In August 2014, the National Department of Health implemented MomConnect as a national digital maternal health program that implements the South African mobile health (mHealth) strategy and the National Health Normative Standards Framework for Interoperability in electronic health (eHealth). As the first digital health program communicating with people at scale, MomConnect enrolled more than half a million women from all regions of the country in the first year of operation, representing approximately half the number of pregnancies in the public health sector.
MomConnect uses a mobile phone application to support a pregnancy registration system in antenatal care facilities, allowing pregnant women to receive stage-based messages to help them improve their health and that of their babies. Women can self-subscribe or be subscribed by community health workers to receive a limited set of health-promotion messages. Registered users interact with the system by rating the service received, asking questions, and submitting compliments or complaints. The mobile system connects to a central health-information exchange that facilitates interoperability between digital health applications and includes data validation, a national pregnancy registry and a monitoring and reporting system.