# Mobile WACh NEO: Mobile Solutions for Neonatal Health and Maternal Support

> **NIH NIH R01** · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · 2022 · $547,591

## Abstract

PROJECT SUMMARY/ ABSTRACT
High-impact essential newborn care practices and interventions are available to support neonatal survival, but
coverage remains a challenge in sub-Saharan Africa, where neonatal mortality is unacceptably high. Adherence
to these practices and uptake of life-saving interventions requires that a mother understands neonatal care and
illness and that she is supported to implement care. It is estimated that up to 80% of neonatal deaths occur as a
result of delays in mothers’ recognition of infant illness and decision to seek care. Two-way mobile health
(mHealth) communication strategies can enable mothers to remotely interact with a healthcare worker (HCW)
and receive real-time education, counseling, encouragement, motivation and decisional guidance to support
neonatal health. We hypothesize that two-way SMS communication in late pregnancy and the neonatal
period can prevent neonatal mortality by (1) supporting maternal implementation of essential newborn
care (early and exclusive breastfeeding, cord care, and thermal care), (2) improving identification of
neonatal danger signs and care seeking, and (3) augmenting maternal social support and self-efficacy,
and reducing depressive symptoms. We have developed a unique two-way SMS platform (Mobile WACh)
that combines automated bulk SMS messaging and dialogue with a HCW. We have adapted this approach for
intensive neonatal support and evaluations (Mobile WACh-NEO). Mobile WACh NEO (MWN) enhances the
benefits of SMS messaging by engaging mothers with SMS communication and bringing timely information and
support - asking critical questions at crucial times in order to assess the needs and health of newborns.
Our overarching aim is to determine the effect of Mobile WACh NEO on neonatal mortality and understand the
mechanisms by which this innovation impacts neonatal health. We propose to determine the effect of MWN
on neonatal mortality, essential newborn care, care seeking, and maternal mental health in the first 6
weeks postpartum, in a 2-armed randomized controlled trial. In AIM 1 we will determine the effect of Mobile
WACh NEO on neonatal mortality, compared to no SMS control. In AIM 2, we will examine the effect of Mobile
WACh NEO on maternal implementation of essential newborn care and care seeking behavior. In AIM 3 we will
examine the effects of Mobile WACh NEO on maternal social support, self-efficacy and depression. Finally, we
will explore the associations between maternal mental health, implementation of essential newborn care,
neonatal care seeking and participant engagement by SMS.
This study will evaluate a novel intervention to address a crucial gap in supporting mothers to care for their
neonates and seek care when needed, and has the potential to make a significant contribution to the World
Health Organization’s Every Newborn Action Plan to end preventable neonatal death and stillbirth.

## Key facts

- **NIH application ID:** 10372979
- **Project number:** 5R01HD098105-05
- **Recipient organization:** WOMEN AND INFANTS HOSPITAL-RHODE ISLAND
- **Principal Investigator:** Jennifer Unger
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $547,591
- **Award type:** 5
- **Project period:** 2019-06-01 → 2024-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10372979

## Citation

> US National Institutes of Health, RePORTER application 10372979, Mobile WACh NEO: Mobile Solutions for Neonatal Health and Maternal Support (5R01HD098105-05). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10372979. Licensed CC0.

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