MEASURE Evaluation Strategic Information for South Africa (MEval-SIFSA) helped implement the MomConnect initiative, supporting operations and project management through seconded staff, messaging and registration support, operations research to improve the program, and integration of a help desk within other help desks of the health system. The project also conducted a data security assessment to determine compliance to best practices and principles and found gaps in 11 of 13 categories of assessment, which made the system information vulnerable to serious disruption.
Operations research identified factors impeding implementation about six months after launch. Only when training materials and methods were adapted was MomConnect able to achieve its target of registering one million mothers. Limited connectivity at some times of the day was a partial reason for this gap. To overcome this challenge and ensure that mothers were registered, the health department accepted a booklet in which the mother’s details were recorded for digital registration at a more suitable time.