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From the IFT source library

Safe Motherhood Digital Card

Topic-specific explanations and research proposals developed from IFT source content. Local evidence, permissions, costs and results remain to be established.

Original source ↗

Understand the topic

What this means in daily life

A portable maternity record should help authorised professionals continue care when a woman changes service. It needs minimal information, understandable consent, reliable correction and a usable alternative when a device or network fails.

Portability is useful when the next professional can retrieve accurate, necessary information in time. The proposed card needs a correction route and an offline alternative, with clear control over who can read or change sensitive maternity details.

Data reference table

Evidence Snapshot

Read each value with its reporting period, population and limitations. A historical national reference is not a local baseline or proof that an IFT proposal works.

5 measurement records still need data and a review of their relevance.

Data references for Safe Motherhood Digital Card
SignalReference ValuePeriod / PopulationHow to Read ItSource Status
Early registration and quality ANC

Not established

Data required — not zero

Reporting period: Information Required

Population and geography: Information Required

Proposed measure; no observed value is established here.

Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number.

Source organisation: Information Required

Direct source URL: not yet verified

Source publication date: not established

Verification status: Data required

Risk detection-to-referral time

Not established

Data required — not zero

Reporting period: Information Required

Population and geography: Information Required

Proposed measure; no observed value is established here.

Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number.

Source organisation: Information Required

Direct source URL: not yet verified

Source publication date: not established

Verification status: Data required

Emergency obstetric readiness

Not established

Data required — not zero

Reporting period: Information Required

Population and geography: Information Required

Proposed measure; no observed value is established here.

Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number.

Source organisation: Information Required

Direct source URL: not yet verified

Source publication date: not established

Verification status: Data required

Severe maternal morbidity/mortality

Not established

Data required — not zero

Reporting period: Information Required

Population and geography: Information Required

Proposed measure; no observed value is established here.

Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number.

Source organisation: Information Required

Direct source URL: not yet verified

Source publication date: not established

Verification status: Data required

Postnatal and newborn continuity

Not established

Data required — not zero

Reporting period: Information Required

Population and geography: Information Required

Proposed measure; no observed value is established here.

Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number.

Source organisation: Information Required

Direct source URL: not yet verified

Source publication date: not established

Verification status: Data required

Different surveys, administrative records, estimates and reporting years are not interchangeable. No combined IFT score is calculated from these rows.

10 ideas for this topic

What could be done — and what needs testing

These are proposals for research and local testing. They are not claims that a project has been funded, implemented or proved successful.

Idea 01

Minimum record design

Ask maternity teams which information is necessary for continuity

What to check: Remove fields without a defined care purpose

Idea 02

Consent explanation

Explain what sharing permits and with whom

What to check: Test comprehension without relying on a long consent screen

Idea 03

Role-based access

Limit each service to information required for its task

What to check: Inspect whether administrative users can see sensitive clinical details

Idea 04

Offline continuity

Provide an appropriate woman-held fallback for network failure

What to check: Test a referral without mobile data

Idea 05

Result provenance

Label test and clinical entries with source and date

What to check: Check whether a receiving clinician can identify an outdated finding

Idea 06

Correction route

Allow authorised correction of mistaken entries

What to check: Verify that corrected values reach connected care teams

Idea 07

Migration transfer

Test a change of facility or district

What to check: Check whether records remain usable without restarting registration

Idea 08

Lost-device recovery

Offer secure recovery without dependence on one phone

What to check: Test that recovery does not expose another person’s record

Idea 09

Access logging

Review who viewed or changed sensitive information

What to check: Follow unexplained access through an accountable process

Idea 10

Retention and exit

Specify lawful retention and vendor handover arrangements

What to check: Rehearse continued care if the software supplier changes

References and evidence limits

Reference guidance informs the proposal. It does not establish local conditions, approve a design or prove that these proposed projects work.

15 questions, answered clearly

Questions about Safe Motherhood Digital Card

Is a digital card a substitute for care?

No. It supports continuity between qualified professionals

Must it contain every personal detail?

No. Data should be limited to a defined necessary care purpose

Who may see the record?

Authorised users whose role requires the relevant information

What if the network fails?

A suitable fallback should preserve essential professional continuity

Can a woman change facilities?

Portability should support an authorised accepted transfer

What if a result is outdated?

Source, date and correction information should remain visible to care teams

Can a lost phone end access?

Recovery needs a secure alternative that does not depend on one device

Should administrative staff see all clinical details?

No. Access should follow necessity and role

Why keep access logs?

They allow accountable review of viewing and changes to sensitive records

What if the software vendor leaves?

Ownership, handover and retention arrangements must preserve usable care information

What would the “Correction route” idea involve?

Allow authorised correction of mistaken entries What to check: Verify that corrected values reach connected care teams

What would the “Migration transfer” idea involve?

Test a change of facility or district What to check: Check whether records remain usable without restarting registration

What would the “Lost-device recovery” idea involve?

Offer secure recovery without dependence on one phone What to check: Test that recovery does not expose another person’s record

What would the “Access logging” idea involve?

Review who viewed or changed sensitive information What to check: Follow unexplained access through an accountable process

What would the “Retention and exit” idea involve?

Specify lawful retention and vendor handover arrangements What to check: Rehearse continued care if the software supplier changes