To keep women informed and vigilant about risks during pregnancy, Jhpiego partnered with the GE Foundation to develop a text messaging system that communicates information about key risk factors and danger signs in pregnancy, along with reminders to seek prenatal care and visit a health center.

Known as SMSBunda, the initiative has been wildly popular, enrolling more than 300,000 pregnant women and sending over 16 million text messages. From an initial 10 districts, the project grew to 284. At the end of our engagement, 14 district health offices and two provincial offices committed to buying into the SMS service from the Indonesian company now managing it.

Moreover, SMSBunda has had a profound impact. A 2016 evaluation of the service found participants had greater knowledge of risks and danger signs during pregnancy, following birth and for newborns than non-users.