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3.1) By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
Applying its scientific and business expertise to assist in meeting the related UN Millennium Development Goal, Merck’s Merck for Mothers initiative is helping to bring the next generation of solutions to end deaths of women from pregnancy and childbirth complications. Merck for Mothers is a 10-year, $500 million initiative to reduce maternal mortality in which Merck works in close collaboration with more than 75 implementing partners to initiate more than 50 projects in 30 countries—all built for lasting impact and contributing to our vision of a world where no woman dies giving life. Merck for Mothers focuses on the two leading causes of death—postpartum hemorrhage and preeclampsia/eclampsia—as well as on family planning, a powerful preventive tool to save women’s lives. The program includes a portfolio of initiatives that align with three main pillars: 1) access to affordable, quality care; 2) product innovation; and 3) advocacy and awareness.
Chevron's latest collaboration with Texas Children's Hospital (TCH) and Baylor College of Medicine (BCM) focuses on members of the Wayúu indigenous community in La Guajira, Colombia, one of the country's most impoverished states. The $1.5 million, five-year pediatric health care program called SAIL (Salud y Autosuficiencia Indígenas en La Guajira) aims to decrease the high morbidity and mortality rates for children and mothers in this remote area. Chevron has been producing natural gas in the area for nearly 40 years.
The Mobile Ultrasound Patrold is a project partnered by Qualcomm with the Moroccan Ministry of Health and others aiming to improve care for women in developing countries through early detection and treatment of major causes of maternal mortality by utilizing mobile technology. The project provides participating doctors and nurses with backpacks containing devices that are wirelessly connected to specialists in hospital clinics to ensure high quality diagnostics. By March 2015, a total of 575 exams including 3,108 images were wirelessly transmitted through 3G technology, with clinicians giving the ultrasounds a 98% perfect clarity rating. The use of wireless technology has reduced diagnostic reviews or second opinion times, costs of a medical diagnosis per patient, and increased medical practitioners’ skills to deliver ultrasounds.
3.2) By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
The P&G Pampers brand as part of its commitment to happy, healthy development of babies – created the Pampers Mobile Clinic Program, providing free basic health checks, health talks and products to mothers and their babies. This year, the clinics mark their 10th anniversary, reaching more than 1.8 million mothers and children in Nigeria, Kenya, Uganda and Pakistan. Also, the Pampers UNICEF vaccine program marked another year of working to eliminate neonatal tetanus, a preventable disease that claims the life of 58,000 babies in developing countries each year.
The campaign, 1 pack = 1 vaccine, has donated more than 300 million vaccines and helped to eliminate the disease in 15 countries.
In 2013, Merck supported the National Healthy Mothers, Healthy Babies Coalition (HMHB) in efforts to expand well-baby care during the first year of life in the U.S. Through this program, Merck, HMHB, and the National Medical Association created a 12-month guide that educates new parents and caregivers on the importance of following through on well-baby visits during the first year of life.
Created in 2000, Gavi, the Vaccine Alliance, is an international organization, bringing together public and private sectors, with the shared goal of creating equal access to new and underused vaccines for children living in the world’s poorest countries. To date, Gavi has immunized more than 500 million children and saved more than 7 million lives. Since beginning its relationship with Gavi in 2001, Pfizer has helped Gavi achieve its goals by increasing access to immunizations on an accelerated, affordable and sustainable basis. Pfizer has committed to supply up to 740 million doses of PCV13 through Gavi, to countries that carry the greatest burden of pneumococcal disease. In 2014, for Gavi eligible and Gavi Graduated countries, Pfizer lowered the per dose price of PCV13 in the single dose vial (SDV) presentation from $3.50 to $3.30 and committed to maintain this price through 2025. Additionally, if and when PCV13 in the four dose, multi-dose vial (MDV) presentation has been submitted to and approved by the European Medicine Agency and pre-qualified by the World Health Organization, Pfizer has committed to a per dose price of $3.10 for Gavi eligible and Gavi Graduated countries.
3.3) By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
In 1987, Merck founded the MECTIZAN Donation Program and announced that it would donate MECTIZAN for as long as necessary for the treatment and control of onchocerciasis (more commonly known as “river blindness”). At the inception of the program, the disease was one of the leading causes of preventable blindness worldwide, with approximately 130 million people at risk of getting the disease today. The program is a multi-sectoral partnership involving the WHO, the World Bank and UNICEF, as well as ministries of health, nongovernmental organizations and local communities is the longest-running disease-specific drug donation program and public-private partnership of its kind. With recent evidence from the World Health Organization (WHO) indicating the feasibility of eliminating the disease in Africa, the program’s strategy shifted from disease control to disease elimination, now working toward the goals established by the WHO to eliminate both lymphatic filariasis (LF) and onchocerciasis by 2020 and 2025, respectively. For more information on the MECTIZAN Donation Program, review the MDP Annual Highlights.
Merck has taken various approaches to combating HIV/AIDS and Tuberculosis on local and regional levels. The Merck Foundation has committed $36 million USD in establishing the China-MSD HIV/AIDS Partnership (C-MAP) and in Papua New Guinea, Merck is a member of the Collaboration for Health in Papua New Guinea (CHPNG), which focuses on day care centers for those with the disease while providing training and education to healthcare workers to better treat and provide necessary support. Perhaps its most sustained commitment in one country has been its work in Botswana through the African Comprehensive HIV/AIDS Partnership (ACHAP) to build the country’s HIV and tuberculosis prevention, care and treatment programs. Among many other contributions, ACHAP contributed to
- halving the infant mortality rate, saving over 50,000 lives between 2002 and 2007;
- dramatically reduced mother-to-child transmission and reduced new infections among children by at least 80 percent (from around 40 percent zero-conversion to less than 5 percent);
- substantially increased laboratory and treatment capacity and coverage across the country, including through training thousands of physicians and nurses;
- supported the development of Botswana’s First National Strategic Framework for HIV/AIDS (2003–2009) and the Second National Strategic Framework (2010–2016) as well as the country’s National Tuberculosis Strategy and TB/HIV policy guidelines;
- supported the launch of the TB Advocacy, Communication and Social Mobilization strategy which provided technical and financial support in the development of the training curriculum and in the Training of Trainees (TOTs) and other education and public awareness campaigns;
- a reduction of the national TB case notification rate from 623 per 100,000 persons in 2002 to 331 per 100,000 persons in 2012, likely attributed to the high coverage of ART in the country and high-impact TB interventions;
- increased data on proportion of tuberculosis patients with known HIV status, which has steadily increased from 68 percent in 2008 to 87 percent in 2012;
- increased coverage of co-trimoxazole prophylactic therapy from 32 percent in 2008 to 90 percent in 2012 for those TB patients co-infected with HIV, and the coverage of ART from 20 percent to 65 percent during the same period of time.
Merck has collaborated with the Medicines Patent Pool (MPP) to provide access to its pediatric formulations of raltegravir for use in treating HIV-1 infections in infants and children. In providing the MPP a royalty-free license for the development of pediatric formulations of the drug, Merck has improved the access to raltegravir for pediatric populations in low-and middle-income countries with high rates of pediatric HIV, totaling 92 countries.
In 2005, Chevron was the first oil and gas company to institute a global HIV/AIDS policy for employees. Chevron's HIV/AIDS policy focuses on delivering customized workplace- and community-based education, awareness building, prevention (including confidential counseling and testing) and treatment programs across the company's worldwide operations. In Angola and Nigeria, we implement voluntary internal prevention of mother-to-child transmission (PMTCT) programs. Through these programs, Chevron has achieved remarkable impact: Chevron has received no reports of mother-to-child transmission of HIV among its employees or qualified dependents participating in PMTCT programs since 2005 in Angola and 2001 in Nigeria.In 2011, Chevron embarked on a mission to help prevent mother-to-child transmission (PMTCT) of HIV through partnerships with Pact, Born Free Africa (BFA) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (The Global Fund).
- Pact: Through its partnership with Pact in the Nigerian state of Bayelsa, Chevron has established a community-based and government-supported PMTCT outreach program across the state. Key metrics of success include: 624 individuals trained on the latest state-of-the-art PMTCT approaches and techniques; 185,286 individuals have been reached with PMTCT messaging; and 46,513 pregnant women have taken HIV tests, received their results, and been counselled at health facilities.
- Born Free Africa: Chevron partners with BFA to empower the Nigerian federal and state governments to lead their own HIV responses, setting concrete targets to reduce mother-to-child HIV transmission, and develop a plan to get there. By working with members of the Nigerian government and the international donor community, as well as local implementing partners, this investment is increasing services for the prevention of mother-to-child transmission. (PMTCT) of HIV in Nasarawa, Bayelsa and Rivers states. Key metrics of success include: 670 health clinics are now providing PMTCT services; 220,077 pregnant women have been tested for HIV in these three states, and of them, 4.4% tested positive; and 7,425 pregnant women living with HIV have been initiated onto antiretrovirals (ARVS) in these states
- The Global Fund: Since 2008, Chevron has partnered with The Global Fund, directing $60 million to programs in Angola, Nigeria, South Africa, Indonesia, Thailand, Vietnam and the Philippines. Chevron is The Global Fund’s inaugural Corporate Champion and one of its largest single corporate partners. Chevron’s support of The Global Fund has contributed to 9.6 million lives saved.
Trachoma is the world’s leading cause of infectious blindness. It is endemic in 51 countries and is responsible for the visual impairment of an estimated 2.2 million people, of whom 1.2 million are irreversibly blind. The poorest of the poor suffer most from trachoma, especially in areas that have limited access to water and sanitation. However, trachoma is treatable and preventable with a multifaceted approach known as the SAFE strategy. Recommended by the World Health Organization, the SAFE strategy is a comprehensive public health approach that combines treatment (Surgery and Antibiotics) with prevention (Facial-cleanliness and Environmental improvement). The International Trachoma Initiative (ITI), a global program Pfizer helped to establish, has been working since 1998 to eliminate blinding trachoma as a public health concern. Through the ITI, Pfizer has donated more than 450 million doses of the antibiotic Zithromax® (azithromycin), as a part of the “A” component of the SAFE strategy, to prevent and treat trachoma in support of the World Health Organization-led Global Alliance for the Elimination of Trachoma by the year 2020.
Since 1983, Levi Strauss & Co. (LS&Co.) has contributed more than $70 million in grants to HIV/AIDS organizations in more than 40 countries, making the company the longest continuous corporate supporter in the fight against HIV/AIDS. In addition, LS&Co. has long supported HIV/AIDS education and prevention programs in the workplace, dating back to the early 1980s. In 2008, LS&Co. formally launched the LS&Co. HIV/AIDS Prevention Treatment and Care Program to provide innovative and interactive in-person prevention education and offer free voluntary and confidential HIV testing for employees, as well as free HIV/AIDS treatment and care for employees and dependents in need. From office to retail to factory employees, LS&Co. is ensuring access to life-saving information, testing and care for its global workforce.
3.4) By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
The Coca-Cola Company is committed to help people get moving by supporting physical activity programs in every country where it does business. The Company supported more than 290 physical activity programs in nearly 125 countries around the world through 2013.
The P&G Safeguard Clean Hands Healthy Kids Campaign marked its 15th year of teaching hygiene to prevent childhood illness, absenteeism and even death. The program was launched in China based on global research that soap and water washing can prevent nearly 4 million children a year from dying before their 5th birthday. Today, the program is in schools across China, the Philippines, Pakistan and Mexico, reaching 4.5 million students a year. In many locations, the brand has helped build hand-washing and sanitation stations for children.
The Walt Disney Company, in 2006, became the first major media company to establish nutrition guidelines to associate our brands and characters with more nutritionally balanced foods. In 2012, Disney took another important step, becoming the first major media company to set industry leading food advertising standards in the United States. That same year Disney introduced the Mickey Check, an icon that makes it easy forconsumers to identify nutritious food choices online, at retail, and at Disneyworld and Disneyland. By the end of 2015, Disney’s goals is that all of its advertising on U.S. kid-focused media platforms and Disney-owned online destinations oriented to families with younger children will be with food and beverages that comply with the nutrition guidelines.
China produces more tobacco and has more smokers than any other country in the world. In recent years, Chinese officials have shown interest in regulating tobacco use, but more can be done to put sufficient policies and programs in place to curb smoking and protect non-smokers from secondhand smoke. In 2015, Pfizer Inc. granted nearly $850,000 to Georgia State University’s School of Public Health to partner with Chinese health officials to expand tobacco control efforts to major cities in China. The grant supports policies, media campaignsand programs to protect non-smokers from second-hand smoke, encourage smokers to quit and prevent women, children and young adults from starting smoking in China cities. It builds on tobacco control work conducted in China by a team of researchers from Georgia State University and Emory that was previously funded by the Bill & Melinda Gates Foundation. The program began in 2008 and has led to significant social norm changes and the development of extensive relationships with national and local public health leaders.
3.5) Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
3.6) By 2020, halve the number of global deaths and injuries from road traffic accidents
Pirelli constantly strives to achieve the highest levels of product safety. The company’s commitment to road safety goes beyond the tire, with numerous training and awareness programs as well as ongoing research into innovative technological solutions for sustainable transportation. In addition to the numerous training activities the Company has organized during the last few years, in June 2016 Pirelli signed a four-year agreement with FIA in support of the “FIA Action for Road Safety Campaign” whose main objective is to raise awareness on safe driving.
3.7) By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes
In 2010, LifeSpring Hospitals responded to the Business Call to Action with its commitment to expand access to affordable, high-quality maternal and child health care to low-income families throughout India. The for-profit chain of small hospitals aims to reduce pregnancy-related deaths and complications among India’s working class poor in urban areas. LifeSpring’s goals include opening 200 hospitals by 2015 and providing 82,000 women with high-quality maternity and reproductive health services. As of June 2010, LifeSpring Hospitals has delivered more than 7,000 babies, and its doctors have treated over 100,000 outpatient cases at the hospital chain’s nine clinics. The vast majority of LifeSpring’s customers fall between the cracks of the healthcare system in India. They are either too poor to benefit from private clinic care or they may not have access to any other kind of care. Therefore, LifeSpring fills an important gap by providing affordable, high-quality maternal health care to lower income women. By reducing the burden of maternal healthcare on low-income families, LifeSpring is helping to ensure that more babies are born with qualified physicians rather than at home in high-risk situations. Thereby this model contributes to the reduction of child and maternal mortality rates by increasing institutional deliveries. In addition, communities are invited to attend monthly health camps held at the hospitals to educate women and their families about proper maternal care. Pregnant women are given free medical consultations and vitamins and children receive free pediatric consultations and vaccinations.
Merck prices their reproductive health commodities at their lowest access prices when selling them in low- and middle- income countries. In July 2011, Merck and the Reproductive Health Supplies Coalition (RHSC) announced a partnership to enhance access and appropriate and effective use of IMPLANON (etonogestrel implant) for qualified buyers in developing countries. Under the initiative, IMPLANON is available at Merck’s lowest access price to donor agencies and family planning members of RHSC in sub-Saharan Africa, and in all other low income countries and lower middle income countries with maternal mortality ratios of less than 200. In May 2013, Merck, along with various partners announced an agreement to expand contraceptive access and options for millions of women. To date, three of Merck’s contraceptives have reached over 4 million women in Family Planning 2020 countries.
A novel agreement with the Bill & Melinda Gates Foundation and the Children's Investment Fund Foundation is helping broaden access to Pfizer's long-acting contraceptive, Sayana® Press (medroxyprogesterone acetate), for women most in need in 69 of the world’s poorest countries.
Sayana® Press combines a long-acting, reversible contraceptive with an all-in-one pre-filled, single-use, non-reusable injection. Created with this target population of women in mind, Sayana® Press eliminates the need to prepare a needle and syringe, allowing the contraceptive to be administered by health workers at home or in other low-resource, non-clinic settings.
Through this agreement and the support of a public/private sector consortium including PATH, the United Kingdom's Department for International Development, the United Nations Population Fund, and the United States Agency for International Development, Sayana® Press is being sold for one U.S. dollar per dose to qualified purchasers, who are helping enable the poorest women in these countries to have access to the contraceptive at reduced or no cost.
Sayana® Press is not approved or available in the US.
 Family Planning 2020. Available at: http://www.familyplanning2020.org/articles/4458. Accessed: September 15, 2015.
Qualcomm® Wireless Reach™ is a strategic initiative that brings wireless technology to underserved communities globally. Wireless Reach invests in projects that foster entrepreneurship, aid in public safety, enhance the delivery of health care, enrich teaching and learning and improve environmental sustainability. Mobile technologies are literally breaking down barriers – geographic, socio-economic, educational and cultural – that have historically obstructed progress in developing countries. To date, Wireless Reach has collaborated with more than 450 stakeholders on over 100 projects in 40 countries, and has benefited nearly 8 million people. The Mobilizing HERhealth program empowers women factory workers in China to better manage and improve their health via mobile technology. Developed by Business for Social Responsibility, (BSR) Qualcomm® Wireless Reach™ is the primary program funder and provides wireless expertise along with project management support. The mobile application connects women with peer health educators, providing them access to reproductive health training and other interactive health-related content. The project aligns with China’s 12th Five Year Plan, which prioritizes developing affordable, accessible health care for the entire population.
3.8) Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
The Coca-Cola Company committed with The Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) and The Bill & Melinda Gates Foundation in 2010 to work together to apply business knowledge to maximize the ability to get vital medicines and medical supplies to the people who need it most. Through “Project Last Mile”, The Coca-Cola Company is using the Coca-Cola system’s logistic, supply chain and marketing expertise to help improve health systems across Africa in a sustainable way. Through this partnership, government agencies are learning how to more efficiently deliver vital drugs, medicines and medical supplies, how to better market the availability of these supplies, thereby creating demand, and how to maintain coolers to ensure the medicines and vaccines are stored at the correct temperatures. Project Last Mile’s success is dependent on extensive collaborations between the Coca-Cola system, government, academia and other NGOs. Critical partners include the U.S. Agency for International Development (USAID), The Global Fund, Bill & Melinda Gates Foundation. Collaboration with Yale University’s Global Health Leadership Institute, Accenture Development Partnerships (ADP) and the Global Environment & Technology Foundation (GETF) is also critical to the initiative’s successful execution.
In 2011, Por ti, Familia joined the Business Call to Action in its efforts to provide low-income households in Peru access to essential medicines and quality healthcare. Launched in 2009, Por ti, Familia (meaning “For You, Family”) is a private-sector solution to inefficient distribution channels that restrict access to healthcare for low income communities. As a chain of primary health clinics, Por ti, Familia utilizes a hub-and-spoke model to offer comprehensive and affordable healthcare in conveniently located retail storefronts. Combining a doctor’s office, pharmacy and laboratory testing services in the same location, the social enterprise has become an essential source of healthcare provision for the country’s poorest, particularly in Lima. And through the establishment of an extensive network of private health centres, branded “MiDoctorcito”, Por ti, Familia enables access to quality healthcare for Lima’s urban low-income communities. In 2010 alone, Por ti, Familia registered 7,000 patients and since its inception has launched 5 clinics and health centres with over 40,000 registered patients. Port ti, Familia’s goals for 2017 include scaling up operationsto serve 270,000 patients per year, establishing 100 new health centres, and employing 1,000 people in the new centres.
HelpAge International and Pfizer have worked together since 2012 to reduce the impact of non-communicable diseases (NCDs) among older people in Tanzania. During the first two years, the initiative focused on raising awareness among older people and health providers contributing to the Government of Tanzania's efforts to provide appropriate health services to older citizens. NCDs include a range of chronic conditions, including cancer, diabetes, cardiovascular disease and hypertension, as well as Alzheimer's and other dementias. They are commonly thought of as “diseases of affluence,” whereas, in reality, four-fifths of deaths from NCDs are in low- and middle-income countries and older people in developing countries are particularly at risk. Prevention through an active and healthy lifestyle can turn some of these debilitating diseases into manageable conditions.
The ongoing project focuses on developing health messaging through an intergenerational approach and includes the strengthening of community based initiatives such as active aging groups. These initiatives are aimed at promoting prevention and management of NCDs by practicing healthy lifestyles, while working with health providers at local and national levels to improve prevention, early diagnosis, follow-up and treatment of NCDs, as well as improving on data collection and analysis to inform appropriate policies. While the community-based activities are carried out in Morogoro, Kibaha and Songea districts, at the national level the project supports health advocacy including curriculum reform, increase access to essential NCD drugs and support to improve health information management with the Ministry of Health and Social Welfare.
3.9) By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination
Means of Implementation
3.a) Strengthen implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
3.b) Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health and, in particular, provide access to medicines for all
Created in 2000, the Global Alliance for Vaccines and Immunization (GAVI) is a global Vaccine Alliance bringing together public and private sectors with the shared goal of creating equal access to new and underused vaccines for children living in the world’s poorest countries. Merck, Pfizer, and Janssen Pharmaceutical of Johnson & Johnson are partners that make respective contributions of vaccines. Merck has made access to rotavirus and HPV vaccines such as ROTATEQ® and GARDASIL ® affordable in GAVI-eligible countries by making prices for such vaccines a small fraction of the price in developed countries.
Merck has various partnerships with organizations, demonstrating its support in addressing global health issues. In 2012, Merck joined six other pharmaceutical companies, along with research institutions and the Bill & Melinda Gates Foundation to launch the TB Drug Accelerator (TBDA) partnership, which aims to speed the discovery of new treatments for tuberculosis. Partners have shared sections of their compound libraries and data in order to develop the best drug candidates. Merck is a partner in the International Partnership for Microbicides, granting IPM non-royalty-bearing, nonexclusive licenses to develop, manufacture, and distribute its ARV compounds for use as a vaginal microbicide to help protect women in developing countries. In its agreement with Drugs for Neglected Diseases initiative (DNDi), Merck contributes intellectual property to conduct early development programs for durg candidate for neglected tropical diseases (NTDs) treatment. Merck also collaborates with the Infectious Disease Research Institute (IDRI) which focuses on the research and development of vaccines, along with therapeutics and diagnostics for a range of diseases. To support the fight against cervical and breast cancer in sub-Saharan Africa, Merck has been a partner of the Pink Ribbon Red Ribbon initiative.
3.c) Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
The Merck Foundation committed $4 million SD to the BroadReach Institute for Training and Education (BRITE) implemented its Management and Leadership Academy (MLA) program in Zambia. The MLA program helps equip healthcare professionals with the knowledge and skills to lead, own, and transform the delivery of healthcare in their own country. Since the beginning of the MLA program in Zambia in 2011, over 700 healthcare workers have been trained. Various cases have shown that the MLA has empowered health care professionals to address local issues such as high maternal mortality rates, and provided them skills to improve information management, health service delivery, and staff unity.
3.d) Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks
In August 2011, the U.S. technology company Dimagi made a commitment to promote access to health care for millions of people in India. Dimagi’s multilingual mobile phone-based application, CommCare, is helping health workers to collect data and monitor patient care more efficiently and effectively. Specifically, the app allows health workers to store and access patient information and monitor at-risk patients, while also enabling health care program staff to monitor health workers’ performance through online reports. Moreover, CommCare’s ReMiND pregnancy application supports prenatal and postnatal care by collecting data about each pre- and post-natal visit with a health worker, and enables health workers to receive training alerts, monitor pregnant women’s health, and share interactive counselling messages. In India, CommCare is linked to a network of health clinics through the National Rural Health Mission, which promotes good health through basic illness prevention, first aid, family planning, childhood vaccinations, and other government-supported health programmes. Since 2012, over half a million clients have been registered in CommCare across 40 countries, and over 1 million forms have been submitted to CommCareHQ, addressing diverse health issues including maternal and child health, family planning, child nutrition, and HIV. Dimagi estimates that over 250,000 beneficiaries have been reached through CommCare in India alone.