Shaping the future: Our strategy for research and innovation in humanitarian response.

A global organisation that finds solutions to complex humanitarian problems through research and innovation..
Our purpose is clear: we work in partnership with a global community of humanitarian actors, researchers and innovators to improve the quality of humanitarian action and deliver better outcomes for people affected by crises.
We empower the humanitarian community. Find out how we can support you...

Principal Investigators: Dr Renaud Becquet and Prof. Richard Ngbale


The purpose is to assess whether the implementation of an innovative system based on the integration of Traditional Birth Attendants (TBAs) into the health system with strengthened collaboration between TBAs and health facilities, supported by a phone application to register pregnant women, makes it possible to identify those at high risk of obstetric complications and improve delivery rates of high-risk pregnancies in the health facilities included in this study. The study will also allow us to have a clearer picture of the number of pregnancies in the community. A process evaluation will be conducted to understand how and why the intervention worked or not.

Prof. Richard Ngbale

Bangui University

Improving maternal and neonatal mortality indicators remains a challenge in CAR. Traditional birth attendants play an important role due to the lack of qualified staff. We will assess whether strengthening their capacity through an innovative approach and formal collaboration with health facilities may constitute a lever for improving the situation.

Expected Outcomes

At the national Ministry of Health level, it is expected this study will highlight the role that TBAs can play in improving maternal health in a context like CAR with a weak access to health structures. Existing policies open the door to further collaboration with TBAs in the health system and this study has the objective to assist authorities in pursuing this way by integrating such new evidence in upcoming community health strategy and policy.

At the regional and district levels, health authorities are expected to continue the collaboration with TBAs, even after the completion of the project. Beyond the technology element of the study through the development of the mHealth application, the collaboration efforts between TBAs and the health system could continue after the study completion.

At the international level, results will feed the existing body of evidence. The phone application will be made open source for other actors to use it and improve it.

Photo credit: ALIMA
Photo credit: ALIMA
Photo credit: ALIMA


Subscribe to our newsletters....

Elrha © 2018 - 2024 Elrha is a registered charity in England and Wales (1177110). KEEP IN TOUCH Want to stay up to date with our latest updates? Sign up to our newsletters
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.