculator
• We do pregnancy examination with 2829 preeclampsia prediction with multimodal meter at 11-13 weeks based on our data
• We have published our Q2 International Journal about pregnancy complication (pre-eclampsia) prediction

Why us

• Currently, we are involved in the largest screening and multi-center prevention study of preeclampsia in Asia.
• More than 2700 screening patients at 11-13 weeks have been recorded since examination to deliveries
• Selected as Grand Prix Winner in WHO Health Film Festival “Universal Health Coverage” category
• We are currently having 7 network health facilities in Jakarta and nearby joined in
• We perform data audit and training for health workers user periodically
• Winner of Hackathon G20 in Bali 2022. Prenatal Apps successfully won after competed with other 600 team in Finance and Health Hackathon 2022
• Officially a Consortia in The Global Pregnancy Collaboration (CoLAB). CoLAB is an international consortium of centers that enables biological samples with investigators worldwide to facilitate research studies of adverse pregnancy outcomes.

The selected stage for our project is the "Intervention" stage, which began in August 2019. We chose this stage because it marks the implementation phase of the screening and prevention protocols developed through our collaborative efforts since 2018. Transitioning from the planning phase to the intervention phase demonstrates our commitment to translating research findings into tangible actions aimed at improving maternal health outcomes.

The decision to select the intervention stage is further supported by the significant impact observed during the surveillance conducted until April 2024. The data revealed a notable decrease of 38% in the incidence of preeclampsia among the targeted population of 3,907 pregnant women in Jakarta Selatan and Tangerang Selatan. This outcome underscores the effectiveness of our intervention strategies and validates the importance of our continued efforts in addressing maternal health challenges.

We are applying to Solve because we recognize the immense value of their network and resources in advancing innovative solutions like Prenatal Apps. Specifically, we seek support in overcoming various barriers to further develop and scale our initiative. While financial sustainability remains a key concern, we also require technical expertise and support to enhance our IT infrastructure and app features. Additionally, navigating legal and regulatory frameworks, as well as cultural considerations, poses challenges that Solve's network can help address. By participating in Solve, we aim to leverage partnerships and connections to secure both monetary and non-monetary support, enabling us to accelerate the impact of Prenatal Apps while ensuring its accessibility to all pregnant women in need.

• Prenatal Apps is different from other online health data records because;
• We have contributed to medical research and campaigns to ensure the goal of the application, which is to reduce pregnancy complications rate.
• Medical treatment based on medical data that is more comprehensive and stored in our app
• Our app is awaited by 7 Mother and Child clinic networks in Jakarta and nearby, with 50,000 pregnant mothers visits and 3,000 deliveries every year

We believe that our solution, Prenatal Apps, will significantly impact addressing the high risk of pregnancy complications, particularly preeclampsia, among expectant mothers in Indonesia. By providing early screening for preeclampsia during the first trimester of pregnancy, our initiative aims to tailor care based on individual risk assessments, ultimately reducing the incidence of dangerous complications and improving maternal safety nationwide.

Our initiative's combination of screening methods may incur additional costs, especially related to laboratory blood tests for the Placental Growth Factor (PlGF). However, we are committed to offering free screening services weekly to pregnant women who may not have adequate resources. This commitment ensures that the benefits of our initiative are accessible to all expectant mothers, regardless of their social or economic backgrounds, thereby significantly impacting maternal health across various segments of society.

In summary, our theory of change hinges on the early detection and tailored care provided by Prenatal Apps, decreasing pregnancy complications, particularly preeclampsia, and ultimately improving maternal health outcomes in Indonesia.

Our recent surveillance conducted in July 2023 revealed a 38% reduction in preeclampsia cases in our population before and after the implementation of our initiative. Building on this success, we aim to reduce the incidence of preeclampsia by 50%, aligning with research from the BJOG: International Journal of Obstetrics and Gynaecology in 2021.

Starting out from a simple electronic medical record system from one of the maternal clinics in Jakarta, we assess the importance of the modification and development of this electronic medical record to accelerate significant health outcomes through the power of data.

The patient examination data along with the outcomes will be a potential modal for creating a prediction calculator formula. We are adapting the principle of AI to this calculator that the more varied the data inputted, the more accurate a prediction formula is formed.

After going through several stages of revisions and feature updates, currently, our pregnancy complication prediction calculator feature is available for predicting preeclampsia, preterm birth, stillbirth, and fetal growth restriction. Because the formula is based on our own local data, the sensitivity and accuracy of the formula can be relied upon for use by Indonesian users. Other features have also begun to be programmed for the mobile version to make it easier for patients to access them.

We believe that prenatal apps with low-bandwidth, user-friendly features, and most importantly, integrated with health facility information systems, can be a catalyst for the Indonesian government's program to reduce the rate of pregnancy complications. Not only supporting patients, but Prenatal Apps also have the potential to become a data exchange platform between doctors for research purposes.

Going forward, with the big goal of being a one-stop solution, an API to support teleconsulting features will be added to make the features more comprehensive. Support is needed from professional organizations,

private health facilities, and the government, to maximize the impact of this application.

1. Aditya Kusuma, MD- Experts and Medical Advisor (Full Time)
2. Junison Zaib- IT Consultant (Full Time)
3. Shinda Marizni- Research and Project Manager (Full Time)
4. Vania Permata Putri-Data Manager (Full Time)
5. Raza Adhanzio-UI/UX Designer (volunteer)
6. Muhammad Fadlil Adhim- IT Officer (volunteer)
7. Muhammad Dita Farel-Software Engineer (Contract)
8. Faula Mahalika- Project Officer (volunteer)
9. Regita Cahya- Learning Coordinator (Volunteer)

We have been actively working on our solution for approximately five years.

We ensure diversity and inclusivity within our team by actively promoting equal opportunities for all members, regardless of their background. We do not impose any restrictions on team involvement based on specific criteria, fostering an open and inclusive environment where everyone's contributions are valued and respected.

Our business model is B2B and B2G:

• Key partners: Our key partners are clinics and government, they
• will support the development of our apps and ease the way to predict massive mothers and prevent pregnancy complications in Indonesia.
• Key activities: Our innovative features enable simple and easy pregnancy information system such as integrated electronic health record, pregnancy complications predictor, teleconsulting, and research data. Through teleconsulting feature, we created an intensive education platform to connect with mothers.
• Key resources: Man power: 1) programmer to support development and advancement of our features. 2) Well-trained doctors to do standardized screening. 3) An impressive strategic in marketing to distribute our apps.
• Value proposition: Our prediction calculator formula is developed by our own data (local) that allows mothers to get an accurate and personalized result. Then teleconsulting feature allows mothers to get specific treatment based on objective examination. What makes Prenatal Apps valuable is that we have complete features in pregnancy complications prediction followed by maintained monitoring to the mothers that other apps don’t have.
• Customer relationship: We want to build strong relationship between doctors and mothers through our apps as it becomes top- of-mind application in pregnancy complications. We provides safety data, accurate result, and beneficial experience to support strengthening the relationship. We make sure that our apps is free for mothers and affordable to clinics as well as government
• Channels: Networking is important to introduce our apps. Currently we are planning to collaborate with government and more clinics to broaden our audience. We have active social media especially Instagram (@prenatal.institute) to share education about pregnancy
• complications and raise funding.
• Customer segments: Our target customer segments are mothers in our Local Community
• Cost structures: The expenses we need to operate well are: 1) 40%-50% for operation, 20%-30% for marketing, and 10%-20% for  resources.
• Revenue streams: The revenue streams are gonna be from
• monthly or annually subscription, assurance, royalty, and donations, and grants.

We optimize grants, crowdfunding, and awards to support our apps. Currently we are focusing on collaborating with public health centers, private clinics, midwives and government to be financially sustained by subscribing monthly or annually to our apps with affordable prices. Our mission is also aligned with current ministry of health agenda to achieve digital transformation massively with integrated health data information, so we believe we will be able financially sustainable in the future.